Personal ID number
Item
Personal ID number
integer
C2348585 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Name
Item
Name
text
C1299487 (UMLS CUI [1])
Date of onset TIA
Item
Date of onset TIA
date
C0007787 (UMLS CUI [1,1])
C0574845 (UMLS CUI [1,2])
Diagnosis Code
Item
Diagnosis Code (G)
float
C1550350 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
Reporting hospital
Item
Reporting hospital
text
C0019994 (UMLS CUI [1,1])
C0700287 (UMLS CUI [1,2])
Reporting Ward/department
Item
Reporting Ward/department
text
C0019961 (UMLS CUI [1,1])
C0700287 (UMLS CUI [1,2])
name of person completing this form
Item
Completed by (name of person completing this form)
text
C1550483 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
admitted for treatment for this TIA episode
Item
Has the patient been admitted for treatment for this TIA episode?
boolean
C0007787 (UMLS CUI [1,1])
C0332189 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
Item
Did the patient arrive by ambulance?
integer
C0002422 (UMLS CUI [1,1])
C0150390 (UMLS CUI [1,2])
Code List
Did the patient arrive by ambulance?
Item
Number of hours from onset to arrival at hospital
integer
C0007787 (UMLS CUI [1,1])
C0449244 (UMLS CUI [1,2])
C1320532 (UMLS CUI [1,3])
C0449238 (UMLS CUI [1,4])
Code List
Number of hours from onset to arrival at hospital
Item
Thrombolysis alarm “save the brain/stroke alarm”
integer
C0040044 (UMLS CUI [1,1])
C2956061 (UMLS CUI [1,2])
C0007787 (UMLS CUI [2])
Code List
Thrombolysis alarm “save the brain/stroke alarm”
Date of arrival at hospital
Item
Date of arrival at hospital
date
C3263562 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0007787 (UMLS CUI [2])
Time of arrival at hospital
Item
Time of arrival at hospital
time
C1320532 (UMLS CUI [1])
C0007787 (UMLS CUI [2])
Item
Has the patient been admitted to the stroke unit for this episode?
integer
C0587502 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])
C0007787 (UMLS CUI [2])
Code List
Has the patient been admitted to the stroke unit for this episode?
Item
Previous stroke
integer
C0559159 (UMLS CUI [1])
Code List
Previous stroke
Item
Previous TIA / Amaurosis fugax?
integer
C0149793 (UMLS CUI [1])
C0007787 (UMLS CUI [2])
Code List
Previous TIA / Amaurosis fugax?
Item
Auricular fibrillation, previously diagnosed
integer
C0004238 (UMLS CUI [1])
Code List
Auricular fibrillation, previously diagnosed
Item
Auricular fibrillation, recently identified on arrival at hospital or during treatment
integer
C0004238 (UMLS CUI [1])
Code List
Auricular fibrillation, recently identified on arrival at hospital or during treatment
Item
Smoker (>1 cigarette/day, or quit during the last three months)
integer
C0543414 (UMLS CUI [1])
Code List
Smoker (>1 cigarette/day, or quit during the last three months)
Item
CT brain scan during treatment
integer
C0412585 (UMLS CUI [1])
Code List
CT brain scan during treatment
Item
MRI brain scan during treatment
integer
C0412675 (UMLS CUI [1])
Code List
MRI brain scan during treatment
Item
If yes, MR brain scan during acute phase:
integer
C0412675 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
If yes, MR brain scan during acute phase:
CL Item
shows new cerebral infarction (1)
CL Item
shows no new cerebral infarction (2)
CL Item
examination result uncertain or not known (3)
Item
Carotid ultrasound performed
integer
C0948945 (UMLS CUI [1])
Code List
Carotid ultrasound performed
CL Item
examination performed no more than 28 days before onset (3)
Carotid ultrasound date
Item
If yes, examination date
date
C0948945 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
CT angiography performed
integer
C1536105 (UMLS CUI [1])
Code List
CT angiography performed
CL Item
not examined due to patient's reduced consciousness (3)
CT angiography date
Item
If yes, examination date
date
C0085532 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
MR angiography performed
integer
C0002978 (UMLS CUI [1])
Code List
MR angiography performed
CL Item
examination performed no more than 28 days before onset (3)
MR angiography date
Item
If yes, examination date
date
C0002978 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
CT or MR angiography performed of vessels affected
integer
C0002978 (UMLS CUI [1])
Code List
CT or MR angiography performed of vessels affected
CL Item
carotid vessels (1)
CL Item
intracranial vessels (2)
CL Item
both carotid and intracranial vessels (3)
Item
Long term ECG (telemetry, Holter or equivalent) performed during period of treatment
integer
C0430461 (UMLS CUI [1])
Code List
Long term ECG (telemetry, Holter or equivalent) performed during period of treatment
CL Item
no, but arranged for period after discharge (3)
Item
Has the patient been evaluated by an occupational therapist during the period of treatment?
integer
C1444296 (UMLS CUI [1,1])
C0028807 (UMLS CUI [1,2])
Code List
Has the patient been evaluated by an occupational therapist during the period of treatment?
Item
Has the patient been evaluated by a physiotherapist during the period of treatment?
integer
C0679830 (UMLS CUI [1,1])
C2362565 (UMLS CUI [1,2])
Code List
Has the patient been evaluated by a physiotherapist during the period of treatment?
Item
Antihypertensive agents: At onset?
integer
C0003364 (UMLS CUI [1])
Code List
Antihypertensive agents: At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Antihypertensive agents: At discharge?
integer
C0003364 (UMLS CUI [1])
Code List
Antihypertensive agents: At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Statins (e.g. Atorvastatin, Crestor, Lipitor, Pravastatin, Simvastatin): At onset?
integer
C0360714 (UMLS CUI [1])
Code List
Statins (e.g. Atorvastatin, Crestor, Lipitor, Pravastatin, Simvastatin): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Statins (e.g. Atorvastatin, Crestor, Lipitor, Pravastatin, Simvastatin): At discharge?
integer
C0360714 (UMLS CUI [1])
Code List
Statins (e.g. Atorvastatin, Crestor, Lipitor, Pravastatin, Simvastatin): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
ASA (e.g. Trombyl): At onset?
integer
C0004057 (UMLS CUI [1])
Code List
ASA (e.g. Trombyl): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
ASA (e.g. Trombyl): At discharge?
integer
C0004057 (UMLS CUI [1])
Code List
ASA (e.g. Trombyl): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Clopidogrel (e.g. Plavix): At onset?
integer
C0070166 (UMLS CUI [1])
Code List
Clopidogrel (e.g. Plavix): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Clopidogrel (e.g. Plavix): At discharge?
integer
C0070166 (UMLS CUI [1])
Code List
Clopidogrel (e.g. Plavix): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
ASA + dipyridamole (Asasantin): At onset?
integer
C0626271 (UMLS CUI [1])
Code List
ASA + dipyridamole (Asasantin): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
ASA + dipyridamole (Asasantin): At discharge?
integer
C0626271 (UMLS CUI [1])
Code List
ASA + dipyridamole (Asasantin): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Dipyridamole (Persantin): At onset?
integer
C0012582 (UMLS CUI [1])
Code List
Dipyridamole (Persantin): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Dipyridamole (Persantin): At discharge?
integer
C0012582 (UMLS CUI [1])
Code List
Dipyridamole (Persantin): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Antithrombotic drugs other than ASA, clopidogrel and dipyradimole (e.g. Brilique, Efient, Pletal, Possia): At onset?
integer
C1704311 (UMLS CUI [1])
Code List
Antithrombotic drugs other than ASA, clopidogrel and dipyradimole (e.g. Brilique, Efient, Pletal, Possia): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Antithrombotic drugs other than ASA, clopidogrel and dipyradimole (e.g. Brilique, Efient, Pletal, Possia): At discharge?
integer
C1704311 (UMLS CUI [1])
Code List
Antithrombotic drugs other than ASA, clopidogrel and dipyradimole (e.g. Brilique, Efient, Pletal, Possia): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Warfarin (Waran): At onset?
integer
C0043031 (UMLS CUI [1])
Code List
Warfarin (Waran): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
PK (INR) value
Item
If yes, treatment with warfarin at onset state PK (INR) value regardless of diagnosis
float
C0525032 (UMLS CUI [1])
Item
Apixaban (Eliquis): At onset?
integer
C1831808 (UMLS CUI [1])
Code List
Apixaban (Eliquis): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Apixaban (Eliquis): At discharge?
integer
C1831808 (UMLS CUI [1])
Code List
Apixaban (Eliquis): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Dabigatran (Pradaxa): At onset?
integer
C2348066 (UMLS CUI [1])
Code List
Dabigatran (Pradaxa): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Dabigatran (Pradaxa): At discharge?
integer
C2348066 (UMLS CUI [1])
Code List
Dabigatran (Pradaxa): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Rivaroxaban (Xarelto): At onset?
integer
C1739768 (UMLS CUI [1])
Code List
Rivaroxaban (Xarelto): At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Rivaroxaban (Xarelto): At discharge?
integer
C1739768 (UMLS CUI [1])
Code List
Rivaroxaban (Xarelto): At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Peroral anticoagulants other than the above: At onset?
integer
C0354604 (UMLS CUI [1])
Code List
Peroral anticoagulants other than the above: At onset?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Peroral anticoagulants other than the above: At discharge?
integer
C0354604 (UMLS CUI [1])
Code List
Peroral anticoagulants other than the above: At discharge?
CL Item
no, intervention planned at time of follow-up appointment within two weeks after discharge (3)
Item
Main reason for non-intervention with peroral anticoagulants at time of discharge in the case of atrial fibrillation and diagnosis I63
integer
C0354604 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
Main reason for non-intervention with peroral anticoagulants at time of discharge in the case of atrial fibrillation and diagnosis I63
CL Item
insertion planned after discharge 2= contraindications (in accordance with FASS) (1)
CL Item
interactions with other drugs/neuropathy (in accordance with FASS) (3)
CL Item
caution (in accordance with FASS) (4)
CL Item
patient refuses treatment (7)
CL Item
kontraindicerat (enl. FASS) (2)
Item
PAP (physical activity on prescription)?
integer
C0026606 (UMLS CUI [1,1])
C0033080 (UMLS CUI [1,2])
Code List
PAP (physical activity on prescription)?
CL Item
no, the need for physical activity is already being met (3)
CL Item
patient declined (4)
Item
Smoker informed at onset of need to quit smoking
integer
C1273715 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Code List
Smoker informed at onset of need to quit smoking
CL Item
not relevant given patient's condition (3)
Item
Information provided regarding driving
integer
C0004379 (UMLS CUI [1,1])
C1533716 (UMLS CUI [1,2])
C0038454 (UMLS CUI [1,3])
Code List
Information provided regarding driving
CL Item
not relevant/no driving licence (3)
Item
Has a follow-up appointment on the basis of this TIA episode been made with a nurse or doctor?
integer
C0007787 (UMLS CUI [1,1])
C0589121 (UMLS CUI [1,2])
C0586344 (UMLS CUI [1,3])
Code List
Has a follow-up appointment on the basis of this TIA episode been made with a nurse or doctor?
CL Item
yes, at a special stroke unit (at or outside the hospital) (1)
CL Item
yes, at another hospital admissions ward/department (2)
CL Item
yes, at a health centre/equivalent (3)
CL Item
yes, at arranged accommodation (4)
CL Item
yes, at day rehab (5)
Item
Age
integer
C0001779 (UMLS CUI [1])
CL Item
under 60 years (1)
CL Item
over 60 years (0)
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
CL Item
over 140/90 at time of examination (1)
CL Item
under 140/90 at time of examination (0)
Item
Clinical picture for this TIA episode
integer
C0007787 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
Code List
Clinical picture for this TIA episode
CL Item
speech difficulties without weakness (1)
CL Item
weakness on one side (unilaterally) could be combined with other symptoms (2)
CL Item
other symptoms (0)
Item
Duration of symptoms
integer
C1457887 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0007787 (UMLS CUI [1,3])
Code List
Duration of symptoms
CL Item
symptoms lasted 10-59 minutes (1)
CL Item
symptoms lasted over 60 minutes (2)
CL Item
symptoms lasted under 10 minutes (0)
Item
Diabetes
integer
C0011849 (UMLS CUI [1])
CL Item
diabetes, previously diagnosed or recently identified (1)