California
Stroke Data Management Requirements.
22 CCR 100154.01
Source text
29 segments
22 CCR 100154.01
22 CCR 100154.01
ยง 100154.01. Stroke Data Management Requirements.
(a)
Data Collection and Sharing Requirements.
(1)
LEMSA. The local EMS agency (LEMSA) shall develop and implement a standardized data collection and reporting process for the stroke critical care system.
(A)
The process shall include the collection of both the prehospital stroke patient care data and general acute care hospital (GACH) stroke patient care data. The data shall include the elements specified in subdivision (b) of this section and may include additional elements as specified by the LEMSA.
(B)
The LEMSA, in collaboration with EMS receiving GACHS, acute stroke ready hospitals, stroke centers, and EMS providers, shall develop a process for the sharing of outcome data from the EMS receiving GACH, acute stroke ready hospital, or stroke center to the EMS providers for all transported stroke patients, including patients who were initially identified as potential stroke cases but were not ultimately included in the EMS receiving GACH's, acute stroke ready hospital's, or stroke center's stroke registry.
(2)
GACHs.
(A)
All stroke centers shall maintain a LEMSA-approved stroke patient registry (stroke registry) within which the stroke center shall collect stroke patient care data. The stroke center shall submit stroke registry data either directly to CEMSIS or the LEMSA in a manner that is compliant with the Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191). When stroke registry data is submitted to the LEMSA, the LEMSA shall upload the data to CEMSIS.
(B)
All GACHs that receive stroke patients via EMS shall participate in the LEMSA data collection process in accordance with LEMSA policies and procedures.
(3)
Timing of Submission. The prehospital stroke patient care data and GACH stroke patient care data shall be collected and submitted to the Emergency Medical Services Authority (EMSA), either directly or through the LEMSA in accordance with the LEMSA's data policy, on at least a quarterly basis and within ninety (90) days of patient discharge.
(b)
Stroke Patient Care Data Requirements.
(1)
Prehospital Stroke Patient Care Data Elements.
(A)
The prehospital stroke patient care elements shall be compliant with the most current version of the CEMSIS and NEMSIS databases.
(B)
Prehospital stroke patient care data elements collected by EMS providers and uploaded into CEMSIS, shall include the following for any patient with a primary or secondary impression of stroke:
(i)
EMS Electronic Patient Care Record (ePCR) Number (NEMSIS element eResponse.03 -- Incident Number; eResponse.04 -- EMS Response Number);
(ii)
Receiving Facility (NEMSIS element eDisposition.01 Destination/Transferred To, Name; eDisposition.02 Destination/Transferred To, Code);
(iii)
Name: Last, First (NEMSIS element ePatient.02 Last Name; ePatient.03 First Name);
(iv)
Date of Birth (NEMSIS element ePatient.17);
(v)
Patient Age (NEMSIS element ePatient.15 Age; ePatient.16 Age Units);
(vi)
Patient Gender (NEMSIS element ePatient.13 Gender);
(vii)
Patient Race (NEMSIS element ePatient.14 Race);
(viii)
Stroke Scale Score (NEMSIS element eVitals.29);
(ix)
Public safety answering point (PSAP) Call Date/Time (NEMSIS element eTimes.01);
(x)
Unit Notified by Dispatch Date/Time (NEMSIS element eTimes.03);
(xi)
Arrived at Patient Date/Time (NEMSIS element eTimes.07);
(xii)
Unit Left Scene Date/Time (NEMSIS element eTimes.09);
(xiii)
Destination Team Pre-Arrival Alert or Activation (NEMSIS element eDisposition.24);
(xiv)
Date/Time of Destination Prearrival Alert or Activation (NEMSIS element eDisposition.25);
(xv)
Patient Arrived at Destination Date/Time (NEMSIS element eTimes.11).
(2)
GACH Stroke Patient Care Data Elements. The required stroke patient care data elements are specified in the Stroke Patient Care Data Dictionary (Rev. 11/2025), incorporated by reference, which identifies the minimum data fields required for submission to CEMSIS and ensures statewide consistency in reporting.
Source outline
28 anchors in this source