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Narrative

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Source1

{
  "resourceType": "CodeSystem",
  "id": "stroke-proc-not-done-reason-cs",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://testSK.org/CodeSystem/stroke-proc-not-done-reason-cs",
  "version": "0.1.0",
  "name": "StrokeProcNotDoneReasonCS",
  "title": "Stroke Procedure Not Done Reason Code System",
  "status": "active",
  "experimental": true,
  "date": "2025-10-21T11:09:58+00:00",
  "publisher": "UMU",
  "contact": [
    {
      "name": "UMU",
      "telecom": [
        {
          "system": "url",
          "value": "http://testSK.org/umu"
        }
      ]
    }
  ],
  "description": "Codes specifying the reason principal for not performing a key stroke procedure (Thrombolysis, Thrombectomy).",
  "caseSensitive": false,
  "content": "complete",
  "count": 16,
  "concept": [
    {
      "code": "time-window",
      "display": "Outside Therapeutic Window",
      "definition": "Patient presented or evaluated outside the established time limit for the procedure."
    },
    {
      "code": "no-lvo",
      "display": "No Large Vessel Occlusion (LVO)",
      "definition": "An eligible large vessel occlusion for thrombectomy was not identified."
    },
    {
      "code": "contraindication",
      "display": "Contraindication Present",
      "definition": "A medical contraindication to the procedure existed (e.g., bleeding risk)."
    },
    {
      "code": "patient-refusal",
      "display": "Patient/Family Refusal",
      "definition": "The patient or their legal representative refused the procedure."
    },
    {
      "code": "transfer",
      "display": "Transferred to Another Facility",
      "definition": "The patient was transferred to another hospital for the procedure."
    },
    {
      "code": "unavailable",
      "display": "Procedure Unavailable",
      "definition": "The procedure was not available at the facility (e.g., lack of equipment, staff)."
    },
    {
      "code": "disability",
      "display": "Severe Preexisting Disability",
      "definition": "Patient's baseline disability made benefit from the procedure unlikely."
    },
    {
      "code": "mild-deficit",
      "display": "Mild Deficit",
      "definition": "Patient's neurological deficit was too mild to warrant the procedure."
    },
    {
      "code": "done-elsewhere",
      "display": "Performed Elsewhere",
      "definition": "The procedure had already been performed at another facility prior to arrival/transfer."
    },
    {
      "code": "cost",
      "display": "Cost / No Insurance",
      "definition": "Financial or coverage reasons prevented the procedure."
    },
    {
      "code": "unknown",
      "display": "Reason Unknown",
      "definition": "The reason was not documented or is unknown."
    },
    {
      "code": "consent",
      "display": "Consent Not Obtained",
      "definition": "Informed consent for the procedure was not obtained."
    },
    {
      "code": "only-mt",
      "display": "Only Mechanical Thrombectomy Considered",
      "definition": "Only mechanical thrombectomy was considered, and thrombolysis was not performed."
    },
    {
      "code": "other",
      "display": "Other Reason",
      "definition": "A reason not specifically defined."
    },
    {
      "code": "technically-not-possible",
      "display": "Technically Not Possible",
      "definition": "The procedure could not be performed due to technical or anatomical challenges."
    },
    {
      "code": "no-angiography",
      "display": "Angiography Not Performed",
      "definition": "Angiography to assess the situation was not performed."
    }
  ]
}