Question: Time Last Know Well -Stroke

For October 1, 2009 discharge. NHIQM version of Stroke Specifications.

For the data element Time Last Known Well. If you have documentation of 2 times. In one part of the record there is documenation of leg felt numb 2 hours ago AND documentation in another part of the record states leg went numb at 2:00. Does the exact time take precedence over the estimated time or do you treat this as 2 different documented times and abstract the earliest time?

Answer:

Use the specific time (i.e., 2:00) rather tham the estimate for Time Last Known Well for the case exampled.