There are different scenarios that could apply to a patient suffering a second stroke. Please see a detail next:
1) Patient suffering second stroke: If a patient suffers a second stroke, the initial record should be locked to discharge and a new record created for the second stroke event. The last team to see the patient (for the first stroke) would discharge the patient to "somewhere else" at the point they had their second stroke. The second record can be transferred on as normal and the community team can enter their data. When it comes to the 6-month assessment, the following advice should be followed: https://ssnap.zendesk.com/hc/en-us/articles/360017756714-If-a-patient-suffers-another-stroke-before-their-6-month-assessment-is-due-which-stroke-record-on-SSNAP-should-the-6-month-assessment-information-be-entered-for
2) Patient suffering two strokes on the same day: If a patient suffers a second stroke on the same day, please add only the second stroke onto SSNAP.
3) Patient suffering two inpatient strokes: When an inpatient strokes more than once during their stay, both occurrences of stroke (providing the strokes are separate events) should be recorded. The dataset will not allow two records to be created for the same person with the same date and time of arrival, this is to ensure duplicate records are not created. In order to capture both events, you should therefore enter the date of arrival for the second stroke as the day after arrival. Time of arrival should remain the same.