Stroke Code is a robust clinical decision support and evaluation tool, now with realtime collaborative healthcare capabilities to fully support telehealth/telestroke care modalities! Stroke Code is designed to increase the overall efficacy of acute stroke care from door to needle, and now with realtime synchronization/collaboration of healthcare information entry and display between remote clinicians and the hospital bedside staff. Stroke Code has been developed by the U.S Department of Veterans Affairs as a commercial-grade mobile app to facilitate the evaluation and treatment of a patient during an episode of acute stroke care. This powerful tool integrates the latest NIH stroke scale and scoring criterion with current American Heart Association stroke care guidelines, and provides real-time guidance for alteplase (t-PA) as well as endovascular transfer decisions in a simple-to-use app. Enhanced with the new realtime healthcare collaboration capabilities, Stroke Code NIH Stroke Scale values and any other data entered at either the hospital or the remote telestroke neurologist are reflected as they are entered at the other side! With the new advanced synchronization system, Stroke Code provides the ability for time saving activities such as the entry of Last Known Well (LKW), blood pressure, glucose level, weight, and any other stroke care relevant information at the hospital prior to engaging the neurologist, and automatically synchronizing with the neurologist when they are engaged. Stroke Code is designed to be used at the patient’s bedside, and now used in telehealth scenarios with a remote neurologist conducting the code stroke collaborating information through the app. It can be used by any medical staff in support of the attending neurologist and/or used by the neurologists themselves. Stroke Code now offers real-time information exchange during use to display and modify all medical information collected through the app.   Stroke Code offers: • Robust networking capabilities with previous state update and auto reconnect built-in for fast recovery from network interruptions • A fresh UI that includes keyboard shortcuts for faster data entry and submission • Real-time assistance to help accurately diagnose stroke conditions • Enhanced data reliability • Automatic production of formatted time-stamped documentation for the episode of care, suitable for use in medical record clinical notes • Capture of door time, last known well, glucose level, weight, NIH Stroke Scale evaluation, and more • Alteplase guidance based on vitals and data captured through interaction with the stroke patient • Care-process guidance with checks and balances for treatment options, warnings, and alerts • Utility in bedside use or in conjunction with telehealth medical staff interaction • Activity reminders during the episode of care to ensure continued accurate assessment of the stroke condition • Automatic screen resize for different devices and screen views (landscape or portrait) 1.9 million neurons die every minute during a stroke. Stroke Code is designed to accelerate the episode of acute care by shaving off minutes and seconds during the critical “golden hour” thereby providing the best chance to reduce or even eliminate perceptible brain damage. “Time is Brain” - Camilo Gomez, M.D.