Informazione:
Errore:
ID
10100
Descrizione
Documentation form for quality assurance in German Health Care by the institute forapplied quality Improvement and Research in Health Care (Aqua), https://www.aqua-institut.de/en/home. Internal Aqua form version: NEO Specification 2015 V02
collegamento
https://www.aqua-institut.de/en/home
Keywords
versioni (4)
- 23/11/14 23/11/14 - Julian Varghese
- 22/03/15 22/03/15 - Sarah Schulze Sünninghausen
- 23/03/15 23/03/15 - Michael Storck
- 28/03/15 28/03/15 - Sarah Schulze Sünninghausen
Caricato su
28 marzo 2015
DOI
Per favore, per richiedere un accesso.
Licenza
Creative Commons BY-NC 3.0 Legacy
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Quality assurance Neonatology (AQUA)
Quality assurance Neonatology (AQUA)
- StudyEvent: SE
Similar models
Quality assurance Neonatology (AQUA)
- StudyEvent: SE
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Mehrlingsgeburt
Item
Multiple birth
boolean
C0026753 (UMLS CUI-1)
Anzahl Mehrlinge
Item
Number Multiple birth childs
text
C2015861 (UMLS CUI-1)
laufende Nummer des Mehrlings
Item
Ser. no. of multiple birth
text
C2135778 (UMLS CUI-1)
berechneter, ggf. korrigierter Geburtstermin (TT.MM.JJJJ)
Item
calculated, if necessary, corrected date of birth (dd.mm.yyyy)
date
endgültig (postnatal) bestimmtes Gestationsalter (komplette Wochen) (in Wochen)
Item
final (post-natal) given gestational age (complete weeks) (in weeks)
integer
C0017504 (UMLS CUI-1)
endgültig (postnatal) bestimmtes Gestationsalter (plus zusätzliche Tage)
Item
final (post-natal) given gestational age (plus additional days)
text
Geburtsdatum des Kindes (TT.MM.JJJJ)
Item
Date of birth of the child (dd.mm.yyyy)
date
C0421451 (UMLS CUI-1)
Uhrzeit der Geburt
Item
Time of Birth (hh:mm)
text
C2736116 (UMLS CUI-1)
Gewicht des Kindes bei Geburt (in g)
Item
Child's body weight (in g)
integer
C0005910 (UMLS CUI-1)
CL Item
in maternity hospital (1)
CL Item
in non-clinical birthing facility (2)
CL Item
at home (3)
CL Item
other, eg. as during transport (9)
CL Item
no transport to neonatology (0)
CL Item
transport without car (Inborn) (1)
CL Item
transport vehicle (Outborn) (2)
CL Item
perinatal center level 1 (1)
CL Item
perinatal center level 2 (2)
CL Item
perinatal focus (3)
CL Item
independent children's hospital (4)
CL Item
other (5)
CL Item
unknown (6)
primärer Verzicht auf kurative Therapie bei verstorbenen Kindern mit einem Gestationsalter ab 22+0 Wochen
Item
primary waiver of curative therapy for deceased children with a gestational age of 22 + 0 weeks
boolean
Grund für palliative Versorgung
Item
Reason for palliative care
integer
C0030231 (UMLS CUI-1)
Aufnahmedatum (ins Krankenhaus)
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Uhrzeit (Aufnahme ins Krankenhaus)
Item
Admission time (hh:mm)
text
C2215405 (UMLS CUI-1)
Aufnahmedatum in pädiatrische Fachabteilung (TT.MM.JJJJ)
Item
Admission to pediatric department (dd.mm.yyyy)
date
C0583274 (UMLS CUI-1)
Uhrzeit (Aufnahme in pädiatrische Fachabteilung)
Item
Time (Admission to pediatric departments) (hh: mm)
text
CL Item
External maternity hospital (1)
CL Item
external Children's Hospital (2)
CL Item
external clinic as relocation (3)
CL Item
other than clinical birthing facility (4)
CL Item
at home (5)
CL Item
birth in their own maternity hospital (6)
Institutionskennzeichen des externen Krankenhauses
Item
Institution identifier of the external hospital
integer
Betriebsstätten-Nummer des externen Krankenhauses
Item
Facility's Section Identifier of the external hospital
text
CL Item
internal medicine (0100)
CL Item
internal medicine: geriatrics (0102)
CL Item
internal medicine: cardiology (0103)
CL Item
internal medicine: nephrology (0104)
CL Item
internal medicine: hematology and internal oncology (0105)
CL Item
internal medicine: endocrinology (0106)
CL Item
internal medicine: gastroenterology (0107)
CL Item
internal medicine: pneumonology (0108)
CL Item
internal medicine: rheumatology (0109)
CL Item
internal medicine: pulmonology (0114)
CL Item
internal medicine: tumor research (0150)
CL Item
internal medicine: coloproctology (0151)
CL Item
internal medicine: infectiology (0152)
CL Item
internal medicine: diabetes (0153)
CL Item
internal medicine: naturopathy (0154)
CL Item
internal medicine: stroke unit (0156)
CL Item
internal medicine (0190)
CL Item
geriatry (0200)
CL Item
geriatry: gynecology (0224)
CL Item
geriatry: day unit (for semi-residential care) (0260)
CL Item
geriaty: night unit (for semi-residential care) (0261)
CL Item
geriatry (0290)
CL Item
cardiology (0300)
CL Item
nephrology (0400)
CL Item
nephrology: pediatrics (0410)
CL Item
nephrology: intensive care (0436)
CL Item
nephrology (0490)
CL Item
hematology and internal oncology (0500)
CL Item
hematology and internal oncology: pediatrics (0510)
CL Item
hematology and internal oncology: gynacology (0524)
CL Item
hematology and internal oncology: radiation therapy (0533)
CL Item
hematology and internal oncology (0590)
CL Item
endocrinology (0600)
CL Item
endicrinology: gastroenterology (0607)
CL Item
endocrinology: pediatrics (0610)
CL Item
endocrinology (0690)
CL Item
gastroenterology (0700)
CL Item
gastroenterology: endocrinology (0706)
CL Item
gastroenterology: pediatrics (0710)
CL Item
gastroenterology (0790)
CL Item
pneumology (0800)
CL Item
rheumatology (0900)
CL Item
rheumatology: pediatrics (0910)
CL Item
rheumatology (0990)
CL Item
pediatrics (1000)
CL Item
pediatrics: nephrology (1004)
CL Item
pediatrics: hematology and internal oncology (1005)
CL Item
pediatrics: endocrinology (1006)
CL Item
pediatrics: gastroenterology (1007)
CL Item
pediatrics: rheumatology (1009)
CL Item
pediatrics: pediatric cardiology (1011)
CL Item
pediatrics: nephrology (1012)
CL Item
pediatrics: pulmonology (1014)
CL Item
pediatrics: pediatric neurology (1028)
CL Item
pediatrics: perinatal medicine (1050)
CL Item
continuing care for children (1051)
CL Item
pediatrics (1090)
CL Item
pediatric cardiology (1100)
CL Item
pediatric cardiology: intensive care (1136)
CL Item
pediatric cardiology (1190)
CL Item
neonatology (1200)
CL Item
pediatric surgery (1300)
CL Item
pulmonology (1400)
CL Item
pulmonology: pediatrics (1410)
CL Item
pulmonology (1490)
CL Item
general surgery (1500)
CL Item
general surgery: pediatric surgery (1513)
CL Item
general surgery: trauma surgery (1516)
CL Item
general surgery: vascular surgery (1518)
CL Item
general surgery: plastic surgery (1519)
CL Item
general surgery: thoracic surgery (1520)
CL Item
general surgery: orthopedics (1523)
CL Item
general surgery: intensive care (1536)
CL Item
general surgery: abdominal- and vascular surgery (1550)
CL Item
Allgemeine Chirurgie: hand surgery (1551)
CL Item
general surgery (1590)
CL Item
trauma surgery (1600)
CL Item
neurosurgery (1700)
CL Item
vascular surgery (1800)
CL Item
plastic surgery (1900)
CL Item
thoracic surgery (2000)
CL Item
thoracic surgery: cardiac surgery (2021)
CL Item
thoracic surgery: intensive care (2036)
CL Item
thoracic surgery: cardiac surgery intensive care (2050)
CL Item
thoracic surgery (2090)
CL Item
cardiac surgery (2100)
CL Item
cardiac surgery: vascular surgery (2118)
CL Item
cardiac surgery: thoracic surgery (2120)
CL Item
cardiac surgery: intensive care (2136)
CL Item
cardiac surgery: thoracic surgery and intensive care (2150)
CL Item
cardiac surgery (2190)
CL Item
urology (2200)
CL Item
orthopedics (2300)
CL Item
orthopedics: rheumatology (2309)
CL Item
orthopedics: surgery (2315)
CL Item
orthopedics and trauma surgery (2316)
CL Item
orthopedics (2390)
CL Item
gynecology and obstetrics (2400)
CL Item
gynecology: geriatry (2402)
CL Item
gynecology: hematology and internal oncology (2405)
CL Item
gynecology: endocrinology (2406)
CL Item
gynecology (2425)
CL Item
gynecology and obstetrics (2490)
CL Item
obstetrics (2500)
CL Item
otolaryngology (2600)
CL Item
ophthalmology (2700)
CL Item
neurology: (2800)
CL Item
neurology: pediatrics (2810)
CL Item
neurology: stroke units (2856)
CL Item
neurology (2890)
CL Item
general psychiatry: (2900)
CL Item
general psychiatry: neurology (2928)
CL Item
general psychiatry: child and adolescent psychiatry (2930)
CL Item
general psychiatry: psychosomatics and psychotherapy (2931)
CL Item
general psychiatry: addiction treatment (2950)
CL Item
general psychiatry: geropsychiatry (2951)
CL Item
general psychiatry: forensic treatment (2952)
CL Item
general psychiatry: addiction treatment (day unit) (2953)
CL Item
general psychiatry: addiction treatment (night unit) (2954)
CL Item
general psychiatry: geropsychiatry (day unit) (2955)
CL Item
general psychiatry: geropsychiatry (night unit) (2956)
CL Item
general psychiatry: day unit (for semi-residential care) (2960)
CL Item
general psychiatry: night unit (for semi-residential care) (2961)
CL Item
general psychiatry (2990)
CL Item
child and adolescent psychiatry (3000)
CL Item
child and adolescent psychiatry: day unit (for semi-residential care) (3060)
CL Item
child and adolescent psychiatry: night unit (for semi-residential care) (3061)
CL Item
child and adolescent psychiatry (3090)
CL Item
psychosomatic/psychotherapy (3100)
CL Item
psychosomatic/psychotherapy: child and adolescent psychiatry (3110)
CL Item
psychosomatic/psychotherapy: day unit (for semi-residential care) (3160)
CL Item
psychosomatic/psychotherapy: night unit (for semi-residential care) (3161)
CL Item
psychosomatic/psychotherapy (3190)
CL Item
nuclear medicine (3200)
CL Item
nuclear medicine: radiation therapy (3233)
CL Item
nuclear medicine (3290)
CL Item
radiation therapy (3300)
CL Item
radiation therapy: hematology and internal oncology (3305)
CL Item
radiation therapy: radiology (3350)
CL Item
radiation therapy (3390)
CL Item
dermatology (3400)
CL Item
dermatology: day unit (for semi-residential care) (3460)
CL Item
dermatology (3490)
CL Item
dentistry, orthodontics, maxillofacial surgery (3500)
CL Item
intensive-care medicine (3600)
CL Item
intensive-care medicine: internal medicine (3601)
CL Item
intensive-care medicine: cardiology (3603)
CL Item
intensive-care medicine: pediatrics (3610)
CL Item
intensive-care medicine: neurosurgery (3617)
CL Item
intensive-care medicine: surgery (3618)
CL Item
intensive-care medicine: cardiac surgery (3621)
CL Item
intensive-care medicine: urology (3622)
CL Item
intensive-care medicine: gynecology and obstetrics (3624)
CL Item
intensive-care medicine: otolaryngology (3626)
CL Item
intensive-care medicine: neurology (3628)
CL Item
operative intensive-care medicine: surgery (3650)
CL Item
intensive-care medicine: thorax-heart surgery (3651)
CL Item
intensive-care medicine: heart-thorax surgery (3652)
CL Item
intensive-care medicine (3690)
CL Item
other medical specialty (3700)
CL Item
angiology (3750)
CL Item
radiology (3751)
CL Item
palliative care (3752)
CL Item
pain therapy (3753)
CL Item
section for alternative health practice (3754)
CL Item
spinal surgery (3755)
CL Item
addiction medicine (3756)
CL Item
visceral surgery (3757)
CL Item
other medical specialty (3790)
CL Item
yes (1)
Gewicht bei Aufnahme
Item
Weight at admission (in g)
integer
C0005910 (UMLS CUI-1)
Kopfumfang bei Aufnahme (in cm)
Item
Head circumference at admission (in cm)
integer
C0262499 (UMLS CUI-1)
CL Item
yes (1)
Körpertemperatur bei Aufnahme
Item
Body temperature at admission (in C)
integer
C0005903 (UMLS CUI-1)
CL Item
yes (1)
CL Item
no (0)
CL Item
slight (1)
CL Item
severe (3)
CL Item
lethal (4)
Art der Fehlbildung
Item
Type of Congenital Abnormality
integer
größtes Basendefizit
Item
largest base deficit (in mmol/l)
integer
C0347530 (UMLS CUI-1)
Max. FiO2
Item
Max. FiO2
text
C0428167 (UMLS CUI-1)
Min. FiO2
Item
Min. FiO2
text
Schädelsonogramm durchgeführt/vorhanden
Item
Cranial sonogram done/available
boolean
C0041618 (UMLS CUI-1)
Item
Intraventricular (IVH) or periventricular (PVH) hemorrhage
integer
C0240059 (UMLS CUI-1)
Code List
Intraventricular (IVH) or periventricular (PVH) hemorrhage
CL Item
no (0)
CL Item
IVH grade I (1)
CL Item
IVH grade II (2)
CL Item
IVH grade III (3)
CL Item
periventricular hemorrhage (PVH) (4)
CL Item
IVH / PVH has occurred for the first time during the inpatient stay (1)
CL Item
IVH / PVH was before when admission (2)
Zystische periventrikuläre Leukomalazie (PVL)
Item
Cystic periventricular leukomalacia (PVL)
boolean
C0751280 (UMLS CUI-1)
CL Item
PVL has occurred for the first time during the inpatient stay (1)
CL Item
PVL present bevore admission (2)
ophthalmologische Untersuchung durchgeführt/vorhanden
Item
ophthalmologic examination performed / provided
boolean
C0200149 (UMLS CUI-1)
Item
Retinopathy of prematurity (ROP)
integer
C0035344 (UMLS CUI-1)
CL Item
no (0)
CL Item
stage 1 (demarcation) (1)
CL Item
Stage 2 (Celebrities bar) (2)
CL Item
Stage 3 (extra-retinal fibrovascular proliferations and Celebrities bar) (3)
CL Item
stage 4 (partial retinal detachment) (4)
CL Item
stage 5 (total retinal detachment) (5)
CL Item
ROP occurred for the first time during the inpatient stay (1)
CL Item
ROP present before admission (2)
Sauerstoffzufuhr jeglicher Art nach Aufnahme (von mehr als 30 Minuten)
Item
Oxygen of any kind after Admission (of more than 30 minutes)
boolean
C0184633 (UMLS CUI-1)
Beginn (TT.MM.JJJJ)
Item
Beginning (dd.mm.yyyy)
date
endgültige Beendigung (TT.MM.JJJJ)
Item
final completion (dd.mm.yyyy)
date
Item
Ventilation is performed (of more than 30 minutes)
integer
C0035213 (UMLS CUI-1)
Code List
Ventilation is performed (of more than 30 minutes)
CL Item
no respiratory support (0)
CL Item
only nasal / pharyngeal ventilation (1)
CL Item
intratracheal ventilation (2)
CL Item
nasal / pharyngeal and intratracheal ventilation (3)
Beginn (TT.MM.JJJJ)
Item
Beginning (dd.mm.yyyy)
date
endgültige Beendigung der intratrachealen Beatmung (TT.MM.JJJJ)
Item
final completion of intratracheal ventilation (dd.mm.yyyy)
date
endgültige Beendigung jeglicher Atemhilfe
Item
final termination of any respiratory support (dd.mm.yyyy)
date
CL Item
no (0)
CL Item
yes, occurred during spontaneous (1)
CL Item
yes, occurred under nasal / pharyngeal ventilation (2)
CL Item
yes, occurred under intratrachlealer ventilation (3)
CL Item
Pneumothorax occurred for the first time during the inpatient stay (1)
CL Item
Pneumothorax was present before admission (2)
Item
Bronchopulmonary dysplasia (BPD)
integer
C0006287 (UMLS CUI-1)
CL Item
no (0)
CL Item
yes, moderate BPD (1)
CL Item
yes, severe BPD (2)
Item
perinatal hypoxia/ischemia (asphyxia)
integer
C0242184 (UMLS CUI-1)
C0022116 (UMLS CUI-2)
C0004044 (UMLS CUI-3)
C0022116 (UMLS CUI-2)
C0004044 (UMLS CUI-3)
CL Item
no (0)
CL Item
yes, no therapeutic hypothermia (1)
CL Item
yes, with therapeutic hypothermia (2)
HIE (Hypoxisch ischämische Enzephalopathie)
Item
HIE (Hypoxic ischemic encephalopathy)
boolean
C0752304 (UMLS CUI-1)
Sepsis/SIRS
Item
Sepsis/SIRS
boolean
C0456103 (UMLS CUI-1)
C0242966 (UMLS CUI-2)
C0242966 (UMLS CUI-2)
Sepsis/SIRS innerhalb 72 Stunden nach Geburt
Item
Sepsis / SIRS within 72 hours after birth
boolean
Sepsis/SIRS später als 72 Stunden ab Geburt
Item
Sepsis / SIRS later than 72 hours after birth
boolean
Item
Number sepsis / SIRS later than 72 hours after birth
integer
Code List
Number sepsis / SIRS later than 72 hours after birth
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
more than 3 (4)
Pneumonie
Item
pneumonia
boolean
C0339968 (UMLS CUI-1)
Pneumonie innerhalb 72 Stunden nach Geburt
Item
Pneumonia within 72 hours after birth
boolean
Pneumonie später als 72 Stunden ab Geburt
Item
Pneumonia later than 72 hours after birth
boolean
Antibiotikatherapie, systemisch
Item
Antibiotic therapy, systemic
boolean
C0338237 (UMLS CUI-1)
Nekrotisierende Enterokolitis (NEC) (Stadium II oder III)
Item
Necrotizing enterocolitis (NEC) (stage II or III)
boolean
C1442826 (UMLS CUI-1)
CL Item
NEC has occurred for the first time during the inpatient stay (1)
CL Item
NEC before admission (2)
Neugeborenen-Hörscreening
Item
Newborn Auditory Function Screening
boolean
C1139720 (UMLS CUI-1)
Operation(en) und Prozeduren während des aktuellen stationären Aufenthaltes
Item
Operation(s) and procedures during this stay
boolean
C0543467 (UMLS CUI-1)
Item
OP or therapy of a ROP (retinopathy of prematurity)
integer
Code List
OP or therapy of a ROP (retinopathy of prematurity)
CL Item
no (0)
CL Item
yes, laser therapy or cryotherapy (1)
CL Item
yes, intravitreal anti-VEGF therapy (2)
CL Item
yes, other (3)
OP einer NEC (nekrotisierende Enterokolitis)
Item
OP on NEC (necrotizing enterocolitis)
boolean
Indikation(en) zu(r) weiteren Operation(en)
Item
Indication(s) to further operation(s)
integer
Entlassungsdatum Krankenhaus/Todesdatum (TT.MM.JJJJ)
Item
Hospital discharge date / death (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
C1148348 (UMLS CUI-2)
C1148348 (UMLS CUI-2)
Entlassungsuhrzeit/Todeszeitpunkt (hh:mm)
Item
Hospital discharge time/ death (hh:mm)
text
C0488550 (UMLS CUI-1)
C1301931 (UMLS CUI-2)
C1301931 (UMLS CUI-2)
Körpergewicht bei Entlassung (in g)
Item
Body weight at discharge (in g)
integer
C0005910 (UMLS CUI-1)
Kopfumfang bei Entlassung
Item
Head circumference at discharge (in cm)
integer
C0262499 (UMLS CUI-1)
CL Item
yes (1)
Entlassung / Verlegung mit zusätzlichem Sauerstoffbedarf
Item
Discharge / transfer with additional oxygen demand
boolean
C0342970 (UMLS CUI-1)
CL Item
treatment finished as planned (1)
CL Item
transferral to nursing facility (10)
CL Item
discharge to hospice (11)
CL Item
external transferral to psychiatric treatment (13)
CL Item
treatment finished because of other reasons, postdischarge treatment is planned (14)
CL Item
treatment aborted against medical advice, postdischarge treatment is planned (15)
CL Item
internal transferral with change of DRG payment areas (17)
CL Item
treatment finished as planned, postdischarge treatment is planned (2)
CL Item
case termination (internal transferral) with change between full- and partial stationary care (22)
CL Item
discharge at the end of the year with admission in previous year (25)
CL Item
treatment finished because of other reasons (3)
CL Item
treatment aborted against medical advice (4)
CL Item
change of jurisdiction of insurer or other payer (5)
CL Item
transferral to another hospital (6)
CL Item
death (7)
CL Item
transferral to another hospital within cooperative and governmental policies (8)
CL Item
transferral to rehabilitation facility (9)
Institutionskennzeichen des Krankenhauses
Item
Healthcare Facility Identifier (Hospital)
integer
C2986045 (UMLS CUI-1)
Obduktion
Item
Obduktion
boolean
C0004398 (UMLS CUI-1)
Todesursache
Item
cause of death
integer
C0007465 (UMLS CUI-1)
weitere (Entlassungs-)Diagnose(n)
Item
more diagnosis (discharge)
integer
C1555319 (UMLS CUI-1)