ID

20016

Beschrijving

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: 16-1-K Specification 2015 V02

Link

https://www.aqua-institut.de/en/home

Trefwoorden

  1. 23-11-14 23-11-14 - Julian Varghese
  2. 24-02-15 24-02-15 - Sarah Schulze Sünninghausen
  3. 03-02-17 03-02-17 - Martin Dugas
Geüploaded op

3 februari 2017

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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Quality assurance Obstetrics - Child (AQUA)

Quality assurance Obstetrics - Child (AQUA)

Basic documentation - child
Beschrijving

Basic documentation - child

Date of birth of the child (dd.mm.yyyy)
Beschrijving

Geburtsdatum des Kindes

Datatype

date

Alias
UMLS CUI-1
C0421451
Time of Birth (hh:mm)
Beschrijving

Uhrzeit der Geburt

Datatype

text

Alias
UMLS CUI-1
C2736116
Birth diagnosis child
Beschrijving

Geburtsdiagnose Kind

Datatype

integer

Alias
UMLS CUI-1
C0011900
further combined birth diagnosis child
Beschrijving

weitere kombinierte Geburtsdiagnose Kind

Datatype

integer

Gender of the child
Beschrijving

Geschlecht des Kindes

Datatype

integer

Alias
UMLS CUI-1
C0079399
APGAR
Beschrijving

APGAR

Datatype

integer

Alias
UMLS CUI-1
C0003533
APGAR
Beschrijving

APGAR

Datatype

integer

APGAR
Beschrijving

APGAR

Datatype

integer

Child's body weight (in g)
Beschrijving

Gewicht des Kindes

Datatype

integer

Maateenheden
  • g
Alias
UMLS CUI-1
C0005910
g
Length of the child (in cm)
Beschrijving

Länge des Kindes

Datatype

integer

Maateenheden
  • cm
Alias
UMLS CUI-1
C0005890
cm
Head circumference of the child (in cm)
Beschrijving

Kopfumfang des Kindes

Datatype

integer

Maateenheden
  • cm
Alias
UMLS CUI-1
C0262499
cm
Umbilical artery blood gas analysis
Beschrijving

Blutgasanalyse Nabelschnurarterie

Datatype

boolean

Alias
UMLS CUI-1
C0005800
Base excess blood gas analysis umbilical artery (in mmol / l)
Beschrijving

Base Excess Blutgasanalyse Nabelschnurarterie (in mmol / l)

Datatype

integer

Maateenheden
  • mmol/l
Alias
UMLS CUI-1
C0201985
mmol/l
pH of blood gas analysis umbilical artery
Beschrijving

pH-Wert Blutgasanalyse Nabelschnurarterie

Datatype

text

Alias
UMLS CUI-1
C1304686
pulse oximetry
Beschrijving

Pulsoxymetrie

Datatype

boolean

Alias
UMLS CUI-1
C0034108
Intubation
Beschrijving

Intubation

Datatype

boolean

Alias
UMLS CUI-1
C0021925
substitution volume
Beschrijving

Volumensubstitution

Datatype

boolean

Alias
UMLS CUI-1
C0521302
buffering
Beschrijving

Pufferung

Datatype

boolean

mask ventilation
Beschrijving

Maskenbeatmung

Datatype

boolean

Alias
UMLS CUI-1
C1960845
O2 enrichment
Beschrijving

O2-Anreicherung

Datatype

boolean

Alias
UMLS CUI-1
C0523807
U2 performed at children's medical examination
Beschrijving

U2 durchgeführt bei kinderärztlicher Untersuchung

Datatype

boolean

Congenital Abnormality present
Beschrijving

Fehlbildung vorhanden

Datatype

boolean

Alias
UMLS CUI-1
C0000768
Malformation diagnosed prenatally
Beschrijving

Fehlbildung pränatal diagnostiziert

Datatype

integer

Alias
UMLS CUI-1
C0033053
Morbidity diagnosis of the child
Beschrijving

Diagnose Morbidität des Kindes

Datatype

integer

Alias
UMLS CUI-1
C0848898
In stillbirth
Beschrijving

In stillbirth

Stillbirth
Beschrijving

Totgeburt

Datatype

boolean

Alias
UMLS CUI-1
C0595939
Death before hospital admission in stillbirth
Beschrijving

Tod vor Klinikaufnahme bei Totgeburt

Datatype

boolean

Time of death in stillborn
Beschrijving

Todeszeitpunkt bei Totgeburt

Datatype

integer

Alias
UMLS CUI-1
C1301931
Discharge / Transfer
Beschrijving

Discharge / Transfer

Child transferred to Children's Hospital
Beschrijving

Kind in Kinderklinik verlegt

Datatype

boolean

Alias
UMLS CUI-1
C0020017
Children's Hospital number at Transfer of the child
Beschrijving

Kinderkliniknummer bei Verlegung des Kindes

Datatype

text

Medical specialty Children's Hospital at transfer the child
Beschrijving

Fachabteilung der Kinderklinik bei Verlegung des Kindes (§ 301-Vereinbarung)

Datatype

integer

Alias
UMLS CUI-1
C0037778
Children's Hospital discharge/transfer date (DD.MM.YYYY)
Beschrijving

Entlassungs-/Verlegungsdatum aus der Geburtsklinik Kind

Datatype

date

Alias
UMLS CUI-1
C2710998
Discharge / transfer time from the children´s hospital (hh: mm)
Beschrijving

Entlassungs-/Verlegungsuhrzeit aus der Geburtsklinik Kind

Datatype

text

Alias
UMLS CUI-1
C1442476
Final discharge from / death / stationary in
Beschrijving

Endgültige Entlassung aus / Tod in / stationär in

Datatype

integer

Discharge/transfer diagnosis from the maternity hospital child
Beschrijving

Entlassungs-/Verlegungsdiagnose aus der Geburtsklinik Kind

Datatype

integer

Alias
UMLS CUI-1
C0011900
Reason for Discharge from the maternity hospital child
Beschrijving

Entlassungsgrund aus der Geburtsklinik Kind (§ 301-Vereinbarung)

Datatype

integer

Alias
UMLS CUI-1
C3164834
Death of live-born child within the first 7 days
Beschrijving

Tod des lebendgeborenen Kindes innerhalb der ersten 7 Tage

Datatype

boolean

Alias
UMLS CUI-1
C0524343
Cause of Death of live-born child
Beschrijving

Todesursache des lebendgeborenen Kindes

Datatype

integer

Alias
UMLS CUI-1
C0007465
Date of death - live born child (dd.mm.yyyy)
Beschrijving

Datum des Todes - lebendgeborenes Kind

Datatype

date

Alias
UMLS CUI-1
C1148348
Time of death - live born child (hh: mm)
Beschrijving

Uhrzeit des Todes - lebendgeborenes Kind

Datatype

text

Alias
UMLS CUI-1
C1301931

Similar models

Quality assurance Obstetrics - Child (AQUA)

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Basic documentation - child
Geburtsdatum des Kindes
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)
Geburtsdiagnose Kind
Item
Birth diagnosis child
integer
C0011900 (UMLS CUI-1)
weitere kombinierte Geburtsdiagnose Kind
Item
further combined birth diagnosis child
integer
Item
Gender of the child
integer
C0079399 (UMLS CUI-1)
Code List
Gender of the child
CL Item
male (1)
CL Item
female (2)
CL Item
not determined (3)
Item
APGAR
integer
C0003533 (UMLS CUI-1)
Code List
APGAR
CL Item
0 (0)
CL Item
1 (1)
CL Item
10 (10)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
Item
integer
Code List
APGAR
CL Item
 (0)
CL Item
 (1)
CL Item
 (10)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
CL Item
 (7)
CL Item
 (8)
CL Item
 (9)
Item
integer
Code List
APGAR
CL Item
 (0)
CL Item
 (1)
CL Item
 (10)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
CL Item
 (7)
CL Item
 (8)
CL Item
 (9)
Gewicht des Kindes
Item
Child's body weight (in g)
integer
C0005910 (UMLS CUI-1)
Länge des Kindes
Item
Length of the child (in cm)
integer
C0005890 (UMLS CUI-1)
Kopfumfang des Kindes
Item
Head circumference of the child (in cm)
integer
C0262499 (UMLS CUI-1)
Blutgasanalyse Nabelschnurarterie
Item
Umbilical artery blood gas analysis
boolean
C0005800 (UMLS CUI-1)
Base Excess Blutgasanalyse Nabelschnurarterie (in mmol / l)
Item
Base excess blood gas analysis umbilical artery (in mmol / l)
integer
C0201985 (UMLS CUI-1)
pH-Wert Blutgasanalyse Nabelschnurarterie
Item
pH of blood gas analysis umbilical artery
text
C1304686 (UMLS CUI-1)
Pulsoxymetrie
Item
pulse oximetry
boolean
C0034108 (UMLS CUI-1)
Intubation
Item
Intubation
boolean
C0021925 (UMLS CUI-1)
Volumensubstitution
Item
substitution volume
boolean
C0521302 (UMLS CUI-1)
Pufferung
Item
buffering
boolean
Maskenbeatmung
Item
mask ventilation
boolean
C1960845 (UMLS CUI-1)
O2-Anreicherung
Item
O2 enrichment
boolean
C0523807 (UMLS CUI-1)
U2 durchgeführt bei kinderärztlicher Untersuchung
Item
U2 performed at children's medical examination
boolean
Fehlbildung vorhanden
Item
Congenital Abnormality present
boolean
C0000768 (UMLS CUI-1)
Item
Malformation diagnosed prenatally
integer
C0033053 (UMLS CUI-1)
Code List
Malformation diagnosed prenatally
CL Item
no (0)
CL Item
yes (1)
CL Item
not determined (2)
Diagnose Morbidität des Kindes
Item
Morbidity diagnosis of the child
integer
C0848898 (UMLS CUI-1)
Item Group
In stillbirth
Totgeburt
Item
Stillbirth
boolean
C0595939 (UMLS CUI-1)
Tod vor Klinikaufnahme bei Totgeburt
Item
Death before hospital admission in stillbirth
boolean
Item
Time of death in stillborn
integer
C1301931 (UMLS CUI-1)
Code List
Time of death in stillborn
CL Item
antepartum death (1 )
CL Item
death sub partu (2 )
CL Item
time of death unknown (3 )
Item Group
Discharge / Transfer
Kind in Kinderklinik verlegt
Item
Child transferred to Children's Hospital
boolean
C0020017 (UMLS CUI-1)
Kinderkliniknummer bei Verlegung des Kindes
Item
Children's Hospital number at Transfer of the child
text
Item
Medical specialty Children's Hospital at transfer the child
integer
C0037778 (UMLS CUI-1)
Code List
Medical specialty Children's Hospital at transfer the child
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)
Entlassungs-/Verlegungsdatum aus der Geburtsklinik Kind
Item
Children's Hospital discharge/transfer date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungs-/Verlegungsuhrzeit aus der Geburtsklinik Kind
Item
Discharge / transfer time from the children´s hospital (hh: mm)
text
C1442476 (UMLS CUI-1)
Item
Final discharge from / death / stationary in
integer
Code List
Final discharge from / death / stationary in
CL Item
maternity hospital (1)
C0020010 (UMLS CUI-1)
CL Item
children's Hospital (2)
C0020017 (UMLS CUI-1)
Entlassungs-/Verlegungsdiagnose aus der Geburtsklinik Kind
Item
Discharge/transfer diagnosis from the maternity hospital child
integer
C0011900 (UMLS CUI-1)
Item
Reason for Discharge from the maternity hospital child
integer
C3164834 (UMLS CUI-1)
Code List
Reason for Discharge from the maternity hospital child
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
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)
CL Item
discharge at the end of the year with admission in previous year (25)
Tod des lebendgeborenen Kindes innerhalb der ersten 7 Tage
Item
Death of live-born child within the first 7 days
boolean
C0524343 (UMLS CUI-1)
Todesursache des lebendgeborenen Kindes
Item
Cause of Death of live-born child
integer
C0007465 (UMLS CUI-1)
Datum des Todes - lebendgeborenes Kind
Item
Date of death - live born child (dd.mm.yyyy)
date
C1148348 (UMLS CUI-1)
Uhrzeit des Todes - lebendgeborenes Kind
Item
Time of death - live born child (hh: mm)
text
C1301931 (UMLS CUI-1)

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