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ID
10056
Description
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
Link
https://www.aqua-institut.de/en/home
Keywords
Versions (4)
- 11/23/14 11/23/14 - Julian Varghese
- 3/22/15 3/22/15 - Sarah Schulze Sünninghausen
- 3/23/15 3/23/15 - Michael Storck
- 3/28/15 3/28/15 - Sarah Schulze Sünninghausen
Uploaded on
March 22, 2015
DOI
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License
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
Type
Description | Question | Decode (Coded Value)
Data type
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)
Code List
Zystische periventrikuläre Leukomalazie (PVL)
CL Item
(0)
CL Item
(1)
CL Item
(1)
CL Item
(2)
Code List
ophthalmologische Untersuchung durchgeführt/vorhanden
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(1)
CL Item
(2)
Code List
Sauerstoffzufuhr jeglicher Art nach Aufnahme (von mehr als 30 Minuten)
CL Item
(0)
CL Item
(1)
Beginn
Item
date
endgültige Beendigung
Item
date
Code List
Beatmung (von mehr als 30 Minuten) durchgeführt
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
Beginn
Item
date
endgültige Beendigung der intratrachealen Beatmung
Item
date
endgültige Beendigung jeglicher Atemhilfe
Item
date
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(1)
CL Item
(2)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
Code List
Anzahl Septitiden/SIRS später als 72 Stunden ab Geburt
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
Code List
Nekrotisierende Enterokolitis (NEC) (Stadium II oder III)
CL Item
(0)
CL Item
(1)
CL Item
(1)
CL Item
(2)
CL Item
(0)
CL Item
(1)
Code List
Operation(en) und Prozeduren während des aktuellen stationären Aufenthaltes
CL Item
(0)
CL Item
(1)
Code List
OP oder Therapie einer ROP (Frühgeborenenretinopathie)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(0)
CL Item
(1)
Indikation(en) zu(r) weiteren Operation(en)
Item
integer
Entlassungsdatum Krankenhaus/Todesdatum
Item
date
Entlassungsuhrzeit/Todeszeitpunkt
Item
string
Körpergewicht bei Entlassung
Item
integer
Kopfumfang bei Entlassung
Item
integer
CL Item
(1)
Code List
Entlassung / Verlegung mit zusätzlichem Sauerstoffbedarf
CL Item
(0)
CL Item
(1)
CL Item
(1)
CL Item
(10)
CL Item
(11)
CL Item
(13)
CL Item
(14)
CL Item
(15)
CL Item
(17)
CL Item
(2)
CL Item
(22)
CL Item
(25)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
(9)
Institutionskennzeichen des Krankenhauses
Item
integer
CL Item
(0)
CL Item
(1)
Todesursache
Item
integer
weitere (Entlassungs-)Diagnose(n)
Item
integer