Informationen:
Fehler:
ID
10046
Beschreibung
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: 17-1 Specification 2015 V02
Link
https://www.aqua-institut.de/en/home
Stichworte
Versionen (2)
- 23/11/2014 23/11/2014 - Julian Varghese
- 21/03/2015 21/03/2015 - Sarah Schulze Sünninghausen
Hochgeladen am
21 mars 2015
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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Quality assurance Hip Fracture with Osteosynthesis (AQUA)
Quality assurance Hip Fracture with Osteosynthesis (AQUA)
- StudyEvent: SE
Ähnliche Modelle
Quality assurance Hip Fracture with Osteosynthesis (AQUA)
- StudyEvent: SE
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
CL Item
normal healthy patient (1)
CL Item
patient with mild systemic disease (2)
CL Item
patient with severe systemic disease (3)
CL Item
patient with severe systemic disease that is a constant threat to life (4)
CL Item
moribund patient who is not expected to survive without the operation (5)
Item
Wound contamination classifcation of procedure
integer
C1629491 (UMLS CUI-1)
CL Item
aseptic procedure (1)
CL Item
partially aseptic procedure (2)
CL Item
procedure with contamination (3)
CL Item
septic procedure (4)
CL Item
medial (1)
CL Item
lateral (2)
CL Item
pertrochantär (3)
CL Item
other (9)
Item
femoral fracture near hip - classification by garden
integer
C0441821 (UMLS CUI-1)
Code List
femoral fracture near hip - classification by garden
CL Item
abduction fracture (1)
CL Item
unshifted (2)
CL Item
shifted (3)
CL Item
completely shifted (4)
vorbestehende Koxarthrose
Item
pre-existing coxarthrosis
boolean
C0029410 (UMLS CUI-1)
Patient wurde mit antithrombotischer Dauertherapie aufgenommen
Item
Patient was admitted with antithrombotic Extended therapy
boolean
CL Item
vitamin K antagonists (eg phenprocoumon, warfarin) (1)
CL Item
acetylsalicylic acid (2)
CL Item
other antiplatelet agents (eg clopidogrel, prasugrel, ticagrelor, cilostazol) (3)
CL Item
direct thrombin inhibitors (eg argatroban, dabigatran) (4)
CL Item
other (eg rivaroxaban, fondaparinux) (9)
OP-Datum (TT.MM.JJJJ)
Item
Surgical operation date
date
C3258210 (UMLS CUI-1)
Uhrzeit OP-Beginn
Item
Time starting surgery (hh:mm)
text
C0944781 (UMLS CUI-1)
Operation
Item
Operation
integer
C0543467 (UMLS CUI-1)
Dauer des Eingriffs
Item
Procedure Duration (in minutes)
integer
C1442476 (UMLS CUI-1)
Item
perioperative antibiotic prophylaxis
integer
C0282638 (UMLS CUI-1)
CL Item
no (0)
CL Item
single shot (1)
CL Item
second dose (2)
CL Item
more often (3)
CL Item
DHS, angle plate (1)
CL Item
intramedullary stabilization (eg, PFN, gamma nail) (2)
CL Item
Tightening (3)
CL Item
other (9)
postoperatives Röntgenbild a/p
Item
postoperative plain x-ray a/p
boolean
C1306645 (UMLS CUI-1)
postoperatives Röntgenbild axial oder Lauenstein
Item
postoperative radiograph axially or Lauenstein
boolean
C0442269 (UMLS CUI-1)
C1302237 (UMLS CUI-2)
C1302237 (UMLS CUI-2)
behandlungsbedürftige intra-/postoperative chirurgische Komplikation(en)
Item
requiring treatment intra- / postoperative surgical complication (s)
boolean
C0021890 (UMLS CUI-1)
C0032787 (UMLS CUI-2)
C0032787 (UMLS CUI-2)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
postoperative Wundinfektion
Item
postoperative wound infection
boolean
C1629491 (UMLS CUI-1)
CL Item
A1 (superficial infection) (1)
CL Item
A2 (deep infection) (2)
CL Item
A3 (cavitas/organ) (3)
Reoperation wegen Komplikation(en) erforderlich
Item
Required repeat Surgery because of complication (s)
boolean
C0035110 (UMLS CUI-1)
allgemeine behandlungsbedürftige postoperative Komplikation(en)
Item
general postoperative complication (s) needed of treatment
boolean
C0032787 (UMLS CUI-1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
selbstständiges Gehen bei Entlassung möglich
Item
independent walking possible at discharge
boolean
C0429979 (UMLS CUI-1)
War der Patient vor der Fraktur selbstständig gehfähig?
Item
Walking independently prior to the fracture?
boolean
selbstständige Versorgung in der täglichen Hygiene bei Entlassung möglich
Item
self care in the daily hygiene possible at discharge
boolean
C0518462 (UMLS CUI-1)
War der Patient vor der Fraktur selbstständig in der täglichen Hygiene?
Item
independently in daily hygiene prior to fracture?
boolean
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnoses
integer
C0011900 (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)