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ID

10127

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: HEP-PROZ Specification 2015 V02

Link

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

Keywords

Versions (6)
  1. 11/23/14 11/23/14 - Julian Varghese
  2. 3/23/15 3/23/15 - Julian Varghese
  3. 3/23/15 3/23/15 - Julian Varghese
  4. 3/23/15 3/23/15 - Julian Varghese
  5. 3/28/15 3/28/15 - Sarah Schulze Sünninghausen
  6. 4/11/15 4/11/15 - Sarah Schulze Sünninghausen
Uploaded on

April 11, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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    Quality assurance Hip Replacement - Procedure (AQUA)

    German English

    Quality assurance Hip Replacement - Procedure (AQUA)

    1 forms  
    Test
    Description

    Test

    Preoperative findings
    Description

    Preoperative findings

    ASA classification
    Description

    ASA classification

    Data type

    integer

    Alias
    UMLS CUI-1
    C1531480
    Wound contamination classifcation of procedure
    Description

    Wound contamination classifcation of procedure

    Data type

    integer

    Alias
    UMLS CUI-1
    C1629491
    Operation
    Description

    Operation

    Type of procedure
    Description

    Type of procedure

    Data type

    integer

    Alias
    UMLS CUI-1
    C1550373
    Date of procedure (dd.mm.yyyy)
    Description

    Date of procedure (dd.mm.yyyy)

    Data type

    date

    Alias
    UMLS CUI-1
    C3258210
    Time starting surgery (hh:mm)
    Description

    Time starting surgery (hh:mm)

    Data type

    text

    Alias
    UMLS CUI-1
    C0944781
    Procedure(s)
    Description

    Procedure(s)

    Data type

    integer

    Alias
    UMLS CUI-1
    C0543467
    Perioperative management
    Description

    Perioperative management

    perioperative antibiotic prophylaxis
    Description

    perioperative antibiotic prophylaxis

    Data type

    integer

    Alias
    UMLS CUI-1
    C0282638
    Procedure intra- and postoperative course
    Description

    Procedure intra- and postoperative course

    Requiring treatment intra-/postoperative surgical complication(s)
    Description

    Requiring treatment intra-/postoperative surgical complication(s)

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0021890
    UMLS CUI-2
    C0032787
    Primary implant malposition
    Description

    primary Implant malposition

    Data type

    integer

    Alias
    UMLS CUI-1
    C0333042
    Secondary implant dislocation
    Description

    secondary implant dislocation

    Data type

    integer

    open and closed repositioned endoprostheses (sub) luxation
    Description

    open and closed repositioned endoprostheses (sub) luxation

    Data type

    integer

    Alias
    UMLS CUI-1
    C0012691
    wound hematoma/hemorrhage requiring OP or intervention
    Description

    wound hematoma/hemorrhage requiring OP or intervention

    Data type

    integer

    Alias
    UMLS CUI-1
    C0281860
    vascular lesion require surgical or interventional
    Description

    vascular lesion require surgical or interventional

    Data type

    integer

    Alias
    UMLS CUI-1
    C1402315
    motor nerve injury persistent at discharge
    Description

    motor nerve damage persistent at discharge

    Data type

    integer

    Alias
    UMLS CUI-1
    C0161479
    periprosthetic fracture
    Description

    periprosthetic fracture

    Data type

    integer

    Alias
    UMLS CUI-1
    C2609162
    postoperative wound infection (CDC definition)
    Description

    postoperative wound infection (CDC definition)

    Data type

    integer

    Alias
    UMLS CUI-1
    C1629491
    Reoperationspflichtige wound dehiscence
    Description

    Reoperationspflichtige wound dehiscence

    Data type

    integer

    Alias
    UMLS CUI-1
    C0259768
    Secondary necrosis of the wound edges requiring reoperation
    Description

    Secondary necrosis of the wound edges requiring reoperation

    Data type

    integer

    Alias
    UMLS CUI-1
    C0853927
    Other specific complications requiring treatment
    Description

    Other specific complications requiring treatment

    Data type

    integer

    unplanned followed OP due to complications
    Description

    unplanned followed OP due to complications

    Data type

    integer

    Other procedures
    Description

    Other procedures

    Were more endoprosthetic operative procedures performed during this stay?
    Description

    Were more endoprosthetic operative procedures performed during this stay?

    Data type

    boolean

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    Similar models

    Quality assurance Hip Replacement - Procedure (AQUA)

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Item Group
    Preoperative findings
    Item
    ASA classification
    integer
    C1531480 (UMLS CUI-1)
    Einstufung nach ASA-Klassifikation
    Code List
    ASA classification
    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)
    Wundkontaminationsklassifikation
    Code List
    Wound contamination classifcation of procedure
    CL Item
    aseptic procedure (1)
    CL Item
    partially aseptic procedure (2)
    CL Item
    procedure with contamination (3)
    CL Item
    septic procedure (4)
    Item Group
    Item
    Type of procedure
    integer
    C1550373 (UMLS CUI-1)
    Art des Eingriffs
    Code List
    Type of procedure
    CL Item
    endoprosthetic treatment of femoral fracture near the hip joint (1)
    CL Item
    elective total hip endoprosthesis primary implantation (2)
    CL Item
    reimplantation in the context of a one-stage exchange (3)
    CL Item
    reimplantation in the context of a two-stage exchange (4)
    Datum des Eingriffs
    Item
    Date of procedure (dd.mm.yyyy)
    date
    C3258210 (UMLS CUI-1)
    Beginn des Eingriffs (hh:mm)
    Item
    Time starting surgery (hh:mm)
    text
    C0944781 (UMLS CUI-1)
    Prozedur(en)
    Item
    Procedure(s)
    integer
    C0543467 (UMLS CUI-1)
    Item Group
    Perioperative management
    Item
    perioperative antibiotic prophylaxis
    integer
    C0282638 (UMLS CUI-1)
    perioperative Antibiotikaprophylaxe
    Code List
    perioperative antibiotic prophylaxis
    CL Item
    no (0)
    CL Item
    single shot (1)
    CL Item
    second dose (2)
    CL Item
    more often (3)
    Item Group
    Procedure intra- and postoperative course
    Gab es spezifische behandlungsbedürftige intra- und/ oder postoperative Komplikationen?
    Item
    Requiring treatment intra-/postoperative surgical complication(s)
    boolean
    C0021890 (UMLS CUI-1)
    C0032787 (UMLS CUI-2)
    Item
    Primary implant malposition
    integer
    C0333042 (UMLS CUI-1)
    primäre Implantatfehllage
    Code List
    Primary implant malposition
    CL Item
    yes (1)
    Item
    Secondary implant dislocation
    integer
    sekundäre Implantatdislokation
    Code List
    Secondary implant dislocation
    CL Item
    yes (1)
    Item
    open and closed repositioned endoprostheses (sub) luxation
    integer
    C0012691 (UMLS CUI-1)
    offene und geschlossene reponierte Endoprothesen(sub)luxation
    Code List
    open and closed repositioned endoprostheses (sub) luxation
    CL Item
    yes (1)
    Item
    wound hematoma/hemorrhage requiring OP or intervention
    integer
    C0281860 (UMLS CUI-1)
    OP-, oder interventionsbedürftige(s) Wundhämatom/Nachblutung
    Code List
    wound hematoma/hemorrhage requiring OP or intervention
    CL Item
    yes (1)
    Item
    vascular lesion require surgical or interventional
    integer
    C1402315 (UMLS CUI-1)
    OP-, oder interventionsbedürftige Gefäßläsion
    Code List
    vascular lesion require surgical or interventional
    CL Item
    yes (1)
    Item
    motor nerve injury persistent at discharge
    integer
    C0161479 (UMLS CUI-1)
    bei Entlassung persistierender motorischer Nervenschaden
    Code List
    motor nerve injury persistent at discharge
    CL Item
    yes (1)
    Item
    periprosthetic fracture
    integer
    C2609162 (UMLS CUI-1)
    periprothetische Fraktur
    Code List
    periprosthetic fracture
    CL Item
    yes (1)
    Item
    postoperative wound infection (CDC definition)
    integer
    C1629491 (UMLS CUI-1)
    postoperative Wundinfektion (nach CDC Definition)
    Code List
    postoperative wound infection (CDC definition)
    CL Item
    CDC A1 (superficial infection) (1)
    CL Item
    CDC A2 (postoperative deep infection) (2)
    CL Item
    CDC A3 (Organs/body cavity in the OP area) (3)
    Item
    Reoperationspflichtige wound dehiscence
    integer
    C0259768 (UMLS CUI-1)
    Reoperationspflichtige Wunddehiszenz
    Code List
    Reoperationspflichtige wound dehiscence
    CL Item
    yes (1)
    Item
    Secondary necrosis of the wound edges requiring reoperation
    integer
    C0853927 (UMLS CUI-1)
    Reoperationspflichtige sekundäre Nekrose der Wundränder
    Code List
    Secondary necrosis of the wound edges requiring reoperation
    CL Item
    yes (1)
    Item
    Other specific complications requiring treatment
    integer
    sonstige spezifische behandlungsbedürftige Komplikationen
    Code List
    Other specific complications requiring treatment
    CL Item
    yes (1)
    Item
    unplanned followed OP due to complications
    integer
    ungeplante Folge-OP aufgrund von Komplikationen
    Code List
    unplanned followed OP due to complications
    CL Item
    yes (1)
    Item Group
    Other procedures
    Wurden weitere endoprothetische operative Prozeduren in diesem stationären Aufenthalt durchgeführt?
    Item
    Were more endoprosthetic operative procedures performed during this stay?
    boolean
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