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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