ID

10128

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: KEP-PROZ Specification 2015 V02

Link

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

Keywords

Versions (4)
  1. 11/23/14 11/23/14 - Julian Varghese
  2. 4/1/15 4/1/15 - Julian Varghese
  3. 4/8/15 4/8/15 - Julian Varghese
  4. 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 Knee Replacement - Procedure (AQUA)

German English

Quality assurance Knee Replacement - Procedure (AQUA)

1 forms  
ProzedurEingriff
Description

ProzedurEingriff

Number of endoprothetic procedure during this stay?
Description

Number of endoprothetic procedure during this stay?

Data type

integer

Alias
UMLS CUI-1
C2114712
side of surgery
Description

side of surgery

Data type

integer

Alias
UMLS CUI-1
C0441987
Preoperative state
Description

Preoperative state

Gonarthrosis
Description

Gonarthrosis

Data type

integer

Alias
UMLS CUI-1
C0877389
Deformity of knee joint
Description

Deformity of knee joint

Data type

integer

Alias
UMLS CUI-1
C0576091
ASA classification
Description

ASA classification

Data type

integer

Alias
UMLS CUI-1
C1531480
Wound contamination classifcation
Description

Wound contamination classifcation

Data type

integer

Alias
UMLS CUI-1
C1629491
Surgery
Description

Surgery

Type of procedure
Description

Type of procedure

Data type

integer

Alias
UMLS CUI-1
C1550373
perioperative antibiotic prophylaxis
Description

perioperative antibiotic prophylaxis

Data type

integer

Alias
UMLS CUI-1
C0282638
Date of procedure (dd.mm.yyyy)
Description

Date of procedure (dd.mm.yyyy)

Data type

date

Alias
UMLS CUI-1
C3258210
Prozedur(en)
Description

Prozedur(en)

Data type

integer

Intra- and postoperative course of procedure
Description

Intra- and postoperative course of procedure

Were there specific needs treatment intra- and / or postoperative complications?
Description

Were there specific needs treatment intra- and / or postoperative complications?

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

postoperative dislocation of the artificial joint
Description

postoperative dislocation of the artificial joint

Data type

integer

Alias
UMLS CUI-1
C0012691
Deformity of patella
Description

Deformity of patella

Data type

integer

Alias
UMLS CUI-1
C0343295
wound hematoma/hemorrhage requiring OP or intervention
Description

wound hematoma/hemorrhage requiring OP or intervention

Data type

integer

Alias
UMLS CUI-1
C0281860
Surgical or interventional needed vascular lesion
Description

Surgical or interventional needed vascular lesion

Data type

integer

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

persistent at discharge, motor nerve damage

Data type

integer

Alias
UMLS CUI-1
C0161479
Periprosthetic Fractures
Description

Periprosthetic Fractures

Data type

integer

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

postoperative wound infection (according to CDC definition)

Data type

integer

Alias
UMLS CUI-1
C0038941
Wound dehiscence requiring reoperations
Description

Wound dehiscence requiring reoperations

Data type

integer

Alias
UMLS CUI-1
C0259768
Operational require secondary necrosis of the wound edges
Description

Operational require secondary necrosis of the wound edges

Data type

integer

Alias
UMLS CUI-1
C0406828
postoperative mechanical complication of the artificial joint
Description

postoperative mechanical complication of the artificial joint

Data type

integer

Alias
UMLS CUI-1
C0451898
Rupture of the quadriceps tendon/patellar ligament
Description

Rupture of the quadriceps tendon/patellar ligament

Data type

integer

Alias
UMLS CUI-1
C0263968
UMLS CUI-2
C0435122
Fracture of the patella
Description

Fracture of the patella

Data type

integer

Alias
UMLS CUI-1
C0159849
Other specific complications requiring treatment
Description

Other specific complications requiring treatment

Data type

integer

Alias
UMLS CUI-1
C0009566
unplanned sequence-OP due to complications
Description

unplanned sequence-OP due to complications

Data type

integer

Other procedures
Description

Other procedures

Were more endoprosthetic operative procedures performed at this stay?
Description

Were more endoprosthetic operative procedures performed at this stay?

Data type

boolean

Alias
UMLS CUI-1
C0543467
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Similar models

Quality assurance Knee Replacement - Procedure (AQUA)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
NumberProcedure?
Item
Number of endoprothetic procedure during this stay?
integer
C2114712 (UMLS CUI-1)
Item
side of surgery
integer
C0441987 (UMLS CUI-1)
zu operierende Seite
Code List
side of surgery
CL Item
right (1)
CL Item
left (2)
Item Group
Preoperative state
Item
Gonarthrosis
integer
C0877389 (UMLS CUI-1)
Liegt eine Gonarthrose vor?
Code List
Gonarthrosis
CL Item
no (0)
CL Item
primary gonarthrosis (1)
CL Item
secondary osteoarthritis of the knee (2)
Item
Deformity of knee joint
integer
C0576091 (UMLS CUI-1)
Liegen Fehlstellungen des Knies vor?
Code List
Deformity of knee joint
CL Item
no (0)
CL Item
severe valgus knee (1)
CL Item
severe varus knee (2)
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
integer
C1629491 (UMLS CUI-1)
Wundkontaminationsklassifikation
Code List
Wound contamination classifcation
CL Item
aseptic procedure (1)
CL Item
partially aseptic procedure (2)
CL Item
procedure with contamination (3)
CL Item
septic procedure (4)
Item Group
Surgery
Item
Type of procedure
integer
C1550373 (UMLS CUI-1)
Art des Eingriffs
Code List
Type of procedure
CL Item
elective knee endoprosthesis primary implantation (1)
CL Item
one-stage exchange or replacing components (2)
CL Item
rhyme plantations as part of a two-stage change or change components (3)
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 shot (2)
CL Item
often (3)
Datum des Eingriffs (TT.MM.JJJJ)
Item
Date of procedure (dd.mm.yyyy)
date
C3258210 (UMLS CUI-1)
Prozedur(en)
Item
integer
Item Group
Intra- and postoperative course of procedure
Gab es spezifische behandlungsbedürftige intra- und/oder postoperative Komplikationen?
Item
Were there specific needs treatment intra- and / or postoperative complications?
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
femoral component (1)
CL Item
tibial component (2)
Item
Secondary implant dislocation
integer
sekundäre Implantatdislokalisation
Code List
Secondary implant dislocation
CL Item
yes (1)
Item
postoperative dislocation of the artificial joint
integer
C0012691 (UMLS CUI-1)
postoperative Luxation des künstlichen Gelenkes
Code List
postoperative dislocation of the artificial joint
CL Item
yes (1)
Item
Deformity of patella
integer
C0343295 (UMLS CUI-1)
Patellafehlstellung
Code List
Deformity of patella
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
Surgical or interventional needed vascular lesion
integer
C1402315 (UMLS CUI-1)
OP-, oder interventionsbedürftige Gefäßläsion
Code List
Surgical or interventional needed vascular lesion
CL Item
Yes, no pain catheter-related (1)
CL Item
Yes, pain catheter-related (2)
Item
persistent at discharge, motor nerve damage
integer
C0161479 (UMLS CUI-1)
bei Entlassung persistierender, motorischer Nervenschaden
Code List
persistent at discharge, motor nerve damage
CL Item
Yes, no pain catheter-related (1)
CL Item
Yes, pain catheter-related (2)
Item
Periprosthetic Fractures
integer
C2609162 (UMLS CUI-1)
periprothetische Fraktur
Code List
Periprosthetic Fractures
CL Item
yes (1)
Item
postoperative wound infection (according to CDC definition)
integer
C0038941 (UMLS CUI-1)
postoperative Wundinfektion (nach CDC Definition)
Code List
postoperative wound infection (according to 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 surgical area) (3)
Item
Wound dehiscence requiring reoperations
integer
C0259768 (UMLS CUI-1)
reoperationspflichtige Wunddehiszenz
Code List
Wound dehiscence requiring reoperations
CL Item
yes (1)
Item
Operational require secondary necrosis of the wound edges
integer
C0406828 (UMLS CUI-1)
reoperationspflichtige sekundäre Nekrose der Wundränder
Code List
Operational require secondary necrosis of the wound edges
CL Item
yes (1)
Item
postoperative mechanical complication of the artificial joint
integer
C0451898 (UMLS CUI-1)
postoperative mechanische Komplikation des künstlichen Gelenkes
Code List
postoperative mechanical complication of the artificial joint
CL Item
yes (1)
Item
Rupture of the quadriceps tendon/patellar ligament
integer
C0263968 (UMLS CUI-1)
C0435122 (UMLS CUI-2)
Ruptur der Quadrizepssehne/Ligamentum patellae
Code List
Rupture of the quadriceps tendon/patellar ligament
CL Item
yes (1)
Item
Fracture of the patella
integer
C0159849 (UMLS CUI-1)
Fraktur der Patella
Code List
Fracture of the patella
CL Item
yes (1)
Item
Other specific complications requiring treatment
integer
C0009566 (UMLS CUI-1)
sonstige spezifische behandlungsbedürftige Komplikationen
Code List
Other specific complications requiring treatment
CL Item
yes (1)
Item
unplanned sequence-OP due to complications
integer
ungeplante Folge-OP aufgrund von Komplikationen
Code List
unplanned sequence-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 at this stay?
boolean
C0543467 (UMLS CUI-1)
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