ID

38207

Description

Documentation form for quality assurance in German Health Care by the Institute for Applied Quality Improvement and Research in Health Care (Aqua), https://www.aqua-institut.de/en/home. Internal Aqua form version: HTXFU Specification 2015 V02

Link

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

Keywords

Versions (8)
  1. 11/23/14 11/23/14 - Julian Varghese
  2. 1/19/15 1/19/15 - Julian Varghese
  3. 1/31/15 1/31/15 - Julian Varghese
  4. 6/16/15 6/16/15 - Julian Varghese
  5. 9/5/19 9/5/19 - Julian Varghese
  6. 9/5/19 9/5/19 - Julian Varghese
  7. 9/5/19 9/5/19 - Julian Varghese
  8. 9/27/19 9/27/19 - Sarah Riepenhausen
Copyright Holder

IQTIG

Uploaded on

September 27, 2019

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License

Creative Commons BY-NC 3.0
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Quality assurance Follow-up Heart Transplant (AQUA)

German English

Quality assurance Follow-up Liver Transplant (AQUA)

1 forms  
Follow-up(to be filled out after 1, 2 and 3 years)
Description

Follow-up(to be filled out after 1, 2 and 3 years)

Alias
UMLS CUI-1
C1522577
Health Insurance Identifier
Description

Institutionskennzeichen

Data type

integer

Alias
UMLS CUI [1]
C2986045
Zip Code of Discharge
Description

Entlassender Standort

Data type

text

Alias
UMLS CUI-1
C1521842
Facility's Section Identifier
Description

Betriebsstätten-Nummer

Data type

text

Alias
UMLS CUI-1
C1547540
Medical specialty
Description

Fachabteilung

Data type

integer

Alias
UMLS CUI-1
C0037778
Recipient ID (ET-Number)
Description

Empfänger ID

Data type

text

Alias
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C0600091
Date of Birth (dd.mm.yyyy)
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
Gender
Description

Geschlecht

Data type

integer

Alias
UMLS CUI-1
C0079399
Date of last transplant (dd.mm.yyyy)
Description

Datum der letzten Transplantation

Data type

date

Alias
UMLS CUI-1
C3262243
Date of Follow-up examination (dd.mm.yyyy)
Description

Datum der Follow-up-Erhebung

Data type

date

Alias
UMLS CUI-1
C3694716
Type of follow-up inquiry
Description

Art der Follow-up-Erhebung

Data type

integer

Alias
UMLS CUI-1
C1710508
Follow-up: Years after living donor transplant: ((1, 2, 3))
Description

Follow-up: Jahr(e) nach Transplantation

Data type

text

Alias
UMLS CUI [1]
C1522577
UMLS CUI [2,1]
C1272706
UMLS CUI [2,2]
C0348050
UMLS CUI [2,3]
C0029216
Survival status of recipient
Description

Survival status of recipient

Alias
UMLS CUI-1
C1148433
UMLS CUI-2
C1709854
Deceased patient
Description

Patient verstorben

Data type

integer

Alias
UMLS CUI-1
C1306577
Date of death (dd.mm.yyyy)
Description

Todesdatum

Data type

date

Alias
UMLS CUI-1
C1148348
Cause of death
Description

Todesursache

Data type

text

Alias
UMLS CUI [1]
C0007465
Hepatocellular carcinoma (HCC) before transplantation
Description

HCC vor Transplantation

Data type

boolean

Alias
UMLS CUI-1
C2239176
recurrent HCC
Description

HCC-Rezidiv

Data type

integer

Alias
UMLS CUI-1
C0854794
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Similar models

Quality assurance Follow-up Liver Transplant (AQUA)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Follow-up(to be filled out after 1, 2 and 3 years)
C1522577 (UMLS CUI-1)
Institutionskennzeichen
Item
Health Insurance Identifier
integer
C2986045 (UMLS CUI [1])
Entlassender Standort
Item
Zip Code of Discharge
text
C1521842 (UMLS CUI-1)
Betriebsstätten-Nummer
Item
Facility's Section Identifier
text
C1547540 (UMLS CUI-1)
Item
Medical specialty
integer
C0037778 (UMLS CUI-1)
Fachabteilung
Code List
Medical specialty
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)
Empfänger ID
Item
Recipient ID (ET-Number)
text
C1709854 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Geburtsdatum
Item
Date of Birth (dd.mm.yyyy)
date
C0421451 (UMLS CUI-1)
Item
Gender
integer
C0079399 (UMLS CUI-1)
Geschlecht
Code List
Gender
CL Item
male (1)
CL Item
female (2)
Datum der letzten Transplantation
Item
Date of last transplant (dd.mm.yyyy)
date
C3262243 (UMLS CUI-1)
Datum der Follow-up-Erhebung
Item
Date of Follow-up examination (dd.mm.yyyy)
date
C3694716 (UMLS CUI-1)
Item
Type of follow-up inquiry
integer
C1710508 (UMLS CUI-1)
Art der Follow-up-Erhebung
Code List
Type of follow-up inquiry
CL Item
patient was personally in hospital (1)
CL Item
telephone contact with patient  (2)
CL Item
telephone contact with doctor further treatment (3)
CL Item
written information from the doctor further treatment (4)
CL Item
information about relatives/carers of patients  (5)
CL Item
no contact with patient, doctor further treatment or relatives/carers of patients (6)
Follow-up: Jahr(e) nach Transplantation
Item
Follow-up: Years after living donor transplant: ((1, 2, 3))
text
C1522577 (UMLS CUI [1])
C1272706 (UMLS CUI [2,1])
C0348050 (UMLS CUI [2,2])
C0029216 (UMLS CUI [2,3])
Item Group
Survival status of recipient
C1148433 (UMLS CUI-1)
C1709854 (UMLS CUI-2)
Item
Deceased patient
integer
C1306577 (UMLS CUI-1)
Patient verstorben
Code List
Deceased patient
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown or follow-up not possible (9)
Todesdatum
Item
Date of death (dd.mm.yyyy)
date
C1148348 (UMLS CUI-1)
Item
Cause of death
text
C0007465 (UMLS CUI [1])
Todesursache
Code List
Cause of death
CL Item
Intraoperative death (death on table) (A1)
CL Item
Infection-Bacterial infection (B1)
CL Item
Infection-Viral infection (B2)
CL Item
Infection-HIV (B3)
CL Item
Infection-Fungal infection (B4)
CL Item
Infection-Parasitic infection (B5)
CL Item
Infection-Other known infect (B6)
CL Item
Liver complications-Acute rejection (C1)
CL Item
Liv complic-Recurrence of original dis (C10)
CL Item
Liv complic-Recurrence of original dis (C11)
CL Item
Liv complic-Recurrence of original dis (C12)
CL Item
Liv complic-Recurrence of original dis (C13)
CL Item
Liv complic-Recurrence of original dis (C14)
CL Item
Liv complic-Recurrence of original dis (C15)
CL Item
Liv complic-Recurrence of original dis (C16)
CL Item
Liv complic-Recur of orig dis (C17)
CL Item
Liver complic-De novo hepatitis B virus (C18)
CL Item
Liver complications-De novo hepatitis C virus (C19)
CL Item
Liver complications-Chronic rejection (C2)
CL Item
Liver complications-De novo hepatitis D virus (C20)
CL Item
Liver complic-Massive hemorrhagic necrosis (C21)
CL Item
Liver complications-Other viral hepatitis (C22)
CL Item
Liver complications-Infection (C23)
CL Item
Liver complications-Other (C24)
CL Item
Liver complications-Arterial thrombosis (C3)
CL Item
Liver complic-Hepatic vein thrombosis (C4)
CL Item
Liver complic-Primary N-function (Retx or death < (C5)
CL Item
Liv complic-Primary dysfunction (Retx or death > 7d) (C6)
CL Item
Liver complic-Anastomotic biliary complic (C7)
CL Item
Liver complic-Non anastomotic biliary complic (C8)
CL Item
Liver complic-Recurrence of original dis (C9)
CL Item
Gastrointestinal complications-GI haemorrhage (D1)
CL Item
Gastrointestinal complications-Pancreatitis (D2)
CL Item
Gastrointestinal complic-Visceral perforation (D3)
CL Item
Gastrointestinal complications-Other (D4)
CL Item
Cardiovascular complications-Myocardial infarction (E1)
CL Item
Cardiovascular complications-Other cause (E2)
CL Item
Cerebrovascular complications-Intracranial haemorrhage (F1)
CL Item
Cerebrovascular complications-Ischemic stroke (F2)
CL Item
Cerebrovascular complications-Cerebral oedema (F3)
CL Item
Cerebrovascular complications-Cerebral infection (F4)
CL Item
Tumor-Recurrence of original tumor (G1)
CL Item
Tumor-Recurrence of previously unrelated tumor (G2)
CL Item
Tumor-De novo solid organ tumor (G3)
CL Item
Tumor-Donor transmitted tumor (G4)
CL Item
Tumor-Lympho proliferation disease (G5)
CL Item
Kidney failure (H1)
CL Item
Urinary tract infection (H2)
CL Item
Pulmonary complications-Embolism (I1)
CL Item
Pulmonary complications-Infection (I2)
CL Item
Social complic-Non compliance immunosup therapy (J1)
CL Item
Social complications-Suicide (J2)
CL Item
Social complications-Trauma (Motor, Vehicle,..) (J3)
CL Item
Bone marrow depression (K1)
CL Item
Other cause (L1)
CL Item
Not available (M1)
HCC vor Transplantation
Item
Hepatocellular carcinoma (HCC) before transplantation
boolean
C2239176 (UMLS CUI-1)
Item
recurrent HCC
integer
C0854794 (UMLS CUI-1)
HCC-Rezidiv
Code List
recurrent HCC
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
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