Information:
Error:
ID
42237
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: PNTX-B Specification 2015 V02
Link
https://www.aqua-institut.de/en/home
Keywords
Versions (7)
- 11/23/14 11/23/14 - Julian Varghese
- 1/20/15 1/20/15 - Julian Varghese
- 1/20/15 1/20/15 - Julian Varghese
- 1/21/15 1/21/15 - Sarah Schulze Sünninghausen
- 1/27/15 1/27/15 - Julian Varghese
- 1/31/15 1/31/15 - Julian Varghese
- 4/13/21 4/13/21 - Ahmed Rafee, MD
Copyright Holder
folgt
Uploaded on
April 13, 2021
DOI
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License
Creative Commons BY 4.0
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Quality assurance Renal And Pancreatic-(Renal-) Transplant (AQUA): Basic
Quality assurance Renal And Pancreatic-(Renal-) Transplant (AQUA): Basic
Similar models
Quality assurance Renal And Pancreatic-(Renal-) Transplant (AQUA): Basic
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Institutionskennzeichen
Item
Healthcare facility 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)
Aufnahmedatum Krankenhaus
Item
Admission date (dd.mm.yyyy)
date
C1302393 (UMLS CUI-1)
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
Receiver ID (ET-Number)
integer
C1709854 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
Geburtsdatum
Item
Date of Birth (DD.MM.YYYY)
date
C0421451 (UMLS CUI-1)
CL Item
male (1)
CL Item
female (2)
Körpergröße
Item
Body Height (in cm)
integer
C0005890 (UMLS CUI-1)
Körpergewicht bei Aufnahme
Item
Body weight at admission time (in kg)
integer
C0005910 (UMLS CUI-1)
CL Item
Chronic renal failure, etiology uncertain (1)
CL Item
Glomerulonephritis, histologically NOT examined (10)
CL Item
Focal segmental glomerulosclerosis with nephrotic syndrome in children (11)
CL Item
IgA nephropathy (proven by immunofluorescence, not code 76 and not code 85) (12)
CL Item
Dense deposit disease membrano-proliferative GN, type II (proven by immunofluorescence and/or electron microscopy) (13)
CL Item
Membranous nephropathy (14)
CL Item
Membrano-proliferative GN, type I (proven by immunofluorescence and/or electron microscopy - not code 84 or 89) (15)
CL Item
Rapidly progressive GN without systemic disease (crescentic, histologically confirmed, not coded elsewhere) (16)
CL Item
Focal segmental glomerulosclerosis with nephrotic syndrome in adults (17)
CL Item
Glomerulonephritis, histologically examined (19)
CL Item
Pyelonephritis/Interstitial nephritis-cause not specified (20)
CL Item
Pyelonephritis/interstitial nephritis associated with neurogenic bladder (21)
CL Item
Pyelonephritis/interstitial nephritis due to congenital obstructive uropathy with or without vesico-ureteric reflux (22)
CL Item
Pyelonephritis/interstitial nephritis due to acquired obstructive uropathy (23)
CL Item
Pyelonephritis/interstitial nephritis due to vesico-ureteric reflux without obstruction (24)
CL Item
Pyelonephritis/interstitial nephritis due to urolithiasis (25)
CL Item
Pyelonephritis/interstitial nephritis due to other cause (29)
CL Item
Tubulo interstitial nephritis (not pyelonephritis) (30)
CL Item
Nephropathy due to analgesic drugs (31)
CL Item
Nephropathy due to cisplatinum (32)
CL Item
Nephropathy due to cyclosporin A (33)
CL Item
Lead induced interstitial nephropathy (34)
CL Item
Nephropathy caused by other specific drug (39)
CL Item
Cystic kidney disease-type unspecified (40)
CL Item
Polycystic kidneys, adult type (dominant) (41)
CL Item
Polycystic kidneys, infantile (recessive) (42)
CL Item
Medullary cystic disease, including nephronophthisis (43)
CL Item
Cystic kidney disease-other specified type (49)
CL Item
Hereditary/Familial nephropathy-type unspecified (50)
CL Item
Hereditary nephritis with nerve deafness (Alport's syndrome) (51)
CL Item
Cystinosis (52)
CL Item
Primary oxalosis (53)
CL Item
Fabry's disease (54)
CL Item
Hereditary nephropathy-other (59)
CL Item
Congenital renal hypoplasia-type unspecified (60)
CL Item
Oligomeganephronic hypoplasia (61)
CL Item
Congenital renal dysplasia with or without urinary tract malformation (63)
CL Item
Syndrome of agenesis of abdominal muscles (Prune Belly syndrome) (66)
CL Item
Renal vascular disease-type unspecified (70)
CL Item
Renal vascular disease due to malignant hypertension (NO primary renal disease) (71)
CL Item
Renal vascular disease due to hypertension (NO primary renal disease) (72)
CL Item
Renal vascular disease due to polyarteritis (73)
CL Item
Wegener's granulomatosis (74)
CL Item
Ischemic renal disease / cholesterol embolism (75)
CL Item
Glomerulonephritis related to liver cirrhosis (76)
CL Item
Cryoglobulinemic glomerulonephrititis (78)
CL Item
Renal vascular disease-classified (79)
CL Item
Diabetes Type I (80)
CL Item
Diabetes Type II (81)
CL Item
Myelomatosis/light chain deposit disease (82)
CL Item
Amyloidosis (83)
CL Item
Lupus erythematosus (84)
CL Item
Henoch-Schönlein purpura (85)
CL Item
Goodpasture's syndrome (86)
CL Item
Systemic sclerosis (scleroderma) (87)
CL Item
Hemolytic Uremic syndrome including Moschcowitz syndrome (88)
CL Item
Multisystem disease-other specified type (89)
CL Item
Cortical or tubular necrosis (90)
CL Item
Tuberculosis (91)
CL Item
Gout (92)
CL Item
Nephrocalcinosis and hypercalcemic nephropathy (93)
CL Item
Balkan nephropathy (94)
CL Item
Kidney tumor (95)
CL Item
Traumatic or surgical loss of kidney (96)
CL Item
Other identified renal disorders (99)
Vorerkrankungen
Item
Pre-existing condition
boolean
C0521987 (UMLS CUI-1)
CL Item
yes, treated dietetic (1)
CL Item
yes, oral medication (2)
CL Item
yes, treated with insulin (3)
CL Item
yes, untreated (4)
Dauer des Diabetes
Item
Duration of diabetes (in years)
integer
C0449238 (UMLS CUI-1-1)
C0011849 (UMLS CUI-1-2)
C0011849 (UMLS CUI-1-2)
Nierenersatztherapie
Item
Renal replacement therapy
boolean
C0206074 (UMLS CUI-1)
Beginn der Nierenersatztherapie
Item
Start of renal replacement therapy (DD.MM.YYYY)
date
CL Item
A (1)
CL Item
B (2)
CL Item
0 (3)
CL Item
AB (4)
Kreatininwert i.S. in mg/dl
Item
Serum creatinine level (in mg/dl)
integer
C0600061 (UMLS CUI-1)
Kreatininwert i.S. in µmol/l
Item
Serum creatinine level(in µmol/l)
integer
Patient bei Entlassung insulinfrei?
Item
Patient insulin-free at discharge?
boolean
C0523720 (UMLS CUI-1)
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnosis/es according to ICD-10
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)
CL Item
infection (1)
CL Item
cardiovascular (2)
CL Item
cerebrovascular (3)
CL Item
malignancy (4)
CL Item
other (5)
CL Item
unknown (9)