ID

42238

Beschrijving

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: PNTXFU Specification 2015 V02

Link

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

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Versies (5)
  1. 23/11/14 23/11/14 - Julian Varghese
  2. 22/01/15 22/01/15 - Sarah Schulze Sünninghausen
  3. 27/01/15 27/01/15 - Julian Varghese
  4. 31/01/15 31/01/15 - Julian Varghese
  5. 13/04/21 13/04/21 - Ahmed Rafee, MD
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Quality assurance Follow-up Renal And Pancreatic-(Renal-) Transplant (AQUA)

Duits Engels

Quality assurance Follow-up Renal And Pancreatic-(Renal-) Transplant (AQUA)

1 Formulieren  
Follow-up (to be completed after 1, 2 and 3 years)
Beschrijving

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

Healthcare facility Identifier
Beschrijving

Institutionskennzeichen

Datatype

integer

Alias
UMLS CUI-1
C2986045
Zip Code of Discharge
Beschrijving

Entlassender Standort

Datatype

text

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

Betriebsstätten-Nummer

Datatype

text

Alias
UMLS CUI-1
C1547540
Medical specialty
Beschrijving

Fachabteilung

Datatype

integer

Alias
UMLS CUI-1
C0037778
Receiver ID (ET-Number)
Beschrijving

Empfänger ID

Datatype

text

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

Geburtsdatum

Datatype

date

Alias
UMLS CUI-1
C0421451
Gender
Beschrijving

Geschlecht

Datatype

integer

Alias
UMLS CUI-1
C0079399
Type of Organ transplantation accomplished
Beschrijving

durchgeführte Transplantation

Datatype

integer

Alias
UMLS CUI-1-1
C0332307
UMLS CUI-1-2
C0029216
Date of last transplantation (DD.MM.YYYY)
Beschrijving

Datum der letzten Transplantation

Datatype

date

Alias
UMLS CUI-1
C3262243
Follow-up (referred to) program, appointment date
Beschrijving

Datum der Follow-up-Erhebung

Datatype

date

Alias
UMLS CUI-1
C3694716
Type of Follow-Up Report
Beschrijving

Art der Follow-up-Erhebung

Datatype

integer

Alias
UMLS CUI-1
C1710508
Follow-up: Year (s) after transplantation
Beschrijving

Follow-up: Jahr(e) nach Transplantation

Datatype

integer

Deceased donor
Beschrijving

Patient verstorben

Datatype

integer

Alias
UMLS CUI-1
C1306577
Date of death
Beschrijving

Todesdatum

Datatype

date

Alias
UMLS CUI-1
C1148348
Cause of death
Beschrijving

Todesursache

Datatype

integer

Alias
UMLS CUI-1
C0007465
Kidney transplant failure
Beschrijving

Transplantatversagen Niere

Datatype

integer

Alias
UMLS CUI-1
C1404117
Date of kidney transplant failure (DD.MM.YYYY)
Beschrijving

Datum Transplantatversagen Niere

Datatype

date

Cause of kidney transplant failure
Beschrijving

Ursache Transplantatversagen Niere

Datatype

integer

Alias
UMLS CUI-1-1
C0015127
UMLS CUI-1-2
C1404117
Serum creatinine level (in mg/dl)
Beschrijving

Kreatininwert i.S. in mg/dl

Datatype

integer

Maateenheden
  • mg/dl
Alias
UMLS CUI-1
C0600061
mg/dl
Serum creatinine level(in µmol/l)
Beschrijving

Kreatininwert i.S. in µmol/l

Datatype

integer

Maateenheden
  • µmol/l
µmol/l
Serum creatinine Level unknown?
Beschrijving

Kreatininwert i.S. unbekannt

Datatype

integer

Acute kidney rejection requiring treatment
Beschrijving

akute behandlungsbedürftige Rejektion Niere

Datatype

boolean

Alias
UMLS CUI-1
C0238217
Patient insulin-free at follow-up-examination?
Beschrijving

Patient bei Follow-up-Untersuchung insulinfrei?

Datatype

integer

Alias
UMLS CUI-1
C0557978
Beginning date of insulin therapy (dd.mm.yyyy)
Beschrijving

Beginn der Insulintherapie

Datatype

date

Cause of pancreas transplant failure
Beschrijving

Ursache des Transplantatversagens Pankreas

Datatype

integer

Alias
UMLS CUI-1-1
C0015127
UMLS CUI-1-2
C1404118
Removal of the pancreas graft required
Beschrijving

Entnahme des Pankreastransplantats erforderlich

Datatype

boolean

Alias
UMLS CUI-1
C2728984
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Similar models

Quality assurance Follow-up Renal And Pancreatic-(Renal-) Transplant (AQUA)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Follow-up (to be completed after 1, 2 and 3 years)
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)
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
Receiver 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)
Item
Type of Organ transplantation accomplished
integer
C0332307 (UMLS CUI-1-1)
C0029216 (UMLS CUI-1-2)
durchgeführte Transplantation
Code List
Type of Organ transplantation accomplished
CL Item
isolated kidney transplant (1)
CL Item
simultaneous pancreas-kidney (SPK) (2)
CL Item
pancreas after kidney transplantation (PAK) (3)
CL Item
isolated pancreas transplantation (4)
CL Item
kidney combination with other organs (5)
CL Item
pancreas combination with other organs (6)
Datum der letzten Transplantation
Item
Date of last transplantation (DD.MM.YYYY)
date
C3262243 (UMLS CUI-1)
Datum der Follow-up-Erhebung
Item
Follow-up (referred to) program, appointment date
date
C3694716 (UMLS CUI-1)
Item
Type of Follow-Up Report
integer
C1710508 (UMLS CUI-1)
Art der Follow-up-Erhebung
Code List
Type of Follow-Up Report
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: Year (s) after transplantation
integer
Item
Deceased donor
integer
C1306577 (UMLS CUI-1)
Patient verstorben
Code List
Deceased donor
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown or follow-up is not possible (9)
Todesdatum
Item
Date of death
date
C1148348 (UMLS CUI-1)
Item
Cause of death
integer
C0007465 (UMLS CUI-1)
Todesursache
Code List
Cause of death
CL Item
infection (1)
CL Item
cardiovascular (2)
CL Item
cerebrovascular (3)
CL Item
malignancy (4)
CL Item
other (5)
CL Item
unknown (9)
Item
Kidney transplant failure
integer
C1404117 (UMLS CUI-1)
Transplantatversagen Niere
Code List
Kidney transplant failure
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Datum Transplantatversagen Niere
Item
Date of kidney transplant failure (DD.MM.YYYY)
date
Item
Cause of kidney transplant failure
integer
C0015127 (UMLS CUI-1-1)
C1404117 (UMLS CUI-1-2)
Ursache Transplantatversagen Niere
Code List
Cause of kidney transplant failure
CL Item
rejection (1)
CL Item
vascular occlusion (2)
CL Item
bleeding (3)
CL Item
infection in surgical area (4)
CL Item
recurrence of the underlying disease (5)
CL Item
de novo kidney disease (6)
CL Item
primary non-function (7)
CL Item
other (9)
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
Item
Serum creatinine Level unknown?
integer
Kreatininwert i.S. unbekannt
Code List
Serum creatinine Level unknown?
CL Item
yes (1)
akute behandlungsbedürftige Rejektion Niere
Item
Acute kidney rejection requiring treatment
boolean
C0238217 (UMLS CUI-1)
Item
Patient insulin-free at follow-up-examination?
integer
C0557978 (UMLS CUI-1)
Patient bei Follow-up-Untersuchung insulinfrei?
Code List
Patient insulin-free at follow-up-examination?
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Beginn der Insulintherapie
Item
Beginning date of insulin therapy (dd.mm.yyyy)
date
Item
Cause of pancreas transplant failure
integer
C0015127 (UMLS CUI-1-1)
C1404118 (UMLS CUI-1-2)
Ursache des Transplantatversagens Pankreas
Code List
Cause of pancreas transplant failure
CL Item
rejection (1)
CL Item
vascular occlusion (2)
CL Item
bleeding (3)
CL Item
infection in the surgical area (4)
CL Item
primary non-function (5)
CL Item
chronic graft failure (6)
CL Item
other (9)
Entnahme des Pankreastransplantats erforderlich
Item
Removal of the pancreas graft required
boolean
C2728984 (UMLS CUI-1)
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