Informations:
Erreur:
ID
43231
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: 10-2-B Specification 2015 V02
Lien
https://www.aqua-institut.de/en/home
Mots-clés
Versions (4)
- 22/12/2014 22/12/2014 - Julian Varghese
- 19/01/2015 19/01/2015 - Sarah Schulze Sünninghausen
- 19/01/2015 19/01/2015 - Sarah Schulze Sünninghausen
- 20/09/2021 20/09/2021 -
Téléchargé le
20 septembre 2021
DOI
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Licence
Creative Commons BY-NC 3.0 Legacy
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Quality assurance Carotid Revascularization - Basic (AQUA)
Quality assurance Carotid Revascularization - Basic (AQUA)
- StudyEvent: SE
Similar models
Quality assurance Carotid Revascularization - Basic (AQUA)
- StudyEvent: SE
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Institutionskennzeichen
Item
Healthcare Facility Identifier
integer
C2986045 (UMLS CUI-1)
Entlassender Standort
Item
Zip Code of Discharge
string
C1521842 (UMLS CUI-1)
Betriebsstätten-Nummer
Item
Facility's Section Identifier
string
C1547540 (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)
Identifikationsnummer des Patienten
Item
Patient identification number
string
C1549734 (UMLS CUI-1)
Geburtsdatum
Item
Date of Birth (DD.MM.YYYY)
date
C0421451 (UMLS CUI-1)
CL Item
male (1)
CL Item
female (2)
Aufnahmedatum Krankenhaus
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Code List
Carotid lesion/stenosis, right side
CL Item
no, no lesion on the right (0)
CL Item
yes, asymptomatic lesion on the right (1)
CL Item
yes, symptomatic lesion on the right (2)
Item
symptomatic carotid lesion/stenosis right side (elective)
integer
Code List
symptomatic carotid lesion/stenosis right side (elective)
CL Item
amaurosis fugax ipsilateral (1)
CL Item
hemispheres ipsilateral TIA (2)
CL Item
stroke with rankin 0-5 (3)
CL Item
other (9)
Zeitraum letztes Ereignis, das auf die Stenose an der rechten Karotis zurückzuführen ist, bis zum ersten Eingriff an dieser Seite während dieses Aufenthaltes
Item
Time passed after the last event that caused the stenosis of the right carotid artery till procude is applied during this stay (in days)
integer
Item
symptomatic carotid lesion/stenosis right side (emergency)
integer
Code List
symptomatic carotid lesion/stenosis right side (emergency)
CL Item
crescendo TIA (relapsing occurring, transient, focal neurological deficit in the supply area of internal carotid artery with increasing frequency, several episodes on one or more days with increasing duration and increasing severity) (1)
CL Item
acute/progressive stroke (2)
CL Item
other (9)
Code List
Carotid lesion/stenosis, left side
CL Item
no, no lesion on the left (0)
CL Item
yes, asymptomatic lesion on the left (1)
CL Item
yes, symptomatic lesion left (2)
Item
symptomatic carotid lesion/stenosis right side (elective)
integer
Code List
symptomatic carotid lesion/stenosis right side (elective)
CL Item
amaurosis fugax ipsilateral (1)
CL Item
hemispheres ipsilateral TIA (2)
CL Item
stroke with rankin 0-5 (3)
CL Item
other (9)
Zeitraum letztes Ereignis, das auf die Stenose an der linken Karotis zurückzuführen ist, bis zum ersten Eingriff an dieser Seite während dieses Aufenthaltes
Item
Time passed after the last event that caused the stenosis of the left carotid artery till procude is applied during this stay (in days)
integer
Item
symptomatic carotid lesion/stenosis left side (emergency)
integer
Code List
symptomatic carotid lesion/stenosis left side (emergency)
CL Item
crescendo TIA (relapsing occurring, transient, focal neurological deficit in the supply area of internal carotid artery with increasing frequency, several episodes on one or more days with increasing duration and increasing severity) (1)
CL Item
acute/progressive stroke (2)
CL Item
other (9)
Item
Severity of Disability (at admission), Rankin Scale
integer
C0451405 (UMLS CUI-1)
Code List
Severity of Disability (at admission), Rankin Scale
CL Item
rankin 0: no detectable neurological deficit (0)
CL Item
rankin 1: apoplexy with functionally irrelevant neurological deficit (1)
CL Item
rankin 2: slight stroke with functionally low grading deficit and/or mild aphasia (2)
CL Item
rankin 3: moderate stroke with a significant deficit with preserved ability to walk and/or moderate aphasia (3)
CL Item
rankin 4: severe stroke, walking possible only with help and/or complete aphasia (4)
CL Item
rankin 5: invalid by stroke: patient is bedridden or wheelchair-bound (5)
Duplexsonographie
Item
Duplex ultrasonography
boolean
C3825392 (UMLS CUI-1)
transkranielle Doppler- oder Duplexsonographie
Item
Transcranial Doppler -or Duplex ultrasonography
boolean
C0206077 (UMLS CUI-1)
intraarterielle digitale Subtraktionsangiographie
Item
intra-arterial digital subtraction angiography
boolean
C0524310 (UMLS CUI-1)
Spiral-CT-Angiographie
Item
Spiral-CT-Angiography
boolean
C1536105 (UMLS CUI-1)
Magnetresonanzangiographie
Item
Magnetic resonance angiography
boolean
C0243032 (UMLS CUI-1)
kraniale Computertomographie
Item
Computed tomography of head
boolean
C0202691 (UMLS CUI-1)
kraniale Magnetresonanztomographie
Item
Magnetic resonance imaging of head
boolean
C0412674 (UMLS CUI-1)
morphologischer Befund rechte Hemisphäre unauffällig
Item
Morphologic finding of right hemesphere is normal
boolean
Item
Lacunar infarction/Microangiopathy
integer
C0333559 (UMLS CUI-1)
C2733158 (UMLS CUI-2)
C2733158 (UMLS CUI-2)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
morphologischer Befund linke Hemisphäre unauffällig
Item
Morphologic finding of right hemesphere is normal
boolean
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
Stenosegrad rechts (nach NASCET)
Item
Degree of Stenosis right (according to NASCET method) (in percent)
integer
C3266727 (UMLS CUI-1)
Stenosegrad links (nach NASCET)
Item
Degree of Stenosis left (according to NASCET method) (in percent)
integer
sonstige Karotisläsionen der rechten Seite
Item
other Carotid lesions, right side
boolean
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
sonstige Karotisläsionen der linken Seite
Item
other Carotid lesions, left side
boolean
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
CL Item
yes (1)
Veränderung des Schweregrades der Behinderung bis zum (ersten) Eingriff?
Item
Change of severity od disability till first procedure?
boolean
Item
Severity of disability imediately before procedure?
integer
Code List
Severity of disability imediately before procedure?
CL Item
rankin 0: no detectable neurological deficit (0)
CL Item
rankin 1: apoplexy with functionally irrelevant neurological deficit (1)
CL Item
rankin 2: slight stroke with functionally low grade deficit and/or mild aphasia (2)
CL Item
rankin 3: moderate stroke with a significant deficit with preserved ability to walk and/or moderate aphasia (3)
CL Item
rankin 4: severe stroke, walking possible only with help and/or complete aphasia (4)
CL Item
rankin 5: invalid by stroke: patient is bedridden or wheelchair-bound (5)
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnoses - ICD codes
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)
Tod im Zusammenhang mit der dokumentierten Karotis-Revaskularisation oder der zugrunde liegenden Erkrankung
Item
Death connected to documented carotid revascularization or connected to underlying disease
boolean
Sektion erfolgt
Item
Autopsy carried out
boolean
C0004398 (UMLS CUI-1)