ID

44098

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: LLSFU Specification 2015 V02

Lien

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

Mots-clés

Versions (6)
  1. 11/23/14 11/23/14 - Julian Varghese
  2. 1/19/15 1/19/15 - Julian Varghese
  3. 1/19/15 1/19/15 - Julian Varghese
  4. 1/31/15 1/31/15 - Julian Varghese
  5. 9/5/19 9/5/19 - Julian Varghese
  6. 9/20/21 9/20/21 -
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Quality assurance Follow-up Living Donor Liver Transplant (AQUA)

Allemand Anglais

Quality assurance Follow-up Living Donor Liver Transplant (AQUA)

1 Formulaires  
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)

Health Care Facility Identifier
Description

Institutionskennzeichen

Type de données

integer

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

Entlassender Standort

Type de données

text

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

Betriebsstätten-Nummer

Type de données

text

Alias
UMLS CUI-1
C1547540
Medical specialty
Description

Fachabteilung

Type de données

integer

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

Spender ID

Type de données

text

Alias
UMLS CUI-1
m
Date of Birth (DD.MM.YYYY)
Description

Geburtsdatum

Type de données

date

Alias
UMLS CUI-1
C0421451
Gender
Description

Geschlecht

Type de données

integer

Alias
UMLS CUI-1
C0079399
Date of living donor transplantation (dd.mm.yyyy)
Description

Datum der Leberlebendspende

Type de données

date

Alias
UMLS CUI-1
C0011008 C3544287
Date of Follow-up examination (dd.mm.yyyy)
Description

Datum der Follow-up-Erhebung

Type de données

date

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

Art der Follow-up-Erhebung

Type de données

integer

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

Follow-up: Jahr(e) nach Lebendspende

Type de données

integer

Deceased patient
Description

Spender verstorben

Type de données

integer

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

Todesdatum

Type de données

date

Alias
UMLS CUI-1
C1148348
Bilirubin Serum (in mg/dl)
Description

Bilirubin i. S. in mg/dl

Type de données

integer

Unités de mesure
  • mg/dl
Alias
UMLS CUI-1
C1278039
mg/dl
Bilirubin i. S. in µmol/l
Description

Bilirubin i. S. in µmol/l

Type de données

integer

Unités de mesure
  • µmol/l
µmol/l
Bilirubin in Serum unknown
Description

Bilirubin i. S. unbekannt

Type de données

integer

Gamma-GT(in U/l)
Description

Gamma-GT

Type de données

integer

Unités de mesure
  • U/l
Alias
UMLS CUI-1
C0202035
U/l
Gamma-GT unknown
Description

Gamma-GT unbekannt

Type de données

integer

procedure-specific complication
Description

eingriffsspezifische operative Komplikation(en)

Type de données

integer

Alias
UMLS CUI-1-1
C2924519
UMLS CUI-1-2
C0009566
Complications of biliary ducts
Description

Gallenwegskomplikation

Type de données

integer

Alias
UMLS CUI-1
C0221791 C0005400
Incisional hernia
Description

Narbenhernie

Type de données

integer

Alias
UMLS CUI-1
C0267716
Complication related to liver
Description

leberbezogene Komplikationen

Type de données

integer

Alias
UMLS CUI-1
C3672483
intraabdominal complications
Description

intraabdominelle Komplikationen

Type de données

integer

Alias
UMLS CUI-1
m
other procedure-specific complications
Description

sonstige eingriffsspezifische Komplikationen

Type de données

integer

Patient (Living donor) requires liver transplantation?
Description

Lebertransplantation des Lebendspenders erforderlich

Type de données

integer

Date of last transplant (dd.mm.yyyy)
Description

Datum der letzten Transplantation

Type de données

date

Alias
UMLS CUI-1
C3262243
Retour au début de la page

Similar models

Quality assurance Follow-up Living Donor Liver Transplant (AQUA)

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Follow-up(to be filled out after 1, 2 and 3 years)
Institutionskennzeichen
Item
Health Care 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)
Spender ID
Item
Donor ID (ET-Number)
text
m (UMLS CUI-1)
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 Leberlebendspende
Item
Date of living donor transplantation (dd.mm.yyyy)
date
C0011008 C3544287 (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 Lebendspende
Item
Follow-up: Years after living donor transplant: ((1, 2, 3))
integer
Item
Deceased patient
integer
C1306577 (UMLS CUI-1)
Spender verstorben
Code List
Deceased patient
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Todesdatum
Item
Date of death (dd.mm.yyyy)
date
C1148348 (UMLS CUI-1)
Bilirubin i. S. in mg/dl
Item
Bilirubin Serum (in mg/dl)
integer
C1278039 (UMLS CUI-1)
Bilirubin i. S. in µmol/l
Item
integer
Item
Bilirubin in Serum unknown
integer
Bilirubin i. S. unbekannt
Code List
Bilirubin in Serum unknown
CL Item
yes (1)
Gamma-GT
Item
Gamma-GT(in U/l)
integer
C0202035 (UMLS CUI-1)
Item
Gamma-GT unknown
integer
Gamma-GT unbekannt
Code List
Gamma-GT unknown
CL Item
yes (1)
Item
procedure-specific complication
integer
C2924519 (UMLS CUI-1-1)
C0009566 (UMLS CUI-1-2)
eingriffsspezifische operative Komplikation(en)
Code List
procedure-specific complication
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
Complications of biliary ducts
integer
C0221791 C0005400 (UMLS CUI-1)
Gallenwegskomplikation
Code List
Complications of biliary ducts
CL Item
yes (1)
Item
Incisional hernia
integer
C0267716 (UMLS CUI-1)
Narbenhernie
Code List
Incisional hernia
CL Item
yes (1)
Item
Complication related to liver
integer
C3672483 (UMLS CUI-1)
leberbezogene Komplikationen
Code List
Complication related to liver
CL Item
yes (1)
Item
intraabdominal complications
integer
m (UMLS CUI-1)
intraabdominelle Komplikationen
Code List
intraabdominal complications
CL Item
yes (1)
Item
other procedure-specific complications
integer
sonstige eingriffsspezifische Komplikationen
Code List
other procedure-specific complications
CL Item
yes (1)
Item
Patient (Living donor) requires liver transplantation?
integer
Lebertransplantation des Lebendspenders erforderlich
Code List
Patient (Living donor) requires liver transplantation?
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Datum der letzten Transplantation
Item
Date of last transplant (dd.mm.yyyy)
date
C3262243 (UMLS CUI-1)
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