ID

44108

Description

Quality Assurance Hessen, Eschborn Document: record stroke acute treatment (phase A) As of 05/01/2015 File: SA_HE_2015_V04_Bogen

Keywords

Versions (4)
  1. 2015-07-30 2015-07-30 - Sarah Schulze Sünninghausen
  2. 2015-07-31 2015-07-31 - Julian Varghese
  3. 2019-09-06 2019-09-06 - Julian Varghese
  4. 2021-09-20 2021-09-20 -
Copyright Holder

IQTIG

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20 september 2021

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Creative Commons BY-NC 3.0
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Data quality assurance of stroke acute treatment Hessen

German German ( localization.languageCode.DE ) English

Stroke/TIA - Admission

7 forms  
Identification and basic data
Description

Identification and basic data

Initials
Description

Vor-/Nachname

Data type

text

Alias
UMLS CUI-1
C2986440
Zip code
Description

Postleitzahl

Data type

text

Alias
UMLS CUI-1
C0421454
Time interval event to admission
Description

Zeitintervall Ereignis bis Aufnahme

Data type

integer

Alias
UMLS CUI-1
C0872291
UMLS CUI-2
C0441471
UMLS CUI-3
C0184666
Supply Situation before acute event
Description

Versorgungssituation vor Akutereignis

Data type

integer

Alias
UMLS CUI-1
C0580931
Admission type
Description

Einlieferung

Data type

integer

Alias
UMLS CUI-1
C3263562
Pre-treatment
Description

Pre-treatment

Antiplatelet agents
Description

Thrombozytenaggregationshemmer

Data type

boolean

Alias
UMLS CUI-1
C0085826
Anticoagulants
Description

Antikoagulantien

Data type

integer

Alias
UMLS CUI-1
C0003280
Neurological findings
Description

Neurological findings

NIH-Stroke Scale
Description

0-42

Data type

text

Alias
UMLS CUI-1
C1697238
Consciousness
Description

Bewusstseinslage

Data type

integer

Alias
UMLS CUI-1
C0234421
Motor deficits
Description

Motorische Ausfälle

Data type

integer

Alias
UMLS CUI-1
C0521654
Dysphagia/Aphasia/Dysarthria
Description

Dysphagia/Aphasia/Dysarthria

Dysphagia
Description

Dysphagie

Data type

integer

Alias
UMLS CUI-1
C0011168
Aphasia
Description

Aphasie

Data type

integer

Alias
UMLS CUI-1
C0003537
Dysarthria
Description

Dysarthrie

Data type

integer

Alias
UMLS CUI-1
C0013362
No or can not be evaluated
Description

Keine bzw. nicht beurteilbar

Data type

integer

Swallowing test to protocol
Description

Schlucktest nach Protokoll

Data type

integer

Disability
Description

Disability

Mod. Rankin-Scale before insult
Description

Mod. Rankin-Scale vor Insult

Data type

integer

Alias
UMLS CUI-1
C2984908
Mod. Rankin Scale 1 day after admission
Description

Mod. Rankin-Scale 1. Tag nach Aufnahme

Data type

integer

Barthel Index bladder control
Description

Barthel-Index Blasenkontrolle

Data type

integer

Alias
UMLS CUI-1
C0451019
UMLS CUI-2
C0542565
Barthel index changing position bed-chair
Description

Barthel-Index Lagewechsel Bett-Stuhl

Data type

integer

Alias
UMLS CUI-1
C0560786
Barthel Index locomotion
Description

Barthel-Index Fortbewegung

Data type

integer

Alias
UMLS CUI-1
C0023946
Risk Factors
Description

Risk Factors

Risk Factors
Description

Risikofaktoren

Data type

boolean

Alias
UMLS CUI-1
C0035648
hypercholesterolaemia
Description

Hypercholesterinämie

Data type

integer

Alias
UMLS CUI-1
C0020443
History of stroke
Description

Früherer Schlaganfall

Data type

integer

Alias
UMLS CUI-1
C0481607
Atrial Fibrillation
Description

Vorhofflimmern

Data type

integer

Alias
UMLS CUI-1
C0004238
Diabetes mellitus
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI-1
C0011849
Arterial Hypertension
Description

Arterielle Hypertonie

Data type

integer

Alias
UMLS CUI-1
C0020538
Other risk factor(s)
Description

Andere(r) Risikofaktor(en)

Data type

integer

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Similar models

Stroke/TIA - Admission

7 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Identification and basic data
Initialen
Item
Initials
text
C2986440 (UMLS CUI-1)
Postleitzahl
Item
Zip code
text
C0421454 (UMLS CUI-1)
Item
Time interval event to admission
integer
C0872291 (UMLS CUI-1)
C0441471 (UMLS CUI-2)
C0184666 (UMLS CUI-3)
Zeitintervall Ereignis bis Aufnahme
Code List
Time interval event to admission
CL Item
<=1h (1)
CL Item
>1-2h (2)
CL Item
>2-3h (3)
CL Item
>3-3,5h (4)
CL Item
>3,5-4h (5)
CL Item
>4-6h (6)
CL Item
>6-24h (7)
CL Item
>24-48h (8)
CL Item
>48h-7d (9)
CL Item
unknown (0)
Item
Supply Situation before acute event
integer
C0580931 (UMLS CUI-1)
Versorgungssituation vor Akutereignis
Code List
Supply Situation before acute event
CL Item
independently at home (1)
CL Item
home care (2)
CL Item
care in institution (3)
Item
Admission type
integer
C3263562 (UMLS CUI-1)
Ankunft
Code List
Admission type
CL Item
self (1)
CL Item
contract doctor (2)
CL Item
rescue Service (3)
CL Item
transfer from other hospitals (4)
Item Group
Pre-treatment
Thrombozytenaggregationshemmer
Item
Antiplatelet agents
boolean
C0085826 (UMLS CUI-1)
Item
Anticoagulants
integer
C0003280 (UMLS CUI-1)
Antikoagulantien
Code List
Anticoagulants
CL Item
no (0)
CL Item
vitamin K antagonist (1)
CL Item
NOAC (new oral anticoagulants) (2)
Item Group
Neurological findings
NIH-Stroke Scale
Item
NIH-Stroke Scale
text
C1697238 (UMLS CUI-1)
Item
Consciousness
integer
C0234421 (UMLS CUI-1)
Bewusstseinslage
Code List
Consciousness
CL Item
awake (1)
CL Item
somnolence / Sopor (2)
CL Item
coma (3)
Item
Motor deficits
integer
C0521654 (UMLS CUI-1)
Motorische Ausfälle
Code List
Motor deficits
CL Item
monoparesis / -plegie (1)
CL Item
hemiparesis / -plegie (2)
CL Item
tetraparesis / -plegie (3)
CL Item
no (4)
CL Item
not evaluable (5)
Item Group
Dysphagia/Aphasia/Dysarthria
Item
Dysphagia
integer
C0011168 (UMLS CUI-1)
Dysphagie
Code List
Dysphagia
CL Item
yes (1)
Item
Aphasia
integer
C0003537 (UMLS CUI-1)
Aphasie
Code List
Aphasia
CL Item
yes (1)
Item
Dysarthria
integer
C0013362 (UMLS CUI-1)
Dysarthrie
Code List
Dysarthria
CL Item
yes (1)
Item
No or can not be evaluated
integer
Keine bzw. nicht beurteilbar
Code List
No or can not be evaluated
CL Item
no (0)
CL Item
yes (1)
CL Item
not practicable (2)
Item
Swallowing test to protocol
integer
Schlucktest nach Protokoll
Code List
Swallowing test to protocol
CL Item
no (0)
CL Item
yes (1)
CL Item
not practicable (2)
Item Group
Disability
Item
Mod. Rankin-Scale before insult
integer
C2984908 (UMLS CUI-1)
Mod. Rankin-Scale vor Insult
Code List
Mod. Rankin-Scale before insult
CL Item
No symptom (0)
CL Item
No significant impairment (1)
CL Item
Mild impairment (2)
CL Item
Moderately impairment (3)
CL Item
Moderate impairment (4)
CL Item
Severe impairment (5)
CL Item
unknown (9)
Item
Mod. Rankin Scale 1 day after admission
integer
Mod. Rankin-Scale 1. Tag nach Aufnahme
Code List
Mod. Rankin Scale 1 day after admission
CL Item
No symptom (0)
CL Item
No significant impairment (1)
CL Item
Mild impairment (2)
CL Item
moderatly impairment (3)
CL Item
Moderate impairment (4)
CL Item
Severe impairment (5)
CL Item
death (6)
Item
Barthel Index bladder control
integer
C0451019 (UMLS CUI-1)
C0542565 (UMLS CUI-2)
Barthel-Index Blasenkontrolle
Code List
Barthel Index bladder control
CL Item
incontinent (0)
CL Item
occasional loss (5)
CL Item
continent (10)
Item
Barthel index changing position bed-chair
integer
C0560786 (UMLS CUI-1)
Barthel-Index Lagewechsel Bett-Stuhl
Code List
Barthel index changing position bed-chair
CL Item
completely dependent (0)
CL Item
great support (5)
CL Item
low support (10)
CL Item
completely self (15)
Item
Barthel Index locomotion
integer
C0023946 (UMLS CUI-1)
Barthel-Index Fortbewegung
Code List
Barthel Index locomotion
CL Item
completely dependent (0)
CL Item
great support (5)
CL Item
low support (10)
CL Item
completely self (15)
Item Group
Risk Factors
Risikofaktoren
Item
Risk Factors
boolean
C0035648 (UMLS CUI-1)
Item
hypercholesterolaemia
integer
C0020443 (UMLS CUI-1)
Hypercholesterinämie
Code List
hypercholesterolaemia
CL Item
yes (1)
Item
History of stroke
integer
C0481607 (UMLS CUI-1)
Früherer Schlaganfall
Code List
History of stroke
CL Item
yes (1)
Item
Atrial Fibrillation
integer
C0004238 (UMLS CUI-1)
Vorhofflimmern
Code List
Atrial Fibrillation
CL Item
yes, already known (1)
CL Item
yes, newly diagnosed (2)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Diabetes mellitus
Code List
Diabetes mellitus
CL Item
yes (1)
Item
Arterial Hypertension
integer
C0020538 (UMLS CUI-1)
Arterielle Hypertonie
Code List
Arterial Hypertension
CL Item
yes (1)
Item
Other risk factor(s)
integer
Andere Risikofaktoren
Code List
Other risk factor(s)
CL Item
yes (1)
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