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Informatie:
Fout:
ID
6427
Beschrijving
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: 09-3 Specification 2015 V02
Link
https://www.aqua-institut.de/en/home
Trefwoorden
Versies (2)
- 22-12-14 22-12-14 - Julian Varghese
- 06-01-15 06-01-15 - Julian Varghese
Geüploaded op
22 december 2014
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
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Quality assurance Cardiac Pacemaker Revision/Explantation(AQUA)
Quality assurance Implantable Defibrillator: Implantation (AQUA)
Similar models
Quality assurance Implantable Defibrillator: Implantation (AQUA)
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Institutionskennzeichen der Krankenkasse der Versichertenkarte
Item
Health Insurance Identifier
string
C1548070 (UMLS CUI-1)
eGK-Versichertennummer
Item
Patient insurance ID
string
C1548070 (UMLS CUI-1)
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
(0100)
CL Item
(0102)
CL Item
(0103)
CL Item
(0104)
CL Item
(0105)
CL Item
(0106)
CL Item
(0107)
CL Item
(0108)
CL Item
(0109)
CL Item
(0114)
CL Item
(0150)
CL Item
(0151)
CL Item
(0152)
CL Item
(0153)
CL Item
(0154)
CL Item
(0156)
CL Item
(0190)
CL Item
(0200)
CL Item
(0224)
CL Item
(0260)
CL Item
(0261)
CL Item
(0290)
CL Item
(0300)
CL Item
(0400)
CL Item
(0410)
CL Item
(0436)
CL Item
(0490)
CL Item
(0500)
CL Item
(0510)
CL Item
(0524)
CL Item
(0533)
CL Item
(0590)
CL Item
(0600)
CL Item
(0607)
CL Item
(0610)
CL Item
(0690)
CL Item
(0700)
CL Item
(0706)
CL Item
(0710)
CL Item
(0790)
CL Item
(0800)
CL Item
(0900)
CL Item
(0910)
CL Item
(0990)
CL Item
(1000)
CL Item
(1004)
CL Item
(1005)
CL Item
(1006)
CL Item
(1007)
CL Item
(1009)
CL Item
(1011)
CL Item
(1012)
CL Item
(1014)
CL Item
(1028)
CL Item
(1050)
CL Item
(1051)
CL Item
(1090)
CL Item
(1100)
CL Item
(1136)
CL Item
(1190)
CL Item
(1200)
CL Item
(1300)
CL Item
(1400)
CL Item
(1410)
CL Item
(1490)
CL Item
(1500)
CL Item
(1513)
CL Item
(1516)
CL Item
(1518)
CL Item
(1519)
CL Item
(1520)
CL Item
(1523)
CL Item
(1536)
CL Item
(1550)
CL Item
(1551)
CL Item
(1590)
CL Item
(1600)
CL Item
(1700)
CL Item
(1800)
CL Item
(1900)
CL Item
(2000)
CL Item
(2021)
CL Item
(2036)
CL Item
(2050)
CL Item
(2090)
CL Item
(2100)
CL Item
(2118)
CL Item
(2120)
CL Item
(2136)
CL Item
(2150)
CL Item
(2190)
CL Item
(2200)
CL Item
(2300)
CL Item
(2309)
CL Item
(2315)
CL Item
(2316)
CL Item
(2390)
CL Item
(2400)
CL Item
(2402)
CL Item
(2405)
CL Item
(2406)
CL Item
(2425)
CL Item
(2490)
CL Item
(2500)
CL Item
(2600)
CL Item
(2700)
CL Item
(2800)
CL Item
(2810)
CL Item
(2856)
CL Item
(2890)
CL Item
(2900)
CL Item
(2928)
CL Item
(2930)
CL Item
(2931)
CL Item
(2950)
CL Item
(2951)
CL Item
(2952)
CL Item
(2953)
CL Item
(2954)
CL Item
(2955)
CL Item
(2956)
CL Item
(2960)
CL Item
(2961)
CL Item
(2990)
CL Item
(3000)
CL Item
(3060)
CL Item
(3061)
CL Item
(3090)
CL Item
(3100)
CL Item
(3110)
CL Item
(3160)
CL Item
(3161)
CL Item
(3190)
CL Item
(3200)
CL Item
(3233)
CL Item
(3290)
CL Item
(3300)
CL Item
(3305)
CL Item
(3350)
CL Item
(3390)
CL Item
(3400)
CL Item
(3460)
CL Item
(3490)
CL Item
(3500)
CL Item
(3600)
CL Item
(3601)
CL Item
(3603)
CL Item
(3610)
CL Item
(3617)
CL Item
(3618)
CL Item
(3621)
CL Item
(3622)
CL Item
(3624)
CL Item
(3626)
CL Item
(3628)
CL Item
(3650)
CL Item
(3651)
CL Item
(3652)
CL Item
(3690)
CL Item
(3700)
CL Item
(3750)
CL Item
(3751)
CL Item
(3752)
CL Item
(3753)
CL Item
(3754)
CL Item
(3755)
CL Item
(3756)
CL Item
(3757)
CL Item
(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
(1)
CL Item
(2)
Aufnahmedatum Krankenhaus
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
Item
Wound contamination classifcation of procedure (according to CDC definition)
integer
C1629491 (UMLS CUI-1)
Code List
Wound contamination classifcation of procedure (according to CDC definition)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(9)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(9)
CL Item
(1)
Item Group
[If item 15 =1 ] Special indication for Revision/Explantation of electrodes
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
(9)
CL Item
(99)
OP-Datum
Item
Operation Date (DD.MM.YY)
date
C3258210 (UMLS CUI-1)
Item
Place of last pacemaker operation before this procedure
integer
C0442504 (UMLS CUI-1-1)
C3275122 (UMLS CUI-1-2)
C3275122 (UMLS CUI-1-2)
Code List
Place of last pacemaker operation before this procedure
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
Operation
Item
Procedure codes
integer
C1550373 (UMLS CUI-1)
Dauer des Eingriffs
Item
Procedure Duration (in minutes)
integer
C1442476 (UMLS CUI-1)
Flächendosisprodukt
Item
Dose Area product (cGy)* cm²)
integer
CL Item
(1)
Item Group
Functionally active parts of Pacemaker- Pacemaker System
Item
existing postoperative funktionally aktive Pacemaker system [item 25]
integer
Code List
existing postoperative funktionally aktive Pacemaker system [item 25]
CL Item
(0)
CL Item
(1)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Jahr der Implantation
Item
Year of implantation (YYYY)
string
C2079500 (UMLS CUI-1)
Code List
[if item 27 not 1] Year of implantation (YYYY) unknown
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Item
[if item 26 in(2,3,4,5,9)] Kind of procedure [item 31]
integer
C1550373 (UMLS CUI-1)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(4)
CL Item
(9)
Item
[if item 31 in (0,2,4,9)] Time intervall to implantation of this electrode
integer
Code List
[if item 31 in (0,2,4,9)] Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
integer
Code List
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
CL Item
(1)
CL Item
(9)
P-Wellen-Amplitude
Item
P wave height
integer
C0429042 (UMLS CUI-1)
Code List
Reasons for not having measured (P wave height)
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(4)
CL Item
(9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
integer
Code List
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
CL Item
(1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Code List
Reasons for not having measured R-Wave Height, intraoperative
CL Item
(1)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(4)
CL Item
(9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
integer
Code List
Reason for not having measured sensing threshold, intraoperativ for 0,5 ms
CL Item
(1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Code List
Reasons for not having measured R-Wave Height, intraoperative
CL Item
(1)
CL Item
(9)
Item Group
Functionally non-active parts of pacemaker - pacemaker system
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(9)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Jahr der Implantation
Item
Year of implantation (YYYY)
string
C3258210 (UMLS CUI-1)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(B)
CL Item
(M)
CL Item
(U)
CL Item
(0)
CL Item
(A)
CL Item
(P)
CL Item
(1)
CL Item
(1)
CL Item
(11)
CL Item
(18)
CL Item
(3)
CL Item
(7)
CL Item
(8)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Item
peri- or postoperative complikation(s)
integer
C0946279 (UMLS CUI-1)
C0032787 (UMLS CUI-2)
C0032787 (UMLS CUI-2)
CL Item
(0)
CL Item
(1)
CL Item
(1)
CL Item
(1)
Item
Pneumothorax, requiring action
integer
C0032326 (UMLS CUI-1)
CL Item
(1)
Item
Hemathorax, requiring actionx
integer
C0019123 (UMLS CUI-1)
CL Item
(1)
Item
Pericardial effusion, requiring action
integer
C0031039 (UMLS CUI-1)
CL Item
(1)
Item
Hematoma due to pacemaker, requiring action
integer
C2586079 (UMLS CUI-1)
CL Item
(1)
CL Item
(1)
CL Item
(1)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(1)
Item Group
Location of electrode dysfunction
C1515974 (UMLS CUI-1-1)
C0340915 (UMLS CUI-1-2)
C0340915 (UMLS CUI-1-2)
CL Item
(1)
CL Item
(1)
CL Item
(2)
CL Item
(3)
Item
postoperative wound infection - according to definition of CDC classification
integer
C0038941 (UMLS CUI-1)
Code List
postoperative wound infection - according to definition of CDC classification
CL Item
(1)
CL Item
(1)
CL Item
(2)
CL Item
(3)
Item
other complications complication, requiring action
integer
Code List
other complications complication, requiring action
CL Item
(1)
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
CL Item
(1)
CL Item
(10)
CL Item
(11)
CL Item
(13)
CL Item
(14)
CL Item
(15)
CL Item
(17)
CL Item
(2)
CL Item
(22)
CL Item
(25)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
(9)
Entlassungsdiagnose(n)
Item
Discharge diagnoses - ICD codes
integer
C0011900 (UMLS CUI-1)