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Informatie:
Fout:
ID
6429
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: 09-6 Specification 2015 V02
Link
https://www.aqua-institut.de/en/home
Trefwoorden
Versies (2)
- 22-12-14 22-12-14 - Julian Varghese
- 08-01-15 08-01-15 - Julian Varghese
Geüploaded op
22 december 2014
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Quality assurance Implantable Defibrillator: Revision/System-Change/Explantation (AQUA)
Quality assurance Implantable Defibrillator: Revision/System-Change/Explantation (AQUA)
Similar models
Quality assurance Implantable Defibrillator: Revision/System-Change/Explantation (AQUA)
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
(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)
Item Group
Indication of Revision/System change/ Explantation
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)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
OP-Datum
Item
Operation Date (DD.MM.YY)
date
C3258210 (UMLS CUI-1)
Item
Place of last ICD-(or pacemaker-)Operation before this procedure
integer
Code List
Place of last ICD-(or 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)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
Item
Safety margin for Defibrillation Test >= 10 J under aggregate-specific maximum engery
integer
Code List
Safety margin for Defibrillation Test >= 10 J under aggregate-specific maximum engery
CL Item
(0)
CL Item
(1)
Item
active System (after applied procedure)
integer
C2048304 (UMLS CUI-1)
CL Item
(0)
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
(3)
CL Item
(4)
CL Item
(5)
CL Item
(9)
Item
Manufacturer of active aggregate (after applied procedure)
integer
Code List
Manufacturer of active aggregate (after applied procedure)
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
CL Item
(9)
CL Item
(99)
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
(4)
CL Item
(5)
CL Item
(6)
CL Item
(9)
Aggregat: Jahr der Implantation
Item
Year of implantation (YYYY)
string
C2079500 (UMLS CUI-1)
CL Item
(1)
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
CL Item
(9)
CL Item
(99)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(99)
CL Item
(0)
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)
Item
Time interval to implantation of revised or explanted pace/sensing eletrode respectively
integer
Code List
Time interval to implantation of revised or explanted pace/sensing eletrode respectively
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Manufacturer of resived or explanted Pace/Sense-Sonde respectively
integer
C2048304 (UMLS CUI-1)
Code List
Manufacturer of resived or explanted Pace/Sense-Sonde respectively
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
CL Item
(9)
CL Item
(99)
Reizschwelle
Item
Sensing threshold(in V)
integer
C2048070 (UMLS CUI-1)
CL Item
(1)
CL Item
(9)
P-Wellen-Amplitude
Item
P wave height
integer
C0429042 (UMLS CUI-1)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item Group
First ventricular electrode /defibrillation electrode
CL Item
(0)
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
(0)
CL Item
(1)
CL Item
(10)
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)
Item
Timeinterval to Implantation of revised/explanted (respectively) first ventricular/defibrillation electrode
integer
Code List
Timeinterval to Implantation of revised/explanted (respectively) first ventricular/defibrillation electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Manufacturer of revised/explanted (respectively) first ventricular/defibrillation electrode
integer
Code List
Manufacturer of revised/explanted (respectively) first ventricular/defibrillation electrode
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
CL Item
(9)
CL Item
(99)
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(1)
CL Item
(2)
CL Item
(9)
Reizschwelle
Item
Sensing threshold(in V)
integer
C2048285 (UMLS CUI-1)
CL Item
(1)
CL Item
(9)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
CL Item
(1)
CL Item
(2)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(99)
CL Item
(0)
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)
Item
Timeinterval to Implantation of revised/explanted (respectively) second ventricular/defibrillation electrode
integer
Code List
Timeinterval to Implantation of revised/explanted (respectively) second ventricular/defibrillation electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Manufacturer of revised/explanted (respectively) second ventricular/defibrillation electrode
integer
Code List
Manufacturer of revised/explanted (respectively) second ventricular/defibrillation electrode
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
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
(9)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2048078 (UMLS CUI-1)
CL Item
(1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
CL Item
(1)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(99)
CL Item
(0)
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)
Item
Timeinterval to Implantation of revised/explanted (respectively) third ventricular/defibrillation electrode
integer
Code List
Timeinterval to Implantation of revised/explanted (respectively) third ventricular/defibrillation electrode
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Manufacturer of revised/explanted (respectively) third ventricular/defibrillation electrode
integer
Code List
Manufacturer of revised/explanted (respectively) third ventricular/defibrillation electrode
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
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
(9)
Reizschwelle
Item
Sensing threshold(in V)
integer
CL Item
(1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
CL Item
(1)
CL Item
(9)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(99)
CL Item
(0)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(9)
Item
Timeinterval to Implantation of revised/explanted (respectively) other defibrillation electrodes
integer
Code List
Timeinterval to Implantation of revised/explanted (respectively) other defibrillation electrodes
CL Item
(1)
CL Item
(2)
CL Item
(9)
Item
Manufacturer of revised/explanted (respectively) other ventricular/defibrillation electrode
integer
Code List
Manufacturer of revised/explanted (respectively) other ventricular/defibrillation electrode
CL Item
(1)
CL Item
(18)
CL Item
(19)
CL Item
(3)
CL Item
(7)
CL Item
(89)
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
(9)
CL Item
(0)
CL Item
(1)
CL Item
(0)
CL Item
(1)
CL Item
(0)
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
C0019123 (UMLS CUI-1)
CL Item
(1)
Item
Hematoma due to pacemaker, requiring action
integer
C2586079 (UMLS CUI-1)
CL Item
(1)
Item
Electrode displacement, requiring action
integer
C0340936 (UMLS CUI-1)
CL Item
(1)
CL Item
(1)
Item
First ventricular electrode/ defibrillation electrode
integer
Code List
First ventricular electrode/ defibrillation electrode
CL Item
(1)
CL Item
(1)
CL Item
(1)
CL Item
(1)
CL Item
(1)
Item
Electrode dysfunction, requiring action
integer
C0340934 (UMLS CUI-1)
CL Item
(1)
CL Item
(1)
Item
First ventricular electrode /defibrillation electrode
integer
Code List
First ventricular electrode /defibrillation electrode
CL Item
(1)
CL Item
(1)
CL Item
(1)
CL Item
(1)
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(if peri/operative complications existing)
integer
Code List
other complications complication, requiring action(if peri/operative complications existing)
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)