ID

6440

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: 21-3-B Specification 2015 V02

Link

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

Trefwoorden

  1. 22-12-14 22-12-14 - Julian Varghese
  2. 19-01-15 19-01-15 - Sarah Schulze Sünninghausen
  3. 12-08-15 12-08-15 - Julian Varghese
Geüploaded op

22 december 2014

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0 Legacy

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Quality assurance Coronary Angiography and Percuteanous Intervention (PCI) - Basic (AQUA)

Quality assurance Coronary Angiography and Percuteanous Intervention (PCI) - Basic (AQUA)

Basic documentation
Beschrijving

Basic documentation

Healthcare Facility Identifier
Beschrijving

Institutionskennzeichen

Datatype

integer

Alias
UMLS CUI-1
C2986045
Zip Code of Discharge
Beschrijving

Entlassender Standort

Datatype

string

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

Betriebsstätten-Nummer

Datatype

string

Alias
UMLS CUI-1
C1547540
Hospital admission date (DD.MM.YYYY)
Beschrijving

Aufnahmedatum Krankenhaus

Datatype

date

Alias
UMLS CUI-1
C1302393
Medical specialty
Beschrijving

Fachabteilung

Datatype

integer

Alias
UMLS CUI-1
C0037778
Healthcare facility is the provider of this procedure (The facility for documenting the procedure and the facility for providing the procedure are not identical)
Beschrijving

Verbringungsleistung (Die dokumentierende und die den Eingriff durchführende Einrichtung sind NICHT identisch)

Datatype

integer

Patient identification number
Beschrijving

Identifikationsnummer des Patienten

Datatype

string

Alias
UMLS CUI-1
C1549734
Date of Birth (DD.MM.YYYY)
Beschrijving

Geburtsdatum

Datatype

date

Alias
UMLS CUI-1
C0421451
Gender
Beschrijving

Geschlecht

Datatype

integer

Alias
UMLS CUI-1
C0079399
Patient
Beschrijving

Patient

diagnostic coronary angiography before this stay
Beschrijving

diagnostische Koronarangiographie vor diesem Aufenthalt

Datatype

integer

Alias
UMLS CUI-1
C0085532
Catheteral intervention before this stay
Beschrijving

Katheterintervention vor diesem Aufenthalt

Datatype

integer

Alias
UMLS CUI-1
C1532338
Patient post coronary bypass operation
Beschrijving

Zustand nach koronarer Bypass-Op

Datatype

integer

Alias
UMLS CUI-1
C0010055
Left ventricular ejection fraction under 40%
Beschrijving

Ejektionsfraktion unter 40%

Datatype

integer

Alias
UMLS CUI-1
C0428772
Diabetes mellitus
Beschrijving

Diabetes mellitus

Datatype

integer

Alias
UMLS CUI-1
C0011849
Kidney failure
Beschrijving

Niereninsuffizienz

Datatype

integer

Alias
UMLS CUI-1
C0035078
Current cardiac medical history (before first procedure)
Beschrijving

Current cardiac medical history (before first procedure)

acute coronary syndrome (STEMI or NSTEMI, but with positive lab values or instable angina pectoris (rest angina))
Beschrijving

akutes Koronarsyndrom (ST-Hebungsinfarkt oder Infarkt ohne ST-Hebung, aber mit Markererhöhung oder instabile Angina pectoris (Ruheangina) innerhalb der letzten 48 Stunden)

Datatype

integer

Alias
UMLS CUI-1
C0948089
Stable angina - according to CCS
Beschrijving

stabile Angina pectoris

Datatype

integer

Alias
UMLS CUI-1
C1879987
objective (apparatus-based) signs of ischemia - exercise ecg or other non-invasive tests
Beschrijving

objektive (apparative) Ischämiezeichen bei Belastung

Datatype

integer

Alias
UMLS CUI-1
C0151744
Clinical course
Beschrijving

Clinical course

postprocedural myocardial infarction
Beschrijving

postprozedural neu aufgetretener Herzinfarkt

Datatype

integer

Alias
UMLS CUI-1
C0027051
postprocedural TIA/Stroke
Beschrijving

postprozedural neu aufgetretene/r TIA/Schlaganfall

Datatype

integer

Alias
UMLS CUI-1
C0007787
UMLS CUI-2
C0038454
postprocedural Emergency-PCI at the same vessel
Beschrijving

postprozedurale Notfall-PCI am selben Gefäß

Datatype

integer

Alias
UMLS CUI-1
C1532338
postprocedural transferral or admission to emergency CABG surgery
Beschrijving

postprozedurale Verlegung bzw. Einweisung zur Notfall CABG-Operation

Datatype

integer

Alias
UMLS CUI-1
C0010055
Severe hemorrhage at puncture site
Beschrijving

schwere therapiebedürftige Blutung an der Punktionsstelle

Datatype

integer

Alias
UMLS CUI-1
C0919883
Therapy of hemarrage at puncture site
Beschrijving

Therapie der Blutung an der Punktionsstelle

Datatype

integer

Alias
UMLS CUI-1-1
C1522326
UMLS CUI-1-2
C0919883
Vascular thrombosis (close to punction site)
Beschrijving

Gefäßthrombose (punktionsnah)

Datatype

integer

Alias
UMLS CUI-1
C2938969
Pseudoaneurysm with new compression (at site of punctutre)
Beschrijving

Aneurysma spurium mit erneuter Kompression (punktionsnah)

Datatype

integer

Alias
UMLS CUI-1
C1510412
other postprocedural events - e.g. Sepsis
Beschrijving

sonstige postprozedural festgestellte Ereignisse

Datatype

integer

Death - every Deathcase independent from cause
Beschrijving

Tod

Datatype

integer

Alias
UMLS CUI-1
C1306577
Discharge
Beschrijving

Discharge

Did the patient stay at heart surgery or has he/she been transferred there for elective purposes ?
Beschrijving

Lag der Patient in der Herzchirurgie oder wurde er elektiv dorthin verlegt/überwiesen?

Datatype

integer

Hostpital discharge date (DD.MM.YYYY)
Beschrijving

Entlassungsdatum Krankenhaus

Datatype

date

Alias
UMLS CUI-1
C2710998
Reason for Discharge
Beschrijving

Entlassungsgrund

Datatype

integer

Alias
UMLS CUI-1
C3164834
Discharge diagnoses - ICD codes
Beschrijving

Entlassungsdiagnose(n) (stationär) ICD-10-GM

Datatype

integer

Alias
UMLS CUI-1
C0011900

Similar models

Quality assurance Coronary Angiography and Percuteanous Intervention (PCI) - Basic (AQUA)

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Basic documentation
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)
Aufnahmedatum Krankenhaus
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Item
Medical specialty
integer
C0037778 (UMLS CUI-1)
Code List
Medical specialty
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)
Item
Healthcare facility is the provider of this procedure (The facility for documenting the procedure and the facility for providing the procedure are not identical)
integer
Code List
Healthcare facility is the provider of this procedure (The facility for documenting the procedure and the facility for providing the procedure are not identical)
CL Item
 (0)
CL Item
 (1)
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)
Item
Gender
integer
C0079399 (UMLS CUI-1)
Code List
Gender
CL Item
 (1)
CL Item
 (2)
Item Group
Patient
Item
diagnostic coronary angiography before this stay
integer
C0085532 (UMLS CUI-1)
Code List
diagnostic coronary angiography before this stay
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Catheteral intervention before this stay
integer
C1532338 (UMLS CUI-1)
Code List
Catheteral intervention before this stay
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Patient post coronary bypass operation
integer
C0010055 (UMLS CUI-1)
Code List
Patient post coronary bypass operation
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Left ventricular ejection fraction under 40%
integer
C0428772 (UMLS CUI-1)
Code List
Left ventricular ejection fraction under 40%
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Code List
Diabetes mellitus
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Item
Kidney failure
integer
C0035078 (UMLS CUI-1)
Code List
Kidney failure
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Item Group
Current cardiac medical history (before first procedure)
Item
acute coronary syndrome (STEMI or NSTEMI, but with positive lab values or instable angina pectoris (rest angina))
integer
C0948089 (UMLS CUI-1)
Code List
acute coronary syndrome (STEMI or NSTEMI, but with positive lab values or instable angina pectoris (rest angina))
CL Item
 (0)
CL Item
 (1)
Item
Stable angina - according to CCS
integer
C1879987 (UMLS CUI-1)
Code List
Stable angina - according to CCS
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
objective (apparatus-based) signs of ischemia - exercise ecg or other non-invasive tests
integer
C0151744 (UMLS CUI-1)
Code List
objective (apparatus-based) signs of ischemia - exercise ecg or other non-invasive tests
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Item Group
Clinical course
Item
postprocedural myocardial infarction
integer
C0027051 (UMLS CUI-1)
Code List
postprocedural myocardial infarction
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
postprocedural TIA/Stroke
integer
C0007787 (UMLS CUI-1)
C0038454 (UMLS CUI-2)
Code List
postprocedural TIA/Stroke
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
postprocedural Emergency-PCI at the same vessel
integer
C1532338 (UMLS CUI-1)
Code List
postprocedural Emergency-PCI at the same vessel
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
postprocedural transferral or admission to emergency CABG surgery
integer
C0010055 (UMLS CUI-1)
Code List
postprocedural transferral or admission to emergency CABG surgery
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
Severe hemorrhage at puncture site
integer
C0919883 (UMLS CUI-1)
Code List
Severe hemorrhage at puncture site
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
Therapy of hemarrage at puncture site
integer
C1522326 (UMLS CUI-1-1)
C0919883 (UMLS CUI-1-2)
Code List
Therapy of hemarrage at puncture site
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
Vascular thrombosis (close to punction site)
integer
C2938969 (UMLS CUI-1)
Code List
Vascular thrombosis (close to punction site)
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
Pseudoaneurysm with new compression (at site of punctutre)
integer
C1510412 (UMLS CUI-1)
Code List
Pseudoaneurysm with new compression (at site of punctutre)
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
other postprocedural events - e.g. Sepsis
integer
Code List
other postprocedural events - e.g. Sepsis
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
Death - every Deathcase independent from cause
integer
C1306577 (UMLS CUI-1)
Code List
Death - every Deathcase independent from cause
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item Group
Discharge
Item
Did the patient stay at heart surgery or has he/she been transferred there for elective purposes ?
integer
Code List
Did the patient stay at heart surgery or has he/she been transferred there for elective purposes ?
CL Item
 (0)
CL Item
 (1)
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Item
Reason for Discharge
integer
C3164834 (UMLS CUI-1)
Code List
Reason for Discharge
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) (stationär) ICD-10-GM
Item
Discharge diagnoses - ICD codes
integer
C0011900 (UMLS CUI-1)

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial