ID

6443

Description

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: HTXFU Specification 2015 V02

Link

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

Keywords

Versions (5)
  1. 12/22/14 12/22/14 - Julian Varghese
  2. 1/11/15 1/11/15 - Sarah Schulze Sünninghausen
  3. 1/19/15 1/19/15 - Julian Varghese
  4. 1/31/15 1/31/15 - Julian Varghese
  5. 4/13/21 4/13/21 - Ahmed Rafee, MD
Uploaded on

December 22, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Quality assurance Follow-up Heart Transplant (AQUA)

German English

Quality assurance Follow-up Heart Transplant (AQUA)

1 forms  
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 Insurance Identifier
Description

Institutionskennzeichen

Data type

integer

Zip Code of Discharge
Description

Entlassender Standort

Data type

string

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

Betriebsstätten-Nummer

Data type

string

Alias
UMLS CUI-1
C1547540
Medical specialty
Description

Fachabteilung

Data type

integer

Alias
UMLS CUI-1
C0037778
Recipient ID (ET-number)
Description

Empfänger ID

Data type

string

Alias
UMLS CUI-1-1
C0376387
UMLS CUI-1-2
C0376387
Date of Birth (DD.MM.YYYY)
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
Gender
Description

Geschlecht

Data type

integer

Alias
UMLS CUI-1
C0079399
Date of last transplant (TT.MM.JJJJ)
Description

Datum der letzten Transplantation

Data type

date

Alias
UMLS CUI-1
C3262243
Date of Follow-up examination (TT.MM.JJJJ)
Description

Datum der Follow-up-Erhebung

Data type

date

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

Art der Follow-up-Erhebung

Data type

integer

Alias
UMLS CUI-1
C1710508
Follow-up: Year(s) after transplant ((1, 2, 3))
Description

Follow-up: Jahr(e) nach Transplantation

Data type

string

treated graft reactions since last follow-up year
Description

behandelte Abstoßungsreaktionen seit dem letzten Jahres-Follow-up

Data type

integer

Alias
UMLS CUI-1
C0018129
Number of treated rejection episodes since last follow-up year
Description

Anzahl der behandelten Abstoßungsepisoden seit dem letzten Jahres-Follow-up

Data type

string

Alias
UMLS CUI-1-1
C1265611
UMLS CUI-1-2
C1522326
UMLS CUI-1-3
C0877542
Survival status of recipient
Description

Survival status of recipient

deceased patient
Description

Patient verstorben

Data type

integer

Alias
UMLS CUI-1
C1306577
Date of death (TT.MM.JJJJ)
Description

Todesdatum

Data type

date

Alias
UMLS CUI-1
C1148348
Causes of death in the course
Description

Todesursache(n) im Verlauf

Data type

integer

Alias
UMLS CUI-1
C0007465
Current immunosuppression
Description

Current immunosuppression

Cyclosporine
Description

Cyclosporin

Data type

integer

Alias
UMLS CUI-1
C0010592
Tacrolimus
Description

Tacrolimus

Data type

integer

Alias
UMLS CUI-1
C0085149
Azathioprine
Description

Azathioprin

Data type

integer

Alias
UMLS CUI-1
C0004482
Mycophenolat
Description

Mycophenolat

Data type

integer

Alias
UMLS CUI-1
C0209368
Steroids
Description

Steroide

Data type

integer

Alias
UMLS CUI-1
C0038317
m-ToR-Inhibitor
Description

m-ToR-Inhibitor

Data type

integer

Alias
UMLS CUI-1
C2746052
other
Description

andere

Data type

integer

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Similar models

Quality assurance Follow-up Heart Transplant (AQUA)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Follow-up(to be filled out after 1, 2 and 3 years)
Institutionskennzeichen
Item
Health Insurance Identifier
integer
Entlassender Standort
Item
Zip Code of Discharge
string
C1521842 (UMLS CUI-1)
Betriebsstätten-Nummer
Item
Facility's Section Identifier
string
C1547540 (UMLS CUI-1)
Item
Medical specialty
integer
C0037778 (UMLS CUI-1)
Fachabteilung
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)
Empfänger ID
Item
Recipient ID (ET-number)
string
C0376387 (UMLS CUI-1-1)
C0376387 (UMLS CUI-1-2)
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
 (1)
CL Item
 (2)
Datum der letzten Transplantation
Item
Date of last transplant (TT.MM.JJJJ)
date
C3262243 (UMLS CUI-1)
Datum der Follow-up-Erhebung
Item
Date of Follow-up examination (TT.MM.JJJJ)
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
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
Follow-up: Jahr(e) nach Transplantation
Item
Follow-up: Year(s) after transplant ((1, 2, 3))
string
Item
treated graft reactions since last follow-up year
integer
C0018129 (UMLS CUI-1)
behandelte Abstoßungsreaktionen seit dem letzten Jahres-Follow-up
Code List
treated graft reactions since last follow-up year
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Anzahl der behandelten Abstoßungsepisoden seit dem letzten Jahres-Follow-up
Item
Number of treated rejection episodes since last follow-up year
string
C1265611 (UMLS CUI-1-1)
C1522326 (UMLS CUI-1-2)
C0877542 (UMLS CUI-1-3)
Item Group
Survival status of recipient
Item
deceased patient
integer
C1306577 (UMLS CUI-1)
Patient verstorben
Code List
deceased patient
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Todesdatum
Item
Date of death (TT.MM.JJJJ)
date
C1148348 (UMLS CUI-1)
Item
Causes of death in the course
integer
C0007465 (UMLS CUI-1)
Todesursache(n) im Verlauf
Code List
Causes of death in the course
CL Item
 (701)
CL Item
 (711)
CL Item
 (712)
CL Item
 (713)
CL Item
 (714)
CL Item
 (715)
CL Item
 (716)
CL Item
 (717)
CL Item
 (718)
CL Item
 (721)
CL Item
 (722)
CL Item
 (723)
CL Item
 (724)
CL Item
 (725)
CL Item
 (726)
CL Item
 (727)
CL Item
 (728)
CL Item
 (729)
CL Item
 (730)
CL Item
 (731)
CL Item
 (732)
CL Item
 (733)
CL Item
 (734)
CL Item
 (735)
CL Item
 (736)
CL Item
 (737)
CL Item
 (738)
CL Item
 (739)
CL Item
 (741)
CL Item
 (742)
CL Item
 (743)
CL Item
 (744)
CL Item
 (745)
CL Item
 (746)
CL Item
 (751)
CL Item
 (752)
CL Item
 (753)
CL Item
 (761)
CL Item
 (762)
CL Item
 (763)
CL Item
 (764)
CL Item
 (766)
CL Item
 (767)
CL Item
 (769)
CL Item
 (770)
CL Item
 (771)
CL Item
 (772)
CL Item
 (780)
CL Item
 (781)
CL Item
 (782)
CL Item
 (790)
CL Item
 (799)
CL Item
 (801)
CL Item
 (802)
CL Item
 (803)
CL Item
 (804)
CL Item
 (805)
CL Item
 (806)
CL Item
 (807)
CL Item
 (808)
CL Item
 (809)
Item Group
Current immunosuppression
Item
Cyclosporine
integer
C0010592 (UMLS CUI-1)
Cyclosporin
Code List
Cyclosporine
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Tacrolimus
integer
C0085149 (UMLS CUI-1)
Tacrolimus
Code List
Tacrolimus
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Azathioprine
integer
C0004482 (UMLS CUI-1)
Azathioprin
Code List
Azathioprine
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Mycophenolat
integer
C0209368 (UMLS CUI-1)
Mycophenolat
Code List
Mycophenolat
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
Steroids
integer
C0038317 (UMLS CUI-1)
Steroide
Code List
Steroids
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
m-ToR-Inhibitor
integer
C2746052 (UMLS CUI-1)
m-ToR-Inhibitor
Code List
m-ToR-Inhibitor
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
Item
other
integer
andere
Code List
other
CL Item
 (0)
CL Item
 (1)
CL Item
 (9)
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