ID

6444

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: HTXM-B Specification 2015 V02

Link

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

Keywords

Versions (4)
  1. 12/22/14 12/22/14 - Julian Varghese
  2. 1/11/15 1/11/15 - Sarah Schulze Sünninghausen
  3. 1/31/15 1/31/15 - Julian Varghese
  4. 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 Heart Transplant Heart Assist Devices Artificial Heart - Basic (AQUA)

German English

Quality assurance Heart Transplant Heart Assist Devices Artificial Heart - Basic (AQUA)

1 forms  
Basic documentation recipient
Description

Basic documentation recipient

Health Insurance Identifier
Description

Institutionskennzeichen

Data type

integer

Alias
UMLS CUI-1
C2986045
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
Hospital admission date (DD.MM.YYYY)
Description

Aufnahmedatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C1302393
Medical specialty
Description

Fachabteilung

Data type

integer

Alias
UMLS CUI-1
C0037778
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
Body Height (in cm)
Description

Körpergröße

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI-1
C0005890
cm
Body weight at admission time (in kg)
Description

Körpergewicht bei Aufnahme

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI-1
C0005910
kg
Primary disease
Description

Grunderkrankung

Data type

integer

Alias
UMLS CUI-1
C0011900
Diabetes mellitus
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI-1
C0011849
Hepatitis B
Description

Hepatitis B

Data type

integer

Alias
UMLS CUI-1
C0019163
Hepatitis C
Description

Hepatitis C

Data type

integer

Alias
UMLS CUI-1
C0019196
Blood group (AB)
Description

Blutgruppe

Data type

integer

Alias
UMLS CUI-1
C0427624
Rhesus phenotype
Description

Rhesusfaktor

Data type

integer

Alias
UMLS CUI-1
C0427641
Received any thoracic surgical procedures before admission ?
Description

Wurden vor der stationären Aufnahme thorakale Operationen am Patienten durchgeführt?

Data type

integer

Alias
UMLS CUI-1
C0524832
Heart Transplantation
Description

Herztransplantation

Data type

integer

Alias
UMLS CUI-1
C0018823
Assist Device/TAH
Description

Assist Device/TAH

Data type

integer

Alias
UMLS CUI-1
C0085842
UMLS CUI-2
C0189877
Coronary surgery
Description

Koronarchirurgie

Data type

integer

Alias
UMLS CUI-2
C0190188
Operation on heart valve
Description

Klappenchirurgie

Data type

integer

Alias
UMLS CUI-2
C0190065
Repair of cardiac defects
Description

Korrektur angeborener Vitien

Data type

integer

Alias
UMLS CUI-2
C2024187
other
Description

sonstige

Data type

integer

Number of previous cardiac operations
Description

Anzahl aller Voroperationen am Herzen

Data type

string

Number of previous cardiac operations
Description

Anzahl aller Voroperationen unbekannt

Data type

integer

Alias
UMLS CUI-2
C2114712
Date of last thoracic surgery (TT.MM.JJJJ)
Description

Datum der letzten thorakalen Voroperation

Data type

date

Was a Heart transplantation performed during this stay ?
Description

Wurde während des stationären Aufenthaltes eine Herztransplantation durchgeführt?

Data type

integer

Alias
UMLS CUI-1
C0018823
Was an Assist Device/TAH implanted during this stay?
Description

Wurde während des stationären Aufenthaltes ein Herzunterstützungssystem / Kunstherz implantiert?

Data type

integer

Alias
UMLS CUI-1
C0085842
UMLS CUI-2
C0189877
Patient was registered on a waiting list für Heart Transplantation befor or during this stay?
Description

Befand sich der Patient vor oder während des stationären Aufenthaltes auf der Warteliste für eine Herztransplantation?

Data type

integer

Alias
UMLS CUI-2
C3272315
Discharge
Description

Discharge

Recipient ID (ET-number)
Description

Empfänger ID

Data type

string

Hostpital discharge date (DD.MM.YYYY)
Description

Entlassungsdatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C2710998
Discharge diagnosis according to ICD-10
Description

Entlassungsdiagnose(n)

Data type

integer

Alias
UMLS CUI-1
C0011900
Reason of Discharge
Description

Entlassungsgrund

Data type

integer

Alias
UMLS CUI-1
C3164834
Causes death (acute)
Description

Todesursache(n) akut

Data type

integer

Alias
UMLS CUI-1
C0007465
Was patient discharged with an Assist Device/TAH that has been implanted during this stay?
Description

Wurde der Patient mit einem Herzunterstützungssystem / Kunstherzen entlassen, das während des stationären Aufenthaltes implantiert wurde?

Data type

integer

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Similar models

Quality assurance Heart Transplant Heart Assist Devices Artificial Heart - Basic (AQUA)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Basic documentation recipient
Institutionskennzeichen
Item
Health Insurance 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)
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)
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)
Körpergröße
Item
Body Height (in cm)
integer
C0005890 (UMLS CUI-1)
Körpergewicht bei Aufnahme
Item
Body weight at admission time (in kg)
integer
C0005910 (UMLS CUI-1)
Item
Primary disease
integer
C0011900 (UMLS CUI-1)
Grunderkrankung
Code List
Primary disease
CL Item
 (1000)
CL Item
 (1009)
CL Item
 (1050)
CL Item
 (1059)
CL Item
 (1200)
CL Item
 (1201)
CL Item
 (1202)
CL Item
 (1203)
CL Item
 (1204)
CL Item
 (1497)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Diabetes mellitus
Code List
Diabetes mellitus
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
Hepatitis B
integer
C0019163 (UMLS CUI-1)
Hepatitis B
Code List
Hepatitis B
CL Item
 (0)
CL Item
 (1)
Item
Hepatitis C
integer
C0019196 (UMLS CUI-1)
Hepatitis C
Code List
Hepatitis C
CL Item
 (0)
CL Item
 (1)
Item
Blood group (AB)
integer
C0427624 (UMLS CUI-1)
Blutgruppe
Code List
Blood group (AB)
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (9)
Item
Rhesus phenotype
integer
C0427641 (UMLS CUI-1)
Rhesusfaktor
Code List
Rhesus phenotype
CL Item
 (1)
CL Item
 (2)
CL Item
 (9)
Item
Received any thoracic surgical procedures before admission ?
integer
C0524832 (UMLS CUI-1)
Wurden vor der stationären Aufnahme thorakale Operationen am Patienten durchgeführt?
Code List
Received any thoracic surgical procedures before admission ?
CL Item
 (0)
CL Item
 (1)
Item
Heart Transplantation
integer
C0018823 (UMLS CUI-1)
Herztransplantation
Code List
Heart Transplantation
CL Item
 (1)
Item
Assist Device/TAH
integer
C0085842 (UMLS CUI-1)
C0189877 (UMLS CUI-2)
Assist Device/TAH
Code List
Assist Device/TAH
CL Item
 (1)
Item
Coronary surgery
integer
C0190188 (UMLS CUI-2)
Koronarchirurgie
Code List
Coronary surgery
CL Item
 (1)
Item
Operation on heart valve
integer
C0190065 (UMLS CUI-2)
Klappenchirurgie
Code List
Operation on heart valve
CL Item
 (1)
Item
Repair of cardiac defects
integer
C2024187 (UMLS CUI-2)
Korrektur angeborener Vitien
Code List
Repair of cardiac defects
CL Item
 (1)
Item
other
integer
sonstige
Code List
other
CL Item
 (1)
Anzahl aller Voroperationen am Herzen
Item
Number of previous cardiac operations
string
Item
Number of previous cardiac operations
integer
C2114712 (UMLS CUI-2)
Anzahl aller Voroperationen unbekannt
Code List
Number of previous cardiac operations
CL Item
 (1)
Datum der letzten thorakalen Voroperation
Item
Date of last thoracic surgery (TT.MM.JJJJ)
date
Item
Was a Heart transplantation performed during this stay ?
integer
C0018823 (UMLS CUI-1)
Wurde während des stationären Aufenthaltes eine Herztransplantation durchgeführt?
Code List
Was a Heart transplantation performed during this stay ?
CL Item
 (0)
CL Item
 (1)
Item
Was an Assist Device/TAH implanted during this stay?
integer
C0085842 (UMLS CUI-1)
C0189877 (UMLS CUI-2)
Wurde während des stationären Aufenthaltes ein Herzunterstützungssystem / Kunstherz implantiert?
Code List
Was an Assist Device/TAH implanted during this stay?
CL Item
 (0)
CL Item
 (1)
Item
Patient was registered on a waiting list für Heart Transplantation befor or during this stay?
integer
C3272315 (UMLS CUI-2)
Befand sich der Patient vor oder während des stationären Aufenthaltes auf der Warteliste für eine Herztransplantation?
Code List
Patient was registered on a waiting list für Heart Transplantation befor or during this stay?
CL Item
 (0)
CL Item
 (1)
Item Group
Discharge
Empfänger ID
Item
Recipient ID (ET-number)
string
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnosis according to ICD-10
integer
C0011900 (UMLS CUI-1)
Item
Reason of Discharge
integer
C3164834 (UMLS CUI-1)
Entlassungsgrund
Code List
Reason of 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)
Item
Causes death (acute)
integer
C0007465 (UMLS CUI-1)
Todesursache(n) akut
Code List
Causes death (acute)
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)
Item
Was patient discharged with an Assist Device/TAH that has been implanted during this stay?
integer
Wurde der Patient mit einem Herzunterstützungssystem / Kunstherzen entlassen, das während des stationären Aufenthaltes implantiert wurde?
Code List
Was patient discharged with an Assist Device/TAH that has been implanted during this stay?
CL Item
 (0)
CL Item
 (1)
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