ID

6496

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: 09-3 Specification 2015 V02

Link

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

Keywords

  1. 12/22/14 12/22/14 - Julian Varghese
  2. 1/6/15 1/6/15 - Julian Varghese
Uploaded on

January 6, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Quality assurance Cardiac Pacemaker Revision/Explantation(AQUA)

Quality assurance Implantable Defibrillator: Implantation (AQUA)

Type of insurance
Description

Type of insurance

Health Insurance Identifier
Description

Institutionskennzeichen der Krankenkasse der Versichertenkarte

Data type

string

Alias
UMLS CUI-1
C1548070
Patient identifying data
Description

Patient identifying data

Patient insurance ID
Description

eGK-Versichertennummer

Data type

string

Alias
UMLS CUI-1
C1548070
Basic documentation
Description

Basic documentation

Healthcare Facility 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
Medical specialty
Description

Fachabteilung

Data type

integer

Alias
UMLS CUI-1
C0037778
Patient identification number
Description

Identifikationsnummer des Patienten

Data type

string

Alias
UMLS CUI-1
C1549734
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
Hospital admission date (DD.MM.YYYY)
Description

Aufnahmedatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C1302393
Clinical Examination
Description

Clinical Examination

ASA classification
Description

Einstufung nach ASA-Klassifikation

Data type

integer

Alias
UMLS CUI-1
C1531480
Wound contamination classifcation of procedure (according to CDC definition)
Description

Wundkontaminationsklassifikation

Data type

integer

Alias
UMLS CUI-1
C1629491
Medical indication for revision/explantation
Description

Medical indication for revision/explantation

Aggregate problem (pulse generator)
Description

Aggregatproblem

Data type

integer

Alias
UMLS CUI-1
C0340921
Problems of pacemaker pocket
Description

Taschenproblem

Data type

integer

Problems of electrodes
Description

Sondenproblem

Data type

integer

Alias
UMLS CUI-1
C0340915
[If item 15 =1 ] Special indication for Revision/Explantation of electrodes
Description

[If item 15 =1 ] Special indication for Revision/Explantation of electrodes

Atrium
Description

Vorhof

Data type

integer

First ventricular electrode
Description

Ventrikel 1. Sonde

Data type

integer

Second ventricular electrode
Description

Ventrikel 2. Sonde

Data type

integer

Operation
Description

Operation

Operation Date (DD.MM.YY)
Description

OP-Datum

Data type

date

Alias
UMLS CUI-1
C3258210
Place of last pacemaker operation before this procedure
Description

Ort der letzten Schrittmacher-OP vor diesem Eingriff

Data type

integer

Alias
UMLS CUI-1
C0442504
UMLS CUI-2
C3275122
Procedure codes
Description

Operation

Data type

integer

Alias
UMLS CUI-1
C1550373
Procedure Duration (in minutes)
Description

Dauer des Eingriffs

Data type

integer

Measurement units
  • Minuten
Alias
UMLS CUI-1
C1442476
Minuten
Dose Area product (cGy)* cm²)
Description

Flächendosisprodukt

Data type

integer

Measurement units
  • (cGy)* cm²
(cGy)* cm²
unknown dose area product
Description

Flächendosisprodukt nicht bekannt

Data type

integer

Functionally active parts of Pacemaker- Pacemaker System
Description

Functionally active parts of Pacemaker- Pacemaker System

existing postoperative functionally active Pacemaker system
Description

postoperativ funktionell aktives SM-System vorhanden

Data type

integer

Pacemaker system
Description

System

Data type

integer

Alias
UMLS CUI-1
C0182148
Pacemaker aggregate (pulse generator)
Description

Pacemaker aggregate (pulse generator)

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Year of implantation (YYYY)
Description

Jahr der Implantation

Data type

string

Alias
UMLS CUI-1
C2079500
Year of implantation (YYYY) unknown
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Atrial pacemaker electrodes
Description

Atrial pacemaker electrodes

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Time intervall to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknown - NBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Sensing threshold (in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2016189
V
Reason for not having measured sensing threshold, intraoperative for 0,5 ms
Description

nicht gemessen

Data type

integer

P wave height
Description

P-Wellen-Amplitude

Data type

integer

Measurement units
  • mV
Alias
UMLS CUI-1
C0429042
mV
Reasons for not having measured (P wave height)
Description

nicht gemessen

Data type

integer

Ventricular pacemaker electrodes
Description

Ventricular pacemaker electrodes

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Time interval to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknown - NBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Sensing threshold (in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2016189
V
sensing threshold not measured (intraoperative for 0,5 ms)
Description

nicht gemessen

Data type

integer

R wave height
Description

R-Amplitude

Data type

integer

Measurement units
  • mV
Alias
UMLS CUI-1
C0429049
mV
Reasons for not having measured R-Wave Height, intraoperative
Description

nicht gemessen

Data type

integer

Second ventricular eletrode
Description

Second ventricular eletrode

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Time intervall to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknown - NBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Sensing threshold (in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2016189
V
sensing threshold not measured (intraoperative for 0,5 ms)
Description

nicht gemessen

Data type

integer

R wave height
Description

R-Amplitude

Data type

integer

Measurement units
  • mV
Alias
UMLS CUI-1
C0429049
mV
Reasons for not having measured R-Wave Height, intraoperative
Description

nicht gemessen

Data type

integer

Functionally non-active parts of pacemaker - pacemaker system
Description

Functionally non-active parts of pacemaker - pacemaker system

Pacemaker system
Description

System

Data type

integer

Alias
UMLS CUI-1
C0182148
Pacemaker aggregate (pulse generator)
Description

Pacemaker aggregate (pulse generator)

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Year of implantation (YYYY)
Description

Jahr der Implantation

Data type

string

Alias
UMLS CUI-1
C3258210
unknown year of implantation
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Atrial pacemaker eletrodes
Description

Atrial pacemaker eletrodes

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Time intervall to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknown - NBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Ventricular pacemaker electrode
Description

Ventricular pacemaker electrode

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Time intervall to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknown - NBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
second ventricular eletrode
Description

second ventricular eletrode

Kind of procedure
Description

Art des Vorgehens

Data type

integer

Alias
UMLS CUI-1
C1550373
Time intervall to implantation of this electrode
Description

Zeitabstand zur Implantation dieser Sonde

Data type

integer

NBL-Code first digit
Description

NBL-Code 1. Ziffer

Data type

integer

NBL-Code second digit
Description

NBL-Code 2. Ziffer

Data type

integer

unknownNBL-Code
Description

nicht bekannt

Data type

integer

Manufacturer Name
Description

Hersteller

Data type

integer

Alias
UMLS CUI-1
C0947322
Peri/Postoperative Compliactions
Description

Peri/Postoperative Compliactions

peri- or postoperative complikation(s)
Description

peri- bzw. postoperative Komplikation(en)

Data type

boolean

Alias
UMLS CUI-1
C0946279
UMLS CUI-2
C0032787
Asystolia
Description

Asystolie

Data type

integer

Alias
UMLS CUI-1
C0018790
Ventricular fibrillation
Description

Kammerflimmern

Data type

integer

Alias
UMLS CUI-1
C0042510
Pneumothorax, requiring action
Description

interventionspflichtiger Pneumothorax

Data type

integer

Alias
UMLS CUI-1
C0032326
Hemathorax, requiring actionx
Description

interventionspflichtiger Hämatothorax

Data type

integer

Alias
UMLS CUI-1
C0019123
Pericardial effusion, requiring action
Description

interventionspflichtiger Perikarderguss

Data type

integer

Alias
UMLS CUI-1
C0031039
Hematoma due to pacemaker, requiring action
Description

interventionspflichtiges Taschenhämatom

Data type

integer

Alias
UMLS CUI-1
C2586079
Electrode displacement
Description

Sondendislokation

Data type

integer

Alias
UMLS CUI-1
C0340917
Location of electrode displacement
Description

Location of electrode displacement

Atrium
Description

Vorhof

Data type

integer

Ventricle
Description

Ventrikel

Data type

integer

Electrode dysfunction
Description

Sondendysfunktion

Data type

integer

Alias
UMLS CUI-1
C0340915
Location of electrode dysfunction
Description

Location of electrode dysfunction

Alias
UMLS CUI-1-1
C1515974
UMLS CUI-1-2
C0340915
Atrium
Description

Vorhof

Data type

integer

Ventricle
Description

Ventrikel

Data type

integer

postoperative wound infection - according to definition of CDC classification
Description

postoperative Wundinfektion

Data type

integer

Alias
UMLS CUI-1
C0038941
CDC classification
Description

CDC-Klassifikation

Data type

integer

other complications complication, requiring action
Description

sonstige interventionspflichtige Komplikation

Data type

integer

Discharge
Description

Discharge

Hostpital discharge date (DD.MM.YYYY)
Description

Entlassungsdatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C2710998
Reason for Discharge
Description

Entlassungsgrund

Data type

integer

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

Entlassungsdiagnose(n)

Data type

integer

Alias
UMLS CUI-1
C0011900

Similar models

Quality assurance Implantable Defibrillator: Implantation (AQUA)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Type of insurance
Institutionskennzeichen der Krankenkasse der Versichertenkarte
Item
Health Insurance Identifier
string
C1548070 (UMLS CUI-1)
Item Group
Patient identifying data
eGK-Versichertennummer
Item
Patient insurance ID
string
C1548070 (UMLS CUI-1)
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)
Item
Medical specialty
integer
C0037778 (UMLS CUI-1)
Code List
Medical specialty
CL Item
internal medicine (0100)
CL Item
internal medicine: geriatrics (0102)
CL Item
internal medicine: cardiology (0103)
CL Item
internal medicine: nephrology (0104)
CL Item
internal medicine: hematology and internal oncology  (0105)
CL Item
internal medicine: endocrinology (0106)
CL Item
internal medicine: gastroenterology  (0107)
CL Item
internal medicine: pneumonology (0108)
CL Item
internal medicine: rheumatology (0109)
CL Item
internal medicine: pulmonology (0114)
CL Item
internal medicine: tumor research (0150)
CL Item
internal medicine: coloproctology (0151)
CL Item
internal medicine: infectiology (0152)
CL Item
internal medicine: diabetes (0153)
CL Item
internal medicine: naturopathy (0154)
CL Item
internal medicine: stroke unit (0156)
CL Item
internal medicine (0190)
CL Item
geriatry (0200)
CL Item
geriatry: gynecology  (0224)
CL Item
geriatry: day unit (for semi-residential care)  (0260)
CL Item
geriaty: night unit (for semi-residential care) (0261)
CL Item
geriatry (0290)
CL Item
cardiology (0300)
CL Item
nephrology (0400)
CL Item
nephrology: pediatrics (0410)
CL Item
nephrology: intensive care (0436)
CL Item
nephrology (0490)
CL Item
hematology and internal oncology  (0500)
CL Item
hematology and internal oncology: pediatrics (0510)
CL Item
hematology and internal oncology: gynacology (0524)
CL Item
hematology and internal oncology: radiation therapy (0533)
CL Item
hematology and internal oncology  (0590)
CL Item
endocrinology (0600)
CL Item
endicrinology: gastroenterology (0607)
CL Item
endocrinology: pediatrics (0610)
CL Item
endocrinology (0690)
CL Item
gastroenterology (0700)
CL Item
gastroenterology: endocrinology (0706)
CL Item
gastroenterology: pediatrics (0710)
CL Item
gastroenterology (0790)
CL Item
pneumology (0800)
CL Item
rheumatology (0900)
CL Item
rheumatology: pediatrics (0910)
CL Item
rheumatology (0990)
CL Item
pediatrics (1000)
CL Item
pediatrics: nephrology (1004)
CL Item
pediatrics: hematology and internal oncology  (1005)
CL Item
pediatrics: endocrinology (1006)
CL Item
pediatrics: gastroenterology (1007)
CL Item
pediatrics: rheumatology (1009)
CL Item
pediatrics: pediatric cardiology (1011)
CL Item
pediatrics: nephrology (1012)
CL Item
pediatrics: pulmonology (1014)
CL Item
pediatrics: pediatric neurology (1028)
CL Item
pediatrics: perinatal medicine (1050)
CL Item
continuing care for children (1051)
CL Item
pediatrics (1090)
CL Item
pediatric cardiology (1100)
CL Item
pediatric cardiology: intensive care (1136)
CL Item
pediatric cardiology (1190)
CL Item
neonatology (1200)
CL Item
pediatric surgery (1300)
CL Item
pulmonology (1400)
CL Item
pulmonology: pediatrics (1410)
CL Item
pulmonology (1490)
CL Item
general surgery (1500)
CL Item
general surgery: pediatric surgery (1513)
CL Item
general surgery: trauma surgery (1516)
CL Item
general surgery: vascular surgery (1518)
CL Item
general surgery: plastic surgery (1519)
CL Item
general surgery: thoracic surgery (1520)
CL Item
general surgery: orthopedics (1523)
CL Item
general surgery: intensive care (1536)
CL Item
general surgery: abdominal- and vascular surgery (1550)
CL Item
Allgemeine Chirurgie: hand surgery (1551)
CL Item
general surgery (1590)
CL Item
trauma surgery (1600)
CL Item
neurosurgery (1700)
CL Item
vascular surgery (1800)
CL Item
plastic surgery (1900)
CL Item
thoracic surgery (2000)
CL Item
thoracic surgery: cardiac surgery (2021)
CL Item
thoracic surgery: intensive care (2036)
CL Item
thoracic surgery: cardiac surgery intensive care (2050)
CL Item
thoracic surgery (2090)
CL Item
cardiac surgery (2100)
CL Item
cardiac surgery: vascular surgery (2118)
CL Item
cardiac surgery: thoracic surgery (2120)
CL Item
cardiac surgery: intensive care (2136)
CL Item
cardiac surgery: thoracic surgery and intensive care (2150)
CL Item
cardiac surgery (2190)
CL Item
urology (2200)
CL Item
orthopedics (2300)
CL Item
orthopedics: rheumatology (2309)
CL Item
orthopedics: surgery (2315)
CL Item
orthopedics and trauma surgery (2316)
CL Item
orthopedics (2390)
CL Item
gynecology and obstetrics (2400)
CL Item
gynecology: geriatry (2402)
CL Item
gynecology: hematology and internal oncology  (2405)
CL Item
gynecology: endocrinology (2406)
CL Item
gynecology (2425)
CL Item
gynecology and obstetrics (2490)
CL Item
obstetrics (2500)
CL Item
otolaryngology (2600)
CL Item
ophthalmology (2700)
CL Item
neurology: (2800)
CL Item
neurology: pediatrics (2810)
CL Item
neurology: stroke units (2856)
CL Item
neurology (2890)
CL Item
general psychiatry: (2900)
CL Item
general psychiatry: neurology (2928)
CL Item
general psychiatry: child and adolescent psychiatry (2930)
CL Item
general psychiatry: psychosomatics and psychotherapy (2931)
CL Item
general psychiatry: addiction treatment (2950)
CL Item
general psychiatry: geropsychiatry (2951)
CL Item
general psychiatry: forensic treatment (2952)
CL Item
general psychiatry: addiction treatment (day unit) (2953)
CL Item
general psychiatry: addiction treatment (night unit) (2954)
CL Item
general psychiatry: geropsychiatry (day unit) (2955)
CL Item
general psychiatry: geropsychiatry (night unit) (2956)
CL Item
general psychiatry: day unit (for semi-residential care) (2960)
CL Item
general psychiatry: night unit (for semi-residential care) (2961)
CL Item
general psychiatry (2990)
CL Item
child and adolescent psychiatry (3000)
CL Item
child and adolescent psychiatry: day unit (for semi-residential care) (3060)
CL Item
child and adolescent psychiatry: night unit (for semi-residential care) (3061)
CL Item
child and adolescent psychiatry (3090)
CL Item
psychosomatic/psychotherapy (3100)
CL Item
psychosomatic/psychotherapy: child and adolescent psychiatry (3110)
CL Item
psychosomatic/psychotherapy: day unit (for semi-residential care) (3160)
CL Item
psychosomatic/psychotherapy: night unit (for semi-residential care) (3161)
CL Item
psychosomatic/psychotherapy (3190)
CL Item
nuclear medicine (3200)
CL Item
nuclear medicine: radiation therapy (3233)
CL Item
nuclear medicine (3290)
CL Item
radiation therapy (3300)
CL Item
radiation therapy: hematology and internal oncology  (3305)
CL Item
radiation therapy: radiology (3350)
CL Item
radiation therapy (3390)
CL Item
dermatology (3400)
CL Item
dermatology: day unit (for semi-residential care) (3460)
CL Item
dermatology (3490)
CL Item
dentistry, orthodontics, maxillofacial surgery (3500)
CL Item
intensive-care medicine (3600)
CL Item
intensive-care medicine: internal medicine (3601)
CL Item
intensive-care medicine: cardiology (3603)
CL Item
intensive-care medicine: pediatrics (3610)
CL Item
intensive-care medicine: neurosurgery (3617)
CL Item
intensive-care medicine: surgery (3618)
CL Item
intensive-care medicine: cardiac surgery (3621)
CL Item
intensive-care medicine: urology (3622)
CL Item
intensive-care medicine: gynecology and obstetrics (3624)
CL Item
intensive-care medicine: otolaryngology  (3626)
CL Item
intensive-care medicine: neurology (3628)
CL Item
operative intensive-care medicine: surgery (3650)
CL Item
intensive-care medicine: thorax-heart surgery (3651)
CL Item
intensive-care medicine: heart-thorax surgery (3652)
CL Item
intensive-care medicine (3690)
CL Item
other medical specialty (3700)
CL Item
angiology (3750)
CL Item
radiology (3751)
CL Item
palliative care (3752)
CL Item
pain therapy (3753)
CL Item
section for alternative health practice (3754)
CL Item
spinal surgery (3755)
CL Item
addiction medicine (3756)
CL Item
visceral surgery (3757)
CL Item
other medical specialty (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)
Item
Gender
integer
C0079399 (UMLS CUI-1)
Code List
Gender
CL Item
male (1)
CL Item
female (2)
Aufnahmedatum Krankenhaus
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Item Group
Clinical Examination
Item
ASA classification
integer
C1531480 (UMLS CUI-1)
Code List
ASA classification
CL Item
A normal healthy patient (1)
CL Item
A patient with mild systemic disease (2)
CL Item
A patient with severe systemic disease (3)
CL Item
A patient with severe systemic disease that is a constant threat to life (4)
CL Item
A moribund patient who is not expected to survive without the operation (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
aseptic procedure (1)
CL Item
partially aseptic procedure (2)
CL Item
procedure with contamination (3)
CL Item
septic procedure (4)
Item Group
Medical indication for revision/explantation
Item
Aggregate problem (pulse generator)
integer
C0340921 (UMLS CUI-1)
Code List
Aggregate problem (pulse generator)
CL Item
regular battery depletion (1)
CL Item
early battery depletion (2)
CL Item
assumed pacemaker dysfunction  (3)
CL Item
proven pacemaker dysfunction (4)
CL Item
other indication (9)
CL Item
pacemaker dysfunction with return call (5)
Item
Problems of pacemaker pocket
integer
Code List
Problems of pacemaker pocket
CL Item
Pocket hematoma (1)
CL Item
perforation by pulse generator (2)
CL Item
infection (3)
CL Item
other problem (9)
Item
Problems of electrodes
integer
C0340915 (UMLS CUI-1)
Code List
Problems of electrodes
CL Item
yes (1)
Item Group
[If item 15 =1 ] Special indication for Revision/Explantation of electrodes
Item
Atrium
integer
Code List
Atrium
CL Item
dislocation (1)
CL Item
electrode defect/insulation problem (2)
CL Item
dysfunctional connection (3)
CL Item
diaphracmatic or pectoral flutter (4)
CL Item
inhibition through other muscular action potentials/ oversensing (5)
CL Item
sensing defect/Undersensing (6)
CL Item
stimulation deficit/increase of sensing threshold (7)
CL Item
infection (8)
CL Item
myocardial perforation (9)
CL Item
other (99)
Item
First ventricular electrode
integer
Code List
First ventricular electrode
CL Item
dislocation (1)
CL Item
electrode defect/insulation problem (2)
CL Item
dysfunctional connection (3)
CL Item
diaphracmatic or pectoral flutter (4)
CL Item
inhibition through other muscular action potentials/ oversensing (5)
CL Item
sensing defect/Undersensing (6)
CL Item
stimulation deficit/increase of sensing threshold (7)
CL Item
infection (8)
CL Item
myocardial perforation (9)
CL Item
other (99)
Item
Second ventricular electrode
integer
Code List
Second ventricular electrode
CL Item
dislocation (1)
CL Item
electrode defect/insulation problem (2)
CL Item
dysfunctional connection (3)
CL Item
diaphracmatic or pectoral flutter (4)
CL Item
inhibition through other muscular action potentials/ oversensing (5)
CL Item
sensing defect/Undersensing (6)
CL Item
stimulation deficit/increase of sensing threshold (7)
CL Item
infection (8)
CL Item
myocardial perforation (9)
CL Item
other (99)
Item Group
Operation
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)
C3275122 (UMLS CUI-2)
Code List
Place of last pacemaker operation before this procedure
CL Item
in-patient, own institution (1)
CL Item
in-patient, other institution (2)
CL Item
outpatient, own institution (3)
CL Item
outpatient, other institution (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
Item
unknown dose area product
integer
Code List
unknown dose area product
CL Item
yes (1)
Item Group
Functionally active parts of Pacemaker- Pacemaker System
Item
existing postoperative functionally active Pacemaker system
integer
Code List
existing postoperative functionally active Pacemaker system
CL Item
no, because this is an explantation (0)
CL Item
yes (1)
Item
Pacemaker system
integer
C0182148 (UMLS CUI-1)
Code List
Pacemaker system
CL Item
VVI (1)
CL Item
AAI (2)
CL Item
DDD (3)
CL Item
VDD (4)
CL Item
CRT-System with atrial electrode (5)
CL Item
CRT-System without atrial electrode (6)
CL Item
other (9)
Item Group
Pacemaker aggregate (pulse generator)
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
no intervention on pulse generator (0)
CL Item
new implantation (1)
CL Item
new placement/positioning (2)
CL Item
other (9)
Jahr der Implantation
Item
Year of implantation (YYYY)
string
C2079500 (UMLS CUI-1)
Item
Year of implantation (YYYY) unknown
integer
Code List
Year of implantation (YYYY) unknown
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item Group
Atrial pacemaker electrodes
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
no intervention on electrode (0)
CL Item
new implantation (1)
CL Item
new placement/positioning (2)
CL Item
repair (4)
CL Item
other (9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknown - NBL-Code
integer
Code List
unknown - NBL-Code
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
Reason for not having measured sensing threshold, intraoperative for 0,5 ms
integer
Code List
Reason for not having measured sensing threshold, intraoperative for 0,5 ms
CL Item
because of atrial fibrillation (1)
CL Item
other reasons (9)
P-Wellen-Amplitude
Item
P wave height
integer
C0429042 (UMLS CUI-1)
Item
Reasons for not having measured (P wave height)
integer
Code List
Reasons for not having measured (P wave height)
CL Item
because of atrial fibrillation (1)
CL Item
missing own atrial rhythm (2)
CL Item
other reasons (9)
Item Group
Ventricular pacemaker electrodes
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
no intervention on electrode (0)
CL Item
new implantation (1)
CL Item
new placement/positioning (2)
CL Item
repair (4)
CL Item
other (9)
Item
Time interval to implantation of this electrode
integer
Code List
Time interval to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknown - NBL-Code
integer
Code List
unknown - NBL-Code
CL Item
 (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
sensing threshold not measured (intraoperative for 0,5 ms)
integer
Code List
sensing threshold not measured (intraoperative for 0,5 ms)
CL Item
yes (1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Item
Reasons for not having measured R-Wave Height, intraoperative
integer
Code List
Reasons for not having measured R-Wave Height, intraoperative
CL Item
no own rhythm (1)
CL Item
other reasons (9)
Item Group
Second ventricular eletrode
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
no intervention on electrode (0)
CL Item
new implantation (1)
CL Item
new placement/positioning (2)
CL Item
repair (4)
CL Item
other (9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknown - NBL-Code
integer
Code List
unknown - NBL-Code
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2016189 (UMLS CUI-1)
Item
sensing threshold not measured (intraoperative for 0,5 ms)
integer
Code List
sensing threshold not measured (intraoperative for 0,5 ms)
CL Item
yes (1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Item
Reasons for not having measured R-Wave Height, intraoperative
integer
Code List
Reasons for not having measured R-Wave Height, intraoperative
CL Item
no own rhythm (1)
CL Item
because of other reasons (9)
Item Group
Functionally non-active parts of pacemaker - pacemaker system
Item
Pacemaker system
integer
C0182148 (UMLS CUI-1)
Code List
Pacemaker system
CL Item
VVI (1)
CL Item
AAI (2)
CL Item
DDD (3)
CL Item
VDD (4)
CL Item
CRT-System with atrial electrode (5)
CL Item
CRT-System without atrial electrode (6)
CL Item
other (9)
Item Group
Pacemaker aggregate (pulse generator)
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
explantation (1)
CL Item
deactivation (2)
CL Item
other (9)
Jahr der Implantation
Item
Year of implantation (YYYY)
string
C3258210 (UMLS CUI-1)
Item
unknown year of implantation
integer
Code List
unknown year of implantation
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item Group
Atrial pacemaker eletrodes
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
explantation (1)
CL Item
deactivation (2)
CL Item
other (9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknown - NBL-Code
integer
Code List
unknown - NBL-Code
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
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 Group
Ventricular pacemaker electrode
Item
Kind of procedure
integer
Code List
Kind of procedure
CL Item
explantation (1)
CL Item
deactivation (2)
CL Item
other (9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
> more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknown - NBL-Code
integer
Code List
unknown - NBL-Code
CL Item
yes (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
CL Item
Biotronik (1)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item Group
second ventricular eletrode
Item
Kind of procedure
integer
C1550373 (UMLS CUI-1)
Code List
Kind of procedure
CL Item
explantation (1)
CL Item
deactivation (2)
CL Item
other (9)
Item
Time intervall to implantation of this electrode
integer
Code List
Time intervall to implantation of this electrode
CL Item
less than or equal to 1 year (1)
CL Item
> more than 1 year (2)
CL Item
unknown (9)
Item
NBL-Code first digit
integer
Code List
NBL-Code first digit
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
Item
NBL-Code second digit
integer
Code List
NBL-Code second digit
CL Item
no fixation (0)
CL Item
active fixation, e.g. bolted electrode (A)
CL Item
passive fixation, e.g. hooked electrode (P)
Item
unknownNBL-Code
integer
Code List
unknownNBL-Code
CL Item
 (1)
Item
Manufacturer Name
integer
C0947322 (UMLS CUI-1)
Code List
Manufacturer Name
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 Group
Peri/Postoperative Compliactions
peri- bzw. postoperative Komplikation(en)
Item
peri- or postoperative complikation(s)
boolean
C0946279 (UMLS CUI-1)
C0032787 (UMLS CUI-2)
Item
Asystolia
integer
C0018790 (UMLS CUI-1)
Code List
Asystolia
CL Item
yes (1)
Item
Ventricular fibrillation
integer
C0042510 (UMLS CUI-1)
Code List
Ventricular fibrillation
CL Item
yes (1)
Item
Pneumothorax, requiring action
integer
C0032326 (UMLS CUI-1)
Code List
Pneumothorax, requiring action
CL Item
yes (1)
Item
Hemathorax, requiring actionx
integer
C0019123 (UMLS CUI-1)
Code List
Hemathorax, requiring actionx
CL Item
yes (1)
Item
Pericardial effusion, requiring action
integer
C0031039 (UMLS CUI-1)
Code List
Pericardial effusion, requiring action
CL Item
yes (1)
Item
Hematoma due to pacemaker, requiring action
integer
C2586079 (UMLS CUI-1)
Code List
Hematoma due to pacemaker, requiring action
CL Item
yes (1)
Item
Electrode displacement
integer
C0340917 (UMLS CUI-1)
Code List
Electrode displacement
CL Item
yes (1)
Item Group
Location of electrode displacement
Item
Atrium
integer
Code List
Atrium
CL Item
yes (1)
Item
Ventricle
integer
Code List
Ventricle
CL Item
1. ventricular electrode (1)
CL Item
2. ventricular electrode (2)
CL Item
both (3)
Item
Electrode dysfunction
integer
C0340915 (UMLS CUI-1)
Code List
Electrode dysfunction
CL Item
yes (1)
Item Group
Location of electrode dysfunction
C1515974 (UMLS CUI-1-1)
C0340915 (UMLS CUI-1-2)
Item
Atrium
integer
Code List
Atrium
CL Item
yes (1)
Item
Ventricle
integer
Code List
Ventricle
CL Item
1. ventricular electrode (1)
CL Item
2. ventricular electrode (2)
CL Item
both (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
yes (1)
Item
CDC classification
integer
Code List
CDC classification
CL Item
A1 (Superficial incisional surgical site infections ) (1)
CL Item
A2 (Deep incisional surgical site infections) (2)
CL Item
A3 (Organ/Space surgical site infections) (3)
Item
other complications complication, requiring action
integer
Code List
other complications complication, requiring action
CL Item
yes (1)
Item Group
Discharge
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
treatment finished as planned (1)
CL Item
transferral to nursing facility (10)
CL Item
discharge to hospice (11)
CL Item
external transferral to psychiatric treatment (13)
CL Item
treatment finished because of other reasons, postdischarge treatment is planned (14)
CL Item
treatment aborted against medical advice, postdischarge treatment is planned (15)
CL Item
internal transferral with change of DRG payment areas (17)
CL Item
treatment finished as planned, postdischarge treatment is planned (2)
CL Item
case termination (internal transferral) with change between full- and partial stationary care (22)
CL Item
discharge at the end of the year with admission in previous year (25)
CL Item
treatment finished because of other reasons (3)
CL Item
treatment aborted against medical advice (4)
CL Item
change of jurisdiction of insurer or other payer (5)
CL Item
transferral to another hospital (6)
CL Item
death (7)
CL Item
transferral to another hospital within cooperative and governmental policies  (8)
CL Item
transferral to rehabilitation facility (9)
Entlassungsdiagnose(n)
Item
Discharge diagnoses - ICD codes
integer
C0011900 (UMLS CUI-1)

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