ID

6500

Description

Documentation form for quality assurance in German Health Care by the institute forapplied quality Improvement and Research in Health Care (Aqua), https://www.aqua-institut.de/en/home. Internal Aqua form version: 09-4 Specification 2015 V02

Link

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

Keywords

  1. 12/22/14 12/22/14 - Julian Varghese
  2. 1/7/15 1/7/15 - Julian Varghese
Uploaded on

January 7, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Quality assurance Implantable Defibrillator: Implantation (AQUA)

Quality assurance Implantable Defibrillator: Implantation (AQUA)

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
Preoperative Clinical Examination
Description

Preoperative Clinical Examination

Heart failure (according to NYHA classification)
Description

Herzinsuffizienz

Data type

integer

Alias
UMLS CUI-1
C1882083
ASA classification
Description

Einstufung nach ASA-Klassifikation

Data type

integer

Alias
UMLS CUI-1
C1531480
Left ventricular ejection fraction (in %)
Description

linksventrikuläre Ejektionsfraktion

Data type

integer

Measurement units
  • %
Alias
UMLS CUI-1
C0428772
%
unknown LVEF
Description

LVEF nicht bekannt

Data type

integer

Diabetes mellitus
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI-1
C0011849
Renal function /Serum Creatinine
Description

Nierenfunktion/Serum Kreatinin

Data type

integer

Alias
UMLS CUI-1
C0201976
Part ICD (Implantable cardioverter defibrillator)
Description

Part ICD (Implantable cardioverter defibrillator)

Leading indication of ICD-Implantation
Description

führende Indikation für ICD-Implantation

Data type

integer

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C0162589
Medical conditions as an indication for ICD-implantation
Description

indikationsbegründendes klinisches Ereignis

Data type

integer

Leading symptoms (of Arrhythmia)
Description

führende klinische Symptomatik (der Arrhythmie)

Data type

integer

Alias
UMLS CUI-1
C2609416
Existing indication of cardial resynchronization therapy (CRT)
Description

Indikation zur kardialen Resynchronisationstherapie (CRT)

Data type

integer

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C1167956
Medical history
Description

Medical history

Coronary Heart Disease (CHD)
Description

KHK

Data type

integer

Alias
UMLS CUI-1
C0010068
Time interval Myokardinfarkt – Implantation ICD
Description

Abstand Myokardinfarkt – Implantation ICD

Data type

integer

Alias
UMLS CUI-1
C0872291
Medical condition or event as an indication for ICD-implantation within 48 hours after myocardial infarction
Description

indikationsbegründendes klinisches Ereignis innerhalb von 48h nach Infarktbeginn

Data type

boolean

Heart Disease
Description

Herzerkrankung

Data type

integer

Alias
UMLS CUI-1
C0018799
sudden deaths of relatives
Description

plötzliche Todesfälle in der Familie

Data type

integer

Alias
UMLS CUI-1
C2315244
abnormal stress response pressure (blood pressure increase of more than 20 mmHg)
Description

abnorme Blutdruckreaktion bei Belastung (Blutdruckanstieg <= 20 mmHg)

Data type

integer

Alias
UMLS CUI-1
C2041044
Thickness of septum >= 30 mm
Description

Septumdicke >= 30 mm

Data type

integer

Alias
UMLS CUI-1
C2215790
significant right-ventricular dysplasia or left-ventricular affection
Description

ausgeprägte rechtsventrikuläre Dysplasie oder linksventrikuläre Beteiligung

Data type

integer

Alias
UMLS CUI-1
C0344887
UMLS CUI-2
C0344905
WPW-Syndrome
Description

WPW-Syndrom

Data type

integer

Alias
UMLS CUI-1
C0043202
reversible or avoidable risk factors of ventricular tachycardia
Description

reversible oder sicher vermeidbare Ursachen der Kammertachykardie

Data type

integer

Alias
UMLS CUI-1
C0035648
UMLS CUI-2
C0042514
treatable idiopathic ventricular tachycardia
Description

behandelbare idiopathische Kammertachykardie

Data type

integer

Alias
UMLS CUI-1
C0030591
Further characteristics
Description

Further characteristics

inducible ventricular tachycardia
Description

Kammertachykardie induzierbar

Data type

integer

Alias
UMLS CUI-1
C0340486
Heart failure medication (at the time of diagnosis)
Description

medikamentöse Herzinsuffizienztherapie (zum Zeitpunkt der Diagnosestellung)

Data type

boolean

Alias
UMLS CUI-1
C3495064
Beta-blocker
Description

Betablocker

Data type

integer

Alias
UMLS CUI-1
C0001645
AT-Rezeptor-Blockers / ACE-Inhibitors
Description

AT-Rezeptor-Blocker / ACE-Hemmer

Data type

integer

Alias
UMLS CUI-1
C1971311
Diuretics
Description

Diuretika

Data type

integer

Alias
UMLS CUI-1
C0012798
Aldosterone antagonists
Description

Aldosteronantagonisten

Data type

integer

Alias
UMLS CUI-1
C0002007
Cardiac glycosides
Description

Herzglykoside

Data type

integer

Alias
UMLS CUI-1
C0007158
Part Cardiac pacemaker
Description

Part Cardiac pacemaker

expected amount of ventricular stimulation
Description

erwarteter Anteil ventrikulärer Stimulation

Data type

integer

ECG findings
Description

ECG findings

Atrial rhythm
Description

Vorhofrhythmus

Data type

integer

Alias
UMLS CUI-1
C0232203
AV Block
Description

AV-Block

Data type

integer

Alias
UMLS CUI-1
C0004245
intraventricular conduction defect
Description

intraventrikuläre Leitungsstörungen

Data type

integer

Alias
UMLS CUI-1
C0264909
QRS-Komplex
Description

QRS-Komplex

Data type

integer

Alias
UMLS CUI-1
C1287080
Operation
Description

Operation

Operation Date (DD.MM.YY)
Description

OP-Datum

Data type

date

Alias
UMLS CUI-1
C3258210
Procedure codes
Description

Operation

Data type

integer

Alias
UMLS CUI-1
C1550373
Access point of implanted system
Description

Access point of implanted system

Alias
UMLS CUI-1-1
C0587266
UMLS CUI-1-2
C0189842
Vena cephalica
Description

Vena cephalica

Data type

integer

Vena subclavia
Description

Vena subclavia

Data type

integer

other
Description

andere

Data type

integer

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

intraoperative test of defibrillation
Description

intraoperativer Defibrillationstest durchgeführt

Data type

integer

Safety margin for Defibrillation Test >= 10 J under pulese generator-specific maximum engery
Description

Sicherheitsabstand Test- (oder DFT-) zu aggregatspezifischer Maximalenergie >= 10 J

Data type

boolean

ICD: ICD-System
Description

ICD: ICD-System

ICD-System
Description

System

Data type

integer

Alias
UMLS CUI-1
C2048304
ICD aggregate
Description

ICD aggregate

Manufacturer
Description

Hersteller

Data type

integer

Position of aggregate (pulse generator)
Description

Aggregatposition

Data type

integer

Electrodes: Atrium (atriale Pace/Sense-electrode)-
Description

Electrodes: Atrium (atriale Pace/Sense-electrode)-

Manufacturer
Description

Hersteller

Data type

integer

Sensing threshold (in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2048070
V
reason for not having measured
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
reason for not having measured
Description

nicht gemessen

Data type

integer

Electrodes: Ventricle
Description

Electrodes: Ventricle

Number of applied ventricular electrodes
Description

Zahl der verwendeten Ventrikelsonden

Data type

integer

First ventricular/defibrillation electrode
Description

First ventricular/defibrillation electrode

Manufacturer
Description

Hersteller

Data type

integer

Defibrillation electrodes
Description

Defibrillations-Elektroden

Data type

integer

Position
Description

Position

Data type

integer

Sensing threshold(in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2048285
V
reason for not having measured
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
Description

nicht gemessen

Data type

integer

Second ventricular electrode
Description

Second ventricular electrode

Manufacturer
Description

Hersteller

Data type

integer

Position
Description

Position

Data type

integer

Sensing threshold(in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
Alias
UMLS CUI-1
C2048378
V
not measured
Description

nicht gemessen

Data type

integer

R wave height
Description

R-Amplitude

Data type

integer

Measurement units
  • mV
Alias
UMLS CUI-1
C0429049
mV
reason for not having measured
Description

nicht gemessen

Data type

integer

Third ventricular electrode
Description

Third ventricular electrode

Manufacturer
Description

Hersteller

Data type

integer

Position
Description

Position

Data type

integer

Sensing threshold (in V)
Description

Reizschwelle

Data type

integer

Measurement units
  • V
V
not measured
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
Description

nicht gemessen

Data type

integer

Other defibrillator electrodes
Description

Other defibrillator electrodes

Manufacturer
Description

Hersteller

Data type

integer

Position
Description

Position

Data type

integer

Perioperative complications
Description

Perioperative complications

perioperative complications
Description

perioperative Komplikation(en)

Data type

boolean

Alias
UMLS CUI-1
C0946279
Cardiopulmonary Resuscitation
Description

kardiopulmonale Reanimation

Data type

integer

Alias
UMLS CUI-1
C0007203
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, requiring action
Description

revisionsbedürftige Sondendislokation

Data type

integer

Alias
UMLS CUI-1
C0340936
Location of electrode dislocation
Description

Location of electrode dislocation

Atrium
Description

Vorhof

Data type

integer

First ventricular electrode /defibrillation electrode
Description

erste Ventrikelsonde/Defibrillationssonde

Data type

integer

Second ventricular electrode
Description

zweite Ventrikelsonde

Data type

integer

Third ventricular electrode
Description

dritte Ventrikelsonde

Data type

integer

other defibrillation electrode
Description

andere Defibrillationssonde

Data type

integer

Electrode dysfunction, requiring action
Description

revisionsbedürftige Sondendysfunktion

Data type

integer

Alias
UMLS CUI-1
C0340934
Location of electrode dysfunction
Description

Location of electrode dysfunction

Atrium
Description

Vorhof

Data type

integer

First ventricular electrode /defibrillation electrode
Description

erste Ventrikelsonde/Defibrillationssonde

Data type

integer

Second ventricular electrode
Description

zweite Ventrikelsonde

Data type

integer

Third ventricular electrode
Description

dritte Ventrikelsonde

Data type

integer

other defibrillation electrode
Description

andere Defibrillationssonde

Data type

integer

postoperative wound infection - according to definition of CDC classification
Description

postoperative Wundinfektion

Data type

integer

Alias
UMLS CUI-1
C1629491
CDC classification
Description

CDC-Klassifikation

Data type

integer

other complications complication, requiring action(if peri/operative complications existing)
Description

sonstige interventionspflichtige Komplikation

Data type

integer

Discharge
Description

Discharge

Hospital 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
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
Preoperative Clinical Examination
Item
Heart failure (according to NYHA classification)
integer
C1882083 (UMLS CUI-1)
Code List
Heart failure (according to NYHA classification)
CL Item
no (0)
CL Item
NYHA I (1)
CL Item
NYHA II (2)
CL Item
NYHA III (3)
CL Item
NYHA IV (4)
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)
linksventrikuläre Ejektionsfraktion
Item
Left ventricular ejection fraction (in %)
integer
C0428772 (UMLS CUI-1)
Item
unknown LVEF
integer
Code List
unknown LVEF
CL Item
yes (1)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Code List
Diabetes mellitus
CL Item
no (0)
CL Item
yes, not insulin-dependent (1)
CL Item
yes, insulin-dependent (2)
Item
Renal function /Serum Creatinine
integer
C0201976 (UMLS CUI-1)
Code List
Renal function /Serum Creatinine
CL Item
less than or equal to 1,5 mg/dl (133 μmol/l) (1)
CL Item
> 1,5 mg/dl (> 133 µmol/l) to < (2)
CL Item
> 2,5 mg/dl (> 221 µmol/l), NOT dialysis-dependent (3)
CL Item
> 2,5 mg/dl (> 221 µmol/l), dialysis-dependent (4)
CL Item
unknown (8)
Item Group
Part ICD (Implantable cardioverter defibrillator)
Item
Leading indication of ICD-Implantation
integer
C0392360 (UMLS CUI-1)
C0162589 (UMLS CUI-2)
Code List
Leading indication of ICD-Implantation
CL Item
primary prevention (1)
CL Item
secondary prevention (2)
Item
Medical conditions as an indication for ICD-implantation
integer
Code List
Medical conditions as an indication for ICD-implantation
CL Item
ventricular fibrillation (1)
CL Item
ventricular tachycardia, continuing (> 30 sec) (2)
CL Item
ventricular tachycardia, not continuing (< (3)
CL Item
syncope without ECG-documentation (4)
CL Item
no clinical event existing as an indication (primary prevention) (5)
Item
Leading symptoms (of Arrhythmia)
integer
C2609416 (UMLS CUI-1)
Code List
Leading symptoms (of Arrhythmia)
CL Item
none (0)
CL Item
cardiac arrest (resuscitated patient) (1)
CL Item
cardiogenic shock (2)
CL Item
pulmonary edema (3)
CL Item
syncope (4)
CL Item
near syncope (5)
CL Item
sehr niedriger Blutdruck (z.B. unter 80 mmHg systolisch) (6)
CL Item
Angina pectoris (7)
CL Item
sonstige (9)
Item
Existing indication of cardial resynchronization therapy (CRT)
integer
C0392360 (UMLS CUI-1)
C1167956 (UMLS CUI-2)
Code List
Existing indication of cardial resynchronization therapy (CRT)
CL Item
no (0)
CL Item
yes (1)
Item Group
Medical history
Item
Coronary Heart Disease (CHD)
integer
C0010068 (UMLS CUI-1)
Code List
Coronary Heart Disease (CHD)
CL Item
no (0)
CL Item
yes, without myocardial infarction (1)
CL Item
yes, with myocardial infarction (2)
Item
Time interval Myokardinfarkt – Implantation ICD
integer
C0872291 (UMLS CUI-1)
Code List
Time interval Myokardinfarkt – Implantation ICD
CL Item
< 28 days (1)
CL Item
> 28 days - < 40 days (2)
CL Item
> 40 days (3)
indikationsbegründendes klinisches Ereignis innerhalb von 48h nach Infarktbeginn
Item
Medical condition or event as an indication for ICD-implantation within 48 hours after myocardial infarction
boolean
Item
Heart Disease
integer
C0018799 (UMLS CUI-1)
Code List
Heart Disease
CL Item
no (0)
CL Item
ischemic cardiomyopathy (1)
CL Item
arrhythmogenic right ventricular cardiomyopathy (ARVC) (10)
CL Item
dilated Kardiomyopathie DCM (2)
CL Item
hypertensive cardiac disease (3)
CL Item
acquired valvular defects (4)
CL Item
congenital heart defects (5)
CL Item
Brugada-syndrome (6)
CL Item
short QT-Syndrom (7)
CL Item
long QT-Syndrom (8)
CL Item
hypertrophic cardiomyopathy (HCM) (9)
CL Item
other cardiac disease (99)
Item
sudden deaths of relatives
integer
C2315244 (UMLS CUI-1)
Code List
sudden deaths of relatives
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
abnormal stress response pressure (blood pressure increase of more than 20 mmHg)
integer
C2041044 (UMLS CUI-1)
Code List
abnormal stress response pressure (blood pressure increase of more than 20 mmHg)
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
Thickness of septum >= 30 mm
integer
C2215790 (UMLS CUI-1)
Code List
Thickness of septum >= 30 mm
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
significant right-ventricular dysplasia or left-ventricular affection
integer
C0344887 (UMLS CUI-1)
C0344905 (UMLS CUI-2)
Code List
significant right-ventricular dysplasia or left-ventricular affection
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
WPW-Syndrome
integer
C0043202 (UMLS CUI-1)
Code List
WPW-Syndrome
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
reversible or avoidable risk factors of ventricular tachycardia
integer
C0035648 (UMLS CUI-1)
C0042514 (UMLS CUI-2)
Code List
reversible or avoidable risk factors of ventricular tachycardia
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item
treatable idiopathic ventricular tachycardia
integer
C0030591 (UMLS CUI-1)
Code List
treatable idiopathic ventricular tachycardia
CL Item
no (0)
CL Item
yes (1)
CL Item
unknown (9)
Item Group
Further characteristics
Item
inducible ventricular tachycardia
integer
C0340486 (UMLS CUI-1)
Code List
inducible ventricular tachycardia
CL Item
no (1)
CL Item
yes (2)
CL Item
programmed ventricular stimulation not applied (3)
medikamentöse Herzinsuffizienztherapie (zum Zeitpunkt der Diagnosestellung)
Item
Heart failure medication (at the time of diagnosis)
boolean
C3495064 (UMLS CUI-1)
Item
Beta-blocker
integer
C0001645 (UMLS CUI-1)
Code List
Beta-blocker
CL Item
yes (1)
Item
AT-Rezeptor-Blockers / ACE-Inhibitors
integer
C1971311 (UMLS CUI-1)
Code List
AT-Rezeptor-Blockers / ACE-Inhibitors
CL Item
yes (1)
Item
Diuretics
integer
C0012798 (UMLS CUI-1)
Code List
Diuretics
CL Item
yes (1)
Item
Aldosterone antagonists
integer
C0002007 (UMLS CUI-1)
Code List
Aldosterone antagonists
CL Item
yes (1)
Item
Cardiac glycosides
integer
C0007158 (UMLS CUI-1)
Code List
Cardiac glycosides
CL Item
yes (1)
Item Group
Part Cardiac pacemaker
Item
expected amount of ventricular stimulation
integer
Code List
expected amount of ventricular stimulation
CL Item
> 95% (1)
CL Item
> 40% to < 95% (2)
CL Item
< 40% (3)
Item Group
ECG findings
Item
Atrial rhythm
integer
C0232203 (UMLS CUI-1)
Code List
Atrial rhythm
CL Item
regular sinus rhythm (1)
CL Item
sinus bradycardia / SA-blocks (2)
CL Item
paroxysmal/ persisting atrial fibrillation/flutter (3)
CL Item
permanent atrial fribrillation (4)
CL Item
Change between sinus bradycardia and atrial fibrillation (5)
CL Item
other (9)
Item
AV Block
integer
C0004245 (UMLS CUI-1)
Code List
AV Block
CL Item
regular sinus rhythm (1)
CL Item
sinus bradycardia / SA-blocks (2)
CL Item
paroxysmal/ persisting atrial fibrillation/flutter (3)
CL Item
permanent atrial fribrillation (4)
CL Item
Change between sinus bradycardia and atrial fibrillation (5)
CL Item
other (9)
Item
intraventricular conduction defect
integer
C0264909 (UMLS CUI-1)
Code List
intraventricular conduction defect
CL Item
none (0)
CL Item
right bundle branch block (RBBB) (1)
CL Item
left anterior fascicular block (2)
CL Item
left posterior fascicular block + RBBB (3)
CL Item
left bundle branch block (LBBB) (4)
CL Item
alternating bundle branch block (5)
CL Item
other (9)
Item
QRS-Komplex
integer
C1287080 (UMLS CUI-1)
Code List
QRS-Komplex
CL Item
< 120 ms (1)
CL Item
120 to < 150 ms (2)
CL Item
> 150 ms (3)
Item Group
Operation
OP-Datum
Item
Operation Date (DD.MM.YY)
date
C3258210 (UMLS CUI-1)
Operation
Item
Procedure codes
integer
C1550373 (UMLS CUI-1)
Item Group
Access point of implanted system
C0587266 (UMLS CUI-1-1)
C0189842 (UMLS CUI-1-2)
Item
Vena cephalica
integer
Code List
Vena cephalica
CL Item
yes (1)
Item
Vena subclavia
integer
Code List
Vena subclavia
CL Item
yes (1)
Item
other
integer
Code List
other
CL Item
yes (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
intraoperative test of defibrillation
integer
Code List
intraoperative test of defibrillation
CL Item
yes (1)
CL Item
no, because of intracardiac clots (2)
CL Item
no, because of hemodynamic instability(need of catecholamines or pulmonary edema) (3)
CL Item
no, because of other reasons (4)
Sicherheitsabstand Test- (oder DFT-) zu aggregatspezifischer Maximalenergie >= 10 J
Item
Safety margin for Defibrillation Test >= 10 J under pulese generator-specific maximum engery
boolean
Item Group
ICD: ICD-System
Item
ICD-System
integer
C2048304 (UMLS CUI-1)
Code List
ICD-System
CL Item
VVI (1)
CL Item
DDD (2)
CL Item
VDD (3)
CL Item
CRT-System with an atrial electrode (4)
CL Item
CRT-System without atrial electrode (5)
CL Item
subcutaneous ICD (6)
CL Item
sonstiges (9)
Item Group
ICD aggregate
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item
Position of aggregate (pulse generator)
integer
Code List
Position of aggregate (pulse generator)
CL Item
infraclavicular subcutaneous (1)
CL Item
infraclavicular subfascial (2)
CL Item
infraclavicular submuscular (3)
CL Item
abdominal (4)
CL Item
other (9)
Item Group
Electrodes: Atrium (atriale Pace/Sense-electrode)-
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Reizschwelle
Item
Sensing threshold (in V)
integer
C2048070 (UMLS CUI-1)
Item
reason for not having measured
integer
Code List
reason for not having measured
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
reason for not having measured
integer
Code List
reason for not having measured
CL Item
because of atrial fibrillation (1)
CL Item
missing own atrial rhythm (2)
CL Item
other reasons (9)
Item Group
Electrodes: Ventricle
Item
Number of applied ventricular electrodes
integer
Code List
Number of applied ventricular electrodes
CL Item
one (1)
CL Item
two (2)
CL Item
three (3)
Item Group
First ventricular/defibrillation electrode
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item
Defibrillation electrodes
integer
Code List
Defibrillation electrodes
CL Item
Single Coil (1)
CL Item
Dual Coil (2)
CL Item
other (9)
Item
Position
integer
Code List
Position
CL Item
right-ventricular Apex (1)
CL Item
right-ventricular Septum (2)
CL Item
other (9)
Reizschwelle
Item
Sensing threshold(in V)
integer
C2048285 (UMLS CUI-1)
Item
reason for not having measured
integer
Code List
reason for not having measured
CL Item
separate pace/sense electrode (1)
CL Item
other reasons (9)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Item
reasons for not having measured
integer
Code List
reasons for not having measured
CL Item
separate pace/sense electrode (1)
CL Item
no own rhythm (2)
CL Item
other reasons (9)
Item Group
Second ventricular electrode
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item
Position
integer
Code List
Position
CL Item
right-ventricular apex (1)
CL Item
right-ventricular septum (2)
CL Item
coronary vein, anterior (3)
CL Item
coronary vein, lateral, posterolateral (4)
CL Item
coronary vein, posterior (5)
CL Item
epimyocardial left-ventricular (6)
CL Item
other (9)
Reizschwelle
Item
Sensing threshold(in V)
integer
C2048378 (UMLS CUI-1)
Item
not measured
integer
Code List
not measured
CL Item
yes (1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Item
reason for not having measured
integer
Code List
reason for not having measured
CL Item
missing own rhythm (1)
CL Item
other reasons (9)
Item Group
Third ventricular electrode
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item
Position
integer
Code List
Position
CL Item
right-ventricular apex (1)
CL Item
right-ventricular septum (2)
CL Item
coronary vein, anterior (3)
CL Item
coronary vein, lateral, posterolateral (4)
CL Item
coronary vein, posterior (5)
CL Item
epimyocardial left-ventricular (6)
CL Item
other (9)
Reizschwelle
Item
Sensing threshold (in V)
integer
Item
not measured
integer
Code List
not measured
CL Item
 (1)
R-Amplitude
Item
R wave height
integer
C0429049 (UMLS CUI-1)
Item
reasons for not having measured
integer
Code List
reasons for not having measured
CL Item
missing own rhythm (1)
CL Item
other reasons (9)
Item Group
Other defibrillator electrodes
Item
Manufacturer
integer
Code List
Manufacturer
CL Item
Biotronik (1)
CL Item
St. Jude Medical (18)
CL Item
Nayamed (19)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
unknown (89)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
other (99)
Item
Position
integer
Code List
Position
CL Item
superior vena cava (1)
CL Item
subclavian vein (2)
CL Item
right atrium (3)
CL Item
subcutaneous (sub-Q-Array) (4)
CL Item
subcutaneous (S-ICD) (5)
CL Item
epimyocardial (Patch-Elektrode) (6)
CL Item
multiple (7)
CL Item
other (9)
Item Group
Perioperative complications
perioperative Komplikation(en)
Item
perioperative complications
boolean
C0946279 (UMLS CUI-1)
Item
Cardiopulmonary Resuscitation
integer
C0007203 (UMLS CUI-1)
Code List
Cardiopulmonary Resuscitation
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, requiring action
integer
C0340936 (UMLS CUI-1)
Code List
Electrode displacement, requiring action
CL Item
yes (1)
Item Group
Location of electrode dislocation
Item
Atrium
integer
Code List
Atrium
CL Item
yes (1)
Item
First ventricular electrode /defibrillation electrode
integer
Code List
First ventricular electrode /defibrillation electrode
CL Item
yes (1)
Item
Second ventricular electrode
integer
Code List
Second ventricular electrode
CL Item
yes (1)
Item
Third ventricular electrode
integer
Code List
Third ventricular electrode
CL Item
yes (1)
Item
other defibrillation electrode
integer
Code List
other defibrillation electrode
CL Item
yes (1)
Item
Electrode dysfunction, requiring action
integer
C0340934 (UMLS CUI-1)
Code List
Electrode dysfunction, requiring action
CL Item
yes (1)
Item Group
Location of electrode dysfunction
Item
Atrium
integer
Code List
Atrium
CL Item
yes (1)
Item
First ventricular electrode /defibrillation electrode
integer
Code List
First ventricular electrode /defibrillation electrode
CL Item
yes (1)
Item
Second ventricular electrode
integer
Code List
Second ventricular electrode
CL Item
yes (1)
Item
Third ventricular electrode
integer
Code List
Third ventricular electrode
CL Item
yes (1)
Item
other defibrillation electrode
integer
Code List
other defibrillation electrode
CL Item
yes (1)
Item
postoperative wound infection - according to definition of CDC classification
integer
C1629491 (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(if peri/operative complications existing)
integer
Code List
other complications complication, requiring action(if peri/operative complications existing)
CL Item
yes (1)
Item Group
Discharge
Entlassungsdatum Krankenhaus
Item
Hospital 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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