ID

6512

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: 09-5 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

To request one please log in.

License

Creative Commons BY-NC 3.0 Legacy

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Quality assurance Implantable Defibrillator: Replacement (AQUA)

Quality assurance Implantable Defibrillator: Replacement (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

ASA classification
Description

Einstufung nach ASA-Klassifikation

Data type

integer

Alias
UMLS CUI-1
C1531480
Indication of aggregate replacement
Description

Indication of aggregate replacement

Alias
UMLS CUI-1-1
C0392360
UMLS CUI-1-2
C2048368
Indikation of aggregate (pulse generator) replacement
Description

Indikation zum Aggregatwechsel

Data type

integer

Place of last ICD-(or pacemaker-)Operation before this procedure
Description

Ort der letzten ICD-(oder Schrittmacher-)OP vor diesem Eingriff

Data type

integer

Applied therapeutical shockings
Description

Therapien abgegeben

Data type

integer

Alias
UMLS CUI-1
C2022208
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
Procedure Duration (in minutes)
Description

Dauer des Eingriffs

Data type

integer

Measurement units
  • Minuten
Alias
UMLS CUI-1
C1442476
Minuten
intraoperative test of defibrillation
Description

intraoperativer Defibrillationstest durchgeführt

Data type

integer

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

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

Data type

boolean

ICD: Implanted ICD-System
Description

ICD: Implanted ICD-System

ICD-System
Description

System

Data type

integer

Alias
UMLS CUI-1
C2048304
Implanted ICD-Aggregate
Description

Implanted ICD-Aggregate

Manufacturer
Description

Hersteller

Data type

integer

Explanted ICD-System
Description

Explanted ICD-System

ICD-System
Description

System

Data type

integer

Alias
UMLS CUI-1
C2048304
Explanted ICD-Aggregate
Description

Explanted ICD-Aggregate

Year of implantation (YYYY)
Description

Jahr der Implantation

Data type

string

Alias
UMLS CUI-1
C2079500
unknown
Description

nicht bekannt

Data type

integer

Manufacturer
Description

Hersteller

Data type

integer

Left ICD electrodes - Atrium
Description

Left ICD electrodes - Atrium

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
reasons for not having measured
Description

nicht gemessen

Data type

integer

Ventricle
Description

Ventricle

Number of existing ventricular electrodes
Description

Zahl der vorhandenen Ventrikelsonden

Data type

integer

First ventricular electrode /defibrillation electrode
Description

First ventricular electrode /defibrillation electrode

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
reason for not having measured
Description

nicht gemessen

Data type

integer

Second ventricular electrode
Description

Second ventricular electrode

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

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
reason for not having measured
Description

nicht gemessen

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
Hematoma due to pacemaker, requiring action
Description

interventionspflichtiges Taschenhämatom

Data type

integer

Alias
UMLS CUI-1
C2586079
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

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: Replacement (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
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 Group
Indication of aggregate replacement
C0392360 (UMLS CUI-1-1)
C2048368 (UMLS CUI-1-2)
Item
Indikation of aggregate (pulse generator) replacement
integer
Code List
Indikation of aggregate (pulse generator) replacement
CL Item
regular battery depletion (1)
CL Item
dysfunction / return call (2)
CL Item
other indication (9)
Item
Place of last ICD-(or pacemaker-)Operation before this procedure
integer
Code List
Place of last ICD-(or 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)
Item
Applied therapeutical shockings
integer
C2022208 (UMLS CUI-1)
Code List
Applied therapeutical shockings
CL Item
no (0)
CL Item
adequate (1)
CL Item
inadequate (2)
CL Item
both (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)
Dauer des Eingriffs
Item
Procedure Duration (in minutes)
integer
C1442476 (UMLS CUI-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 aggregate-specific maximum engery
boolean
Item Group
ICD: Implanted 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
other (9)
Item Group
Implanted 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 Group
Explanted 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
other (9)
Item Group
Explanted ICD-Aggregate
Jahr der Implantation
Item
Year of implantation (YYYY)
string
C2079500 (UMLS CUI-1)
Item
unknown
integer
Code List
unknown
CL Item
yes (1)
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 Group
Left ICD electrodes - Atrium
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
reasons for not having measured
integer
Code List
reasons 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
Ventricle
Item
Number of existing ventricular electrodes
integer
Code List
Number of existing ventricular electrodes
CL Item
one (1)
CL Item
two (2)
CL Item
three (3)
Item Group
First ventricular electrode /defibrillation electrode
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
reason for not having measured
integer
Code List
reason 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
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
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
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
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
Hematoma due to pacemaker, requiring action
integer
C2586079 (UMLS CUI-1)
Code List
Hematoma due to pacemaker, requiring action
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
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)

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

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

Watch Tutorial