ID

6512

Beskrivning

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

Länk

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

Nyckelord

  1. 2014-12-22 2014-12-22 - Julian Varghese
  2. 2015-01-07 2015-01-07 - Julian Varghese
Uppladdad den

7 januari 2015

DOI

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Quality assurance Implantable Defibrillator: Replacement (AQUA)

Quality assurance Implantable Defibrillator: Replacement (AQUA)

Basic documentation
Beskrivning

Basic documentation

Healthcare Facility Identifier
Beskrivning

Institutionskennzeichen

Datatyp

integer

Alias
UMLS CUI-1
C2986045
Zip Code of Discharge
Beskrivning

Entlassender Standort

Datatyp

string

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

Betriebsstätten-Nummer

Datatyp

string

Alias
UMLS CUI-1
C1547540
Medical specialty
Beskrivning

Fachabteilung

Datatyp

integer

Alias
UMLS CUI-1
C0037778
Patient identification number
Beskrivning

Identifikationsnummer des Patienten

Datatyp

string

Alias
UMLS CUI-1
C1549734
Date of Birth (DD.MM.YYYY)
Beskrivning

Geburtsdatum

Datatyp

date

Alias
UMLS CUI-1
C0421451
Gender
Beskrivning

Geschlecht

Datatyp

integer

Alias
UMLS CUI-1
C0079399
Hospital admission date (DD.MM.YYYY)
Beskrivning

Aufnahmedatum Krankenhaus

Datatyp

date

Alias
UMLS CUI-1
C1302393
Preoperative Clinical Examination
Beskrivning

Preoperative Clinical Examination

ASA classification
Beskrivning

Einstufung nach ASA-Klassifikation

Datatyp

integer

Alias
UMLS CUI-1
C1531480
Indication of aggregate replacement
Beskrivning

Indication of aggregate replacement

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

Indikation zum Aggregatwechsel

Datatyp

integer

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

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

Datatyp

integer

Applied therapeutical shockings
Beskrivning

Therapien abgegeben

Datatyp

integer

Alias
UMLS CUI-1
C2022208
Operation
Beskrivning

Operation

Operation Date (DD.MM.YY)
Beskrivning

OP-Datum

Datatyp

date

Alias
UMLS CUI-1
C3258210
Procedure codes
Beskrivning

Operation

Datatyp

integer

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

Dauer des Eingriffs

Datatyp

integer

Måttenheter
  • Minuten
Alias
UMLS CUI-1
C1442476
Minuten
intraoperative test of defibrillation
Beskrivning

intraoperativer Defibrillationstest durchgeführt

Datatyp

integer

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

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

Datatyp

boolean

ICD: Implanted ICD-System
Beskrivning

ICD: Implanted ICD-System

ICD-System
Beskrivning

System

Datatyp

integer

Alias
UMLS CUI-1
C2048304
Implanted ICD-Aggregate
Beskrivning

Implanted ICD-Aggregate

Manufacturer
Beskrivning

Hersteller

Datatyp

integer

Explanted ICD-System
Beskrivning

Explanted ICD-System

ICD-System
Beskrivning

System

Datatyp

integer

Alias
UMLS CUI-1
C2048304
Explanted ICD-Aggregate
Beskrivning

Explanted ICD-Aggregate

Year of implantation (YYYY)
Beskrivning

Jahr der Implantation

Datatyp

string

Alias
UMLS CUI-1
C2079500
unknown
Beskrivning

nicht bekannt

Datatyp

integer

Manufacturer
Beskrivning

Hersteller

Datatyp

integer

Left ICD electrodes - Atrium
Beskrivning

Left ICD electrodes - Atrium

Sensing threshold (in V)
Beskrivning

Reizschwelle

Datatyp

integer

Måttenheter
  • V
Alias
UMLS CUI-1
C2048070
V
reason for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

P wave height
Beskrivning

P-Wellen-Amplitude

Datatyp

integer

Måttenheter
  • mV
Alias
UMLS CUI-1
C0429042
mV
reasons for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

Ventricle
Beskrivning

Ventricle

Number of existing ventricular electrodes
Beskrivning

Zahl der vorhandenen Ventrikelsonden

Datatyp

integer

First ventricular electrode /defibrillation electrode
Beskrivning

First ventricular electrode /defibrillation electrode

Position
Beskrivning

Position

Datatyp

integer

Sensing threshold(in V)
Beskrivning

Reizschwelle

Datatyp

integer

Måttenheter
  • V
Alias
UMLS CUI-1
C2048285
V
reason for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

R wave height
Beskrivning

R-Amplitude

Datatyp

integer

Måttenheter
  • mV
Alias
UMLS CUI-1
C0429049
mV
reason for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

Second ventricular electrode
Beskrivning

Second ventricular electrode

Position
Beskrivning

Position

Datatyp

integer

Sensing threshold(in V)
Beskrivning

Reizschwelle

Datatyp

integer

Måttenheter
  • V
Alias
UMLS CUI-1
C2048378
V
not measured
Beskrivning

nicht gemessen

Datatyp

integer

R wave height
Beskrivning

R-Amplitude

Datatyp

integer

Måttenheter
  • mV
Alias
UMLS CUI-1
C0429049
mV
reason for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

Third ventricular electrode
Beskrivning

Third ventricular electrode

Position
Beskrivning

Position

Datatyp

integer

Sensing threshold (in V)
Beskrivning

Reizschwelle

Datatyp

integer

Måttenheter
  • V
V
not measured
Beskrivning

nicht gemessen

Datatyp

integer

R wave height
Beskrivning

R-Amplitude

Datatyp

integer

Måttenheter
  • mV
Alias
UMLS CUI-1
C0429049
mV
reason for not having measured
Beskrivning

nicht gemessen

Datatyp

integer

Perioperative Complications
Beskrivning

Perioperative Complications

perioperative complications
Beskrivning

perioperative Komplikation(en)

Datatyp

boolean

Alias
UMLS CUI-1
C0946279
Cardiopulmonary Resuscitation
Beskrivning

kardiopulmonale Reanimation

Datatyp

integer

Alias
UMLS CUI-1
C0007203
Hematoma due to pacemaker, requiring action
Beskrivning

interventionspflichtiges Taschenhämatom

Datatyp

integer

Alias
UMLS CUI-1
C2586079
postoperative wound infection - according to definition of CDC classification
Beskrivning

postoperative Wundinfektion

Datatyp

integer

Alias
UMLS CUI-1
C1629491
CDC classification
Beskrivning

CDC-Klassifikation

Datatyp

integer

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

sonstige interventionspflichtige Komplikation

Datatyp

integer

Discharge
Beskrivning

Discharge

Hostpital discharge date (DD.MM.YYYY)
Beskrivning

Entlassungsdatum Krankenhaus

Datatyp

date

Alias
UMLS CUI-1
C2710998
Reason for Discharge
Beskrivning

Entlassungsgrund

Datatyp

integer

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

Entlassungsdiagnose(n)

Datatyp

integer

Alias
UMLS CUI-1
C0011900

Similar models

Quality assurance Implantable Defibrillator: Replacement (AQUA)

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)

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