ID

42232

Description

Documentation form for quality assurance in German Health Care by the Institute for Applied Quality Improvement and Research in Health Care (Aqua), https://www.aqua-institut.de/en/home. Internal Aqua form version: HTXM-B Specification 2015 V02

Link

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

Keywords

Versions (4)
  1. 12/22/14 12/22/14 - Julian Varghese
  2. 1/11/15 1/11/15 - Sarah Schulze Sünninghausen
  3. 1/31/15 1/31/15 - Julian Varghese
  4. 4/13/21 4/13/21 - Ahmed Rafee, MD
Copyright Holder

folgt

Uploaded on

April 13, 2021

DOI

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License

Creative Commons BY 4.0
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Quality assurance Heart Transplant Heart Assist Devices Artificial Heart - Basic (AQUA)

German English

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

1 forms  
Basic documentation recipient
Description

Basic documentation recipient

Health Insurance Identifier
Description

Institutionskennzeichen

Data type

integer

Alias
UMLS CUI-1
C2986045
Zip Code of Discharge
Description

Entlassender Standort

Data type

string

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

Betriebsstätten-Nummer

Data type

string

Alias
UMLS CUI-1
C1547540
Hospital admission date (DD.MM.YYYY)
Description

Aufnahmedatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C1302393
Medical specialty
Description

Fachabteilung

Data type

integer

Alias
UMLS CUI-1
C0037778
Date of Birth (DD.MM.YYYY)
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
Gender
Description

Geschlecht

Data type

integer

Alias
UMLS CUI-1
C0079399
Body Height (in cm)
Description

Körpergröße

Data type

integer

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

Körpergewicht bei Aufnahme

Data type

integer

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

Grunderkrankung

Data type

integer

Alias
UMLS CUI-1
C0011900
Diabetes mellitus
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI-1
C0011849
Hepatitis B
Description

Hepatitis B

Data type

boolean

Alias
UMLS CUI-1
C0019163
Hepatitis C
Description

Hepatitis C

Data type

boolean

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

Blutgruppe

Data type

integer

Alias
UMLS CUI-1
C0427624
Rhesus phenotype
Description

Rhesusfaktor

Data type

integer

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

Wurden vor der stationären Aufnahme thorakale Operationen am Patienten durchgeführt?

Data type

boolean

Alias
UMLS CUI-1
C0524832
Heart Transplantation
Description

Herztransplantation

Data type

boolean

Alias
UMLS CUI-1
C0018823
Assist Device/TAH
Description

Assist Device/TAH

Data type

boolean

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

Koronarchirurgie

Data type

boolean

Alias
UMLS CUI-1
C0190188
Operation on heart valve
Description

Klappenchirurgie

Data type

boolean

Alias
UMLS CUI-1
C0190065
Repair of cardiac defects
Description

Korrektur angeborener Vitien

Data type

boolean

Alias
UMLS CUI-1
C2024187
other
Description

sonstige

Data type

boolean

Number of previous cardiac operations
Description

Anzahl aller Voroperationen am Herzen

Data type

string

Number of previous cardiac operations unknown
Description

Anzahl aller Voroperationen unbekannt

Data type

boolean

Alias
UMLS CUI-1
C2114712
Date of last thoracic surgery (TT.MM.JJJJ)
Description

Datum der letzten thorakalen Voroperation

Data type

date

Was a Heart transplantation performed during this stay ?
Description

Wurde während des stationären Aufenthaltes eine Herztransplantation durchgeführt?

Data type

boolean

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

Wurde während des stationären Aufenthaltes ein Herzunterstützungssystem / Kunstherz implantiert?

Data type

boolean

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

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

Data type

boolean

Alias
UMLS CUI-1
C3272315
Discharge
Description

Discharge

Recipient ID (ET-Number)
Description

Empfänger ID

Data type

text

Alias
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C0600091
Hostpital discharge date (DD.MM.YYYY)
Description

Entlassungsdatum Krankenhaus

Data type

date

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

Entlassungsdiagnose(n)

Data type

integer

Alias
UMLS CUI-1
C0011900
Reason of Discharge
Description

Entlassungsgrund

Data type

integer

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

Todesursache(n) akut

Data type

integer

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

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

Data type

boolean

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Similar models

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

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Basic documentation recipient
Institutionskennzeichen
Item
Health Insurance Identifier
integer
C2986045 (UMLS CUI-1)
Entlassender Standort
Item
Zip Code of Discharge
string
C1521842 (UMLS CUI-1)
Betriebsstätten-Nummer
Item
Facility's Section Identifier
string
C1547540 (UMLS CUI-1)
Aufnahmedatum Krankenhaus
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Item
Medical specialty
integer
C0037778 (UMLS CUI-1)
Fachabteilung
Code List
Medical specialty
CL Item
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)
Geburtsdatum
Item
Date of Birth (DD.MM.YYYY)
date
C0421451 (UMLS CUI-1)
Item
Gender
integer
C0079399 (UMLS CUI-1)
Geschlecht
Code List
Gender
CL Item
male (1)
CL Item
female (2)
Körpergröße
Item
Body Height (in cm)
integer
C0005890 (UMLS CUI-1)
Körpergewicht bei Aufnahme
Item
Body weight at admission time (in kg)
integer
C0005910 (UMLS CUI-1)
Item
Primary disease
integer
C0011900 (UMLS CUI-1)
Grunderkrankung
Code List
Primary disease
CL Item
cardiomyopathy, idiopathic dilated (1000)
CL Item
cardiomyopathy, dilated, not idiopathic (1009)
CL Item
cardiomyopathy, idiopathic restrictive (1050)
CL Item
cardiomyopathy, not idiopathic restrictive (1059)
CL Item
coronary heart disease (1200)
CL Item
hypertrophic cardiomyopathy (1201)
CL Item
heart valve disease (1202)
CL Item
congenital heart disease (1203)
CL Item
heart neoplasm (1204)
CL Item
other heart diseases (1497)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Diabetes mellitus
Code List
Diabetes mellitus
CL Item
no (0)
CL Item
yes, only set dietary (1)
CL Item
yes, medical controlled (2)
CL Item
yes, insulin dependent (3)
Hepatitis B
Item
Hepatitis B
boolean
C0019163 (UMLS CUI-1)
Hepatitis C
Item
Hepatitis C
boolean
C0019196 (UMLS CUI-1)
Item
Blood group (AB)
integer
C0427624 (UMLS CUI-1)
Blutgruppe
Code List
Blood group (AB)
CL Item
A (1)
CL Item
B (2)
CL Item
0 (3)
CL Item
AB (4)
CL Item
not determined (9)
Item
Rhesus phenotype
integer
C0427641 (UMLS CUI-1)
Rhesusfaktor
Code List
Rhesus phenotype
CL Item
positive (1)
CL Item
negative (2)
CL Item
not determined (9)
Wurden vor der stationären Aufnahme thorakale Operationen am Patienten durchgeführt?
Item
Received any thoracic surgical procedures before admission ?
boolean
C0524832 (UMLS CUI-1)
Herztransplantation
Item
Heart Transplantation
boolean
C0018823 (UMLS CUI-1)
Assist Device/TAH
Item
Assist Device/TAH
boolean
C0085842 (UMLS CUI-1)
C0189877 (UMLS CUI-2)
Koronarchirurgie
Item
Coronary surgery
boolean
C0190188 (UMLS CUI-1)
Klappenchirurgie
Item
Operation on heart valve
boolean
C0190065 (UMLS CUI-1)
Korrektur angeborener Vitien
Item
Repair of cardiac defects
boolean
C2024187 (UMLS CUI-1)
sonstige
Item
other
boolean
Anzahl aller Voroperationen am Herzen
Item
Number of previous cardiac operations
string
Anzahl aller Voroperationen unbekannt
Item
Number of previous cardiac operations unknown
boolean
C2114712 (UMLS CUI-1)
Datum der letzten thorakalen Voroperation
Item
Date of last thoracic surgery (TT.MM.JJJJ)
date
Wurde während des stationären Aufenthaltes eine Herztransplantation durchgeführt?
Item
Was a Heart transplantation performed during this stay ?
boolean
C0018823 (UMLS CUI-1)
Wurde während des stationären Aufenthaltes ein Herzunterstützungssystem / Kunstherz implantiert?
Item
Was an Assist Device/TAH implanted during this stay?
boolean
C0085842 (UMLS CUI-1)
C0189877 (UMLS CUI-2)
Befand sich der Patient vor oder während des stationären Aufenthaltes auf der Warteliste für eine Herztransplantation?
Item
Patient was registered on a waiting list für Heart Transplantation befor or during this stay?
boolean
C3272315 (UMLS CUI-1)
Item Group
Discharge
Empfänger ID
Item
Recipient ID (ET-Number)
text
C1709854 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnosis according to ICD-10
integer
C0011900 (UMLS CUI-1)
Item
Reason of Discharge
integer
C3164834 (UMLS CUI-1)
Entlassungsgrund
Code List
Reason of Discharge
CL Item
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)
Item
Causes death (acute)
integer
C0007465 (UMLS CUI-1)
Todesursache(n) akut
Code List
Causes death (acute)
CL Item
graft failure (1)
CL Item
other causes deaths (10)
CL Item
Malfunction of the heart assist system (2)
CL Item
thromboembolism (3)
CL Item
Right heart failure (4)
CL Item
respiratory failure (5)
CL Item
infection (6)
CL Item
rejection (7)
CL Item
hemorrhage (8)
CL Item
multiple organ failure (9)
Wurde der Patient mit einem Herzunterstützungssystem / Kunstherzen entlassen, das während des stationären Aufenthaltes implantiert wurde?
Item
Was patient discharged with an Assist Device/TAH that has been implanted during this stay?
boolean
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