Informationen:
Fehler:
ID
9707
Beschreibung
Documentation form for quality assurance in German Health Care by the Institute for Applied Quality Improvement and Research in Health Care (Aqua), https://www.aqua-institut.de/en/home. Internal Aqua form version: 09-1 Specification 2015 V02".
Link
https://www.aqua-institut.de/en/home
Stichworte
Versionen (4)
- 22.12.14 22.12.14 - Julian Varghese
- 04.01.15 04.01.15 - Julian Varghese
- 05.01.15 05.01.15 - Julian Varghese
- 19.01.15 19.01.15 - Julian Varghese
Hochgeladen am
19. Januar 2015
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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Quality assurance cardiac pacemaker Implantation (AQUA)
Quality assurance cardiac pacemaker (AQUA)
- StudyEvent: Cardiac pacemaker
Ähnliche Modelle
Quality assurance cardiac pacemaker (AQUA)
- StudyEvent: Cardiac pacemaker
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
KASSEIKNR
Item
Health Insurance Identifier
integer
C1548070 (UMLS CUI-1)
VERSICHERTENIDNEU
Item
Patient insurance ID
text
C1548070 (UMLS CUI-1)
IKNRKH
Item
Healthcare facility Identifier
integer
C2986045 (UMLS CUI-1)
STANDORT
Item
Zip Code of Discharge
text
C1521842 (UMLS CUI-1)
BSNR
Item
Facility's Section Identifier
integer
C1547540 (UMLS CUI-1)
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)
IDNRPAT
Item
Patient identification number
text
C1549734 (UMLS CUI-1)
GEBDATUM
Item
Date of Birth
date
C0421451 (UMLS CUI-1)
CL Item
male (1)
CL Item
female (2)
AUFNDATUM
Item
Admission date
date
C1302393 (UMLS CUI-1)
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)
CL Item
asymptomatic (0)
CL Item
pre-syncope/dizziness (1)
CL Item
syncope (once) (2)
CL Item
syncope (recurring) (3)
CL Item
syncope with injury (4)
CL Item
NYHA II (5)
CL Item
NYHA III (6)
CL Item
NYHA IV (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
99 (99)
CL Item
AV Block I (1)
CL Item
Cardiac Resynchronization Therapy (CRT) (10)
CL Item
AV-Block II Wenckebach (2)
CL Item
AV-Block II Mobitz (3)
CL Item
AV-Block III (4)
CL Item
Bundle branch block (5)
CL Item
Sick Sinus Syndrome (SSS) including BTS (with paroxysmal/persisting atrial fibrillation) (6)
CL Item
Bradykardia with permanent artrial fibrillation (7)
CL Item
Carotid-Sinus-Syndrom (CSS) (8)
CL Item
Vasovagal Syndrome (VVS) (9)
CL Item
other (99)
CL Item
hereditary (1)
CL Item
neuromuscular (2)
CL Item
caused by infarction (3)
CL Item
AV node ablation applied/planned (4)
CL Item
other ablation treatment (5)
CL Item
status post cardiac surgery (6)
CL Item
status post transcatheter aortic valve implantation (TAVI) (7)
CL Item
other(unknown) (9)
CL Item
> (1)
CL Item
40% bis < 95% (2)
CL Item
< 40% (3)
CL Item
no (0)
CL Item
yes, NOT insulin-dependent (1)
CL Item
yes, insulin-dependent (2)
CL Item
< (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)
CL Item
normal sinus rhythm (1)
CL Item
sinus bradycardia/SA blocks (2)
CL Item
paroxysmal/ persisting atrial fibrillation/flutter (3)
CL Item
permanent artrial fibrillation (4)
CL Item
Switching between sinus bradycardia und atrial fibrillation (BTS) (5)
CL Item
other (9)
CL Item
None (0)
CL Item
AV-Block I. Grades, AV conduction time < 300ms (1)
CL Item
AV-Block I. Grades, AV conduction time > 300 ms (2)
CL Item
AV-Block II. Grades, Type Wenckebach (3)
CL Item
AV-Block II. Grades, Type Mobitz (4)
CL Item
AV-Block III. Grades (5)
CL Item
nicht assessable due to atrial fibrillation (6)
CL Item
AV-Block after his bundle ablation (7)
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)
CL Item
< 120 ms (1)
CL Item
120 bis < 150 ms (2)
CL Item
> (3)
CL Item
no pause (0)
CL Item
< (1)
CL Item
> 3 s to < (2)
CL Item
> 6 s (3)
CL Item
unknown (4)
CL Item
no connection/relation (0)
CL Item
probable connection (1)
CL Item
ECG-documented connection (2)
CL Item
no bradycardia or heart beat skipping (3)
CL Item
< 40/min (1)
CL Item
40 to under 50/min (2)
CL Item
> (3)
CL Item
unknown (4)
EJEKTFRAKTION
Item
Ejection fraction
integer
C2700378 (UMLS CUI-1)
EFUNB
Item
Ejection fraction unknown
boolean
CL Item
negative (0)
CL Item
evidence of spontaneous infrahisian AV Blocks in electrophysiological study (1)
CL Item
His Bundle to Ventricle time > (2)
CL Item
positivee adenosine testing (3)
CL Item
more of option 1,2,3 (4)
CL Item
none (0)
CL Item
carotid sinus massage with syncopal pause > 6 s (1)
CL Item
tilt table positive (2)
CL Item
both (3)
KAMMERFREQREG
Item
Regular ventricular frequency
boolean
CHRONOTRINKOMP
Item
Chronotopical incompentence
boolean
NONDEVICEINEFFEKTIV
Item
Conservative therapy ineffective
boolean
OPDATUM
Item
Surgical operation date
date
C3258210 (UMLS CUI-1)
OPSCHLUESSEL
Item
Procedure codes
text
C1550373 (UMLS CUI-1)
LAGEVCEPHALI
Item
Surgical access of implanted system: Cephalical vein
boolean
LAGEVSUBCLAV
Item
Surgical access of implanted system: Subclavian vein
boolean
LAGEANDERE
Item
Surgical access of implanted system: other
boolean
OPDAUER
Item
Procedure Duration
integer
C1442476 (UMLS CUI-1)
FLDOSISSMICD
Item
Dose area product
integer
FLDOSISUNB
Item
Dose area product unknown
boolean
CL Item
VVI (1)
CL Item
AAI (2)
CL Item
DDD (3)
CL Item
VDD (4)
CL Item
CRT-System with atrial electrode (5)
CL Item
CRT-System without atrial electrode (6)
CL Item
other (9)
CL Item
Biotronik (1)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
unknown (89)
CL Item
other (99)
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
CL Item
0 (0)
CL Item
A (A)
CL Item
P (P)
CL Item
Biotronik (1)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
unknown (89)
CL Item
other (99)
ASONVOREIZ
Item
Sensing threshold atrial electrode (intraoperative at 0,5ms)
float
Item
Sensing Threshold of atrial electrode not measured (intraoperative at 0,5ms)
integer
CL Item
1 (1)
CL Item
9 (9)
ASONVOPWEL
Item
P wave height
float
C0429042 (UMLS CUI-1)
CL Item
because of atrial fibrillation (1)
CL Item
missing own atrial rhythm (2)
CL Item
other reasons (9)
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
CL Item
0 (0)
CL Item
A (A)
CL Item
P (P)
CL Item
Biotronik (1)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
unknown (89)
CL Item
other (99)
ASONVEREIZ
Item
Sensing threshold ventricle electrode (intraoperative at 0,5 ms)
float
ASONVEREIZN
Item
Sensing threshold ventricle electrode not measured
boolean
ASONVERAMP
Item
R wave height
float
C0429049 (UMLS CUI-1)
CL Item
heart's own rhythm not existing (1)
CL Item
other reasons (9)
CL Item
bipolar (B)
CL Item
multipolar (M)
CL Item
unipolar (U)
CL Item
0 (0)
CL Item
A (A)
CL Item
P (P)
CL Item
Biotronik (1)
CL Item
Boston Scientific/CPI/Guidant/Intermedics (3)
CL Item
Medtronic (7)
CL Item
Osypka (8)
CL Item
Sorin Biomedica/ELA Medical (9)
CL Item
Vitatron (11)
CL Item
St. Jude Medical (18)
CL Item
unknown (89)
CL Item
other (99)
ASONVE2REIZ
Item
Sensing threshold second ventricular electrode (intraoperative at 0,5 ms)
float
ASONVE2REIZN
Item
Sensing Threshold of second ventricular electrode not measured (intraoperative at 0.5ms)
boolean
ASONVE2RAMP
Item
R wave height
float
C0429049 (UMLS CUI-1)
CL Item
1 (1)
CL Item
9 (9)
PERIOPKOMPLI
Item
peri and/or postoperative complications
boolean
C0946279 (UMLS CUI-1)
C0032787 (UMLS CUI-2)
C0032787 (UMLS CUI-2)
ASYSTOLIE
Item
Asystolia
boolean
C0018790 (UMLS CUI-1)
KAMMERFLIMM
Item
Ventricular fibrillation
boolean
C0042510 (UMLS CUI-1)
PNEUMOTHORAX
Item
PNEUMOTHORAX, requiring action
boolean
C0032326 (UMLS CUI-1)
HAEMATOTHORA
Item
HAEMATOTHORAX
boolean
C0019123 (UMLS CUI-1)
PERIOPKOMPPERIKARDERGUSS
Item
Pericardial effusion, requiring action
boolean
C0031039 (UMLS CUI-1)
TASCHHAEMATO
Item
Hematoma due to pacemaker, requiring action
boolean
SONDENDISLOK
Item
Electrode dislocation
boolean
SODISLOKAORTVORHOF
Item
Atrial electrode disloaction
boolean
CL Item
none (0)
CL Item
1. ventricular electrode (1)
CL Item
2. ventricular electrode (2)
CL Item
both (3)
SONDENDYSFNK
Item
Electrode dysfunction
boolean
SODYSFNKORTVORHOF
Item
Atrial Electrode dysfunction
boolean
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
POSTOPWUNDINFEKTIONJL
Item
postoperative wound infection (CDC classification)
boolean
C1629491 (UMLS CUI-1)
CL Item
no infection (0)
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)
PEROPKOMPSON
Item
Other complication requiring action
boolean
ENTLDATUM
Item
Discharge date
date
C2710998 (UMLS CUI-1)
CL Item
treatment finished as planned (1)
CL Item
treatment finished as planned, postdischarge treatment is planned (2)
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)
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
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)
ENTLDIAG
Item
Discharge diagnosis
text
C0011900 (UMLS CUI-1)