ID

9824

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: LTX-B Specification 2015 V02

Link

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

Keywords

  1. 11/23/14 11/23/14 - Julian Varghese
  2. 1/21/15 1/21/15 - Julian Varghese
  3. 1/21/15 1/21/15 - Julian Varghese
  4. 1/31/15 1/31/15 - Julian Varghese
  5. 4/13/21 4/13/21 - Ahmed Rafee, MD
Uploaded on

January 31, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Quality assurance Liver Transplant: Basic (AQUA)

Quality assurance Liver Transplant: Basic (AQUA)

Basic documentation of organ recipient
Description

Basic documentation of organ recipient

Health Insurance Identifier
Description

Institutionskennzeichen

Data type

integer

Alias
UMLS CUI-1
C1548070
Zip Code of Discharge
Description

Entlassender Standort

Data type

text

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

Betriebsstätten-Nummer

Data type

text

Alias
UMLS CUI-1
C1547540
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
Recipient ID (ET-Number)
Description

Empfänger ID

Data type

text

Alias
UMLS CUI-1
m
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
Discharge organ recipient
Description

Discharge organ recipient

Hostpital discharge date (dd.mm.yyyy)
Description

Entlassungsdatum Krankenhaus

Data type

date

Alias
UMLS CUI-1
C2710998
Discharge diagnosis/es
Description

Entlassungsdiagnose(n)

Data type

integer

Alias
UMLS CUI-1
C0011900
Discharge diagnosis according to European Liver Transplant Registry
Description

Entlassungsdiagnose nach ELTR

Data type

integer

Reason for discharge
Description

Entlassungsgrund

Data type

integer

Alias
UMLS CUI-1
C3164834
Cause of death
Description

Todesursache

Data type

integer

Alias
UMLS CUI-1
C0007465

Similar models

Quality assurance Liver Transplant: Basic (AQUA)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Basic documentation of organ recipient
Institutionskennzeichen
Item
Health Insurance Identifier
integer
C1548070 (UMLS CUI-1)
Entlassender Standort
Item
Zip Code of Discharge
text
C1521842 (UMLS CUI-1)
Betriebsstätten-Nummer
Item
Facility's Section Identifier
text
C1547540 (UMLS CUI-1)
Aufnahmedatum Krankenhaus
Item
Admission date (dd.mm.yyyy)
date
C1302393 (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)
Empfänger ID
Item
Recipient ID (ET-Number)
text
m (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)
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 Group
Discharge organ recipient
Entlassungsdatum Krankenhaus
Item
Hostpital discharge date (dd.mm.yyyy)
date
C2710998 (UMLS CUI-1)
Entlassungsdiagnose(n)
Item
Discharge diagnosis/es
integer
C0011900 (UMLS CUI-1)
Item
Discharge diagnosis according to European Liver Transplant Registry
integer
Code List
Discharge diagnosis according to European Liver Transplant Registry
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Virus A (A1)
CL Item
Acute hepatic failure-Post operative (A10)
CL Item
Acute hepatic failure-Post traumatic (A11)
CL Item
Acute hepatic failure-Others (A12)
CL Item
Subacute hepatitis-Virus A (A13)
CL Item
Subacute hepatitis-Virus B (A14)
CL Item
Subacute hepatitis-Virus C (A15)
CL Item
Subacute hepatitis-Virus D (A16)
CL Item
Subacute hepatitis-Other known (A17)
CL Item
Subacute hepatitis-Other unknown (A18)
CL Item
Subacute hepatitis-Paracetamol (A19)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Virus B (A2)
CL Item
Subacute hepatitis-Other drug related (A20)
CL Item
Subacute hepatitis-Toxic (non drug) (A21)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Virus C (A3)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Virus D (A4)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Other known (A5)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Other unknown (A6)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Paracetamol (A7)
CL Item
Acute hepatic failure-Fulm or Subfulm hep-Other drug related (A8)
CL Item
Acute hepatic failure-Fulminant or Subfulm hepatitis-Toxic (non drug) (A9)
CL Item
Cholestatic disease-Secondary biliary cirrhosis (B1)
CL Item
Cholestatic disease-Primary biliary cirrhosis (B2)
CL Item
Cholestatic disease-Primary sclerosing cholangitis (B3)
CL Item
Cholestatic disease-Others (B4)
CL Item
Congenital biliary disease-Caroli disease (C1)
CL Item
Congenital biliary disease-Extrahepatic biliary atresia (C2)
CL Item
Congenital biliary disease-Congenital biliary fibrosis (C4)
CL Item
Congenital biliary disease-Choledochal cyst (C5)
CL Item
Congenital biliary disease-Alagille syndrome (C6)
CL Item
Congenital biliary disease-Others (C7)
CL Item
Cirrhosis-Alcoholic cirrhosis (D1)
CL Item
Cirrhosis-Other cirrhosis (D10)
CL Item
Cirrhosis-Cryptogenic (unknown) cirrhosis (D11)
CL Item
Cirrhosis-Autoimmune Cirrhosis (D2)
CL Item
Cirrhosis-Virus B related cirrhosis (D3)
CL Item
Cirrhosis-Virus C related cirrhosis (D4)
CL Item
Cirrhosis-Virus BD related cirrhosis (D5)
CL Item
Cirrhosis-Virus BC related cirrhosis (D6)
CL Item
Cirrhosis-Virus BCD related cirrhosis (D7)
CL Item
Cirrhosis-Virus related cirrhosis - Other viruses (D8)
CL Item
Cirrhosis-Post hepatitic cirrhosis - Drug related (D9)
CL Item
Cancers-Hepatocellular carcinoma and cirrhosis (E1)
CL Item
Cancers-Secondary liver tumors - Other neuroendocrine (E10)
CL Item
Cancers-Secondary liver tumors - Colorectal (E11)
CL Item
Cancers-Secondary liver tumors - GI non colorectal (E12)
CL Item
Cancers-Secondary liver tumors - Non gastrointestinal (E13)
CL Item
Cancers-Other liver malignancies (E14)
CL Item
Cancers-Hepatocellular carcinoma and non cirrhotic liver (E2)
CL Item
Cancers-Hepatocellular carcinoma - Fibrolamellar (E3)
CL Item
Cancers-Biliary tract carcinoma (Klatskin) (E4)
CL Item
Cancers-Hepatic cholangiocellular carcinoma (E5)
CL Item
Cancers-Hepatoblastoma (E6)
CL Item
Cancers-Epithelioid hemangioendothelioma (E7)
CL Item
Cancers-Angiosarcoma (E8)
CL Item
Cancers-Secondary liver tumors - Carcinoid (E9)
CL Item
Metabolic diseases-Wilson disease (F1)
CL Item
Metabolic diseases-Other porphyria (F10)
CL Item
Metabolic diseases-Crigler-Najjar (F11)
CL Item
Metabolic diseases-Cystic fibrosis (F12)
CL Item
Metabolic diseases-Byler disease (F13)
CL Item
Metabolic diseases-Others (F14)
CL Item
Metabolic diseases-Hemochromatosis (F2)
CL Item
Metabolic dis-Alpha-1 - Antitrypsin deficiency (F3)
CL Item
Metabolic diseases-Glycogen storage disease (F4)
CL Item
Metabolic dis-Homozygous Hypercholesterolemia (F5)
CL Item
Metabolic diseases-Tyrosinemia (F6)
CL Item
Metabolic diseases-Familial amyloïdotic polyneuropathy (F7)
CL Item
Metabolic diseases-Primary hyperoxaluria (F8)
CL Item
Metabolic diseases-Protoporphyria (F9)
CL Item
Budd Chiari (G)
CL Item
Benign liver tumors or Polycystic dis-Hepatic adenoma (H1)
CL Item
Benign liver tumors or Polycystic dis-Adenomatosis (H2)
CL Item
Benign liver tumors or Polycystic dis-Hemangioma (H3)
CL Item
Benign liver tumors or Polycystic dis-Focal nodular hyperplasia (H4)
CL Item
Benign liver tumors or Polycystic dis-Polycystic disease (H5)
CL Item
Benign liver tumors or Polycystic dis-Nodular regenerative hyperplasia (H6)
CL Item
Benign liver tumors or Polycystic dis-Other benign tumors (H7)
CL Item
Parasitic disease-Schistosomia (Bilharzia) (I1)
CL Item
Parasitic disease-Alveolar echinococcosis (I2)
CL Item
Parasitic disease-Cystic hydatidosis (I3)
CL Item
Parasitic disease-Others (I4)
CL Item
Other liver diseases (J)
CL Item
Not available (K)
CL Item
Primary Nonfunction (L)
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)
Item
Cause of death
integer
C0007465 (UMLS CUI-1)
Code List
Cause of death
CL Item
Intraoperative death (death on table) (A1)
CL Item
Infection-Bacterial infection (B1)
CL Item
Infection-Viral infection (B2)
CL Item
Infection-HIV (B3)
CL Item
Infection-Fungal infection (B4)
CL Item
Infection-Parasitic infection (B5)
CL Item
Infection-Other known infect (B6)
CL Item
Liver complications-Acute rejection (C1)
CL Item
Liv complic-Recurrence of original dis (C10)
CL Item
Liv complic-Recurrence of original dis (C11)
CL Item
Liv complic-Recurrence of original dis (C12)
CL Item
Liv complic-Recurrence of original dis (C13)
CL Item
Liv complic-Recurrence of original dis (C14)
CL Item
Liv complic-Recurrence of original dis (C15)
CL Item
Liv complic-Recurrence of original dis (C16)
CL Item
Liv complic-Recur of orig dis (C17)
CL Item
Liver complic-De novo hepatitis B virus (C18)
CL Item
Liver complications-De novo hepatitis C virus (C19)
CL Item
Liver complications-Chronic rejection (C2)
CL Item
Liver complications-De novo hepatitis D virus (C20)
CL Item
Liver complic-Massive hemorrhagic necrosis (C21)
CL Item
Liver complications-Other viral hepatitis (C22)
CL Item
Liver complications-Infection (C23)
CL Item
Liver complications-Other (C24)
CL Item
Liver complications-Arterial thrombosis (C3)
CL Item
Liver complic-Hepatic vein thrombosis (C4)
CL Item
Liver complic-Primary N-function (Retx or death < (C5)
CL Item
Liv complic-Primary dysfunction (Retx or death > 7d) (C6)
CL Item
Liver complic-Anastomotic biliary complic (C7)
CL Item
Liver complic-Non anastomotic biliary complic (C8)
CL Item
Liver complic-Recurrence of original dis (C9)
CL Item
Gastrointestinal complications-GI haemorrhage (D1)
CL Item
Gastrointestinal complications-Pancreatitis (D2)
CL Item
Gastrointestinal complic-Visceral perforation (D3)
CL Item
Gastrointestinal complications-Other (D4)
CL Item
Cardiovascular complications-Myocardial infarction (E1)
CL Item
Cardiovascular complications-Other cause (E2)
CL Item
Cerebrovascular complications-Intracranial haemorrhage (F1)
CL Item
Cerebrovascular complications-Ischemic stroke (F2)
CL Item
Cerebrovascular complications-Cerebral oedema (F3)
CL Item
Cerebrovascular complications-Cerebral infection (F4)
CL Item
Tumor-Recurrence of original tumor (G1)
CL Item
Tumor-Recurrence of previously unrelated tumor (G2)
CL Item
Tumor-De novo solid organ tumor (G3)
CL Item
Tumor-Donor transmitted tumor (G4)
CL Item
Tumor-Lympho proliferation disease (G5)
CL Item
Kidney failure (H1)
CL Item
Urinary tract infection (H2)
CL Item
Pulmonary complications-Embolism (I1)
CL Item
Pulmonary complications-Infection (I2)
CL Item
Social complic-Non compliance immunosup therapy (J1)
CL Item
Social complications-Suicide (J2)
CL Item
Social complications-Trauma (Motor, Vehicle,..) (J3)
CL Item
Bone marrow depression (K1)
CL Item
Other cause (L1)
CL Item
Not available (M1)

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