Search results - Portal of Medical Data Models (MDM-Portal)

DIVI Kerndatensatz Intensivmedizin 2010 - Entlassung von der Intensivtherapiestation

- 3/19/20 - 5 forms, 2 itemgroups, 16 items, 1 language

Itemgroups: DNR (do not resuscitate) / AND (allowed natural death), Procedures and complications

Kerndatensatz Intensivmedizin 2010 der DIVI und DGAI (nur patientenbezogene Daten, ohne Strukturdaten der Intensivtherapiestation und der Klinik ). Deutsche interdisziplinaere Vereinigung fuer Intensiv und Notfallmedizin DIVI (German interdisciplinary association for intensive and emergeny medical care), http://www.divi.de/images/Dokumente/Empfehlungen/Strukturempfehlungen/2010_KerndatensatzIntensivmedizin.pdf

Entlassung aus dem Krankenhaus

1 itemgroup 2 items

Technical Specifications Emergency Physician protocol DIVI

- 9/17/21 - 1 form, 1 itemgroup, 25 items, 1 language

Itemgroup: Technical Specifications

DIVI-Protocol for documentation purposes of emergency medical response by emergency physicians (Version 5.1 2015) Deutsche interdisziplinaere Vereinigung fuer Intensiv und Notfallmedizin DIVI (German interdisciplinary association for intensive and emergeny medical care)

Preclinical Point A in time DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 8 itemgroups, 35 items, 2 languages

Itemgroups: Rettungszeiten und Transport, Vital signs, Glasgow Coma Scale, Pupillen, Injuries, Volumengabe, Therapy (preclinical), NACA-Index

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0025_DGU TraumaRegister Outcome Prognosis Thromboembolic Events Point D1 in Time - Outcome Prognosis Thromboembolic Events Point D1 in Time DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 7 itemgroups, 11 items, 2 languages

Itemgroups: Patient Information, Entlassungs-/Todesdatum, Entlassung/Verlegung, Verlegung in anderes Krankenhaus, Outcome, Todesursache, Klinikrelevante thromboembolische Ereignisse

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0026_DGU TraumaRegister Diagoses Operations Therapy regimen Point D2 in Time - Diagoses Operations Therapy regimen Point D2 in Time DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 1 itemgroup, 13 items, 2 languages

Itemgroup: Injuries, Operation, Therapy

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0024_DGU TraumaRegister Intensive Care Point C in time - Intensive Care Point C in time DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 8 itemgroups, 37 items, 2 languages

Itemgroups: Aufnahme, Blood test, ROTEM, Hemostasis Therapy, Medikamentöse Gerinnungstherapie, Aufenthaltsdauer/Beatmungstherapie, Therapie, SOFA

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0021_DGU TraumaRegister Preclinical Point A in time - Preclinical Point A

- 3/19/20 - 1 form, 8 itemgroups, 35 items, 2 languages

Itemgroups: Rettungszeiten und Transport, Vital signs, Glasgow Coma Scale, Pupillen, Injuries, Volumengabe, Therapy (preclinical), NACA-Index

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0023_DGU TraumaRegister Emergency Room Point B in time - Emergency Room Point B in time DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 14 itemgroups, 82 items, 2 languages

Itemgroups: Patient information, Aufnahme, Vital signs, Atmung, Glasgow Coma Scale, Pupillen, Blood test, Diagnostics, Volumengabe, Therapy (til Intensive Care), First surgical intervention, Hemostasis Therapy, Medikamentöse Gerinnungstherapie, Further treatment

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

S.0022_DGU TraumaRegister General Information S - General Information DGU TraumaRegister questionnaire

- 3/19/20 - 1 form, 7 itemgroups, 17 items, 2 languages

Itemgroups: Patienten-Identifikation, Patientenalter am Unfalltag, Geschlecht, Unfall-Anamnese, Zuverlegt, Gesundheitszustand vor Unfall, Unfallart

DGU TraumaRegister® questionnaire; Data are collected prospectively in four consecutive time phases from the site of the accident until discharge from hospital: A) Pre-hospital phase, B) Emergency room and initial surgery, C) Intensive care unit and D) Discharge. The documentation includes detailed information on demographics, injury pattern, comorbidities, pre- and in-hospital management, course on intensive care unit, relevant laboratory findings including data on transfusion and outcome of each individual. The inclusion criterion is admission to hospital via emergency room with subsequent ICU/ICM care or reach the hospital with vital signs and die before admission to ICU. The infrastructure for documentation, data management, and data analysis is provided by AUC - Academy for Trauma Surgery (AUC - Akademie der Unfallchirurgie GmbH), a company affiliated to the German Trauma Society. The scientific leadership is provided by the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society. The participating hospitals submit their data anon-ymously into a central database via a web-based application. Scientific data analysis is approved according to a peer review procedure established by Sektion NIS. TraumaRegister DGU® - Hinweise für die Publikation von Ergebnissen 5 März 2014 Seite 3 von 3 © 2014 TraumaRegister DGU® / AUC GmbH The participating hospitals are primarily located in Germany (90%), but a rising number of hospitals of other countries contribute data as well (at the moment from Austria, Belgium, China, Finland, Luxembourg, Slovenia, Switzerland, The Netherlands, and the United Arab Emirates). Currently, approx. 25,000 cases from more than 600 hospitals are entered into the database per year. Participation in TraumaRegister DGU® is voluntary. For hospitals associated with TraumaNetzwerk DGU®, however, the entry of at least a basic data set is obligatory for reasons of quality assurance. www.traumaregister-dgu.de

German Resuscitation Registry (Reanimationsregister Version 2.0) - Module Telephone CPR (Modul Telefon-CPR)

- 3/18/20 - 1 form, 9 itemgroups, 17 items, 2 languages

Itemgroups: Basic Data, Telephone instructions for CPR, Time end of instructions, Instructions complete, Instructed Ventilation, Used algorithm, Headquarters dispatcher trained, Indication Cardiopulmonary Arrest correct, bystander resuscitation conducted

The German Resuscitation Registry (GRR) (Das Deutsche Reanimationsregister) is a supraregional database for the collection and evaluation of resuscitations in rescue services and clinics, as well as for intraclinical emergency care in Germany. https://www.reanimationsregister.de/downloads/formulare.html The translation of the document from english to german is not an offical translation.

German Rescuitation Registry (Reanimationsregister Version 2.0) - Secondary care max (Weiterversorgung Max)

- 3/18/20 - 1 form, 11 itemgroups, 135 items, 2 languages

Itemgroups: Basic Data, Admittance dates and status, Clinical measures, Temperature management, Temperature management Induction, Temperature management Maintenance, Temperature management Rewarming, Temperature management Fever prevention, Neuroprognostic tests, Result, Acquisition Status

Angaben für die Description: The German Resuscitation Registry (GRR) (Das Deutsche Reanimationsregister) is a supraregional database for the collection and evaluation of resuscitations in rescue services and clinics, as well as for intraclinical emergency care in Germany. https://www.reanimationsregister.de/downloads/formulare.html The translation is not an official translation. The TIMI risk score is part of this form. Morrow, D. A.; Antman, E. M.; Charlesworth, A.; Cairns, R.; Murphy, S. A.; Lemos, J. A. de et al. (2000): TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy. In: Circulation 102 (17), S. 2031–2037. The modified Rankin-scale is part of this form. Rankin J. Cerebral vascular accidents in patients over the age of 60: II. Prognosis Scottish Med J. 1957; 2: 200–215. The Cerebral Performance Category is part of this form. Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet. 1975 Mar 1;1(7905):480-4. The EQ-5D is part of this form. The EuroQol Group. EuroQol—a new facility for the measure-mentofhealth-relatedqualityoflife.HealthPolicy.1990;36:199–208. The SF-12 is part of this form. Ware J, Kosinski M, Keller SD. A 12-item short-form health survey:construction of scales and preliminary tests of reliability and validity. MedCare. 1996;34:220–33.

German Rescuitation Registry (Reanimationsregister Version 2.0) - Further medical care pediatrics (Weiterversorgung Pädiatrie)

- 3/18/20 - 1 form, 7 itemgroups, 84 items, 2 languages

Itemgroups: Basic Data, Admission Status, Temperature management, Clinical Course, Complications, Outcome Data on discharge from acute care, Aquisition Status

The German Resuscitation Registry (GRR) (Das Deutsche Reanimationsregister) is a supraregional database for the collection and evaluation of resuscitations in rescue services and clinics, as well as for intraclinical emergency care in Germany. https://www.reanimationsregister.de/downloads/formulare.html The translation of the document from english to german is not an offical translation.

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Selected data models