ID

44108

Description

Quality Assurance Hessen, Eschborn Document: record stroke acute treatment (phase A) As of 05/01/2015 File: SA_HE_2015_V04_Bogen

Keywords

  1. 7/30/15 7/30/15 - Sarah Schulze Sünninghausen
  2. 7/31/15 7/31/15 - Julian Varghese
  3. 9/6/19 9/6/19 - Julian Varghese
  4. 9/20/21 9/20/21 -
Copyright Holder

IQTIG

Uploaded on

September 20, 2021

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License

Creative Commons BY-NC 3.0

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Data quality assurance of stroke acute treatment Hessen

SAB/Intracerebral haemorrhage - Admission

Identification and basic data
Description

Identification and basic data

initials
Description

Initialen (Vor-/Nachnahme)

Data type

text

Alias
UMLS CUI-1
C2986440
Zip code
Description

Postleitzahl

Data type

text

Alias
UMLS CUI-1
C0421454
Time interval event to admission
Description

Zeitintervall Ereignis bis Aufnahme

Data type

integer

Alias
UMLS CUI-1
C0872291
UMLS CUI-2
C0441471
UMLS CUI-3
C0184666
Supply Situation before acute event
Description

Versorgungssituation vor Akutereignis

Data type

integer

Alias
UMLS CUI-1
C0580931
Admission type
Description

Einlieferung

Data type

integer

Alias
UMLS CUI-1
C3263562
Pre-treatment
Description

Pre-treatment

Antiplatelet agents
Description

Thrombozytenaggregationshemmer

Data type

boolean

Alias
UMLS CUI-1
C0085826
Anticoagulants
Description

Antikoagulanzien

Data type

integer

Alias
UMLS CUI-1
C0003280
Neurological findings
Description

Neurological findings

Glasgow Coma Scale
Description

Glasgow Coma Scale (Summenscore 3-15)

Data type

text

Alias
UMLS CUI-1
C1271007
GCS - eye opening
Description

GCS - Augenöffnung

Data type

integer

Alias
UMLS CUI-1
C0559289
GCS - Best verbal response
Description

GCS - Beste verbale Reaktion

Data type

integer

Alias
UMLS CUI-1
C0559291
GCS - Best motor response
Description

GCS - Beste motorische Reaktion

Data type

integer

Alias
UMLS CUI-1
C0559290
Motor deficits
Description

Motorische Ausfälle

Data type

integer

Alias
UMLS CUI-1
C0521654
Dysphagia/Aphasia/Dysarthria
Description

Dysphagia/Aphasia/Dysarthria

Dysphagia
Description

Dysphagie

Data type

integer

Alias
UMLS CUI-1
C0011168
Aphasia
Description

Aphasie

Data type

integer

Alias
UMLS CUI-1
C0003537
Dysarthria
Description

Dysarthrie

Data type

integer

Alias
UMLS CUI-1
C0013362
No or can not be evaluated
Description

Keine bzw. nicht beurteilbar

Data type

integer

Swallowing test according to protocol
Description

Schlucktest nach Protokoll

Data type

integer

Disability
Description

Disability

Mod. Rankin-Scale before insult
Description

Mod. Rankin-Scale vor Insult

Data type

integer

Alias
UMLS CUI-1
C2984908
Mod. Rankin Scale 1 day after admission
Description

Mod. Rankin-Scale 1. Tag nach Aufnahme

Data type

integer

Barthel Index bladder control
Description

Barthel-Index Blasenkontrolle

Data type

integer

Alias
UMLS CUI-1
C0451019
UMLS CUI-2
C0542565
Barthel index changing position bed-chair
Description

Barthel-Index Lagewechsel Bett-Stuhl

Data type

integer

Alias
UMLS CUI-1
C0560786
Barthel Index locomotion
Description

Barthel-Index Fortbewegung

Data type

integer

Alias
UMLS CUI-1
C0023946
Risk factors
Description

Risk factors

Risk factors
Description

Risikofaktoren

Data type

boolean

Alias
UMLS CUI-1
C0035648
Hypercholesterolaemia
Description

Hypercholesterinämie

Data type

integer

Alias
UMLS CUI-1
C0020443
History of stroke
Description

Früherer Schlaganfall

Data type

integer

Alias
UMLS CUI-1
C0481607
Atrial fibrillation
Description

Vorhofflimmern

Data type

integer

Alias
UMLS CUI-1
C0004238
Diabetes mellitus
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI-1
C0011849
Arterial hypertension
Description

Arterielle Hypertonie

Data type

integer

Alias
UMLS CUI-1
C0020538
Other risk factor(s)
Description

Andere(r) Risikofaktor(en)

Data type

integer

Similar models

SAB/Intracerebral haemorrhage - Admission

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Identification and basic data
Initialen
Item
initials
text
C2986440 (UMLS CUI-1)
Postleitzahl
Item
Zip code
text
C0421454 (UMLS CUI-1)
Item
Time interval event to admission
integer
C0872291 (UMLS CUI-1)
C0441471 (UMLS CUI-2)
C0184666 (UMLS CUI-3)
Code List
Time interval event to admission
CL Item
<=1h (1)
CL Item
>1-2h (2)
CL Item
>2-3h (3)
CL Item
>3-3,5h (4)
CL Item
>3,5-4h (5)
CL Item
>4-6h (6)
CL Item
>6-24h (7)
CL Item
>24-48h (8)
CL Item
>48h-7d (9)
CL Item
unknown (0)
Item
Supply Situation before acute event
integer
C0580931 (UMLS CUI-1)
Code List
Supply Situation before acute event
CL Item
independently at home (1)
CL Item
home care (2)
CL Item
care in institution (3)
Item
Admission type
integer
C3263562 (UMLS CUI-1)
Code List
Admission type
CL Item
self (1)
CL Item
contract doctor (2)
CL Item
rescue Service (3)
CL Item
transfer from other hospitals (4)
Item Group
Pre-treatment
Thrombozytenaggregationshemmer
Item
Antiplatelet agents
boolean
C0085826 (UMLS CUI-1)
Item
Anticoagulants
integer
C0003280 (UMLS CUI-1)
Code List
Anticoagulants
CL Item
no (0)
CL Item
vitamin K antagonist (1)
CL Item
NOAC (new oral anticoagulants) (2)
Item Group
Neurological findings
Glasgow Coma Scale
Item
Glasgow Coma Scale
text
C1271007 (UMLS CUI-1)
Item
GCS - eye opening
integer
C0559289 (UMLS CUI-1)
Code List
GCS - eye opening
CL Item
spontaneously (4)
CL Item
on speech (3)
CL Item
on pain stimulus (2)
CL Item
no (1)
Item
GCS - Best verbal response
integer
C0559291 (UMLS CUI-1)
Code List
GCS - Best verbal response
CL Item
oriented (5)
CL Item
disoriented (4)
CL Item
inadequate (3)
CL Item
inarticulate (2)
CL Item
no (1)
Item
GCS - Best motor response
integer
C0559290 (UMLS CUI-1)
Code List
GCS - Best motor response
CL Item
followed prompts (6)
CL Item
targeted pain Defence (5)
CL Item
untargeted pain Defence (4)
CL Item
flexor reaction (3)
CL Item
extensor reaction (2)
CL Item
no (1)
Item
Motor deficits
integer
C0521654 (UMLS CUI-1)
Code List
Motor deficits
CL Item
monoparesis / -plegie (1)
CL Item
hemiparesis / -plegie (2)
CL Item
tetraparesis / -plegie (3)
CL Item
no (4)
CL Item
not evaluable (5)
Item Group
Dysphagia/Aphasia/Dysarthria
Item
Dysphagia
integer
C0011168 (UMLS CUI-1)
Code List
Dysphagia
CL Item
yes (1)
Item
Aphasia
integer
C0003537 (UMLS CUI-1)
Code List
Aphasia
CL Item
yes (1)
Item
Dysarthria
integer
C0013362 (UMLS CUI-1)
Code List
Dysarthria
CL Item
yes (1)
Item
No or can not be evaluated
integer
Code List
No or can not be evaluated
CL Item
no (1)
CL Item
can not be evaluated (2)
Item
Swallowing test according to protocol
integer
Code List
Swallowing test according to protocol
CL Item
no (0)
CL Item
yes (1)
CL Item
not practicable (2)
Item Group
Disability
Item
Mod. Rankin-Scale before insult
integer
C2984908 (UMLS CUI-1)
Code List
Mod. Rankin-Scale before insult
CL Item
No symptom (0)
CL Item
No significant impairment (1)
CL Item
Mild impairment (2)
CL Item
Moderately impairment (3)
CL Item
Moderate impairment (4)
CL Item
Severe impairment (5)
CL Item
unknown (9)
Item
Mod. Rankin Scale 1 day after admission
integer
Code List
Mod. Rankin Scale 1 day after admission
CL Item
No symptom (0)
CL Item
No significant impairment (1)
CL Item
Mild impairment (2)
CL Item
moderatly impairment (3)
CL Item
Moderate impairment (4)
CL Item
Severe impairment (5)
CL Item
death (6)
Item
Barthel Index bladder control
integer
C0451019 (UMLS CUI-1)
C0542565 (UMLS CUI-2)
Code List
Barthel Index bladder control
CL Item
incontinent (0)
CL Item
occasional loss (5)
CL Item
continent (10)
Item
Barthel index changing position bed-chair
integer
C0560786 (UMLS CUI-1)
Code List
Barthel index changing position bed-chair
CL Item
completely dependent (0)
CL Item
great support (5)
CL Item
low support (10)
CL Item
completely self (15)
Item
Barthel Index locomotion
integer
C0023946 (UMLS CUI-1)
Code List
Barthel Index locomotion
CL Item
completely dependent (0)
CL Item
great support (5)
CL Item
low support (10)
CL Item
completely self (15)
Item Group
Risk factors
Risikofaktoren
Item
Risk factors
boolean
C0035648 (UMLS CUI-1)
Item
Hypercholesterolaemia
integer
C0020443 (UMLS CUI-1)
Code List
Hypercholesterolaemia
CL Item
yes (1)
Item
History of stroke
integer
C0481607 (UMLS CUI-1)
Code List
History of stroke
CL Item
yes (1)
Item
Atrial fibrillation
integer
C0004238 (UMLS CUI-1)
Code List
Atrial fibrillation
CL Item
yes, already known (1)
CL Item
yes, newly diagnosed (2)
Item
Diabetes mellitus
integer
C0011849 (UMLS CUI-1)
Code List
Diabetes mellitus
CL Item
yes (1)
Item
Arterial hypertension
integer
C0020538 (UMLS CUI-1)
Code List
Arterial hypertension
CL Item
yes (1)
Item
Other risk factor(s)
integer
Code List
Other risk factor(s)
CL Item
yes (1)

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