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

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Data quality assurance of stroke acute treatment Hessen

SAB / Intracerebral haemorrhage - End of Treatment

Secondary prophylaxis
Description

Secondary prophylaxis

Secondary prophylaxis performed
Description

Sekundärprophylaxe durchgeführt (einschließlich Empfehlung im Entlassungsbrief)

Data type

boolean

Alias
UMLS CUI-1
C0199176
Antiplatelet agents
Description

Thrombozytenaggregationshemmer

Data type

integer

Alias
UMLS CUI-1
C0085826
Antihypertensives
Description

Antihypertensiva

Data type

integer

Alias
UMLS CUI-1
C0003364
Statins
Description

Statine

Data type

integer

Alias
UMLS CUI-1
C0360714
Anticoagulants
Description

Antikoagulanzien

Data type

integer

Alias
UMLS CUI-1
C0003280
Antidiabetics
Description

Antidiabetika

Data type

integer

Alias
UMLS CUI-1
C0935929
other
Description

andere

Data type

integer

Neurological findings
Description

Neurological findings

Glasgow Coma Scale
Description

Glasgow Coma Scale

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 not evaluated
Description

Keine bzw. nicht beurteilbar

Data type

integer

Disability
Description

Disability

Mod. Rankin-Scale
Description

Mod. Rankin-Scale

Data type

integer

Alias
UMLS CUI-1
C2984908
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
Information from patient and / or family members before discharge
Description

Information from patient and / or family members before discharge

Information by social/nursing assistance afforded
Description

Information durch Sozial-/Pflegedienst zu Unterstützungsangeboten

Data type

boolean

Alias
UMLS CUI-1
C0037441
UMLS CUI-2
C0028677
Discharge
Description

Discharge

Number of follower
Description

Nummer der Folgeeinrichtung (Schlüssel 3)

Data type

text

Alias
UMLS CUI-1
C0332282
Initiated ambulant or inpatient rehabilitation
Description

Ambulante oder stationäre Rehabilitation veranlasst

Data type

boolean

Alias
UMLS CUI-1
C0034991
Is there a written living wills
Description

Liegt eine schriftliche Patientenverfügung vor

Data type

boolean

Alias
UMLS CUI-1
C1634503
Treatment on Stroke Unit
Description

Behandlung auf Stroke Unit

Data type

boolean

Alias
UMLS CUI-1
C0587502
Duration of treatment on the Stroke Unit
Description

Dauer der Behandlung auf der Stroke Unit

Data type

text

Measurement units
  • days
Alias
UMLS CUI-1
C0444921
days
Ventilation during hospitalization
Description

Beatmung während des stationären Aufenthaltes

Data type

boolean

Alias
UMLS CUI-1
C0035205
Duration of ventilation
Description

Beatmungsdauer

Data type

text

Measurement units
  • days
Alias
UMLS CUI-1
C0449238
UMLS CUI-2
C0035205
days

Similar models

SAB / Intracerebral haemorrhage - End of Treatment

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Secondary prophylaxis
Sekundärprophylaxe durchgeführt
Item
Secondary prophylaxis performed
boolean
C0199176 (UMLS CUI-1)
Item
Antiplatelet agents
integer
C0085826 (UMLS CUI-1)
Code List
Antiplatelet agents
CL Item
yes (1)
Item
Antihypertensives
integer
C0003364 (UMLS CUI-1)
Code List
Antihypertensives
CL Item
yes (1)
Item
Statins
integer
C0360714 (UMLS CUI-1)
Code List
Statins
CL Item
yes (1)
Item
Anticoagulants
integer
C0003280 (UMLS CUI-1)
Code List
Anticoagulants
CL Item
vitamin K antagonist (1)
CL Item
NOAC (new oral anticoagulants) (2)
Item
Antidiabetics
integer
C0935929 (UMLS CUI-1)
Code List
Antidiabetics
CL Item
yes (1)
Item
other
integer
Code List
other
CL Item
yes (1)
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 not evaluated
integer
Code List
No or not evaluated
CL Item
no (1)
CL Item
can not be evaluated (2)
Item Group
Disability
Item
Mod. Rankin-Scale
integer
C2984908 (UMLS CUI-1)
Code List
Mod. Rankin-Scale
CL Item
No symptom (0)
CL Item
No significant impairment (1)
CL Item
Mild impairment (2)
CL Item
Mäßiggradige 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
sporadic 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
Information from patient and / or family members before discharge
Information durch Sozial-/Pflegedienst zu Unterstützungsangeboten
Item
Information by social/nursing assistance afforded
boolean
C0037441 (UMLS CUI-1)
C0028677 (UMLS CUI-2)
Item Group
Discharge
Nummer der Folgeeinrichtung
Item
Number of follower
text
C0332282 (UMLS CUI-1)
Ambulante oder stationäre Rehabilitation veranlasst
Item
Initiated ambulant or inpatient rehabilitation
boolean
C0034991 (UMLS CUI-1)
Liegt eine schriftliche Patientenverfügung vor
Item
Is there a written living wills
boolean
C1634503 (UMLS CUI-1)
Behandlung auf Stroke Unit
Item
Treatment on Stroke Unit
boolean
C0587502 (UMLS CUI-1)
Dauer der Behandlung auf der Stroke Unit
Item
Duration of treatment on the Stroke Unit
text
C0444921 (UMLS CUI-1)
Beatmung während des stationären Aufenthaltes
Item
Ventilation during hospitalization
boolean
C0035205 (UMLS CUI-1)
Beatmungsdauer
Item
Duration of ventilation
text
C0449238 (UMLS CUI-1)
C0035205 (UMLS CUI-2)

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial