ID
14645
Beschreibung
https://www.hope-clara.de/ The HOPE Hospice and Palliative Care Recording standard documentation is used for documentation of palliative care and as an instrument for quality assurance in pallatiave wards, hospices and oncological wards as well as in ambulatory services and palliative teams.
Link
Stichworte
Versionen (1)
- 25.04.16 25.04.16 -
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CC BY-NC 3.0
Hochgeladen am
25. April 2016
DOI
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Creative Commons BY-NC 3.0
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Palliative and Hospice Care Baseline Form
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
Beschreibung
Medizinische Basisinformationen
Beschreibung
specialized ambulatory palliative care request
Datentyp
integer
Beschreibung
Agreement and submitted form
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0680240
- UMLS CUI [1,2]
- C1515023
Beschreibung
Care level
Datentyp
integer
Alias
- UMLS CUI [1]
- C1547668
Beschreibung
Main diagnosis and other diagnoses or problems
Datentyp
integer
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
- UMLS CUI [3]
- C0870733
Beschreibung
Main diagnosis and other diagnoses/problems
Datentyp
text
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
Beschreibung
Date of diagnosis
Datentyp
date
Alias
- UMLS CUI [1]
- C2316983
Beschreibung
Metastases
Datentyp
integer
Alias
- UMLS CUI [1]
- C0027627
Beschreibung
Other location of metastases
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0027627
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0205394
Beschreibung
Previous treatment / assistance
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0025070
- UMLS CUI [1,3]
- C0205156
Beschreibung
ECOG status
Datentyp
integer
Alias
- UMLS CUI [1]
- C1520224
Beschreibung
Barthel Index
Datentyp
integer
Maßeinheiten
- points
Alias
- UMLS CUI [1]
- C0451019
Beschreibung
Medizinische Probleme
Beschreibung
Date of collection of the patient's medical issues
Datentyp
date
Alias
- UMLS CUI [1,1]
- C1516698
- UMLS CUI [1,2]
- C0011008
- UMLS CUI [2,1]
- C0033213
- UMLS CUI [2,2]
- C0205476
Beschreibung
Pain
Datentyp
integer
Alias
- UMLS CUI [1]
- C0030193
Beschreibung
Nausea
Datentyp
integer
Alias
- UMLS CUI [1]
- C0027497
Beschreibung
Emesis
Datentyp
integer
Alias
- UMLS CUI [1]
- C0042963
Beschreibung
Dyspnea
Datentyp
integer
Alias
- UMLS CUI [1]
- C0013404
Beschreibung
Constipation
Datentyp
integer
Alias
- UMLS CUI [1]
- C0009806
Beschreibung
Weakness
Datentyp
integer
Alias
- UMLS CUI [1]
- C3714552
Beschreibung
Loss of appetite
Datentyp
integer
Alias
- UMLS CUI [1]
- C1971624
Beschreibung
Fatigue
Datentyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beschreibung
Care issues due to lesions/pressure ulcers
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0017313
- UMLS CUI [1,2]
- C0033213
- UMLS CUI [2]
- C0221198
- UMLS CUI [3]
- C0011127
Beschreibung
Need for assistance for activities of daily living
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0476651
- UMLS CUI [1,2]
- C0001288
Beschreibung
Depressed mood
Datentyp
integer
Alias
- UMLS CUI [1]
- C0344315
Beschreibung
Anxiety
Datentyp
integer
Alias
- UMLS CUI [1]
- C0003467
Beschreibung
Stress
Datentyp
integer
Alias
- UMLS CUI [1]
- C0038435
Beschreibung
Disorientation, confusion
Datentyp
integer
Alias
- UMLS CUI [1]
- C0233407
- UMLS CUI [2]
- C0009676
Beschreibung
Issues organizing care
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C1822380
Beschreibung
Overstrain of family or environment
Datentyp
integer
Beschreibung
Other issues
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0205394
Beschreibung
Severity of other issue
Datentyp
integer
Alias
- UMLS CUI [1]
- C0441982
Beschreibung
Comments
Datentyp
text
Alias
- UMLS CUI [1]
- C0947611
Beschreibung
Reason for visit, treatment goal
Datentyp
text
Alias
- UMLS CUI [1]
- C1704447
- UMLS CUI [2]
- C0679840
Beschreibung
Medikation bis heute
Beschreibung
Non-opioids
Datentyp
boolean
Alias
- UMLS CUI [1]
- C3863698
Beschreibung
Opioids WHO level 2
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0242402
Beschreibung
Opioids WHO level 3
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0242402
Beschreibung
Adjuvant analgesics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1510809
Beschreibung
Corticosteroids
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0001617
Beschreibung
Antidepressants
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0003289
Beschreibung
Antiemetics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0003297
Beschreibung
Neuroleptics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0040615
Beschreibung
Sedatives / Anxiolytics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0036557
- UMLS CUI [2]
- C0040616
Beschreibung
Stomach protector
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0038351
- UMLS CUI [1,2]
- C0033613
Beschreibung
Laxatives
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0282090
Beschreibung
Antibiotics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0003232
Beschreibung
Diuretics
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0012798
Beschreibung
Cardiaca/Antihypertensive Agents
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0007209
- UMLS CUI [2]
- C0003364
Beschreibung
Other medication
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1115771
Beschreibung
Other medication
Datentyp
text
Alias
- UMLS CUI [1]
- C1115771
Beschreibung
Maßnahmen, Prozeduren, Begleitung
Beschreibung
Medication
Datentyp
integer
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
Palliative sedation
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0344106
- UMLS CUI [1,2]
- C1285530
Beschreibung
Feeding
Datentyp
integer
Alias
- UMLS CUI [1]
- C2987508
Beschreibung
Transfusions
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1879316
Beschreibung
Pumping system
Datentyp
integer
Beschreibung
Puncture or drainages
Datentyp
integer
Alias
- UMLS CUI [1]
- C0034117
- UMLS CUI [2]
- C0013103
Beschreibung
Application or change of
Datentyp
integer
Alias
- UMLS CUI [1]
- C0185125
- UMLS CUI [2]
- C0392747
Beschreibung
Radiotherapy
Datentyp
integer
Alias
- UMLS CUI [1]
- C1522449
Beschreibung
Care
Datentyp
integer
Alias
- UMLS CUI [1]
- C1947933
Beschreibung
Maintenance of catheters
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0024501
- UMLS CUI [1,2]
- C0085590
Beschreibung
Tumortherapy
Datentyp
integer
Alias
- UMLS CUI [1]
- C0920425
Beschreibung
Physiotherapy
Datentyp
integer
Alias
- UMLS CUI [1]
- C0949766
Beschreibung
Psychotherapy
Datentyp
integer
Alias
- UMLS CUI [1]
- C0033968
Beschreibung
Surgical procedure
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0543467
Beschreibung
Diagnostic procedures
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0430022
Beschreibung
Counseling
Datentyp
integer
Alias
- UMLS CUI [1]
- C0010210
Beschreibung
Organization of following treatment
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0332282
- UMLS CUI [1,3]
- C1300196
Beschreibung
assistance for (grieving) relatives
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0018896
- UMLS CUI [1,2]
- C0080103
- UMLS CUI [1,3]
- C0018235
Beschreibung
pastoral care
Datentyp
integer
Alias
- UMLS CUI [1]
- C0030643
Beschreibung
Other procedures
Datentyp
text
Alias
- UMLS CUI [1]
- C0393107
Beschreibung
Bewertung der Begleitung
Beschreibung
Which issue was solved especially well?
Datentyp
text
Alias
- UMLS CUI [1]
- C0033213
Beschreibung
Which issue could not be solved sufficiently?
Datentyp
text
Alias
- UMLS CUI [1]
- C0033213
Beschreibung
Who filled out the file?
Datentyp
integer
Alias
- UMLS CUI [1]
- C3273494
Beschreibung
Other, who filled out the form
Datentyp
text
Alias
- UMLS CUI [1]
- C3273494
Beschreibung
Entlassung
Beschreibung
Date of discharge/change in assistance/death
Datentyp
date
Alias
- UMLS CUI [1]
- C2361123
- UMLS CUI [2,1]
- C0011008
- UMLS CUI [2,2]
- C0443172
- UMLS CUI [2,3]
- C0025070
- UMLS CUI [3]
- C1148348
Beschreibung
End of therapy
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
Beschreibung
Other end of therapy
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
- UMLS CUI [1,3]
- C0205394
Beschreibung
Discharge to/ treatment ongoing in
Datentyp
integer
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beschreibung
Other discharge to / ongoing treatment in
Datentyp
text
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beschreibung
Place of death
Datentyp
integer
Alias
- UMLS CUI [1]
- C0421611
Beschreibung
final evaluation of the team's satisfaction with the medical assistance for the entire treatment
Datentyp
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3,1]
- C0087111
- UMLS CUI [3,2]
- C0439751
Beschreibung
final evaluation of the team's satisfaction with the medical assistance for the final stage
Datentyp
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3]
- C0205088
Ähnliche Modelle
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
C1515023 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0870733 (UMLS CUI [3])
C0011900 (UMLS CUI [2])
C0450429 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0025070 (UMLS CUI [1,2])
C0205156 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0033213 (UMLS CUI [2,1])
C0205476 (UMLS CUI [2,2])
C0033213 (UMLS CUI [1,2])
C0221198 (UMLS CUI [2])
C0011127 (UMLS CUI [3])
C0001288 (UMLS CUI [1,2])
C0009676 (UMLS CUI [2])
C1822380 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0679840 (UMLS CUI [2])
C0040616 (UMLS CUI [2])
C0033613 (UMLS CUI [1,2])
C0003364 (UMLS CUI [2])
C1285530 (UMLS CUI [1,2])
C0013103 (UMLS CUI [2])
C0392747 (UMLS CUI [2])
C0085590 (UMLS CUI [1,2])
C0332282 (UMLS CUI [1,2])
C1300196 (UMLS CUI [1,3])
C0080103 (UMLS CUI [1,2])
C0018235 (UMLS CUI [1,3])
C0011008 (UMLS CUI [2,1])
C0443172 (UMLS CUI [2,2])
C0025070 (UMLS CUI [2,3])
C1148348 (UMLS CUI [3])
C0444930 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0087111 (UMLS CUI [2,1])
C0549178 (UMLS CUI [2,2])
C0087111 (UMLS CUI [2,1])
C0549178 (UMLS CUI [2,2])
C0242428 (UMLS CUI [2])
C0087111 (UMLS CUI [3,1])
C0439751 (UMLS CUI [3,2])
C0242428 (UMLS CUI [2])
C0205088 (UMLS CUI [3])