ID
14645
Description
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.
Lien
Mots-clés
Versions (1)
- 25/04/2016 25/04/2016 -
Détendeur de droits
CC BY-NC 3.0
Téléchargé le
25 avril 2016
DOI
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Licence
Creative Commons BY-NC 3.0
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Palliative and Hospice Care Baseline Form
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
Description
Medizinische Basisinformationen
Description
specialized ambulatory palliative care request
Type de données
integer
Description
Agreement and submitted form
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0680240
- UMLS CUI [1,2]
- C1515023
Description
Care level
Type de données
integer
Alias
- UMLS CUI [1]
- C1547668
Description
Main diagnosis and other diagnoses or problems
Type de données
integer
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
- UMLS CUI [3]
- C0870733
Description
Main diagnosis and other diagnoses/problems
Type de données
text
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
Description
Date of diagnosis
Type de données
date
Alias
- UMLS CUI [1]
- C2316983
Description
Metastases
Type de données
integer
Alias
- UMLS CUI [1]
- C0027627
Description
Other location of metastases
Type de données
text
Alias
- UMLS CUI [1,1]
- C0027627
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0205394
Description
Previous treatment / assistance
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0025070
- UMLS CUI [1,3]
- C0205156
Description
ECOG status
Type de données
integer
Alias
- UMLS CUI [1]
- C1520224
Description
Barthel Index
Type de données
integer
Unités de mesure
- points
Alias
- UMLS CUI [1]
- C0451019
Description
Medizinische Probleme
Description
Date of collection of the patient's medical issues
Type de données
date
Alias
- UMLS CUI [1,1]
- C1516698
- UMLS CUI [1,2]
- C0011008
- UMLS CUI [2,1]
- C0033213
- UMLS CUI [2,2]
- C0205476
Description
Pain
Type de données
integer
Alias
- UMLS CUI [1]
- C0030193
Description
Nausea
Type de données
integer
Alias
- UMLS CUI [1]
- C0027497
Description
Emesis
Type de données
integer
Alias
- UMLS CUI [1]
- C0042963
Description
Dyspnea
Type de données
integer
Alias
- UMLS CUI [1]
- C0013404
Description
Constipation
Type de données
integer
Alias
- UMLS CUI [1]
- C0009806
Description
Weakness
Type de données
integer
Alias
- UMLS CUI [1]
- C3714552
Description
Loss of appetite
Type de données
integer
Alias
- UMLS CUI [1]
- C1971624
Description
Fatigue
Type de données
integer
Alias
- UMLS CUI [1]
- C0015672
Description
Care issues due to lesions/pressure ulcers
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0017313
- UMLS CUI [1,2]
- C0033213
- UMLS CUI [2]
- C0221198
- UMLS CUI [3]
- C0011127
Description
Need for assistance for activities of daily living
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0476651
- UMLS CUI [1,2]
- C0001288
Description
Depressed mood
Type de données
integer
Alias
- UMLS CUI [1]
- C0344315
Description
Anxiety
Type de données
integer
Alias
- UMLS CUI [1]
- C0003467
Description
Stress
Type de données
integer
Alias
- UMLS CUI [1]
- C0038435
Description
Disorientation, confusion
Type de données
integer
Alias
- UMLS CUI [1]
- C0233407
- UMLS CUI [2]
- C0009676
Description
Issues organizing care
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C1822380
Description
Overstrain of family or environment
Type de données
integer
Description
Other issues
Type de données
text
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0205394
Description
Severity of other issue
Type de données
integer
Alias
- UMLS CUI [1]
- C0441982
Description
Comments
Type de données
text
Alias
- UMLS CUI [1]
- C0947611
Description
Reason for visit, treatment goal
Type de données
text
Alias
- UMLS CUI [1]
- C1704447
- UMLS CUI [2]
- C0679840
Description
Medikation bis heute
Description
Non-opioids
Type de données
boolean
Alias
- UMLS CUI [1]
- C3863698
Description
Opioids WHO level 2
Type de données
boolean
Alias
- UMLS CUI [1]
- C0242402
Description
Opioids WHO level 3
Type de données
boolean
Alias
- UMLS CUI [1]
- C0242402
Description
Adjuvant analgesics
Type de données
boolean
Alias
- UMLS CUI [1]
- C1510809
Description
Corticosteroids
Type de données
boolean
Alias
- UMLS CUI [1]
- C0001617
Description
Antidepressants
Type de données
boolean
Alias
- UMLS CUI [1]
- C0003289
Description
Antiemetics
Type de données
boolean
Alias
- UMLS CUI [1]
- C0003297
Description
Neuroleptics
Type de données
boolean
Alias
- UMLS CUI [1]
- C0040615
Description
Sedatives / Anxiolytics
Type de données
boolean
Alias
- UMLS CUI [1]
- C0036557
- UMLS CUI [2]
- C0040616
Description
Stomach protector
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0038351
- UMLS CUI [1,2]
- C0033613
Description
Laxatives
Type de données
boolean
Alias
- UMLS CUI [1]
- C0282090
Description
Antibiotics
Type de données
boolean
Alias
- UMLS CUI [1]
- C0003232
Description
Diuretics
Type de données
boolean
Alias
- UMLS CUI [1]
- C0012798
Description
Cardiaca/Antihypertensive Agents
Type de données
boolean
Alias
- UMLS CUI [1]
- C0007209
- UMLS CUI [2]
- C0003364
Description
Other medication
Type de données
boolean
Alias
- UMLS CUI [1]
- C1115771
Description
Other medication
Type de données
text
Alias
- UMLS CUI [1]
- C1115771
Description
Maßnahmen, Prozeduren, Begleitung
Description
Medication
Type de données
integer
Alias
- UMLS CUI [1]
- C0013227
Description
Palliative sedation
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0344106
- UMLS CUI [1,2]
- C1285530
Description
Feeding
Type de données
integer
Alias
- UMLS CUI [1]
- C2987508
Description
Transfusions
Type de données
boolean
Alias
- UMLS CUI [1]
- C1879316
Description
Pumping system
Type de données
integer
Description
Puncture or drainages
Type de données
integer
Alias
- UMLS CUI [1]
- C0034117
- UMLS CUI [2]
- C0013103
Description
Application or change of
Type de données
integer
Alias
- UMLS CUI [1]
- C0185125
- UMLS CUI [2]
- C0392747
Description
Radiotherapy
Type de données
integer
Alias
- UMLS CUI [1]
- C1522449
Description
Care
Type de données
integer
Alias
- UMLS CUI [1]
- C1947933
Description
Maintenance of catheters
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0024501
- UMLS CUI [1,2]
- C0085590
Description
Tumortherapy
Type de données
integer
Alias
- UMLS CUI [1]
- C0920425
Description
Physiotherapy
Type de données
integer
Alias
- UMLS CUI [1]
- C0949766
Description
Psychotherapy
Type de données
integer
Alias
- UMLS CUI [1]
- C0033968
Description
Surgical procedure
Type de données
boolean
Alias
- UMLS CUI [1]
- C0543467
Description
Diagnostic procedures
Type de données
boolean
Alias
- UMLS CUI [1]
- C0430022
Description
Counseling
Type de données
integer
Alias
- UMLS CUI [1]
- C0010210
Description
Organization of following treatment
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0332282
- UMLS CUI [1,3]
- C1300196
Description
assistance for (grieving) relatives
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0018896
- UMLS CUI [1,2]
- C0080103
- UMLS CUI [1,3]
- C0018235
Description
pastoral care
Type de données
integer
Alias
- UMLS CUI [1]
- C0030643
Description
Other procedures
Type de données
text
Alias
- UMLS CUI [1]
- C0393107
Description
Bewertung der Begleitung
Description
Which issue was solved especially well?
Type de données
text
Alias
- UMLS CUI [1]
- C0033213
Description
Which issue could not be solved sufficiently?
Type de données
text
Alias
- UMLS CUI [1]
- C0033213
Description
Who filled out the file?
Type de données
integer
Alias
- UMLS CUI [1]
- C3273494
Description
Other, who filled out the form
Type de données
text
Alias
- UMLS CUI [1]
- C3273494
Description
Entlassung
Description
Date of discharge/change in assistance/death
Type de données
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
Description
End of therapy
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
Description
Other end of therapy
Type de données
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
- UMLS CUI [1,3]
- C0205394
Description
Discharge to/ treatment ongoing in
Type de données
integer
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Description
Other discharge to / ongoing treatment in
Type de données
text
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Description
Place of death
Type de données
integer
Alias
- UMLS CUI [1]
- C0421611
Description
final evaluation of the team's satisfaction with the medical assistance for the entire treatment
Type de données
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3,1]
- C0087111
- UMLS CUI [3,2]
- C0439751
Description
final evaluation of the team's satisfaction with the medical assistance for the final stage
Type de données
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3]
- C0205088
Similar models
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])