ID
14645
Beschrijving
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
Trefwoorden
Versies (1)
- 25-04-16 25-04-16 -
Houder van rechten
CC BY-NC 3.0
Geüploaded op
25 april 2016
DOI
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Licentie
Creative Commons BY-NC 3.0
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Palliative and Hospice Care Baseline Form
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
Beschrijving
Medizinische Basisinformationen
Beschrijving
specialized ambulatory palliative care request
Datatype
integer
Beschrijving
Agreement and submitted form
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0680240
- UMLS CUI [1,2]
- C1515023
Beschrijving
Care level
Datatype
integer
Alias
- UMLS CUI [1]
- C1547668
Beschrijving
Main diagnosis and other diagnoses or problems
Datatype
integer
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
- UMLS CUI [3]
- C0870733
Beschrijving
Main diagnosis and other diagnoses/problems
Datatype
text
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
Beschrijving
Date of diagnosis
Datatype
date
Alias
- UMLS CUI [1]
- C2316983
Beschrijving
Metastases
Datatype
integer
Alias
- UMLS CUI [1]
- C0027627
Beschrijving
Other location of metastases
Datatype
text
Alias
- UMLS CUI [1,1]
- C0027627
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0205394
Beschrijving
Previous treatment / assistance
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0025070
- UMLS CUI [1,3]
- C0205156
Beschrijving
ECOG status
Datatype
integer
Alias
- UMLS CUI [1]
- C1520224
Beschrijving
Barthel Index
Datatype
integer
Maateenheden
- points
Alias
- UMLS CUI [1]
- C0451019
Beschrijving
Medizinische Probleme
Beschrijving
Date of collection of the patient's medical issues
Datatype
date
Alias
- UMLS CUI [1,1]
- C1516698
- UMLS CUI [1,2]
- C0011008
- UMLS CUI [2,1]
- C0033213
- UMLS CUI [2,2]
- C0205476
Beschrijving
Pain
Datatype
integer
Alias
- UMLS CUI [1]
- C0030193
Beschrijving
Nausea
Datatype
integer
Alias
- UMLS CUI [1]
- C0027497
Beschrijving
Emesis
Datatype
integer
Alias
- UMLS CUI [1]
- C0042963
Beschrijving
Dyspnea
Datatype
integer
Alias
- UMLS CUI [1]
- C0013404
Beschrijving
Constipation
Datatype
integer
Alias
- UMLS CUI [1]
- C0009806
Beschrijving
Weakness
Datatype
integer
Alias
- UMLS CUI [1]
- C3714552
Beschrijving
Loss of appetite
Datatype
integer
Alias
- UMLS CUI [1]
- C1971624
Beschrijving
Fatigue
Datatype
integer
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Care issues due to lesions/pressure ulcers
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0017313
- UMLS CUI [1,2]
- C0033213
- UMLS CUI [2]
- C0221198
- UMLS CUI [3]
- C0011127
Beschrijving
Need for assistance for activities of daily living
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0476651
- UMLS CUI [1,2]
- C0001288
Beschrijving
Depressed mood
Datatype
integer
Alias
- UMLS CUI [1]
- C0344315
Beschrijving
Anxiety
Datatype
integer
Alias
- UMLS CUI [1]
- C0003467
Beschrijving
Stress
Datatype
integer
Alias
- UMLS CUI [1]
- C0038435
Beschrijving
Disorientation, confusion
Datatype
integer
Alias
- UMLS CUI [1]
- C0233407
- UMLS CUI [2]
- C0009676
Beschrijving
Issues organizing care
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C1822380
Beschrijving
Overstrain of family or environment
Datatype
integer
Beschrijving
Other issues
Datatype
text
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0205394
Beschrijving
Severity of other issue
Datatype
integer
Alias
- UMLS CUI [1]
- C0441982
Beschrijving
Comments
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
Reason for visit, treatment goal
Datatype
text
Alias
- UMLS CUI [1]
- C1704447
- UMLS CUI [2]
- C0679840
Beschrijving
Medikation bis heute
Beschrijving
Non-opioids
Datatype
boolean
Alias
- UMLS CUI [1]
- C3863698
Beschrijving
Opioids WHO level 2
Datatype
boolean
Alias
- UMLS CUI [1]
- C0242402
Beschrijving
Opioids WHO level 3
Datatype
boolean
Alias
- UMLS CUI [1]
- C0242402
Beschrijving
Adjuvant analgesics
Datatype
boolean
Alias
- UMLS CUI [1]
- C1510809
Beschrijving
Corticosteroids
Datatype
boolean
Alias
- UMLS CUI [1]
- C0001617
Beschrijving
Antidepressants
Datatype
boolean
Alias
- UMLS CUI [1]
- C0003289
Beschrijving
Antiemetics
Datatype
boolean
Alias
- UMLS CUI [1]
- C0003297
Beschrijving
Neuroleptics
Datatype
boolean
Alias
- UMLS CUI [1]
- C0040615
Beschrijving
Sedatives / Anxiolytics
Datatype
boolean
Alias
- UMLS CUI [1]
- C0036557
- UMLS CUI [2]
- C0040616
Beschrijving
Stomach protector
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0038351
- UMLS CUI [1,2]
- C0033613
Beschrijving
Laxatives
Datatype
boolean
Alias
- UMLS CUI [1]
- C0282090
Beschrijving
Antibiotics
Datatype
boolean
Alias
- UMLS CUI [1]
- C0003232
Beschrijving
Diuretics
Datatype
boolean
Alias
- UMLS CUI [1]
- C0012798
Beschrijving
Cardiaca/Antihypertensive Agents
Datatype
boolean
Alias
- UMLS CUI [1]
- C0007209
- UMLS CUI [2]
- C0003364
Beschrijving
Other medication
Datatype
boolean
Alias
- UMLS CUI [1]
- C1115771
Beschrijving
Other medication
Datatype
text
Alias
- UMLS CUI [1]
- C1115771
Beschrijving
Maßnahmen, Prozeduren, Begleitung
Beschrijving
Medication
Datatype
integer
Alias
- UMLS CUI [1]
- C0013227
Beschrijving
Palliative sedation
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0344106
- UMLS CUI [1,2]
- C1285530
Beschrijving
Feeding
Datatype
integer
Alias
- UMLS CUI [1]
- C2987508
Beschrijving
Transfusions
Datatype
boolean
Alias
- UMLS CUI [1]
- C1879316
Beschrijving
Pumping system
Datatype
integer
Beschrijving
Puncture or drainages
Datatype
integer
Alias
- UMLS CUI [1]
- C0034117
- UMLS CUI [2]
- C0013103
Beschrijving
Application or change of
Datatype
integer
Alias
- UMLS CUI [1]
- C0185125
- UMLS CUI [2]
- C0392747
Beschrijving
Radiotherapy
Datatype
integer
Alias
- UMLS CUI [1]
- C1522449
Beschrijving
Care
Datatype
integer
Alias
- UMLS CUI [1]
- C1947933
Beschrijving
Maintenance of catheters
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0024501
- UMLS CUI [1,2]
- C0085590
Beschrijving
Tumortherapy
Datatype
integer
Alias
- UMLS CUI [1]
- C0920425
Beschrijving
Physiotherapy
Datatype
integer
Alias
- UMLS CUI [1]
- C0949766
Beschrijving
Psychotherapy
Datatype
integer
Alias
- UMLS CUI [1]
- C0033968
Beschrijving
Surgical procedure
Datatype
boolean
Alias
- UMLS CUI [1]
- C0543467
Beschrijving
Diagnostic procedures
Datatype
boolean
Alias
- UMLS CUI [1]
- C0430022
Beschrijving
Counseling
Datatype
integer
Alias
- UMLS CUI [1]
- C0010210
Beschrijving
Organization of following treatment
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0332282
- UMLS CUI [1,3]
- C1300196
Beschrijving
assistance for (grieving) relatives
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0018896
- UMLS CUI [1,2]
- C0080103
- UMLS CUI [1,3]
- C0018235
Beschrijving
pastoral care
Datatype
integer
Alias
- UMLS CUI [1]
- C0030643
Beschrijving
Other procedures
Datatype
text
Alias
- UMLS CUI [1]
- C0393107
Beschrijving
Bewertung der Begleitung
Beschrijving
Which issue was solved especially well?
Datatype
text
Alias
- UMLS CUI [1]
- C0033213
Beschrijving
Which issue could not be solved sufficiently?
Datatype
text
Alias
- UMLS CUI [1]
- C0033213
Beschrijving
Who filled out the file?
Datatype
integer
Alias
- UMLS CUI [1]
- C3273494
Beschrijving
Other, who filled out the form
Datatype
text
Alias
- UMLS CUI [1]
- C3273494
Beschrijving
Entlassung
Beschrijving
Date of discharge/change in assistance/death
Datatype
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
Beschrijving
End of therapy
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
Beschrijving
Other end of therapy
Datatype
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
- UMLS CUI [1,3]
- C0205394
Beschrijving
Discharge to/ treatment ongoing in
Datatype
integer
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beschrijving
Other discharge to / ongoing treatment in
Datatype
text
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beschrijving
Place of death
Datatype
integer
Alias
- UMLS CUI [1]
- C0421611
Beschrijving
final evaluation of the team's satisfaction with the medical assistance for the entire treatment
Datatype
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3,1]
- C0087111
- UMLS CUI [3,2]
- C0439751
Beschrijving
final evaluation of the team's satisfaction with the medical assistance for the final stage
Datatype
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])