ID

15121

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.

Link

https://www.hope-clara.de/

Keywords

Versions (1)
  1. 5/17/16 5/17/16 -
Copyright Holder

CC BY-NC 3.0

Uploaded on

May 17, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Palliative and Hospice Care Personal Information

German English

Palliative and Hospice Care Personal Information

1 forms  
Patient: Wohnadresse
Description

Patient: Wohnadresse

Name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Vorname
Description

Patient first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsname
Description

Patient birth name

Data type

text

Alias
UMLS CUI [1]
C1549652
Strasse
Description

Street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

Postal code

Data type

text

Alias
UMLS CUI [1]
C0421454
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Patient: Ansprechpartner an Wohnadresse
Description

Patient: Ansprechpartner an Wohnadresse

Ansprechpartner
Description

contact person

Data type

boolean

Alias
UMLS CUI [1]
C0337611
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsname
Description

birth name

Data type

text

Alias
UMLS CUI [1]
C1549652
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Angehörige, Freunde
Description

Angehörige, Freunde

Angehörige, Freunde
Description

relatives or friends

Data type

boolean

Alias
UMLS CUI [1]
C0080103
UMLS CUI [2]
C0079382
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Adresse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Adresse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
betreuender Arzt / Hausarzt
Description

betreuender Arzt / Hausarzt

betreuender Arzt / Hausarzt
Description

doctor in charge / family doctor

Data type

boolean

Alias
UMLS CUI [1]
C0017319
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Ansprechpartner
Description

contact person

Data type

text

Alias
UMLS CUI [1]
C0337611
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Ansprechpartner
Description

contact person

Data type

text

Alias
UMLS CUI [1]
C0337611
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
betreuender Pflegedienst
Description

betreuender Pflegedienst

betreuender Pflegedienst
Description

nursing service

Data type

boolean

Alias
UMLS CUI [1]
C0028697
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Ehrenamtlicher Hospizdienst
Description

Ehrenamtlicher Hospizdienst

Ehrenamtlicher Hospizdienst
Description

voluntary hospice service

Data type

boolean

Alias
UMLS CUI [1,1]
C2919777
UMLS CUI [1,2]
C0439656
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Krankenkasse
Description

Krankenkasse

Alias
UMLS CUI-1
C0021682
Krankenkasse
Description

health insurance

Data type

boolean

Alias
UMLS CUI [1]
C0021682
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Kassennr.
Description

health insurance company number

Data type

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
Versichertennr.
Description

health insurance number

Data type

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
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Similar models

Palliative and Hospice Care Personal Information

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient: Wohnadresse
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Patient first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Patient birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
Street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
Postal code
Item
PLZ
text
C0421454 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
Item Group
Patient: Ansprechpartner an Wohnadresse
contact person
Item
Ansprechpartner
boolean
C0337611 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
Item Group
Angehörige, Freunde
relatives or friends
Item
Angehörige, Freunde
boolean
C0080103 (UMLS CUI [1])
C0079382 (UMLS CUI [2])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Adresse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Adresse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
betreuender Arzt / Hausarzt
doctor in charge / family doctor
Item
betreuender Arzt / Hausarzt
boolean
C0017319 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
contact person
Item
Ansprechpartner
text
C0337611 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
contact person
Item
Ansprechpartner
text
C0337611 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
betreuender Pflegedienst
nursing service
Item
betreuender Pflegedienst
boolean
C0028697 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
Ehrenamtlicher Hospizdienst
voluntary hospice service
Item
Ehrenamtlicher Hospizdienst
boolean
C2919777 (UMLS CUI [1,1])
C0439656 (UMLS CUI [1,2])
name
Item
Name
text
C0027365 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
Krankenkasse
C0021682 (UMLS CUI-1)
health insurance
Item
Krankenkasse
boolean
C0021682 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
health insurance company number
Item
Kassennr.
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
health insurance number
Item
Versichertennr.
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
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