current medication
Item
Current medication has been reviewed, not necessarily required medication has been stopped
boolean
C1553892 (UMLS CUI [1])
medication if needed
Item
subcutaneous medication for the following symptoms has been prescribed if needed according to the existing guidelines
boolean
C0013227 (UMLS CUI [1])
pain - analgesics
Item
pain - analgesics
boolean
C0030193 (UMLS CUI [1])
C0002771 (UMLS CUI [2])
nausea and emesis - antiemetics
Item
nausea and emesis - antiemetics
boolean
C0042963 (UMLS CUI [1])
C0027497 (UMLS CUI [2])
C0003297 (UMLS CUI [3])
agitation - tranquilizers
Item
agitation - tranquilizers
boolean
C0085631 (UMLS CUI [1])
C0040614 (UMLS CUI [2])
bronchial secretion - anticholinergics
Item
bronchial secretion - anticholinergics
boolean
C1511332 (UMLS CUI [1])
C0242896 (UMLS CUI [2])
dyspnea - opioids, anxiolytics
Item
dyspnea - opioids, anxiolytics
boolean
C0013404 (UMLS CUI [1])
C0242402 (UMLS CUI [2])
C0040616 (UMLS CUI [3])
unnecessary procedures
Item
the following unnecessary medical procedures were stopped:
boolean
C0376708 (UMLS CUI [1])
Item
blood withdrawal
integer
C0005834 (UMLS CUI [1])
Code List
blood withdrawal
CL Item
not necessary (1)
Item
antibiotics
integer
C0003232 (UMLS CUI [1])
CL Item
not necessary (1)
Item
intravenous (liquids/medications)
integer
C0348016 (UMLS CUI [1])
Code List
intravenous (liquids/medications)
CL Item
not necessary (1)
cardiopulmonary resuscitation
Item
cardiopulmonary resuscitation
boolean
C0007203 (UMLS CUI [1])
unnecessary nursing procedures
Item
unnecessary nursing procedures were stopped
boolean
C0376708 (UMLS CUI [1,1])
C0204636 (UMLS CUI [1,2])
Item
subcutaneous syringe pump was started 4 hours at most after doctor's instruction
integer
C0181332 (UMLS CUI [1,1])
C0443315 (UMLS CUI [1,2])
C0040223 (UMLS CUI [2])
Code List
subcutaneous syringe pump was started 4 hours at most after doctor's instruction
CL Item
not necessary (1)
Item
the patient's ability to communicate in German was assessed as adequate
integer
C0017477 (UMLS CUI [1,1])
C0009452 (UMLS CUI [1,2])
C0205411 (UMLS CUI [1,3])
Code List
the patient's ability to communicate in German was assessed as adequate
family's ability to communicate in German
Item
the patient's family's / other people's ability to communicate in German was assessed as adequate
boolean
C0017477 (UMLS CUI [1,1])
C0009452 (UMLS CUI [1,2])
C0205411 (UMLS CUI [1,3])
Item
patient awareness of the diagnosis
integer
C0004448 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Code List
patient awareness of the diagnosis
family/other awareness of the diagnosis
Item
family/other awareness of the diagnosis
boolean
C0004448 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
Item
patient awareness of dying
integer
C0004448 (UMLS CUI [1,1])
C0184532 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Code List
patient awareness of dying
family/other awareness of dying
Item
family/other awareness of dying
boolean
C0004448 (UMLS CUI [1,1])
C0184532 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
Item
Patient defined religious/spiritual needs
integer
C0027552 (UMLS CUI [1,1])
C0150355 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Code List
Patient defined religious/spiritual needs
family/others defined religious/spiritual needs
Item
family/others defined religious/spiritual needs
boolean
C0027552 (UMLS CUI [1,1])
C0150355 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
information about patient death
Item
it was settled how the family/other people close to the patient should be informed about the patient's death
boolean
C1306577 (UMLS CUI [1,1])
C1533716 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
information about important matters
Item
the family/other people close to the patient received information about the following matters: drive and parking, lodging, drinks, phone, lavatories and toilets, visiting hours, other important information
boolean
C1533716 (UMLS CUI [1])
C0030566 (UMLS CUI [2])
C1556029 (UMLS CUI [3])
C0452428 (UMLS CUI [4])
C0039457 (UMLS CUI [5])
C0558278 (UMLS CUI [6])
C0040364 (UMLS CUI [7])
C1547409 (UMLS CUI [8])
general practitioner informed about current state
Item
general practitioner was informed about the patient's current state
boolean
C0017319 (UMLS CUI [1])
C3166194 (UMLS CUI [2])
C1533716 (UMLS CUI [3])
Item
the care plan was explained and discussed with the patient
integer
C0178916 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Code List
the care plan was explained and discussed with the patient
care plan explained to family/other people
Item
the care plan was explained and discussed with the family/other people
boolean
C0178916 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])
C0015576 (UMLS CUI [1,3])
family/other people confirmed understanding of care plan
Item
the family/other people close to the patient confirmed that they understood the care plan
boolean
C0015576 (UMLS CUI [1,1])
C0750484 (UMLS CUI [1,2])
C0162340 (UMLS CUI [1,3])
C0178916 (UMLS CUI [1,4])
general practitioner was informed about the patients death
Item
general practitioner was informed about the patient's death
boolean
C0017319 (UMLS CUI [1,1])
C1522154 (UMLS CUI [1,2])
C1306577 (UMLS CUI [1,3])
laying-out procedures
Item
procedures for the laying-out were performed according to the in-house regulations
boolean
C2700391 (UMLS CUI [1])
procedures after death
Item
procedures after death were discussed or performed
boolean
C2700391 (UMLS CUI [1,1])
C1306577 (UMLS CUI [1,2])
infectious disease
Item
patient suffered from an infectious disease
boolean
C0009450 (UMLS CUI [1])
special needs regarding religious rituals
Item
patient had special needs regarding religious rituals
boolean
C0871403 (UMLS CUI [1,1])
C0237841 (UMLS CUI [1,2])
autopsy
Item
autopsy was clarified
boolean
C0004398 (UMLS CUI [1])
information about procedures in hospital
Item
family/other people close to the patient were informed about the procedures in the hospital
boolean
C2700391 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C1533716 (UMLS CUI [2])
C0015576 (UMLS CUI [3])
articles of value and patient belongings
Item
hospital guidelines regarding articles of value and patient's belongings were followed
boolean
C0162791 (UMLS CUI [1])
C2347695 (UMLS CUI [2])
documentation and references
Item
necessary documentation and references were passed on to the respective person
boolean
C0920316 (UMLS CUI [1])
C0586393 (UMLS CUI [2])
brochure with information about grieving process
Item
brochure with information about grieving process was handed out
boolean
C0949917 (UMLS CUI [1,1])
C0018235 (UMLS CUI [1,2])
symptom assessment
Item
Were the following symptoms frequently (meaning every 4 hours or at each patient contact) assessed?
boolean
C3494437 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
pain
Item
pain
boolean
C0030193 (UMLS CUI [1])
agitation
Item
agitation
boolean
C0085631 (UMLS CUI [1])
bronchial secretion
Item
bronchial secretion
boolean
C1511332 (UMLS CUI [1])
nausea / emesis
Item
nausea / emesis
boolean
C0027497 (UMLS CUI [1])
C0042963 (UMLS CUI [2])
dyspnea
Item
dyspnea
boolean
C0013404 (UMLS CUI [1])
frequency of medical or nursing procedures
Item
were the following medical or nursing procedures frequently (meaning every 4 hours or at every patient contact) performed or assessed?
boolean
C0199171 (UMLS CUI [1])
C0204636 (UMLS CUI [2])
C0439603 (UMLS CUI [3])
oral hygiene
Item
oral hygiene
boolean
C0029164 (UMLS CUI [1])
urinary excretion
Item
urinary excretion
boolean
C0042034 (UMLS CUI [1])
Item
all medication was applied safely and precisely
integer
C0013227 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Code List
all medication was applied safely and precisely
CL Item
not necessary (1)
Item
subcutaneous syringe pump
integer
C0181332 (UMLS CUI [1,1])
C0443315 (UMLS CUI [1,2])
Code List
subcutaneous syringe pump
CL Item
not necessary (1)
defecation
Item
defecation
boolean
C0011135 (UMLS CUI [1])