ID

15307

Descrição

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/

Palavras-chave

  1. 26/05/2016 26/05/2016 -
  2. 20/09/2021 20/09/2021 -
Titular dos direitos

CC BY-NC 3.0

Transferido a

26 de maio de 2016

DOI

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Licença

Creative Commons BY-NC 3.0

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Palliative and Hospice Care Liverpool Care Pathway Short Version

Palliative and Hospice Care Liverpool Care Pathway Short Version

Main diagnosis
Descrição

Main diagnosis

Alias
UMLS CUI-1
C0011900
Main diagnosis
Descrição

Main diagnosis

Tipo de dados

text

Alias
UMLS CUI [1]
C0011900
Initial status
Descrição

Initial status

Current medication has been reviewed, not necessarily required medication has been stopped
Descrição

current medication

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1553892
subcutaneous medication for the following symptoms has been prescribed if needed according to the existing guidelines
Descrição

medication if needed

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0013227
pain - analgesics
Descrição

pain - analgesics

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0030193
UMLS CUI [2]
C0002771
nausea and emesis - antiemetics
Descrição

nausea and emesis - antiemetics

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0042963
UMLS CUI [2]
C0027497
UMLS CUI [3]
C0003297
agitation - tranquilizers
Descrição

agitation - tranquilizers

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0085631
UMLS CUI [2]
C0040614
bronchial secretion - anticholinergics
Descrição

bronchial secretion - anticholinergics

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1511332
UMLS CUI [2]
C0242896
dyspnea - opioids, anxiolytics
Descrição

dyspnea - opioids, anxiolytics

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0013404
UMLS CUI [2]
C0242402
UMLS CUI [3]
C0040616
the following unnecessary medical procedures were stopped:
Descrição

unnecessary procedures

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0376708
blood withdrawal
Descrição

blood withdrawal

Tipo de dados

integer

Alias
UMLS CUI [1]
C0005834
antibiotics
Descrição

antibiotics

Tipo de dados

integer

Alias
UMLS CUI [1]
C0003232
intravenous (liquids/medications)
Descrição

intravenous

Tipo de dados

integer

Alias
UMLS CUI [1]
C0348016
cardiopulmonary resuscitation
Descrição

cardiopulmonary resuscitation

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0007203
unnecessary nursing procedures were stopped
Descrição

unnecessary nursing procedures

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0376708
UMLS CUI [1,2]
C0204636
subcutaneous syringe pump was started 4 hours at most after doctor's instruction
Descrição

subcutaneous syringe pump

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0181332
UMLS CUI [1,2]
C0443315
UMLS CUI [2]
C0040223
Psychological insight
Descrição

Psychological insight

the patient's ability to communicate in German was assessed as adequate
Descrição

adequate communication in German

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0017477
UMLS CUI [1,2]
C0009452
UMLS CUI [1,3]
C0205411
the patient's family's / other people's ability to communicate in German was assessed as adequate
Descrição

family's ability to communicate in German

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0017477
UMLS CUI [1,2]
C0009452
UMLS CUI [1,3]
C0205411
patient awareness of the diagnosis
Descrição

patient awareness of the diagnosis

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0004448
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0030705
family/other awareness of the diagnosis
Descrição

family/other awareness of the diagnosis

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0004448
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0015576
patient awareness of dying
Descrição

patient awareness of dying

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0004448
UMLS CUI [1,2]
C0184532
UMLS CUI [1,3]
C0030705
family/other awareness of dying
Descrição

family/other awareness of dying

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0004448
UMLS CUI [1,2]
C0184532
UMLS CUI [1,3]
C0015576
Religious/spiritual assistance
Descrição

Religious/spiritual assistance

Patient defined religious/spiritual needs
Descrição

Patient defined religious/spiritual needs

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0027552
UMLS CUI [1,2]
C0150355
UMLS CUI [1,3]
C0030705
family/others defined religious/spiritual needs
Descrição

family/others defined religious/spiritual needs

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0027552
UMLS CUI [1,2]
C0150355
UMLS CUI [1,3]
C0015576
Communication between family/others and nursing team
Descrição

Communication between family/others and nursing team

it was settled how the family/other people close to the patient should be informed about the patient's death
Descrição

information about patient death

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1306577
UMLS CUI [1,2]
C1533716
UMLS CUI [1,3]
C0015576
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
Descrição

information about important matters

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1533716
UMLS CUI [2]
C0030566
UMLS CUI [3]
C1556029
UMLS CUI [4]
C0452428
UMLS CUI [5]
C0039457
UMLS CUI [6]
C0558278
UMLS CUI [7]
C0040364
UMLS CUI [8]
C1547409
general practitioner was informed about the patient's current state
Descrição

general practitioner informed about current state

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0017319
UMLS CUI [2]
C3166194
UMLS CUI [3]
C1533716
the care plan was explained and discussed with the patient
Descrição

care plan explained to patient

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0178916
UMLS CUI [1,2]
C0681841
UMLS CUI [1,3]
C0030705
the care plan was explained and discussed with the family/other people
Descrição

care plan explained to family/other people

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0178916
UMLS CUI [1,2]
C0681841
UMLS CUI [1,3]
C0015576
the family/other people close to the patient confirmed that they understood the care plan
Descrição

family/other people confirmed understanding of care plan

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0015576
UMLS CUI [1,2]
C0750484
UMLS CUI [1,3]
C0162340
UMLS CUI [1,4]
C0178916
assistance after death
Descrição

assistance after death

general practitioner was informed about the patient's death
Descrição

general practitioner was informed about the patients death

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0017319
UMLS CUI [1,2]
C1522154
UMLS CUI [1,3]
C1306577
procedures for the laying-out were performed according to the in-house regulations
Descrição

laying-out procedures

Tipo de dados

boolean

Alias
UMLS CUI [1]
C2700391
procedures after death were discussed or performed
Descrição

procedures after death

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C2700391
UMLS CUI [1,2]
C1306577
patient suffered from an infectious disease
Descrição

infectious disease

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0009450
patient had special needs regarding religious rituals
Descrição

special needs regarding religious rituals

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0871403
UMLS CUI [1,2]
C0237841
autopsy was clarified
Descrição

autopsy

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0004398
family/other people close to the patient were informed about the procedures in the hospital
Descrição

information about procedures in hospital

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C2700391
UMLS CUI [1,2]
C0019994
UMLS CUI [2]
C1533716
UMLS CUI [3]
C0015576
hospital guidelines regarding articles of value and patient's belongings were followed
Descrição

articles of value and patient belongings

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0162791
UMLS CUI [2]
C2347695
necessary documentation and references were passed on to the respective person
Descrição

documentation and references

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0920316
UMLS CUI [2]
C0586393
brochure with information about grieving process was handed out
Descrição

brochure with information about grieving process

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0949917
UMLS CUI [1,2]
C0018235
Documentation
Descrição

Documentation

Alias
UMLS CUI-1
C0920316
Were the following symptoms frequently (meaning every 4 hours or at each patient contact) assessed?
Descrição

symptom assessment

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C3494437
UMLS CUI [1,2]
C0439603
pain
Descrição

pain

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0030193
agitation
Descrição

agitation

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0085631
bronchial secretion
Descrição

bronchial secretion

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1511332
nausea / emesis
Descrição

nausea / emesis

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0027497
UMLS CUI [2]
C0042963
dyspnea
Descrição

dyspnea

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0013404
were the following medical or nursing procedures frequently (meaning every 4 hours or at every patient contact) performed or assessed?
Descrição

frequency of medical or nursing procedures

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0199171
UMLS CUI [2]
C0204636
UMLS CUI [3]
C0439603
oral hygiene
Descrição

oral hygiene

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0029164
urinary excretion
Descrição

urinary excretion

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0042034
all medication was applied safely and precisely
Descrição

medication application

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0185125
subcutaneous syringe pump
Descrição

subcutaneous syringe pump

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0181332
UMLS CUI [1,2]
C0443315
defecation
Descrição

defecation

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0011135
Comments
Descrição

Comments

Alias
UMLS CUI-1
C0947611
comments
Descrição

comments

Tipo de dados

text

Alias
UMLS CUI [1]
C0947611

Similar models

Palliative and Hospice Care Liverpool Care Pathway Short Version

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Main diagnosis
C0011900 (UMLS CUI-1)
Main diagnosis
Item
Main diagnosis
text
C0011900 (UMLS CUI [1])
Item Group
Initial status
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)
CL Item
yes (2)
CL Item
no (3)
Item
antibiotics
integer
C0003232 (UMLS CUI [1])
Code List
antibiotics
CL Item
not necessary (1)
CL Item
yes (2)
CL Item
no (3)
Item
intravenous (liquids/medications)
integer
C0348016 (UMLS CUI [1])
Code List
intravenous (liquids/medications)
CL Item
not necessary (1)
CL Item
yes (2)
CL Item
no (3)
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)
CL Item
yes (2)
CL Item
no (3)
Item Group
Psychological insight
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
CL Item
comatose (1)
CL Item
yes (2)
CL Item
no (3)
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
CL Item
comatose (1)
CL Item
yes (2)
CL Item
no (3)
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
CL Item
comatose (1)
CL Item
yes (2)
CL Item
no (3)
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 Group
Religious/spiritual assistance
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
CL Item
comatose (1)
CL Item
yes (2)
CL Item
no (3)
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])
Item Group
Communication between family/others and nursing team
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
CL Item
comatose (1)
CL Item
yes (2)
CL Item
no (3)
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])
Item Group
assistance after death
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])
Item Group
Documentation
C0920316 (UMLS CUI-1)
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)
CL Item
yes (2)
CL Item
no (3)
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)
CL Item
yes (2)
CL Item
no (3)
defecation
Item
defecation
boolean
C0011135 (UMLS CUI [1])
Item Group
Comments
C0947611 (UMLS CUI-1)
comments
Item
comments
text
C0947611 (UMLS CUI [1])

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