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Palliative and Hospice Care Prognosis

1 Formulieren  
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Basis documentation No.
Beschrijving

basis documentation number

Datatype

integer

1. IDNR
Beschrijving

IDNR

Datatype

text

Alias
UMLS CUI [1]
C1549734
13. Date
Beschrijving

date

Datatype

date

Alias
UMLS CUI [1]
C2985720
PR1. Palliative Prognostic Score (PAP-S)
Beschrijving

PR1. Palliative Prognostic Score (PAP-S)

Dyspnea
Beschrijving

dyspnea

Datatype

boolean

Alias
UMLS CUI [1]
C0013404
Score
Beschrijving

dyspnea score

Datatype

float

Alias
UMLS CUI [1,1]
C0449820
UMLS CUI [1,2]
C0013404
Anorexia
Beschrijving

anorexia

Datatype

boolean

Alias
UMLS CUI [1]
C0003123
Score
Beschrijving

anorexia score

Datatype

text

Alias
UMLS CUI [1,1]
C0449820
UMLS CUI [1,2]
C0003123
PR2. Karnofsky Performance Status
Beschrijving

PR2. Karnofsky Performance Status

Alias
UMLS CUI-1
C0206065
No complaints; no evidence of disease - 100% Able to carry on normal activity; minor signs or symptoms of disease - 90% Normal activity with effort; some signs or symptoms of disease - 80% Cares for self; unable to carry on normal activity or to do active work - 70% Requires occasional assistance but is able to care for most personal needs - 60% Requires considerable assistance and frequent medical care - 50% Disabled; requires special care and assistance - 40% Severely disabled; hospital admission indicated although death not imminent - 30%
Beschrijving

Score 0

Datatype

integer

Alias
UMLS CUI [1]
C0206065
Very sick; hospital admission necessary; active supportive treatment necessary - 20% Moribund; fatal processes progressing rapidly - 10% Dead - 0%
Beschrijving

Score 2,5

Datatype

integer

Alias
UMLS CUI [1]
C0206065
Score
Beschrijving

KI total score

Datatype

float

Alias
UMLS CUI [1,1]
C0206065
UMLS CUI [1,2]
C0449820
PR3. Clinical prognosis of survival
Beschrijving

PR3. Clinical prognosis of survival

Clinical prognosis of survival
Beschrijving

clinical prognosis of survival

Datatype

text

Alias
UMLS CUI [1,1]
C0033325
UMLS CUI [1,2]
C2919552
Score
Beschrijving

clinical prognosis score

Datatype

float

Alias
UMLS CUI [1,1]
C0449820
UMLS CUI [1,2]
C0033325
UMLS CUI [1,3]
C2919552
PR4. Hemogram
Beschrijving

PR4. Hemogram

Leucocytes
Beschrijving

WBC

Datatype

text

Alias
UMLS CUI [1]
C0023508
Score
Beschrijving

WBC score

Datatype

float

Alias
UMLS CUI [1,1]
C0449820
UMLS CUI [1,2]
C0023508
Lymphocytes
Beschrijving

lymphocytes

Datatype

text

Alias
UMLS CUI [1]
C0024264
Score
Beschrijving

lymphocytes score

Datatype

float

Alias
UMLS CUI [1,1]
C0024264
UMLS CUI [1,2]
C0024264
PaP Score (maximal 17.5 Points)
Beschrijving

PaP Score (maximal 17.5 Points)

PaP Score
Beschrijving

PaP score

Datatype

float

PR5. Palliative Performance Scale
Beschrijving

PR5. Palliative Performance Scale

PPS 60%-100% Score 0
Beschrijving

Ambulation: Full Activity & Evidence of Disease: Normal activity & work No evidence of disease Self Care: Full Intake: Normal Conscious Level: Full 100% Ambulation: Full Activity & Evidence of Disease: Normal activity & work Some evidence of disease Self Care: Full Intake: Normal Conscious Level: Full 90% Ambulation: Full Activity & Evidence of Disease: Normal activity with effort Some evidence of disease Self Care: Full Intake: Normal or reduced Conscious Level: Full 80% Ambulation: Reduced Activity & Evidence of Disease: Normal activity with effort Some evidence of disease Self Care: Full Intake: Normal or reduced Conscious Level: Full 70% Ambulation: Reduced Activity & Evidence of Disease: Unable hobby/house work Significant disease Self Care: Occasional assistance necessary Intake: Normal or reduced Conscious Level: Full or confusion 60%

Datatype

boolean

PPS 30%-50% Score 2,5
Beschrijving

Ambulation: Mainly Sit/Lie Activity & Evidence of Disease: Unable to do any work Extensive disease Self Care: Considerable assistance required Intake: Normal or reduced Conscious Level: Full or confusion 50% Ambulation: Mainly in Bed Activity & Evidence of Disease: Unable to do most activity Extensive disease Self Care: Mainly assistance Intake: Normal or reduced Conscious Level: Full or Drowsy +/- Confusion 40% Ambulation: Totally Bed Bound Activity & Evidence of Disease: Unable to do any activity Extensive disease Self Care: Total Care Intake: Normal or reduced Conscious Level: Full or Drowsy +/- Confusion 30%

Datatype

boolean

PPS 10%-20% Score 4
Beschrijving

Ambulation: Totally Bed Bound Activity & Evidence of Disease: Unable to do any activity Extensive disease Self Care: Total Care Intake: Minimal to sips Conscious Level: Full or Drowsy +/- Confusion 20% Ambulation: Totally Bed Bound Activity & Evidence of Disease: Unable to do any activity Extensive disease Self Care: Total Care Intake: Mouth care only Conscious Level: Full or Drowsy +/- Confusion 10%

Datatype

boolean

PPS 0%
Beschrijving

Ambulation: Death 0%

Datatype

boolean

Life expectancy of 6 months 10% in case of < 50% PPS
Beschrijving

life expectancy

Datatype

boolean

Alias
UMLS CUI [1]
C3845482
Total Score PPS
Beschrijving

total score PPS

Datatype

float

Alias
UMLS CUI [1]
C2964552
PR6. Oral Intake
Beschrijving

PR6. Oral Intake

Oral intake: Normal Score: 0
Beschrijving

normal oral intake

Datatype

boolean

Alias
UMLS CUI [1,1]
C0518037
UMLS CUI [1,2]
C0205307
Oral intake: Sligthly reduced (> entire mouth) Score: 1
Beschrijving

slightly reduced oral intake

Datatype

boolean

Alias
UMLS CUI [1,1]
C0518037
UMLS CUI [1,2]
C0392756
UMLS CUI [1,3]
C0750482
Oral intake: Clearly reduced (<= entire mouth) Score: 2,5
Beschrijving

clearly reduced oral intake

Datatype

boolean

Alias
UMLS CUI [1,1]
C0518037
UMLS CUI [1,2]
C0392756
Total Score:
Beschrijving

total score oral intake

Datatype

float

Alias
UMLS CUI [1,1]
C0518037
UMLS CUI [1,2]
C2964552
PR7. Symptoms
Beschrijving

PR7. Symptoms

Edema
Beschrijving

edema

Datatype

boolean

Alias
UMLS CUI [1]
C0013604
Shortness of breath at rest
Beschrijving

shortness of breath

Datatype

boolean

Alias
UMLS CUI [1]
C0748649
Delir
Beschrijving

delir

Datatype

boolean

Alias
UMLS CUI [1]
C0011206
Palliative Prognostic Index
Beschrijving

Palliative Prognostic Index

Palliative Prognostic Index (maximal 15 Points)
Beschrijving

Life expectancy of 3 weeks 20%: >6 points Life expectancy of 6 weeks 20%: >4 points

Datatype

float

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Similar models

Palliative and Hospice Care Prognosis

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
basis documentation number
Item
Basis documentation No.
integer
IDNR
Item
1. IDNR
text
C1549734 (UMLS CUI [1])
date
Item
13. Date
date
C2985720 (UMLS CUI [1])
Item Group
PR1. Palliative Prognostic Score (PAP-S)
dyspnea
Item
Dyspnea
boolean
C0013404 (UMLS CUI [1])
dyspnea score
Item
Score
float
C0449820 (UMLS CUI [1,1])
C0013404 (UMLS CUI [1,2])
anorexia
Item
Anorexia
boolean
C0003123 (UMLS CUI [1])
anorexia score
Item
Score
text
C0449820 (UMLS CUI [1,1])
C0003123 (UMLS CUI [1,2])
Item Group
PR2. Karnofsky Performance Status
C0206065 (UMLS CUI-1)
Item
No complaints; no evidence of disease - 100% Able to carry on normal activity; minor signs or symptoms of disease - 90% Normal activity with effort; some signs or symptoms of disease - 80% Cares for self; unable to carry on normal activity or to do active work - 70% Requires occasional assistance but is able to care for most personal needs - 60% Requires considerable assistance and frequent medical care - 50% Disabled; requires special care and assistance - 40% Severely disabled; hospital admission indicated although death not imminent - 30%
integer
C0206065 (UMLS CUI [1])
KI100-KI30
Code List
No complaints; no evidence of disease - 100% Able to carry on normal activity; minor signs or symptoms of disease - 90% Normal activity with effort; some signs or symptoms of disease - 80% Cares for self; unable to carry on normal activity or to do active work - 70% Requires occasional assistance but is able to care for most personal needs - 60% Requires considerable assistance and frequent medical care - 50% Disabled; requires special care and assistance - 40% Severely disabled; hospital admission indicated although death not imminent - 30%
CL Item
0 (1)
Item
Very sick; hospital admission necessary; active supportive treatment necessary - 20% Moribund; fatal processes progressing rapidly - 10% Dead - 0%
integer
C0206065 (UMLS CUI [1])
KI20-0
Code List
Very sick; hospital admission necessary; active supportive treatment necessary - 20% Moribund; fatal processes progressing rapidly - 10% Dead - 0%
CL Item
2.5 (1)
KI total score
Item
Score
float
C0206065 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Item Group
PR3. Clinical prognosis of survival
Item
Clinical prognosis of survival
text
C0033325 (UMLS CUI [1,1])
C2919552 (UMLS CUI [1,2])
clinical prognosis of survival
Code List
Clinical prognosis of survival
CL Item
>12 weeks (>12 weeks)
CL Item
11-12 weeks (11-12 weeks)
CL Item
9-10 weeks (9-10 weeks)
CL Item
7-8 weeks (7-8 weeks)
CL Item
5-6 weeks (5-6 weeks)
CL Item
3-4 weeks (3-4 weeks)
CL Item
1-2 weeks (1-2 weeks)
clinical prognosis score
Item
Score
float
C0449820 (UMLS CUI [1,1])
C0033325 (UMLS CUI [1,2])
C2919552 (UMLS CUI [1,3])
Item Group
PR4. Hemogram
Item
Leucocytes
text
C0023508 (UMLS CUI [1])
WBC
Code List
Leucocytes
CL Item
4800-8500 (4800-8500)
CL Item
8500-11000 (8500-11000)
CL Item
>11000 (>11000)
WBC score
Item
Score
float
C0449820 (UMLS CUI [1,1])
C0023508 (UMLS CUI [1,2])
Item
Lymphocytes
text
C0024264 (UMLS CUI [1])
lymphocytes
Code List
Lymphocytes
CL Item
20-40%  (20-40% )
CL Item
12-19,9% (12-19,9%)
CL Item
<11,9% (<11,9%)
lymphocytes score
Item
Score
float
C0024264 (UMLS CUI [1,1])
C0024264 (UMLS CUI [1,2])
Item Group
PaP Score (maximal 17.5 Points)
PaP score
Item
PaP Score
float
Item Group
PR5. Palliative Performance Scale
PPS60-100
Item
PPS 60%-100% Score 0
boolean
PPS50-30
Item
PPS 30%-50% Score 2,5
boolean
PPS20-10
Item
PPS 10%-20% Score 4
boolean
PPS0
Item
PPS 0%
boolean
life expectancy
Item
Life expectancy of 6 months 10% in case of < 50% PPS
boolean
C3845482 (UMLS CUI [1])
total score PPS
Item
Total Score PPS
float
C2964552 (UMLS CUI [1])
Item Group
PR6. Oral Intake
normal oral intake
Item
Oral intake: Normal Score: 0
boolean
C0518037 (UMLS CUI [1,1])
C0205307 (UMLS CUI [1,2])
slightly reduced oral intake
Item
Oral intake: Sligthly reduced (> entire mouth) Score: 1
boolean
C0518037 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
C0750482 (UMLS CUI [1,3])
clearly reduced oral intake
Item
Oral intake: Clearly reduced (<= entire mouth) Score: 2,5
boolean
C0518037 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
total score oral intake
Item
Total Score:
float
C0518037 (UMLS CUI [1,1])
C2964552 (UMLS CUI [1,2])
Item Group
PR7. Symptoms
edema
Item
Edema
boolean
C0013604 (UMLS CUI [1])
shortness of breath
Item
Shortness of breath at rest
boolean
C0748649 (UMLS CUI [1])
delir
Item
Delir
boolean
C0011206 (UMLS CUI [1])
Item Group
Palliative Prognostic Index
score PPI
Item
Palliative Prognostic Index (maximal 15 Points)
float
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