ID

14659

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. 4/26/16 4/26/16 -
Copyright Holder

CC BY-NC 3.0

Uploaded on

April 26, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Palliative and Hospice Care Process Form

German English

Palliative and Hospice Care Process Form

1 forms  
Process Form
Description

Process Form

Alias
UMLS CUI-1
C0205476
UMLS CUI-2
C0348080
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Time
Description

Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Duration
Description

Duration

Data type

durationDatetime

Alias
UMLS CUI [1]
C0449238
Location
Description

Location

Data type

integer

Alias
UMLS CUI [1]
C0450429
Other location
Description

Other location

Data type

text

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0205394
Visit type
Description

Visit type

Data type

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Pain
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0030193
Nausea
Description

Nausea

Data type

integer

Alias
UMLS CUI [1]
C0027497
Emesis
Description

Emesis

Data type

integer

Alias
UMLS CUI [1]
C0042963
Dyspnea
Description

Dyspnea

Data type

integer

Alias
UMLS CUI [1]
C0013404
Constipation
Description

Constipation

Data type

integer

Alias
UMLS CUI [1]
C0009806
Weakness
Description

Weakness

Data type

integer

Alias
UMLS CUI [1]
C3714552
Loss of appetite
Description

Loss of appetite

Data type

integer

Alias
UMLS CUI [1,1]
C0003618
UMLS CUI [1,2]
C0332268
Fatigue
Description

Fatigue

Data type

integer

Alias
UMLS CUI [1]
C0015672
Depressed mood
Description

Depressed mood

Data type

integer

Alias
UMLS CUI [1]
C0344315
Anxiety
Description

Anxiety

Data type

integer

Alias
UMLS CUI [1]
C0003467
Other
Description

Other

Data type

integer

Alias
UMLS CUI [1]
C0205394
Other
Description

Other

Data type

integer

Alias
UMLS CUI [1]
C0205394
Please report how you feel today
Description

Health status

Data type

integer

Alias
UMLS CUI [1]
C0018759
Type of inquiry
Description

Type of inquiry

Data type

integer

Alias
UMLS CUI [1,1]
C2987583
UMLS CUI [1,2]
C0332307
Comments
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Therapy
Description

Therapy

Data type

text

Alias
UMLS CUI [1]
C0087111
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Similar models

Palliative and Hospice Care Process Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Process Form
C0205476 (UMLS CUI-1)
C0348080 (UMLS CUI-2)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Duration
Item
Duration
durationDatetime
C0449238 (UMLS CUI [1])
Item
Location
integer
C0450429 (UMLS CUI [1])
Location
Code List
Location
CL Item
Hospital (1)
CL Item
Palliative ward (2)
CL Item
Hospice (3)
CL Item
At Home (4)
CL Item
With general practitioner (5)
CL Item
With nurse (6)
CL Item
other location (7)
Other location
Item
Other location
text
C0450429 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Visit type
integer
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit type
Code List
Visit type
CL Item
scheduled visit (1)
CL Item
via phone (2)
CL Item
emergency (3)
CL Item
meeting (4)
Item
Pain
integer
C0030193 (UMLS CUI [1])
Pain
Code List
Pain
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Nausea
integer
C0027497 (UMLS CUI [1])
undefined item
Code List
Nausea
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Emesis
integer
C0042963 (UMLS CUI [1])
undefined item
Code List
Emesis
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Dyspnea
integer
C0013404 (UMLS CUI [1])
undefined item
Code List
Dyspnea
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Constipation
integer
C0009806 (UMLS CUI [1])
undefined item
Code List
Constipation
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Weakness
integer
C3714552 (UMLS CUI [1])
undefined item
Code List
Weakness
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Loss of appetite
integer
C0003618 (UMLS CUI [1,1])
C0332268 (UMLS CUI [1,2])
undefined item
Code List
Loss of appetite
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Fatigue
integer
C0015672 (UMLS CUI [1])
undefined item
Code List
Fatigue
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Depressed mood
integer
C0344315 (UMLS CUI [1])
undefined item
Code List
Depressed mood
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Anxiety
integer
C0003467 (UMLS CUI [1])
undefined item
Code List
Anxiety
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Other
integer
C0205394 (UMLS CUI [1])
undefined item
Code List
Other
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Other
integer
C0205394 (UMLS CUI [1])
undefined item
Code List
Other
CL Item
0=none (1)
CL Item
1=mild (2)
CL Item
2=medium (3)
CL Item
3=severe (4)
Item
Please report how you feel today
integer
C0018759 (UMLS CUI [1])
Health status
Code List
Please report how you feel today
CL Item
very bad (1)
CL Item
bad (2)
CL Item
medium (3)
CL Item
good (4)
CL Item
very good (5)
Item
Type of inquiry
integer
C2987583 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Type of inquiry
Code List
Type of inquiry
CL Item
external (1)
CL Item
interview (2)
CL Item
self-report (3)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Therapy
Item
Therapy
text
C0087111 (UMLS CUI [1])
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