ID
14645
Beskrivning
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.
Länk
Nyckelord
Versioner (1)
- 2016-04-25 2016-04-25 -
Rättsinnehavare
CC BY-NC 3.0
Uppladdad den
25 april 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Palliative and Hospice Care Baseline Form
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
Beskrivning
Basic Medical Information
Beskrivning
specialized ambulatory palliative care request
Datatyp
integer
Beskrivning
Agreement and submitted form
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0680240
- UMLS CUI [1,2]
- C1515023
Beskrivning
Care level
Datatyp
integer
Alias
- UMLS CUI [1]
- C1547668
Beskrivning
if there is no ICD available, please specify in the following item
Datatyp
integer
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
- UMLS CUI [3]
- C0870733
Beskrivning
Main diagnosis and other diagnoses/problems
Datatyp
text
Alias
- UMLS CUI [1]
- C0332137
- UMLS CUI [2]
- C0011900
Beskrivning
Date of diagnosis
Datatyp
date
Alias
- UMLS CUI [1]
- C2316983
Beskrivning
If other location, please specify in the following item
Datatyp
integer
Alias
- UMLS CUI [1]
- C0027627
Beskrivning
Other location of metastases
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0027627
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0205394
Beskrivning
If other, please specify in the following item
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0025070
- UMLS CUI [1,3]
- C0205156
Beskrivning
ECOG status
Datatyp
integer
Alias
- UMLS CUI [1]
- C1520224
Beskrivning
Barthel Index
Datatyp
integer
Måttenheter
- points
Alias
- UMLS CUI [1]
- C0451019
Beskrivning
Medical Issues
Beskrivning
Date of collection of the patient's medical issues
Datatyp
date
Alias
- UMLS CUI [1,1]
- C1516698
- UMLS CUI [1,2]
- C0011008
- UMLS CUI [2,1]
- C0033213
- UMLS CUI [2,2]
- C0205476
Beskrivning
Pain
Datatyp
integer
Alias
- UMLS CUI [1]
- C0030193
Beskrivning
Nausea
Datatyp
integer
Alias
- UMLS CUI [1]
- C0027497
Beskrivning
Emesis
Datatyp
integer
Alias
- UMLS CUI [1]
- C0042963
Beskrivning
Dyspnea
Datatyp
integer
Alias
- UMLS CUI [1]
- C0013404
Beskrivning
Constipation
Datatyp
integer
Alias
- UMLS CUI [1]
- C0009806
Beskrivning
Weakness
Datatyp
integer
Alias
- UMLS CUI [1]
- C3714552
Beskrivning
Loss of appetite
Datatyp
integer
Alias
- UMLS CUI [1]
- C1971624
Beskrivning
Fatigue
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Care issues due to lesions/pressure ulcers
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0017313
- UMLS CUI [1,2]
- C0033213
- UMLS CUI [2]
- C0221198
- UMLS CUI [3]
- C0011127
Beskrivning
Need for assistance for activities of daily living
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0476651
- UMLS CUI [1,2]
- C0001288
Beskrivning
Depressed mood
Datatyp
integer
Alias
- UMLS CUI [1]
- C0344315
Beskrivning
Anxiety
Datatyp
integer
Alias
- UMLS CUI [1]
- C0003467
Beskrivning
Stress
Datatyp
integer
Alias
- UMLS CUI [1]
- C0038435
Beskrivning
Disorientation, confusion
Datatyp
integer
Alias
- UMLS CUI [1]
- C0233407
- UMLS CUI [2]
- C0009676
Beskrivning
Issues organizing care
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C1822380
Beskrivning
Overstrain of family or environment
Datatyp
integer
Beskrivning
Other issues
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0033213
- UMLS CUI [1,2]
- C0205394
Beskrivning
Severity of other issue
Datatyp
integer
Alias
- UMLS CUI [1]
- C0441982
Beskrivning
Comments
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Beskrivning
Reason for visit, treatment goal
Datatyp
text
Alias
- UMLS CUI [1]
- C1704447
- UMLS CUI [2]
- C0679840
Beskrivning
Medication until today
Beskrivning
Non-opioids
Datatyp
boolean
Alias
- UMLS CUI [1]
- C3863698
Beskrivning
Opioids WHO level 2
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0242402
Beskrivning
Opioids WHO level 3
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0242402
Beskrivning
Adjuvant analgesics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1510809
Beskrivning
Corticosteroids
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0001617
Beskrivning
Antidepressants
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003289
Beskrivning
Antiemetics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003297
Beskrivning
Neuroleptics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0040615
Beskrivning
Sedatives / Anxiolytics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0036557
- UMLS CUI [2]
- C0040616
Beskrivning
Stomach protector
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0038351
- UMLS CUI [1,2]
- C0033613
Beskrivning
Laxatives
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0282090
Beskrivning
Antibiotics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003232
Beskrivning
Diuretics
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0012798
Beskrivning
Cardiaca/Antihypertensive Agents
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0007209
- UMLS CUI [2]
- C0003364
Beskrivning
Other medication
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1115771
Beskrivning
Other medication
Datatyp
text
Alias
- UMLS CUI [1]
- C1115771
Beskrivning
Procedures, Assistances
Beskrivning
Medication
Datatyp
integer
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
Palliative sedation
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0344106
- UMLS CUI [1,2]
- C1285530
Beskrivning
Feeding
Datatyp
integer
Alias
- UMLS CUI [1]
- C2987508
Beskrivning
Transfusions
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1879316
Beskrivning
Pumping system
Datatyp
integer
Beskrivning
Puncture or drainages
Datatyp
integer
Alias
- UMLS CUI [1]
- C0034117
- UMLS CUI [2]
- C0013103
Beskrivning
Application or change of
Datatyp
integer
Alias
- UMLS CUI [1]
- C0185125
- UMLS CUI [2]
- C0392747
Beskrivning
Radiotherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C1522449
Beskrivning
Care
Datatyp
integer
Alias
- UMLS CUI [1]
- C1947933
Beskrivning
Maintenance of catheters
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0024501
- UMLS CUI [1,2]
- C0085590
Beskrivning
Tumortherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0920425
Beskrivning
Physiotherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0949766
Beskrivning
Psychotherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0033968
Beskrivning
Surgical procedure
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0543467
Beskrivning
Diagnostic procedures
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0430022
Beskrivning
Counseling
Datatyp
integer
Alias
- UMLS CUI [1]
- C0010210
Beskrivning
Organization of following treatment
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0039798
- UMLS CUI [1,2]
- C0332282
- UMLS CUI [1,3]
- C1300196
Beskrivning
assistance for (grieving) relatives
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0018896
- UMLS CUI [1,2]
- C0080103
- UMLS CUI [1,3]
- C0018235
Beskrivning
pastoral care
Datatyp
integer
Alias
- UMLS CUI [1]
- C0030643
Beskrivning
Other procedures
Datatyp
text
Alias
- UMLS CUI [1]
- C0393107
Beskrivning
Assessment of assistance
Beskrivning
Which issue was solved especially well?
Datatyp
text
Alias
- UMLS CUI [1]
- C0033213
Beskrivning
Which issue could not be solved sufficiently?
Datatyp
text
Alias
- UMLS CUI [1]
- C0033213
Beskrivning
if other, please specify in the following item
Datatyp
integer
Alias
- UMLS CUI [1]
- C3273494
Beskrivning
Other, who filled out the form
Datatyp
text
Alias
- UMLS CUI [1]
- C3273494
Beskrivning
Patient discharge
Beskrivning
Date of discharge/change in assistance/death
Datatyp
date
Alias
- UMLS CUI [1]
- C2361123
- UMLS CUI [2,1]
- C0011008
- UMLS CUI [2,2]
- C0443172
- UMLS CUI [2,3]
- C0025070
- UMLS CUI [3]
- C1148348
Beskrivning
if other please specify in the following item
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
Beskrivning
Other end of therapy
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
- UMLS CUI [1,3]
- C0205394
Beskrivning
if other please specify
Datatyp
integer
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beskrivning
Other discharge to / ongoing treatment in
Datatyp
text
Alias
- UMLS CUI [1]
- C0030685
- UMLS CUI [2,1]
- C0087111
- UMLS CUI [2,2]
- C0549178
Beskrivning
Place of death
Datatyp
integer
Alias
- UMLS CUI [1]
- C0421611
Beskrivning
final evaluation of the team's satisfaction with the medical assistance for the entire treatment
Datatyp
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3,1]
- C0087111
- UMLS CUI [3,2]
- C0439751
Beskrivning
final evaluation of the team's satisfaction with the medical assistance for the final stage
Datatyp
integer
Alias
- UMLS CUI [1]
- C0220825
- UMLS CUI [2]
- C0242428
- UMLS CUI [3]
- C0205088
Similar models
Palliative and Hospice Care Baseline Form
- StudyEvent: ODM
C1515023 (UMLS CUI [1,2])
C0011900 (UMLS CUI [2])
C0870733 (UMLS CUI [3])
C0011900 (UMLS CUI [2])
C0450429 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0025070 (UMLS CUI [1,2])
C0205156 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0033213 (UMLS CUI [2,1])
C0205476 (UMLS CUI [2,2])
C0033213 (UMLS CUI [1,2])
C0221198 (UMLS CUI [2])
C0011127 (UMLS CUI [3])
C0001288 (UMLS CUI [1,2])
C0009676 (UMLS CUI [2])
C1822380 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0679840 (UMLS CUI [2])
C0040616 (UMLS CUI [2])
C0033613 (UMLS CUI [1,2])
C0003364 (UMLS CUI [2])
C1285530 (UMLS CUI [1,2])
C0013103 (UMLS CUI [2])
C0392747 (UMLS CUI [2])
C0085590 (UMLS CUI [1,2])
C0332282 (UMLS CUI [1,2])
C1300196 (UMLS CUI [1,3])
C0080103 (UMLS CUI [1,2])
C0018235 (UMLS CUI [1,3])
C0011008 (UMLS CUI [2,1])
C0443172 (UMLS CUI [2,2])
C0025070 (UMLS CUI [2,3])
C1148348 (UMLS CUI [3])
C0444930 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0087111 (UMLS CUI [2,1])
C0549178 (UMLS CUI [2,2])
C0087111 (UMLS CUI [2,1])
C0549178 (UMLS CUI [2,2])
C0242428 (UMLS CUI [2])
C0087111 (UMLS CUI [3,1])
C0439751 (UMLS CUI [3,2])
C0242428 (UMLS CUI [2])
C0205088 (UMLS CUI [3])