German English

Palliative and Hospice Care Personal Information

1 forms  
Patient: Wohnadresse
Description

Patient: Wohnadresse

Name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Vorname
Description

Patient first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsname
Description

Patient birth name

Data type

text

Alias
UMLS CUI [1]
C1549652
Strasse
Description

Street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

Postal code

Data type

text

Alias
UMLS CUI [1]
C0421454
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Patient: Ansprechpartner an Wohnadresse
Description

Patient: Ansprechpartner an Wohnadresse

Ansprechpartner
Description

contact person

Data type

boolean

Alias
UMLS CUI [1]
C0337611
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsname
Description

birth name

Data type

text

Alias
UMLS CUI [1]
C1549652
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Angehörige, Freunde
Description

Angehörige, Freunde

Angehörige, Freunde
Description

relatives or friends

Data type

boolean

Alias
UMLS CUI [1]
C0080103
UMLS CUI [2]
C0079382
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Adresse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Adresse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Bezug zum Pat.
Description

relation to the patient

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
betreuender Arzt / Hausarzt
Description

betreuender Arzt / Hausarzt

betreuender Arzt / Hausarzt
Description

doctor in charge / family doctor

Data type

boolean

Alias
UMLS CUI [1]
C0017319
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Ansprechpartner
Description

contact person

Data type

text

Alias
UMLS CUI [1]
C0337611
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Ansprechpartner
Description

contact person

Data type

text

Alias
UMLS CUI [1]
C0337611
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
betreuender Pflegedienst
Description

betreuender Pflegedienst

betreuender Pflegedienst
Description

nursing service

Data type

boolean

Alias
UMLS CUI [1]
C0028697
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Ehrenamtlicher Hospizdienst
Description

Ehrenamtlicher Hospizdienst

Ehrenamtlicher Hospizdienst
Description

voluntary hospice service

Data type

boolean

Alias
UMLS CUI [1,1]
C2919777
UMLS CUI [1,2]
C0439656
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
Strasse
Description

street address

Data type

text

Alias
UMLS CUI [1]
C1301826
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Handy
Description

cell phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Bemerkungen
Description

comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Krankenkasse
Description

Krankenkasse

Alias
UMLS CUI-1
C0021682
Krankenkasse
Description

health insurance

Data type

boolean

Alias
UMLS CUI [1]
C0021682
Name
Description

name

Data type

text

Alias
UMLS CUI [1]
C0027365
PLZ
Description

postal code

Data type

text

Alias
UMLS CUI [1]
C1514254
Ort
Description

city or town

Data type

text

Alias
UMLS CUI [1]
C1555315
Telefon
Description

phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
Kassennr.
Description

health insurance company number

Data type

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
Versichertennr.
Description

health insurance number

Data type

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
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Similar models

Palliative and Hospice Care Personal Information

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient: Wohnadresse
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Patient first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Patient birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
Street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
Postal code
Item
PLZ
text
C0421454 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
Item Group
Patient: Ansprechpartner an Wohnadresse
contact person
Item
Ansprechpartner
boolean
C0337611 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
Item Group
Angehörige, Freunde
relatives or friends
Item
Angehörige, Freunde
boolean
C0080103 (UMLS CUI [1])
C0079382 (UMLS CUI [2])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Adresse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Adresse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
Bezug zum Pat.
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
betreuender Arzt / Hausarzt
doctor in charge / family doctor
Item
betreuender Arzt / Hausarzt
boolean
C0017319 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
contact person
Item
Ansprechpartner
text
C0337611 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
contact person
Item
Ansprechpartner
text
C0337611 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
betreuender Pflegedienst
nursing service
Item
betreuender Pflegedienst
boolean
C0028697 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
Ehrenamtlicher Hospizdienst
voluntary hospice service
Item
Ehrenamtlicher Hospizdienst
boolean
C2919777 (UMLS CUI [1,1])
C0439656 (UMLS CUI [1,2])
name
Item
Name
text
C0027365 (UMLS CUI [1])
street address
Item
Strasse
text
C1301826 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
Handy
integer
C1515258 (UMLS CUI [1])
comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
Krankenkasse
C0021682 (UMLS CUI-1)
health insurance
Item
Krankenkasse
boolean
C0021682 (UMLS CUI [1])
name
Item
Name
text
C0027365 (UMLS CUI [1])
postal code
Item
PLZ
text
C1514254 (UMLS CUI [1])
city or town
Item
Ort
text
C1555315 (UMLS CUI [1])
phone number
Item
Telefon
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
health insurance company number
Item
Kassennr.
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
health insurance number
Item
Versichertennr.
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
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