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Palliative and Hospice Care Personal Information

1 Formulare  
Patient Home Address
Beschreibung

Patient Home Address

Patient name
Beschreibung

Patient name

Datentyp

text

Alias
UMLS CUI [1]
C1299487
Patient first name
Beschreibung

Patient first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
Patient birth name
Beschreibung

Patient birth name

Datentyp

text

Alias
UMLS CUI [1]
C1549652
Street address
Beschreibung

Street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
Postal code
Beschreibung

Postal code

Datentyp

text

Alias
UMLS CUI [1]
C0421454
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
Contact person at home address
Beschreibung

Contact person at home address

contact person
Beschreibung

contact person

Datentyp

boolean

Alias
UMLS CUI [1]
C0337611
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
first name
Beschreibung

first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
birth name
Beschreibung

birth name

Datentyp

text

Alias
UMLS CUI [1]
C1549652
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
Relatives, friends
Beschreibung

Relatives, friends

relatives or friends
Beschreibung

relatives or friends

Datentyp

boolean

Alias
UMLS CUI [1]
C0080103
UMLS CUI [2]
C0079382
last name
Beschreibung

last name

Datentyp

text

Alias
UMLS CUI [1]
C1301584
first name
Beschreibung

first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
relation to the patient
Beschreibung

relation to the patient

Datentyp

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
last name
Beschreibung

last name

Datentyp

text

Alias
UMLS CUI [1]
C1301584
first name
Beschreibung

first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
relation to the patient
Beschreibung

relation to the patient

Datentyp

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
last name
Beschreibung

last name

Datentyp

text

Alias
UMLS CUI [1]
C1301584
first name
Beschreibung

first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
relation to the patient
Beschreibung

relation to the patient

Datentyp

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0439849
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
comments
Beschreibung

comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
doctor in charge / family doctor
Beschreibung

doctor in charge / family doctor

doctor in charge / family doctor
Beschreibung

doctor in charge / family doctor

Datentyp

boolean

Alias
UMLS CUI [1]
C0017319
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
contact person
Beschreibung

contact person

Datentyp

text

Alias
UMLS CUI [1]
C0337611
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
contact person
Beschreibung

contact person

Datentyp

text

Alias
UMLS CUI [1]
C0337611
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
comments
Beschreibung

comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
nursing service
Beschreibung

nursing service

nursing service
Beschreibung

nursing service

Datentyp

boolean

Alias
UMLS CUI [1]
C0028697
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
comments
Beschreibung

comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
voluntary hospice service
Beschreibung

voluntary hospice service

voluntary hospice service
Beschreibung

voluntary hospice service

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2919777
UMLS CUI [1,2]
C0439656
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
street address
Beschreibung

street address

Datentyp

text

Alias
UMLS CUI [1]
C1301826
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
cell phone number
Beschreibung

cell phone number

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
comments
Beschreibung

comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
health insurance
Beschreibung

health insurance

Alias
UMLS CUI-1
C0021682
health insurance
Beschreibung

health insurance

Datentyp

boolean

Alias
UMLS CUI [1]
C0021682
name
Beschreibung

name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
postal code
Beschreibung

postal code

Datentyp

text

Alias
UMLS CUI [1]
C1514254
city or town
Beschreibung

city or town

Datentyp

text

Alias
UMLS CUI [1]
C1555315
phone number
Beschreibung

phone number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0237753
UMLS CUI [1,2]
C0039457
health insurance company number
Beschreibung

health insurance company number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
health insurance number
Beschreibung

health insurance number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
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Ähnliche Modelle

Palliative and Hospice Care Personal Information

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Patient Home Address
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Patient first name
Item
Patient first name
text
C1443235 (UMLS CUI [1])
Patient birth name
Item
Patient birth name
text
C1549652 (UMLS CUI [1])
Street address
Item
Street address
text
C1301826 (UMLS CUI [1])
Postal code
Item
Postal code
text
C0421454 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
Item Group
Contact person at home address
contact person
Item
contact person
boolean
C0337611 (UMLS CUI [1])
name
Item
name
text
C0027365 (UMLS CUI [1])
first name
Item
first name
text
C1443235 (UMLS CUI [1])
birth name
Item
birth name
text
C1549652 (UMLS CUI [1])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
Item Group
Relatives, friends
relatives or friends
Item
relatives or friends
boolean
C0080103 (UMLS CUI [1])
C0079382 (UMLS CUI [2])
last name
Item
last name
text
C1301584 (UMLS CUI [1])
first name
Item
first name
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
relation to the patient
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
last name
Item
last name
text
C1301584 (UMLS CUI [1])
first name
Item
first name
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
relation to the patient
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
last name
Item
last name
text
C1301584 (UMLS CUI [1])
first name
Item
first name
text
C1443235 (UMLS CUI [1])
relation to the patient
Item
relation to the patient
text
C0030705 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
comments
Item
comments
text
C0947611 (UMLS CUI [1])
Item Group
doctor in charge / family doctor
doctor in charge / family doctor
Item
doctor in charge / family doctor
boolean
C0017319 (UMLS CUI [1])
name
Item
name
text
C0027365 (UMLS CUI [1])
contact person
Item
contact person
text
C0337611 (UMLS CUI [1])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
name
Item
name
text
C0027365 (UMLS CUI [1])
contact person
Item
contact person
text
C0337611 (UMLS CUI [1])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
comments
Item
comments
text
C0947611 (UMLS CUI [1])
Item Group
nursing service
nursing service
Item
nursing service
boolean
C0028697 (UMLS CUI [1])
name
Item
name
text
C0027365 (UMLS CUI [1])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
comments
Item
comments
text
C0947611 (UMLS CUI [1])
Item Group
voluntary hospice service
voluntary hospice service
Item
voluntary hospice service
boolean
C2919777 (UMLS CUI [1,1])
C0439656 (UMLS CUI [1,2])
name
Item
name
text
C0027365 (UMLS CUI [1])
street address
Item
street address
text
C1301826 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
cell phone number
Item
cell phone number
integer
C1515258 (UMLS CUI [1])
comments
Item
comments
text
C0947611 (UMLS CUI [1])
Item Group
health insurance
C0021682 (UMLS CUI-1)
health insurance
Item
health insurance
boolean
C0021682 (UMLS CUI [1])
name
Item
name
text
C0027365 (UMLS CUI [1])
postal code
Item
postal code
text
C1514254 (UMLS CUI [1])
city or town
Item
city or town
text
C1555315 (UMLS CUI [1])
phone number
Item
phone number
integer
C0237753 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
health insurance company number
Item
health insurance company number
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
health insurance number
Item
health insurance number
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
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