ID
15368
Beschreibung
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
Stichworte
Versionen (1)
- 28.05.16 28.05.16 -
Rechteinhaber
CC BY-NC 3.0
Hochgeladen am
28. Mai 2016
DOI
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Creative Commons BY-NC 3.0
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Palliative and Hospice Care Emergency Form
Palliative and Hospice Care Emergency Form
- StudyEvent: ODM
Beschreibung
IMPORTANT contact persons / phone numbers
Beschreibung
closest relative
Datentyp
text
Alias
- UMLS CUI [1]
- C0080103
Beschreibung
this authorized person has been appointed to implement my will that is determined in this instruction according to §1896 passage 2 BGB)
Datentyp
boolean
Beschreibung
name
Datentyp
text
Alias
- UMLS CUI [1]
- C0027365
Beschreibung
date of birth
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0027361
- UMLS CUI [1,3]
- C0005615
Beschreibung
address
Datentyp
text
Alias
- UMLS CUI [1]
- C1442065
Beschreibung
palliative team phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0030231
- UMLS CUI [1,2]
- C0086390
- UMLS CUI [1,3]
- C0237753
- UMLS CUI [1,4]
- C0039457
Beschreibung
general practitioner phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0017319
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0039457
Beschreibung
nursing care service phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0019855
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0039457
Beschreibung
association of shi physicians emergency service phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0013961
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0039457
Beschreibung
emergency physician
Datentyp
integer
Alias
- UMLS CUI [1]
- C2065341
Beschreibung
pastoral care phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0030643
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0039457
Beschreibung
hospice phone number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0085555
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C0039457
Beschreibung
Requested procedures
Beschreibung
heart lung rescucitation requested
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0035273
- UMLS CUI [1,2]
- C1272683
Beschreibung
hospital admission requested
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0184666
- UMLS CUI [1,2]
- C1272683
Beschreibung
information about the diagnosis/prognosis for the patient?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0011900
- UMLS CUI [1,2]
- C0033325
- UMLS CUI [1,3]
- C1533716
- UMLS CUI [1,4]
- C0030705
Beschreibung
information about the diagnosis/prognosis for the relatives?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0011900
- UMLS CUI [1,2]
- C0033325
- UMLS CUI [1,3]
- C1533716
- UMLS CUI [1,4]
- C0080103
Beschreibung
living will
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0023914
Beschreibung
health care proxy
Datentyp
boolean
Alias
- UMLS CUI [1]
- C2029796
Beschreibung
(for updates please see the back of the page; this emergency form accords to the existing law regarding living wills §1901a passage 1-5 BGB)
Datentyp
text
Alias
- UMLS CUI [1]
- C1301746
Beschreibung
date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
name
Datentyp
text
Alias
- UMLS CUI [1]
- C0027365
Beschreibung
patient/representative signature
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1519316
- UMLS CUI [1,2]
- C0030705
- UMLS CUI [1,3]
- C0030701
Beschreibung
Further procedures
Beschreibung
(Possible consequences that result from refusing medical procedures were explained to the patient; during the issue of this document the patient was fully capable of understanding and agreeing)
Datentyp
text
Alias
- UMLS CUI [1]
- C0040809
Beschreibung
last hospital stay
Datentyp
text
Alias
- UMLS CUI [1,1]
- C3489408
- UMLS CUI [1,2]
- C1517741
Beschreibung
hospital / facility
Datentyp
text
Alias
- UMLS CUI [1]
- C0019994
- UMLS CUI [2]
- C0018704
Beschreibung
date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
information provided by
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0031831
- UMLS CUI [1,2]
- C0027365
Beschreibung
signature
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Ähnliche Modelle
Palliative and Hospice Care Emergency Form
- StudyEvent: ODM
C0521116 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,2])
C0005615 (UMLS CUI [1,3])
C0086390 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
C0039457 (UMLS CUI [1,4])
C0237753 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
C1272683 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,2])
C0033325 (UMLS CUI [1,2])
C1533716 (UMLS CUI [1,3])
C0030705 (UMLS CUI [1,4])
C0033325 (UMLS CUI [1,2])
C1533716 (UMLS CUI [1,3])
C0080103 (UMLS CUI [1,4])
C0030705 (UMLS CUI [1,2])
C0030701 (UMLS CUI [1,3])
C1517741 (UMLS CUI [1,2])
C0018704 (UMLS CUI [2])
C0027365 (UMLS CUI [1,2])