ID

15325

Description

Discharge Letter Items for Patient diagnosed with Multiple Sclerosis from Neurology Department of University Clinic Muenster Publication granted by PD Dr. Klotz

Keywords

Versions (1)
  1. 5/27/16 5/27/16 -
Uploaded on

May 27, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Discharge Letter Items 1232376516 Multiple Sclerosis

English

Discharge Letter Items 1232376516 Multiple Sclerosis

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Document ID of Discharge Letter
Description

Document ID

Data type

integer

Alias
UMLS CUI [1]
C1300638
Patient`s Name
Description

Name of Patient

Data type

text

Alias
UMLS CUI [1]
C0421448
Patients date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Inpatient or Outpatient
Description

Care

Data type

text

Alias
UMLS CUI [1]
C0017313
Date of Appointment/Stay
Description

Date of Appointment

Data type

date

Alias
UMLS CUI [1]
C0585085
Principal Diagnosis
Description

Principal Diagnosis

Alias
UMLS CUI-1
C0332137
Principal Diagnosis Multiple Sclerosis
Description

Type of MS

Data type

text

Alias
UMLS CUI [1,1]
C0332137
UMLS CUI [1,2]
C0026769
Onset
Description

Date of Onset

Data type

date

Alias
UMLS CUI [1]
C0574845
Earliest date of diagnosis
Description

Earliest date of diagnosis

Data type

date

Alias
UMLS CUI [1]
C4019001
EDSS
Description

EDSS

Data type

integer

Alias
UMLS CUI [1]
C0451246
Immunosuppressive Therapy: Fingolimod
Description

Immunosuppressive Therapy: Fingolimod

Data type

text

Alias
UMLS CUI [1,1]
C1699926
UMLS CUI [1,2]
C0021079
Date of start of therapy
Description

Starting Date Therapy

Data type

date

Alias
UMLS CUI [1]
C3173309
Current Symptoms: Fatigue
Description

Fatigue

Data type

boolean

Alias
UMLS CUI [1]
C0015672
Reason for Admission
Description

Reason for Admission

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C0809949
Reason for admission
Description

Reason for admission

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Study Participation
Description

Study Participation

Data type

text

Alias
UMLS CUI [1]
C1997894
Summary and Assessment
Description

Summary and Assessment

Alias
UMLS CUI-1
C0743221
Introduction: Reason for current Admission
Description

Introduction: Reason for current Admission

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Introduction: Department
Description

Introduction: Department

Data type

text

Medical history
Description

Medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Therapy Benefit of Therapie during hospital stay
Description

Therapie Benefit

Data type

text

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C2827774
Current Symptoms
Description

Current Symptoms

Data type

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0521116
Adverse Effect
Description

Adverse Effect

Data type

text

Alias
UMLS CUI [1]
C0041755
Current symptoms: Bronchitis
Description

Bronchitis

Data type

boolean

Alias
UMLS CUI [1]
C0006277
Antibiotics necessary due to infection (i.e. bronchitis)?
Description

Antibiotics

Data type

boolean

Alias
UMLS CUI [1]
C0003232
More infections since immunosuppresion with Fingolimod?
Description

Infection due to Fingolimod

Data type

boolean

Alias
UMLS CUI [1,1]
C0275531
UMLS CUI [1,2]
C1699926
Did a loss of bladder function control occur?
Description

Loss of Bladder Function Control

Data type

boolean

Alias
UMLS CUI [1]
C0542565
Did a loss of bowl function control occur?
Description

Loss of Bowl Function Control

Data type

boolean

Alias
UMLS CUI [1]
C1290944
Concentration difficulties
Description

Concentration difficulties

Data type

boolean

Alias
UMLS CUI [1]
C0947509
Attention deficit?
Description

Attention impairment

Data type

boolean

Alias
UMLS CUI [1]
C0238707
Memory impairment
Description

Memory impairment

Data type

boolean

Alias
UMLS CUI [1]
C0233794
Does an impairment of everyday life occur due to fatigue?
Description

Fatigue

Data type

boolean

Alias
UMLS CUI [1]
C0015672
Does Therapy of Fatigue with Amantadine help the patient?
Description

Therapy Fatigue Amantadine

Data type

boolean

Alias
UMLS CUI [1,1]
C0002403
UMLS CUI [1,2]
C0851283
Therapy Fatigue Vigil
Description

Therapy Fatigue Vigil

Data type

text

Alias
UMLS CUI [1,1]
C0851283
UMLS CUI [1,2]
C1527991
Walking Distance
Description

Walking Distance

Data type

text

Alias
UMLS CUI [1]
C0429886
Neurological Examination
Description

Neurological Examination

Data type

text

Alias
UMLS CUI [1]
C0437208
Date of MRI
Description

Date of MRI

Data type

date

Alias
UMLS CUI [1,1]
C0024485
UMLS CUI [1,2]
C0011008
Number of T2-hyperintense Lesions in cMRT
Description

Number of Lesions

Data type

integer

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0449788
Localisation of Lesions
Description

Localisation of Lesions

Data type

text

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0475264
Date of Finding of Lesion
Description

Date of Finding

Data type

date

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0011008
Procedures
Description

Procedures

Alias
UMLS CUI-1
C2700391
UMLS CUI-2
C0034866
Therapy Recommendation
Description

Recommendation Therapy

Data type

text

MRI Follow-Up
Description

Recommendation MRI Follow-Up

Data type

text

Alias
UMLS CUI [1,1]
C0260832
UMLS CUI [1,2]
C0412674
Neurological Exam
Description

Recommendation Neurological Exam

Data type

text

Alias
UMLS CUI [1,1]
C0027853
UMLS CUI [1,2]
C0585339
Recommendation ECG
Description

Recommendation ECG

Data type

boolean

Alias
UMLS CUI [1]
C0013798
Recommendation to bring a current blood count, CRP and Urine status
Description

Recommendation Blood count

Data type

boolean

Alias
UMLS CUI [1]
C0545131
Differential blood count
Description

Recommendation Differential blood count

Data type

text

Alias
UMLS CUI [1,1]
C0545131
UMLS CUI [1,2]
C0585336
Recommendation to evaluate liver enzymes on a regularly base
Description

Recommendation Liver Enzymes

Data type

text

Alias
UMLS CUI [1]
C0034866
If hints of pulmonary function loss occurs please absolve pulmonary function tests (concerning therapy with fingolimod)
Description

Recommendation Pulmo Function Tests

Data type

text

Alias
UMLS CUI [1]
C0024119
When visus gets worse we recommend opthalmologic examination
Description

Recommendation Opthalmo Test

Data type

boolean

Alias
UMLS CUI [1]
C0024119
We recommend dermatological exams
Description

Recommendation Dermatologic Exam

Data type

text

Alias
UMLS CUI [1]
C2153648
Date Follow-Up Visit
Description

Date Follow-Up Visit

Data type

date

Alias
UMLS CUI [1]
C3694716
We recommend to substitute vitamin D
Description

Recommendation Substitution Vitamin D

Data type

boolean

Alias
UMLS CUI [1,1]
C0042866
UMLS CUI [1,2]
C0418981
Neurological Examination
Description

Neurological Examination

Alias
UMLS CUI-1
C0027853
Orientation
Description

Orientation

Data type

text

Alias
UMLS CUI [1]
C0029266
Meningism
Description

Meningism

Data type

text

Alias
UMLS CUI [1]
C0025287
Nerve stretch tests
Description

Nerve stretch tests

Data type

text

Alias
UMLS CUI [1,1]
C1287971
UMLS CUI [1,2]
C1287969
Lhermitte's sign
Description

Lhermittes sign

Data type

text

Alias
UMLS CUI [1]
C0576702
Percussion Pain Skull
Description

Percussion Pain Skull

Data type

boolean

Alias
UMLS CUI [1,1]
C0030987
UMLS CUI [1,2]
C0030193
UMLS CUI [1,3]
C0037303
Percussion Pain Spine
Description

Percussion Pain Spine

Data type

boolean

Alias
UMLS CUI [1,1]
C0030987
UMLS CUI [1,2]
C0030193
UMLS CUI [1,3]
C0037949
Visus measurement
Description

Visus

Data type

float

Alias
UMLS CUI [1]
C0042812
Examination of Eye Movement
Description

Eye Movement

Data type

text

Alias
UMLS CUI [1]
C0015413
Nystagmus Test
Description

Nystagmus Test

Data type

text

Alias
UMLS CUI [1]
C0200205
Gaze Palsy
Description

Gaze Palsy

Data type

text

Alias
UMLS CUI [1]
C1112261
Diplopia
Description

Diplopia

Data type

text

Alias
UMLS CUI [1]
C0012569
Visual Field Fingerperimetric
Description

Visual Field

Data type

text

Alias
UMLS CUI [1]
C0858409
Pupils Size
Description

Pupils Size

Data type

text

Alias
UMLS CUI [1]
C0437590
Pupils regularity
Description

Pupils regularity

Data type

text

Alias
UMLS CUI [1]
C0437592
Consensual pupil reaction to light
Description

Consensual pupil reaction to light

Data type

text

Alias
UMLS CUI [1]
C0700372
Direct pupil reaction to light
Description

Direct pupil reaction to light

Data type

text

Alias
UMLS CUI [1,1]
C0700372
UMLS CUI [1,2]
C1947931
Trigeminal Sensory Function
Description

Trigeminal Sensory Function

Data type

text

Alias
UMLS CUI [1]
C0234284
Facial Paralysis
Description

Facial Paralysis

Data type

text

Alias
UMLS CUI [1]
C0015469
Function of caudal cranial nerves
Description

Caudal cranial nerves

Data type

text

Alias
UMLS CUI [1,1]
C0010268
UMLS CUI [1,2]
C0205097
Function of Muscular reflex
Description

Muscular reflex

Data type

text

Alias
UMLS CUI [1]
C0034943
Pyramidal signs
Description

Pyramidal

Data type

text

Alias
UMLS CUI [1]
C0234132
Abdominal Reflex normal?
Description

Abdominal Reflex

Data type

boolean

Alias
UMLS CUI [1]
C0437436
Pronator Drift Test
Description

Pronator Drift Test

Data type

text

Alias
UMLS CUI [1]
C1504476
Leg drift test
Description

Leg drift test

Data type

text

Pareses
Description

manifest latent

Data type

text

Alias
UMLS CUI [1]
C0030552
Gait, Manner of walking
Description

Gait

Data type

text

Alias
UMLS CUI [1]
C0016928
Toe-walking gait possible
Description

Toe-walking gait

Data type

text

Alias
UMLS CUI [1]
C0427144
Heel Gait possible
Description

Heel Gait

Data type

text

Alias
UMLS CUI [1]
C2243016
Heel to toe gait possible
Description

Heel to toe gait

Data type

text

Alias
UMLS CUI [1]
C0231779
One Leg Jump possible
Description

One Leg Jump

Data type

text

Alias
UMLS CUI [1,1]
C1140621
UMLS CUI [1,2]
C0560451
Finger-to-nose test abnormal?
Description

Finger-to-nose test

Data type

text

Alias
UMLS CUI [1]
C0278158
Heel-to-knee test abnormal?
Description

Heel-to-knee test

Data type

text

Alias
UMLS CUI [1]
C0278160
Diadochokinesis abnormal?
Description

Diadochokinesis

Data type

text

Alias
UMLS CUI [1]
C0278157
Sensibility on neurological exam abnormal?
Description

Sensibility

Data type

boolean

Alias
UMLS CUI [1]
C0439823
Rhomberg Test abnormal?
Description

Rhomberg Test

Data type

text

Alias
UMLS CUI [1]
C1656968
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Similar models

Discharge Letter Items 1232376516 Multiple Sclerosis

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Document ID
Item
Document ID of Discharge Letter
integer
C1300638 (UMLS CUI [1])
Name of Patient
Item
Patient`s Name
text
C0421448 (UMLS CUI [1])
Date of birth
Item
Patients date of birth
date
C0421451 (UMLS CUI [1])
Item
Inpatient or Outpatient
text
C0017313 (UMLS CUI [1])
undefined item
Code List
Inpatient or Outpatient
CL Item
Inpatient (Inpatient)
C0021562 (UMLS CUI-1)
CL Item
Outpatient (Outpatient)
C0029921 (UMLS CUI-1)
Date of Appointment
Item
Date of Appointment/Stay
date
C0585085 (UMLS CUI [1])
Item Group
Principal Diagnosis
C0332137 (UMLS CUI-1)
Principal Diagnosis Multiple Sclerosis
Item
Principal Diagnosis Multiple Sclerosis
text
C0332137 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Date of Onset
Item
Onset
date
C0574845 (UMLS CUI [1])
Earliest date of diagnosis
Item
Earliest date of diagnosis
date
C4019001 (UMLS CUI [1])
EDSS
Item
EDSS
integer
C0451246 (UMLS CUI [1])
Immunosuppressive Therapy: Fingolimod
Item
Immunosuppressive Therapy: Fingolimod
text
C1699926 (UMLS CUI [1,1])
C0021079 (UMLS CUI [1,2])
Starting Date Therapy
Item
Date of start of therapy
date
C3173309 (UMLS CUI [1])
Fatigue
Item
Current Symptoms: Fatigue
boolean
C0015672 (UMLS CUI [1])
Item Group
Reason for Admission
C0392360 (UMLS CUI-1)
C0809949 (UMLS CUI-2)
Reason for admission
Item
Reason for admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
Study Participation
Item
Study Participation
text
C1997894 (UMLS CUI [1])
Item Group
Summary and Assessment
C0743221 (UMLS CUI-1)
Introduction: Reason for current Admission
Item
Introduction: Reason for current Admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
Introduction: Department
Item
Introduction: Department
text
Medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Therapie Benefit
Item
Therapy Benefit of Therapie during hospital stay
text
C0087113 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Current Symptoms
Item
Current Symptoms
text
C1457887 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Adverse Effect
Item
Adverse Effect
text
C0041755 (UMLS CUI [1])
Bronchitis
Item
Current symptoms: Bronchitis
boolean
C0006277 (UMLS CUI [1])
Antibiotics
Item
Antibiotics necessary due to infection (i.e. bronchitis)?
boolean
C0003232 (UMLS CUI [1])
Infection due to Fingolimod
Item
More infections since immunosuppresion with Fingolimod?
boolean
C0275531 (UMLS CUI [1,1])
C1699926 (UMLS CUI [1,2])
Loss of Bladder Function Control
Item
Did a loss of bladder function control occur?
boolean
C0542565 (UMLS CUI [1])
Loss of Bowl Function Control
Item
Did a loss of bowl function control occur?
boolean
C1290944 (UMLS CUI [1])
Concentration difficulties
Item
Concentration difficulties
boolean
C0947509 (UMLS CUI [1])
Attention impairment
Item
Attention deficit?
boolean
C0238707 (UMLS CUI [1])
Memory impairment
Item
Memory impairment
boolean
C0233794 (UMLS CUI [1])
Fatigue
Item
Does an impairment of everyday life occur due to fatigue?
boolean
C0015672 (UMLS CUI [1])
Therapy Fatigue Amantadine
Item
Does Therapy of Fatigue with Amantadine help the patient?
boolean
C0002403 (UMLS CUI [1,1])
C0851283 (UMLS CUI [1,2])
Therapy Fatigue Vigil
Item
Therapy Fatigue Vigil
text
C0851283 (UMLS CUI [1,1])
C1527991 (UMLS CUI [1,2])
Walking Distance
Item
Walking Distance
text
C0429886 (UMLS CUI [1])
Neurological Examination
Item
Neurological Examination
text
C0437208 (UMLS CUI [1])
Date of MRI
Item
Date of MRI
date
C0024485 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Number of Lesions
Item
Number of T2-hyperintense Lesions in cMRT
integer
C2238926 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Localisation of Lesions
Item
Localisation of Lesions
text
C2238926 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Date of Finding
Item
Date of Finding of Lesion
date
C2238926 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item Group
Procedures
C2700391 (UMLS CUI-1)
C0034866 (UMLS CUI-2)
Recommendation Therapy
Item
Therapy Recommendation
text
Recommendation MRI Follow-Up
Item
MRI Follow-Up
text
C0260832 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Recommendation Neurological Exam
Item
Neurological Exam
text
C0027853 (UMLS CUI [1,1])
C0585339 (UMLS CUI [1,2])
Recommendation ECG
Item
Recommendation ECG
boolean
C0013798 (UMLS CUI [1])
Recommendation Blood count
Item
Recommendation to bring a current blood count, CRP and Urine status
boolean
C0545131 (UMLS CUI [1])
Recommendation Differential blood count
Item
Differential blood count
text
C0545131 (UMLS CUI [1,1])
C0585336 (UMLS CUI [1,2])
Recommendation Liver Enzymes
Item
Recommendation to evaluate liver enzymes on a regularly base
text
C0034866 (UMLS CUI [1])
Recommendation Pulmo Function Tests
Item
If hints of pulmonary function loss occurs please absolve pulmonary function tests (concerning therapy with fingolimod)
text
C0024119 (UMLS CUI [1])
Recommendation Opthalmo Test
Item
When visus gets worse we recommend opthalmologic examination
boolean
C0024119 (UMLS CUI [1])
Recommendation Dermatologic Exam
Item
We recommend dermatological exams
text
C2153648 (UMLS CUI [1])
Date Follow-Up Visit
Item
Date Follow-Up Visit
date
C3694716 (UMLS CUI [1])
Recommendation Substitution Vitamin D
Item
We recommend to substitute vitamin D
boolean
C0042866 (UMLS CUI [1,1])
C0418981 (UMLS CUI [1,2])
Item Group
Neurological Examination
C0027853 (UMLS CUI-1)
Orientation
Item
Orientation
text
C0029266 (UMLS CUI [1])
Meningism
Item
Meningism
text
C0025287 (UMLS CUI [1])
Nerve stretch tests
Item
Nerve stretch tests
text
C1287971 (UMLS CUI [1,1])
C1287969 (UMLS CUI [1,2])
Item
Lhermitte's sign
text
C0576702 (UMLS CUI [1])
Lhermittes sign
Code List
Lhermitte's sign
CL Item
positive (positive)
CL Item
negative (negative)
Percussion Pain Skull
Item
Percussion Pain Skull
boolean
C0030987 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0037303 (UMLS CUI [1,3])
Percussion Pain Spine
Item
Percussion Pain Spine
boolean
C0030987 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
Visus
Item
Visus measurement
float
C0042812 (UMLS CUI [1])
Eye Movement
Item
Examination of Eye Movement
text
C0015413 (UMLS CUI [1])
Nystagmus Test
Item
Nystagmus Test
text
C0200205 (UMLS CUI [1])
Gaze Palsy
Item
Gaze Palsy
text
C1112261 (UMLS CUI [1])
Diplopia
Item
Diplopia
text
C0012569 (UMLS CUI [1])
Visual Field
Item
Visual Field Fingerperimetric
text
C0858409 (UMLS CUI [1])
Pupils Size
Item
Pupils Size
text
C0437590 (UMLS CUI [1])
Pupils regularity
Item
Pupils regularity
text
C0437592 (UMLS CUI [1])
Consensual pupil reaction to light
Item
Consensual pupil reaction to light
text
C0700372 (UMLS CUI [1])
Direct pupil reaction to light
Item
Direct pupil reaction to light
text
C0700372 (UMLS CUI [1,1])
C1947931 (UMLS CUI [1,2])
Trigeminal Sensory Function
Item
Trigeminal Sensory Function
text
C0234284 (UMLS CUI [1])
Facial Paralysis
Item
Facial Paralysis
text
C0015469 (UMLS CUI [1])
Caudal cranial nerves
Item
Function of caudal cranial nerves
text
C0010268 (UMLS CUI [1,1])
C0205097 (UMLS CUI [1,2])
Muscular reflex
Item
Function of Muscular reflex
text
C0034943 (UMLS CUI [1])
Pyramidal
Item
Pyramidal signs
text
C0234132 (UMLS CUI [1])
Abdominal Reflex
Item
Abdominal Reflex normal?
boolean
C0437436 (UMLS CUI [1])
Pronator Drift Test
Item
Pronator Drift Test
text
C1504476 (UMLS CUI [1])
Leg drift test
Item
Leg drift test
text
Paresis
Item
Pareses
text
C0030552 (UMLS CUI [1])
Gait
Item
Gait, Manner of walking
text
C0016928 (UMLS CUI [1])
Toe-walking gait
Item
Toe-walking gait possible
text
C0427144 (UMLS CUI [1])
Heel Gait
Item
Heel Gait possible
text
C2243016 (UMLS CUI [1])
Heel to toe gait
Item
Heel to toe gait possible
text
C0231779 (UMLS CUI [1])
One Leg Jump
Item
One Leg Jump possible
text
C1140621 (UMLS CUI [1,1])
C0560451 (UMLS CUI [1,2])
Finger-to-nose test
Item
Finger-to-nose test abnormal?
text
C0278158 (UMLS CUI [1])
Heel-to-knee test
Item
Heel-to-knee test abnormal?
text
C0278160 (UMLS CUI [1])
Item
Diadochokinesis abnormal?
text
C0278157 (UMLS CUI [1])
Diadochokinesis
Code List
Diadochokinesis abnormal?
CL Item
Eudiadochokinesis (Eudiadochokinesis)
CL Item
Dysdiadochokinesis (Dysdiadochokinesis)
Sensibility
Item
Sensibility on neurological exam abnormal?
boolean
C0439823 (UMLS CUI [1])
Rhomberg Test
Item
Rhomberg Test abnormal?
text
C1656968 (UMLS CUI [1])
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