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28916

Descripción

Discharge Letter Items for Patient diagnosed with Acute Disseminated Encephalomyelitis from Neurology Department of University Clinic Muenster Publication granted by Prof. Dr. Klotz

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Versiones (1)
  1. 15/2/18 15/2/18 -
Titular de derechos de autor

Prof. Dr. Luisa Klotz

Subido en

15 de febrero de 2018

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Licencia

Creative Commons BY-NC 3.0
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    Discharge letters ADEM

    Alemán Inglés

    Discharge Letter Items Acute Disseminated Encephalomyelitis

    1 formularios  
    Administrative Data
    Descripción

    Administrative Data

    Alias
    UMLS CUI-1
    C1320722 (Administrative documentation)
    SNOMED
    405624007
    Document ID
    Descripción

    Document ID

    Tipo de datos

    integer

    Alias
    UMLS CUI [1]
    C1300638 (Identification number)
    SNOMED
    396278008
    Name of Patient
    Descripción

    Name of Patient

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0421448 (Patient surname)
    SNOMED
    184096005
    Date of birth
    Descripción

    Date of birth

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C0421451 (Patient date of birth)
    SNOMED
    184099003
    LOINC
    LP57552-9
    Care
    Descripción

    Care

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C1550330 (Admission Type)
    Date of Appointment
    Descripción

    Date of Appointment

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C1320303 (Date of visit)
    SNOMED
    406543005
    Diagnoses
    Descripción

    Diagnoses

    Principal Diagnosis ADEM
    Descripción

    Principal Diagnosis ADEM

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C0449259 (Clinical course)
    SNOMED
    263502005
    LOINC
    LP267073-7
    UMLS CUI [1,2]
    C0014059 (Encephalomyelitis, Acute Disseminated)
    SNOMED
    83942000
    UMLS CUI [2,1]
    C0449259 (Clinical course)
    SNOMED
    263502005
    LOINC
    LP267073-7
    UMLS CUI [2,2]
    C0205394 (Other)
    SNOMED
    74964007
    LOINC
    LP21049-9
    UMLS CUI [2,3]
    C0014059 (Encephalomyelitis, Acute Disseminated)
    SNOMED
    83942000
    Earliest date of diagnosis
    Descripción

    Earliest date of diagnosis

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C2316983 (Date of diagnosis)
    SNOMED
    432213005
    LOINC
    LP114957-6
    Secondary diagnoses
    Descripción

    Secondary diagnoses

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0332138 (Secondary diagnosis)
    SNOMED
    85097005
    LOINC
    MTHU021495
    Summary and Assessment
    Descripción

    Summary and Assessment

    Alias
    UMLS CUI-1
    C0743221 (Discharge summary)
    SNOMED
    373942005
    LOINC
    LA16680-3
    Reason for current Admission
    Descripción

    Reason for current Admission

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319
    UMLS CUI [1,2]
    C0809949 (Admission activity)
    LOINC
    LA14106-1
    Department
    Descripción

    Department

    Tipo de datos

    text

    Medical history
    Descripción

    Medical history

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0262926 (Medical History)
    SNOMED
    392521001
    LOINC
    LP6817-3
    Lab Result
    Descripción

    Lab Result

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C1254595 (Laboratory Results)
    Infection
    Descripción

    Infection

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0009450 (Communicable Diseases)
    SNOMED
    189822004
    Paraneoplastic syndrome
    Descripción

    Paraneoplastic syndrome

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685 (undefined)
    NCI Thesaurus Property
    C25626 (undefined)
    NCI Metathesaurus ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus Property-2
    C3311 (undefined)
    UMLS CUI [1]
    C0030472 (Paraneoplastic Syndromes)
    SNOMED
    49783001
    Previous Therapy
    Descripción

    Bitte Wirkstoff angeben

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C2114510 (previous therapy)
    Start Date Previous Therapy
    Descripción

    (Tag/Monat/Jahr)

    Tipo de datos

    date

    Alias
    UMLS CUI [1,1]
    C3173309 (Date treatment or therapy started)
    LOINC
    LP262646-5
    UMLS CUI [1,2]
    C2114510 (previous therapy)
    Methylprednisolon Therapieschema
    Descripción

    Methylprednisolone regimen

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C0025815 (methylprednisolone)
    SNOMED
    27242001
    UMLS CUI [1,2]
    C0001555 (administration & dosage)
    Therapie Benefit
    Descripción

    Therapie Benefit

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C0087113 (Treatment Effectiveness)
    UMLS CUI [1,2]
    C2827774 (Current Therapy)
    Current Symptoms
    Descripción

    Current Symptoms

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C1457887 (Symptoms)
    LOINC
    MTHU021540
    UMLS CUI [1,2]
    C0521116 (Current (present time))
    SNOMED
    15240007
    Procedures
    Descripción

    Procedures

    Alias
    UMLS CUI-1
    C2700391 (Procedure (set of actions))
    MRI
    Descripción

    MRI

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0024485 (Magnetic Resonance Imaging)
    SNOMED
    312250003
    LOINC
    LP57602-2
    Neurological Examination
    Descripción

    Neurological Examination

    Alias
    UMLS CUI-1
    C0027853 (Neurologic Examination)
    SNOMED
    225398001
    LOINC
    LP133273-5
    Orientation
    Descripción

    Orientation

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0029266 (Mental Orientation)
    SNOMED
    43173001
    Meningism
    Descripción

    Meningism

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0025287 (Meningism)
    SNOMED
    437986008
    Lhermittes sign
    Descripción

    Lhermittes sign

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0576702 (Barber's chair sign)
    SNOMED
    299950000
    Pupils reaction
    Descripción

    Pupils reaction

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0437599 (O/E - pupil reaction NOS)
    Neurologic examination Motor function
    Descripción

    Neurologic examination Motor function

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0234130 (Motor function)
    SNOMED
    52479005
    LOINC
    LP30529-9
    Coordination
    Descripción

    Coordination

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0242414 (Physiologic Coordination)
    SNOMED
    85352007
    Cranial nerves
    Descripción

    Cranial nerves

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0010268 (Cranial Nerves)
    SNOMED
    25238003
    LOINC
    LP30533-1
    Neurologic examination Reflexes
    Descripción

    Neurologic examination Reflexes

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0436145 (Examination of reflexes)
    SNOMED
    163778008
    Tonus
    Descripción

    Muscle tonus

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0026841 (Muscle Tonus)
    Sensibility
    Descripción

    Sensibility

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0439823 (Sensibilities)
    SNOMED
    272145001
    Cerebellar testing
    Descripción

    Cerebellar testing

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0742034 (cerebellar function)
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    Similar models

    Discharge Letter Items Acute Disseminated Encephalomyelitis

    1 formularios
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    C1320722 (UMLS CUI-1)
    Document ID
    Item
    integer
    C1300638 (UMLS CUI [1])
    Name of Patient
    Item
    text
    C0421448 (UMLS CUI [1])
    Date of birth
    Item
    date
    C0421451 (UMLS CUI [1])
    Item
    text
    C1550330 (UMLS CUI [1])
    undefined item
    Code List
    Care
    CL Item
     (Inpatient)
    C0021562 (UMLS CUI-1)
    CL Item
     (Outpatient)
    C0029921 (UMLS CUI-1)
    Date of Appointment
    Item
    date
    C1320303 (UMLS CUI [1])
    Item Group
    Principal Diagnosis ADEM
    Item
    text
    C0449259 (UMLS CUI [1,1])
    C0014059 (UMLS CUI [1,2])
    C0449259 (UMLS CUI [2,1])
    C0205394 (UMLS CUI [2,2])
    C0014059 (UMLS CUI [2,3])
    Earliest date of diagnosis
    Item
    date
    C2316983 (UMLS CUI [1])
    Secondary diagnoses
    Item
    text
    C0332138 (UMLS CUI [1])
    Item Group
    C0743221 (UMLS CUI-1)
    Reason for current Admission
    Item
    text
    C0392360 (UMLS CUI [1,1])
    C0809949 (UMLS CUI [1,2])
    Department
    Item
    text
    Medical history
    Item
    text
    C0262926 (UMLS CUI [1])
    Lab Result
    Item
    text
    C1254595 (UMLS CUI [1])
    Infection
    Item
    text
    C0009450 (UMLS CUI [1])
    Paraneoplastic syndrome
    Item
    text
    C25685 (NCI Thesaurus ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0030705 (NCI Metathesaurus ObjectClass)
    C3311 (NCI Thesaurus Property-2)
    C0030472 (UMLS CUI [1])
    Item
    text
    C2114510 (UMLS CUI [1])
    curth1
    Code List
    Previous Therapy
    CL Item
    Glatirameracetat (Copaxone) (Glatirameracetat)
    (Comment:en)
    C1236476 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (PEG-Interferon-ß 1a s.c.)
    CL Item
     (Interferon-ß 1b s.c.)
    CL Item
     (Interferon-ß 1a s.c.)
    CL Item
     (Interferon-ß 1a i.m)
    CL Item
     (No therapy)
    C0746919 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Other)
    C2827774 (UMLS CUI-1)
    C0205394 (UMLS CUI-2)
    (Comment:de)
    CL Item
    Medikation aus einer MS-Studie (Study Medication)
    C0304229 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Recurrent steroide pulse therapy)
    C0587279 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Methotrexate)
    C0025677 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Cyclophosphamide)
    C0010583 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (IVIg)
    C0085297 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Azathioprine)
    C0004482 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Mitoxantrone)
    C0026259 (UMLS CUI-1)
    (Comment:de)
    CL Item
    Tocilizumab (Tocilizumab)
    C1609165 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Rituximab)
    C0393022 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Ocrelizumab)
    C1882138 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Daclizumab)
    C0663182 (UMLS CUI-1)
    (Comment:de)
    CL Item
    Alemtuzumab (Lemtrada) (Alemtuzumab)
    (Comment:en)
    C0383429 (UMLS CUI-1)
    (Comment:de)
    CL Item
    Natalizumab (Tysabri) (Natalizumab)
    (Comment:en)
    C1172734 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Fingolimod)
    (Comment:en)
    C1699926 (UMLS CUI-1)
    (Comment:de)
    CL Item
     (Teriflunomide)
    (Comment:en)
    C1718383 (UMLS CUI-1)
    (Comment:de)
    CL Item
    Fumarate (BG-12; Tecfidera) (Fumarate)
    (Comment:en)
    C0058218 (UMLS CUI-1)
    (Comment:de)
    Start Date Previous Therapy
    Item
    date
    C3173309 (UMLS CUI [1,1])
    C2114510 (UMLS CUI [1,2])
    Item
    Methylprednisolon Therapieschema
    text
    C0025815 (UMLS CUI [1,1])
    C0001555 (UMLS CUI [1,2])
    Methylprednisolone Therapy Scheme
    Code List
    Methylprednisolon Therapieschema
    CL Item
     (Other)
    C1276413 (UMLS CUI-1)
    C0205394 (UMLS CUI-2)
    (Comment:en)
    CL Item
     (5 x 1000 mg)
    (Comment:en)
    CL Item
    3 x 1000 mg  (3 x 1000 mg)
    (Comment:en)
    CL Item
    5 x 2000 mg (5 x 2000 mg)
    (Comment:en)
    CL Item
    3 x 2000 mg (3 x 2000 mg)
    (Comment:en)
    Therapie Benefit
    Item
    text
    C0087113 (UMLS CUI [1,1])
    C2827774 (UMLS CUI [1,2])
    Current Symptoms
    Item
    text
    C1457887 (UMLS CUI [1,1])
    C0521116 (UMLS CUI [1,2])
    Item Group
    C2700391 (UMLS CUI-1)
    MRI
    Item
    MRI
    text
    C0024485 (UMLS CUI [1])
    Item Group
    C0027853 (UMLS CUI-1)
    Orientation
    Item
    text
    C0029266 (UMLS CUI [1])
    Meningism
    Item
    text
    C0025287 (UMLS CUI [1])
    Item
    text
    C0576702 (UMLS CUI [1])
    Lhermittes sign
    Code List
    Lhermittes sign
    CL Item
     (negative)
    CL Item
     (positive)
    Pupils reaction
    Item
    text
    C0437599 (UMLS CUI [1])
    Neurologic examination Motor function
    Item
    text
    C0234130 (UMLS CUI [1])
    Coordination
    Item
    text
    C0242414 (UMLS CUI [1])
    Cranial nerves
    Item
    text
    C0010268 (UMLS CUI [1])
    Neurologic examination Reflexes
    Item
    text
    C0436145 (UMLS CUI [1])
    Muscle tonus
    Item
    Tonus
    text
    C0026841 (UMLS CUI [1])
    Sensibility
    Item
    text
    C0439823 (UMLS CUI [1])
    Cerebellar testing
    Item
    text
    C0742034 (UMLS CUI [1])
    Volver a la parte superior de la página 

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