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ID
29124
Description
Discharge Letter Items for semantic analysis in discharge letters of patients diagnosed with Multiple Sclerosis, Neuromyelitis optica spectrum disease or Acute Disseminated Encephalomyelitis from Neurology Department of University Hospital Muenster provided by Prof. Dr. Luisa Klotz.
Keywords
Versions (3)
- 2/27/18 2/27/18 -
- 1/29/19 1/29/19 - Sarah Riepenhausen
- 9/27/21 9/27/21 -
Copyright Holder
Prof. Dr. Luisa Klotz
Uploaded on
February 27, 2018
DOI
10.21961/mdm:29124
A <abbr title="Digital Object Identifier">DOI</abbr> was already requested.
License
Creative Commons BY-NC 3.0
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Discharge Letter Items Neuroinflammatory Demyelinating Diseases
Discharge Letter Items 1215271678 Multiple Sclerosis
- StudyEvent: DCMSNMOADEM
- Discharge Letter Items 1215271678 Multiple Sclerosis
- Discharge Letter Items 1232376516 Multiple Sclerosis
- Discharge Letter Items -18546 Multiple Sclerosis
- Discharge Letter Items 1229450930 Multiple Sclerosis
- Discharge Letter Items 1227440267 Multiple Sclerosis
- Discharge Letter Items 1146404369 Multiple Sclerosis
- Discharge Letter Items 1146401133 Multiple Sclerosis
- Discharge Letter Items 1132945139 Multiple Sclerosis
- Discharge Letter Items 1174726752 Multiple Sclerosis
- Discharge Letter Items -31562 Multiple Sclerosis
- Discharge Letter Items Neuromyelitis optica
- Discharge Letter Items Acute Disseminated Encephalomyelitis
Similar models
Discharge Letter Items 1215271678 Multiple Sclerosis
- StudyEvent: DCMSNMOADEM
- Discharge Letter Items 1215271678 Multiple Sclerosis
- Discharge Letter Items 1232376516 Multiple Sclerosis
- Discharge Letter Items -18546 Multiple Sclerosis
- Discharge Letter Items 1229450930 Multiple Sclerosis
- Discharge Letter Items 1227440267 Multiple Sclerosis
- Discharge Letter Items 1146404369 Multiple Sclerosis
- Discharge Letter Items 1146401133 Multiple Sclerosis
- Discharge Letter Items 1132945139 Multiple Sclerosis
- Discharge Letter Items 1174726752 Multiple Sclerosis
- Discharge Letter Items -31562 Multiple Sclerosis
- Discharge Letter Items Neuromyelitis optica
- Discharge Letter Items Acute Disseminated Encephalomyelitis
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
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])
Date of Appointment
Item
Date of Appointment/Stay
date
C1320303 (UMLS CUI [1])
CL Item
Inpatient (Inpatient)
C0021562 (UMLS CUI-1)
CL Item
Outpatient (Outpatient)
C0029921 (UMLS CUI-1)
Diagnosis and Clinical Course
Item
Diagnosis and Clinical Course
text
C0011900 (UMLS CUI [1])
C0449259 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])
C0205394 (UMLS CUI [3,1])
C0011302 (UMLS CUI [3,2])
C0205394 (UMLS CUI [4,1])
C0449259 (UMLS CUI [4,2])
C0026769 (UMLS CUI [4,2])
C0449259 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])
C0205394 (UMLS CUI [3,1])
C0011302 (UMLS CUI [3,2])
C0205394 (UMLS CUI [4,1])
C0449259 (UMLS CUI [4,2])
C0026769 (UMLS CUI [4,2])
Date of Onset
Item
Onset
date
C0574845 (UMLS CUI [1])
Earliest date of diagnosis
Item
Earliest date of diagnosis
date
C2316983 (UMLS CUI [1])
EDSS
Item
EDSS
integer
C3830336 (UMLS CUI [1])
Retrobulbar Neuritis
Item
History of Retrobulbar Neuritis
boolean
C0085582 (UMLS CUI [1,1])
C0455483 (UMLS CUI [1,2])
C0455483 (UMLS CUI [1,2])
Reason for admission
Item
Reason for admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,2])
Introduction: Reason for current Admission
Item
Introduction: Reason for current Admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,2])
Introduction: Department
Item
Introduction: Department
text
C1704729 (UMLS CUI [1])
PMH
Item
Past medical history
text
C0262926 (UMLS CUI [1])
Previous
Item
Previous MRI findings
text
C0024485 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,2])
VEP
Item
Visual evoked potential findings
text
C0546834 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,2])
CMEP
Item
Central motor evoked potential results
text
C2210335 (UMLS CUI [1])
Cerebrospinal fluid
Item
Cerebrospinal fluid
text
C0007806 (UMLS CUI [1,1])
C0936012 (UMLS CUI [1,2])
C0936012 (UMLS CUI [1,2])
Oligoclonal Bands
Item
Oligoclonal Bands
text
C0201942 (UMLS CUI [1])
IgG in CSF
Item
Immunoglobulin G synthesis in Cerebrospinal fluid
text
C1269632 (UMLS CUI [1])
CSF Viral Antibodies
Item
Cerebrospinal fluid viral antibody test(measles, rubella, varicella)
text
C2368116 (UMLS CUI [1])
Previous Therapy Medication
Item
Previous Therapy Medication
text
C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,2])
Previous Therapie Benefit
Item
Previous Therapie Benefit
text
C0087113 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
C2114510 (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 Bowel Function Control
Item
Did a loss of Bowel function control occur?
boolean
C1290944 (UMLS CUI [1])
Fatigue
Item
Does an impairment of everyday life occur due to fatigue?
boolean
C0015672 (UMLS CUI [1])
Follow-up MRI
Item
Follow-up MRI
text
C0412674 (UMLS CUI [1,1])
C0260832 (UMLS CUI [1,2])
C1261322 (UMLS CUI [2,1])
C0242656 (UMLS CUI [2,2])
C0260832 (UMLS CUI [1,2])
C1261322 (UMLS CUI [2,1])
C0242656 (UMLS CUI [2,2])
Number of Lesions
Item
Number of T2-hyperintense Lesions in cMRT
integer
C2238926 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
Localisation of Lesions
Item
Localisation of Lesions
text
C2238926 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
C0475264 (UMLS CUI [1,2])
Dissemination Time
Item
Criteria Dissemination in Time
boolean
C0205221 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,2])
Dissemination Space
Item
Criteria Dissemination in Space
boolean
C0205221 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
C1515974 (UMLS CUI [1,2])
Neurological Examination
Item
Neurological Examination
text
C0437208 (UMLS CUI [1])
Therapeutic Options
Item
Therapeutic Options
text
C0683525 (UMLS CUI [1])
Study Participation
Item
Study Participation
boolean
C1997894 (UMLS CUI [1])
Anti-aquaporin-4 antibody
Item
Anti-aquaporin-4 antibody Blood Test
text
C2919772 (UMLS CUI [1])
Borrelia test
Item
Borrelia test
text
C2748236 (UMLS CUI [1])
Vasculitis Blood tests
Item
Vasculitis Laboratory Tests
text
C0042384 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,2])
Recommendation Therapy
Item
Therapy Recommendation
text
C0034866 (UMLS CUI [1])
Recommendation Neurological Exam
Item
Neurological Exam
text
C0027853 (UMLS CUI [1,1])
C0585339 (UMLS CUI [1,2])
C0585339 (UMLS CUI [1,2])
Recommendation MRI Follow-Up
Item
MRI Follow-Up
text
C0260832 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
C0412674 (UMLS CUI [1,2])
Item Group
Neurological Examination: Cranial Nerves
C0558819 (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])
C1287969 (UMLS CUI [1,2])
CL Item
positive (positive)
CL Item
negative (negative)
Cranial Nerves: Visual Field
Item
Visual Field Fingerperimetric
text
C0858409 (UMLS CUI [1])
Cranial Nerves: Pupils Size
Item
Pupils Size
text
C0437590 (UMLS CUI [1])
Cranial Nerves: Pupils regularity
Item
Pupils regularity
text
C0437592 (UMLS CUI [1])
Cranial Nerves: Pupils reaction
Item
Pupils reaction
text
C0437599 (UMLS CUI [1])
Cranial Nerves: Direct pupil reaction to light
Item
Direct pupil reaction to light
text
C0700372 (UMLS CUI [1,1])
C1947931 (UMLS CUI [1,2])
C1947931 (UMLS CUI [1,2])
Cranial Nerves: Consensual pupil reaction to light
Item
Consensual pupil reaction to light
text
C0700372 (UMLS CUI [1])
Cranial Nerves: Eye Movement
Item
Examination of Eye Movement
text
C0015413 (UMLS CUI [1])
Cranial Nerves: Nystagmus
Item
Nystagmus Test
text
C0200205 (UMLS CUI [1])
Cranial Nerves: Gaze Palsy
Item
Gaze Palsy
text
C1112261 (UMLS CUI [1])
Cranial Nerves: Diplopia
Item
Diplopia
text
C0012569 (UMLS CUI [1])
Cranial Nerves: Facial Paralysis
Item
Facial Paralysis
text
C0015469 (UMLS CUI [1])
Cranial Nerves: Trigeminal Sensory Function
Item
Trigeminal Sensory Function
text
C0234284 (UMLS CUI [1])
Cranial Nerves: Trigeminal Motor Function
Item
Trigeminal Motor Function abnormal?
boolean
C0234282 (UMLS CUI [1])
Cranial Nerves: Caudal cranial nerves
Item
Function of caudal cranial nerves
text
C0010268 (UMLS CUI [1,1])
C0205097 (UMLS CUI [1,2])
C0205097 (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])
C0243095 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Current Immunosuppressive Therapy
Item
Current Immunosuppressive Therapy
text
C2827774 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
Starting Date Therapy
Item
Date of start of therapy
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C3173309 (UMLS CUI [2,1])
C0679868 (UMLS CUI [2,2])
C2827774 (UMLS CUI [1,2])
C3173309 (UMLS CUI [2,1])
C0679868 (UMLS CUI [2,2])
Current Immunosuppressive Therapy
Item
Current Immunosuppressive Therapy
text
C2827774 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
Adverse Effect
Item
Adverse Effect
text
C0877248 (UMLS CUI [1])
C0566251 (UMLS CUI [2,1])
C0746919 (UMLS CUI [2,2])
C3840932 (UMLS CUI [3,1])
C0746919 (UMLS CUI [3,2])
C0566251 (UMLS CUI [2,1])
C0746919 (UMLS CUI [2,2])
C3840932 (UMLS CUI [3,1])
C0746919 (UMLS CUI [3,2])
Current Symptoms
Item
Current Symptoms
text
C1457887 (UMLS CUI [1])
Therapeutic Attempt
Item
Therapeutic Attempt
text
C0087111 (UMLS CUI [1,1])
C1516084 (UMLS CUI [1,2])
C1516084 (UMLS CUI [1,2])
SEP
Item
SEP (Somatosensory Evoked Potentials)
text
C0015216 (UMLS CUI [1])
Results of further investigations
Item
Results of further investigations
text
C0497120 (UMLS CUI [1])
Walking Distance
Item
Walking Distance
float
C0429886 (UMLS CUI [1])
Neurologic Symptoms
Item
Neurologic Symptoms
text
C1457887 (UMLS CUI [1])
Medication Name
Item
Medication Name
text
C2360065 (UMLS CUI [1])
Medication Trade Name
Item
Medication Trade Name
text
C0592503 (UMLS CUI [1])
Drug Dosage
Item
Drug Dosage
integer
C3174092 (UMLS CUI [1])
Amount of Medication
Item
Amount of Medication
integer
C1265611 (UMLS CUI [1,1])
C3469597 (UMLS CUI [1,2])
C3469597 (UMLS CUI [1,2])
eGFR
Item
eGFR (CKD-EPI)
integer
C3811844 (UMLS CUI [1])
Urine Specific Gravity
Item
Urine Specific Gravity
float
C0202517 (UMLS CUI [1])
Urine pH
Item
Urine pH
float
C0042044 (UMLS CUI [1])
CL Item
neg (neg )
CL Item
pos (pos)
CL Item
neg (neg)
CL Item
pos (pos)
CL Item
neg (neg)
CL Item
pos (pos)
Urine Glucose
Item
Urine Glucose
text
C0004076 (UMLS CUI [1])
Urine Ketone Bodies
Item
Urine Ketone Bodies
integer
C0860805 (UMLS CUI [1])
Urine Urobilinogen
Item
Urine Urobilinogen
text
C0427736 (UMLS CUI [1])
Urine Bilirubin
Item
Urine Bilirubin
text
C0042040 (UMLS CUI [1])
Urine Erythrocytes
Item
Urine Erythrocytes
integer
C1254564 (UMLS CUI [1])
Neutrophils (rel)
Item
Neutrophils relative
integer
C4028217 (UMLS CUI [1])
Neutrophils (abs)
Item
Neutrophils absolute
float
C0948762 (UMLS CUI [1])
Lymphocytes (rel)
Item
Lymphocytes relative
integer
C2349983 (UMLS CUI [1])
Lymphocytes (abs)
Item
Lymphocytes absolute
float
C0200635 (UMLS CUI [1])
Monocytes (rel)
Item
Monocytes relative
integer
C0587345 (UMLS CUI [1])
Monocytes (abs)
Item
Monocytes absolute
float
C0200637 (UMLS CUI [1])
Eosinophils (rel)
Item
Eosinophils relative
integer
C1171399 (UMLS CUI [1])
Eosinophils (abs)
Item
Eosinophils absolute
float
C0200638 (UMLS CUI [1])
Basophils (rel)
Item
Basophils relative
integer
C1318432 (UMLS CUI [1])
Basophils (abs)
Item
Basophils absolute
float
C1883362 (UMLS CUI [1])
MPV
Item
Mean Platelet Volume
float
C0200665 (UMLS CUI [1])
Granulocytes immature
Item
Immature Granulocytes
float
C3272953 (UMLS CUI [1])
Leucocytes
Item
Leucocytes
float
C0023508 (UMLS CUI [1])
Erythrocytes
Item
Erythrocytes
float
C0014772 (UMLS CUI [1])
Haemoglobin
Item
Haemoglobin
integer
C0518015 (UMLS CUI [1])
Haematocrit Blood
Item
Haematocrit
float
C0018935 (UMLS CUI [1])
MCV
Item
Mean Corpuscular Volume
float
C1948043 (UMLS CUI [1])
MCH
Item
MCH
float
C0369183 (UMLS CUI [1])
MCHC
Item
Mean corpuscular hemoglobin concentration
float
C0474535 (UMLS CUI [1])
Thrombocytes
Item
Thrombocytes
float
C0032181 (UMLS CUI [1])
Sodium
Item
Sodium Measurement
integer
C0337443 (UMLS CUI [1])
Potassium
Item
Potassium
float
C0202194 (UMLS CUI [1])
Calcium
Item
Calcium
float
C0201925 (UMLS CUI [1])
Chloride
Item
Chloride
integer
C0201952 (UMLS CUI [1])
Phosphate
Item
Phosphate
float
C0523826 (UMLS CUI [1])
Glucose
Item
Glucose
integer
C0202042 (UMLS CUI [1])
Blood Urea Nitrogen
Item
Blood Urea Nitrogen
float
C0005845 (UMLS CUI [1])
Creatinin
Item
Creatinin
float
C0201976 (UMLS CUI [1])
Bilirubin Total
Item
Bilirubin Total
float
C1278039 (UMLS CUI [1])
AST
Item
AST (SGOT)
float
C0201899 (UMLS CUI [1])
ALT
Item
Alanine transaminase (ALT) (SGPT)
float
C0201836 (UMLS CUI [1])
gamma-GT
Item
gamma-GT
float
C0202035 (UMLS CUI [1])
Alkaline Phosphatase
Item
Alkaline Phosphatase
text
C0201850 (UMLS CUI [1])
Albumin
Item
Albumin
float
C0201838 (UMLS CUI [1])
Date
Item
Date of Blood Sample
date
C0022885 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Muscular reflex
Item
Function of Muscular reflex
text
C0034943 (UMLS CUI [1])
Ankle Clonus
Item
Can an Ankle Clonus be provoked?
text
C0238651 (UMLS CUI [1])
Upper motor neuron signs
Item
Upper motor neuron signs
text
C0749870 (UMLS CUI [1])
Pronator Drift Test
Item
Pronator Drift Test
text
C1504476 (UMLS CUI [1])
Leg drift test
Item
Leg drift test
text
C4036162 (UMLS CUI [1])
C4036161 (UMLS CUI [2])
C4036161 (UMLS CUI [2])
Palsy dorsiflexion
Item
Palsy dorsiflexion
text
C1838247 (UMLS CUI [1])
Item
Muscle strength (Oxford Scale)
text
C0451362 (UMLS CUI [1,1])
C0231770 (UMLS CUI [1,2])
C0231770 (UMLS CUI [1,2])
CL Item
0/5 (0/5)
CL Item
1/5 (1/5)
CL Item
2/5 (2/5)
CL Item
3/5 (3/5)
CL Item
4/5 (4/5)
CL Item
5/5 (5/5)
Paralysed knee flexion
Item
Paralysed knee flexion
text
C0240114 (UMLS CUI [1,1])
C0522224 (UMLS CUI [1,2])
C0522224 (UMLS CUI [1,2])
Muscle strength Knee flexion
Item
Muscle strength Knee flexion (Oxford Scale)
text
C0451362 (UMLS CUI [1,1])
C0240114 (UMLS CUI [1,2])
C0240114 (UMLS CUI [1,2])
CL Item
left side (left sides)
CL Item
right side (right sides)
CL Item
both sides (both sides)
Toe-walking gait
Item
Toe-walking gait possible
text
C0427144 (UMLS CUI [1])
Heel to toe gait
Item
Heel to toe gait possible
text
C0231779 (UMLS CUI [1])
Heel Gait
Item
Heel Gait possible
text
C2243016 (UMLS CUI [1])
One Leg Jump
Item
One Leg Jump possible
text
C1140621 (UMLS CUI [1,1])
C0560451 (UMLS CUI [1,2])
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])
CL Item
Eudiadochokinesis (Eudiadochokinesis)
CL Item
Dysdiadochokinesis (Dysdiadochokinesis)
Pallesthesia
Item
Pallesthesia
boolean
C0234198 (UMLS CUI [1])
CL Item
right (right )
CL Item
left (left)
CL Item
0/8 (0/8)
CL Item
1/8 (1/8)
CL Item
2/8 (2/8)
CL Item
3/8 (3/8)
CL Item
4/8 (4/8)
CL Item
5/8 (5/8)
CL Item
6/8 (6/8)
CL Item
7/8 (7/8)
CL Item
8/8 (8/8)
Rhomberg Test
Item
Rhomberg Test abnormal?
text
C1656968 (UMLS CUI [1])
Aphasia
Item
Aphasia?
boolean
C0003537 (UMLS CUI [1])
Apraxia
Item
Apraxia?
text
C0234520 (UMLS CUI [1])
Neglect
Item
Neglect
boolean
C0422887 (UMLS CUI [1])
CL Item
present (1)
CL Item
not present (2)
CL Item
not examined (3)
Pronator Drift Test
Item
Pronator Drift Test
text
C1504476 (UMLS CUI [1])
Leg drift test
Item
Leg drift test
text
C4036162 (UMLS CUI [1])
C4036161 (UMLS CUI [2])
C4036161 (UMLS CUI [2])
Motor tone
Item
Muscle Tonus
text
C0026841 (UMLS CUI [1])
Fine motor skills
Item
Fine motor skills abnormal?
text
C0678857 (UMLS CUI [1])
Gait
Item
Gait, Manner of walking
text
C0016928 (UMLS CUI [1])
Standing
Item
Standing, Manner of Standing
text
C0231472 (UMLS CUI [1])
Muscular reflex
Item
Function of Muscular reflex
text
C0034943 (UMLS CUI [1])
Pyramidal
Item
Pyramidal signs
text
C0234132 (UMLS CUI [1])
Sensibility
Item
Sensibility on neurological exam abnormal?
boolean
C0439823 (UMLS CUI [1])
Motor Coordination Tests
Item
Abnormal motor coordination tests?
text
C0237543 (UMLS CUI [1,1])
C0039593 (UMLS CUI [1,2])
C0039593 (UMLS CUI [1,2])