ID

44679

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)
  1. 2/27/18 2/27/18 -
  2. 1/29/19 1/29/19 - Sarah Riepenhausen
  3. 9/27/21 9/27/21 -
Copyright Holder

Prof. Dr. Luisa Klotz

Uploaded on

September 27, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Discharge Letter Items Neuroinflammatory Demyelinating Diseases

German English Italian

Discharge Letter Items 1215271678 Multiple Sclerosis

12 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
Date of Appointment/Stay
Description

Date of Appointment

Data type

date

Alias
UMLS CUI [1]
C1320303
Inpatient or Outpatient
Description

Care

Data type

text

Alias
UMLS CUI [1]
C1550330
Principal Diagnosis
Description

Principal Diagnosis

Diagnosis and Clinical Course
Description

Diagnosis and Clinical Course

Data type

text

Alias
UMLS CUI [1]
C0011900
UMLS CUI [2,1]
C0449259
UMLS CUI [2,2]
C0026769
UMLS CUI [3,1]
C0205394
UMLS CUI [3,2]
C0011302
UMLS CUI [4,1]
C0205394
UMLS CUI [4,2]
C0449259
UMLS CUI [4,3]
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]
C2316983
EDSS
Description

EDSS

Data type

integer

Alias
UMLS CUI [1]
C3830336
History of Retrobulbar Neuritis
Description

Retrobulbar Neuritis

Data type

boolean

Alias
UMLS CUI [1,1]
C0085582
UMLS CUI [1,2]
C0455483
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
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

Alias
UMLS CUI [1]
C1704729
Past medical history
Description

PMH

Data type

text

Alias
UMLS CUI [1]
C0262926
Previous MRI findings
Description

Previous

Data type

text

Alias
UMLS CUI [1,1]
C0024485
UMLS CUI [1,2]
C0243095
Visual evoked potential findings
Description

both sides compare results please

Data type

text

Alias
UMLS CUI [1,1]
C0546834
UMLS CUI [1,2]
C1274040
Central motor evoked potential results
Description

CMEP

Data type

text

Alias
UMLS CUI [1]
C2210335
Cerebrospinal fluid
Description

Cerebrospinal fluid

Data type

text

Alias
UMLS CUI [1,1]
C0007806
UMLS CUI [1,2]
C0936012
Oligoclonal Bands
Description

Oligoclonal Bands

Data type

text

Alias
UMLS CUI [1]
C0201942
Immunoglobulin G synthesis in Cerebrospinal fluid
Description

IgG in CSF

Data type

text

Alias
UMLS CUI [1]
C1269632
Cerebrospinal fluid viral antibody test(measles, rubella, varicella)
Description

CSF Viral Antibodies

Data type

text

Alias
UMLS CUI [1]
C2368116
Previous Therapy Medication
Description

Previous Therapy Medication

Data type

text

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0026769
Previous Therapie Benefit
Description

Previous Therapie Benefit

Data type

text

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C2114510
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 Bowel function control occur?
Description

Loss of Bowel Function Control

Data type

boolean

Alias
UMLS CUI [1]
C1290944
Does an impairment of everyday life occur due to fatigue?
Description

Fatigue

Data type

boolean

Alias
UMLS CUI [1]
C0015672
Follow-up MRI
Description

Follow-up MRI

Data type

text

Alias
UMLS CUI [1,1]
C0412674
UMLS CUI [1,2]
C0260832
UMLS CUI [2,1]
C1261322
UMLS CUI [2,2]
C0242656
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
Criteria Dissemination in Time
Description

Dissemination Time

Data type

boolean

Alias
UMLS CUI [1,1]
C0205221
UMLS CUI [1,2]
C0040223
Criteria Dissemination in Space
Description

Dissemination Space

Data type

boolean

Alias
UMLS CUI [1,1]
C0205221
UMLS CUI [1,2]
C1515974
Neurological Examination
Description

Neurological Examination

Data type

text

Alias
UMLS CUI [1]
C0437208
Therapeutic Options
Description

Therapeutic Options

Data type

text

Alias
UMLS CUI [1]
C0683525
Study Participation
Description

Patient participates in TOLERATE/DIMAT Study

Data type

boolean

Alias
UMLS CUI [1]
C1997894
Procedures
Description

Procedures

Alias
UMLS CUI-1
C2700391
Anti-aquaporin-4 antibody Blood Test
Description

Anti-aquaporin-4 antibody

Data type

text

Alias
UMLS CUI [1]
C2919772
Borrelia test
Description

Borrelia test

Data type

text

Alias
UMLS CUI [1]
C2748236
Vasculitis Laboratory Tests
Description

Vasculitis Blood tests

Data type

text

Alias
UMLS CUI [1,1]
C0042384
UMLS CUI [1,2]
C0022885
Therapy Recommendation
Description

Recommendation Therapy

Data type

text

Alias
UMLS CUI [1]
C0034866
Neurological Exam
Description

every 6 months

Data type

text

Alias
UMLS CUI [1,1]
C0027853
UMLS CUI [1,2]
C0585339
MRI Follow-Up
Description

Recommendation MRI Follow-Up

Data type

text

Alias
UMLS CUI [1,1]
C0260832
UMLS CUI [1,2]
C0412674
Medication
Description

Medication

Alias
UMLS CUI-1
C0013227
Neurological Examination: Cranial Nerves
Description

Neurological Examination: Cranial Nerves

Alias
UMLS CUI-1
C0558819
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

Laségue

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
Visual Field Fingerperimetric
Description

Cranial Nerves: Visual Field

Data type

text

Alias
UMLS CUI [1]
C0858409
Pupils Size
Description

Cranial Nerves: Pupils Size

Data type

text

Alias
UMLS CUI [1]
C0437590
Pupils regularity
Description

Cranial Nerves: Pupils regularity

Data type

text

Alias
UMLS CUI [1]
C0437592
Pupils reaction
Description

Cranial Nerves: Pupils reaction

Data type

text

Alias
UMLS CUI [1]
C0437599
Direct pupil reaction to light
Description

Cranial Nerves: Direct pupil reaction to light

Data type

text

Alias
UMLS CUI [1,1]
C0700372
UMLS CUI [1,2]
C1947931
Consensual pupil reaction to light
Description

Cranial Nerves: Consensual pupil reaction to light

Data type

text

Alias
UMLS CUI [1]
C0700372
Examination of Eye Movement
Description

Cranial Nerves: Eye Movement

Data type

text

Alias
UMLS CUI [1]
C0015413
Nystagmus Test
Description

Cranial Nerves: Nystagmus

Data type

text

Alias
UMLS CUI [1]
C0200205
Gaze Palsy
Description

Cranial Nerves: Gaze Palsy

Data type

text

Alias
UMLS CUI [1]
C1112261
Diplopia
Description

Cranial Nerves: Diplopia

Data type

text

Alias
UMLS CUI [1]
C0012569
Facial Paralysis
Description

Cranial Nerves: Facial Paralysis

Data type

text

Alias
UMLS CUI [1]
C0015469
Trigeminal Sensory Function
Description

Cranial Nerves: Trigeminal Sensory Function

Data type

text

Alias
UMLS CUI [1]
C0234284
Trigeminal Motor Function abnormal?
Description

Cranial Nerves: Trigeminal Motor Function

Data type

boolean

Alias
UMLS CUI [1]
C0234282
Function of caudal cranial nerves
Description

Cranial Nerves: Caudal cranial nerves

Data type

text

Alias
UMLS CUI [1,1]
C0010268
UMLS CUI [1,2]
C0205097
Übrig
Description

Übrig

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
Current Immunosuppressive Therapy
Description

Current Immunosuppressive Therapy

Data type

text

Alias
UMLS CUI [1]
C2827774
UMLS CUI [2,1]
C0205394
UMLS CUI [2,2]
C2827774
Date of start of therapy
Description

Starting Date Therapy

Data type

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2827774
UMLS CUI [2,1]
C3173309
UMLS CUI [2,2]
C0679868
Current Immunosuppressive Therapy
Description

Current Immunosuppressive Therapy

Data type

text

Alias
UMLS CUI [1]
C2827774
UMLS CUI [2,1]
C0205394
UMLS CUI [2,2]
C2827774
Adverse Effect
Description

Adverse Effect

Data type

text

Alias
UMLS CUI [1]
C0877248
UMLS CUI [2,1]
C0566251
UMLS CUI [2,2]
C0746919
UMLS CUI [3,1]
C3840932
UMLS CUI [3,2]
C0746919
Current Symptoms
Description

Current Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Therapeutic Attempt
Description

Therapeutic Attempt

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1516084
SEP (Somatosensory Evoked Potentials)
Description

SEP (Somatosensory Evoked Potentials)

Data type

text

Alias
UMLS CUI [1]
C0015216
Results of further investigations
Description

concerning secondary diagnosis

Data type

text

Alias
UMLS CUI [1]
C0497120
Walking Distance
Description

Walking Distance

Data type

float

Measurement units
  • km
Alias
UMLS CUI [1]
C0429886
km
Neurologic Symptoms
Description

Neurologic Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Clinical Findings
Description

Clinical Findings

Data type

text

Alias
UMLS CUI [1]
C0205563
Medication Name
Description

Medication Name

Data type

text

Alias
UMLS CUI [1]
C2360065
Medication Trade Name
Description

Medication Trade Name

Data type

text

Alias
UMLS CUI [1]
C0592503
Drug Dosage
Description

Drug Dosage

Data type

integer

Measurement units
  • mg
Alias
UMLS CUI [1]
C3174092
mg
Amount of Medication
Description

Amount of Medication

Data type

integer

Alias
UMLS CUI [1,1]
C1265611
UMLS CUI [1,2]
C3469597
eGFR (CKD-EPI)
Description

eGFR

Data type

integer

Alias
UMLS CUI [1]
C3811844
Urine Specific Gravity
Description

Urine Specific Gravity

Data type

float

Measurement units
  • g/ml
Alias
UMLS CUI [1]
C0202517
g/ml
Urine pH
Description

Urine pH

Data type

float

Alias
UMLS CUI [1]
C0042044
Urine leukocytes
Description

Urine leukocytes

Data type

text

Measurement units
  • Anz./µl
Alias
UMLS CUI [1]
C1256582
Urine Nitrite
Description

Urine Nitrite

Data type

text

Alias
UMLS CUI [1]
C0580333
Urine Protein
Description

Urine Protein

Data type

text

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0262923
Urine Glucose
Description

Urine Glucose

Data type

text

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0004076
mg/dl
Urine Ketone Bodies
Description

Urine Ketone Bodies

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0860805
mg/dl
Urine Urobilinogen
Description

Urine Urobilinogen

Data type

text

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0427736
mg/dl
Urine Bilirubin
Description

Urine Bilirubin

Data type

text

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0042040
mg/dl
Urine Erythrocytes
Description

Urine Erythrocytes

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1]
C1254564
Anz./µl
Neutrophils relative
Description

Neutrophils (rel)

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C4028217
%
Neutrophils absolute
Description

Neutrophils (abs)

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0948762
Tsd/µl
Lymphocytes relative
Description

Lymphocytes (rel)

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C2349983
%
Lymphocytes absolute
Description

Lymphocytes (abs)

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0200635
Tsd/µl
Monocytes relative
Description

Monocytes (rel)

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0587345
%
Monocytes absolute
Description

Monocytes (abs)

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0200637
Tsd/µl
Eosinophils relative
Description

Eosinophils (rel)

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1171399
%
Eosinophils absolute
Description

Eosinophils (abs)

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0200638
Tsd/µl
Basophils relative
Description

Basophils (rel)

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1318432
%
Basophils absolute
Description

Basophils (abs)

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C1883362
Tsd/µl
Mean Platelet Volume
Description

MPV

Data type

float

Measurement units
  • fl
Alias
UMLS CUI [1]
C0200665
fl
Immature Granulocytes
Description

Granulocytes immature

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C3272953
Tsd/µl
Leucocytes
Description

Leucocytes

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0023508
Tsd/µl
Erythrocytes
Description

Erythrocytes

Data type

float

Measurement units
  • Mio/μl
Alias
UMLS CUI [1]
C0014772
Mio/μl
Haemoglobin
Description

Haemoglobin

Data type

integer

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0518015
g/dl
Haematocrit
Description

Haematocrit Blood

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0018935
%
Mean Corpuscular Volume
Description

MCV

Data type

float

Measurement units
  • fl
Alias
UMLS CUI [1]
C1948043
fl
MCH
Description

MCH

Data type

float

Measurement units
  • pg
Alias
UMLS CUI [1]
C0369183
pg
Mean corpuscular hemoglobin concentration
Description

MCHC

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0474535
g/dl
Thrombocytes
Description

Thrombocytes

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0032181
Tsd/µl
Sodium Measurement
Description

Sodium

Data type

integer

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0337443
mmol/l
Potassium
Description

Potassium

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0202194
mmol/l
Calcium
Description

Calcium

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0201925
mmol/l
Chloride
Description

Chloride

Data type

integer

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0201952
mmol/l
Phosphate
Description

Phosphate

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0523826
mmol/l
Glucose
Description

Glucose

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0202042
mg/dl
Blood Urea Nitrogen
Description

Blood Urea Nitrogen

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0005845
mg/dl
Creatinin
Description

Creatinin

Data type

float

Measurement units
  • μmol/l
Alias
UMLS CUI [1]
C0201976
μmol/l
Bilirubin Total
Description

Bilirubin Total

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C1278039
mg/dl
AST (SGOT)
Description

AST

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201899
U/l
Alanine transaminase (ALT) (SGPT)
Description

ALT

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201836
U/l
gamma-GT
Description

gamma-GT

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0202035
U/l
Alkaline Phosphatase
Description

Alkaline Phosphatase

Data type

text

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201850
U/l
Albumin
Description

Albumin

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0201838
g/dl
Date of Blood Sample
Description

Date

Data type

date

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C0011008
Function of Muscular reflex
Description

Muscular reflex

Data type

text

Alias
UMLS CUI [1]
C0034943
Can an Ankle Clonus be provoked?
Description

Ankle Clonus

Data type

text

Alias
UMLS CUI [1]
C0238651
Upper motor neuron signs
Description

Upper motor neuron signs

Data type

text

Alias
UMLS CUI [1]
C0749870
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

Alias
UMLS CUI [1]
C4036162
UMLS CUI [2]
C4036161
Palsy dorsiflexion
Description

Palsy dorsiflexion

Data type

text

Alias
UMLS CUI [1]
C1838247
Muscle strength (Oxford Scale)
Description

Oxford scale

Data type

text

Alias
UMLS CUI [1,1]
C0451362
UMLS CUI [1,2]
C0231770
Paralysed knee flexion
Description

Paralysed knee flexion

Data type

text

Alias
UMLS CUI [1,1]
C0240114
UMLS CUI [1,2]
C0522224
Muscle strength Knee flexion (Oxford Scale)
Description

Muscle strength Knee flexion

Data type

text

Alias
UMLS CUI [1,1]
C0451362
UMLS CUI [1,2]
C0240114
Spastic Gait
Description

Spastic Gait

Data type

text

Alias
UMLS CUI [1]
C0437304
Toe-walking gait possible
Description

Toe-walking gait

Data type

text

Alias
UMLS CUI [1]
C0427144
Heel to toe gait possible
Description

Heel to toe gait

Data type

text

Alias
UMLS CUI [1]
C0231779
Heel Gait possible
Description

Heel Gait

Data type

text

Alias
UMLS CUI [1]
C2243016
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
Pallesthesia
Description

Pallesthesia

Data type

boolean

Alias
UMLS CUI [1]
C0234198
Location of Pallesthesia
Description

Location of Pallesthesia

Data type

text

Alias
UMLS CUI [1]
C1515974
Grade of Pallesthesia
Description

Grade of Pallesthesia

Data type

text

Alias
UMLS CUI [1]
C3468874
Rhomberg Test abnormal?
Description

Rhomberg Test

Data type

text

Alias
UMLS CUI [1]
C1656968
Aphasia?
Description

Aphasia

Data type

boolean

Alias
UMLS CUI [1]
C0003537
Apraxia?
Description

Apraxia

Data type

text

Alias
UMLS CUI [1]
C0234520
Neglect
Description

Neglect

Data type

boolean

Alias
UMLS CUI [1]
C0422887
Neurological Examination: Motor
Description

Neurological Examination: Motor

Alias
UMLS CUI-1
C2237216
Pareses
Description

latent manifest

Data type

text

Alias
UMLS CUI [1]
C0030552
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

Alias
UMLS CUI [1]
C4036162
UMLS CUI [2]
C4036161
Muscle Tonus
Description

Motor tone

Data type

text

Alias
UMLS CUI [1]
C0026841
Fine motor skills abnormal?
Description

Fine motor skills

Data type

text

Alias
UMLS CUI [1]
C0678857
Gait, Manner of walking
Description

Gait

Data type

text

Alias
UMLS CUI [1]
C0016928
Standing, Manner of Standing
Description

Standing

Data type

text

Alias
UMLS CUI [1]
C0231472
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
Sensibility on neurological exam abnormal?
Description

Sensibility

Data type

boolean

Alias
UMLS CUI [1]
C0439823
Abnormal motor coordination tests?
Description

Motor Coordination Tests

Data type

text

Alias
UMLS CUI [1,1]
C0237543
UMLS CUI [1,2]
C0039593
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Similar models

Discharge Letter Items 1215271678 Multiple Sclerosis

12 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])
Date of Appointment
Item
Date of Appointment/Stay
date
C1320303 (UMLS CUI [1])
Item
Inpatient or Outpatient
text
C1550330 (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)
Item Group
Principal Diagnosis
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 [4,3])
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])
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])
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
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])
VEP
Item
Visual evoked potential findings
text
C0546834 (UMLS CUI [1,1])
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])
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])
Previous Therapie Benefit
Item
Previous Therapie Benefit
text
C0087113 (UMLS CUI [1,1])
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])
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])
Dissemination Time
Item
Criteria Dissemination in Time
boolean
C0205221 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Dissemination Space
Item
Criteria Dissemination in Space
boolean
C0205221 (UMLS CUI [1,1])
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])
Item Group
Procedures
C2700391 (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])
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])
Recommendation MRI Follow-Up
Item
MRI Follow-Up
text
C0260832 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Item Group
Medication
C0013227 (UMLS CUI-1)
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])
Item
Lhermitte's sign
text
C0576702 (UMLS CUI [1])
Lhermittes sign
Code List
Lhermitte's sign
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])
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])
Item Group
Übrig
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])
Current Immunosuppressive Therapy
Item
Current Immunosuppressive Therapy
text
C2827774 (UMLS CUI [1])
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])
Current Immunosuppressive Therapy
Item
Current Immunosuppressive Therapy
text
C2827774 (UMLS CUI [1])
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])
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])
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])
Item
Clinical Findings
text
C0205563 (UMLS CUI [1])
Clinical Findings
Code List
Clinical Findings
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])
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])
Item
Urine leukocytes
text
C1256582 (UMLS CUI [1])
Urine leukocytes
Code List
Urine leukocytes
CL Item
neg (neg )
CL Item
pos (pos)
Item
Urine Nitrite
text
C0580333 (UMLS CUI [1])
Urine Nitrite
Code List
Urine Nitrite
CL Item
neg (neg)
CL Item
pos (pos)
Item
Urine Protein
text
C0262923 (UMLS CUI [1])
Urine Protein
Code List
Urine Protein
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])
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])
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])
Muscle strength
Code List
Muscle strength (Oxford Scale)
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])
Muscle strength Knee flexion
Item
Muscle strength Knee flexion (Oxford Scale)
text
C0451362 (UMLS CUI [1,1])
C0240114 (UMLS CUI [1,2])
Item
Spastic Gait
text
C0437304 (UMLS CUI [1])
Gait Spastic
Code List
Spastic Gait
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])
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)
Pallesthesia
Item
Pallesthesia
boolean
C0234198 (UMLS CUI [1])
Item
Location of Pallesthesia
text
C1515974 (UMLS CUI [1])
Location of Pallesthesia
Code List
Location of Pallesthesia
CL Item
right (right )
CL Item
left (left)
Item
Grade of Pallesthesia
text
C3468874 (UMLS CUI [1])
Grade of Pallesthesia
Code List
Grade of Pallesthesia
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])
Item Group
Neurological Examination: Motor
C2237216 (UMLS CUI-1)
Item
Pareses
text
C0030552 (UMLS CUI [1])
Paresis
Code List
Pareses
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])
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])
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