Principal Diagnosis
Diagnosis and Clinical Course
text
Date of Onset
date
Earliest date of diagnosis
date
EDSS
integer
Previous Therapy Medication
text
Previous Therapy Time Range
text
Previous Therapie Benefit
text
Previous MS Flares
text
Neutralizing Antibodies
boolean
Neutralizing Antibodies Date
date
Risk Stratification of Therapy with Natalizumab
Previous Immunosuppressive Therapy
boolean
Use of Natalizumab
text
JCV Antibodies
text
Date JCV-Antibody
date
Therapy Alemtuzumab
boolean
Therapy Alemtuzumab Date
date
Secondary Diagnosis
Reason for Admission
Medical History
Introduction: Reason for current Admission
text
PMH
text
Progression Natalizumab
boolean
Therapy Alemtuzumab
text
Symptoms
text
Therapy Corticosteroid
text
Urge Incontinence
boolean
Loss of Bowel Function Control
boolean
Medication on Admission
Neurological Examination: Cranial Nerves
Orientation
text
Meningism
text
Lhermittes sign
text
Cranial Nerves: Visus
text
Cranial Nerves: Visual Field
text
Cranial Nerves: Pupils Size
text
Cranial Nerves: Pupils reaction
text
Cranial Nerves: Pupils regularity
text
Cranial Nerves: Eye Movement
text
Cranial Nerves: Nystagmus
text
Cranial Nerves: Gaze Palsy
text
Cranial Nerves: Diplopia
text
Cranial Nerves: Trigeminal Sensory Function
text
Cranial Nerves: Caudal cranial nerves
text
Cranial Nerves: Sensory Function
text
Neurological Examination: Motor
Neurological Examination: Reflexes
Neurological Examination: Sensibility
Neurological Examination: Coordination and Gait
Diadochokinesis
text
Finger-to-nose test
text
Heel-to-knee test
text
Rhomberg Test
text
Aphasia
boolean
Neglect
boolean
Apraxia
text
Neurological Examination: On Discharge
Laboratory Results Urine
Urine Specific Gravity
float
Urine pH
float
Urine leukocytes
text
Urine Nitrite
text
Urine Protein
text
Urine Glucose
text
Urine Ketone Bodies
integer
Urine Urobilinogen
text
Urine Bilirubin
text
Urine Erythrocytes
integer
Laboratory Results Urine Analysis FACS
Urine Erythrocytes (FACS)
integer
Urine leukocytes (FACS)
text
Urine Epithelial Cells (FACS)
integer
Urine Cylinder Cells (FACS)
integer
Urine Bacteria (FACS)
integer
Urine Crystals (FACS)
integer
Urine Yeast (FACS)
integer
Urine Pathological Cylinder (FACS)
integer
Urine Round Epithelial Cell Count (FACS)
integer
Laboratory Results Pregnancy
Laboratory Results Serum
Sodium
integer
Potassium
float
Calcium
float
Chloride
integer
Glucose
integer
Blood Urea Nitrogen
float
Creatinin
float
Bilirubin Total
float
AST
float
ALT
float
gamma-GT
float
Alkaline Phosphatase
text
Albumin
float
Uric acid
float
Urea
float
LDH
float
Creatinine kinase
float
CK MB
integer
CRP
float
Laboratory Results Small EDTA
Leucocytes
float
Erythrocytes
float
Haemoglobin
integer
Haematocrit Blood
float
MCV
float
MCH
float
MCHC
float
Thrombocytes
float
Laboratory Results Differential EDTA
Neutrophils (rel)
integer
Neutrophils (abs)
float
Lymphocytes (rel)
integer
Lymphocytes (abs)
float
Monocytes (rel)
integer
Monocytes (abs)
float
Eosinophils (rel)
integer
Eosinophils (abs)
float
Basophils (rel)
integer
Basophils (abs)
float
MPV
float
Granulocytes immature
float
Laboratory Results Blood coagulation tests
Laboratory Results Thyroid Function Tests
Laboratory Results Calculated
Laboratory Results Cellular Immune State
Lymphocytes (Beads)
integer
CD3+
integer
CD4+
integer
CD4+
integer
CD8+
integer
CD8+
integer
CD4/CD8 Ratio
float
CD19+
integer
Natural Killer Cells
integer
Summary and Procedures
Introduction: Reason for current Admission
text
Current Immunosuppressive Therapy
text
Last MRI Head
text
Findings of neurological Examination
text
Summary Progression of Disease
text
Summary Paraclinical Findings
text
Summary of Hospital Stay
text
Recommendation Blood Sample
text
Medication on Discharge