Discharge Letter Items -18546 Multiple Sclerosis

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Document ID
Description

Document ID

Data type

integer

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

Name

Data type

text

Alias
UMLS CUI [1]
C0421448
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]
C1550330
Date of Appointment/Stay
Description

Date of Appointment

Data type

date

Alias
UMLS CUI [1]
C1320303
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
Previous Therapy Medication
Description

Previous Therapy Medication

Data type

text

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0026769
Time Range of Previous Therapy
Description

Previous Therapy Time Range

Data type

text

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C3173309
UMLS CUI [2,1]
C2114510
UMLS CUI [2,2]
C1531784
Previous Therapie Benefit
Description

Previous Therapie Benefit

Data type

text

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C2114510
Indicate the dates of previous flares of MS.
Description

Previous MS Flares

Data type

text

Alias
UMLS CUI [1,1]
C0035020
UMLS CUI [1,2]
C0011008
UMLS CUI [2,1]
C0035020
UMLS CUI [2,2]
C3843288
UMLS CUI [3,1]
C0035020
UMLS CUI [3,2]
C3846158
Neutralizing Antibodies (Nab) against Interferone Beta
Description

Neutralizing Antibodies

Data type

boolean

Alias
UMLS CUI [1]
C1997641
Neutralizing Antibodies Test Date
Description

Neutralizing Antibodies Year

Data type

date

Alias
UMLS CUI [1,1]
C1997641
UMLS CUI [1,2]
C0011008
Risk Stratification of Therapy with Natalizumab
Description

Risk Stratification of Therapy with Natalizumab

Alias
UMLS CUI [1,1]
C0150323
UMLS CUI [1,2]
C1172734
Previous Immunosuppressive Therapy
Description

Previous Immunosuppressive Therapy

Data type

boolean

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0021079
Use of Natalizumab
Description

Use of Natalizumab

Data type

text

Measurement units
  • months
Alias
UMLS CUI [1,1]
C1172734
UMLS CUI [1,2]
C0439231
months
JCV Antibodies
Description

JCV Antibodies

Data type

text

Alias
UMLS CUI [1]
C3511565
Date of JCV-Antibody Measurement
Description

of JCV

Data type

date

Alias
UMLS CUI [1,1]
C3511565
UMLS CUI [1,2]
C0011008
Therapy with Alemtuzumab
Description

Therapy Alemtuzumab

Data type

boolean

Alias
UMLS CUI [1]
C0383429
UMLS CUI [2,1]
C2114510
UMLS CUI [2,2]
C0026769
Therapy Alemtuzumab Date of Treatment
Description

Therapy Alemtuzumab Date

Data type

date

Alias
UMLS CUI [1,1]
C0383429
UMLS CUI [1,2]
C0011008
Secondary Diagnosis
Description

Secondary Diagnosis

Alias
UMLS CUI-1
C0332138
Secondary Diagnosis
Description

Secondary Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0332138
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
Rituximab Induction to treat Multiple Sclerosis
Description

Rituximab Induction

Data type

text

Alias
UMLS CUI [1]
C0393022
Medical History
Description

Medical History

Alias
UMLS CUI-1
C0262926
Introduction: Reason for current Admission
Description

Introduction: Reason for current Admission

Data type

text

Alias
UMLS CUI [1,1]
C0809949
UMLS CUI [1,2]
C0392360
Past medical history
Description

PMH

Data type

text

Alias
UMLS CUI [1]
C0262926
Continuous progression of MS under Therapie with Natalizumab
Description

Progression Natalizumab

Data type

boolean

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C1172734
Therapy with Alemtuzumab
Description

Therapy Alemtuzumab

Data type

text

Alias
UMLS CUI [1]
C0383429
UMLS CUI [2,1]
C2114510
UMLS CUI [2,2]
C0026769
Symptoms
Description

Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Therapy with Corticosteroid
Description

Therapy Corticosteroid

Data type

text

Alias
UMLS CUI [1]
C0025815
Urge Incontinence
Description

Urge Incontinence

Data type

boolean

Alias
UMLS CUI [1]
C0150045
Did a loss of Bowel function control occur?
Description

Loss of Bowel Function Control

Data type

boolean

Alias
UMLS CUI [1]
C1290944
Medication on Admission
Description

Medication on Admission

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C0457453
Medication name:
Description

Medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
Medication dosage (6:00-12:00-18:00-22:00)
Description

Medication dosage

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C3174092
mg
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
Lhermitte's sign
Description

Lhermittes sign

Data type

text

Alias
UMLS CUI [1]
C0576702
Cranial Nerves: Visus
Description

Cranial Nerves: Visus

Data type

text

Alias
UMLS CUI [1]
C0042812
Visual Field Fingerperimetric
Description

Fingerperimetric

Data type

text

Alias
UMLS CUI [1]
C0858409
Pupils Size
Description

Cranial Nerves: Pupils Size

Data type

text

Alias
UMLS CUI [1]
C0437590
Pupils reaction
Description

Cranial Nerves: Pupils reaction

Data type

text

Alias
UMLS CUI [1]
C0437599
Pupils regularity
Description

Cranial Nerves: Pupils regularity

Data type

text

Alias
UMLS CUI [1]
C0437592
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
Trigeminal Sensory Function
Description

Cranial Nerves: Trigeminal Sensory Function

Data type

text

Alias
UMLS CUI [1]
C0234284
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
Facial Sensory Function
Description

Cranial Nerves: Sensory Function

Data type

text

Alias
UMLS CUI [1]
C0234292
Neurological Examination: Motor
Description

Neurological Examination: Motor

Alias
UMLS CUI-1
C2237216
Pronator Drift Test
Description

Information for left and right arm

Data type

text

Alias
UMLS CUI [1]
C1504476
Leg drift test
Description

Information for left and right leg

Data type

text

Alias
UMLS CUI [1]
C4036162
UMLS CUI [2]
C4036161
Fine motor skills abnormal?
Description

Fine motor skills

Data type

text

Alias
UMLS CUI [1]
C0678857
Neurological Examination: Reflexes
Description

Neurological Examination: Reflexes

Alias
UMLS CUI-1
C0437364
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
Neurological Examination: Sensibility
Description

Neurological Examination: Sensibility

Alias
UMLS CUI-1
C0439823
Hypesthesia Upper Extremity
Description

for both sides

Data type

text

Alias
UMLS CUI [1,1]
C1140618
UMLS CUI [1,2]
C0020580
Hypesthesia Lower Extremity
Description

Hypesthesia Lower Extremity

Data type

text

Alias
UMLS CUI [1,1]
C0023216
UMLS CUI [1,2]
C0020580
Neurological Examination: Coordination and Gait
Description

Neurological Examination: Coordination and Gait

Diadochokinesis
Description

Diadochokinesis

Data type

text

Alias
UMLS CUI [1]
C0278157
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
Rhomberg Test abnormal?
Description

Information for both sides

Data type

text

Alias
UMLS CUI [1]
C1656968
Aphasia?
Description

Aphasia

Data type

boolean

Alias
UMLS CUI [1]
C0003537
Neglect
Description

Neglect

Data type

boolean

Alias
UMLS CUI [1]
C0422887
Apraxia?
Description

Apraxia

Data type

text

Alias
UMLS CUI [1]
C0234520
Neurological Examination: On Discharge
Description

Neurological Examination: On Discharge

Alias
UMLS CUI-1
C0027853
UMLS CUI-2
C1548175
Changes Neurological Exam
Description

Changes Neurological Exam

Data type

text

Alias
UMLS CUI [1]
C0542115
Laboratory Results Urine
Description

Laboratory Results Urine

Alias
UMLS CUI-1
C1610733
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
Laboratory Results Urine Analysis FACS
Description

Laboratory Results Urine Analysis FACS

Alias
UMLS CUI-1
C0042014
Urine Erythrocytes (FACS)
Description

Urine Erythrocytes (FACS)

Data type

integer

Measurement units
  • Anz/l
Alias
UMLS CUI [1,1]
C1114250
UMLS CUI [1,2]
C0079366
Anz/l
Urine leukocytes (FACS)
Description

Urine leukocytes (FACS)

Data type

text

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C1256582
UMLS CUI [1,2]
C0079366
Urine Epithelial Cells (FACS)
Description

Urine Epithelial Cells (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C1273342
UMLS CUI [1,2]
C0079366
Anz./µl
Urine Cylinder Cells (FACS)
Description

Urine Cylinder Cells (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C0946010
UMLS CUI [1,2]
C1114250
UMLS CUI [1,3]
C0079366
Anz./µl
Urine Bacteria (FACS)
Description

Urine Bacteria (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C0430380
UMLS CUI [1,2]
C0079366
Anz./µl
Urine Crystals (FACS)
Description

Urine Crystals (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C0427897
UMLS CUI [1,2]
C0079366
Anz./µl
Urine Yeast (FACS)
Description

Urine Yeast (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C2188427
UMLS CUI [1,2]
C0079366
Anz./µl
Urine Pathological Cylinder (FACS)
Description

Urine Pathological Cylinder (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C0946010
UMLS CUI [1,2]
C0007634
UMLS CUI [1,3]
C0079366
Anz./µl
Urine Round Epithelial Cell Count (FACS)
Description

Urine Round Epithelial Cell Count (FACS)

Data type

integer

Measurement units
  • Anz./µl
Alias
UMLS CUI [1,1]
C2699115
UMLS CUI [1,2]
C0079366
Anz./µl
Laboratory Results Pregnancy
Description

Laboratory Results Pregnancy

Alias
UMLS CUI-1
C0850355
Pregnancy test result
Description

Pregnancy test

Data type

text

Alias
UMLS CUI [1]
C0032976
Laboratory Results Serum
Description

Laboratory Results Serum

Alias
UMLS CUI-1
C1550100
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
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
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
Uric acid
Description

Uric acid

Data type

float

Measurement units
  • md/dl
Alias
UMLS CUI [1]
C0041980
md/dl
Urea
Description

Urea

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0005845
mg/dl
Lactate Dehydrogenase (LDH)
Description

LDH

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI [1]
C0202113
U/L
CPK
Description

Creatinine kinase

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201973
U/l
CK MB
Description

CK MB

Data type

integer

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0523584
U/l
CRP
Description

CRP

Data type

float

Measurement units
  • md/dl
Alias
UMLS CUI [1]
C0201657
md/dl
Laboratory Results Small EDTA
Description

Laboratory Results Small EDTA

Alias
UMLS CUI-1
C0878557
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
Laboratory Results Differential EDTA
Description

Laboratory Results Differential EDTA

Alias
UMLS CUI-1
C1820731
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
Laboratory Results Blood coagulation tests
Description

Laboratory Results Blood coagulation tests

Alias
UMLS CUI-1
C0005790
TPZ
Description

TPZ

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0491338
%
INR
Description

INR

Data type

float

Alias
UMLS CUI [1]
C0525032
PTT
Description

PTT

Data type

float

Measurement units
  • sec.
Alias
UMLS CUI [1]
C0030605
sec.
Laboratory Results Thyroid Function Tests
Description

Laboratory Results Thyroid Function Tests

Alias
UMLS CUI-1
C0040130
TSH
Description

TSH

Data type

float

Measurement units
  • µU/ml
Alias
UMLS CUI [1]
C0202230
µU/ml
Laboratory Results Calculated
Description

Laboratory Results Calculated

Alias
UMLS CUI-1
C1293919
eGFR
Description

eGFR

Data type

integer

Alias
UMLS CUI [1]
C3811844
Laboratory Results Cellular Immune State
Description

Laboratory Results Cellular Immune State

Lymphocytes (Beads)
Description

Lymphocytes (Beads)

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C0200635
cells/µl
CD3+
Description

CD3+

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C3542405
cells/µl
CD4+
Description

CD4+

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C1277776
cells/µl
CD4+
Description

CD4+

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1277791
%
CD8+
Description

CD8+

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C1277777
cells/µl
CD8+
Description

CD8+

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1277792
%
CD4/CD8 Ratio
Description

CD4/CD8 Ratio

Data type

float

Alias
UMLS CUI [1]
C0085115
CD19+
Description

CD19+

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C3540683
cells/µl
Natural Killer Cells
Description

Natural Killer Cells

Data type

integer

Measurement units
  • cells/µl
Alias
UMLS CUI [1]
C2363836
cells/µl
Summary and Procedures
Description

Summary and Procedures

Alias
UMLS CUI-1
C2700391
Introduction: Reason for current Admission
Description

Introduction: Reason for current Admission

Data type

text

Alias
UMLS CUI [1,1]
C0809949
UMLS CUI [1,2]
C0392360
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
Results of latest MRI of Head and Brain
Description

Last MRI Head

Data type

text

Alias
UMLS CUI [1,1]
C0035020
UMLS CUI [1,2]
C0024485
UMLS CUI [2,1]
C0229962
UMLS CUI [2,2]
C0024485
UMLS CUI [3,1]
C0035020
UMLS CUI [3,2]
C0024485
Pathological findings of neurological examination
Description

Findings of neurological Examination

Data type

text

Alias
UMLS CUI [1]
C0437208
Summary of the current progression and stage of disease
Description

Summary Progression of Disease

Data type

text

Alias
UMLS CUI [1,1]
C0242656
UMLS CUI [1,2]
C0743221
Summary of paraclinical findings
Description

further investigations

Data type

text

Alias
UMLS CUI [1,1]
C0497120
UMLS CUI [1,2]
C0743221
Summary of Procedures during hospitalisation
Description

Summary of Hospital Stay

Data type

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0743221
Recommendation Blood Sample
Description

Recommendation Blood Sample

Data type

text

Alias
UMLS CUI [1]
C0178913
Medication on Discharge
Description

Medication on Discharge

Alias
UMLS CUI-1
C1553894
Medication name:
Description

MEDICATION NAME

Data type

text

Alias
UMLS CUI [1]
C2360065

Similar models

Discharge Letter Items -18546 Multiple Sclerosis

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Document ID
Item
Document ID
integer
C1300638 (UMLS CUI [1])
Name
Item
Patient`s Name
text
C0421448 (UMLS CUI [1])
Date of birth
Item
Date of birth:
date
C0421451 (UMLS CUI [1])
Item
Inpatient or Outpatient
text
C1550330 (UMLS CUI [1])
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
C1320303 (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])
Previous Therapy Medication
Item
Previous Therapy Medication
text
C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Previous Therapy Time Range
Item
Time Range of Previous Therapy
text
C2114510 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
C2114510 (UMLS CUI [2,1])
C1531784 (UMLS CUI [2,2])
Previous Therapie Benefit
Item
Previous Therapie Benefit
text
C0087113 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
Previous MS Flares
Item
Indicate the dates of previous flares of MS.
text
C0035020 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0035020 (UMLS CUI [2,1])
C3843288 (UMLS CUI [2,2])
C0035020 (UMLS CUI [3,1])
C3846158 (UMLS CUI [3,2])
Neutralizing Antibodies
Item
Neutralizing Antibodies (Nab) against Interferone Beta
boolean
C1997641 (UMLS CUI [1])
Neutralizing Antibodies Date
Item
Neutralizing Antibodies Test Date
date
C1997641 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Risk Stratification of Therapy with Natalizumab
C0150323 (UMLS CUI [1,1])
C1172734 (UMLS CUI [1,2])
Previous Immunosuppressive Therapy
Item
Previous Immunosuppressive Therapy
boolean
C2114510 (UMLS CUI [1,1])
C0021079 (UMLS CUI [1,2])
Use of Natalizumab
Item
Use of Natalizumab
text
C1172734 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
JCV Antibodies
Item
JCV Antibodies
text
C3511565 (UMLS CUI [1])
Date JCV-Antibody
Item
Date of JCV-Antibody Measurement
date
C3511565 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Therapy Alemtuzumab
Item
Therapy with Alemtuzumab
boolean
C0383429 (UMLS CUI [1])
C2114510 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])
Therapy Alemtuzumab Date
Item
Therapy Alemtuzumab Date of Treatment
date
C0383429 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Secondary Diagnosis
C0332138 (UMLS CUI-1)
Secondary Diagnosis
Item
Secondary Diagnosis
text
C0332138 (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])
Rituximab Induction
Item
Rituximab Induction to treat Multiple Sclerosis
text
C0393022 (UMLS CUI [1])
Item Group
Medical History
C0262926 (UMLS CUI-1)
Introduction: Reason for current Admission
Item
Introduction: Reason for current Admission
text
C0809949 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
PMH
Item
Past medical history
text
C0262926 (UMLS CUI [1])
Progression Natalizumab
Item
Continuous progression of MS under Therapie with Natalizumab
boolean
C0087113 (UMLS CUI [1,1])
C1172734 (UMLS CUI [1,2])
Therapy Alemtuzumab
Item
Therapy with Alemtuzumab
text
C0383429 (UMLS CUI [1])
C2114510 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])
Symptoms
Item
Symptoms
text
C1457887 (UMLS CUI [1])
Therapy Corticosteroid
Item
Therapy with Corticosteroid
text
C0025815 (UMLS CUI [1])
Urge Incontinence
Item
Urge Incontinence
boolean
C0150045 (UMLS CUI [1])
Loss of Bowel Function Control
Item
Did a loss of Bowel function control occur?
boolean
C1290944 (UMLS CUI [1])
Item Group
Medication on Admission
C0013227 (UMLS CUI-1)
C0457453 (UMLS CUI-2)
Medication name
Item
Medication name:
text
C2360065 (UMLS CUI [1])
Medication dosage
Item
Medication dosage (6:00-12:00-18:00-22:00)
float
C3174092 (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])
Item
Lhermitte's sign
text
C0576702 (UMLS CUI [1])
Code List
Lhermitte's sign
CL Item
positive (positive)
CL Item
negative (negative)
Cranial Nerves: Visus
Item
Cranial Nerves: Visus
text
C0042812 (UMLS CUI [1])
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 reaction
Item
Pupils reaction
text
C0437599 (UMLS CUI [1])
Cranial Nerves: Pupils regularity
Item
Pupils regularity
text
C0437592 (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: Trigeminal Sensory Function
Item
Trigeminal Sensory Function
text
C0234284 (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])
Cranial Nerves: Sensory Function
Item
Facial Sensory Function
text
C0234292 (UMLS CUI [1])
Item Group
Neurological Examination: Motor
C2237216 (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])
Fine motor skills
Item
Fine motor skills abnormal?
text
C0678857 (UMLS CUI [1])
Item Group
Neurological Examination: Reflexes
C0437364 (UMLS CUI-1)
Muscular reflex
Item
Function of Muscular reflex
text
C0034943 (UMLS CUI [1])
Pyramidal
Item
Pyramidal signs
text
C0234132 (UMLS CUI [1])
Item Group
Neurological Examination: Sensibility
C0439823 (UMLS CUI-1)
Hypesthesia Upper Extremity
Item
Hypesthesia Upper Extremity
text
C1140618 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
Hypesthesia Lower Extremity
Item
Hypesthesia Lower Extremity
text
C0023216 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
Item Group
Neurological Examination: Coordination and Gait
Diadochokinesis
Item
Diadochokinesis
text
C0278157 (UMLS CUI [1])
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])
Rhomberg Test
Item
Rhomberg Test abnormal?
text
C1656968 (UMLS CUI [1])
Aphasia
Item
Aphasia?
boolean
C0003537 (UMLS CUI [1])
Neglect
Item
Neglect
boolean
C0422887 (UMLS CUI [1])
Apraxia
Item
Apraxia?
text
C0234520 (UMLS CUI [1])
Item Group
Neurological Examination: On Discharge
C0027853 (UMLS CUI-1)
C1548175 (UMLS CUI-2)
Changes Neurological Exam
Item
Changes Neurological Exam
text
C0542115 (UMLS CUI [1])
Item Group
Laboratory Results Urine
C1610733 (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])
Code List
Urine leukocytes
CL Item
neg (neg )
CL Item
pos (pos)
Item
Urine Nitrite
text
C0580333 (UMLS CUI [1])
Code List
Urine Nitrite
CL Item
neg (neg)
CL Item
pos (pos)
Item
Urine Protein
text
C0262923 (UMLS CUI [1])
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])
Item Group
Laboratory Results Urine Analysis FACS
C0042014 (UMLS CUI-1)
Urine Erythrocytes (FACS)
Item
Urine Erythrocytes (FACS)
integer
C1114250 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Item
Urine leukocytes (FACS)
text
C1256582 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Code List
Urine leukocytes (FACS)
CL Item
neg (neg )
CL Item
pos (pos)
Urine Epithelial Cells (FACS)
Item
Urine Epithelial Cells (FACS)
integer
C1273342 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Urine Cylinder Cells (FACS)
Item
Urine Cylinder Cells (FACS)
integer
C0946010 (UMLS CUI [1,1])
C1114250 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])
Urine Bacteria (FACS)
Item
Urine Bacteria (FACS)
integer
C0430380 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Urine Crystals (FACS)
Item
Urine Crystals (FACS)
integer
C0427897 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Urine Yeast (FACS)
Item
Urine Yeast (FACS)
integer
C2188427 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Urine Pathological Cylinder (FACS)
Item
Urine Pathological Cylinder (FACS)
integer
C0946010 (UMLS CUI [1,1])
C0007634 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])
Urine Round Epithelial Cell Count (FACS)
Item
Urine Round Epithelial Cell Count (FACS)
integer
C2699115 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
Item Group
Laboratory Results Pregnancy
C0850355 (UMLS CUI-1)
Item
Pregnancy test result
text
C0032976 (UMLS CUI [1])
Code List
Pregnancy test result
CL Item
positive (positive)
CL Item
negative (negative)
Item Group
Laboratory Results Serum
C1550100 (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])
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
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])
Uric acid
Item
Uric acid
float
C0041980 (UMLS CUI [1])
Urea
Item
Urea
float
C0005845 (UMLS CUI [1])
LDH
Item
Lactate Dehydrogenase (LDH)
float
C0202113 (UMLS CUI [1])
Creatinine kinase
Item
CPK
float
C0201973 (UMLS CUI [1])
CK MB
Item
CK MB
integer
C0523584 (UMLS CUI [1])
CRP
Item
CRP
float
C0201657 (UMLS CUI [1])
Item Group
Laboratory Results Small EDTA
C0878557 (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])
Item Group
Laboratory Results Differential EDTA
C1820731 (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])
Item Group
Laboratory Results Blood coagulation tests
C0005790 (UMLS CUI-1)
TPZ
Item
TPZ
integer
C0491338 (UMLS CUI [1])
INR
Item
INR
float
C0525032 (UMLS CUI [1])
PTT
Item
PTT
float
C0030605 (UMLS CUI [1])
Item Group
Laboratory Results Thyroid Function Tests
C0040130 (UMLS CUI-1)
TSH
Item
TSH
float
C0202230 (UMLS CUI [1])
Item Group
Laboratory Results Calculated
C1293919 (UMLS CUI-1)
eGFR
Item
eGFR
integer
C3811844 (UMLS CUI [1])
Item Group
Laboratory Results Cellular Immune State
Lymphocytes (Beads)
Item
Lymphocytes (Beads)
integer
C0200635 (UMLS CUI [1])
CD3+
Item
CD3+
integer
C3542405 (UMLS CUI [1])
CD4+
Item
CD4+
integer
C1277776 (UMLS CUI [1])
CD4+
Item
CD4+
integer
C1277791 (UMLS CUI [1])
CD8+
Item
CD8+
integer
C1277777 (UMLS CUI [1])
CD8+
Item
CD8+
integer
C1277792 (UMLS CUI [1])
CD4/CD8 Ratio
Item
CD4/CD8 Ratio
float
C0085115 (UMLS CUI [1])
CD19+
Item
CD19+
integer
C3540683 (UMLS CUI [1])
Natural Killer Cells
Item
Natural Killer Cells
integer
C2363836 (UMLS CUI [1])
Item Group
Summary and Procedures
C2700391 (UMLS CUI-1)
Introduction: Reason for current Admission
Item
Introduction: Reason for current Admission
text
C0809949 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Current Immunosuppressive Therapy
Item
Current Immunosuppressive Therapy
text
C2827774 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
Last MRI Head
Item
Results of latest MRI of Head and Brain
text
C0035020 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
C0229962 (UMLS CUI [2,1])
C0024485 (UMLS CUI [2,2])
C0035020 (UMLS CUI [3,1])
C0024485 (UMLS CUI [3,2])
Findings of neurological Examination
Item
Pathological findings of neurological examination
text
C0437208 (UMLS CUI [1])
Summary Progression of Disease
Item
Summary of the current progression and stage of disease
text
C0242656 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])
Summary Paraclinical Findings
Item
Summary of paraclinical findings
text
C0497120 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])
Summary of Hospital Stay
Item
Summary of Procedures during hospitalisation
text
C0019993 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])
Recommendation Blood Sample
Item
Recommendation Blood Sample
text
C0178913 (UMLS CUI [1])
Item Group
Medication on Discharge
C1553894 (UMLS CUI-1)
MEDICATION NAME
Item
Medication name:
text
C2360065 (UMLS CUI [1])