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ID
34799
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
January 29, 2019
DOI
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License
Creative Commons BY-NC 3.0
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Discharge Letter Items Neuroinflammatory Demyelinating Diseases
Discharge Letter Items -18546 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 -18546 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
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])
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])
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])
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])
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])
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])
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])
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])
C0011008 (UMLS CUI [1,2])
Item Group
Risk Stratification of Therapy with Natalizumab
C0150323 (UMLS CUI [1,1])
C1172734 (UMLS CUI [1,2])
C1172734 (UMLS CUI [1,2])
Previous Immunosuppressive Therapy
Item
Previous Immunosuppressive Therapy
boolean
C2114510 (UMLS CUI [1,1])
C0021079 (UMLS CUI [1,2])
C0021079 (UMLS CUI [1,2])
Use of Natalizumab
Item
Use of Natalizumab
text
C1172734 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
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])
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])
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])
C0011008 (UMLS CUI [1,2])
Secondary Diagnosis
Item
Secondary Diagnosis
text
C0332138 (UMLS CUI [1])
Reason for admission
Item
Reason for admission
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
C0809949 (UMLS CUI [1,2])
Rituximab Induction
Item
Rituximab Induction to treat Multiple Sclerosis
text
C0393022 (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])
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])
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])
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)
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])
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])
C0205097 (UMLS CUI [1,2])
Cranial Nerves: Sensory Function
Item
Facial Sensory Function
text
C0234292 (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])
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])
C0020580 (UMLS CUI [1,2])
Hypesthesia Lower Extremity
Item
Hypesthesia Lower Extremity
text
C0023216 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
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)
C1548175 (UMLS CUI-2)
Changes Neurological Exam
Item
Changes Neurological Exam
text
C0542115 (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])
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])
C0079366 (UMLS CUI [1,2])
Item
Urine leukocytes (FACS)
text
C1256582 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,2])
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])
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])
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])
C0079366 (UMLS CUI [1,2])
Urine Crystals (FACS)
Item
Urine Crystals (FACS)
integer
C0427897 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,2])
Urine Yeast (FACS)
Item
Urine Yeast (FACS)
integer
C2188427 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])
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])
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])
C0079366 (UMLS CUI [1,2])
CL Item
positive (positive)
CL Item
negative (negative)
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])
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])
eGFR
Item
eGFR
integer
C3811844 (UMLS CUI [1])
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])
Introduction: Reason for current Admission
Item
Introduction: Reason for current Admission
text
C0809949 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
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])
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])
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])
C0743221 (UMLS CUI [1,2])
Summary Paraclinical Findings
Item
Summary of paraclinical findings
text
C0497120 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])
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])
C0743221 (UMLS CUI [1,2])
Recommendation Blood Sample
Item
Recommendation Blood Sample
text
C0178913 (UMLS CUI [1])
MEDICATION NAME
Item
Medication name:
text
C2360065 (UMLS CUI [1])