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ID
34799
Beschreibung
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.
Stichworte
Versionen (3)
- 27.02.18 27.02.18 -
- 29.01.19 29.01.19 - Sarah Riepenhausen
- 27.09.21 27.09.21 -
Rechteinhaber
Prof. Dr. Luisa Klotz
Hochgeladen am
29. Januar 2019
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Discharge Letter Items Neuroinflammatory Demyelinating Diseases
Discharge Letter Items 1229450930 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
Ähnliche Modelle
Discharge Letter Items 1229450930 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
Typ
Description | Question | Decode (Coded Value)
Datentyp
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 Copaxone
Item
Previous Therapy with Copaxone (Glatirameractetat)
boolean
C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
C0289884 (UMLS CUI [2])
C0026769 (UMLS CUI [1,2])
C0289884 (UMLS CUI [2])
Previous Therapy Time Range Copaxone
Item
Time Range of Previous Therapy with Copaxone
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 Copaxone
Item
Previous Therapie Benefit during Treatment with Copaxone
text
C0087113 (UMLS CUI [1,1])
C0289884 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])
C0289884 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])
Previous Therapy Tysabri
Item
Previous Therapy with Tysabri (Natalizumab)
boolean
C2114510 (UMLS CUI [1])
C1172734 (UMLS CUI [2])
C1172734 (UMLS CUI [2])
Previous Therapy Time Range
Item
Time Range of Previous Therapy with Tysabri
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 Tysabri
Item
Previous Therapie Benefit during Treatment with Tysabri (Natalizumab)
text
C0087113 (UMLS CUI [1,1])
C1172734 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])
C1172734 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])
Previous Therapy Alemtuzumab
Item
Previous Therapy with Lemtrada (Alemtuzumab)
boolean
C2114510 (UMLS CUI [1])
C0383429 (UMLS CUI [2])
C0383429 (UMLS CUI [2])
Previous Therapy Time Range Alemtuzumab
Item
Time Range of Previous Therapy with Alemtuzumab
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])
Item Group
Risk Stratification of Therapy with Natalizumab
C0150323 (UMLS CUI [2,1])
C1172734 (UMLS CUI [2,2])
C1172734 (UMLS CUI [2,2])
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
Months of use of Natalizumab
text
C1172734 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])
C0444917 (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])
L-Selectin
Item
L-Selectin-State of Risk
text
C0125090 (UMLS CUI [1])
Arterial Hypertension
Item
Arterial Hypertension
boolean
C0020538 (UMLS CUI [1])
CVI
Item
Chronic venous insufficiency
boolean
C1306557 (UMLS CUI [1])
Recurrent Cystitis
Item
Recurrent Cystitis
boolean
C0581366 (UMLS CUI [1])
Hints of a Collagen Disease
Item
Hints of a Collagen Disease?
boolean
C0009326 (UMLS CUI [1])
Item
Collagen Disease: Anti-nuclear antibody measurement
text
C0587178 (UMLS CUI [1])
CL Item
positive (positive )
CL Item
negative (negative)
Collagen Disease: ENA
Item
Collagen Disease: Antibodies, Antinuclear
boolean
C0003243 (UMLS CUI [1])
Collagen Disease: IFT
Item
Collagen Disease: Results of Indirect Immunofluorescence Staining
text
C0282646 (UMLS CUI [1])
Item
Mixed Connective Tissue Disease-Screening
text
C0026272 (UMLS CUI [1])
CL Item
positive (positive)
CL Item
negative (negative)
CL Item
negative (negative)
CL Item
positive (positive)
Item
Beta 2 glycoprotein I IgG antibody test positive/negative?
text
C2208744 (UMLS CUI [1])
Code List
Beta 2 glycoprotein I IgG antibody test positive/negative?
CL Item
negative (negative)
CL Item
positive (positive)
Collagen Disease: Capillary Microscopy
Item
Capillary Microscopy Results
text
C0262428 (UMLS CUI [1])
Recurrent Depressive Episodes
Item
Recurrent Depressive Episodes
text
C0349217 (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])
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])
Introduction: Department
Item
Introduction: Department
text
C1704729 (UMLS CUI [1])
Medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Current Symptoms
Item
Current Symptoms
text
C1457887 (UMLS CUI [1])
Quality of life
Item
Quality of life decreased
boolean
C1963786 (UMLS CUI [1])
Stress
Item
Stress
text
C0038435 (UMLS CUI [1])
Susceptibility to infections
Item
Susceptibility to infections increased?
boolean
C0521978 (UMLS CUI [1])
Laboratory Results
Item
Laboratory Results abnormal?
boolean
C0587081 (UMLS CUI [1])
Findings of neurological Examination
Item
Pathological findings of neurological examination
text
C0437208 (UMLS CUI [1])
Walking Distance
Item
Walking Distance
float
C0429886 (UMLS CUI [1])
Gait
Item
Gait, Manner of walking
text
C0016928 (UMLS CUI [1])
Item
Muscle strength of legs
text
C0023216 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])
C0451362 (UMLS CUI [1,2])
CL Item
worse than before (worse than before)
CL Item
same (same)
CL Item
better than before (better than before)
EDSS
Item
EDSS
integer
C3830336 (UMLS CUI [1])
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])
Date Follow-Up Visit
Item
Date Follow-Up Visit
date
C3694716 (UMLS CUI [1])
Recommendation Blood count
Item
Recommendation to bring a current blood count, CRP and Urine status
boolean
C0545131 (UMLS CUI [1])
Recommendation Physical Therapy
Item
Physical Therapy has been recommended?
boolean
C0949766 (UMLS CUI [1])
Recommendation MRI Comparison
Item
Recommendation to compare MRI images
boolean
C0024485 (UMLS CUI [1])
Multiple sclerosis relapse Therapy Lemtrada
Item
Multiple sclerosis relapse during therapy with Lemtrada
text
C0035020 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
Further diagnostic procedures
Item
Further diagnostic procedures planned during hospitalisation
text
C0430022 (UMLS CUI [1])
Other Therapy
Item
Induction of other therapy to stop MS flare
text
C0679868 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (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])
CL Item
positive (positive)
CL Item
negative (negative)
Percussion Pain Skull
Item
Percussion Pain Skull
boolean
C0030987 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0037303 (UMLS CUI [1,3])
C0030193 (UMLS CUI [1,2])
C0037303 (UMLS CUI [1,3])
Cranial Nerves: Visus
Item
Cranial Nerves: Visus
integer
C0042812 (UMLS CUI [1])
Cranial Nerves: Pupils regularity
Item
Pupils regularity
text
C0437592 (UMLS CUI [1])
Cranial Nerves: Consensual pupil reaction to light
Item
Consensual pupil reaction to light
text
C0700372 (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: Visual Field
Item
Visual Field Fingerperimetric
text
C0858409 (UMLS CUI [1])
Cranial Nerves: Eye Movement
Item
Examination of Eye Movement
text
C0015413 (UMLS CUI [1])
Cranial Nerves: Saccades
Item
Saccades
boolean
C0036019 (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: Sensory Function
Item
Facial Sensory Function
text
C0234292 (UMLS CUI [1])
Cranial Nerves: M.temporalis
Item
M.temporalis strength
text
C1275494 (UMLS CUI [1,1])
C0517349 (UMLS CUI [1,2])
C0517349 (UMLS CUI [1,2])
Cranial Nerves: M. masseter
Item
M. masseter strength
text
C0024876 (UMLS CUI [1,1])
C0517349 (UMLS CUI [1,2])
C0517349 (UMLS CUI [1,2])
Cranial Nerves: Facial Muscles
Item
Facial Muscles abnormal?
text
C4073201 (UMLS CUI [1])
Cranial Nerves: Hearing Screen
Item
Findings on finger rub auditory screening test
text
C0500425 (UMLS CUI [1])
Soft Palate Movement
Item
Soft Palate Movement
text
C2239128 (UMLS CUI [1])
Cranial Nerves: Deviation of uvula
Item
Deviation of uvula
boolean
C0426994 (UMLS CUI [1,1])
Cranial Nerves: Tongue Deviation
Item
Tongue deviation
boolean
C1328516 (UMLS CUI [1])
Cranial Nerves: M. sternocleidomastoideus
Item
M. sternocleidomastoideus
text
C0224153 (UMLS CUI [1,1])
C0517349 (UMLS CUI [1,2])
C0517349 (UMLS CUI [1,2])
Cranial Nerves: M. trapezius
Item
M. trapezius strength
text
C0224361 (UMLS CUI [1,1])
C0517349 (UMLS CUI [1,2])
C0517349 (UMLS CUI [1,2])
Taste Perception
Item
Taste Perception abnormal
boolean
C0039336 (UMLS CUI [1])
Smell Perception
Item
Smell Perception abnormal?
boolean
C0037361 (UMLS CUI [1])
Trophic of Muscles
Item
Trophic change of Muscles
text
C0437261 (UMLS CUI [1,1])
C0026845 (UMLS CUI [1,2])
C0026845 (UMLS CUI [1,2])
Motor tone
Item
Muscle Tonus
text
C0026841 (UMLS CUI [1])
Muscle movement involuntary
Item
Involuntary muscle movements
boolean
C0221722 (UMLS CUI [1])
Paresis Lower Exremity
Item
Paresis of Lower Exremity
text
C0751410 (UMLS CUI [1])
Item
Muscle strength of Hip Flexion
text
C2237371 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])
C0451362 (UMLS CUI [1,2])
CL Item
worse than before (worse than before)
CL Item
same (same)
CL Item
better than before (better than before)
Item
Muscle strength Knee extension
text
C2237139 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])
C0451362 (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)
Pronator Drift Test
Item
Pronator Drift Test
text
C1504476 (UMLS CUI [1])
Muscular Reflex
Item
Function of Muscular reflex (MER) on arm
text
C0034943 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])
C1140618 (UMLS CUI [1,2])
Babinski Reflex
Item
Babinski Reflex
text
C0034935 (UMLS CUI [1])
Item Group
Neurological Examination: Coordination and Gait
Gait
Item
Gait, Manner of walking
text
C0016928 (UMLS CUI [1])
Heel to toe gait
Item
Heel to toe gait possible
text
C0231779 (UMLS CUI [1])
Toe-walking gait
Item
Toe-walking gait possible
text
C0427144 (UMLS CUI [1])
Heel Gait
Item
Heel Gait possible
text
C2243016 (UMLS CUI [1])
Rhomberg Test
Item
Rhomberg Test abnormal?
text
C1656968 (UMLS CUI [1])
CL Item
Eudiadochokinesis (Eudiadochokinesis)
CL Item
Dysdiadochokinesis (Dysdiadochokinesis)
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 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
Pallesthesia of ankle
text
C0003086 (UMLS CUI [1,1])
C0234198 (UMLS CUI [1,2])
C0234198 (UMLS CUI [1,2])
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)
Item
Pallesthesia of knee
text
C0022742 (UMLS CUI [1,1])
C0234198 (UMLS CUI [1,2])
C0234198 (UMLS CUI [1,2])
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)
Item Group
Psychological findings
C0205486 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
C0243095 (UMLS CUI-2)
Depressive Mood
Item
Mood alterations with depressive symptoms
boolean
C0852545 (UMLS CUI [1])