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)
  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

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

German English Italian

Discharge Letter Items 1227440267 Multiple Sclerosis

12 forms  
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 with Copaxone (Glatirameractetat)
Description

Previous Therapy Copaxone

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C0289884
Time Range of Previous Therapy with Copaxone
Description

Previous Therapy Time Range Copaxone

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 Therapy Benefit during Treatment with Copaxone
Description

Previous Therapy Benefit Copaxone

Data type

text

Alias
UMLS CUI [1,1]
C0850893
UMLS CUI [1,2]
C0566251
UMLS CUI [2,1]
C0850893
UMLS CUI [2,2]
C3840932
Previous Therapy with Interferone Beta 1a (Rebif)
Description

C0289884

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C0254119
Time Range of Previous Therapy with Interferon Beta 1a (Rebif)
Description

Previous Therapy Time Range Interferon Beta 1a

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 Therapy Benefit during Treatment with Interferon Beta 1a
Description

Previous Therapy Benefit Interferon Beta 1a

Data type

text

Alias
UMLS CUI [1,1]
C0850893
UMLS CUI [1,2]
C0566251
UMLS CUI [2,1]
C0850893
UMLS CUI [2,2]
C3840932
Previous Therapy with Tysabri (Natalizumab)
Description

Previous Therapy Tysabri

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C1172734
Time Range of Previous Therapy with Tysabri
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 Therapy Benefit during Treatment with Tysabri (Natalizumab)
Description

Previous Therapy Benefit Tysabri

Data type

text

Alias
UMLS CUI [1,1]
C0850893
UMLS CUI [1,2]
C0566251
UMLS CUI [2,1]
C0850893
UMLS CUI [2,2]
C3840932
Previous Therapy Fingolimod
Description

Previous Therapy Fingolimod

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C1699926
Time Range of Previous Therapy with Fingolimod
Description

Previous Therapy Time Range Fingolimod

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 Fingolimod
Description

Previous Therapie Benefit Fingolimod

Data type

text

Alias
UMLS CUI [1,1]
C1699926
UMLS CUI [1,2]
C0087113
UMLS CUI [1,3]
C2114510
Study Participation
Description

Study Participation

Data type

boolean

Alias
UMLS CUI [1]
C1997894
Risk Stratification of Therapy with Natalizumab
Description

Risk Stratification of Therapy with Natalizumab

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

Previous Immunosuppressive Therapy

Data type

boolean

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

Use of Natalizumab

Data type

text

Measurement units
  • months
Alias
UMLS CUI [1,1]
C1172734
UMLS CUI [1,2]
C0444917
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
JCV-Index
Description

JCV-Index

Data type

float

Alias
UMLS CUI [1]
C3888491
L-Selectin-State of Risk
Description

PML-Risikostratifizierung unter Tysabri-Langzeittherapie

Data type

text

Alias
UMLS CUI [1]
C0125090
Secondary Diagnosis
Description

Secondary Diagnosis

Alias
UMLS CUI-1
C0332138
Disease suspected: Visual auras without Migraine
Description

Suspection: Visual auras

Data type

boolean

Alias
UMLS CUI [1,1]
C1850765
UMLS CUI [1,2]
C0277540
Disease suspected: Carpal Tunnel Syndrome
Description

Suspection: Carpal Tunnel Syndrome

Data type

boolean

Alias
UMLS CUI [1,1]
C0007286
UMLS CUI [1,2]
C0277540
Diabetic sensory polyneuropathy
Description

PNP, diabetic, sensory

Data type

text

Alias
UMLS CUI [1]
C1263957
Median nerve, thenar motor branch function loss
Description

Median Nerve Motor Function loss

Data type

boolean

Alias
UMLS CUI [1,1]
C0446790
UMLS CUI [1,2]
C1864672
Has the patient had a hysterectomy?
Description

Hysterectomy

Data type

boolean

Alias
UMLS CUI [1,1]
C0020699
UMLS CUI [1,2]
C0231287
Diabetes mellitus
Description

Diabetes mellitus

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Hemogloblin A1C
Description

HbA1C

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0019018
%
Date last Hemogloblin A1C control
Description

Date HbA1C

Data type

date

Alias
UMLS CUI [1,1]
C0019018
UMLS CUI [1,2]
C0011008
Hypertriglyceridemia
Description

Hypertriglyceridemia

Data type

boolean

Alias
UMLS CUI [1]
C0020557
Recurrent Depressive Episodes
Description

Suspection: Recurrent Depressive Episodes

Data type

text

Alias
UMLS CUI [1,1]
C0349217
UMLS CUI [1,2]
C0277540
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
Past medical history
Description

PMH

Data type

text

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
Introduction: Department
Description

Introduction: Department

Data type

text

Alias
UMLS CUI [1]
C1704729
Current therapy with Teriflunomid
Description

Therapy Teriflunomid

Data type

boolean

Alias
UMLS CUI [1]
C1718383
Benefit of current therapy with Teriflunomid
Description

Benefit Teriflunomid

Data type

text

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C1718383
Laboratory Results abnormal?
Description

Laboratory Results

Data type

boolean

Alias
UMLS CUI [1]
C0587081
Transaminases
Description

Transaminases

Data type

text

Alias
UMLS CUI [1]
C0002594
Hyperlipidemia?
Description

Hyperlipidemia

Data type

boolean

Alias
UMLS CUI [1]
C0020473
Hemogloblin A1C
Description

HbA1C

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0019018
%
MRI
Description

MRI

Data type

text

Alias
UMLS CUI [1]
C0024485
Date of MRI
Description

Date MRI

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0024485
Current Symptoms
Description

Current Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Walking Distance
Description

Walking Distance

Data type

float

Measurement units
  • km
Alias
UMLS CUI [1]
C0429886
km
Did a loss of bladder function control occur?
Description

Loss of Bladder Function Control

Data type

boolean

Alias
UMLS CUI [1]
C0542565
Diarrhea
Description

Diarrhea

Data type

boolean

Alias
UMLS CUI [1]
C0011991
New Focal neurological signs
Description

New Focal Neurological Signs

Data type

boolean

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205234
UMLS CUI [1,3]
C0205314
Transition to Secondary Progressive MS
Description

Transition to Secondary Progressive MS

Data type

boolean

Alias
UMLS CUI [1]
C0751965
Therapy Recommendation
Description

Recommendation Therapy

Data type

text

Alias
UMLS CUI [1]
C0034866
Recommendation to bring differential blood count
Description

Recommendation Differential blood count

Data type

text

Alias
UMLS CUI [1,1]
C0545131
UMLS CUI [1,2]
C3873181
Recommendation to evaluate liver enzymes on a regularly base
Description

Recommendation Liver Enzymes

Data type

text

Alias
UMLS CUI [1]
C0034866
Date of Next Clinical Assessment
Description

Follow-Up Date

Data type

date

Alias
UMLS CUI [1]
C3694716
Neurological Examination: Cranial Nerves
Description

Neurological Examination: Cranial Nerves

Alias
UMLS CUI-1
C0558819
Pupils regularity
Description

Cranial Nerves: Pupils regularity

Data type

text

Alias
UMLS CUI [1]
C0437592
Consensual pupil reaction to light
Description

Cranial Nerves: Consensual pupil reaction to light

Data type

text

Alias
UMLS CUI [1]
C0700372
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
Cranial Nerves: Visus
Description

Cranial Nerves: Visus

Data type

integer

Alias
UMLS CUI [1]
C0042812
Gaze Palsy
Description

Cranial Nerves: Gaze Palsy

Data type

text

Alias
UMLS CUI [1]
C1112261
Visual Field Fingerperimetric
Description

Fingerperimetric

Data type

text

Alias
UMLS CUI [1]
C0858409
Diplopia
Description

Cranial Nerves: Diplopia

Data type

text

Alias
UMLS CUI [1]
C0012569
Saccades
Description

Cranial Nerves: Saccades

Data type

boolean

Alias
UMLS CUI [1]
C0036019
Nystagmus Test
Description

Cranial Nerves: Nystagmus

Data type

text

Alias
UMLS CUI [1]
C0200205
Hypesthesia V1
Description

Hypesthesia V1

Data type

boolean

Alias
UMLS CUI [1,1]
C0029082
UMLS CUI [1,2]
C0020580
Hypesthesia V2
Description

Hypesthesia V2

Data type

boolean

Alias
UMLS CUI [1,1]
C0024955
UMLS CUI [1,2]
C0020580
Facial Muscles abnormal?
Description

Cranial Nerves: Facial Muscles

Data type

text

Alias
UMLS CUI [1]
C4073201
Soft Palate Movement
Description

Soft Palate Movement

Data type

text

Alias
UMLS CUI [1]
C2239128
Dysarthria
Description

Dysarthria

Data type

boolean

Alias
UMLS CUI [1]
C3482265
Neurological Examination: Motor
Description

Neurological Examination: Motor

Alias
UMLS CUI-1
C2237216
Trophic change of Muscles
Description

Trophic of Muscles

Data type

text

Alias
UMLS CUI [1,1]
C0437261
UMLS CUI [1,2]
C0026845
Muscle Tonus
Description

Motor tone

Data type

text

Alias
UMLS CUI [1]
C0026841
Involuntary muscle movements
Description

Muscle movement involuntary

Data type

boolean

Alias
UMLS CUI [1]
C0221722
Paresis of Lower Exremity
Description

Information for right and left leg

Data type

text

Alias
UMLS CUI [1]
C0751410
Muscle strength of Hip Flexion
Description

Oxford scale Information for right and left leg

Data type

text

Alias
UMLS CUI [1,1]
C2237371
UMLS CUI [1,2]
C0451362
Muscle strength Knee extension
Description

Information for right and left leg

Data type

text

Alias
UMLS CUI [1,1]
C2237139
UMLS CUI [1,2]
C0451362
Pronator Drift Test
Description

Information for left and right arm

Data type

text

Alias
UMLS CUI [1]
C1504476
Babinski Reflex
Description

Information for both sides

Data type

text

Alias
UMLS CUI [1]
C0034935
any kind of paralysis
Description

Paralysis

Data type

boolean

Alias
UMLS CUI [1]
C0522224
Neurological Examination: Reflexes
Description

Neurological Examination: Reflexes

Alias
UMLS CUI-1
C0437364
Function of Muscular reflex (MER) on arm
Description

MER = Muskeleigenreflex

Data type

text

Alias
UMLS CUI [1,1]
C0034943
UMLS CUI [1,2]
C1140618
Achilles Reflex
Description

Achilles Reflex

Data type

text

Alias
UMLS CUI [1]
C2228420
Pyramidal signs
Description

Pyramidal

Data type

text

Alias
UMLS CUI [1]
C0234132
Neurological Examination: Coordination and Gait
Description

Neurological Examination: Coordination and Gait

Barany's Test
Description

Barany's Test

Data type

text

Alias
UMLS CUI [1]
C0699865
Diadochokinesis abnormal?
Description

Diadochokinesis

Data type

text

Alias
UMLS CUI [1]
C0278157
Fine motor skills abnormal?
Description

Fine motor skills

Data type

text

Alias
UMLS CUI [1]
C0678857
Rhomberg Test abnormal?
Description

Information for both sides

Data type

text

Alias
UMLS CUI [1]
C1656968
Gait evaluation abnormal?
Description

Gait evaluation

Data type

boolean

Alias
UMLS CUI [1]
C0203969
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]
C0018563
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
Hypesthesia Upper Extremity
Description

Hypesthesia Upper Extremity

Data type

text

Alias
UMLS CUI [1,1]
C1140618
UMLS CUI [1,2]
C0020580
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Similar models

Discharge Letter Items 1227440267 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
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])
undefined item
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 Copaxone
Item
Previous Therapy with Copaxone (Glatirameractetat)
boolean
C2114510 (UMLS CUI [1])
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])
Previous Therapy Benefit Copaxone
Item
Previous Therapy Benefit during Treatment with Copaxone
text
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0850893 (UMLS CUI [2,1])
C3840932 (UMLS CUI [2,2])
Previous Therapy Interferone Beta 1a
Item
Previous Therapy with Interferone Beta 1a (Rebif)
boolean
C2114510 (UMLS CUI [1])
C0254119 (UMLS CUI [2])
Previous Therapy Time Range Interferon Beta 1a
Item
Time Range of Previous Therapy with Interferon Beta 1a (Rebif)
text
C2114510 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
C2114510 (UMLS CUI [2,1])
C1531784 (UMLS CUI [2,2])
Previous Therapy Benefit Interferon Beta 1a
Item
Previous Therapy Benefit during Treatment with Interferon Beta 1a
text
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0850893 (UMLS CUI [2,1])
C3840932 (UMLS CUI [2,2])
Previous Therapy Tysabri
Item
Previous Therapy with Tysabri (Natalizumab)
boolean
C2114510 (UMLS CUI [1])
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])
Previous Therapy Benefit Tysabri
Item
Previous Therapy Benefit during Treatment with Tysabri (Natalizumab)
text
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0850893 (UMLS CUI [2,1])
C3840932 (UMLS CUI [2,2])
Previous Therapy Fingolimod
Item
Previous Therapy Fingolimod
boolean
C2114510 (UMLS CUI [1])
C1699926 (UMLS CUI [2])
Previous Therapy Time Range Fingolimod
Item
Time Range of Previous Therapy with Fingolimod
text
C2114510 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
C2114510 (UMLS CUI [2,1])
C1531784 (UMLS CUI [2,2])
Previous Therapie Benefit Fingolimod
Item
Previous Therapie Benefit Fingolimod
text
C1699926 (UMLS CUI [1,1])
C0087113 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])
Study Participation
Item
Study Participation
boolean
C1997894 (UMLS CUI [1])
Item Group
Risk Stratification of Therapy with Natalizumab
C0150323 (UMLS CUI [2,1])
C1172734 (UMLS CUI [2,2])
Previous Immunosuppressive Therapy
Item
Previous Immunosuppressive Therapy
boolean
C2114510 (UMLS CUI [1,1])
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])
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])
JCV-Index
Item
JCV-Index
float
C3888491 (UMLS CUI [1])
L-Selectin
Item
L-Selectin-State of Risk
text
C0125090 (UMLS CUI [1])
Item Group
Secondary Diagnosis
C0332138 (UMLS CUI-1)
Suspection: Visual auras
Item
Disease suspected: Visual auras without Migraine
boolean
C1850765 (UMLS CUI [1,1])
C0277540 (UMLS CUI [1,2])
Suspection: Carpal Tunnel Syndrome
Item
Disease suspected: Carpal Tunnel Syndrome
boolean
C0007286 (UMLS CUI [1,1])
C0277540 (UMLS CUI [1,2])
PNP, diabetic, sensory
Item
Diabetic sensory polyneuropathy
text
C1263957 (UMLS CUI [1])
Median Nerve Motor Function loss
Item
Median nerve, thenar motor branch function loss
boolean
C0446790 (UMLS CUI [1,1])
C1864672 (UMLS CUI [1,2])
Hysterectomy
Item
Has the patient had a hysterectomy?
boolean
C0020699 (UMLS CUI [1,1])
C0231287 (UMLS CUI [1,2])
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI [1])
HbA1C
Item
Hemogloblin A1C
float
C0019018 (UMLS CUI [1])
Date HbA1C
Item
Date last Hemogloblin A1C control
date
C0019018 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Hypertriglyceridemia
Item
Hypertriglyceridemia
boolean
C0020557 (UMLS CUI [1])
Suspection: Recurrent Depressive Episodes
Item
Recurrent Depressive Episodes
text
C0349217 (UMLS CUI [1,1])
C0277540 (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)
PMH
Item
Past medical history
text
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])
Introduction: Department
Item
Introduction: Department
text
C1704729 (UMLS CUI [1])
Therapy Teriflunomid
Item
Current therapy with Teriflunomid
boolean
C1718383 (UMLS CUI [1])
Benefit Teriflunomid
Item
Benefit of current therapy with Teriflunomid
text
C0087113 (UMLS CUI [1,1])
C1718383 (UMLS CUI [1,2])
Laboratory Results
Item
Laboratory Results abnormal?
boolean
C0587081 (UMLS CUI [1])
Transaminases
Item
Transaminases
text
C0002594 (UMLS CUI [1])
Hyperlipidemia
Item
Hyperlipidemia?
boolean
C0020473 (UMLS CUI [1])
HbA1C
Item
Hemogloblin A1C
float
C0019018 (UMLS CUI [1])
MRI
Item
MRI
text
C0024485 (UMLS CUI [1])
Date MRI
Item
Date of MRI
date
C0011008 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Current Symptoms
Item
Current Symptoms
text
C1457887 (UMLS CUI [1])
Walking Distance
Item
Walking Distance
float
C0429886 (UMLS CUI [1])
Loss of Bladder Function Control
Item
Did a loss of bladder function control occur?
boolean
C0542565 (UMLS CUI [1])
Diarrhea
Item
Diarrhea
boolean
C0011991 (UMLS CUI [1])
New Focal Neurological Signs
Item
New Focal neurological signs
boolean
C1457887 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
C0205314 (UMLS CUI [1,3])
Transition to Secondary Progressive MS
Item
Transition to Secondary Progressive MS
boolean
C0751965 (UMLS CUI [1])
Recommendation Therapy
Item
Therapy Recommendation
text
C0034866 (UMLS CUI [1])
Recommendation Differential blood count
Item
Recommendation to bring differential blood count
text
C0545131 (UMLS CUI [1,1])
C3873181 (UMLS CUI [1,2])
Recommendation Liver Enzymes
Item
Recommendation to evaluate liver enzymes on a regularly base
text
C0034866 (UMLS CUI [1])
Follow-Up Date
Item
Date of Next Clinical Assessment
date
C3694716 (UMLS CUI [1])
Item Group
Neurological Examination: Cranial Nerves
C0558819 (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])
Cranial Nerves: Visus
Item
Cranial Nerves: Visus
integer
C0042812 (UMLS CUI [1])
Cranial Nerves: Gaze Palsy
Item
Gaze Palsy
text
C1112261 (UMLS CUI [1])
Cranial Nerves: Visual Field
Item
Visual Field Fingerperimetric
text
C0858409 (UMLS CUI [1])
Cranial Nerves: Diplopia
Item
Diplopia
text
C0012569 (UMLS CUI [1])
Cranial Nerves: Saccades
Item
Saccades
boolean
C0036019 (UMLS CUI [1])
Cranial Nerves: Nystagmus
Item
Nystagmus Test
text
C0200205 (UMLS CUI [1])
Hypesthesia V1
Item
Hypesthesia V1
boolean
C0029082 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
Hypesthesia V2
Item
Hypesthesia V2
boolean
C0024955 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
Cranial Nerves: Facial Muscles
Item
Facial Muscles abnormal?
text
C4073201 (UMLS CUI [1])
Soft Palate Movement
Item
Soft Palate Movement
text
C2239128 (UMLS CUI [1])
Dysarthria
Item
Dysarthria
boolean
C3482265 (UMLS CUI [1])
Item Group
Neurological Examination: Motor
C2237216 (UMLS CUI-1)
Trophic of Muscles
Item
Trophic change of Muscles
text
C0437261 (UMLS CUI [1,1])
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])
Muscle strength
Code List
Muscle strength of Hip Flexion
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])
Muscle strength Knee flexion
Code List
Muscle strength Knee extension
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])
Babinski Reflex
Item
Babinski Reflex
text
C0034935 (UMLS CUI [1])
Paralysis
Item
any kind of paralysis
boolean
C0522224 (UMLS CUI [1])
Item Group
Neurological Examination: Reflexes
C0437364 (UMLS CUI-1)
Muscular Reflex
Item
Function of Muscular reflex (MER) on arm
text
C0034943 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])
Achilles Reflex
Item
Achilles Reflex
text
C2228420 (UMLS CUI [1])
Pyramidal
Item
Pyramidal signs
text
C0234132 (UMLS CUI [1])
Item Group
Neurological Examination: Coordination and Gait
Barany's Test
Item
Barany's Test
text
C0699865 (UMLS CUI [1])
Item
Diadochokinesis abnormal?
text
C0278157 (UMLS CUI [1])
Diadochokinesis
Code List
Diadochokinesis abnormal?
CL Item
Eudiadochokinesis (Eudiadochokinesis)
CL Item
Dysdiadochokinesis (Dysdiadochokinesis)
Fine motor skills
Item
Fine motor skills abnormal?
text
C0678857 (UMLS CUI [1])
Rhomberg Test
Item
Rhomberg Test abnormal?
text
C1656968 (UMLS CUI [1])
Gait evaluation
Item
Gait evaluation abnormal?
boolean
C0203969 (UMLS CUI [1])
Item Group
Neurological Examination: Sensibility
C0439823 (UMLS CUI-1)
Hypesthesia Hand
Item
Hypesthesia Upper Extremity
text
C0018563 (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])
Hypesthesia Upper Extremity
Item
Hypesthesia Upper Extremity
text
C1140618 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])
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