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)
  1. 27.02.18 27.02.18 -
  2. 29.01.19 29.01.19 - Sarah Riepenhausen
  3. 27.09.21 27.09.21 -
Rechteinhaber

Prof. Dr. Luisa Klotz

Hochgeladen am

29. Januar 2019

DOI

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Lizenz

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Discharge Letter Items Neuroinflammatory Demyelinating Diseases

Deutsch Englisch Italienisch

Discharge Letter Items 1227440267 Multiple Sclerosis

12 Formulare  
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Document ID
Beschreibung

Document ID

Datentyp

integer

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

Name

Datentyp

text

Alias
UMLS CUI [1]
C0421448
Date of birth:
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Inpatient or Outpatient
Beschreibung

Care

Datentyp

text

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

Date of Appointment

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Principal Diagnosis
Beschreibung

Principal Diagnosis

Diagnosis and Clinical Course
Beschreibung

Diagnosis and Clinical Course

Datentyp

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
Beschreibung

Date of Onset

Datentyp

date

Alias
UMLS CUI [1]
C0574845
Earliest date of diagnosis
Beschreibung

Earliest date of diagnosis

Datentyp

date

Alias
UMLS CUI [1]
C2316983
EDSS
Beschreibung

EDSS

Datentyp

integer

Alias
UMLS CUI [1]
C3830336
Previous Therapy with Copaxone (Glatirameractetat)
Beschreibung

Previous Therapy Copaxone

Datentyp

boolean

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

Previous Therapy Time Range Copaxone

Datentyp

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
Beschreibung

Previous Therapy Benefit Copaxone

Datentyp

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)
Beschreibung

C0289884

Datentyp

boolean

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

Previous Therapy Time Range Interferon Beta 1a

Datentyp

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
Beschreibung

Previous Therapy Benefit Interferon Beta 1a

Datentyp

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)
Beschreibung

Previous Therapy Tysabri

Datentyp

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C1172734
Time Range of Previous Therapy with Tysabri
Beschreibung

Previous Therapy Time Range

Datentyp

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)
Beschreibung

Previous Therapy Benefit Tysabri

Datentyp

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
Beschreibung

Previous Therapy Fingolimod

Datentyp

boolean

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

Previous Therapy Time Range Fingolimod

Datentyp

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
Beschreibung

Previous Therapie Benefit Fingolimod

Datentyp

text

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

Study Participation

Datentyp

boolean

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

Risk Stratification of Therapy with Natalizumab

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

Previous Immunosuppressive Therapy

Datentyp

boolean

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

Use of Natalizumab

Datentyp

text

Maßeinheiten
  • months
Alias
UMLS CUI [1,1]
C1172734
UMLS CUI [1,2]
C0444917
months
JCV Antibodies
Beschreibung

JCV Antibodies

Datentyp

text

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

of JCV

Datentyp

date

Alias
UMLS CUI [1,1]
C3511565
UMLS CUI [1,2]
C0011008
JCV-Index
Beschreibung

JCV-Index

Datentyp

float

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

PML-Risikostratifizierung unter Tysabri-Langzeittherapie

Datentyp

text

Alias
UMLS CUI [1]
C0125090
Secondary Diagnosis
Beschreibung

Secondary Diagnosis

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

Suspection: Visual auras

Datentyp

boolean

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

Suspection: Carpal Tunnel Syndrome

Datentyp

boolean

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

PNP, diabetic, sensory

Datentyp

text

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

Median Nerve Motor Function loss

Datentyp

boolean

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

Hysterectomy

Datentyp

boolean

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

Diabetes mellitus

Datentyp

boolean

Alias
UMLS CUI [1]
C0011849
Hemogloblin A1C
Beschreibung

HbA1C

Datentyp

float

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C0019018
%
Date last Hemogloblin A1C control
Beschreibung

Date HbA1C

Datentyp

date

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

Hypertriglyceridemia

Datentyp

boolean

Alias
UMLS CUI [1]
C0020557
Recurrent Depressive Episodes
Beschreibung

Suspection: Recurrent Depressive Episodes

Datentyp

text

Alias
UMLS CUI [1,1]
C0349217
UMLS CUI [1,2]
C0277540
Reason for Admission
Beschreibung

Reason for Admission

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C0809949
Reason for admission
Beschreibung

Reason for admission

Datentyp

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Summary and Assessment
Beschreibung

Summary and Assessment

Alias
UMLS CUI-1
C0743221
Past medical history
Beschreibung

PMH

Datentyp

text

Alias
UMLS CUI [1]
C0262926
Introduction: Reason for current Admission
Beschreibung

Introduction: Reason for current Admission

Datentyp

text

Alias
UMLS CUI [1,1]
C0809949
UMLS CUI [1,2]
C0392360
Introduction: Department
Beschreibung

Introduction: Department

Datentyp

text

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

Therapy Teriflunomid

Datentyp

boolean

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

Benefit Teriflunomid

Datentyp

text

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

Laboratory Results

Datentyp

boolean

Alias
UMLS CUI [1]
C0587081
Transaminases
Beschreibung

Transaminases

Datentyp

text

Alias
UMLS CUI [1]
C0002594
Hyperlipidemia?
Beschreibung

Hyperlipidemia

Datentyp

boolean

Alias
UMLS CUI [1]
C0020473
Hemogloblin A1C
Beschreibung

HbA1C

Datentyp

float

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C0019018
%
MRI
Beschreibung

MRI

Datentyp

text

Alias
UMLS CUI [1]
C0024485
Date of MRI
Beschreibung

Date MRI

Datentyp

date

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

Current Symptoms

Datentyp

text

Alias
UMLS CUI [1]
C1457887
Walking Distance
Beschreibung

Walking Distance

Datentyp

float

Maßeinheiten
  • km
Alias
UMLS CUI [1]
C0429886
km
Did a loss of bladder function control occur?
Beschreibung

Loss of Bladder Function Control

Datentyp

boolean

Alias
UMLS CUI [1]
C0542565
Diarrhea
Beschreibung

Diarrhea

Datentyp

boolean

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

New Focal Neurological Signs

Datentyp

boolean

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

Transition to Secondary Progressive MS

Datentyp

boolean

Alias
UMLS CUI [1]
C0751965
Therapy Recommendation
Beschreibung

Recommendation Therapy

Datentyp

text

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

Recommendation Differential blood count

Datentyp

text

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

Recommendation Liver Enzymes

Datentyp

text

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

Follow-Up Date

Datentyp

date

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

Neurological Examination: Cranial Nerves

Alias
UMLS CUI-1
C0558819
Pupils regularity
Beschreibung

Cranial Nerves: Pupils regularity

Datentyp

text

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

Cranial Nerves: Consensual pupil reaction to light

Datentyp

text

Alias
UMLS CUI [1]
C0700372
Direct pupil reaction to light
Beschreibung

Cranial Nerves: Direct pupil reaction to light

Datentyp

text

Alias
UMLS CUI [1,1]
C0700372
UMLS CUI [1,2]
C1947931
Cranial Nerves: Visus
Beschreibung

Cranial Nerves: Visus

Datentyp

integer

Alias
UMLS CUI [1]
C0042812
Gaze Palsy
Beschreibung

Cranial Nerves: Gaze Palsy

Datentyp

text

Alias
UMLS CUI [1]
C1112261
Visual Field Fingerperimetric
Beschreibung

Fingerperimetric

Datentyp

text

Alias
UMLS CUI [1]
C0858409
Diplopia
Beschreibung

Cranial Nerves: Diplopia

Datentyp

text

Alias
UMLS CUI [1]
C0012569
Saccades
Beschreibung

Cranial Nerves: Saccades

Datentyp

boolean

Alias
UMLS CUI [1]
C0036019
Nystagmus Test
Beschreibung

Cranial Nerves: Nystagmus

Datentyp

text

Alias
UMLS CUI [1]
C0200205
Hypesthesia V1
Beschreibung

Hypesthesia V1

Datentyp

boolean

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

Hypesthesia V2

Datentyp

boolean

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

Cranial Nerves: Facial Muscles

Datentyp

text

Alias
UMLS CUI [1]
C4073201
Soft Palate Movement
Beschreibung

Soft Palate Movement

Datentyp

text

Alias
UMLS CUI [1]
C2239128
Dysarthria
Beschreibung

Dysarthria

Datentyp

boolean

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

Neurological Examination: Motor

Alias
UMLS CUI-1
C2237216
Trophic change of Muscles
Beschreibung

Trophic of Muscles

Datentyp

text

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

Motor tone

Datentyp

text

Alias
UMLS CUI [1]
C0026841
Involuntary muscle movements
Beschreibung

Muscle movement involuntary

Datentyp

boolean

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

Information for right and left leg

Datentyp

text

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

Oxford scale Information for right and left leg

Datentyp

text

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

Information for right and left leg

Datentyp

text

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

Information for left and right arm

Datentyp

text

Alias
UMLS CUI [1]
C1504476
Babinski Reflex
Beschreibung

Information for both sides

Datentyp

text

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

Paralysis

Datentyp

boolean

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

Neurological Examination: Reflexes

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

MER = Muskeleigenreflex

Datentyp

text

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

Achilles Reflex

Datentyp

text

Alias
UMLS CUI [1]
C2228420
Pyramidal signs
Beschreibung

Pyramidal

Datentyp

text

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

Neurological Examination: Coordination and Gait

Barany's Test
Beschreibung

Barany's Test

Datentyp

text

Alias
UMLS CUI [1]
C0699865
Diadochokinesis abnormal?
Beschreibung

Diadochokinesis

Datentyp

text

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

Fine motor skills

Datentyp

text

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

Information for both sides

Datentyp

text

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

Gait evaluation

Datentyp

boolean

Alias
UMLS CUI [1]
C0203969
Neurological Examination: Sensibility
Beschreibung

Neurological Examination: Sensibility

Alias
UMLS CUI-1
C0439823
Hypesthesia Upper Extremity
Beschreibung

for both sides

Datentyp

text

Alias
UMLS CUI [1,1]
C0018563
UMLS CUI [1,2]
C0020580
Hypesthesia Lower Extremity
Beschreibung

Hypesthesia Lower Extremity

Datentyp

text

Alias
UMLS CUI [1,1]
C0023216
UMLS CUI [1,2]
C0020580
Hypesthesia Upper Extremity
Beschreibung

Hypesthesia Upper Extremity

Datentyp

text

Alias
UMLS CUI [1,1]
C1140618
UMLS CUI [1,2]
C0020580
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Ähnliche Modelle

Discharge Letter Items 1227440267 Multiple Sclerosis

12 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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