ID

34799

Beschrijving

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.

Trefwoorden

G35

27-02-18 27-02-18 -
29-01-19 29-01-19 - Sarah Riepenhausen
27-09-21 27-09-21 -

Houder van rechten

Prof. Dr. Luisa Klotz

Geüploaded op

29 januari 2019

DOI

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Licentie

Creative Commons BY-NC 3.0

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Discharge Letter Items Neuroinflammatory Demyelinating Diseases

model
Details

Discharge Letter Items 1227440267 Multiple Sclerosis

12 Formulieren

StudyEvent: DCMSNMOADEM

Name

Type

Description | Question | Decode (Coded Value)

Datatype

Alias

Administrative Data

Item Group

C1320722 (UMLS CUI-1)

Document ID

Item

integer

C1300638 (UMLS CUI [1])

Name

Item

text

C0421448 (UMLS CUI [1])

Date of birth

Item

date

C0421451 (UMLS CUI [1])

Care

Item

text

C1550330 (UMLS CUI [1])

undefined item

Code List

Care

CL Item

(Inpatient)

C0021562 (UMLS CUI-1)

CL Item

(Outpatient)

C0029921 (UMLS CUI-1)

Date of Appointment

Item

date

C1320303 (UMLS CUI [1])

Principal Diagnosis

Item Group

Diagnosis and Clinical Course

Item

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

date

C0574845 (UMLS CUI [1])

Earliest date of diagnosis

Item

date

C2316983 (UMLS CUI [1])

EDSS

Item

integer

C3830336 (UMLS CUI [1])

Previous Therapy Copaxone

Item

boolean

C2114510 (UMLS CUI [1])
C0289884 (UMLS CUI [2])

Previous Therapy Time Range Copaxone

Item

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

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

boolean

C2114510 (UMLS CUI [1])
C0254119 (UMLS CUI [2])

Previous Therapy Time Range Interferon Beta 1a

Item

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

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

boolean

C2114510 (UMLS CUI [1])
C1172734 (UMLS CUI [2])

Previous Therapy Time Range

Item

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

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

boolean

C2114510 (UMLS CUI [1])
C1699926 (UMLS CUI [2])

Previous Therapy Time Range Fingolimod

Item

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

text

C1699926 (UMLS CUI [1,1])
C0087113 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])

Study Participation

Item

boolean

C1997894 (UMLS CUI [1])

Risk Stratification of Therapy with Natalizumab

Item Group

C0150323 (UMLS CUI [2,1])
C1172734 (UMLS CUI [2,2])

Previous Immunosuppressive Therapy

Item

boolean

C2114510 (UMLS CUI [1,1])
C0021079 (UMLS CUI [1,2])

Use of Natalizumab

Item

text

C1172734 (UMLS CUI [1,1])
C0444917 (UMLS CUI [1,2])

JCV Antibodies

Item

text

C3511565 (UMLS CUI [1])

Date JCV-Antibody

Item

date

C3511565 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

JCV-Index

Item

float

C3888491 (UMLS CUI [1])

L-Selectin

Item

text

C0125090 (UMLS CUI [1])

Secondary Diagnosis

Item Group

C0332138 (UMLS CUI-1)

Suspection: Visual auras

Item

boolean

C1850765 (UMLS CUI [1,1])
C0277540 (UMLS CUI [1,2])

Suspection: Carpal Tunnel Syndrome

Item

boolean

C0007286 (UMLS CUI [1,1])
C0277540 (UMLS CUI [1,2])

PNP, diabetic, sensory

Item

text

C1263957 (UMLS CUI [1])

Median Nerve Motor Function loss

Item

boolean

C0446790 (UMLS CUI [1,1])
C1864672 (UMLS CUI [1,2])

Hysterectomy

Item

boolean

C0020699 (UMLS CUI [1,1])
C0231287 (UMLS CUI [1,2])

Diabetes mellitus

Item

boolean

C0011849 (UMLS CUI [1])

HbA1C

Item

float

C0019018 (UMLS CUI [1])

Date HbA1C

Item

date

C0019018 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

Hypertriglyceridemia

Item

boolean

C0020557 (UMLS CUI [1])

Suspection: Recurrent Depressive Episodes

Item

text

C0349217 (UMLS CUI [1,1])
C0277540 (UMLS CUI [1,2])

Reason for Admission

Item Group

C0392360 (UMLS CUI-1)
C0809949 (UMLS CUI-2)

Reason for admission

Item

text

C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])

Summary and Assessment

Item Group

C0743221 (UMLS CUI-1)

PMH

Item

text

C0262926 (UMLS CUI [1])

Introduction: Reason for current Admission

Item

text

C0809949 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])

Introduction: Department

Item

text

C1704729 (UMLS CUI [1])

Therapy Teriflunomid

Item

boolean

C1718383 (UMLS CUI [1])

Benefit Teriflunomid

Item

text

C0087113 (UMLS CUI [1,1])
C1718383 (UMLS CUI [1,2])

Laboratory Results

Item

boolean

C0587081 (UMLS CUI [1])

Transaminases

Item

text

C0002594 (UMLS CUI [1])

Hyperlipidemia

Item

boolean

C0020473 (UMLS CUI [1])

HbA1C

Item

float

C0019018 (UMLS CUI [1])

MRI

Item

text

C0024485 (UMLS CUI [1])

Date MRI

Item

date

C0011008 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])

Current Symptoms

Item

text

C1457887 (UMLS CUI [1])

Walking Distance

Item

float

C0429886 (UMLS CUI [1])

Loss of Bladder Function Control

Item

boolean

C0542565 (UMLS CUI [1])

Diarrhea

Item

boolean

C0011991 (UMLS CUI [1])

New Focal Neurological Signs

Item

boolean

C1457887 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
C0205314 (UMLS CUI [1,3])

Transition to Secondary Progressive MS

Item

boolean

C0751965 (UMLS CUI [1])

Recommendation Therapy

Item

text

C0034866 (UMLS CUI [1])

Recommendation Differential blood count

Item

text

C0545131 (UMLS CUI [1,1])
C3873181 (UMLS CUI [1,2])

Recommendation Liver Enzymes

Item

text

C0034866 (UMLS CUI [1])

Follow-Up Date

Item

date

C3694716 (UMLS CUI [1])

Neurological Examination: Cranial Nerves

Item Group

C0558819 (UMLS CUI-1)

Cranial Nerves: Pupils regularity

Item

text

C0437592 (UMLS CUI [1])

Cranial Nerves: Consensual pupil reaction to light

Item

text

C0700372 (UMLS CUI [1])

Cranial Nerves: Direct pupil reaction to light

Item

text

C0700372 (UMLS CUI [1,1])
C1947931 (UMLS CUI [1,2])

Cranial Nerves: Visus

Item

integer

C0042812 (UMLS CUI [1])

Cranial Nerves: Gaze Palsy

Item

text

C1112261 (UMLS CUI [1])

Cranial Nerves: Visual Field

Item

text

C0858409 (UMLS CUI [1])

Cranial Nerves: Diplopia

Item

text

C0012569 (UMLS CUI [1])

Cranial Nerves: Saccades

Item

boolean

C0036019 (UMLS CUI [1])

Cranial Nerves: Nystagmus

Item

text

C0200205 (UMLS CUI [1])

Hypesthesia V1

Item

boolean

C0029082 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

Hypesthesia V2

Item

boolean

C0024955 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

Cranial Nerves: Facial Muscles

Item

text

C4073201 (UMLS CUI [1])

Soft Palate Movement

Item

text

C2239128 (UMLS CUI [1])

Dysarthria

Item

boolean

C3482265 (UMLS CUI [1])

Neurological Examination: Motor

Item Group

C2237216 (UMLS CUI-1)

Trophic of Muscles

Item

text

C0437261 (UMLS CUI [1,1])
C0026845 (UMLS CUI [1,2])

Motor tone

Item

text

C0026841 (UMLS CUI [1])

Muscle movement involuntary

Item

boolean

C0221722 (UMLS CUI [1])

Paresis Lower Exremity

Item

text

C0751410 (UMLS CUI [1])

Muscle strength Hip Flexion

Item

text

C2237371 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])

Muscle strength

Code List

Muscle strength Hip Flexion

CL Item

(worse than before)

CL Item

(same)

CL Item

(better than before)

Muscle strength Knee extension

Item

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)

CL Item

(1/5)

CL Item

(2/5)

CL Item

(3/5)

CL Item

(4/5)

CL Item

(5/5)

Pronator Drift Test

Item

text

C1504476 (UMLS CUI [1])

Babinski Reflex

Item

text

C0034935 (UMLS CUI [1])

Paralysis

Item

boolean

C0522224 (UMLS CUI [1])

Neurological Examination: Reflexes

Item Group

C0437364 (UMLS CUI-1)

Muscular Reflex

Item

text

C0034943 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])

Achilles Reflex

Item

text

C2228420 (UMLS CUI [1])

Pyramidal

Item

text

C0234132 (UMLS CUI [1])

Neurological Examination: Coordination and Gait

Item Group

Barany's Test

Item

text

C0699865 (UMLS CUI [1])

Diadochokinesis

Item

text

C0278157 (UMLS CUI [1])

Diadochokinesis

Code List

Diadochokinesis

CL Item

(Eudiadochokinesis)

CL Item

(Dysdiadochokinesis)

Fine motor skills

Item

text

C0678857 (UMLS CUI [1])

Rhomberg Test

Item

text

C1656968 (UMLS CUI [1])

Gait evaluation

Item

boolean

C0203969 (UMLS CUI [1])

Neurological Examination: Sensibility

Item Group

C0439823 (UMLS CUI-1)

Hypesthesia Hand

Item

text

C0018563 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

Hypesthesia Lower Extremity

Item

text

C0023216 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

Hypesthesia Upper Extremity

Item

text

C1140618 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

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ID

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Trefwoorden

Versies (3)

Houder van rechten

Geüploaded op

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Licentie

Model Commentaren :

Itemgroep Commentaren voor :

Item Commentaren voor :

Discharge Letter Items Neuroinflammatory Demyelinating Diseases

Discharge Letter Items 1227440267 Multiple Sclerosis

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