ID

34799

Beskrivning

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.

Nyckelord

Patient Discharge Summaries

Multiple Sclerosis

D010351

G36.0

Enzephalomyelitis

2018-02-27 2018-02-27 -
2019-01-29 2019-01-29 - Sarah Riepenhausen
2021-09-27 2021-09-27 -

Rättsinnehavare

Prof. Dr. Luisa Klotz

Uppladdad den

29 januari 2019

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

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Discharge Letter Items Neuroinflammatory Demyelinating Diseases

model
Detaljer

Discharge Letter Items 1146404369 Multiple Sclerosis

12 Formulär

StudyEvent: DCMSNMOADEM

Name

Typ

Description | Question | Decode (Coded Value)

Datatyp

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 Therapie Benefit Copaxone

Item

text

C0087113 (UMLS CUI [1,1])
C0289884 (UMLS CUI [1,2])
C2114510 (UMLS CUI [1,3])

Current Therapy Alemtuzumab

Item

boolean

C0383429 (UMLS CUI [1])
C2827774 (UMLS CUI [2])

Alemtuzumab Dosage

Item

integer

C0383429 (UMLS CUI [1,1])
C3174092 (UMLS CUI [1,2])

Alemtuzumab Duration of Therapy

Item

integer

C2114510 (UMLS CUI [1,1])
C1554109 (UMLS CUI [1,2])
C0383429 (UMLS CUI [1,3])

Secondary Diagnosis

Item Group

C0332138 (UMLS CUI-1)

Tremor

Item

boolean

C0040822 (UMLS CUI [1])

Metatarsal bone fracture

Item

boolean

C0435943 (UMLS CUI [1])

Fracture Ankle Joint

Item

boolean

C0003087 (UMLS CUI [1,1])
C0016658 (UMLS CUI [1,2])

Strabismus surgery

Item

boolean

C0197981 (UMLS CUI [1])

Date Strabismus Surgery

Item

date

C0011008 (UMLS CUI [1,1])
C0197981 (UMLS CUI [1,2])

Eye operation complication

Item

text

C1112396 (UMLS CUI [1])

Summary and Assessment

Item Group

C0743221 (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])

Medical history

Item

text

C0262926 (UMLS CUI [1])

Current Symptoms

Item

text

C1457887 (UMLS CUI [1])

Hypesthesia Trunk

Item

text

C0460005 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

MRI

Item

text

C0024485 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])

Orientation

Item

text

C0029266 (UMLS CUI [1])

Paresis M. rectus medialis

Item

boolean

C0582820 (UMLS CUI [1,1])
C0030552 (UMLS CUI [1,2])

Strabismus surgery

Item

boolean

C0197981 (UMLS CUI [1])

Date Strabismus Surgery

Item

date

C0011008 (UMLS CUI [1,1])
C0197981 (UMLS CUI [1,2])

EDSS

Item

integer

C3830336 (UMLS CUI [1])

CSF Inflammation

Item

boolean

C0007806 (UMLS CUI [1,1])
C0021368 (UMLS CUI [1,2])

Oligoclonal Bands

Item

text

C0201942 (UMLS CUI [1])

Oligoclonal Bands

Code List

Oligoclonal Bands

CL Item

(positive )

CL Item

(negative)

Intrathecal Plasma Cells

Item

text

C1849424 (UMLS CUI [1])

Intrathecal Plasma Cells

Code List

Intrathecal Plasma Cells

CL Item

(positive)

CL Item

(negative)

Clinical Exclusion Infection

Item

boolean

C0205210 (UMLS CUI [1,1])
C3714514 (UMLS CUI [1,2])
C2828389 (UMLS CUI [1,3])

Laboratory Exclusion Infection

Item

boolean

C0022885 (UMLS CUI [1,1])
C3714514 (UMLS CUI [1,2])
C2828389 (UMLS CUI [1,3])

Current Therapy Alemtuzumab

Item

boolean

C0383429 (UMLS CUI [1])
C2827774 (UMLS CUI [2])

Alemtuzumab Duration of Therapy

Item

integer

C2114510 (UMLS CUI [1,1])
C1554109 (UMLS CUI [1,2])
C0383429 (UMLS CUI [1,3])

Neurological Examination

Item Group

C0027853 (UMLS CUI-1)

Orientation

Item

text

C0029266 (UMLS CUI [1])

Meningism

Item

text

C0025287 (UMLS CUI [1])

Percussion Pain Skull

Item

boolean

C0030987 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0037303 (UMLS CUI [1,3])

Nerve Exit Points

Item

boolean

C0848189 (UMLS CUI [1])

Nerve stretch tests

Item

text

C1287971 (UMLS CUI [1,1])
C1287969 (UMLS CUI [1,2])

Neurological Examination: Cranial Nerves

Item Group

C0558819 (UMLS CUI-1)

Cranial Nerves: Visus

Item

integer

C0042812 (UMLS CUI [1])

Cranial Nerves: Pupils Motor

Item

boolean

C1305720 (UMLS CUI [1])

Paresis M. rectus medialis

Item

boolean

C0582820 (UMLS CUI [1,1])
C0030552 (UMLS CUI [1,2])

Cranial Nerves: Sensory Function

Item

text

C0234292 (UMLS CUI [1])

Cranial Nerves: Facial Muscles

Item

text

C4073201 (UMLS CUI [1])

Caudal cranial nerves

Item

text

C0010268 (UMLS CUI [1,1])
C0205097 (UMLS CUI [1,2])

Neurological Examination: Motor

Item Group

C2237216 (UMLS CUI-1)

Muscle tone

Item

text

C0026841 (UMLS CUI [1])

Paresis

Item

text

C0030552 (UMLS CUI [1])

Paresis

Code List

Paresis

CL Item

(latent)

CL Item

(manifest)

CL Item

(none)

Muscle strength

Item

text

C0451362 (UMLS CUI [1])

Muscular Reflex

Item

text

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

Pyramidal

Item

text

C0234132 (UMLS CUI [1])

Neurological Examination: Coordination and Gait

Item Group

Gait

Item

text

C0016928 (UMLS CUI [1])

Standing

Item

text

C0231472 (UMLS CUI [1])

Past Pointing

Item

text

C1635258 (UMLS CUI [1])

Postural Tremor

Item

boolean

C0234378 (UMLS CUI [1])

Diadochokinesis

Item

text

C0278157 (UMLS CUI [1])

Diadochokinesis

Code List

Diadochokinesis

CL Item

(Eudiadochokinesis)

CL Item

(Dysdiadochokinesis)

Neurological Examination: Sensibility

Item Group

C0439823 (UMLS CUI-1)

Hypesthesia Trunk

Item

text

C0460005 (UMLS CUI [1,1])
C0020580 (UMLS CUI [1,2])

EDSS

Item

integer

C3830336 (UMLS CUI [1])

Procedures

Item Group

C2700391 (UMLS CUI-1)

Current Immunosuppressive Therapy

Item

text

C2827774 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])

Date Follow-Up Visit

Item

date

C3694716 (UMLS CUI [1])

Recommendation Physical Therapy

Item

boolean

C0949766 (UMLS CUI [1])

Recommendation MRI Comparison

Item

boolean

C0509575 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])

Multiple sclerosis relapse Therapy Lemtrada

Item

text

C0035020 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])

Further diagnostic procedures

Item

text

C0430022 (UMLS CUI [1])

Other Therapy

Item

text

C0679868 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])

Adverse effects Alemtuzumab: ITP

Item

text

C0272292 (UMLS CUI [1,1])
C0383429 (UMLS CUI [1,2])
C0879626 (UMLS CUI [1,3])

Adverse effects Alemtuzumab: Nephropathy

Item

text

C1404837 (UMLS CUI [1,1])
C0383429 (UMLS CUI [1,2])
C0879626 (UMLS CUI [1,3])

Adverse effects Alemtuzumab: Thryoidea

Item

text

C0040128 (UMLS CUI [1,1])
C0458082 (UMLS CUI [1,2])
C0383429 (UMLS CUI [1,3])

Recommendation Differential blood count

Item

text

C0545131 (UMLS CUI [1])

Recommendation Urine Analysis

Item

text

C0042014 (UMLS CUI [1])

Clinical Presentation ITP

Item

text

C0398650 (UMLS CUI [1,1])
C3540840 (UMLS CUI [1,2])

Clinical Presentation ITP

Code List

Clinical Presentation ITP

CL Item

(haematoma)

CL Item

(mucosal hemorrhage )

CL Item

(petechia)

Follow Up Visit Date

Item

date

C3694716 (UMLS CUI [1])

Prophylactic Treatment of Herpesvirus Infections

Item

boolean

C0019369 (UMLS CUI [1,1])
C0001367 (UMLS CUI [1,2])
C0199176 (UMLS CUI [1,3])

Aciclovir dosage

Item

integer

C0001367 (UMLS CUI [1,1])
C3174092 (UMLS CUI [1,2])

Aciclovir Duration of Treatment

Item

integer

C0444921 (UMLS CUI [1,1])
C0001367 (UMLS CUI [1,2])

Study Participation

Item

boolean

C1997894 (UMLS CUI [1])

Avoid Raw Milk

Item

boolean

C2096017 (UMLS CUI [1,1])
C3687547 (UMLS CUI [1,2])
C0023860 (UMLS CUI [1,3])

Laboratory Results Serum

Item Group

C1550100 (UMLS CUI-1)

Sodium

Item

integer

C0337443 (UMLS CUI [1])

Potassium

Item

float

C0202194 (UMLS CUI [1])

Calcium

Item

float

C0201925 (UMLS CUI [1])

Cholesterol

Item

integer

C0201950 (UMLS CUI [1])

Glucose

Item

integer

C0202042 (UMLS CUI [1])

Uric acid

Item

float

C0041980 (UMLS CUI [1])

Blood Urea Nitrogen

Item

float

C0005845 (UMLS CUI [1])

Creatinin

Item

float

C0201976 (UMLS CUI [1])

Bilirubin Total

Item

float

C1278039 (UMLS CUI [1])

AST

Item

float

C0201899 (UMLS CUI [1])

ALT

Item

float

C0201836 (UMLS CUI [1])

gamma-GT

Item

float

C0202035 (UMLS CUI [1])

Alkaline Phosphatase

Item

text

C0201850 (UMLS CUI [1])

LDH

Item

float

C0202113 (UMLS CUI [1])

Creatinine kinase

Item

float

C0201973 (UMLS CUI [1])

CK MB

Item

integer

C0523584 (UMLS CUI [1])

CRP

Item

float

C0201657 (UMLS CUI [1])

Laboratory Results Small EDTA

Item Group

C0878557 (UMLS CUI-1)

Leucocytes

Item

float

C0023508 (UMLS CUI [1])

Erythrocytes

Item

float

C0014772 (UMLS CUI [1])

Haemoglobin

Item

integer

C0518015 (UMLS CUI [1])

Haematocrit Blood

Item

float

C0018935 (UMLS CUI [1])

MCV

Item

float

C1948043 (UMLS CUI [1])

MCH

Item

float

C0369183 (UMLS CUI [1])

MCHC

Item

float

C0474535 (UMLS CUI [1])

Thrombocytes

Item

float

C0032181 (UMLS CUI [1])

Laboratory Results Differential EDTA

Item Group

C1820731 (UMLS CUI-1)

Neutrophils (rel)

Item

integer

C4028217 (UMLS CUI [1])

Neutrophils (abs)

Item

float

C0948762 (UMLS CUI [1])

Lymphocytes (rel)

Item

integer

C2349983 (UMLS CUI [1])

Lymphocytes (abs)

Item

float

C0200635 (UMLS CUI [1])

Monocytes (rel)

Item

integer

C0587345 (UMLS CUI [1])

Monocytes (abs)

Item

float

C0200637 (UMLS CUI [1])

Eosinophils (rel)

Item

integer

C1171399 (UMLS CUI [1])

Eosinophils (abs)

Item

float

C0200638 (UMLS CUI [1])

Basophils (rel)

Item

integer

C1318432 (UMLS CUI [1])

Basophils (abs)

Item

float

C1883362 (UMLS CUI [1])

MPV

Item

float

C0200665 (UMLS CUI [1])

Granulocytes immature

Item

float

C3272953 (UMLS CUI [1])

Laboratory Results Blood coagulation tests

Item Group

C0005790 (UMLS CUI-1)

TPZ

Item

integer

C0491338 (UMLS CUI [1])

INR

Item

float

C0525032 (UMLS CUI [1])

PTT

Item

float

C0030605 (UMLS CUI [1])

Laboratory Results Urine

Item Group

C1610733 (UMLS CUI-1)

Urine Specific Gravity

Item

float

C0202517 (UMLS CUI [1])

Urine pH

Item

float

C0042044 (UMLS CUI [1])

Urine leukocytes

Item

text

C1256582 (UMLS CUI [1])

Urine leukocytes

Code List

Urine leukocytes

CL Item

(neg )

CL Item

(pos)

Urine Nitrite

Item

text

C0580333 (UMLS CUI [1])

Urine Nitrite

Code List

Urine Nitrite

CL Item

(neg)

CL Item

(pos)

Urine Protein

Item

text

C0262923 (UMLS CUI [1])

Urine Protein

Code List

Urine Protein

CL Item

(neg)

CL Item

(pos)

Urine Glucose

Item

text

C0004076 (UMLS CUI [1])

Urine Ketone Bodies

Item

integer

C0860805 (UMLS CUI [1])

Urine Urobilinogen

Item

text

C0427736 (UMLS CUI [1])

Urine Bilirubin

Item

text

C0042040 (UMLS CUI [1])

Urine Erythrocytes

Item

integer

C1254564 (UMLS CUI [1])

Laboratory Results Urine Analysis FACS

Item Group

C0042014 (UMLS CUI-1)

Urine Erythrocytes (FACS)

Item

integer

C1114250 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine leukocytes (FACS)

Item

text

C1256582 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine leukocytes (FACS)

Code List

Urine leukocytes (FACS)

CL Item

(neg )

CL Item

(pos)

Urine Epithelial Cells (FACS)

Item

integer

C1273342 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine Cylinder Cells (FACS)

Item

integer

C0946010 (UMLS CUI [1,1])
C1114250 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

Urine Bacteria (FACS)

Item

integer

C0430380 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine Crystals (FACS)

Item

integer

C0427897 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine Yeast (FACS)

Item

integer

C2188427 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Urine Pathological Cylinder (FACS)

Item

integer

C0946010 (UMLS CUI [1,1])
C0007634 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

Urine Round Epithelial Cell Count (FACS)

Item

integer

C2699115 (UMLS CUI [1,1])
C0079366 (UMLS CUI [1,2])

Laboratory Results Pregnancy

Item Group

C0850355 (UMLS CUI-1)

Pregnancy test

Item

text

C0032976 (UMLS CUI [1])

Pregnancy test

Code List

Pregnancy test

CL Item

(positive)

CL Item

(negative)

Laboratory Results Thyroid Function Tests

Item Group

C0040130 (UMLS CUI-1)

TSH

Item

float

C0202230 (UMLS CUI [1])

Laboratory Results Calculated

Item Group

C1293919 (UMLS CUI-1)

eGFR

Item

integer

C3811844 (UMLS CUI [1])

Laboratory Results CSF Cell Count

Item Group

C0427874 (UMLS CUI-1)

Pucture Location

Item

text

C0034117 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])

CSF Consistency

Item

text

C0007806 (UMLS CUI [1,1])
C0427842 (UMLS CUI [1,2])

Lymphocytes

Item

integer

C0853353 (UMLS CUI [1])

Granulocytes

Item

integer

C0857788 (UMLS CUI [1])

Erythrocytes

Item

integer

C2026591 (UMLS CUI [1])

Other Cells

Item

integer

C2733688 (UMLS CUI [1])

Cell Count Total

Item

integer

C4063897 (UMLS CUI [1])

Laboratory Results CSF Flow Cytometry

Item Group

C0007806 (UMLS CUI-1)
C0079366 (UMLS CUI-2)

CD4/CD8 Ratio

Item

float

C0085115 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

HLA-DR pos CD4

Item

float

C0942858 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

HLA-DR pos CD8

Item

float

C0799272 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

Plasma cells

Item

text

C0032112 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])
C0079366 (UMLS CUI [1,3])

Laboratory Results CSF Proteins

Item Group

C0236428 (UMLS CUI-1)

Total Protein CSF

Item

integer

C0428481 (UMLS CUI [1])

Albumin CSF

Item

float

C1167988 (UMLS CUI [1])

Albumin

Item

float

C0523465 (UMLS CUI [1])

Albumin Ratio

Item

float

C2021614 (UMLS CUI [1])

IgG CSF

Item

float

C1269632 (UMLS CUI [1])

IgG

Item

float

C0202087 (UMLS CUI [1])

IgG Ratio

Item

float

C0201946 (UMLS CUI [1])

IgA CSF

Item

float

C0364597 (UMLS CUI [1])

IgA

Item

float

C0364597 (UMLS CUI [1])

IgA Ratio

Item

float

C1632384 (UMLS CUI [1])

IgM CSF

Item

float

C0364611 (UMLS CUI [1])

IgM

Item

float

C0202084 (UMLS CUI [1])

IgM Ratio

Item

float

C1628437 (UMLS CUI [1])

Oligoclonal Bands IgG

Item

text

C0201942 (UMLS CUI [1])

Oligoclonal Bands IgG Type 3

Item

text

C0201942 (UMLS CUI [1,1])
C0441731 (UMLS CUI [1,2])

Laboratory Results CSF

Item Group

C1318109 (UMLS CUI-1)

Glucose CSF

Item

float

C0202040 (UMLS CUI [1])

Glucose

Item

float

C0202042 (UMLS CUI [1])

Glucose Ratio

Item

float

C0523655 (UMLS CUI [1])

Lactate

Item

float

C1167936 (UMLS CUI [1])

Bilirubin CSF

Item

text

C0364106 (UMLS CUI [1])

Bilirubin CSF

Code List

Bilirubin CSF

CL Item

(negative)

CL Item

(positive)

Hemoglobin CSF

Item

text

C4065693 (UMLS CUI [1])

Hemoglobin CSF

Code List

Hemoglobin CSF

CL Item

(negative)

CL Item

(positive)

Plasma Cells CSF

Item

text

C0032112 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])

Plasma Cells CSF

Code List

Plasma Cells CSF

CL Item

(positive )

CL Item

(negative)

B-Cells CSF

Item

float

C0004561 (UMLS CUI [1,1])
C0007806 (UMLS CUI [1,2])

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ID

Beskrivning

Nyckelord

Versioner (3)

Rättsinnehavare

Uppladdad den

DOI

Licens

Modellkommentarer :

Itemgroup-kommentar för :

Item-kommentar för :

Discharge Letter Items Neuroinflammatory Demyelinating Diseases

Discharge Letter Items 1146404369 Multiple Sclerosis

Beskrivning

Alias

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Måttenheter

Alias

Beskrivning

Datatyp

Måttenheter

Alias

Beskrivning

Alias

Beskrivning

Datatyp

Alias

Beskrivning

Datatyp

Alias

Beskrivning

Datatyp

Alias

Beskrivning

Datatyp

Alias

Beskrivning

Datatyp

Alias