ID

44679

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

September 27, 2021

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 -31562 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
Name of Patient
Description

Name of Patient

Data type

text

Alias
UMLS CUI [1]
C0421448
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Care
Description

Care

Data type

text

Alias
UMLS CUI [1]
C1550330
Date of Appointment
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
Date of 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 Tysabri
Description

Previous Therapy Tysabri

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C1172734
Previous Therapy Benefit Tysabri
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 Time Range Tysabri
Description

Previous Therapy Time Range Tysabri

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 Fingolimod
Description

Previous Therapy Fingolimod

Data type

boolean

Alias
UMLS CUI [1]
C2114510
UMLS CUI [2]
C1699926
Previous Therapy Benefit Fingolimod
Description

Previous Therapy Benefit Fingolimod

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 Time Range 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
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
Introduction: Reason for current Admission
Description

Introduction: Reason for current Admission

Data type

text

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

Introduction: Department

Data type

text

Alias
UMLS CUI [1]
C1704729
Medical history
Description

Medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Current Symptoms
Description

Current Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Immunosuppressive Therapy: Steroid
Description

Immunosuppressive Therapy: Steroid

Data type

text

Alias
UMLS CUI [1,1]
C0001555
UMLS CUI [1,2]
C0025815
UMLS CUI [2]
C0679868
Immunosuppressive Therapy: Fingolimod
Description

Immunosuppressive Therapy: Fingolimod

Data type

text

Alias
UMLS CUI [1]
C1699926
Immunosuppressive Therapy: Alemtuzumab
Description

Immunosuppressive Therapy: Alemtuzumab

Data type

text

Alias
UMLS CUI [1]
C0383429
Adverse Effect
Description

Adverse Effect

Data type

text

Alias
UMLS CUI [1]
C0877248
UMLS CUI [2,1]
C0566251
UMLS CUI [2,2]
C0746919
UMLS CUI [3,1]
C3840932
UMLS CUI [3,2]
C0746919
Neurological Examination
Description

Neurological Examination

Data type

text

Alias
UMLS CUI [1]
C0437208
Therapeutic Procedure
Description

Therapeutic Procedure

Data type

text

Alias
UMLS CUI [1]
C0087111
Therapie Benefit
Description

Therapie Benefit

Data type

text

Alias
UMLS CUI [1,1]
C0087113
UMLS CUI [1,2]
C2827774
Information Therapy Recommendation
Description

Information Therapy Recommendation

Data type

text

Alias
UMLS CUI [1]
C1549024
Procedures
Description

Procedures

Alias
UMLS CUI-1
C2700391
Recommendation Therapy
Description

Recommendation Therapy

Data type

text

Alias
UMLS CUI [1]
C0034866
Date of appointment to Start Treatment
Description

Date of appointment to Start Treatment

Data type

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2827774
UMLS CUI [2,1]
C3173309
UMLS CUI [2,2]
C0679868
Recommendation MRI Follow-Up
Description

Recommendation MRI Follow-Up

Data type

text

Alias
UMLS CUI [1,1]
C0260832
UMLS CUI [1,2]
C0412674
Medication on Discharge
Description

Medication on Discharge

Alias
UMLS CUI-1
C1553894
Medication name
Description

Medication name

Data type

text

Alias
UMLS CUI [1]
C2360065
Date of discharge
Description

Date of discharge

Data type

date

Alias
UMLS CUI [1]
C2361123
Long-Term Medication
Description

Long-Term Medication

Alias
UMLS CUI-1
C0420257
Medication Name Long-Term
Description

Medication Name Long-Term

Data type

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C0420257
Neurological Examination
Description

Neurological Examination

Alias
UMLS CUI-1
C0027853
Orientation
Description

Orientation

Data type

text

Alias
UMLS CUI [1]
C0029266
Meningism
Description

Meningism

Data type

text

Alias
UMLS CUI [1]
C0025287
Lhermittes sign
Description

Lhermittes sign

Data type

text

Alias
UMLS CUI [1]
C0576702
Pupils reaction
Description

Pupils reaction

Data type

text

Alias
UMLS CUI [1]
C0437599
Eye Movement
Description

Eye Movement

Data type

text

Alias
UMLS CUI [1]
C0015413
Diplopia
Description

Diplopia

Data type

text

Alias
UMLS CUI [1]
C0012569
Facial Paralysis
Description

Facial Paralysis

Data type

text

Alias
UMLS CUI [1]
C0015469
Trigeminal Sensory Function
Description

Trigeminal Sensory Function

Data type

text

Alias
UMLS CUI [1]
C0234284
Trophic of Tongue
Description

Trophic of Tongue

Data type

text

Alias
UMLS CUI [1,1]
C0437261
UMLS CUI [1,2]
C0040408
Soft Palate Movement
Description

Soft Palate Movement

Data type

text

Alias
UMLS CUI [1]
C2239128
Muscle strength Upper Extemity
Description

Muscle strength Upper Extemity

Data type

text

Alias
UMLS CUI [1,1]
C1140618
UMLS CUI [1,2]
C0451362
Muscle strength Lower Extremity
Description

Muscle strength Lower Extremity

Data type

text

Alias
UMLS CUI [1,1]
C0023216
UMLS CUI [1,2]
C0451362
Pronator Drift Test
Description

Pronator Drift Test

Data type

text

Alias
UMLS CUI [1]
C1504476
Leg drift test
Description

Leg drift test

Data type

text

Alias
UMLS CUI [1]
C4036162
UMLS CUI [2]
C4036161
Babinski Reflex
Description

Babinski Reflex

Data type

text

Alias
UMLS CUI [1]
C0034935
Pallesthesia
Description

Pallesthesia

Data type

boolean

Alias
UMLS CUI [1]
C0234198
Location of Pallesthesia
Description

Location of Pallesthesia

Data type

text

Alias
UMLS CUI [1]
C1515974
Grade of Pallesthesia
Description

Grade of Pallesthesia

Data type

text

Alias
UMLS CUI [1]
C3468874
Muscular reflex
Description

Muscular reflex

Data type

text

Alias
UMLS CUI [1]
C0034943
MRI Result
Description

MRI Result

Alias
UMLS CUI-1
C0024485
Date of MRI
Description

Date of MRI

Data type

date

Alias
UMLS CUI [1,1]
C0024485
UMLS CUI [1,2]
C0011008
Number of Lesions
Description

Number of Lesions

Data type

integer

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0449788
Localisation of Lesions
Description

Localisation of Lesions

Data type

text

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0475264
Date of Finding
Description

Date of Finding

Data type

date

Alias
UMLS CUI [1,1]
C2238926
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0011008
Dissemination Time
Description

Dissemination Time

Data type

boolean

Alias
UMLS CUI [1,1]
C0205221
UMLS CUI [1,2]
C0040223
Dissemination Space
Description

Dissemination Space

Data type

boolean

Alias
UMLS CUI [1,1]
C0205221
UMLS CUI [1,2]
C1515974
Laboratory results
Description

Laboratory results

Alias
UMLS CUI-1
C0022885
Date
Description

Date

Data type

date

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C0011008
Laboratory Results Serum
Description

Laboratory Results Serum

Alias
UMLS CUI-1
C1550100
Sodium
Description

Sodium

Data type

integer

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0337443
mmol/l
Potassium
Description

Potassium

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0202194
mmol/l
Glucose
Description

Glucose

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0202042
mg/dl
Creatinin
Description

Creatinin

Data type

float

Measurement units
  • μmol/l
Alias
UMLS CUI [1]
C0201976
μmol/l
AST
Description

AST

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201899
U/l
gamma-GT
Description

gamma-GT

Data type

float

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0202035
U/l
LDH
Description

LDH

Data type

integer

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0202113
U/l
CPK
Description

CPK

Data type

integer

Measurement units
  • U/l
Alias
UMLS CUI [1]
C0201973
U/l
CRP
Description

CRP

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0201657
mg/dl
Laboratory Results Small EDTA
Description

Laboratory Results Small EDTA

Alias
UMLS CUI-1
C2919842
Leucocytes
Description

Leucocytes

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0023508
Tsd/µl
Erythrocytes
Description

Erythrocytes

Data type

float

Measurement units
  • Mio/μl
Alias
UMLS CUI [1]
C0014772
Mio/μl
Haemoglobin
Description

Haemoglobin

Data type

integer

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0518015
g/dl
Haematocrit Blood
Description

Haematocrit Blood

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0018935
%
MCV
Description

MCV

Data type

float

Measurement units
  • fl
Alias
UMLS CUI [1]
C1948043
fl
MCH
Description

MCH

Data type

float

Measurement units
  • pg
Alias
UMLS CUI [1]
C0369183
pg
MCHC
Description

MCHC

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0474535
g/dl
Thrombocytes
Description

Thrombocytes

Data type

float

Measurement units
  • Tsd/µl
Alias
UMLS CUI [1]
C0032181
Tsd/µl
Laboratory Results Blood coagulation tests
Description

Laboratory Results Blood coagulation tests

Alias
UMLS CUI-1
C0005790
TPZ
Description

TPZ

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0491338
%
INR
Description

INR

Data type

float

Alias
UMLS CUI [1]
C0525032
PTT
Description

PTT

Data type

integer

Measurement units
  • seconds
Alias
UMLS CUI [1]
C0030605
seconds
Laboratory Results Thyroid Function Tests
Description

Laboratory Results Thyroid Function Tests

Alias
UMLS CUI-1
C0040130
TSH
Description

TSH

Data type

float

Measurement units
  • µU/ml
Alias
UMLS CUI [1]
C0202230
µU/ml
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Similar models

Discharge Letter Items -31562 Multiple Sclerosis

12 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1320722 (UMLS CUI-1)
Document ID
Item
integer
C1300638 (UMLS CUI [1])
Name of Patient
Item
text
C0421448 (UMLS CUI [1])
Date of birth
Item
date
C0421451 (UMLS CUI [1])
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])
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 Tysabri
Item
boolean
C2114510 (UMLS CUI [1])
C1172734 (UMLS CUI [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 Time Range Tysabri
Item
text
C2114510 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
C2114510 (UMLS CUI [2,1])
C1531784 (UMLS CUI [2,2])
Previous Therapy Fingolimod
Item
boolean
C2114510 (UMLS CUI [1])
C1699926 (UMLS CUI [2])
Previous Therapy Benefit Fingolimod
Item
text
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0850893 (UMLS CUI [2,1])
C3840932 (UMLS CUI [2,2])
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])
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])
Item Group
C0743221 (UMLS CUI-1)
Introduction: Reason for current Admission
Item
text
C0392360 (UMLS CUI [1,1])
C0809949 (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])
Immunosuppressive Therapy: Steroid
Item
text
C0001555 (UMLS CUI [1,1])
C0025815 (UMLS CUI [1,2])
C0679868 (UMLS CUI [2])
Immunosuppressive Therapy: Fingolimod
Item
text
C1699926 (UMLS CUI [1])
Immunosuppressive Therapy: Alemtuzumab
Item
text
C0383429 (UMLS CUI [1])
Adverse Effect
Item
text
C0877248 (UMLS CUI [1])
C0566251 (UMLS CUI [2,1])
C0746919 (UMLS CUI [2,2])
C3840932 (UMLS CUI [3,1])
C0746919 (UMLS CUI [3,2])
Neurological Examination
Item
text
C0437208 (UMLS CUI [1])
Therapeutic Procedure
Item
text
C0087111 (UMLS CUI [1])
Therapie Benefit
Item
text
C0087113 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Information Therapy Recommendation
Item
text
C1549024 (UMLS CUI [1])
Item Group
C2700391 (UMLS CUI-1)
Recommendation Therapy
Item
text
C0034866 (UMLS CUI [1])
Date of appointment to Start Treatment
Item
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C3173309 (UMLS CUI [2,1])
C0679868 (UMLS CUI [2,2])
Recommendation MRI Follow-Up
Item
text
C0260832 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Item Group
C1553894 (UMLS CUI-1)
Medication name
Item
text
C2360065 (UMLS CUI [1])
Date of discharge
Item
date
C2361123 (UMLS CUI [1])
Item Group
C0420257 (UMLS CUI-1)
Medication Name Long-Term
Item
text
C2360065 (UMLS CUI [1,1])
C0420257 (UMLS CUI [1,2])
Item Group
C0027853 (UMLS CUI-1)
Orientation
Item
text
C0029266 (UMLS CUI [1])
Meningism
Item
text
C0025287 (UMLS CUI [1])
Item
text
C0576702 (UMLS CUI [1])
Lhermittes sign
Code List
Lhermittes sign
CL Item
 (positive)
CL Item
 (negative)
Pupils reaction
Item
text
C0437599 (UMLS CUI [1])
Eye Movement
Item
text
C0015413 (UMLS CUI [1])
Diplopia
Item
text
C0012569 (UMLS CUI [1])
Facial Paralysis
Item
text
C0015469 (UMLS CUI [1])
Trigeminal Sensory Function
Item
text
C0234284 (UMLS CUI [1])
Trophic of Tongue
Item
text
C0437261 (UMLS CUI [1,1])
C0040408 (UMLS CUI [1,2])
Soft Palate Movement
Item
text
C2239128 (UMLS CUI [1])
Item
text
C1140618 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])
Muscle strength Upper Extemity
Code List
Muscle strength Upper Extemity
CL Item
 (0/5)
CL Item
 (1/5)
CL Item
 (2/5)
CL Item
 (3/5)
CL Item
 (4/5)
CL Item
 (5/5)
Item
text
C0023216 (UMLS CUI [1,1])
C0451362 (UMLS CUI [1,2])
Motor function - right arm
Code List
Muscle strength Lower Extremity
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])
Leg drift test
Item
text
C4036162 (UMLS CUI [1])
C4036161 (UMLS CUI [2])
Babinski Reflex
Item
text
C0034935 (UMLS CUI [1])
Pallesthesia
Item
boolean
C0234198 (UMLS CUI [1])
Item
text
C1515974 (UMLS CUI [1])
Location of Pallesthesia
Code List
Location of Pallesthesia
CL Item
 (right )
CL Item
 (left)
Item
text
C3468874 (UMLS CUI [1])
Grade of Pallesthesia
Code List
Grade of Pallesthesia
CL Item
 (0/8)
CL Item
 (1/8)
CL Item
 (2/8)
CL Item
 (3/8)
CL Item
 (4/8)
CL Item
 (5/8)
CL Item
 (6/8)
CL Item
 (7/8)
CL Item
 (8/8)
Muscular reflex
Item
text
C0034943 (UMLS CUI [1])
Item Group
C0024485 (UMLS CUI-1)
Date of MRI
Item
date
C0024485 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Number of Lesions
Item
integer
C2238926 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Localisation of Lesions
Item
text
C2238926 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Date of Finding
Item
date
C2238926 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Dissemination Time
Item
boolean
C0205221 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Dissemination Space
Item
boolean
C0205221 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Item Group
C0022885 (UMLS CUI-1)
Date
Item
date
C0022885 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
C1550100 (UMLS CUI-1)
Sodium
Item
integer
C0337443 (UMLS CUI [1])
Potassium
Item
float
C0202194 (UMLS CUI [1])
Glucose
Item
integer
C0202042 (UMLS CUI [1])
Creatinin
Item
float
C0201976 (UMLS CUI [1])
AST
Item
float
C0201899 (UMLS CUI [1])
gamma-GT
Item
float
C0202035 (UMLS CUI [1])
LDH
Item
integer
C0202113 (UMLS CUI [1])
CPK
Item
integer
C0201973 (UMLS CUI [1])
CRP
Item
float
C0201657 (UMLS CUI [1])
Item Group
C2919842 (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])
Item Group
C0005790 (UMLS CUI-1)
TPZ
Item
integer
C0491338 (UMLS CUI [1])
INR
Item
float
C0525032 (UMLS CUI [1])
PTT
Item
integer
C0030605 (UMLS CUI [1])
Item Group
C0040130 (UMLS CUI-1)
TSH
Item
float
C0202230 (UMLS CUI [1])
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