ID

44679

Descripción

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.

Palabras clave

Titular de derechos de autor

Prof. Dr. Luisa Klotz

Subido en

27 de septiembre de 2021

DOI

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Licencia

Creative Commons BY-NC 3.0

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Discharge Letter Items Neuroinflammatory Demyelinating Diseases

model
Detalles

Discharge Letter Items -18546 Multiple Sclerosis

12 formularios

StudyEvent: DCMSNMOADEM

Name

Tipo

Description | Question | Decode (Coded Value)

Tipo de datos

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 Medication

Item

text

C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])

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 Therapie Benefit

Item

text

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

Previous MS Flares

Item

text

C0035020 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0035020 (UMLS CUI [2,1])
C3843288 (UMLS CUI [2,2])
C0035020 (UMLS CUI [3,1])
C3846158 (UMLS CUI [3,2])

Neutralizing Antibodies

Item

boolean

C1997641 (UMLS CUI [1])

Neutralizing Antibodies Date

Item

date

C1997641 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

Risk Stratification of Therapy with Natalizumab

Item Group

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

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])
C0439231 (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])

Therapy Alemtuzumab

Item

boolean

C0383429 (UMLS CUI [1])
C2114510 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])

Therapy Alemtuzumab Date

Item

date

C0383429 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

Secondary Diagnosis

Item Group

C0332138 (UMLS CUI-1)

Secondary Diagnosis

Item

text

C0332138 (UMLS CUI [1])

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])

Rituximab Induction

Item

text

C0393022 (UMLS CUI [1])

Medical History

Item Group

C0262926 (UMLS CUI-1)

Introduction: Reason for current Admission

Item

text

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

PMH

Item

text

C0262926 (UMLS CUI [1])

Progression Natalizumab

Item

boolean

C0087113 (UMLS CUI [1,1])
C1172734 (UMLS CUI [1,2])

Therapy Alemtuzumab

Item

text

C0383429 (UMLS CUI [1])
C2114510 (UMLS CUI [2,1])
C0026769 (UMLS CUI [2,2])

Symptoms

Item

text

C1457887 (UMLS CUI [1])

Therapy Corticosteroid

Item

text

C0025815 (UMLS CUI [1])

Urge Incontinence

Item

boolean

C0150045 (UMLS CUI [1])

Loss of Bowel Function Control

Item

boolean

C1290944 (UMLS CUI [1])

Medication on Admission

Item Group

C0013227 (UMLS CUI-1)
C0457453 (UMLS CUI-2)

Medication name

Item

text

C2360065 (UMLS CUI [1])

Medication dosage

Item

float

C3174092 (UMLS CUI [1])

Neurological Examination: Cranial Nerves

Item Group

C0558819 (UMLS CUI-1)

Orientation

Item

text

C0029266 (UMLS CUI [1])

Meningism

Item

text

C0025287 (UMLS CUI [1])

Lhermittes sign

Item

text

C0576702 (UMLS CUI [1])

Lhermittes sign

Code List

Lhermittes sign

CL Item

(positive)

CL Item

(negative)

Cranial Nerves: Visus

Item

text

C0042812 (UMLS CUI [1])

Cranial Nerves: Visual Field

Item

text

C0858409 (UMLS CUI [1])

Cranial Nerves: Pupils Size

Item

text

C0437590 (UMLS CUI [1])

Cranial Nerves: Pupils reaction

Item

text

C0437599 (UMLS CUI [1])

Cranial Nerves: Pupils regularity

Item

text

C0437592 (UMLS CUI [1])

Cranial Nerves: Eye Movement

Item

text

C0015413 (UMLS CUI [1])

Cranial Nerves: Nystagmus

Item

text

C0200205 (UMLS CUI [1])

Cranial Nerves: Gaze Palsy

Item

text

C1112261 (UMLS CUI [1])

Cranial Nerves: Diplopia

Item

text

C0012569 (UMLS CUI [1])

Cranial Nerves: Trigeminal Sensory Function

Item

text

C0234284 (UMLS CUI [1])

Cranial Nerves: Caudal cranial nerves

Item

text

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

Cranial Nerves: Sensory Function

Item

text

C0234292 (UMLS CUI [1])

Neurological Examination: Motor

Item Group

C2237216 (UMLS CUI-1)

Pronator Drift Test

Item

text

C1504476 (UMLS CUI [1])

Leg drift test

Item

text

C4036162 (UMLS CUI [1])
C4036161 (UMLS CUI [2])

Fine motor skills

Item

text

C0678857 (UMLS CUI [1])

Neurological Examination: Reflexes

Item Group

C0437364 (UMLS CUI-1)

Muscular reflex

Item

text

C0034943 (UMLS CUI [1])

Pyramidal

Item

text

C0234132 (UMLS CUI [1])

Neurological Examination: Sensibility

Item Group

C0439823 (UMLS CUI-1)

Hypesthesia Upper Extremity

Item

text

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

Hypesthesia Lower Extremity

Item

text

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

Neurological Examination: Coordination and Gait

Item Group

Diadochokinesis

Item

text

C0278157 (UMLS CUI [1])

Finger-to-nose test

Item

text

C0278158 (UMLS CUI [1])

Heel-to-knee test

Item

text

C0278160 (UMLS CUI [1])

Rhomberg Test

Item

text

C1656968 (UMLS CUI [1])

Aphasia

Item

boolean

C0003537 (UMLS CUI [1])

Neglect

Item

boolean

C0422887 (UMLS CUI [1])

Apraxia

Item

text

C0234520 (UMLS CUI [1])

Neurological Examination: On Discharge

Item Group

C0027853 (UMLS CUI-1)
C1548175 (UMLS CUI-2)

Changes Neurological Exam

Item

text

C0542115 (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 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])

Chloride

Item

integer

C0201952 (UMLS CUI [1])

Glucose

Item

integer

C0202042 (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])

Albumin

Item

float

C0201838 (UMLS CUI [1])

Uric acid

Item

float

C0041980 (UMLS CUI [1])

Urea

Item

float

C0005845 (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

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])

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 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 Cellular Immune State

Item Group

Lymphocytes (Beads)

Item

integer

C0200635 (UMLS CUI [1])

CD3+

Item

integer

C3542405 (UMLS CUI [1])

CD4+

Item

integer

C1277776 (UMLS CUI [1])

CD4+

Item

integer

C1277791 (UMLS CUI [1])

CD8+

Item

integer

C1277777 (UMLS CUI [1])

CD8+

Item

integer

C1277792 (UMLS CUI [1])

CD4/CD8 Ratio

Item

float

C0085115 (UMLS CUI [1])

CD19+

Item

integer

C3540683 (UMLS CUI [1])

Natural Killer Cells

Item

integer

C2363836 (UMLS CUI [1])

Summary and Procedures

Item Group

C2700391 (UMLS CUI-1)

Introduction: Reason for current Admission

Item

text

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

Current Immunosuppressive Therapy

Item

text

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

Last MRI Head

Item

text

C0035020 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
C0229962 (UMLS CUI [2,1])
C0024485 (UMLS CUI [2,2])
C0035020 (UMLS CUI [3,1])
C0024485 (UMLS CUI [3,2])

Findings of neurological Examination

Item

text

C0437208 (UMLS CUI [1])

Summary Progression of Disease

Item

text

C0242656 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])

Summary Paraclinical Findings

Item

text

C0497120 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])

Summary of Hospital Stay

Item

text

C0019993 (UMLS CUI [1,1])
C0743221 (UMLS CUI [1,2])

Recommendation Blood Sample

Item

text

C0178913 (UMLS CUI [1])

Medication on Discharge

Item Group

C1553894 (UMLS CUI-1)

MEDICATION NAME

Item

text

C2360065 (UMLS CUI [1])

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ID

Descripción

Palabras clave

Versiones (3)

Titular de derechos de autor

Subido en

DOI

Licencia

Comentarios del modelo :

Comentarios de grupo de elementos para :

Comentarios del elemento para :

Discharge Letter Items Neuroinflammatory Demyelinating Diseases

Discharge Letter Items -18546 Multiple Sclerosis

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Unidades de medida

Alias

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