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. 2006;2006:126–130.

Table 2.

Fields and Rules for Tabular Representation.

Field Description and Rules (in italics)
1. mrn
  • Medical Record Number for patient

2. date
  • Date of report

3. acc_no
  • Unique accession number of report

4. report_type
  • Type of report as represented by an institution-specific code or textual name (e.g., MED code ‘40829’ refers to ‘CPMC X- Ray of Chest, Portable’)

5. finding_id
  • Unique number assigned to each primary finding in a report

6. primary_type
  • Type of the primary finding (e.g., problem)

7. primary_value
  • Value of the primary finding (e.g., ‘fracture’)

8. primary_code
  • UMLS code(s) for primary finding

  • Only preserve the code (e.g., ‘UMLS:C0035522^rib fractures’ ‘C0035522’)

9. bodyloc
  • Body location modifier for finding

  • Present each value on a separate line with associated modifiers in the respective fields

10. bodyloc_code
  • UMLS code(s) for body location

  • Only preserve the code (e.g., ‘C1281577’)

11. region
  • Relative locations within a body location (any except ‘right’, ‘left’, and ‘bilateral’)

  • Concatenate repeat values with ‘^’

12. laterality
  • Region modifier (only ‘right’, ‘left’, ‘bilateral’)

  • Concatenate repeat values with ‘^’

13. change
  • Denotes change in finding (e.g., ‘worse’)

  • Concatenate repeat values with ‘^’

  • Concatenate nested certainty value with ‘-‘(e.g., ‘worse – no’)

14. descriptor
  • Qualifies a property of a finding or body location (e.g., ‘large’ or ‘round’)

  • Concatenate repeat values with ‘^’

  • Concatenate nested certainty value with ‘-‘(e.g., ‘round – high’)

15. problemdescr
  • Qualifies a problem finding

  • Concatenate repeat values with ‘^’

  • Concatenate nested certainty value with ‘-‘(e.g., ‘mass – low’)

16. certainty
  • Certainty of finding (e.g., ‘rule out’)

  • Concatenate repeat values with ‘^’’

  • Ignore nested modifiers

17. status
  • Denotes temporal information (e.g., ‘end’)

  • Concatenate repeat values with ‘^’

  • Add nested date value to other_mod field

18. other_mod
  • All other modifier types and values not included in other fields (e.g., date)

  • Concatenate values with ‘:’, ‘^’, and ‘;’

  • Ignore nested modifiers

19. sectname
  • Section of report that the finding occurs in

  • Shorten value where appropriate (e.g., ‘report description item'‘description’)

20. sid
  • Sentence identifier

  • Abbreviate value (e.g., ‘s6'‘6’)

21. parsemode
  • Parse mode

  • Abbreviate value (e.g., ‘mode1'‘1’)