Table 1 Standardized metadata template for clinical case reports.

From: A reference set of curated biomedical data and metadata from clinical case reports

Field

Data Type

Example

Case Report Identification (Findable)

Title

Text

Case report: a case of cardiogenic shock and hyperparathyroidism.

Authors

Text

Neeley AB, Mossman ET

Year

Text

2017

Journal

Text

Midwest Journal of Medicine

Institution

Text

Department of Cardiology, Mt Vernon Hospital, Mt Vernon, Wisconsin, USA

Corresponding Author*

Text

Neeley AB

PMID

Identifier

29999555

DOI

Identifier

10.1011/mwjmed.2017.10.001

Link

Identifier

http://www.mwjmed.org/doi/full/10.1011/mwjmed.2017.10.001

Language*

Text

English

Medical Content (Accessible, Interoperable, Reusable)

Key Words

Text

Shock, cardiogenic; hyperparathyroidism; fatigue; headache

Demography**

Text

Male; 40 years of age

Geographic Locations***

Text

Mt Vernon, Wisconsin, USA

Life Style

Text

Smoker

Family History

Text

no family history of heart disease

Social History

Text

worked as a truck driver

Medical/Surgical History

Text

history of fatigue; splenectomy performed six years previously

Disease System

Text

Cardiovascular diseases

Signs and Symptoms

Text

presented with lethargy, headache, diaphoresis, and twitching in all four limbs; cardiac enzyme levels were elevated, ventricular tachycardia

Comorbidity

Text

alopecia

Diagnostic Techniques and Procedures

Text

Electrocardiogram; dual energy X-ray absorptiometry (DXA)

Diagnosis

Text

hyperparathyroidism

Laboratory Values

Text

serum calcium concentration was 3.0 mmol per liter; complete blood cell counts normal

Pathology

Text

endomyocardial biopsy did not reveal a myocardial pathology

Pharmaceutical Therapy

Text

bisphophonates

Interventional Therapy

Text

ventilated on the 2nd day post-surgery due to respiratory distress

Patient Outcome Assessment

Text

Patient developed refractory shock; died of persistent ventricular tachycardia

Diagnostic Imaging/Videotape Recording****

Numerical

3;0;0;0

Relationship to Other Case Reports*

Text / Identifier

PMID: 5555555

Relationship with Clinical Trial*

Text / Identifier

PMID: 5551111

Crosslink with Database*

Text / Identifier

MedlinePlus Health Information : https://medlineplus.gov/parathyroiddisorders.html

Acknowledgements

Funding Source

Text

National Institutes of Health/National Heart, Lung, and Blood Institute

Award Number

Identifier

R01HL123123 (to AN)

Disclosures/Conflict of Interest

Text

Dr. Neeley is a paid consultant for Medicaltech Inc.

References

Numerical

12

  1. A set of features common to clinical case reports and facilitating their concept-level metadata extraction. This template is arranged into three primary sections: Identification, Medical Content, and Acknowledgments, denoting the purpose and additional value afforded by each type of case report feature. Here, we have also included relevancy of the first two categories to promoting FAIR standards. A single document contains the majority of these features; metadata records include the span of these features (i.e., the value referring to a single concept). Examples shown here are simulated but representative of dataset contents. Data Type refers to the type of source data, rather than the dataset contents; this may be “Text” if free-text (this may contain numerical components, though these are identified in subsequent processing steps), “Identifier” if a unique database identifier or other structured value specific to the document, or “Numerical”. Please note that the Acknowledgements section provided here, including the Disclosures/Conflict of Interest statement, is an example only and not intended to claim any funding provided to or competing interest by the authors.
  2. ∗The template and associated processing workflow support use of these fields, though their values are not provided in the MACCR set.
  3. ∗∗Demography details are converted to consistent values prior to inclusion in the MACCR set.
  4. ∗∗∗If not provided within document text, geographic location is inferred from the associated institution.
  5. ∗∗∗∗Purely a numerical count of the total number of clinical images, figures, videos, and tables, respectively, published along with the main text of the report.
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