New version of CIEL dictionary has been added to dropbox and on Open Concept Lab for November 20, 2025!
CIEL has been designated a Digital Global Good by Digital Square!! This is added to its Digital Public Good designation from the DPGA!
Just wanted to let folks know that I am posting a new version of the CIEL concept dictionary in the dropbox with versions including 1.11.6, 2.0.1, 2.1, 2.2, 2.3, 2.4.5 and 2.5.5. Note that I will no longer be releasing in versions prior to 1.1!
Can I please remind everyone using the CIEL dictionary that this is a trust model. We are providing the service to the community and the community assists by providing concepts they require back to CIEL. This also includes translation of CIEL concepts into other languages. If you have added concepts to your dictionary and have not reported them back to CIEL, I strongly encourage you to do so (if guilt doesn’t work, then I will start to harass you :).
Be sure to read the wiki: om.rs/getciel
NOTE THAT THE DISTRIBUTION METHODOLOGY FOR CIEL USING THE OPEN CONCEPT LAB IS THE PREFERRED DISTRIBUTION MEDIUM FOR CIEL.
Each version includes the global property ciel.conceptsVersion which contains the date of the release in YYYYMMDD format. A new global property update was added for 1.11+ which will force recreation of the word index as this is no longer included as part of the CIEL upload.
This release continued quality improvements, replacement of retired SNOMED maps, promotion of Portuguese Brazilian concept names also to Portuguese, the addition of concepts to support Uganda EMR, Malawi’s OHDL and clean-up in preparation for a refreshed version of CIEL in OHDSI February vocabulary release. New FDA-approved drugs and ATC mappings were added. Continuing to add ICD-11 maps and French translations. Please continue to help QA the French and now Portuguese translations, please. Contributing your concept prevalence data to the study will help fill gaps to CIEL and maps to ICD-11, so please see: Concept Prevalence Study FAQ - Google Docs
The drug table was not updated for this release. We are working on getting a new version of the drug table out, but if you are interested, reach out to me separately.
The list of new concepts (English names)
“concept_id” “name” “Class” “Datatype” “description”
“170361” “Referred for laboratory retesting” “Question” “Coded”
“170360” “History of exposure to or contact with COVID-19” “Question” “Coded”
“170359” “Wayrilz” “Drug” “N/A”
“170359” “Rilzabrutinib” “Drug” “N/A”
“170358” “Berahyaluronidase alfa / pembrolizumab” “Drug” “N/A”
“170358” “Keytruda Qlex” “Drug” “N/A”
“170357” “Frequency of long pauses between breaths in past month while sleeping” “Question” “Coded”
“170356” “Frequency of trouble sleeping in past month due to not getting enough sleep” “Question” “Coded”
“170355” “Feeding/eating started” “Question” “Coded”
“170354” “Walking started” “Question” “Coded”
“170354” “Ambulation started” “Question” “Coded”
“170353” “Nausea level” “Question” “Coded”
“170352” “Post Anesthetic Recovery assessment” “Misc” “N/A”
“170351” “Activity status post-anesthetic” “Question” “Coded”
“170350” “Unable to move limbs voluntarily or on command” “Finding” “N/A”
“170350” “Unable to move extremities voluntarily or on command” “Finding” “N/A”
“170349” “Able to move two extremities” “Finding” “N/A”
“170349” “Able to move two limbs” “Finding” “N/A”
“170348” “Able to move all for extremities” “Finding” “N/A”
“170348” “Able to move all four limbs” “Finding” “N/A”
“170347” “Circulation status post-anesthetic” “Question” “Coded”
“170346” “Blood pressure 50 percent or more from preanesthetic level” “Finding” “N/A”
“170346” “Blood pressure +/- 50% or more from preanesthetic level” “Finding” “N/A”
“170345” “Blood pressure 20-49 percent from preanesthetic level” “Finding” “N/A”
“170345” “Blood pressure +/- 20-49% of preanesthetic level” “Finding” “N/A”
“170344” “Blood pressure within 20 percent of preanesthetic level” “Finding” “N/A”
“170344” “Blood pressure +/- 20% of preanesthetic level” “Finding” “N/A”
“170343” “Respiration status” “Question” “Coded”
“170342” “Apnea or requires mechanical ventilation” “Finding” “N/A”
“170341” “Dyspnea or limited breathing” “Finding” “N/A”
“170340” “Able to breathe deeply and cough freely” “Finding” “N/A”
“170339” “Oxygenation status” “Question” “Coded”
“170338” “SpO2 < 90% on oxygen” “Finding” “N/A”
“170338” “Oxygen saturation on supplemental oxygen less than 90 percent” “Finding” “N/A”
“170337” “Oxygen saturation on supplemental oxygen greater than or equal to 90 percent” “Finding” “N/A”
“170337” “SpO2 >= 90% on oxygen” “Finding” “N/A”
“170336” “Oxygen saturation on room air greater than 92 percent” “Finding” “N/A”
“170336” “SpO2 >92% on RA” “Finding” “N/A”
“170335” “Post Anesthetic Recovery score set” “ConvSet” “N/A”
“170334” “Aldrete score” “Question” “Numeric”
“170334” “Post Anesthetic Recovery score” “Question” “Numeric”
“170333” “Viral skin infection” “Diagnosis” “N/A”
“170332” “Numbness in hands, feet or legs” “Symptom/Finding” “N/A”
“170332” “Peripheral numbness” “Symptom/Finding” “N/A”
“170331” “Minor” “Misc” “N/A” “An underage person, adolescent or child.”
“170330” “Clear appearance” “Misc” “N/A”
“170330” “Clear” “Misc” “N/A”
“170329” “Chronic dry cough” “Diagnosis” “N/A”
“170328” “Parathyroid hormone, serum/plasma (pg/mL)” “Test” “Numeric”
“170328” “Parathyrin in serum or plasma (pg/mL)” “Test” “Numeric”
“170328” “PTH, serum/plasma (pg/mL)” “Test” “Numeric”
“170327” “Cerebrospinal fluid panel” “LabSet” “N/A”
“170326” “CSF volume (mL)” “Test” “Numeric”
“170326” “Cerebrospinal fluid volume measurement (mL)” “Test” “Numeric”
“170325” “Cerebrospinal fluid red blood cells” “Test” “Numeric”
“170325” “Cerebrospinal fluid erythrocyte count” “Test” “Numeric”
“170325” “CSF RBCs” “Test” “Numeric”
“170324” “CSF WBCs” “Test” “Numeric”
“170324” “Cerebrospinal fluid leukocytes” “Test” “Numeric”
“170324” “Cerebrospinal fluid white blood cells” “Test” “Numeric”
“170323” “ACTH measurement in plasma (pg/mL)” “Test” “Numeric”
“170323” “Plasma adrenocorticotropic hormone (ACTH) measurement (pg/mL)” “Test” “Numeric”
“170323” “Corticotropin measurement in plasma (pg/mL)” “Test” “Numeric”
“170322” “Episiotomy” “Procedure” “N/A”
“170321” “Nontraumatic injury” “Diagnosis” “N/A”
“170321” “Non-traumatic injury” “Diagnosis” “N/A”
“170320” “Uncomplicated” “Misc” “N/A”
“170319” “HIV confirmation testing location (text)” “Question” “Text”
“170318” “HIV confirmation test type” “Question” “Coded”
“170317” “Prescribe PCP prophylaxis with co-trimoxazole” “Procedure” “N/A”
“170317” “Prescribe PCP prophylaxis with sulfamethoxazole / trimethoprim” “Procedure” “N/A”
“170317” “Prescribe PCP prophylaxis with cotrimoxazole” “Procedure” “N/A”
“170316” “History of prior antiretroviral therapy” “Question” “Coded”
“170316” “History of ARV use” “Question” “Coded”
“170316” “History of prior ART” “Question” “Coded”
“170315” “Height z-score” “Question” “Numeric”
“170315” “Height for age (z-score)” “Question” “Numeric”
“170314” “Weight/height percent” “Test” “Numeric”
“170314” “Weight for height percent of median” “Test” “Numeric”
“170313” “Referto clinician” “Procedure” “N/A”
“170313” “Refer to doctor” “Procedure” “N/A”
“170312” “Height for age percent of median” “Question” “Numeric”
“170312” “Height/age percent” “Question” “Numeric”
“170311” “Weight/age percent” “Question” “Numeric”
“170311” “Weight for age percent of median” “Question” “Numeric”
“170310” “Epilepsy with postictal motor deficit” “Diagnosis” “N/A”
“170310” “Epilepsy with Todd’s paralysis” “Diagnosis” “N/A”
“170309” “Cerebellar ataxia due to neoplastic disease” “Diagnosis” “N/A”
“170308” “Blood specimen” “Misc” “N/A”
“170307” “Febrile syndrome” “Diagnosis” “N/A” “Syndrome with prominent component of fever.”
“170306” “Date to remove stitches” “Question” “Date”
“170306” “Intended date for removal of sutures” “Question” “Date”
“170306” “Intended date for removal of stitches” “Question” “Date”
“170305” “Date to remove drainage” “Question” “Date”
“170305” “Intended date for removal of drain” “Question” “Date”
“170304” “Frequency of trouble staying awake while driving, during meals or engaging in social activity” “Question” “Coded”
“170303” “Frequency of taking sleeping medication in past month” “Question” “Coded”
“170302” “Frequency of trouble sleeping in past month due to pain” “Question” “Coded”
“170301” “Frequency of trouble sleeping in past month due to nightmares” “Question” “Coded”
“170301” “Frequency of trouble sleeping in past month due to bad dreams” “Question” “Coded”
“170300” “Frequency of trouble sleeping in past month due to feeling too hot” “Question” “Coded”
“170299” “Desires pregnancy in next three months” “Question” “Coded”
“170299” “Intention to conceive in next three months” “Question” “Coded”
“170298” “Sleep quality overall during past month” “Question” “Coded”
“170297” “Moderately bad” “Misc” “N/A”
“170297” “Fairly bad” “Misc” “N/A”
“170296” “Fairly good” “Misc” “N/A”
“170296” “Moderately good” “Misc” “N/A”
“170295” “Very bad” “Misc” “N/A”
“170294” “Frequency of trouble sleeping in past month due to feeling too cold” “Question” “Coded”
“170293” “Frequency of trouble sleeping in past month due to having to use the bathroom” “Question” “Coded”
“170292” “Frequency of trouble sleeping in past month due to trouble breathing comfortably” “Question” “Coded”
“170291” “Frequency of trouble sleeping in past month due to loud coughing or snoring” “Question” “Coded”
“170290” “Frequency of trouble sleeping in past month due to waking up in the middle of the night or early morning” “Question” “Coded”
“170289” “Frequency of trouble sleeping in past month due to not falling asleep within 30 minutes” “Question” “Coded”
“170288” “3+ times per week” “Misc” “N/A”
“170288” “Three or more times per week” “Misc” “N/A”
“170287” “Number of hours of sleep per night over past month” “Question” “Numeric”
“170286” “Feeling of being victim of deliberate harm” “Question” “Coded” “Have there been times when you felt that people were deliberately acting to harm you or your interests?”
“170285” “Symptoms of paranoia in past year” “Question” “Coded” “Over the past year, have there been times when you felt that people were against you?”
“170284” “Thought withdrawal via outside force” “Question” “Coded”
“170283” “Symptoms of thought withdrawal” “Question” “Coded” “Over the past year, have you ever felt that some of your thoughts had been taken out of your mind?”
“170282” “Thought insertion method hard to believe” “Question” “Coded” “Did this come about in a way that many people would find hard to believe, for instance, through telepathy?”
“170281” “Symptoms of thought insertion over past year” “Question” “Coded” “Over the past year, have you ever felt that your thoughts were directly interfered with or controlled by some outside force or person?”
“170280” “Energetic after very little sleep” “Question” “Coded”
“170279” “Symptoms of increased energy in past year” “Question” “Coded” “Over the past year, have there been times when you felt full of energy and needed much less sleep than usual?”
“170278” “Obvious reason for hypomania” “Question” “Coded”
“170277” “Symptoms of hypomania in past year” “Question” “Coded” “Over the past year, have there been times when you felt very happy indeed without a break for days on end?”
“170276” “Psychosis Screening Questionnaire (PSQ) total score” “Question” “Numeric”
“170275” “Chloroquine phosphate” “Drug” “N/A”
“170274” “Tegsedi” “Drug” “N/A”
“170274” “Inotersen” “Drug” “N/A”
“170273” “Nurtec ODT” “Drug” “N/A”
“170273” “Rimegepant” “Drug” “N/A”
“170273” “Vydura” “Drug” “N/A”
“170272” “Risdiplam” “Drug” “N/A”
“170272” “Evrysdi” “Drug” “N/A”
“170271” “Evenity” “Drug” “N/A”
“170271” “Romosozumab” “Drug” “N/A”
“170270” “Burosumab” “Drug” “N/A”
“170270” “Crysvita” “Drug” “N/A”
“170269” “Vumerity” “Drug” “N/A”
“170269” “Diroximel fumarate” “Drug” “N/A”
“170268” “Adtralza” “Drug” “N/A”
“170268” “Adbry” “Drug” “N/A”
“170268” “Tralokinumab” “Drug” “N/A”
“170267” “Waylivra” “Drug” “N/A”
“170267” “Volanesorsen” “Drug” “N/A”
“170266” “Tilpazan” “Drug” “N/A”
“170266” “Crenzlo” “Drug” “N/A”
“170266” “Leqvio” “Drug” “N/A”
“170266” “Inclisiran” “Drug” “N/A”
“170266” “Izirize” “Drug” “N/A”
“170266” “Sybrava” “Drug” “N/A”
“170265” “Bemovians” “Drug” “N/A”
“170265” “Belmore” “Drug” “N/A”
“170265” “Benlipid” “Drug” “N/A”
“170265” “Brillo” “Drug” “N/A”
“170265” “Emabia” “Drug” “N/A”
“170265” “Bempalip” “Drug” “N/A”
“170265” “Bem PD” “Drug” “N/A”
“170265” “Nilemdo” “Drug” “N/A”
“170265” “Bempid” “Drug” “N/A”
“170265” “Bepofly” “Drug” “N/A”
“170265” “Embia” “Drug” “N/A”
“170265” “Belro” “Drug” “N/A”
“170265” “Bemzire” “Drug” “N/A”
“170265” “Dapcea” “Drug” “N/A”
“170265” “Bempify” “Drug” “N/A”
“170265” “Bempesta” “Drug” “N/A”
“170265” “Nexred” “Drug” “N/A”
“170265” “Bempenal” “Drug” “N/A”
“170265” “Bempedoic acid” “Drug” “N/A”
“170265” “Nexletol” “Drug” “N/A”
“170264” “Verquvo” “Drug” “N/A”
“170264” “Vericiguat” “Drug” “N/A”
“170263” “Berotralstat” “Drug” “N/A”
“170263” “Orladeyo” “Drug” “N/A”
“170262” “Pitsafe-EZ” “Drug” “N/A”
“170262” “Pevastin-Plus” “Drug” “N/A”
“170262” “Ptvs FB” “Drug” “N/A”
“170262” “Ptvs Duo” “Drug” “N/A”
“170262” “Ptvs Plus” “Drug” “N/A”
“170262” “Ezetimibe / pitavastatin” “Drug” “N/A”
“170262” “Pitawin EZ” “Drug” “N/A”