New version of CIEL dictionary has been added to dropbox and on Open Concept Lab for December 24, 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 and preparing for a refreshed version of CIEL in OHDSI February vocabulary release. New concepts for behavioral health tools and additions for Malawi and PIH also were added. 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”
“170491” “Breastfeeding start date/time” “Question” “Datetime”
“170490” “Multiple gestation and early contractions greater than 34 weeks gestation” “Finding” “N/A”
“170489” “Encounter for planned, elective, repeat cesarean with contractions greater than 34 weeks gestation” “Finding” “N/A”
“170488” “Regular contractions and herpes simplex (HSV) lesion greater than 34 weeks gestation” “Finding” “N/A”
“170487” “Active labour greater than 34 weeks gestation” “Finding” “N/A”
“170487” “Active labor greater than 34 weeks gestation” “Finding” “N/A”
“170486” “Leaking fluid or spotting with less than 34 weeks of pregnancy” “Finding” “N/A”
“170485” “Early labour between 34 and 37 weeks gestation” “Finding” “N/A”
“170485” “Early labor between 34 and 37 weeks gestation” “Finding” “N/A”
“170485” “Premature labor between 34 and 37 weeks gestation” “Finding” “N/A”
“170484” “Uterine contractions with less than 34 weeks of pregnancy” “Finding” “N/A”
“170483” “Removal of urinary catheter” “Procedure” “N/A”
“170482” “Intravenous fluid volume administered (mL)” “Question” “Numeric”
“170482” “IV fluid given (mL)” “Question” “Numeric”
“170481” “Observations of baby following delivery (text)” “Question” “Text”
“170480” “Complications of anesthesia (text)” “Question” “Text”
“170479” “Umbilical cord” “Anatomy” “N/A”
“170478” “Preferred mode of contact” “Question” “Coded”
“170477” “Pager” “Misc” “N/A”
“170476” “Voice phone call” “Misc” “N/A”
“170475” “Email” “Misc” “N/A”
“170475” “E-mail” “Misc” “N/A”
“170474” “Short message service (SMS)” “Misc” “N/A”
“170474” “Text message” “Misc” “N/A”
“170473” “Fetal heart beat” “Misc” “N/A”
“170472” “Dolutegravir / lamivudine” “Drug” “N/A”
“170472” “Dovato” “Drug” “N/A”
“170471” “Olanzapine / samidorphan” “Drug” “N/A”
“170471” “Lybalvi” “Drug” “N/A”
“170470” “Witchcraft” “Misc” “N/A”
“170469” “Ear infection” “Diagnosis” “N/A”
“170468” “HIV viral load suppressed” “Finding” “N/A”
“170467” “X-ray of knee” “Radiology/Imaging Procedure” “N/A”
“170466” “Cauterization of wart” “Procedure” “N/A”
“170465” “Delayed wound healing” “Diagnosis” “N/A”
“170464” “Abdominal paracentesis” “Procedure” “N/A”
“170464” “Abdominal tap” “Procedure” “N/A”
“170464” “Ascitic tap” “Procedure” “N/A”
“170463” “Chronic heart disease” “Diagnosis” “N/A”
“170462” “Unable to stand” “Finding” “N/A”
“170461” “Home heating method” “Question” “Coded”
“170460” “Closed reduction of dislocation of temporomandibular joint” “Procedure” “N/A”
“170460” “Closed reduction of dislocation of TMJ” “Procedure” “N/A”
“170460” “Closed reduction of dislocation of jaw” “Procedure” “N/A”
“170459” “Readiness for discharge” “Question” “Coded”
“170459” “Ready for discharge” “Question” “Coded”
“170458” “Ready for discharge” “Question” “N/A”
“170458” “Readiness for discharge” “Question” “N/A”
“170457” “Mental disorder during puerperium” “Diagnosis” “N/A”
“170456” “Positive test for malaria” “Finding” “N/A”
“170455” “X-ray of femur” “Radiology/Imaging Procedure” “N/A”
“170454” “X-ray of wrist” “Radiology/Imaging Procedure” “N/A”
“170453” “SDQ score” “Question” “Numeric”
“170453” “Strengths and difficulties questionnaire (SDQ) score” “Question” “Numeric”
“170452” “SDQ tool” “Misc” “N/A”
“170452” “Strengths and difficulties questionnaire assessment tool” “Misc” “N/A”
“170452” “Strengths and difficulties questionnaire (SDQ)” “Misc” “N/A”
“170451” “CD-RISC tool” “Misc” “N/A”
“170451” “Connor-Davidson Resilience Scale (CD-RISC) assessment tool” “Misc” “N/A”
“170450” “CD-RISC score” “Question” “Numeric”
“170450” “Connor-Davidson Resilience Scale (CD-RISC) score” “Question” “Numeric”
“170449” “BRCS tool” “Misc” “N/A”
“170449” “Brief Resilience Coping Scale (BRCS) assessment tool” “Misc” “N/A”
“170448” “BRCS score” “Question” “Numeric”
“170448” “Brief Resilience Coping Scale (BRCS) score” “Question” “Numeric”
“170447” “BRS score” “Question” “Numeric”
“170447” “Brief Resilience Scale (BRS) score” “Question” “Numeric”
“170446” “Brief Resilience Scale (BRS) assessment tool” “Misc” “N/A”
“170445” “KHC-SF tool” “Misc” “N/A”
“170445” “Mental Health Continuum Short Form (MHC-SF) assessment tool” “Misc” “N/A”
“170444” “MHC-SF score” “Question” “Numeric”
“170444” “Mental Health Continuum Short Form (MHC-SF) score” “Question” “Numeric”
“170443” “Cantril ladder score” “Question” “Numeric”
“170443” “Cantril ladder subjective wellbeing score” “Question” “Numeric”
“170442” “Cantril ladder assessment tool” “Misc” “N/A”
“170441” “PHQ-4 score” “Question” “Numeric”
“170441” “Patient Health Questionnaire four item score” “Question” “Numeric”
“170441” “Patient Health Questionnaire-4 score” “Question” “Numeric”
“170440” “PHQ-4 tool” “Misc” “N/A”
“170440” “Patient Health Questionnaire-4 assessment tool” “Misc” “N/A”
“170439” “GAD-2 tool” “Misc” “N/A”
“170439” “Generalized Anxiety Disorder 2 item assessment tool” “Misc” “N/A”
“170438” “GAD-2 score” “Question” “Numeric”
“170438” “Generalized Anxiety Disorder 2 item score” “Question” “Numeric”
“170437” “PHQ-2 tool” “Misc” “N/A”
“170437” “Patient Health Questionnaire-2 assessment tool” “Misc” “N/A”
“170436” “PHQ-2 score” “Question” “Numeric”
“170436” “Patient Health Questionnaire two item score” “Question” “Numeric”
“170436” “Patient Health Questionnaire-2 score” “Question” “Numeric”
“170435” “Frequency of daily life filled with interesting things” “Question” “Numeric”
“170434” “Frequency of waking up feeling fresh and rested” “Question” “Numeric” “0 = At no time 1 = Some of the time 2 = Less than half the time 3 = More than half the time 4 = Most of the tim 5 = All of the time”
“170433” “Frequency of feeling active and vigorous” “Question” “Numeric” “0 = At no time 1 = Some of the time 2 = Less than half the time 3 = More than half the time 4 = Most of the tim 5 = All of the time”
“170432” “Frequency of feeling calm and relaxed” “Question” “Numeric” “0 = At no time 1 = Some of the time 2 = Less than half the time 3 = More than half the time 4 = Most of the tim 5 = All of the time”
“170431” “Frequency of feeling cheerful or in good spirits” “Question” “Numeric” “0 = At no time 1 = Some of the time 2 = Less than half the time 3 = More than half the time 4 = Most of the tim 5 = All of the time”
“170430” “WHO-5 Wellbeing Index score (%)” “Question” “Numeric” “Raw score (0-25) multiplied by four to get percent”
“170429” “WHO-5 Wellbeing Index assessment” “Misc” “N/A”
“170428” “Gillies reduction of zygomatic fracture” “Procedure” “N/A”
“170428” “Gillies elevation of zygomatic fracture” “Procedure” “N/A”
“170427” “Paediatric cardiology service” “Misc” “N/A”
“170427” “Pediatric cardiology service” “Misc” “N/A”
“170426” “Thoracentesis” “Procedure” “N/A”
“170426” “Pleurocentesis” “Procedure” “N/A”
“170426” “Pleural tap” “Procedure” “N/A”
“170425” “Pericardiocentesis” “Procedure” “N/A”
“170425” “Pericardial tap” “Procedure” “N/A”
“170424” “Fine needle biopsy” “Procedure” “N/A”
“170424” “Aspiration biopsy” “Procedure” “N/A”
“170423” “Paediatric neurology service” “Misc” “N/A”
“170423” “Pediatric neurology service” “Misc” “N/A”
“170422” “Random” “Misc” “N/A”
“170421” “Partial edentulism” “Diagnosis” “N/A”
“170420” “X-ray of calcaneus” “Radiology/Imaging Procedure” “N/A”
“170420” “X-ray of heel” “Radiology/Imaging Procedure” “N/A”
“170419” “AJCC stage IV” “Misc” “N/A”
“170419” “American Joint Committee on Cancer stage IV” “Misc” “N/A”
“170419” “American Joint Committee on Cancer stage 4” “Misc” “N/A”
“170418” “AJCC stage III” “Misc” “N/A”
“170418” “American Joint Committee on Cancer stage III” “Misc” “N/A”
“170418” “American Joint Committee on Cancer stage 3” “Misc” “N/A”
“170417” “AJCC stage II” “Misc” “N/A”
“170417” “American Joint Committee on Cancer stage II” “Misc” “N/A”
“170417” “American Joint Committee on Cancer stage 2” “Misc” “N/A”
“170416” “AJCC stage I” “Misc” “N/A”
“170416” “American Joint Committee on Cancer stage I” “Misc” “N/A”
“170416” “American Joint Committee on Cancer stage 1” “Misc” “N/A”
“170415” “AJCC stage 0” “Misc” “N/A”
“170415” “American Joint Committee on Cancer stage 0” “Misc” “N/A”
“170414” “Apicectomy of lung” “Procedure” “N/A”
“170413” “aPTT ratio” “Test” “Numeric”
“170413” “Partial thromboplastin time (PTT) ratio (%)” “Test” “Numeric”
“170412” “NPO” “Procedure” “N/A”
“170412” “Allow nothing by mouth” “Procedure” “N/A”
“170412” “Nothing by mouth” “Procedure” “N/A”
“170411” “Removal of salivary duct calculus” “Procedure” “N/A”
“170411” “Removal of salivary stone” “Procedure” “N/A”
“170410” “Hemimandibulectomy” “Procedure” “N/A”
“170409” “Amniotic membranes intact” “Finding” “N/A”
“170409” “Membranes intact” “Finding” “N/A”
“170408” “Cardiac thrill” “Finding” “N/A”
“170407” “X-ray of humerus” “Radiology/Imaging Procedure” “N/A”
“170406” “Uterus repair” “Procedure” “N/A”
“170406” “Hysteroplasty” “Procedure” “N/A”
“170405” “Elamipretide” “Drug” “N/A”
“170405” “Forzinity” “Drug” “N/A”
“170404” “Imlunestrant” “Drug” “N/A”
“170403” “Paltusotine” “Drug” “N/A”
“170403” “Palsonify” “Drug” “N/A”
“170402” “Nerandomilast” “Drug” “N/A”
“170402” “Jascayd” “Drug” “N/A”
“170401” “Elinzanetant” “Drug” “N/A”
“170401” “Lynkuet” “Drug” “N/A”
“170400” “Ziftomenib” “Drug” “N/A”
“170400” “Komzifti” “Drug” “N/A”
“170399” “Postductal oxygen saturation measurement” “Test” “Numeric”
“170399” “Postductal spO2 (%)” “Test” “Numeric”
“170398” “Preductal oxygen saturation measurement” “Test” “Numeric”
“170398” “Preductal spO2 (%)” “Test” “Numeric”
“170397” “Vaginal reconstruction” “Procedure” “N/A”
“170396” “Splinting of teeth” “Procedure” “N/A”
“170396” “Teeth immobilization” “Procedure” “N/A”
“170396” “Tooth fixation” “Procedure” “N/A”
“170395” “Antenatal clinic” “Misc” “N/A”
“170394” “Dental filling present” “Finding” “N/A”
“170394” “Presence of tooth fillings” “Finding” “N/A”
“170393” “X-ray of ankle” “Radiology/Imaging Procedure” “N/A”
“170392” “Romberg test” “Procedure” “N/A” “The Romberg test is a simple physical assessment to evaluate a patient’s balance and proprioception (your body’s sense of position in space) by removing the visual component. To perform it, a person stands with their feet together and arms crossed or at their sides, first with eyes open and then with eyes closed. If they can maintain balance with their eyes open but sway or fall when they close them, it is considered a positive test and may indicate neurological or vestibular issues.”
“170392” “Administration of Romberg test” “Procedure” “N/A” “The Romberg test is a simple physical assessment to evaluate a patient’s balance and proprioception (your body’s sense of position in space) by removing the visual component. To perform it, a person stands with their feet together and arms crossed or at their sides, first with eyes open and then with eyes closed. If they can maintain balance with their eyes open but sway or fall when they close them, it is considered a positive test and may indicate neurological or vestibular issues.”
“170391” “Fetal decapitation” “Procedure” “N/A”
“170390” “Patient present during consultation” “Question” “Coded”
“170390” “Patient present for visit” “Question” “Coded”
“170389” “Xpert MTB/RIF kit” “Misc” “N/A” "The Xpert® MTB/RIF Assay, performed on the GeneXpert® Instrument Systems, is a qualitative, nested real-time polymerase chain reaction (PCR) in vitro diagnostic test for the detection of Mycobacterium tuberculosis complex DNA. In specimens where Mycobacterium tuberculosis complex (MTB-complex) is detected, the Xpert MTB/RIF Assay also detects the rifampin-resistance associated mutations of the rpoB gene REF: Xpert® MTB/RIF "
“170388” “Tuberculosis test kits” “ConvSet” “N/A”
“170387” “Truenat MTB-INH kit” “Misc” “N/A” “Truenat® MTB-INH is a chip-based Real Time PCR test for detection of Isoniazid resistance in Mycobacterium tuberculosis (MTB) in Truenat MTB/MTB Plus positive human specimen and aids in the diagnosis of MDR-TB. This test detects the presence of major mutations (SNPs) in the MTB genome that are known to cause resistance to Isoniazid.”
“170386” “Truenat MTB-RIF Dx kit” “Misc” “N/A” “Truenat® MTB-RIF Dx is a chip-based real-time PCR Test for the detection of Rifampicin resistance in Mycobacterium tuberculosis in Truenat MTB/MTB Plus positive human specimens and aids in the diagnosis of MDR-TB. This test detects the presence of major mutations (SNPs) in the MTB genome that are known to cause resistance to rifampicin.”
“170385” “Truenat MTB Plus kit” “Misc” “N/A” “Truenat® MTB Plus is a chip-based real-time PCR Test for semi-quantitative detection and diagnosis of Mycobacterium tuberculosis (MTB) in human pulmonary and EPTB specimens and aids in the diagnosis of infection with MTB.”
“170384” “Truenat MTB kit” “Misc” “N/A” “Truenat® MTB is a chip-based real-time PCR test for quantitative detection and diagnosis of Mycobacterium tuberculosis (MTB) in human pulmonary and EPTB specimens, aiding the diagnosis of tuberculosis. REF: https://www.molbiodiagnostics.com/truenat-assays/”
“170383” “Xpert MTB/RIF Ultra kit” “Misc” “N/A” “Tuberculosis and rifampin resistance test kit. Similar to Xpert MTB/RIF but faster with increased sensitivity”
“170382” “Fetal parts visible on perineum during labor” “Finding” “N/A”
“170381” “McDonald cervical cerclage” “Procedure” “N/A”
“170380” “Perichondritis of external ear” “Diagnosis” “N/A”
“170379” “Influenza due to Influenza A virus subtype H3N2” “Diagnosis” “N/A”
“170379” “Influenza infection, H3N2” “Diagnosis” “N/A”
“170378” “Liver” “Anatomy” “N/A”
“170377” “Mother not delivered” “Finding” “N/A”
“170376” “Forearm x-ray” “Radiology/Imaging Procedure” “N/A”
“170375” “Elbow x-ray” “Radiology/Imaging Procedure” “N/A”
“170374” “Peritoneal lavage” “Procedure” “N/A”
“170374” “Abdominal lavage” “Procedure” “N/A”
“170374” “Abdomen irrigation” “Procedure” “N/A”
“170374” “Abdominal washout” “Procedure” “N/A”
“170373” “Biopsy” “Procedure” “N/A”
“170372” “Cystography with contrast” “Radiology/Imaging Procedure” “N/A”
“170372” “Contrast radiography of bladder” “Radiology/Imaging Procedure” “N/A”
“170372” “Cystogram” “Radiology/Imaging Procedure” “N/A”
“170371” “Vertebral column” “Anatomy” “N/A”
“170371” “Spine” “Anatomy” “N/A”
“170371” “Spinal column” “Anatomy” “N/A”
“170370” “Obstetric fistula” “Diagnosis” “N/A”
“170369” “Diastolic cardiac thrill” “Finding” “N/A”
“170368” “Mucoid” “Misc” “N/A” “General adjective”
“170367” “Sepiapterin” “Drug” “N/A”
“170367” “Sephience” “Drug” “N/A”
“170366” “Skin” “Anatomy” “N/A”
“170365” “Fear about medication side effects” “Misc” “N/A”
“170365” “Afriad of medication side effects” “Misc” “N/A”
“170364” “Atypical” “Misc” “N/A” “General adjective to describe non-typical finding”
“170363” “Elective cesarean section” “Procedure” “N/A”
“170363” “Elective c-section” “Procedure” “N/A”
“170363” “Elective cesarean delivery” “Procedure” “N/A”
“170362” “Number of people sharing the same bedroom” “Question” “Numeric”