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-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Biliary pancreatitis
- 
-Major Surgical or Invasive Procedure:
-___: Laparoscopic cholecystectomy
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Biliary pancreatitis {Gallstone pancreatitis}, Laparoscopic cholecystectomy {Laparoscopic cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ man who had severe biliary 
-pancreatitis resulting in pancreatic necrosis for which he was 
-treated with nasojejunal feedings and pancreatic rest.  He had 
-initially had multisystem organ failure, which improved. Mr. 
-___ has a large postnecrotic pseudocyst, which has been 
-drained through a minimally invasive approach into his GI tract. 
- He has some debris, but this is not currently infected. The 
-patient was followed by Dr. ___ in his ___ 
-clinic to discuss cholecystectomy. After discussion of all 
-risks, benefits and possible outcomes, patient was scheduled for 
-elective cholecystectomy on ___.
- 
-
-###RESPONSE: biliary 
-pancreatitis {Gallstone pancreatitis}, pancreatic necrosis {Necrosis of pancreas}, nasojejunal feedings {Nasojejunal feeding}, pancreatic rest {Ectopic pancreas}, multisystem organ failure {Multiple organ failure}, improved {Patient's condition improved}, pseudocyst {Pseudocyst}, drained {Incision AND drainage}, GI tract {Gastrointestinal tract structure}, clinic {Outpatient care management}, cholecystectomy {Cholecystectomy}, discussion {Discussion}, cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hiatal Hernia  
-___ esophagus  
-Esophageal ulcer  
-anxiety  
-Back pain 
- 
-
-###RESPONSE: Hiatal Hernia {Hiatal hernia}, esophagus {Esophageal structure}, Esophageal ulcer {Ulcer of esophagus}, anxiety {Anxiety}, Back pain {Backache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother passed of metastatic lung cancer. Father alive, had CVA 
-and MI.  No  history of pancreatic malignancy  
-
- 
-
-###RESPONSE: metastatic lung cancer {Metastatic malignant neoplasm to lung}, alive {Alive}, CVA {Cerebrovascular accident}, pancreatic malignancy {Malignant tumor of pancreas}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Prior Discharge:
-VS: 98.3, 83, 137/69, 16, 98% RA
-GEN: NAD, AAO x 3
-CV: RRR
-PULM: CTAB
-ABD: Laparoscopic incisions open to air with dermabond and c/d/i
-EXTR: Warm, +pp, no c/c/e
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, Laparoscopic {Laparoscopic procedure}, incisions {Surgical incision wound}, EXTR {Examination of limb}, Warm {Warm skin}, c {Cyanosis}, e {Edema of extremity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Pathology: Pending
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient with history of gallstone pancreatitis was admitted 
-to the HPB Surgical Service on ___ after he underwent 
-laparoscopic cholecystectomy. After a brief, uneventful stay in 
-the PACU, the patient arrived on the floor tolerating regular 
-diet , on IV fluids, and Dilaudid PCA for pain control.  The 
-patient was hemodynamically stable.
-Pain was well controlled. Diet was tolerated well. The patient 
-voided without problem. The patient received subcutaneous 
-heparin and venodyne boots were used during this stay.
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs. The patient was tolerating a regular 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled.  The patient was discharged home without services. 
-The patient received discharge teaching and follow-up 
-instructions with understanding verbalized and agreement with 
-the discharge plan.
-
- 
-
-###RESPONSE: gallstone pancreatitis {Gallstone pancreatitis}, laparoscopic cholecystectomy {Laparoscopic cholecystectomy}, PACU {Postanesthesia care}, regular 
-diet {Normal diet}, IV fluids {Administration of intravenous fluids}, PCA {Patient controlled analgesia}, pain control {Pain control}, hemodynamically stable {Hemodynamically stable}, Pain was well controlled {Demonstrates adequate pain control}, Diet was tolerated well {Diet good}, voided without problem {Normal micturition}, heparin {Heparin therapy}, afebrile {Fever}, stable vital signs {Normal vital signs}, regular 
-diet {Normal diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}, instructions {Recommendation to}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-alprazolam 1"", oxycodone 7.5mg prn, protonix 40'
- 
-Discharge Medications:
-1. ALPRAZolam 1 mg PO BID 
-2. Docusate Sodium 100 mg PO BID 
-3. HYDROmorphone (Dilaudid) ___ mg PO Q3H:PRN pain 
-RX *hydromorphone [Dilaudid] 2 mg ___ tablet(s) by mouth Q3H 
-Disp #*120 Tablet Refills:*0
-4. Pantoprazole 40 mg PO Q24H 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Biliary pancreatitis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Biliary pancreatitis {Gallstone pancreatitis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the surgery service at ___ for surgical 
-resection of your gallbladder. You have done well in the post 
-operative period and are now safe to return home to complete 
-your recovery with the following instructions:
-.
-Call Dr. ___ office at ___ if you have any 
-questions or concerns. During off hours: call Operator at 
-___ and ask to ___ team.
-.
-Please resume all regular home medications , unless specifically 
-advised not to take a particular medication.  Also, please take 
-any new medications as prescribed.
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids.  Avoid lifting 
-weights greater than ___ lbs until you follow-up with your 
-surgeon, who will instruct you further regarding activity 
-restrictions.
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-Please follow-up with your surgeon and Primary Care Provider 
-(PCP) as advised.
-Incision Care:
-*Please call your doctor or nurse practitioner if you have 
-increased pain, swelling, redness, or drainage from the incision 
-site.
-*Avoid swimming and baths until your follow-up appointment.
-*You may shower, and wash surgical incisions with a mild soap 
-and warm water.  Gently pat the area dry.
-
- 
-
-###RESPONSE: surgical 
-resection of your gallbladder {Cholecystectomy}, post 
-operative {Postoperative state}, medications {Patient medication education}, medication {Medication education}, medications {Medication education}, ambulate {Ambulation training}, drink adequate amounts of fluids {Fluid intake education}, Avoid lifting 
-weights {Functional activity education}, follow-up {Follow-up arranged}, activity 
-restrictions {Functional activity education}, while taking pain 
-medications {Patient medication education}, Primary Care {Primary care management}, PCP {Primary care management}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, shower {Functional activity education}, surgical incisions {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-CHIEF COMPLAINT: Chest pain, NSTEMI
- 
-Major Surgical or Invasive Procedure:
-Cardiac Catheterization
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, Cardiac Catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old man with a h/o COPD who p/w chest pain and elevated 
-troponin. Had CP on ___ after eating, resolved, did not 
-seek medical care. CP recurrent ___ and once again, resolved 
-with rest. Starting ___ at 2PM he developed left-sided and 
-substernal CP that radiated to the left arm.  He described the 
-feeling as heavy pressure and stated that he felt lightheaded 
-and had a chill but no diaphoresis, nausea, or vomiting. Had 
-baseline SOB due to COPD which had been getting progressively 
-worse over the past few months but isn't acutely worse at this 
-time. Had never had CP before ___, no history of heart 
-disease.  
-  
-Initially went to ___ where ekg showed mildly peaked T 
-waves laterally and poor R wave progression but no STE or STD. 
-Baseline BP was in the 120s, after NTG x 1 dropped to ___ 
-systolic, was fluid responsive. CP 6 --> 3 after NTG, and then 
-resolved with 2.5mg IV morphine. Also given duonebs due to 
-wheezing on exam. Trop 0.157, MBI 10. Patient had taken ASA 81mg 
-earlier today so was given additional ASA for a total 325mg. 
-Guaic negative so heparin gtt was started and patient was 
-transferred to ___.  
-  
-In the ___ ED initial VS were 98.1, 84, 136/83, 16, 98% on 2L. 
-No labs done. CXR showed flattened diaphragms but no acute 
-process. Patient was continued on heparin gtt. VS prior to 
-transfer were 97.6, 57, 132/80, 14, 98% on 2L.  
- 
-On the floor patient was comfortable and denied any chest pain 
-or other complaints. He admitted that he had lost 10 lbs in the 
-past two weeks. 
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, chest pain {Chest pain}, elevated 
-troponin {Troponin I above reference range}, CP {Chest pain}, resolved {Problem resolved}, medical care {Medical care}, CP {Chest pain}, recurrent {Recurrent disease}, resolved {Problem resolved}, left-sided and 
-substernal CP {Left sided chest pain}, radiated to the left arm {Pain radiating to left arm}, pressure {Tight chest}, lightheaded {Lightheadedness}, chill {Chill}, diaphoresis {Excessive sweating}, nausea {Nausea}, vomiting {Vomiting}, baseline {Baseline state}, SOB {Dyspnea}, COPD {Chronic obstructive lung disease}, worse {Patient's condition worsened}, worse {Patient's condition worsened}, heart 
-disease {Heart disease}, R wave progression {Electrocardiographic R wave abnormal}, STE {ST segment elevation}, STD {ST segment depression}, Baseline {Baseline state}, NTG {Administration of prophylactic glyceryl trinitrate}, NTG {Administration of prophylactic glyceryl trinitrate}, resolved {Problem resolved}, wheezing {Wheezing}, exam {Physical examination procedure}, Trop {Troponin measurement}, ASA {Administration of aspirin}, ASA {Administration of aspirin}, negative {No pathologic diagnosis}, heparin {Heparin therapy}, started {New medication added}, labs {Laboratory test}, CXR {Plain chest X-ray}, diaphragms {Diaphragmatic finding}, no acute {No abnormality detected}, heparin {Heparin therapy}, comfortable {Comfortable appearance}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL HISTORY:  
-1. CARDIAC RISK FACTORS: Hypertension  
-2. CARDIAC HISTORY:  None 
-3. OTHER PAST MEDICAL HISTORY: COPD
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Hypertension {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother and father both died of stroke.  Pt was worked up for 
-stroke w/negative results.
- 
-
-###RESPONSE: died {Dead}, stroke {Cerebrovascular accident}, worked up {Evaluation procedure}, stroke {Cerebrovascular accident}, negative {No pathologic diagnosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission:
-VS- T 98 BP 104-128/64-88 HR 58-62 RR ___ pO2 98(RA)
-Wt: 64.5 kg  
-GENERAL- Patient appears comfortable in bed. Oriented x3. Mood, 
-affect appropriate.  
-HEENT- Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no 
-pallor or cyanosis of the oral mucosa.  
-NECK- No JVD.  
-CARDIAC- PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or 
-S4.  
-LUNGS- No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB; expiratory wheeze 
-audible from anterior and posterior.  
-ABDOMEN- Soft, NTND. No HSM or tenderness.  
-EXTREMITIES- No c/c/e.  
-SKIN- No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES- Carotid 2+ DP 2+ ___ 2
-
-Discharge:
-VS- T 98.5 BP 96-117/60-74 HR ___ RR 18 pO2 95(RA)
-I/O: ___ 
-GENERAL- Patient appears comfortable in bed. Oriented x3. Mood, 
-affect appropriate.  
-NECK- No JVD.  
-CARDIAC- PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or 
-S4.  
-LUNGS- No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB; expiratory wheeze 
-audible from anterior and posterior.  
-ABDOMEN- Soft, NTND. No HSM or tenderness.  
-EXTREMITIES- No c/c/e.  R radial dressing clean, dry and intact. 
-
-SKIN- No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES- Carotid 2+ DP 2+ ___ 2+ 
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, comfortable {Comfortable appearance}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva were pink {Conjunctiva normal}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, PMI {Finding of apex beat}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Precordial heave}, No S3 {Third heart sound, S>3<, inaudible}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, expiratory wheeze {Expiratory wheezing}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, EXTREMITIES {Examination of limb}, No c/c/e {No abnormality detected}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Carotid 2 {Normal carotid arterial pulse}, DP 2 {Dorsalis pulse present}, comfortable {Comfortable appearance}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect appropriate {Appropriate affect}, JVD {Jugular venous engorgement}, PMI {Finding of apex beat}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, normal S1, S2 {Heart sounds normal}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Precordial heave}, No S3 {Third heart sound, S>3<, inaudible}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp 
-were unlabored {Breathing easily}, accessory muscle use {Accessory respiratory muscles used}, CTAB {Normal breath sounds}, expiratory wheeze {Expiratory wheezing}, ABDOMEN- Soft {Abdomen soft}, NTND {Abdominal tenderness}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, No c/c/e {No abnormality detected}, radial {Radial pulse present}, clean, dry and intact {Wound healing well}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Carotid 2 {Normal carotid arterial pulse}, DP 2 {Dorsalis pulse present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission:
-___ 06:25AM BLOOD WBC-8.4 RBC-4.06* Hgb-12.8* Hct-39.7* 
-MCV-98 MCH-31.7 MCHC-32.4 RDW-12.4 Plt ___
-___ 06:25AM BLOOD ___ PTT-108.5* ___
-___ 06:25AM BLOOD CK(CPK)-640*
-___ 06:25AM BLOOD CK-MB-81* MB Indx-12.7* cTropnT-0.67*
-___ 06:25AM BLOOD Calcium-8.6 Phos-3.4 Mg-2.0
-
-Discharge:
-___ 06:25AM BLOOD WBC-8.4 RBC-4.06* Hgb-12.8* Hct-39.7* 
-MCV-98 MCH-31.7 MCHC-32.4 RDW-12.4 Plt ___
-___ 06:42AM BLOOD Glucose-95 UreaN-8 Creat-0.9 Na-139 K-4.0 
-Cl-106 HCO3-27 AnGap-10
-___ 06:42AM BLOOD CK(CPK)-438*
-___ 06:42AM BLOOD CK-MB-35* MB Indx-8.0* cTropnT-1.45*
-___ 06:42AM BLOOD Calcium-8.1* Phos-2.9 Mg-2.0
-
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Studies:
-CHEST (PORTABLE AP) ___ (final) ""No acute cardiopulmonary 
-process""
-
-Cardiac Cath ___ (prelim)  ""FINAL DIAGNOSIS: 1. One vessel 
-coronary artery disease with total occlusion of the mid-RCA.  
-The pLCx and mLAD were also noted to have ulcerated plaques of 
-~40%. 2. Borderline systemic systolic arterial hypotension. 3. 
-Successful angioplasty of the mid RCA total occlusion with a 3.0 
-mm balloon. 4. Successful angioplasty of the more proximal RCA 
-with a 3.0 mm balloon.""
-
-ECHO ___ (final) ""The left atrium is normal in size. There 
-is mild symmetric left ventricular hypertrophy. The left 
-ventricular cavity size is normal. There is mild regional left 
-ventricular systolic dysfunction with basal to mid inferior 
-akinesis/hypokinesis. Tissue Doppler imaging suggests a normal 
-left ventricular filling pressure (PCWP<12mmHg). Right 
-ventricular chamber size and free wall motion are normal. The 
-aortic valve leaflets (3) are mildly thickened. There is no 
-aortic valve stenosis. No aortic regurgitation is seen. The 
-mitral valve leaflets are mildly thickened. Trivial mitral 
-regurgitation is seen. There is mild pulmonary artery systolic 
-hypertension. There is a trivial/physiologic pericardial 
-effusion""
-
-Pending Results:
-None
- 
-
-###RESPONSE: CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, No acute {No abnormality detected}, Cardiac Cath {Cardiac catheterization}, One vessel 
-coronary artery disease {Single coronary vessel disease}, total occlusion {Complete obstruction}, mid-RCA {Structure of mid portion of right coronary artery}, mLAD {Structure of mid portion of anterior descending branch of left coronary artery}, plaques {Plaque}, systolic arterial hypotension {Abnormal systolic arterial pressure}, angioplasty {Angioplasty of blood vessel}, mid RCA {Structure of mid portion of right coronary artery}, total occlusion {Complete obstruction}, angioplasty {Angioplasty of blood vessel}, proximal {Structure of proximal portion of anterior descending branch of left coronary artery}, RCA {Right coronary artery structure}, ECHO {Echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, left 
-ventricular cavity {Structure of cavity of left cardiac ventricle}, size is normal {Normal size}, mild {Symptom mild}, left 
-ventricular systolic dysfunction {Left ventricular systolic dysfunction}, basal {Structure of base of heart}, akinesis {Akinesia}, hypokinesis {Hypokinesis of cardiac wall}, Tissue Doppler imaging {Doppler ultrasonography of heart tissue}, left ventricular {Left cardiac ventricular structure}, filling pressure {Normal cardiac flow}, Right 
-ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cusp of aortic valve}, mildly thickened {Increased thickness}, aortic valve stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, Trivial mitral 
-regurgitation {Mild mitral valve regurgitation}, pulmonary artery systolic 
-hypertension {Pulmonary hypertensive arterial disease}, pericardial 
-effusion {Pericardial effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old man with a h/o COPD, HTN who p/w chest pain and 
-elevated troponin without ST elevation.  
-  
-# NSTEMI: CK peaked at 640, troponin at 1.45.  He remained chest 
-pain free following admission. Patient underwent cardiac cath 
-___, revealing total occlusion of mid-RCA, which was opened with 
-balloon angioplasty.  Another more distal lesion in the RCA was 
-also opened with balloon angioplasty.  Echo following 
-catheterization showed normal EF with with basal to mid inferior 
-akinesis/hypokinesis. He was discharged on high dose aspirin, 
-high dose atorvastatin, prasugrel and beta blocker.     
- 
-# COPD: Was stable on home albuterol/advair  
-  
-# HTN: Was stable in house; on admission, lowered lisinopril 
-dose to accomodate the addition of beta blocker.
-
-Transitional Issues:
--Follow up with Dr. ___ in ___ weeks.
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, HTN {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, elevated troponin {Troponin I above reference range}, ST elevation {ST segment elevation}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, troponin {Troponin measurement}, chest 
-pain {Chest pain}, cardiac cath {Cardiac catheterization}, total occlusion {Complete obstruction}, mid-RCA {Structure of mid portion of right coronary artery}, balloon angioplasty {Angioplasty of artery}, distal {Structure of distal portion of right coronary artery}, lesion {Lesion}, RCA {Right coronary artery structure}, balloon angioplasty {Angioplasty of artery}, Echo {Echocardiography}, catheterization {Cardiac catheterization}, normal {Electrocardiogram normal}, basal {Structure of base of heart}, akinesis {Akinesia}, hypokinesis {Hypokinesis of cardiac wall}, aspirin {Administration of aspirin}, COPD {Chronic obstructive lung disease}, stable {Patient's condition stable}, HTN {Hypertensive disorder, systemic arterial}, stable {Patient's condition stable}, Follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-MEDICATIONS: 
-- Albuterol HFA 90mcg BID:prn  
-- Advair HFA BID  
-- Lisinopril 20mg daily
- 
-Discharge Medications:
-1. Albuterol Inhaler 1 PUFF IH BID:PRN SOB 
-2. Atorvastatin 80 mg PO DAILY 
-RX *atorvastatin 80 mg 1 Tablet(s) by mouth once a day Disp #*30 
-Capsule Refills:*0
-3. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-4. Prasugrel 10 mg PO DAILY 
-RX *Effient 10 mg 1 Tablet(s) by mouth once a day Disp #*30 
-Capsule Refills:*0
-5. Aspirin 325 mg PO DAILY 
-RX *aspirin 325 mg 1 Tablet(s) by mouth once a day Disp #*30 
-Capsule Refills:*0
-6. Lisinopril 10 mg PO DAILY 
-RX *lisinopril 10 mg 1 Tablet(s) by mouth once a day Disp #*30 
-Capsule Refills:*0
-7. Metoprolol Succinate XL 12.5 mg PO DAILY 
-hold for SBP <100, HR <60 
-RX *metoprolol succinate 25 mg 0.5 (One half) Tablet(s) by mouth 
-once a day Disp #*15 Capsule Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary: NSTEMI
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the ___ 
-with chest pain. While you were here, you had a cardiac 
-cathetization which showed blockage of one of the arteries that 
-feeds your heart (""Right Coronary Artery"").  The blockage was 
-opened with a balloon angioplasty and you had increased blood 
-flow to the heart and your symptoms improved.
-
-It was a pleasure taking care of you during your hospital stay.
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac 
-cathetization {Cardiac catheterization}, blockage {Coronary artery stenosis}, arteries {Coronary artery structure}, heart {Heart structure}, Right Coronary Artery {Right coronary artery structure}, blockage {Coronary artery stenosis}, balloon angioplasty {Angioplasty of artery}, increased blood 
-flow {Increased vascular flow}, heart {Heart structure}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sanctura XR
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-___ Left heart cardiac catheterization
- 
-
-###RESPONSE: chest pain {Chest pain}, Left heart cardiac catheterization {Catheterization of left heart}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is an ___ year-old lady with a PMH of NSTEMI s/p 
-BMS to mid-LAD in ___, hypothyroidism and recurrent UTIs, now 
-presenting with chest pain, concerning for NSTEMI.
-
-Patient reports having three nights of severe chest pain over 
-the past three nights at rest.  Pain worsened last night.  Notes 
-that pain is squeezing across the tops of her breasts, 
-associated with dyspnea and diaphoresis, consistent with pain 
-experienced at the time of prior MI.  Each pain episode lasted 
-about ___ minutes, with about three episodes per night.  Last 
-night, pain was worse than before.  She did not take any meds 
-for her pain, just went back to sleep.  At worst, it was about 
-an ___ in severity.  With one episode, she had associated 
-palpitations. 
-
-Additionally, she reports ""difficulty breathing"" with walking, 
-at any distance.  She also reports ongoing slight swelling in 
-her legs and pain with urination.
-
-When she saw her PCP this morning, she was referred to the 
-emergency room for evaluation.  On arrival to the ED, her 
-initial vital signs were: 97.9 62 125/63 18 96%.  She reported 
-that her chest pain had been resolved since last night.  EKG 
-showed NSR @ 64 bpm, LAD, IVCD, TWI in V2-V5.  Labs were 
-consistent with troponin 0.08; chemistry panel with chloride 
-110, bicarb 21, Cr 1.2; H/H 10.6/32.7.  UA with large ___, WBC 
-66, few bacteria.  UCx was sent.  Patient was given aspirin 81 
-mg, clopidogrel 75 mg and nitrofurantoin 100 mg.  She was also 
-started on a heparin drip.  Vital signs prior to transfer were: 
-98.0 64 134/64 18 98%.
-
-On arrival to the floor, she reported no chest pain or 
-discomfort.
- 
-On review of systems, she denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, myalgias, joint pains, cough, hemoptysis, black 
-stools or red stools. She denies recent fevers, chills or 
-rigors. S/he denies exertional buttock or calf pain. All of the 
-other review of systems were negative.  
- 
-Cardiac review of systems is notable for absence of paroxysmal 
-nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope 
-or presyncope.  
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, BMS {Placement of stent in coronary artery}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, hypothyroidism {Hypothyroidism}, recurrent UTIs {Recurrent urinary tract infection}, chest pain {Chest pain}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, severe {Symptom severe}, chest pain {Chest pain at rest}, at rest {Chest pain at rest}, Pain worsened {Increased pain}, pain is squeezing {Squeezing chest pain}, breasts {Breast structure}, dyspnea {Dyspnea}, diaphoresis {Excessive sweating}, pain {Chest pain}, MI {Myocardial infarction}, pain {Pain}, pain {Pain}, worse {Increased pain}, did not take any meds {Does not take medication}, pain {Pain}, palpitations {Palpitations}, difficulty breathing {Difficulty breathing}, walking {Does walk}, swelling in 
-her legs {Swelling of lower limb}, pain with urination {Dysuria}, emergency {Emergency treatment management}, evaluation {Evaluation procedure}, vital signs {Vital signs finding}, chest pain {Chest pain}, resolved {Problem resolved}, EKG {Electrocardiographic procedure}, NSR {Normal sinus rhythm}, LAD {Left axis deviation}, IVCD {Intraventricular conduction defect}, TWI {Inverted T wave}, V2 {Lead site V2}, V5 {Lead site V5}, Labs {Laboratory test}, troponin {Troponin measurement}, chloride {Chloride measurement, blood}, bicarb {Blood bicarbonate measurement}, Cr {Creatinine measurement}, H/H {Measurement of total hemoglobin concentration and hematocrit}, UA {Urinalysis}, WBC {White blood cell count}, bacteria {Bacteriuria}, UCx {Urine culture}, aspirin {Administration of aspirin}, started {New medication added}, heparin drip {Continuous infusion of heparin}, Vital signs {Vital signs finding}, chest pain {Chest pain}, discomfort {Discomfort}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black 
-stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, exertional {Pain provoked by exertion}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No abnormality detected}, Cardiac review of systems {Cardiovascular physical examination}, paroxysmal 
-nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL HISTORY:  
-1. CARDIAC RISK FACTORS: -Diabetes, +Dyslipidemia, -Hypertension 
- 
-2. CARDIAC HISTORY:   
-- PERCUTANEOUS CORONARY INTERVENTIONS:  NSTEMI s/p BMS to LAD 
-___
-3. OTHER PAST MEDICAL HISTORY:  
-1. Recurrent urinary tract infection, followed by ___.
-2. History of bronchitis.
-3. Hypercholesterolemia.
-4. Bilateral chronic venous insufficiency.
-5. Hypothyroidism.
-6. Depression.
-7. Anemia.
-8. Hearing loss.
-9. Insomnia.
-10. History of vaginal prolapse.
-
-PAST SURGICAL HISTORY:
-1. Cholecystectomy.
-2. TAH/BSO.
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Dyslipidemia {Dyslipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, PERCUTANEOUS CORONARY INTERVENTIONS {Percutaneous coronary intervention}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, BMS {Placement of stent in coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, Recurrent urinary tract infection {Recurrent urinary tract infection}, bronchitis {Bronchitis}, Hypercholesterolemia {Hypercholesterolemia}, chronic venous insufficiency {Peripheral venous insufficiency}, Hypothyroidism {Hypothyroidism}, Depression {Depressive disorder}, Anemia {Anemia}, Hearing loss {Hearing loss}, Insomnia {Insomnia}, vaginal {Vaginal structure}, prolapse {Prolapse}, Cholecystectomy {Cholecystectomy}, TAH/BSO {Total abdominal hysterectomy with bilateral salpingo-oophorectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother died age ___ ""old age.""  Father died age ___ of colon 
-cancer.  Both were in a nursing home and died within 12 days of 
-one another.
- 
-
-###RESPONSE: died {Dead}, old age {Old-age}, died {Dead}, colon 
-cancer {Malignant neoplasm of colon}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-VS: 98.0  117/70  62  18  95%RA
-General: Comfortable, elderly, well-appearing, NAD.
-HEENT: MMM, no scleral icterus, clear oropharynx.
-Neck: 2+ carotid pulses, no JVD.
-CV: I/VI systolic murmur at RUSB, nl S1/S2, RRR.
-Lungs: CTAB, resp unlabored, no accessory muscle use
-Abdomen: Soft, ND/NT, NABS
-Back: No CVA tenderness
-GU: No foley
-Ext: 1+ non-pitting edema around ankles bilaterally
-Neuro: Awake, alert and oriented x3, CNs II-XII intact and 
-symmetric. Moving all extremities.
-Skin: No rashes.
-PULSES: 2+ distal pulses.
-
-DISCHARGE PHYSICAL EXAM:
-VS: T 97.8 BP 153/77 HR 68 RR 20 SaO2 97% on RA
-General: Comfortable, elderly, well-appearing, NAD.
-HEENT: MMM, EOMI
-Neck: JVP ~ 8cm H2O.
-CV: RRR, ___ SEM, nl S1/S2.
-Lungs: CTAB, resp unlabored, no accessory muscle use
-Abdomen: Soft, ND/NT, NABS
-Back: No CVA tenderness
-GU: No foley
-Ext: 1+ pitting edema around ankles bilaterally
-Neuro: Awake, alert and oriented x3, CNs II-XII intact and 
-symmetric. Moving all extremities.
-Skin: No rashes.
-PULSES: 2+ distal pulses.
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Comfortable {Comfortable appearance}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, scleral icterus {Scleral icterus}, oropharynx {Oropharyngeal structure}, Neck {Physical examination procedure}, 2+ carotid pulses {Carotid pulse present}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, murmur {Murmur}, S2 {Normal second heart sound, S>2<}, RRR {Normal heart rate}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, resp unlabored {Breathing easily}, accessory muscle {Accessory skeletal muscle}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, NT {Abdominal tenderness}, NABS {Normal bowel sounds}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, GU {Examination of genitourinary system}, Ext {Examination of limb}, edema {Edema}, ankles {Ankle region structure}, Neuro {Neurological examination}, Awake {Awake}, alert {Mentally alert}, oriented {Orientated}, CNs II-XII {Cranial nerve structure}, intact {No abnormality detected}, all extremities {All extremities}, Skin {Examination of skin}, rashes {Eruption of skin}, PULSES {Pulse finding}, 2+ distal pulses {Peripheral pulses normal}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Comfortable {Comfortable appearance}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, SEM {Ejection murmur}, nl S1/S2 {Heart sounds normal}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, resp unlabored {Breathing easily}, accessory muscle use {Accessory respiratory muscles used}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, NT {Abdominal tenderness}, NABS {Normal bowel sounds}, CVA tenderness {Renal angle tenderness}, Ext {Examination of limb}, edema {Edema}, ankles {Ankle region structure}, Neuro {Neurological examination}, Awake {Awake}, alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, CNs II-XII {Cranial nerve structure}, intact {No abnormality detected}, Moving all extremities {Does move all four limbs}, Skin {Examination of skin}, rashes {Eruption of skin}, PULSES {Pulse finding}, 2+ distal pulses {Peripheral pulses normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 04:00PM BLOOD WBC-4.0 RBC-3.87* Hgb-10.6* Hct-32.7* 
-MCV-85 MCH-27.5 MCHC-32.5 RDW-15.3 Plt ___
-___ 04:00PM BLOOD Neuts-50.0 ___ Monos-6.0 Eos-3.8 
-Baso-0.7
-___ 04:16PM BLOOD ___ PTT-26.9 ___
-___ 07:38AM BLOOD Glucose-99 UreaN-15 Creat-1.0 Na-143 
-K-3.9 Cl-108 HCO3-24 AnGap-15
-___ 07:38AM BLOOD Calcium-8.4 Phos-3.8 Mg-2.1
-___ 04:00PM BLOOD CK(CPK)-144
-___ 04:00PM BLOOD CK-MB-3
-___ 04:00PM BLOOD cTropnT-0.08*
-___ 04:40PM URINE Color-Yellow Appear-Clear Sp ___
-___ 04:40PM URINE RBC-0 WBC-66* Bacteri-FEW Yeast-NONE 
-Epi-1
-
-PERTINENT LABS:
-___ 08:41PM BLOOD CK(CPK)-161
-___ 08:41PM BLOOD CK-MB-3 cTropnT-0.06*
-___ 09:51PM BLOOD CK(CPK)-175
-___ 09:51PM BLOOD CK-MB-4 cTropnT-0.10*
-___ 07:38AM BLOOD cTropnT-0.11*
-
-DISCHARGE LABS:
-___ 07:38AM BLOOD WBC-5.1 RBC-4.13* Hgb-11.3* Hct-34.2* 
-MCV-83 MCH-27.3 MCHC-33.0 RDW-15.4 Plt ___
-___ 07:38AM BLOOD ___ PTT-28.9 ___
-___ 07:38AM BLOOD Glucose-99 UreaN-15 Creat-1.0 Na-143 
-K-3.9 Cl-108 HCO3-24 AnGap-15
-___ 07:38AM BLOOD Calcium-8.4 Phos-3.8 Mg-2.1
-
-MICROBIOLOGY:
-___ URINE CULTURE: Time Taken Not Noted     Log-In 
-Date/Time: ___ 5:12 pm
-      URINE      TAKEN FROM ___. 
-   URINE CULTURE (Preliminary): 
-      STAPHYLOCOCCUS, COAGULASE NEGATIVE.    >100,000 
-ORGANISMS/ML.. 
-      AEROCOCCUS VIRIDANS.    10,000-100,000 ORGANISMS/ML.. 
-
-IMAGING:
-___ CXR PA/lat: 2 views were obtained of the chest.  The 
-lungs are well expanded and clear.  Retrocardiac density likely 
-corresponds to a small hiatal hernia.  There is no pleural 
-effusion or pneumothorax.  The heart is normal size with normal 
-cardiomediastinal contours. 
-IMPRESSION: No acute intrathoracic process.  Small hiatal 
-hernia.   
-
-___ LEFT HEART CARDIAC CATHETERIZATION: Approach via 
-___ catheter in R radial artery.
-Hemodynamic Measurements (mmHg):
-Baseline
-SiteSysDiasEndMeanA WaveV WaveHR
-LV     ___
-
-Contrast Summary:
-Contrast Total (ml)
-Optiray (ioversol 320 mg/ml)80
-
-Radiation Dosage:
-Effective Equivalent Dose Index (mGy)___
-
-Radiology Summary:
-Total Runs
-Total Fluoro Time (minutes) 9.0
-
-Findings:
-ESTIMATED blood loss:  < 25 cc
-Hemodynamics: (see above) 
-Coronary angiography:  right dominant
-LMCA:  Normal
-LAD:  99% restenosis in the mid LAD within the bare metal stent 
-with TIMI 1 flow into the distal LAD. The diagonal branch 
-remained patent and was a large vessel. 
-LCX:  Large vessel vessel with a large OMB1 and birfurcating 
-OMB/PLB to the posterior wall.  There were minor lumen 
-irregularities in the LCx.
-RCA:  The RCA had minor irregularities and gave rise to a small 
-PDA and RPLB.
-
-Interventional details:
-The patient presented with a NSTEMI following bare metal stent 
-placement in the mid LAD in ___.  She re-developed 
-unstable symptoms and proceeded with cardiac catheterization.
-Unfractionated heparin and eptifibatide were used for 
-anticoagulation.
-
-Using a ___ Fr XB3.5 guiding catheter and a 0.014 BMW wire, the 
-LAD in-stent restenosis was dilated with a 2.5 mm Cutting 
-Balloon.  A 2.5 mm x 26 mm Resolute drug eluting stent was 
-placed in the mid LAD and deployed at 14 atms.  A 2.75 mm x 15 
-mm balloon was inflated to 24 atms throughout the stent.   This 
-resulted in no residual stenosis within the stent and TIMI 3 
-flow into the distal vessel. 
-
-The procedure was performed from the right radial artery without 
-complications. 
-
-ASSESSMENT
-1. Single vessel CAD with in-stent restenosis in the bare metal 
-stent in the mLAD
-2. Successful drug-eluting stent of the mid LAD
-PLAN
-1. Aspirin indefinitely
-2. Clopidogrel for up to one year
-
-___ TTE: The left atrium and right atrium are normal in 
-cavity size. Left ventricular wall thickness, cavity size and 
-regional/global systolic function are normal (LVEF >55%). The 
-right ventricular cavity is mildly dilated with normal free wall 
-contractility. The diameters of aorta at the sinus, ascending 
-and arch levels are normal. The aortic valve leaflets (3) are 
-mildly thickened but aortic stenosis is not present. Mild (1+) 
-aortic regurgitation is seen. The mitral valve leaflets are 
-mildly thickened. There is no mitral valve prolapse. Mild (1+) 
-mitral regurgitation is seen. Moderate [2+] tricuspid 
-regurgitation is seen. There is mild pulmonary artery systolic 
-hypertension. There is no pericardial effusion. 
-IMPRESSION: Normal global and regional biventricular systolic 
-function. Mild aortic regurgitation. Mild mitral regurgitation. 
-Moderate tricuspid regurgitation. Mild pulmonary hypertension.
-Compared with the prior study (images reviewed) of ___, LV 
-systolic function has normalized.   
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, URINE {Evaluation of urine specimen}, Color {Color finding}, Appear-Clear {Urine looks clear}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, Bacteri {Bacteriuria}, Yeast {Urine microscopy for yeasts}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE CULTURE {Urine culture}, URINE {Evaluation of urine specimen}, URINE CULTURE {Urine culture}, NEGATIVE {No pathologic diagnosis}, CXR PA/lat {Diagnostic radiography of chest, combined posteroanterior and lateral}, chest {Thoracic structure}, lungs {Lung structure}, clear {No abnormality detected}, density {Abnormally opaque structure}, hiatal hernia {Hiatal hernia}, pleural 
-effusion {Pleural effusion}, pneumothorax {Left pneumothorax}, heart {Heart structure}, normal size {Normal size}, normal {No abnormality detected}, cardiomediastinal {Mediastinal structure}, No acute intrathoracic process {No abnormality detected}, hiatal 
-hernia {Hiatal hernia}, LEFT HEART CARDIAC CATHETERIZATION {Catheterization of left heart}, catheter {Catheterization of left heart}, R radial artery {Structure of right radial artery}, Baseline {Baseline state}, blood loss {Hemorrhage}, Hemodynamics {Hemodynamic monitoring}, Coronary angiography {Angiography of coronary artery}, LMCA {Structure of left coronary artery main stem}, Normal {Normal appearance}, LAD {Structure of anterior descending branch of left coronary artery}, restenosis {Coronary stent stenosis}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, stent {Placement of stent in coronary artery}, TIMI 1 flow {Thrombolysis in Myocardial Infarction grade 1: penetration without perfusion}, distal LAD {Structure of distal portion of anterior descending branch of left coronary artery}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, patent {Coronary artery patent}, large vessel {Large blood vessel structure}, LCX {Structure of circumflex branch of left coronary artery}, Large vessel {Large blood vessel structure}, vessel {Structure of circumflex branch of left coronary artery}, OMB1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, OMB {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, PLB {Structure of left posterior lateral branch of circumflex branch of left coronary artery}, posterior {Structure of diaphragmatic surface of heart}, wall {Cardiac wall structure}, lumen 
-irregularities {Luminal irregularities of coronary artery}, LCx {Structure of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, RCA {Right coronary artery structure}, irregularities {Luminal irregularities of coronary artery}, PDA {Structure of posterior descending coronary artery}, RPLB {Structure of posterior lateral branch of right coronary artery}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, stent 
-placement {Placement of stent in coronary artery}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, unstable {Patient's condition unstable}, cardiac catheterization {Catheterization of left heart}, heparin {Heparin therapy}, anticoagulation {Anticoagulant therapy}, catheter {Catheterization of left heart}, LAD {Structure of anterior descending branch of left coronary artery}, in-stent restenosis {Coronary stent stenosis}, dilated {Dilatation}, drug eluting stent {Endovascular insertion of drug eluting stent}, placed {Implantation procedure}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, stent {Placement of stent in coronary artery}, stenosis {Stenosis}, stent {Placement of stent in coronary artery}, TIMI 3 {Thrombolysis in Myocardial Infarction grade 3: complete perfusion}, distal vessel {Structure of distal portion of anterior descending branch of left coronary artery}, procedure {Procedure}, right radial artery {Structure of right radial artery}, Single vessel CAD {Single coronary vessel disease}, in-stent restenosis {Coronary stent stenosis}, stent {Placement of stent in coronary artery}, mLAD {Structure of mid portion of anterior descending branch of left coronary artery}, drug-eluting stent {Endovascular insertion of drug eluting stent}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, Aspirin {Administration of aspirin}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, right atrium {Right atrial structure}, normal in 
-cavity size {Normal size}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, size {Normal size}, regional/global systolic function are normal {Normal left ventricular systolic function and wall motion}, right ventricular cavity is mildly dilated {Dilatation of right cardiac ventricle}, normal {No abnormality detected}, wall 
-contractility {Finding of right ventricular wall motion}, aorta at the sinus {Structure of sinus of Valsalva}, ascending {Ascending aorta structure}, arch {Aortic arch structure}, normal {Normal appearance}, aortic valve leaflets {Structure of cusp of aortic valve}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Mild (1+) 
-aortic regurgitation {Mild aortic valve regurgitation}, mitral valve leaflets are 
-mildly thickened {Thickened mitral leaflet}, mitral valve prolapse {Mitral valve prolapse}, Mild (1+) 
-mitral regurgitation {Mild mitral valve regurgitation}, Moderate [2+] tricuspid 
-regurgitation {Moderate tricuspid valve regurgitation}, pulmonary artery systolic 
-hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, Normal global and regional biventricular systolic 
-function {Normal left ventricular systolic function and wall motion}, Mild aortic regurgitation {Mild aortic valve regurgitation}, Mild mitral regurgitation {Mild mitral valve regurgitation}, Moderate tricuspid regurgitation {Moderate tricuspid valve regurgitation}, Mild pulmonary hypertension {Mild pulmonary hypertension}, study {Evaluation procedure}, LV 
-systolic function has normalized {Normal left ventricular systolic function and wall motion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is an ___ year-old lady with a PMH of NSTEMI s/p 
-BMS to mid-LAD in ___, hypothyroidism and recurrent UTIs, 
-admitted with chest pain, found to have unstable angina due to 
-in-stent restenosis. Admission was complicated by a urinary 
-tract infection.
-
-ACTIVE ISSUES: 
-# Unstable angina: History of NSTEMI with BMS to LAD in ___, 
-and presented with chest pain that was c/w prior and concerning 
-for NSTEMI, as accompanied by elevated troponin (0.08). The 
-timing of her symptoms was quite concerning for in-stent 
-restenosis. She had no EKG changes. Her troponin initially 
-trended down to 0.06, and was accompanied by a low CK-MB at 3. 
-She received aspirin 325 mg PO, clopidogrel 300 mg PO, and was 
-started on a heparin drip on arrival. On ___, she was taken 
-to the cath lab for left heart cath. This revealed 99% 
-restenosis in the mid LAD within the bare metal stent with TIMI 
-1 flow into the distal LAD, with no other angiographically 
-significant disease. A single drug-eluting stent was placed in 
-the mid LAD. She was placed on an integrellin drip following the 
-catheterization, and this therapy was complicated by some oozing 
-from her peripheral IV site. She had no drop in her blood counts 
-with this bleeding. Aspirin should be continued indefinitely, 
-and clopidogrel should for continued for up to one year after 
-discharge.
-
-# Urinary tract infection: Patient reproted dysuria, accompanied 
-by evidence of a UTI on UA (WBC 66 with few bacteria). Recurrent 
-UTIs due to anatomy. She had been on ciprofloxacin 250 mg PO BID 
-prior to admission. She was given one dose of nitrofurantoin in 
-ED, and then was transitioned back to ciprofloxacin 250 mg PO 
-BID. She will continue her previous course of ciprofloxacin 
-after discharge.
-
-CHRONIC ISSUES:
-# Systolic CHF: After her NSTEMI in ___, patient had an EF 
-that was decreased to 40%. On admission, she had mild edema at 
-the ankles, but no other overt signs of volume overload. 
-Following her cardiac cath on ___, a repeat TTE showed 
-improved EF to > 55%, along with normal global/regional 
-biventricular systolic function, mild aortic regurgitation, mild 
-mitral regurgitation, moderate tricuspid regurgitation, and mild 
-pulmonary hypertension (TR gradient 32 mmHg). She was continued 
-on her home aspirin, beta blocker, lisinopril and atorvastatin.
-
-# GERD: Omeprazole was changed to pantoprazole, as omeprazole 
-interacts with clopidogrel.
-
-# Hypothyroidism: Continued home levothyroxine.
-
-# Hyperlipidemia: Continued home atorvastatin.
- 
-# Depression: Continued home mirtazipine.
- 
-
-TRANSITIONAL ISSUES:  
-# Continue aspirin indefinitely. Continue clopidogrel until 
-instructed by cardiologist to stop.
-# CODE:  full (confirmed with patient)
-# CONTACT: Patient. HCP is daughter ___ (Phone number: 
-___, Cell phone: ___, ___ work 
-___ Alternate is son ___ ___
- 
-___ on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Aspirin EC 81 mg PO DAILY 
-2. Levothyroxine Sodium 75 mcg PO DAILY 
-3. Mirtazapine 15 mg PO HS 
-4. Omeprazole 20 mg PO DAILY 
-5. Vitamin D 1000 UNIT PO DAILY 
-6. Atorvastatin 80 mg PO DAILY 
-7. Ciprofloxacin HCl 250 mg PO Q12H 
-1st dose was ___ last day ___. Clopidogrel 75 mg PO DAILY 
-9. Lisinopril 2.5 mg PO DAILY 
-10. melatonin *NF* 3 mg Oral HS 
-11. Centrum Silver *NF* (multivitamin-minerals-lutein;<br>mv 
-with min-lycopene-lutein;<br>mv-min-folic acid-lutein) 
-0.4-300-250 mg-mcg-mcg Oral daily 
-12. Detrol LA *NF* (tolterodine) 4 mg Oral daily 
-13. magnesium *NF* 250 mg Oral HS 
-14. Metoprolol Succinate XL 25 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Atorvastatin 80 mg PO DAILY 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0
-2. Ciprofloxacin HCl 250 mg PO Q12H 
-3. Clopidogrel 75 mg PO DAILY 
-RX *clopidogrel 75 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0
-4. Levothyroxine Sodium 75 mcg PO DAILY 
-5. Metoprolol Succinate XL 25 mg PO DAILY 
-6. Mirtazapine 15 mg PO HS 
-7. Vitamin D 1000 UNIT PO DAILY 
-8. Nitroglycerin SL 0.3 mg SL PRN chest pain 
-RX *nitroglycerin 0.4 mg 1 tablet sublingually every 5 minutes 
-Disp #*30 Tablet Refills:*0
-9. Pantoprazole 40 mg PO Q24H 
-RX *pantoprazole 40 mg 1 tablet,delayed release (___) by 
-mouth daily Disp #*30 Tablet Refills:*0
-10. Centrum Silver *NF* (multivitamin-minerals-lutein;<br>mv 
-with min-lycopene-lutein;<br>mv-min-folic acid-lutein) 
-0.4-300-250 mg-mcg-mcg Oral daily 
-11. Detrol LA *NF* (tolterodine) 4 mg Oral daily 
-12. Lisinopril 2.5 mg PO DAILY 
-13. magnesium *NF* 250 mg Oral HS 
-14. melatonin *NF* 3 mg Oral HS 
-15. Aspirin EC 325 mg PO DAILY 
-RX *aspirin 325 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, BMS {Placement of stent in coronary artery}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, hypothyroidism {Hypothyroidism}, recurrent UTIs {Recurrent urinary tract infection}, chest pain {Chest pain}, unstable angina {Preinfarction syndrome}, in-stent restenosis {Coronary stent stenosis}, urinary 
-tract infection {Urinary tract infectious disease}, Unstable angina {Preinfarction syndrome}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, BMS {Placement of stent in coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, chest pain {Chest pain}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, in-stent 
-restenosis {Coronary stent stenosis}, no EKG changes {Electrocardiogram normal}, troponin {Troponin measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, aspirin {Administration of aspirin}, started {New medication added}, heparin drip {Continuous infusion of heparin}, left heart cath {Catheterization of left heart}, restenosis {Coronary stent stenosis}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, stent {Placement of stent in coronary artery}, TIMI 
-1 flow {Thrombolysis in Myocardial Infarction grade 1: penetration without perfusion}, distal LAD {Structure of distal portion of anterior descending branch of left coronary artery}, disease {Disease}, drug-eluting stent was placed {Endovascular insertion of drug eluting stent}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, catheterization {Catheterization of left heart}, therapy {Therapy}, oozing {Bleeding}, peripheral IV site {Assessment of peripheral intravenous catheter site}, no drop {No abnormality detected}, blood counts {Blood test}, bleeding {Bleeding}, Aspirin {Administration of aspirin}, Urinary tract infection {Urinary tract infectious disease}, dysuria {Dysuria}, UTI {Urinary tract infectious disease}, UA {Urinalysis}, WBC {White blood cell count}, bacteria {Bacteriuria}, Recurrent 
-UTIs {Recurrent urinary tract infection}, ciprofloxacin {Antibiotic therapy}, ciprofloxacin {Antibiotic therapy}, ciprofloxacin {Antibiotic therapy}, Systolic CHF {Chronic systolic heart failure}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, mild {Symptom mild}, edema at 
-the ankles {Ankle edema}, signs {Sign}, volume overload {Hypervolemia}, cardiac cath {Catheterization of left heart}, TTE {Transthoracic echocardiography}, improved {Patient's condition improved}, normal {Normal appearance}, biventricular {Cardiac ventricular structure}, systolic function {Normal cardiac output}, mild aortic regurgitation {Mild aortic valve regurgitation}, mild 
-mitral regurgitation {Mild mitral valve regurgitation}, moderate tricuspid regurgitation {Moderate tricuspid valve regurgitation}, mild 
-pulmonary hypertension {Mild pulmonary hypertension}, aspirin {Administration of aspirin}, GERD {Gastroesophageal reflux disease}, changed {Change of medication}, Hypothyroidism {Hypothyroidism}, Hyperlipidemia {Hyperlipidemia}, Depression {Depressive disorder}, aspirin {Administration of aspirin}, investigation {Evaluation procedure}, mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS: unstable angina
-SECONDARY DIAGNOSES: CAD, hyperlipidemia, hypothyroidism
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Disposition:
-Home {Home health aide service management}, unstable angina {Preinfarction syndrome}, CAD {Coronary arteriosclerosis}, hyperlipidemia {Hyperlipidemia}, hypothyroidism {Hypothyroidism}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Assessment of mobility}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure to participate in your care here at ___ 
-___!  You were admitted with chest 
-pain that was similar to the pain that you had with your heart 
-attack in ___.  You underwent a cardiac catheterization, 
-which showed a stenosis in your old stent, which was opened with 
-a new stent.
-
-Please continue to take all of your medications as you were 
-prior to this admission.  Your omeprazole was changed to 
-pantoprazole (a similar medication), as omeprazole had an 
-interaction with your other medications.
-
-Please see below from your follow-up appointments.
-
-Wishing you all the best!
- 
-
-###RESPONSE: chest 
-pain {Chest pain}, pain {Pain}, heart 
-attack {Myocardial infarction}, cardiac catheterization {Cardiac catheterization}, stenosis in your old stent {Coronary stent stenosis}, stent {Placement of stent in coronary artery}, continue {Recommendation to continue with drug treatment}, changed {Change of medication}, interaction with your other medications {Drug interactions identified - drug changed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim / Sulfa (Sulfonamide Antibiotics)
- 
-Attending: ___.
- 
-Chief Complaint:
-dyspnea
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Sulfa {Allergy to sulfonamide antibiotic}, Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with PMH significant for CAD s/p PCI who presents with 
-dyspnea associated with 4 pillow orthopnea and lower extremity 
-edema. The patient reports missing 2 doses of lasix this week. 
-The patient also complains of productive cough.  
-
-The patient reports he was treated for 'pneumonia' by his PCP in 
-late ___. Review of OMR shows no infiltrate on CXR and a 
-Z-pack was prescribed. He recovered from that illness, but has 
-developed worsening dyspnea and cough over the last two weeks. 
-Today, his daughter visited him and was worried about his 
-wheezing. She called PCP office and NP recommended going to 
-urgent care. At ___ urgent ___, reportedly chest 
-x-ray demonstrated bilateral pulmonary edema and patient was 
-sent to the ED.  
-
-In the ED initial vitals were: T99.0 HR133 BP137/74 RR18 96%RA. 
-Labs were significant for: troponin 0.01, BNP 1406 (no prior 
-levels), flu negative. CXR showed mild pulmonary vascular 
-congestion with small bilateral pleural effusions. EKG showed 
-Afib with RVR. The patient was given metoprolol 5mg IV x 2, 40 
-iv lasix, and duonebs. His heart rate remained labile in the ED. 
-Vitals prior to transfer were: T98.8 HR110-130 ___ RR20 
-97%RA. 
- 
-On the floor, he continues to have cough. Denies sob, cp.  
-
-Review of Systems:  
-(+) per HPI  
-(-) fever, chills, night sweats, headache, vision changes, 
-rhinorrhea, congestion, sore throat, chest pain, abdominal pain, 
-nausea, vomiting, diarrhea, constipation, BRBPR, melena, 
-hematochezia, dysuria, hematuria.
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, dyspnea {Dyspnea}, orthopnea {Orthopnea}, lower extremity 
-edema {Edema of lower extremity}, lasix {Diuretic therapy}, productive cough {Productive cough}, pneumonia {Pneumonia}, PCP {Primary care management}, infiltrate {Infiltration}, CXR {Plain chest X-ray}, worsening {Patient's condition worsened}, dyspnea {Dyspnea}, cough {Cough}, worried {Worried}, wheezing {Wheezing}, called {Informing doctor}, PCP {Primary care management}, chest 
-x-ray {Plain chest X-ray}, bilateral pulmonary {Both lungs}, edema {Pulmonary edema}, vitals {Vital signs finding}, Labs {Laboratory test}, troponin {Troponin measurement}, BNP {Brain natriuretic peptide measurement}, CXR {Plain chest X-ray}, mild {Symptom mild}, pulmonary vascular 
-congestion {Pulmonary congestion}, bilateral pleural effusions {Bilateral pleural effusion}, EKG {Electrocardiographic procedure}, Afib with RVR {Atrial fibrillation with rapid ventricular response}, lasix {Diuretic therapy}, heart rate {Finding of heart rate}, Vitals {Vital signs finding}, cough {Cough}, Review of Systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- CAD with MI at ___, s/p PCI with DES to pLAD in ___ (cardiac 
-cath showed collateralized total occlusion of the RCA and an 80% 
-proximal LAD lesion)  
-- DM2L HbA1c 6.8% in ___  
-- Afib on coumadin  
-- Hyperlipidemia  
-- Hypertension  
-- Bradycardia causing syncope s/p PPM ___ EnPulse)  
-- S/p Rt carotid endarterectomoy in ___  
-- Psoriasis  
-- Kidney stones
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, DES {Endovascular insertion of drug eluting stent}, cardiac 
-cath {Cardiac catheterization}, total occlusion {Complete obstruction}, RCA {Right coronary artery structure}, proximal LAD {Structure of proximal portion of anterior descending branch of left coronary artery}, lesion {Lesion}, HbA1c {Hemoglobin A1c measurement}, Afib {Atrial fibrillation}, coumadin {Warfarin therapy}, Hyperlipidemia {Hyperlipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, Bradycardia {Bradycardia}, syncope {Syncope}, PPM {Permanent cardiac pacemaker}, carotid endarterectomoy {Carotid endarterectomy}, Psoriasis {Psoriasis}, Kidney stones {Kidney stone}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-- Mother had diabetes. MI in her ___.  
-- Father had diabetes and emphysema. MI in his ___.  
-- Brother has CAD.
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, diabetes {Diabetes mellitus}, emphysema {Emphysema}, CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL:
-=====================
-Vitals - T:98.0 BP:131/65 HR:120 RR:18 02 sat:95%RA wt 132.9kg  
-GENERAL: NAD, A&Ox3, pleasant  
-HEENT: MMM, good dentition  
-NECK: nontender supple neck, JVD to midneck at 45 degrees  
-CARDIAC: irregularly irregular, S1/S2, no murmurs, gallops, or 
-rubs  
-LUNG: Mild expiratory wheezes throughout, good air movement, no 
-crackles.  
-ABDOMEN: obese, +BS, nontender in all quadrants, no 
-rebound/guarding  
-EXTREMITIES: 3+ edema to thighs bilaterally, moving all 4 
-extremities with purpose  
-SKIN: warm and well perfused, erythematous rash to bilateral 
-elbows with overlying silvery scale
-
-DISCHARGE PHYSICAL:
-======================
-Vitals: 97.3, 100-136/52-78, 59-126, 18, 98 on RA
-Weight on admission 132.9
-DISCHARGE WEIGHT: 125.7
-General: well appearing, obese male in NAD
-Neck: unable to appreciate JVP
-Lungs: CTA b/l, non-labored breathing
-CV: ___, normal rate, normal S1/S2, no m/r/g
-Abdomen: +BS, soft, obese, NT/ND
-Ext: 1+ edema to ankles bilaterally
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, 02 sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, nontender {Abdominal tenderness}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, irregularly irregular {Heart irregularly irregular}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, Mild {Symptom mild}, wheezes {Wheezing}, good air movement {Breath normal}, crackles {Respiratory crackles}, ABDOMEN {Examination of abdomen}, obese {Obese}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, edema {Edema}, thighs {Thigh structure}, moving all 4 
-extremities {Does move all four limbs}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, erythema {Erythema}, rash {Eruption of skin}, elbows {Skin structure of elbow}, Vitals {Vital signs finding}, Weight {Weight finding}, WEIGHT {Weight finding}, well appearing {Well cared for appearance}, obese {Obese}, NAD {Distress}, JVP {Finding of jugular venous pressure}, CTA b/l {Normal breath sounds}, labored breathing {Labored breathing}, normal rate {Normal heart rate}, normal S1/S2 {Heart sounds normal}, no m/r/g {Heart sounds normal}, soft {Abdomen soft}, obese {Obese}, edema to ankles {Ankle edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-====================
-___ 09:15PM BLOOD WBC-10.0 RBC-3.99* Hgb-12.5* Hct-37.4* 
-MCV-94 MCH-31.4 MCHC-33.4 RDW-15.7* Plt ___
-___ 09:15PM BLOOD Neuts-67.8 ___ Monos-9.3 Eos-3.5 
-Baso-0.3
-___ 08:55AM BLOOD ___ PTT-37.1* ___
-___ 09:15PM BLOOD Glucose-129* UreaN-19 Creat-1.2 Na-145 
-K-3.6 Cl-102 HCO3-29 AnGap-18
-___ 09:15PM BLOOD proBNP-1406*
-___ 09:15PM BLOOD cTropnT-0.01
-___ 08:55AM BLOOD Calcium-9.1 Phos-3.4 Mg-1.7
-___ 08:55AM BLOOD TSH-2.6
-___ 09:51PM BLOOD Lactate-2.0
-
-DISCHARGE LABS:
-===================
-___ 05:28AM BLOOD WBC-9.0 RBC-4.24* Hgb-13.2* Hct-39.6* 
-MCV-93 MCH-31.1 MCHC-33.4 RDW-15.2 Plt ___
-___ 05:28AM BLOOD ___
-___ 05:28AM BLOOD Glucose-148* UreaN-35* Creat-1.5* Na-140 
-K-3.8 Cl-96 HCO3-31 AnGap-17
-___ 05:28AM BLOOD Calcium-9.2 Phos-4.0 Mg-2.2
-___ 06:35AM BLOOD proBNP-569
-
-STUDIES:
-===================
-
-CXR (___):
-FINDINGS:
-Left-sided dual-chamber pacemaker device is noted with leads 
-terminating in the right atrium and right ventricle.  Cardiac 
-silhouette size remains top normal. Mediastinal and hilar 
-contours are unchanged. The aorta is diffusely calcified.  There 
-is mild upper zone vascular redistribution with pulmonary 
-vascular indistinctness suggestive of mild pulmonary vascular 
-congestion. Small bilateral pleural effusions are demonstrated. 
-Patchy opacities in the lung bases may reflect atelectasis 
-though infection is difficult to exclude. No pneumothorax is 
-present. No acute osseous abnormality is visualized. 
-
-IMPRESSION:
-Patchy bibasilar airspace opacities, possibly atelectasis though 
-infection is not completely excluded.  Mild pulmonary vascular 
-congestion with small bilateral pleural effusions 
-
-ECHOCARDIOGRAM (___):
-
-The left atrium is moderately dilated. The right atrium is 
-dilated. The estimated right atrial pressure is ___ mmHg. There 
-is moderate symmetric left ventricular hypertrophy. The left 
-ventricular cavity size is normal. Regional left ventricular 
-wall motion is normal. Overall left ventricular systolic 
-function is normal (LVEF>55%). Right ventricular chamber size 
-and free wall motion are normal. The aortic valve leaflets (3) 
-are mildly thickened. There is no aortic valve stenosis. No 
-aortic regurgitation is seen. The mitral valve leaflets are 
-mildly thickened. Trivial mitral regurgitation is seen. The 
-estimated pulmonary artery systolic pressure is normal. There is 
-a trivial/physiologic pericardial effusion. 
-
-IMPRESSION: Symmetric LVH with normal global and regional 
-biventricular systolic function. Normal estimated intracardiac 
-filling pressures.
-
-Compared with the prior study (images reviewed) of ___, 
-the findings are similar.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, Lactate {Lactic acid measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Left-sided dual-chamber pacemaker {Cardiac pacemaker in situ}, right atrium {Right atrial structure}, right ventricle {Right cardiac ventricular structure}, Cardiac {Heart structure}, size {Normal size}, normal {No abnormality detected}, Mediastinal {Mediastinal structure}, hilar {Structure of hilum of lung}, unchanged {Patient condition unchanged}, aorta {Aortic structure}, calcified {Pathologic calcification, calcified structure}, mild {Symptom mild}, vascular {Blood vessel structure}, redistribution {Redistribution}, pulmonary 
-vascular {Structure of pulmonary blood vessel}, mild {Symptom mild}, pulmonary vascular 
-congestion {Pulmonary congestion}, bilateral pleural effusions {Bilateral pleural effusion}, opacities {Abnormally opaque structure}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, infection {Infectious disease}, pneumothorax {Pneumothorax}, No acute {No abnormality detected}, osseous {Bone structure}, abnormality {No abnormality detected}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, infection {Infectious disease}, Mild {Symptom mild}, pulmonary vascular 
-congestion {Pulmonary congestion}, bilateral pleural effusions {Bilateral pleural effusion}, left atrium is moderately dilated {Left atrial dilatation}, right atrium is 
-dilated {Right atrial dilatation}, right atrial {Right atrial structure}, moderate symmetric left ventricular hypertrophy {Moderate left ventricular hypertrophy}, left 
-ventricular cavity {Structure of cavity of left cardiac ventricle}, size is normal {Normal size}, left ventricular 
-wall motion is normal {Finding of left ventricular wall motion}, left ventricular systolic 
-function is normal {Finding of left ventricular blood flow}, Right ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cusp of aortic valve}, mildly thickened {Increased thickness}, aortic valve stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are 
-mildly thickened {Thickened mitral leaflet}, Trivial mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic pressure is normal {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, LVH {Left ventricular hypertrophy}, normal global and regional 
-biventricular systolic function {Normal left ventricular systolic function and wall motion}, filling {Normal cardiac flow}, pressures {Pressure}, study {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with PMH significant for HFpEF and CAD with 3-vessel 
-disease s/p DES to m-pLAD in ___ who presents with dyspnea and 
-worsening ___ edema. He was diuresed with a lasix gtt ___ 
-mg/hr) and boluses PRN. He had an ECHO here which showed EF > 
-55%, similar to last ECHO in ___. Prior to discharge, he was 
-transitioned to torsemide 40 mg daily.
-
-DRY WEIGHT: 125.7 kg
-
-#Acute on chronic decompensated diastolic CHF: Admission weight 
-132.9 kg, dry weight 125.7 BNP 1400 on admission down to 569 
-prior to discharge. Missing 2 lasix doses prior to admission may 
-have been trigger.
-- Discharge with: Torsemide 40 mg PO daily 
-- metoprolol succinate 300 mg daily
-- TTE showed preserved EF (>55%)
-
-#Afib w/ RVR: ___ be due to acute CHF exacerbation plus missing 
-___ home metoprolol dose. S/p 5 mg IV metop x 2 in the ED and 
-additional 25mg po metop once on the floor.
-- Metoprolol succinate as above
-- Continued warfarin (minor dose adjustment)
-
-#CAD: MI at ___, s/p PCI with DES to pLAD in ___ (cardiac cath 
-showed collateralized total occlusion of the RCA and an 80% 
-proximal LAD lesion). Currently no CP. EKG unchanged from prior. 
-Trop neg x 1.
-- Continue atorva 80, ASA 81, metop as above
-
-#DM2: HbA1c 6.8% in ___. 
-- Held metformin, will restart on discharge
-- SSI while in house
-
-#HTN: Home lisin/HCTZ discontinued for ___ in ___. Given 
-preserved EF, it is not necessary that he be on an ACE for heart 
-failure.
-- Continued metop as above
-
-#Psoriasis:
-- Continued betamethasone cream
-
-TRANSITIONAL ISSUES:
-[ ] Patient will need f/u labs within 1 week - Rx for ___ - 
-to monitor Cr (slightly elevated prior to d/c)
-[ ] Patient needs close cardiology follow up for further 
-titrating of home diuretics
-[ ] INR on ___, followed by ___ ACMS
- 
-
-###RESPONSE: HFpEF {Heart failure with normal ejection fraction}, CAD {Coronary arteriosclerosis}, 3-vessel 
-disease {Triple vessel disease of the heart}, DES {Endovascular insertion of drug eluting stent}, dyspnea {Dyspnea}, worsening {Patient's condition worsened}, edema {Edema}, diuresed {Diuretic therapy}, lasix {Diuretic therapy}, ECHO {Echocardiography}, ECHO {Echocardiography}, WEIGHT {Weight finding}, chronic decompensated diastolic CHF {Heart failure with normal ejection fraction}, weight {Weight finding}, weight {Weight finding}, BNP {Brain natriuretic peptide measurement}, lasix {Diuretic therapy}, TTE {Transthoracic echocardiography}, Afib w/ RVR {Atrial fibrillation with rapid ventricular response}, acute CHF exacerbation {Acute exacerbation of chronic congestive heart failure}, warfarin {Warfarin therapy}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, DES {Endovascular insertion of drug eluting stent}, cardiac cath {Cardiac catheterization}, total occlusion {Complete obstruction}, RCA {Right coronary artery structure}, proximal LAD {Structure of proximal portion of anterior descending branch of left coronary artery}, lesion {Lesion}, EKG {Electrocardiographic procedure}, unchanged {Patient condition unchanged}, Trop {Troponin measurement}, ASA {Administration of aspirin}, DM2 {Diabetes mellitus type 2}, HbA1c {Hemoglobin A1c measurement}, Held {Recommendation to stop drug treatment}, restart {Restart of medication}, SSI {Sliding scale insulin regime}, HTN {Hypertensive disorder, systemic arterial}, discontinued {Recommendation to stop drug treatment}, heart 
-failure {Heart failure}, labs {Laboratory test}, monitor {Monitoring for signs and symptoms of infection}, elevated {Serum creatinine above reference range}, cardiology {Cardiology service}, follow up {Follow-up arranged}, diuretics {Diuretic therapy}, INR {Calculation of international normalized ratio}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Metoprolol Tartrate 50 mg PO BID 
-2. MetFORMIN (Glucophage) 1000 mg PO BID 
-3. Warfarin ___ mg PO DAILY16 
-4. Furosemide 40 mg PO DAILY 
-5. Multivitamins 1 TAB PO DAILY 
-6. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-7. Aspirin 81 mg PO DAILY 
-8. Atorvastatin 80 mg PO QPM 
-9. Betamethasone Dipro 0.05% Cream 1 Appl TP BID 
-10. Albuterol Inhaler 2 PUFF IH Q6H:PRN sob 
-
- 
-Discharge Medications:
-1. Outpatient Lab Work
-Please check CHEM-7 (ICD-9 428.30)
-and INR (ICD-9 427.31)
-Fax to ___, MD at ___
-2. Aspirin 81 mg PO DAILY 
-3. Atorvastatin 80 mg PO QPM 
-4. Betamethasone Dipro 0.05% Cream 1 Appl TP BID 
-5. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-6. Warfarin 10 mg PO 4X/WEEK (___) 
-RX *warfarin 5 mg 2 tablet(s) by mouth every ___, 
-___ Disp #*80 Tablet Refills:*0
-7. Warfarin 7.5 mg PO 3X/WEEK (___) 
-RX *warfarin 2.5 mg 3 tablet(s) by mouth every ___, 
-___ Disp #*30 Tablet Refills:*0
-8. Metoprolol Succinate XL 300 mg PO DAILY 
-RX *metoprolol succinate 100 mg 3 tablet(s) by mouth daily Disp 
-#*90 Tablet Refills:*0
-9. Torsemide 40 mg PO DAILY 
-RX *torsemide 20 mg 2 tablet(s) by mouth daily Disp #*60 Tablet 
-Refills:*0
-10. Albuterol Inhaler 2 PUFF IH Q6H:PRN sob 
-11. MetFORMIN (Glucophage) 1000 mg PO BID 
-12. Multivitamins 1 TAB PO DAILY 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-acute on chronic diastolic heart failure exacerbation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: acute on chronic diastolic heart failure {Acute on chronic diastolic heart failure}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to the hospital for leg swelling and shortness 
-of breath. We found out that you had a heart failure 
-exacerbation. To treat this, we gave you a medicine (Lasix) to 
-make you pee and closely monitored your fluid status and your 
-labs. Your swelling and breathing improved and your labs showed 
-that your heart was recovering. We did an echocardiogram 
-(ultrasound of the heart) which showed that there had not been 
-any changes since your previous one.
-
-We changed some of your heart failure medications. You should 
-review your medication list carefully. You should weigh yourself 
-every day and call your doctor if your weight goes up by more 
-than 3 lbs. You also need to have labs checked within 1 week 
-(ideally on ___. On ___, you should call your 
-primary care doctor or cardiologist to schedule an appointment 
-within a week. Their numbers are below.
-
-It was a pleasure taking care of you.
-
-Sincerely,
-Your ___ Care Team
- 
-
-###RESPONSE: leg swelling {Leg swelling symptom}, shortness 
-of breath {Dyspnea}, heart failure {Heart failure}, Lasix {Diuretic therapy}, monitored {Monitoring procedure}, labs {Laboratory test}, swelling {Swelling}, breathing {Difficulty breathing}, improved {Patient's condition improved}, labs {Laboratory test}, heart {Heart structure}, echocardiogram {Echocardiography}, ultrasound {Echocardiography}, heart {Heart structure}, changed {Change of medication}, heart failure {Heart failure}, medications {Administration of drug or medicament}, medication {Administration of drug or medicament}, weight goes up {Weight increased}, labs {Laboratory test}, checked {Monitoring procedure}, primary care {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of breath
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ year old male with history of HTN, HLD, CAD, CHF 
-(EF 55-60% in ___, Diabetes on insulin, hx of CVA, recently 
-diagnosed pericardial effusion, p/w acute-onset altered mental 
-status, unsteadiness, urinary incontinence today. 
-
-Patient's son is the one who provided the history.  Patient's 
-son states that patient was sleeping in this morning, and much 
-less responsive. He reports that patient woke up with a blank 
-stare.  Patient was also acutely noted to be incontinent of 
-urine once.  His son reports that he was unable to walk around 
-steadily, and was having difficulty hold onto the walls/walker 
-to get around. Since then, he has been much less verbal with 
-difficulty with speech. At home, he was also endorsing some 
-L-sided abdominal and back pain. Son denies any falls or 
-headstrike. Son denies any fevers/chills; He does endorse some 
-wheezing but no chest pain, no 
-nausea/vomiting/diarrhea/constipation, no new swelling or focal 
-weakness anywhere aside from today's episode of generalized 
-weakness and unsteadiness on his feet. Of note, patient is on 
-Plavix. 
-
-In the ED, initial vitals: 99.4 102 186/90 15 98%  
-Labs were signficant for potassium of 5.3, but sample was 
-hemolyzed. Creatinine was 3.7 from baseline 1.8. pO2 from venous 
-O2 sats were 25. Patient triggered for shortness of breath. At 
-the time he was shaking, tachycardic to 100s; 94% on RA; placed 
-on NRB with improvement to 100%; rhonchi on L > R. Portable CXR 
-showing increased fluid overload. Patient was given Vancomycin 
-1g, Cefepime 1g, albuterol/ipratropium nebs, furosemide 40mg, 
-tylenol ___, 1L NS.
-
-On transfer, vitals were: 101.8 105 161/87 33 100% bipap   
-
-On arrival to the MICU, patient was on BiPap.  Patient's son 
-reports that his mental status is back to baseline.  He also 
-reports that his grandson had a URI in the last week.  Patient's 
-lasix dose was also decreased by half to 20mg last month.
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, CHF {Congestive heart failure}, Diabetes {Diabetes mellitus}, CVA {Cerebrovascular accident}, pericardial effusion {Pericardial effusion}, altered mental 
-status {Altered mental status}, unsteadiness {General unsteadiness}, urinary incontinence {Urinary incontinence}, sleeping {Asleep}, less responsive {Slowness and poor responsiveness}, incontinent of 
-urine {Urinary incontinence}, unable to walk {Unable to walk}, verbal {Vocal and verbal behavior finding}, difficulty with speech {Has difficulty with speech}, L-sided abdominal {Left sided abdominal pain}, back pain {Backache}, falls {Falls}, headstrike {Injury of head}, fevers {Fever}, chills {Chill}, wheezing {Wheezing}, chest pain {Chest pain}, nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, swelling {Swelling}, weakness {Asthenia}, weakness {Asthenia}, unsteadiness {General unsteadiness}, feet {Foot structure}, vitals {Vital signs finding}, potassium {Potassium measurement}, Creatinine {Creatinine measurement}, baseline {Baseline state}, venous {Venous structure}, O2 sats {Finding of oxygen saturation}, shortness of breath {Dyspnea}, shaking {Tremor}, tachycardic {Tachycardia}, placed {Implantation procedure}, NRB {Oxygen administration by mask}, improvement {Patient's condition improved}, rhonchi {Wheeze - rhonchi}, L {Left thorax structure}, R {Right thorax structure}, CXR {Plain chest X-ray}, fluid overload {Hypervolemia}, vitals {Vital signs finding}, bipap {Bilevel positive airway pressure titration}, BiPap {Bilevel positive airway pressure titration}, mental status {Mental state finding}, baseline {Baseline state}, URI {Upper respiratory infection}, lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Stroke in ___
-- Hypertension, medication changes as above.  His blood pressure
-at home at been 150-180 systolic in ___, but not
-recently measuring.  Had been ~ 153/82 on ___ before
-hydralazine increased. 
-- Hypercholesterolemia, on Statin
-- Diabetes, on insulin (Lantus and Humalog SS)
-- Orthostasis and possible convulsive syncope, as above
-- Toes amputated on right owing to diabetes
-- Cataracts - no surgery
-- Diabetic neuropathy, on gabapentin 100/300
-
- 
-
-###RESPONSE: Stroke {Cerebrovascular accident}, Hypertension {Hypertensive disorder, systemic arterial}, medication changes {Change of medication}, blood pressure {On treatment for hypertension}, Hypercholesterolemia {Hypercholesterolemia}, Diabetes {Diabetes mellitus}, Orthostasis {Orthostatic hypotension}, convulsive syncope {Convulsive syncope}, Toes amputated {Amputation of toe}, right {Structure of right foot}, diabetes {Diabetes mellitus}, Cataracts {Cataract}, surgery {Surgical procedure}, Diabetic neuropathy {Neuropathy due to diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Possible stroke in parents, one definitely diabetic.
-
- 
-
-###RESPONSE: stroke {Cerebrovascular accident}, diabetic {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-Vitals- T:100.8 BP:185/78 P:92 R: 18 O2: 100 on 2L NC  
-GENERAL: Alert, oriented to name and place. No acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear  
-NECK: supple, JVP not elevated, no LAD  
-LUNGS: Bilateral crackles 
-CV: Regular rate and rhythm, normal S1 S2, no murmurs, rubs, 
-gallops  
-ABD: soft, non-tender, distended c/w obesity, bowel sounds 
-present, no rebound tenderness or guarding, no organomegaly  
-EXT: Amputated toes  
-NEURO: Power ___ bilaterally in both lower and upper 
-extremities. Dyspraxic when trying to follow commands with left 
-upper extremity. Cn II-XII grossly intact.  
-
-DISCHARGE PHYSICAL EXAM:
-VS - 98.0 157/70 70 18 100% on RA
-GENERAL: Alert, oriented to name and place. No acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear, swelling of the 
-eye noted  
-NECK: supple, JVP not elevated, no LAD  
-LUNGS: Crackles appreciated occasionally in bilateral lung 
-fields, good air movement, breathing comfortably without use of 
-accessory muscles  
-CV: Regular rate and rhythm, normal S1 S2, no murmurs, rubs, 
-gallops  
-ABD: soft, non-tender, distended c/w obesity, bowel sounds 
-present, no rebound tenderness or guarding, no organomegaly  
-EXT: Amputated toes, patient has an erythematous rash on the 
-back which is not pruritic, not spreading  
-NEURO: Power ___ bilaterally in both lower and upper 
-extremities. Dyspraxic when trying to follow commands with left 
-upper extremity. Cn II-XII grossly intact.  
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, NC {Normal head}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, place {Oriented to place}, No acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, obesity {Obesity}, bowel sounds 
-present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Amputated toes {Amputation of toe}, NEURO {Neurological examination}, lower {Lower limb structure}, upper 
-extremities {Upper limb structure}, Dyspraxic {Dyspraxia}, follow commands {Normal motor response to command}, left 
-upper extremity {Structure of left upper limb}, grossly intact {Normal nervous system function}, VS {Vital signs finding}, RA {Breathing room air}, RA {Breathing room air}, Alert {Mentally alert}, oriented to name {Oriented to person}, place {Oriented to place}, No acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, swelling {Swelling}, eye {Structure of eye proper}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Crackles {Respiratory crackles}, lung 
-fields {Structure of lung field}, good {No abnormality detected}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 S2 {Heart sounds normal}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, obesity {Obesity}, bowel sounds 
-present {Normal bowel sounds}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Amputated toes {Amputation of toe}, erythematous rash {Erythematous rash}, back {Structure of back of trunk}, pruritic {Pruritic disorder of skin}, NEURO {Neurological examination}, lower {Lower limb structure}, upper 
-extremities {Upper limb structure}, Dyspraxic {Dyspraxia}, follow commands {Normal motor response to command}, left 
-upper extremity {Structure of left upper limb}, Cn II-XII grossly intact {Normal central nervous system}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-
-___ 03:25PM   PLT COUNT-105*
-___ 03:25PM   NEUTS-81.3* LYMPHS-10.7* MONOS-7.3 EOS-0.5 
-BASOS-0.1
-___ 03:25PM   WBC-8.7 RBC-3.25* HGB-9.8* HCT-28.1* MCV-87 
-MCH-30.2 MCHC-34.9 RDW-15.2
-___ 03:25PM   ALBUMIN-3.5 CALCIUM-9.2 PHOSPHATE-3.0 
-MAGNESIUM-2.1
-___ 03:25PM   CK-MB-1 cTropnT-<0.01 ___
-___ 03:25PM   LIPASE-22
-___ 03:25PM   ALT(SGPT)-16 AST(SGOT)-34 ALK PHOS-52 TOT 
-BILI-0.5
-___ 03:25PM   estGFR-Using this
-___ 03:25PM   GLUCOSE-147* UREA N-47* CREAT-3.7*# 
-SODIUM-139 POTASSIUM-5.3* CHLORIDE-105 TOTAL CO2-24 ANION GAP-15
-___ 03:38PM   ___ TO  PTT-UNABLE TO  ___ 
-TO 
-___ 03:40PM   LACTATE-1.2
-___ 04:45PM   ___ PTT-29.9 ___
-___ 05:25PM URINE  RBC-4* WBC-1 BACTERIA-FEW YEAST-NONE 
-EPI-0
-___ 05:25PM URINE  BLOOD-SM  NITRITE-NEG PROTEIN-300 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 
-LEUK-NEG
-___ 05:25PM URINE  COLOR-Yellow APPEAR-Hazy SP ___
-___ 05:25PM URINE  UHOLD-HOLD
-___ 05:25PM URINE  HOURS-RANDOM UREA N-692 CREAT-121 
-SODIUM-57 POTASSIUM-37 CHLORIDE-49
-___ 07:35PM OTHER BODY FLUID  FluAPCR-NEGATIVE 
-FluBPCR-NEGATIVE
-___ 08:04PM   O2 SAT-31
-___ 08:04PM   ___ PO2-25* PCO2-51* PH-7.30* TOTAL 
-CO2-26 BASE XS--2
-
-___ CXR:  
-Mild pulmonary edema, without pleural effusions
-.  
-___ CXR:  
-Cardiomegaly with pulmonary edema, progressed since prior study 
-dated ___ CT head:  
-No acute intracranial abnormality  
-
-___ CT abdomen:  
-1. Small bilateral layering at nonhemorrhagic pleural effusions, 
-right greater than left.  
-2. Moderate diverticular disease of the sigmoid colon without 
-evidence of diverticulitis.  
-EKG: rate 97, sinus, 1st degree A-V block (PR 226ms) otherwise 
-normal intervals, normal axis; ___ ST-T wave changes, 
-non-specific; TWI in I and avL no longer noted (since comparison 
-___  
-
-___: Renal U/S:
-IMPRESSION:  
-5 mm nonobstructing left lower pole renal stone and a sub cm 
-left lower pole simple renal cyst. Otherwise, normal renal 
-ultrasound. 
-
- 
-
-###RESPONSE: NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, cTropnT {Troponin T cardiac measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT 
-BILI {Bilirubin, total measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, URINE {Urine culture}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Urine culture}, COLOR {Color finding}, URINE {Urine culture}, URINE {Urine culture}, CREAT {Creatinine measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, O2 SAT {Oxygen saturation measurement}, PH {pH measurement}, CXR {Plain chest X-ray}, Mild {Symptom mild}, edema {Edema}, pleural effusions {Pleural effusion}, CXR {Plain chest X-ray}, Cardiomegaly {Cardiomegaly}, edema {Edema}, No acute {No abnormality detected}, intracranial {Intracranial structure}, abnormality {No abnormality detected}, nonhemorrhagic {Hemorrhage}, pleural effusions {Pleural effusion}, right {Structure of right side of abdomen}, left {Structure of left side of abdomen}, Moderate {Symptom moderate}, disease {Disease}, sigmoid colon {Sigmoid colon structure}, diverticulitis {Diverticulitis}, EKG {Electrocardiographic procedure}, rate {Finding of heart rate}, sinus {Sinus rhythm}, 1st degree A-V block {First degree atrioventricular block}, normal {No abnormality detected}, intervals {Finding of electrocardiogram waveform}, normal {No abnormality detected}, axis {Electrocardiographic axis finding}, ST-T wave changes {Electrocardiographic ST segment changes}, TWI {Inverted T wave}, nonobstructing {Obstruction}, left lower pole renal {Structure of lower pole of left kidney}, stone {Kidney stone}, left lower pole {Structure of lower pole of left kidney}, simple renal cyst {Simple renal cyst}, normal {No abnormality detected}, renal 
-ultrasound {Echography of kidney}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is a ___ year old male with history of HTN, HLD, CAD, dCHF 
-(EF 55-60% in ___, Diabetes on insulin, hx of CVA, recently 
-diagnosed pericardial effusion, p/w acute-onset altered mental 
-status, unsteadiness, urinary incontinence found to also be in 
-respiratory distress.
-
-#RESPIRATORY DISTRESS: Likely ___ flash pulmonary edema. Patient 
-being resuscitated with fluid and was also very hypertensive in 
-the ED to 180s systolic. From at___ notes, diuretics were also 
-decreased to 20mg which could have predisposed him to having an 
-episode of flash pulmonary edema. BNP on arrival was in the 
-11000s favoring acute diastolic CHF exacerbation. Patient was 
-placed on fluid restriction and diuresed with 40mg IV lasix. 
-However patient was also febrile to 101 in the ED and has had hx 
-of prior stroke, so there was some concern for aspiration. He 
-was therefore covered broadly with vanc/cefepime/flagyl (flagyl 
-added given concern for aspiration) but these antibiotics were 
-discontinued after a few days given lack of clinical evidence of 
-pneumonia. The patient's shortness of breath improved with 
-diuresis alone and he never complained of cough, had an elevated 
-WBC count, or was febrile after being admitted. An echo was 
-performed which compared favorably with his prior echo in ___ 
-with no changes in ejection fraction.
-
-#ALTERED MENTAL STATUS: Unclear etiology. Patient does have hx 
-of stroke but CT head was negative for  acute intracranial 
-process.  Given urinary incontinence, gait instability, normal 
-pressure hydrocephalus is also on differential but no prominence 
-of ventricles on CT head. Infectious etiology also on 
-differential given fevers in setting of AMS.  Patient could have 
-also suffered a seizure given urinary incontinence although no 
-prior hx of seizures.  Infectious work up sent off which came 
-back negative.  Patient was back to baseline upon arrival to the 
-ICU and his mental status was stable and at his baseline 
-throughout admission. The most likely etiology of his acute 
-mental status decompensation is pulmonary edema and resulting 
-respiratory distress.  
-
-#Acute on chronic kidney disease: Patient had an increase from 
-his baseline creatinine of 3.3 to 4.1 which trended back down to 
-3.7. CKD thought to be due to worsening DM. Most likely etiology 
-is pre-renal due to to infection/dehydration. His creatinine was 
-trended daily and a renal ultrasound was negative for 
-obstruction or hydronephrosis.  
-
-#CHF: Patient has hx of dCHF. Echo on this admission reveals 
-preserved EF without new regional wall motion abnormalities when 
-compared with that from ___. Fluid restriction to 1.5L and 
-2g Na diet were employed with daily weights and strict ins and 
-outs recorded. His metoprolol 100 qdaily was increased to 150 
-qdaily for improved BP control. 
-
-#CAD: Patient's last cath was in ___ which was negative. ___ 
-cath showed moderate single vessel disease and was advised to be 
-medically managed. His home aspirin, statin, and metprolol were 
-continued while he was hospitalized.
-
-#HX OF STROKE: Patient has suffered stroke in the past and has 
-been on dual antiplatelet therapy since then. His home plavix 
-and aspirin were continued. 
-
-#HYPERTENSION: Hypertensive to 180s systolic on admission. Goal 
-BP for this elderly gentleman is 160s systolic, will attempt to 
-control BP in light of flash pulmonary edema on admission. His 
-home hydralazine and metoprolol were continued, and his 
-metporolol dose was increased to provide better control of his 
-blood pressures at home.  
-  
-#DM - Stable, patient's home lantus regimen was continued with 
-additional insulin sliding scale while hospitalized.
-
-TRANSITIONAL ISSUES: 
--The patient had a mild erythematous rash on his back which he 
-did not find bothersome and is most likely due to a heat rash vs 
-mild allergic reaction. He was treated with ceterizine and was 
-asymptomatic. Please ensure this rash clears.
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, dCHF {Diastolic heart failure}, Diabetes {Diabetes mellitus}, CVA {Cerebrovascular accident}, pericardial effusion {Pericardial effusion}, altered mental 
-status {Altered mental status}, unsteadiness {General unsteadiness}, urinary incontinence {Urinary incontinence}, respiratory distress {Respiratory distress}, RESPIRATORY DISTRESS {Respiratory distress}, flash pulmonary edema {Acute pulmonary edema}, resuscitated {Resuscitation}, fluid {Administration of intravenous fluids}, hypertensive {Hypertensive disorder, systemic arterial}, diuretics {Diuretic therapy}, flash pulmonary edema {Acute pulmonary edema}, BNP {Brain natriuretic peptide measurement}, CHF exacerbation {Exacerbation of congestive heart failure}, fluid restriction {Fluid restriction}, diuresed {Diuretic therapy}, lasix {Diuretic therapy}, febrile {Fever}, stroke {Cerebrovascular accident}, aspiration {Aspiration pneumonia}, aspiration {Aspiration pneumonia}, antibiotics {Antibiotic therapy}, pneumonia {Pneumonia}, shortness of breath {Dyspnea}, improved {Patient's condition improved}, diuresis {Diuresis}, cough {Cough}, elevated 
-WBC count {Blood leukocyte number above reference range}, febrile {Fever}, echo {Echocardiography}, echo {Echocardiography}, ALTERED MENTAL STATUS {Altered mental status}, stroke {Cerebrovascular accident}, CT head {Computed tomography of head}, negative {No abnormality detected}, intracranial {Intracranial structure}, urinary incontinence {Urinary incontinence}, gait instability {Unsteady when walking}, normal 
-pressure hydrocephalus {Normal pressure hydrocephalus}, ventricles {Brain ventricle structure}, CT head {Computed tomography of head}, Infectious {Infectious disease}, fevers {Fever}, AMS {Altered mental status}, seizure {Seizure}, urinary incontinence {Urinary incontinence}, seizures {Seizure}, Infectious {Infectious disease}, negative {No abnormality detected}, baseline {Baseline state}, ICU {Admission to intensive care unit}, mental status {Altered mental status}, stable {Patient's condition stable}, baseline {Baseline state}, mental status {Altered mental status}, decompensation {Decompensation}, pulmonary edema {Pulmonary edema}, respiratory distress {Respiratory distress}, Acute on chronic kidney disease {Acute-on-chronic renal failure}, baseline {Baseline state}, creatinine {Creatinine measurement}, CKD {Chronic kidney disease}, DM {Diabetes mellitus}, pre-renal {Pre-renal acute kidney injury}, infection {Infectious disease}, dehydration {Dehydration}, creatinine {Creatinine measurement}, renal ultrasound {Echography of kidney}, negative {No abnormality detected}, obstruction {Obstruction}, hydronephrosis {Hydronephrosis}, CHF {Congestive heart failure}, dCHF {Diastolic heart failure}, Echo {Echocardiography}, without new regional wall motion abnormalities {Normal ventricular wall motion}, Fluid restriction {Fluid restriction}, diet {Dietary finding}, weights {Weight finding}, improved {Patient's condition improved}, BP {Blood pressure finding}, CAD {Coronary arteriosclerosis}, cath {Cardiac catheterization}, negative {No abnormality detected}, cath {Cardiac catheterization}, single vessel disease {Single coronary vessel disease}, aspirin {Administration of aspirin}, STROKE {Cerebrovascular accident}, stroke {Cerebrovascular accident}, antiplatelet therapy {Platelet aggregation inhibitor therapy}, aspirin {Administration of aspirin}, HYPERTENSION {Hypertensive disorder, systemic arterial}, Hypertensive {Hypertensive disorder, systemic arterial}, systolic {Blood pressure finding}, BP {Blood pressure finding}, systolic {Blood pressure finding}, BP {Blood pressure finding}, flash pulmonary edema {Acute pulmonary edema}, blood pressures {On treatment for hypertension}, DM {Diabetes mellitus}, Stable {Patient's condition stable}, regimen {Therapeutic regimen}, insulin sliding scale {Sliding scale insulin regime}, mild {Symptom mild}, erythematous rash {Erythematous rash}, back {Structure of back of trunk}, heat rash {Prickly heat}, mild {Symptom mild}, allergic reaction {Allergic reaction}, asymptomatic {Asymptomatic}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Amlodipine 10 mg PO DAILY 
-2. Aspirin 325 mg PO DAILY 
-3. Atorvastatin 40 mg PO DAILY 
-4. Clopidogrel 75 mg PO DAILY 
-5. Gabapentin 100 mg PO DAILY 
-6. Gabapentin 300 mg PO HS 
-7. Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES HS 
-8. Metoprolol Succinate XL 100 mg PO DAILY 
-9. HydrALAzine 25 mg PO TID 
-10. Glargine 20 Units Breakfast
-11. Calcitriol 0.25 mcg PO EVERY OTHER DAY 3x/weekly 
-12. Furosemide 20 mg PO DAILY 
-13. Vitamin D 1000 UNIT PO DAILY 
-14. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-15. Acetaminophen 650 mg PO Q12H:PRN pain, fever 
-
- 
-Discharge Medications:
-1. Acetaminophen 650 mg PO Q12H:PRN pain, fever 
-2. Amlodipine 10 mg PO DAILY 
-3. Aspirin 325 mg PO DAILY 
-4. Atorvastatin 40 mg PO DAILY 
-5. Calcitriol 0.25 mcg PO EVERY OTHER DAY 3x/weekly 
-6. Clopidogrel 75 mg PO DAILY 
-7. Gabapentin 100 mg PO DAILY 
-8. Gabapentin 300 mg PO HS 
-9. HydrALAzine 25 mg PO TID 
-10. Glargine 20 Units Breakfast
-11. Metoprolol Succinate XL 150 mg PO DAILY 
-RX *metoprolol succinate 50 mg 3 tablet(s) by mouth qdaily Disp 
-#*90 Tablet Refills:*0
-12. Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES HS 
-13. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-14. Vitamin D 1000 UNIT PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis: Acute diastolic congestive heart failure 
-exacerbation
-
-Secondary Diagnosis: Diabetes mellitus, coronary artery disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, diastolic congestive heart failure {Diastolic heart failure}, Diabetes mellitus {Diabetes mellitus}, coronary artery disease {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure caring for you at the ___ 
-___. You were admitted because you were having 
-shortness of breath and fevers. We determined that your 
-shortness of breath was likely due to an acute exacerbation of 
-your heart failure and haveing too much fluid in your lungs. We 
-gave you a medication to help you remove the fluid from your 
-lungs. Your kidney function was also slightly worse than usual 
-while you were admitted. We closely followed it while you were 
-hospitalized and it returned to what is normal for you. We also 
-noticed that your blood pressure was somewhat high while you 
-were here, so we increased one of your blood pressure 
-medications (metoprolol). This is noted on the medication list 
-you will be given at discharge.
-
-Sincerely,
-
-Your ___ Team
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, fevers {Fever}, shortness of breath {Dyspnea}, acute exacerbation {Acute exacerbation of chronic obstructive airways disease}, heart failure {Heart failure}, fluid in your lungs {Pleural effusion}, medication {Patient medication education}, fluid {Administration of intravenous fluids}, lungs {Lung structure}, kidney {Kidney structure}, normal {No abnormality detected}, blood pressure {Blood pressure finding}, blood pressure 
-medications {Antihypertensive therapy}, medication {Patient medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-presyncope (feeling faint, acute vision changes, palpitations, 
-tightness in his chest)
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, presyncope {Near syncope}, feeling faint {Feeling faint}, palpitations {Palpitations}, chest {Thoracic structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ F h/o presyncopal episodes the in the last 2 days, 
-associated with dyspnea as well as diaphoresis. Patient also 
-reports increased shortness of breath on exertion.
-
-Two days prior to admission, the patient was standing in the 
-bathroom (no full bladder, not moving bowels) when she 
-experienced narrowing of her visual fields, disequilibium (not 
-vertiginous without nausea) sudden in onset. This was followed 
-by a tightening in the throat, diaphoresis, and heart 
-palpaitations. This resolved over the course of ___ minutes 
-after she sat down. There was no hearing involvement or loss of 
-consciousness. This was witness by her husband, who thought she 
-looked pale.
-
-The day prior to admission, she had a second, similar episode 
-while standing in the kitchen. This resolved in approximately 15 
-minutes. Again, this did not occur after standing from sitting 
-nor was there any obvious vagal trigger. She was not exerting 
-herself at the time. 
-
-Notably, she is not light-headed when she stands. She has had no 
-chest pain whatsoever. She describes one episode of questionable 
-DOE recently but has not had more than very mild limitation of 
-activity or swelling of the ankles. She denies orthopnea. She 
-has no cardiac history. She has no history of anxiety and the 
-episodes have not involved any feeling of impending doom/near 
-death.
-
-In the ED, initial vs were 97.6 60 192/88 16 98% RA.  Received 
-ASA 325, 1L NS, and labs were all unremarkable (CBC, Chem 7, 
-troponin-t, CK). EKG as well as initial troponin were negative 
-for any acute ischemic disease. Remainder of laboratory work was 
-reassuring. Her chest x-ray was normal for any acute 
-cardiopulmonary disease. This imaging did reveal a left humeral 
-enchondroma.
-
-The patient was high risk according to ___ Syncope Criteria, 
-she will be admitted to medicine for further evaluation of 
-possible arrhythmia, left ventricular outflow obstruction, ACS, 
-or other cardiac etiology. Patient denies any chest pain or 
-shortness of breath this time. Hemodynamically stable. Her VS 
-prior to admission were 58 156/64 13 98% RA Pain: 0.
- 
-On arrival to the floor, patient reports feeling at her 
-baseline. She reported the above history and was hemodynamically 
-stable. 
- 
- 
-
-###RESPONSE: dyspnea {Dyspnea}, diaphoresis {Excessive sweating}, shortness of breath on exertion {Dyspnea on exertion}, standing {Orthostatic body position}, bladder {Urinary bladder structure}, moving bowels {Finding of defecation}, narrowing of her visual fields {Generalized visual field constriction}, disequilibium {Unsteady when standing}, nausea {Nausea}, throat {Structure of anterior portion of neck}, diaphoresis {Excessive sweating}, heart {Heart structure}, palpaitations {Palpitations}, loss of 
-consciousness {Loss of consciousness}, standing {Orthostatic body position}, standing {Orthostatic body position}, sitting {Sitting position}, chest pain {Chest pain}, ankles {Ankle region structure}, orthopnea {Orthopnea}, anxiety {Anxiety}, feeling of impending doom/ {Sense of impending doom}, unremarkable {No abnormality detected}, acute ischemic disease {Acute ischemic heart disease}, chest x-ray {Plain chest X-ray}, cardiopulmonary disease {Cor pulmonale}, imaging {Imaging}, enchondroma {Enchondroma}, Syncope {Syncope}, arrhythmia {Cardiac arrhythmia}, ACS {Acute coronary syndrome}, chest pain {Chest pain}, shortness of breath {Dyspnea}, Hemodynamically stable {Hemodynamically stable}, Pain {Pain}, hemodynamically 
-stable {Hemodynamically stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--Hypertension
--Hyperlipidemia
--Varicose veins
--Bilateral cataract removal
--Laparoscopic gastric bypass (___)
--Hiatal hernia s/p repair
--Broke left arm/hand with crush injury? Surgical intervention 
-with external fixation
--Varicose vein stripping (left leg)
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Varicose veins {Venous varices}, Bilateral cataract removal {Extraction of cataract of bilateral eyes}, Laparoscopic gastric bypass {Laparoscopic bypass of stomach}, Hiatal hernia {Hiatal hernia}, repair {Surgical repair}, left arm {Left upper arm structure}, hand {Hand structure}, crush injury {Crushing injury}, Surgical intervention {Surgical procedure}, external fixation {External fixation of bone}, Varicose vein stripping {Varicose vein stripping}, left leg {Structure of left lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Brother has history of ""heart rhythm irregularities"" diagnosed 
-as a teenager because of an episode of syncope
-Mother deceased at age ___ of uterian cancer
-Father deceased at age ___ due to stroke
-
- 
-
-###RESPONSE: heart rhythm irregularities {Irregular heart beat}, syncope {Syncope}, uterian cancer {Malignant neoplasm of uterus}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VS 98.5 139/69 62 20 97% on RA
-GEN Alert, oriented, no acute distress  
-HEENT NCAT MMM EOMI sclera anicteric, OP clear  
-NECK supple, no JVD, no LAD  
-PULM Good aeration, CTAB no wheezes, rales, ronchi  
-CV RRR normal S1/S2, no mrg
-ABD soft, obese abdomen with normoactive bowel sounds, 
-nondistended, nontender with no rubs or gallops, with no obvious 
-hernia
-EXT WWP 2+ pulses palpable bilaterally, trace pretibial edema 
-bilaterally, with many varicose veins scattered across both legs
-NEURO Alert, fluent, linear, prompt, CNs2-12 intact save an 
-exotropia with positive cover/uncover (no diplopia), motor 
-function grossly normal, sensory function intact, no cerebellar 
-abnormalities, reflexes 1+ globally, gait deferred.
-SKIN no ulcers or lesions
-
-DISCHARGE PHYSICAL EXAM:
-afebrile, 100% RA
-Laying flat: 160/64 58
-Sitting: 160/70 57
-Standing: 173/84 ___
-GEN Pt is a very pleasant well nourished woman who is alert, 
-oriented, and in no acute distress. She is fully conversant, 
-speaking full sentences, without becoming short of breath. She 
-easily moves from the chair to the bed without assistence or 
-changes in breathing.
-HEENT NCAT MMM EOMI sclera anicteric, OP clear, permanent 
-eyebrow and eyeliner tattoos
-NECK supple, no JVD, no LAD
-PULM Good aeration, CTAB with scattered wheezes, rales, ronchi
-CV RRR normal S1/S2, no mrg
-ABD soft, obese abdomen with normoactive bowel sounds, 
-nondistended, nontender with no rubs or gallops, with no obvious 
-hernia
-EXT WWP 2+ pulses palpable bilaterally, trace pretibial edema 
-bilaterally, with many varicose veins scattered across both legs
-NEURO CNs2-12 intact, motor function grossly normal
-SKIN no ulcers or lesions 
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, NC {Normal head}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, sclera anicteric {White sclera}, OP clear {Pharynx normal}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, ABD {Examination of abdomen}, soft {Abdomen soft}, obese abdomen {Obese abdomen}, normoactive bowel sounds {Normal bowel sounds}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, hernia {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, varicose veins {Venous varices}, both legs {Both lower legs}, NEURO {Neurological examination}, Alert {Mentally alert}, exotropia {Exotropia}, diplopia {Diplopia}, motor 
-function grossly normal {Normal motor response to command}, reflexes {Normal reflex}, SKIN {Examination of skin}, ulcers {Ulcer}, lesions {Lesion}, RA {Breathing room air}, Sitting {Sitting position}, Standing {Orthostatic body position}, well nourished {Well nourished}, distress {Distress}, moves {Does move from lying to sitting}, sclera anicteric {White sclera}, eyebrow {Eyebrow structure}, tattoos {Tattoo of skin}, wheezes {Wheezing}, rales {Respiratory crackles}, ABD soft {Abdomen soft}, obese abdomen {Obese abdomen}, normoactive bowel sounds {Normal bowel sounds}, hernia {Herniated structure}, 2+ pulses palpable {Peripheral pulses normal}, edema {Edema}, varicose veins {Venous varices}, both legs {Both lower legs}, NEURO {Neurological examination}, motor function grossly normal {Normal motor response to command}, SKIN {Examination of skin}, ulcers {Ulcer}, lesions {Skin lesion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs:
-___ 02:20PM   GLUCOSE-92 UREA N-16 CREAT-0.7 SODIUM-141 
-POTASSIUM-3.6 CHLORIDE-100 TOTAL CO2-30 ANION GAP-15
-___ 02:20PM   estGFR-Using this
-___ 02:20PM   NEUTS-49.8* ___ MONOS-4.5 EOS-4.0 
-BASOS-0.8
-___ 02:20PM   PLT COUNT-314
-___ 07:25AM BLOOD WBC-4.1 RBC-4.82 Hgb-15.0 Hct-44.9 MCV-93 
-MCH-31.1 MCHC-33.5 RDW-13.5 Plt ___
-___ 07:25AM BLOOD Glucose-95 UreaN-14 Creat-0.8 Na-144 
-K-4.1 Cl-101 HCO3-35* AnGap-12
-___ 02:01AM BLOOD CK-MB-3 cTropnT-<0.01
-___ 02:20PM BLOOD cTropnT-<0.01
-___ 02:20PM BLOOD CK(CPK)-181
-
-Imaging:
-Chest PA and Lateral (___)
-IMPRESSION: 
-1.  No acute chest abnormality. 
-2.  Chondroid matrix within the left humeral head likely 
-represents a benign entity such as enchondroma.  If there is 
-pain referable to this region, this could be better evaluated 
-with MRI to exclude a more aggressive chondroid lesion. 
-
-Carotid doppler study:
- 
-Realtime evaluation of the carotid bifurcations shows no 
-significant plaque on 
-either side.  Peak systolic and end diastolic velocities are 
-unremarkable.  
-The ICA/CCA ratio is 1.2 on both sides.  The vertebral arteries 
-demonstrate 
-prograde flow. 
-  
-IMPRESSION:  Normal bilateral carotid Doppler.  No evidence of 
-plaque or 
-hemodynamically significant stenosis. 
-
-  
-Discharge labs:
-___ 07:25AM BLOOD WBC-4.1 RBC-4.82 Hgb-15.0 Hct-44.9 MCV-93 
-MCH-31.1 MCHC-33.5 RDW-13.5 Plt ___
-___ 07:25AM BLOOD Plt ___
-___ 07:25AM BLOOD Glucose-95 UreaN-14 Creat-0.8 Na-144 
-K-4.1 Cl-101 HCO3-35* AnGap-12
-___ 02:01AM BLOOD CK-MB-3 cTropnT-<0.01
-___ 07:25AM BLOOD Calcium-9.6 Phos-4.1 Mg-2.___ h/o HTN, HLD, and obesity s/p gastric bypass (___) who p/w 
-pre-syncope most consistent with vasovagal. 
- 
-ACTIVE ISSUES:
-# Presyncope: Her episodes have some characteristics of 
-vasovagal episodes. She describes prodromal symptoms consistent 
-with those preceeding a neurocardiogenic/vasovagal episode, 
-including diaphoresis, weakness, transient vision loss, and 
-increased heart rate. Episodes occurred while patient was 
-standing, not with exercise or time of situational or emotional 
-stress, again more consistent with a neurocardiogenic etiology. 
-They do not sound like orthostasis by history, nor is she 
-orthostatic on exam. Given the lack of symptoms during exertion, 
-arrhythmia is less likely although her brother does apparently 
-have some form of malignant arrhythmia. Seizure and stroke are 
-not on the differential. She has no reason to be hypoglycemic, 
-although her episodes do sound somewhat reminiscent of transient 
-hypoglycemia. 
-
-The patient was observed overnight during which she was 
-asymptomatic and no events recorded on telemetry. Her serial 
-troponins were negative with no abnormalities seen on EKG. She 
-was discharged with ___ of hearts and will follow up with 
-cardiology as an outpatient.
-
-INACTIVE ISSUES:
-# HTN: continue ASA, HCTZ
-# HLD: continue pravastatin
-# GERD: continue omeprazole
-
-TRANSITIONAL ISSUES:
-# SYNCOPE: Follow up with cardiology with ___ of Hearts monitor
-# ENDOCHRONDROMA: Follow up with PCP given the incidental 
-finding of enchondroma on radiographic imaging. Consider 
-possible MRI as an outpatient
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Chest PA {Plain x-ray of chest posteroanterior view}, chest {Thoracic structure}, left humeral head {Bone structure of left humerus}, enchondroma {Enchondroma}, pain {Pain}, MRI {Magnetic resonance imaging}, lesion {Finding of lesion}, carotid bifurcations {Structure of carotid bifurcation}, plaque {Plaque}, unremarkable {No abnormality detected}, vertebral arteries {Structure of vertebral artery}, plaque {Plaque}, stenosis {Stenosis}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, obesity {Obesity}, gastric bypass {Bypass of stomach}, pre-syncope {Near syncope}, Presyncope {Near syncope}, diaphoresis {Excessive sweating}, weakness {Asthenia}, increased heart rate {Tachycardia}, standing {Orthostatic body position}, emotional 
-stress {Emotional stress}, arrhythmia {Cardiac arrhythmia}, arrhythmia {Cardiac arrhythmia}, Seizure {Seizure}, stroke {Cerebrovascular accident}, hypoglycemia {Hypoglycemia}, asymptomatic {Asymptomatic}, no abnormalities seen {No pathologic diagnosis}, hearts {Cardiovascular physical examination}, follow up with 
-cardiology as an outpatient {Follow-up in outpatient clinic}, SYNCOPE {Syncope}, Follow up with cardiology {Follow-up cardiac assessment}, enchondroma {Enchondroma}, imaging {Imaging}, MRI {Magnetic resonance imaging}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Preadmission medications listed are correct and complete.  
-Information was obtained from Patient.
-1. Pravastatin 20 mg PO DAILY 
-2. Omeprazole 20 mg PO DAILY 
-3. Aspirin 81 mg PO DAILY 
-4. Hydrochlorothiazide 25 mg PO DAILY 
-hold for sbp < 100 
-
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. Hydrochlorothiazide 25 mg PO DAILY 
-hold for sbp < 100 
-3. Omeprazole 20 mg PO DAILY 
-4. Pravastatin 20 mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis: pre-syncope
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: pre-syncope {Near syncope}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear ___, 
-
-___ was a pleasure taking care of you.  You were admitted to the 
-___ for ___ 
-(dizziness, feeling as if will pass out) symptoms prior to your 
-presentation. 
-
-Our diagnostic work-up did not reveal any abnormality.  You 
-should follow-up with your primary care physician, and we have 
-also organized to have you follow-up with a cardiologist. 
- 
-
-###RESPONSE: dizziness {Dizziness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim / Codeine
- 
-Attending: ___.
- 
-Chief Complaint:
-R knee hematoma/pain/swelling
- 
-Major Surgical or Invasive Procedure:
-R knee/thigh I&D/arthrotomy
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Codeine {Allergy to codeine}, R knee hematoma {Hematoma of right knee region}, pain {Pain of knee region}, swelling {Swollen knee}, R knee {Structure of right knee region}, thigh {Thigh structure}, arthrotomy {Arthrotomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ year old gentleman with HIV (last CD4 210, VL
-150,000 per patient), followed at ___, restarted on HAART 3
-weeks ago, who initially presented with right thigh and knee 
-pain
-and swelling as well as fevers and is now found to have septic
-arthritis of the right knee.
-
-His current series of events began ___ weeks ago when he
-was struck twice on the right thigh by a dishcart (he works in a
-restaurant). He developed immediate pain afterwards which he
-treated by icing it and with ibuprofen. He was seen in the ED 
-and
-placed in an air cast which he wore for the next 3.5 weeks. The
-injury did not break the skin as far as he is aware.
-
-He subsequently developed a large bruise which became
-increasingly swollen and painful. He was then seen about 10 days
-ago by his PCP and told to stop wearing the air cast. By the 
-next
-morning the leg had become significantly more swollen. He
-developed fevers to 102.8 at home which he felt were likely due
-to the pain and thus did not seek further evaluation at that
-time. The fevers broke when he iced his knee. His pain continued
-to get worse however and he continued to have fevers. He reports
-not being able to bend his knee since the initial injury. 
-
-He finally presented to the ED on ___. Imaging in the ED was
-suboptimal due to patient pain but showed a massive soft tissue
-density in the anterior thigh with a broad differential 
-including
-hematoma. His knee was aspirated and irrigated with fluid 
-showing
-WBC of 192,500 with 92% PMNs and 111 RBCs. Labs showed WBC count
-10.0, ESR 128, and CRP of 217.9.
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, restarted {Restart of medication}, right thigh {Thigh pain}, knee 
-pain {Pain of knee region}, swelling {Swelling}, fevers {Fever}, septic
-arthritis {Bacterial arthritis}, right knee {Structure of right knee region}, right thigh {Structure of right thigh}, pain {Pain}, placed in an air cast {Application of cast}, injury {Traumatic injury}, bruise {Contusion}, swollen {Swelling}, painful {Pain}, leg had become significantly more swollen {Swelling of lower limb}, fevers {Fever}, pain {Pain}, evaluation {Evaluation procedure}, fevers {Fever}, iced {Application of ice}, knee {Knee region structure}, pain {Pain}, fevers {Fever}, able to bend his knee {Normal active range of knee flexion}, injury {Traumatic injury}, Imaging {Imaging}, pain {Pain}, soft tissue {Structure of soft tissue}, density {Abnormally opaque structure}, anterior thigh {Femoral region structure}, hematoma {Hematoma}, knee {Knee region structure}, WBC {White blood cell count}, WBC count {White blood cell count}, ESR {Erythrocyte sedimentation rate measurement}, CRP {C-reactive protein measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HIV, diagnosed ___, restarted on HAART ___
-GERD
-seizure
-s/p ORIF L elbow 
-Transaminits with biopsy suggesting fatty liver
-Shingle and chicken pox
-PTSD
-Anxiety
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, restarted {Restart of medication}, GERD {Gastroesophageal reflux disease}, seizure {Seizure}, ORIF {Open reduction of fracture with internal fixation}, L elbow {Left elbow region structure}, Transaminits {Aspartate transaminase level above reference range}, biopsy {Biopsy}, fatty liver {Steatosis of liver}, Shingle {Herpes zoster}, chicken pox {Varicella}, PTSD {Posttraumatic stress disorder}, Anxiety {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-His mother is deceased at age ___ from lung cancer.  She was also 
-a heavy drinker.  His father is deceased at age ___ from suicide. 
- He has no brothers and no sisters.
-
- 
-
-###RESPONSE: deceased {Dead}, lung cancer {Malignant tumor of lung}, heavy drinker {Heavy drinker}, deceased {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: Tm 101.0 Tc 98.1 128/72 64 20 100/3L\
-General: NAD  
-EENT: EOM grossly intact, sclerae anicteric, moist mucous
-membranes
-CV: RRR, II/VI SEM (which he has previously been told he has), 
-no
-rubs or gallops  
-Pulmonary: clear to auscultation bilaterally w/o wheezes /
-rhonchi / rales  
-Extremities: right thigh and knee extensively wrapped with drain
-collecting serosanguinous fluid, appear warm and well perfused, 
-SKIN: no rashes, no jaundice  
-NEURO: awake, alert and oriented x3, CN grossly intact, 
-sensation
-intact in lower extremities bilaterally
-PSYCH: irritable, non-anxious, oherwise normal affect
-
- 
-
-###RESPONSE: VS {Vital signs finding}, General {General examination of patient}, NAD {No abnormality detected}, NT {Abdominal tenderness}, grossly intact {Normal nervous system function}, sclerae anicteric {White sclera}, moist mucous
-membranes {Moist oral mucosa}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, SEM {Ejection murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Pulm {Examination of respiratory system}, clear to auscultation bilaterally {Normal breath sounds}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, Extremities {Examination of limb}, right thigh {Structure of right thigh}, knee {Knee region structure}, collecting serosanguinous fluid {Serosanguineous discharge from wound}, warm {Warm skin}, well perfused {Normal tissue perfusion}, SKIN {Examination of skin}, rashes {Eruption of skin}, jaundice {Jaundice}, NEURO {Neurological examination}, awake {Awake}, alert {Mentally alert}, oriented {Orientated}, grossly intact {Normal nervous system function}, sensation
-intact {Normal sensation}, lower extremities {Lower limb structure}, irritable {Feeling irritable}, anxious {Anxiety}, affect {Mood finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 04:20PM BLOOD WBC-10.0# RBC-3.44*# Hgb-10.4*# 
-Hct-28.7*# MCV-84 MCH-30.2 MCHC-36.2* RDW-13.9 Plt ___
-___ 05:15AM BLOOD WBC-6.9 RBC-3.32* Hgb-9.9* Hct-28.3* 
-MCV-85 MCH-29.9 MCHC-35.1* RDW-14.7 Plt ___
-___ 04:20PM BLOOD Neuts-87.5* Bands-0 Lymphs-6.4* Monos-3.4 
-Eos-2.3 Baso-0.4
-___ 04:20PM BLOOD ESR-128*
-___ 06:35AM BLOOD Glucose-98 UreaN-10 Creat-0.7 Na-134 
-K-3.9 Cl-101 HCO3-24 AnGap-13
-___ 06:20AM BLOOD ALT-61* AST-71* LD(LDH)-156 AlkPhos-72 
-TotBili-1.6*
-___ 04:20PM BLOOD CRP-217.9*
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr ___ was admitted to the orthopaedics service from the 
-ED on ___.  On ___ he went to the OR for the above 
-listed procedure.  Please read the operative note for more 
-detail.  After being extubated, he was taken to the PACU where 
-he did well and was then taken to the floor.  His pain was well 
-controlled while on the floor and the tolerated a regular diet.  
-After verifying a set of blood cultures negative for at least 48 
-hours, he had a PICC line placed for home IV antibiotics.  After 
-receiving teaching on how to care for the picc he was discharged 
-to home with ___ and home ___.  
- 
-
-###RESPONSE: procedure {Procedure}, extubated {Removal of endotracheal tube}, pain was well 
-controlled {Demonstrates adequate pain control}, regular diet {Normal diet}, blood cultures {Blood culture}, negative {No abnormality detected}, PICC line placed {Insertion of peripherally inserted central catheter}, IV antibiotics {Intravenous antibiotic therapy}, teaching {Patient education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Truvada (tenofovir and emtricitabine)
-Norvir (Ritonavir) 100mg daily
-Atazanavir 300 mg daily
-Sertraline 50mg daily
-Buproprion 200mg SR daily
-Alprazolam 1mg PRN insomnia
-
- 
-Discharge Medications:
-1. Wheelchair
-with elevating leg rests.
-Disp # 1
-Diagnosis: Right Knee infection
-2. nafcillin in D2.4W 2 gram/100 mL Piggyback Sig: Two (2) grams 
-Intravenous Q4H (every 4 hours) for 4 weeks: ID to manage total 
-length of treatment.
-Disp:*qs * Refills:*0*
-3. enoxaparin 40 mg/0.4 mL Syringe Sig: One (1) syringe 
-Subcutaneous Q8PM () for 3 weeks.
-Disp:*21 syringe* Refills:*0*
-4. bupropion HCl 100 mg Tablet Extended Release Sig: Two (2) 
-Tablet Extended Release PO QAM (once a day (in the morning)).  
-5. hydrocortisone 2.5 % Cream Sig: One (1) Appl Rectal PRN (as 
-needed) as needed for irritation.  
-6. ritonavir 100 mg Capsule Sig: One (1) Capsule PO DAILY 
-(Daily).  
-7. sertraline 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-8. emtricitabine-tenofovir 200-300 mg Tablet Sig: One (1) Tablet 
-PO DAILY (Daily).  
-9. atazanavir 150 mg Capsule Sig: Two (2) Capsule PO DAILY 
-(Daily).  
-10. heparin, porcine (PF) 10 unit/mL Syringe Sig: Ten (10) ML 
-Intravenous PRN (as needed) as needed for line flush.  
-11. oxycodone 5 mg Tablet Sig: ___ Tablets PO Q4H (every 4 
-hours) as needed for Pain.
-Disp:*40 Tablet(s)* Refills:*0*
-12. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).  
-13. alum-mag hydroxide-simeth 200-200-20 mg/5 mL Suspension Sig: 
-___ MLs PO Q6H (every 6 hours) as needed for Dyspepsia.  
-14. bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) 
-Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for 
-Constipation.  
-15. magnesium hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) 
-ML PO BID (2 times a day) as needed for Constipation.  
-16. ZOFRAN ODT 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO every eight (8) hours as needed for nausea.
-Disp:*40 Tablet, Rapid Dissolve(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
-R knee septic arthritis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, R knee septic arthritis {Infective arthritis of right knee}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Wound Care: 
-
--Keep Incision dry. 
-
--Do not soak the incision in a bath or pool.  
-
--Keep pin sites clean and dry.
-
--Sutures/staples will be removed at your first post-operative 
-visit.
-
- 
-
-Activity: 
-
--Continue to be weight bearing on your right leg.  
-
--You should not lift anything greater than 5 pounds. 
-
--Elevate Right leg to reduce swelling and pain.
-
--Do not remove splint/brace.  Keep splint/brace dry.
-
- 
-
-Other Instructions
-
-- Resume your regular diet. 
-
-- Avoid nicotine products to optimize healing. 
-
-- Resume your home medications. Take all medications as 
-instructed. 
-
-- Continue taking the Lovenox to prevent blood clots.
-
--You have also been given Additional Medications to control your 
-pain.  Please allow 72 hours for refill of narcotic 
-prescriptions, so plan ahead.  You can either have them mailed 
-to your home or pick them up at the clinic located on ___. 
- We are not allowed to call in narcotic (oxycontin, oxycodone, 
-percocet) prescriptions to the pharmacy.   In addition, we are 
-only allowed to write for pain medications for 90 days from the 
-date of surgery.
-
-- Narcotic pain medication may cause drowsiness.  Do not drink 
-alcohol while taking narcotic medications.  Do not operate any 
-motor vehicle or machinery while taking narcotic pain 
-medications.  Taking more than recommended may cause serious 
-breathing problems.
-
-If you have questions, concerns or experience any of the below 
-danger signs then please call your doctor at ___ or go 
-to your local emergency room.
-
-Physical Therapy:
-Activity:   Activity:  Activity as tolerated
- Right lower extremity:  Full weight bearing, CPM 
-Encourage turn, cough and deep breathe q2h when awake
-
-Treatments Frequency:
-Site: Right knee
-Description: surgical site with staples intact, minimal serosang 
-drainage. Dsd/kerlix c/d/i
-Care: dsg changes gauze to dry daily
-
- 
-
-###RESPONSE: Sutures {Removal of suture}, staples will be removed {Removal of staples}, weight bearing {Weight-bearing}, right leg {Structure of right lower limb}, should not lift {Recommendation to avoid activity}, Right leg {Structure of right lower limb}, swelling {Swelling}, pain {Pain}, splint {Application of splint}, splint {Application of splint}, regular diet {Normal diet}, control your 
-pain {Pain control}, narcotic {Narcotherapy}, prescriptions {Prescription}, narcotic {Narcotherapy}, pain medications {Administration of analgesic}, Narcotic {Narcotherapy}, pain medication {Administration of analgesic}, drowsiness {Drowsy}, Do not drink 
-alcohol {Education about alcohol consumption}, narcotic medications {Narcotherapy}, while taking narcotic pain 
-medications {Narcotics education}, Full weight bearing {Full weight-bearing gait training}, cough and deep breathe {Deep breathing and coughing exercises}, Right knee {Structure of right knee region}, surgical site {Operative site}, serosang 
-drainage {Serosanguineous discharge from wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-pcn
- 
-Attending: ___.
- 
-Chief Complaint:
-Diarrhea, nausea, chest discomfort
- 
-Major Surgical or Invasive Procedure:
-___ Placement
- 
-
-###RESPONSE: pcn {Allergy to penicillin}, Diarrhea {Diarrhea}, nausea {Nausea}, chest discomfort {Chest discomfort}, Placement {Implantation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ female with stage IV endometrial cancer on 
-anastrazole, DM2, CAD, CKD, chronic respiratory failure with 
-hypoxemia on home oxygen, and morbid obesity presents from her 
-PCP's office with gastrointestinal illness and chest discomfort. 
-
-
-She was in her usual state of health until ___, when she 
-experienced the onset of fever, headache, diarrhea, heaving 
-(mostly dry), and malaise. She noted some chest discomfort 
-accompanying the dry heaves that felt ""like someone punching 
-her"" in the chest (not like the pressure she felt with her prior 
-MI). Her PCP was concerned about EKG changes, and sent her to 
-the hospital.
-
-She has a history of cardiac disease, including an MI in ___. 
-At that time, she was cathed and found to have significant 
-disease but due to intolerance of the procedure no intervention 
-was carried out. She has been medically managed in the interim.
-
-In the ED, initial vitals were T 99.4 HR 72 BP 102/45 RR 18 SpO2 
-98%2L. CT head w/o contrast was unremarkable.  CXR showed mild 
-cardiomegaly with central vascular congestion. Labs were 
-remarkable for K of 3.0 for which she was given 40meq potassium. 
-Vitals prior to transfer were T 100.4 HR 66 BP 129/69 RR 18 
-SpO296%2L. 
-
-On the floor, vitals are stable and she feels better. She denies 
-heaves, chest pain, difficulty breathing, nausea, or abdominal 
-pain. She does endorse ongoing diarrhea.
-
- 
-
-###RESPONSE: stage IV {Clinical stage IV}, endometrial cancer {Endometrial carcinoma}, DM2 {Diabetes mellitus type 2}, CAD {Coronary arteriosclerosis}, CKD {Chronic kidney disease}, chronic respiratory failure {Chronic respiratory failure}, hypoxemia {Hypoxemia}, morbid obesity {Morbid obesity}, gastrointestinal illness {Disorder of gastrointestinal tract}, chest discomfort {Chest discomfort}, fever {Fever}, headache {Headache}, diarrhea {Diarrhea}, heaving {Retching}, malaise {Malaise}, chest discomfort {Chest discomfort}, dry heaves {Retching}, chest {Thoracic structure}, pressure {Tight chest}, MI {Myocardial infarction}, EKG changes {Electrocardiogram abnormal}, cardiac disease {Heart disease}, MI {Myocardial infarction}, cathed {Cardiac catheterization}, disease {Disease}, procedure {Procedure}, vitals {Vital signs finding}, SpO2 {Finding of oxygen saturation}, CT head w/o contrast {Computed tomography of head without contrast}, unremarkable {No abnormality detected}, CXR {Plain chest X-ray}, cardiomegaly {Cardiomegaly}, vascular {Blood vessel structure}, congestion {Congestion}, Labs {Laboratory test}, potassium {Potassium measurement}, Vitals {Vital signs finding}, vitals are stable {Normal vital signs}, feels better {Patient's condition improved}, heaves {Retching}, chest pain {Chest pain}, difficulty breathing {Difficulty breathing}, nausea {Nausea}, abdominal 
-pain {Abdominal pain}, diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Endometrial cancer: Diagnosed ___, Stage IV, s/p hysterectomy 
-and radiation, on anastrazole
-DM2: Latest HbA1C 4.5 (___)
-CAD: ___ ___, underwent cardiac catheterization 
-without intervention
-Chronic respiratory failure: 2L home oxygen
-CKD stage 3
-HTN
-hypothyroidism
-thrombocytopenia
-anemia
-depression
- 
-
-###RESPONSE: Endometrial cancer {Endometrial carcinoma}, Stage IV {Clinical stage IV}, hysterectomy {Hysterectomy}, radiation {Radiation oncology AND/OR radiotherapy}, DM2 {Diabetes mellitus type 2}, HbA1C {Hemoglobin A1c measurement}, CAD {Coronary arteriosclerosis}, cardiac catheterization {Cardiac catheterization}, Chronic respiratory failure {Chronic respiratory failure}, CKD stage 3 {Chronic kidney disease stage 3}, HTN {Hypertensive disorder, systemic arterial}, hypothyroidism {Hypothyroidism}, thrombocytopenia {Thrombocytopenic disorder}, anemia {Anemia}, depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died at ___ after ___ MIs
-Mother died at ___, had CHF
-Sister died of breast cancer
- 
-
-###RESPONSE: died {Dead}, MIs {Myocardial infarction}, died {Dead}, CHF {Congestive heart failure}, died {Dead}, breast cancer {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission:
-VS: T 98.4 BP 105/52 HR 64 RR 20 SpO2 98%2L
-General: Obese woman sleeping in hospital bed, easily arousable. 
-
-HEENT: NCAT, MMM, no teeth
-Neck: Supple, no LAD, no JVD
-CV: Distant heart sounds. Regular rate and rhythm, no M/R/G 
-appreciated.
-Lungs: Clear to auscultation bilaterally.
-Abdomen: Obese, soft, non-distended, non-tender. Bowel sounds 
-present.
-GU: Deferred
-Ext: Warm, 2+ distal pulses bilaterally, darkened skin around 
-ankles (?stasis dermatitis), no edema 
-Neuro: Alert, oriented, moving all extremities
-
-Discharge:
-VS: T 97.8 BP 104/52 HR (not recorded) RR 18 SpO2 94%RA
-General: Obese woman in hospital bed, no distress.  
-HEENT: NCAT, mucous membranes moist  
-Neck: Supple, no LAD  
-CV: Regular rate and rhythm, distant heart sounds, no 
-appreciable murmurs/rubs/gallops  
-Lungs: Poor aeration throughout, otherwise clear to auscultation
-Abdomen: Obese, soft, non-distended. Bowel sounds present.  
-Ext: Warm, 2+ distal pulses bilaterally, darkened skin around 
-ankles (?stasis dermatitis), 2+ pitting edema
-Neuro: Alert, oriented, moving all extremities  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, General {General examination of patient}, Obese {Obese}, sleeping in hospital bed {Inpatient stay}, HEENT {Physical examination procedure}, NC {Normal head}, MMM {Moist oral mucosa}, no teeth {Edentulous}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, Distant heart sounds {Heart sounds diminished}, Regular rate and rhythm {Normal heart rate}, no M/R/G {Heart sounds normal}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, Abdomen {Examination of abdomen}, Obese {Obese abdomen}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, Bowel sounds 
-present {Normal bowel sounds}, GU {Examination of genitourinary system}, Ext {Examination of limb}, Warm {Warm skin}, 2+ distal pulses {Peripheral pulses normal}, darkened {Dark color}, skin around 
-ankles {Skin structure of ankle}, stasis dermatitis {Stasis dermatitis}, edema {Edema}, Neuro {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, all extremities {All extremities}, VS {Vital signs finding}, SpO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Obese {Obese}, distress {Distress}, HEENT {Physical examination procedure}, NCAT {Normal head}, mucous membranes moist {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, distant heart sounds {Heart sounds diminished}, murmurs {Heart murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, clear to auscultation {Normal breath sounds}, Abdomen {Examination of abdomen}, Obese {Obese abdomen}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, Bowel sounds present {Normal bowel sounds}, Ext {Examination of limb}, Warm {Warm skin}, 2+ distal pulses {Peripheral pulses normal}, darkened {Dark color}, skin around 
-ankles {Skin structure of ankle}, stasis dermatitis {Stasis dermatitis}, 2+ pitting edema {2+ pitting edema}, Neuro {Neurological examination}, Alert {Mentally alert}, oriented {Oriented to person}, moving all extremities {Does move all four limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 01:50PM BLOOD WBC-6.8 RBC-3.51* Hgb-9.5* Hct-29.2* 
-MCV-83 MCH-27.1 MCHC-32.5 RDW-15.7* Plt Ct-62*
-___ 08:25AM BLOOD WBC-5.2 RBC-3.67* Hgb-10.0* Hct-30.8* 
-MCV-84 MCH-27.2 MCHC-32.5 RDW-15.8* Plt Ct-59*
-___ 07:15AM BLOOD WBC-3.7* RBC-3.13* Hgb-8.4* Hct-26.3* 
-MCV-84 MCH-26.9* MCHC-32.1 RDW-15.2 Plt Ct-46*
-___ 01:30PM BLOOD WBC-3.4* RBC-3.12* Hgb-8.4* Hct-26.4* 
-MCV-85 MCH-27.0 MCHC-31.9 RDW-15.3 Plt Ct-51*
-___ 05:40AM BLOOD WBC-3.0* RBC-3.23* Hgb-8.9* Hct-27.3* 
-MCV-84 MCH-27.6 MCHC-32.7 RDW-15.4 Plt Ct-53*
-___ 05:36AM BLOOD WBC-1.9* RBC-3.08* Hgb-8.2* Hct-25.6* 
-MCV-83 MCH-26.6* MCHC-31.9 RDW-15.2 Plt Ct-54*
-___ 07:15AM BLOOD WBC-1.5* RBC-2.89* Hgb-7.7* Hct-24.0* 
-MCV-83 MCH-26.6* MCHC-32.0 RDW-15.2 Plt Ct-71*
-___ 03:40PM BLOOD WBC-2.2* RBC-3.07* Hgb-8.2* Hct-26.0* 
-MCV-85 MCH-26.8* MCHC-31.6 RDW-15.3 Plt Ct-88*
-___ 07:00AM BLOOD WBC-1.5* RBC-2.79* Hgb-7.6* Hct-23.6* 
-MCV-85 MCH-27.4 MCHC-32.4 RDW-15.2 Plt Ct-81*
-___ 01:20PM BLOOD WBC-1.9* RBC-3.24* Hgb-8.6* Hct-27.4* 
-MCV-85 MCH-26.6* MCHC-31.5 RDW-15.1 Plt Ct-93*
-___ 06:35AM BLOOD WBC-1.9* RBC-2.88* Hgb-7.9* Hct-24.2* 
-MCV-84 MCH-27.5 MCHC-32.6 RDW-15.2 Plt Ct-90*
-
-___ 01:50PM BLOOD Neuts-87.6* Lymphs-6.4* Monos-5.7 Eos-0.1 
-Baso-0.1
-___ 05:36AM BLOOD Neuts-73.4* Lymphs-17.0* Monos-7.0 
-Eos-2.3 Baso-0.3
-___ 07:15AM BLOOD Neuts-65 Bands-0 ___ Monos-5 Eos-5* 
-Baso-0 ___ Myelos-0
-___ 06:35AM BLOOD Neuts-61.4 ___ Monos-12.3* 
-Eos-1.5 Baso-0.9
-
-___ 01:50PM BLOOD Glucose-165* UreaN-19 Creat-1.0 Na-140 
-K-3.0* Cl-98 HCO3-33* AnGap-12
-___ 05:40AM BLOOD Glucose-103* UreaN-23* Creat-1.1 Na-135 
-K-3.8 Cl-101 HCO3-30 AnGap-8
-___ 06:35AM BLOOD Glucose-101* UreaN-16 Creat-0.7 Na-139 
-K-4.1 Cl-103 HCO3-31 AnGap-9
-
-___ 01:50PM BLOOD CK(CPK)-26*
-___ 08:35PM BLOOD ALT-23 AST-28 CK(CPK)-20* AlkPhos-158* 
-TotBili-1.8*
-___ 05:36AM BLOOD CK(CPK)-11*
-___ 07:00AM BLOOD ALT-24 AST-35 LD(LDH)-165 AlkPhos-288* 
-TotBili-0.3
-___ 06:35AM BLOOD ALT-31 AST-48* AlkPhos-297* TotBili-0.3
-
-___ 01:50PM BLOOD CK-MB-1 cTropnT-0.21*
-___ 08:35PM BLOOD CK-MB-1 cTropnT-0.17*
-___ 03:15AM BLOOD CK-MB-1 cTropnT-0.16*
-___ 08:25AM BLOOD CK-MB-1 cTropnT-0.19*
-___ 07:15AM BLOOD CK-MB-1 cTropnT-0.14*
-
-___ 01:50PM BLOOD Calcium-8.0* Phos-1.2* Mg-1.3*
-___ 05:40AM BLOOD Calcium-8.0* Phos-2.6* Mg-2.0
-___ 06:35AM BLOOD Calcium-8.2* Phos-2.5* Mg-1.6
-
-Imaging
-___ CHEST (PA & LAT): IMPRESSION:  Mild cardiomegaly with 
-central vascular congestion, but without frank edema.
-
-___ CT HEAD W/O CONTRAST: IMPRESSION:  No acute 
-intracranial process.  Small hypodensity in the left centrum 
-semiovale may relate to small vessel ischemic change, however, 
-given assymetric with the right side, nonurgent brain MRI would 
-further evaluate.
-
-___  Cardiovascular ECHO: Poor echo windows. The left 
-atrium is mildly dilated. There is mild symmetric left 
-ventricular hypertrophy with normal cavity size and global 
-systolic function (LVEF>55%). Due to suboptimal technical 
-quality, a focal wall motion abnormality cannot be fully 
-excluded. There is no ventricular septal defect. Right 
-ventricular chamber size and free wall motion are normal. The 
-aortic root is mildly dilated at the sinus level. The aortic 
-valve leaflets (3) are mildly thickened but aortic stenosis is 
-not present. Mild (1+) aortic regurgitation is seen. The mitral 
-valve appears structurally normal with trivial mitral 
-regurgitation. The pulmonary artery systolic pressure could not 
-be determined. There is no pericardial effusion. 
-
-___ RENAL U.S.: IMPRESSION: 1.  No definite ultrasound 
-findings to suggest pyelonephritis, although this diagnosis 
-cannot be excluded sonographically.  2.1 cm hypoechoic lesion in 
-the
-right upper renal pole, poorly visualized and indeterminate; 
-this could represent a cyst but in the current clinical setting, 
-focal infection or abscess cannot be excluded.  Per the 
-patient's report, there has been a recent abdominal CT performed 
-at ___ comparison to this study is recommended.  Of 
-note, if this study is uploaded into PACS, an addendum could be 
-issued at that time.  If this study cannot be obtained, further 
-evaluation could be performed with CT. 3.  Right lower pole 15 
-mm cyst or calyceal diverticulum.  4.  Possible duplex right 
-kidney.  
-
-___ CT ABD & PELVIS WITH CO: IMPRESSION: 1.  Large 
-rim-enhancing fluid collection along the lower abdominal 
-incision site, likely a seroma, is stable to slightly smaller 
-since ___. 
-Recommended clinical correlation to assess for possible 
-superinfection. 2.  No intra-abdominal pathology identified to 
-explain the patient's symptoms. 3.  Unexplained massive 
-splenomegaly.
-4.  Cholelithiasis.
-
-___ CHEST PORT. LINE PLACEM: IMPRESSION: 1.  Right PICC at 
-the cavoatrial junction. 2.  Stable cardiomegaly.
-
-MICROBIOLOGY
-___ 3:15 am BLOOD CULTURE      RIGHT ARM. 
-
-                            **FINAL REPORT ___
-
-   Blood Culture, Routine (Final ___: 
-      ESCHERICHIA COLI.    FINAL SENSITIVITIES. 
-         Cefazolin interpretative criteria are based on a dosage 
-regimen of
-         2g every 8h. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |   
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--    16 I
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------<=0.25 S
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----   <=1 S
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CK(CPK {Creatine kinase measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CK(CPK {Creatine kinase measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, CHEST (PA {Plain x-ray of chest posteroanterior view}, cardiomegaly {Cardiomegaly}, vascular {Blood vessel structure}, congestion {Congestion}, edema {Edema}, AST {Aspartate aminotransferase measurement}, No acute {No abnormality detected}, intracranial {Intracranial structure}, centrum 
-semiovale {Structure of centrum semiovale}, small vessel {Structure of small blood vessel (organ)}, ischemic change {Ischemia}, right side {Structure of right half of head}, brain MRI {Magnetic resonance imaging of brain}, evaluate {Evaluation procedure}, Cardiovascular ECHO {Echocardiography}, echo {Echocardiography}, left 
-atrium {Left atrial structure}, dilated {Dilatation}, mild symmetric left 
-ventricular hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, systolic function {Normal left ventricular systolic function and wall motion}, focal wall motion abnormality {Left ventricular wall motion abnormality}, ventricular septal defect {Ventricular septal defect}, Right 
-ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aortic root is mildly dilated {Aortic root dilatation}, sinus {Structure of sinus of Valsalva}, aortic 
-valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Mild (1+) aortic regurgitation {Mild mitral valve regurgitation}, mitral 
-valve {Mitral valve structure}, trivial mitral 
-regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic pressure {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, RENAL U.S {Echography of kidney}, ultrasound 
-findings {Ultrasound scan finding}, pyelonephritis {Pyelonephritis}, lesion {Lesion}, right upper renal pole {Structure of upper pole of right kidney}, cyst {Cyst of kidney}, infection {Infectious disease}, abscess {Abscess}, evaluation {Evaluation procedure}, Right lower pole {Structure of lower pole of right kidney}, cyst {Cyst}, calyceal diverticulum {Diverticulum of renal calyx}, duplex {Double kidney}, right 
-kidney {Right kidney structure}, fluid collection {Accumulation of fluid}, lower abdominal {Lower abdomen structure}, seroma {Seroma}, stable {Patient's condition stable}, infection {Infectious disease}, intra-abdominal {Structure of intraabdominal region}, pathology {Abnormal histology findings}, mass {Mass}, splenomegaly {Splenomegaly}, Cholelithiasis {Calculus in biliary tract}, CHEST {Thoracic structure}, Right {Structure of right half of chest wall}, PICC {Peripherally inserted central venous catheter in situ}, Stable {Symptom not changed}, cardiomegaly {Cardiomegaly}, MICROBIOLOGY {Microbiology}, CULTURE {Blood culture}, RIGHT ARM {Right upper arm structure}, Blood Culture {Blood culture}, regimen {Therapeutic regimen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ female with stage IV endometrial cancer on 
-anastrazole, DM2, CAD, CKD, chronic respiratory failure with 
-hypoxemia on home oxygen, and morbid obesity presents from her 
-PCP's office with chest discomfort and possible EKG changes in 
-the context of a gastrointestinal illness.
-.
-# Nausea/vomiting/diarrhea  
-Patient presented following three days of diarrhea, nausea, and 
-dry heaving. This was more severe than her chronic diarrhea from 
-radiation, and was likely the result of a viral or bacterial 
-gastroenteritis. Stool studies and C. diff testing were 
-negative, and according to the patient's oncologist, Arimidex 
-was not likely causative. Ondansetron was originally given for 
-nausea but this was changed to compazine given concern about QTc 
-prolongation. The nausea and vomiting resolved over the course 
-of the hospital stay, and the diarrhea improved significantly.
-. 
-# Chest pain  
-Patient presented with chest discomfort that occurred in the 
-context of dry heaving. Her PCP was concerned about EKG changes 
-(septal Q waves and T wave inversions), especially concerning 
-given the patient's significant history of CAD, including an MI 
-that led to a cardiac catheterization in ___ (occlusion of the 
-cardiac vessels was found at that time but patient did not 
-tolerate the procedure and no intervention was done). However, 
-following admission the patient noted that the discomfort was 
-different from the pressure she had felt during her prior MI, 
-and repeat EKG was similar to prior baseline (___). Troponins 
-were elevated to 0.21 but downtrended. The overall presentation 
-was not considered highly concerning for acute coronary 
-syndrome, so anticoagulation was avoided given baseline 
-thrombocytopenia. Cardiology (Atrius) was consulted and agreed 
-that this was likely demand ischemia in the context of 
-hypovolemia rather than ACS.
-.  
-# Fever/GNR bacteremia (E.Coli)
-Febrile to 100.4 at ED, and had several further low-grade fevers 
-on the floor. UA was positive for nitrites, and given diarrhea, 
-GI was considered another possible source of infection. She was 
-started on Bactrim on ___, but this was changed to meropenem on 
-___ when blood cultures grew gram negative rods. This was 
-continued despite final culture results showing pan-sensitive E. 
-coli due to concern about cross-reactivity of cephalosporins 
-with a penicillin allergy and fluoroquinolones in the context of 
-prolonged QTc. ID consulted and determined that it was likely 
-safe for her to try ceftriaxone, which she did on ___, and she 
-was discharged on this after PICC placement.  Surveillance blood 
-cultures were negative.  Renal U/S and CT scan of abd/pelvis 
-were obtained, which did not show evidence of abscess.  She did 
-have a fluid collection in the abdomen, but this is known from 
-prior imaging approximately 1 month ago, and has improved in 
-size.  The collection is most likely a seroma.  
-.
-#Pancytopenia  
-Downtrending WBCs (to 1.5), hematocrit, and platelets; she was 
-placed on neutropenic precautions. Possibly secondary to 
-infection, antibiotics (Bactrim or meropenem), or other 
-medication effect. OSH records showed baseline WBCs over past 
-few months in 3s following radiation treatment. Although the 
-levels did not return to baseline, they stabilized prior to 
-discharge, and she will follow up with her outpatient providers.
- .
-# Elevated bicarb  
-Bicarb elevated to 33 on admission, likely representing a 
-metabolic alkalosis due to GI losses from diarrhea. Metabolic 
-compensation for a chronic respiratory acidosis may also have 
-contributed.  Trended down shortly after admission.
-.
-# Diabetes  
-Patient's home NPH was continued, and she was placed on an 
-insulin sliding scale.
-.
-# Endometrial cancer  
-Completed radiation therapy; not a candidate for chemo. Arimidex 
-was continued.
-.
-TRANSITIONAL ISSUES
-1.  complete course of IV antibiotics for E. coli bacteremia
-2.  repeat CBC in 2 days to monitor leukopenia, anemia, 
-thrombocytopenia
-3.  repeat LFT's at PCP ___
-4.  non-emergent MRI head to evaluate small hypodensity seen on 
-CT head from ___ (see below for report)
-5.  consider serial imaging of abdomen to monitor lesions in 
-right kidney and fluid collection in abdomen. 
-.
- 
-
-###RESPONSE: stage IV {Clinical stage IV}, endometrial cancer {Endometrial carcinoma}, DM2 {Diabetes mellitus type 2}, CAD {Coronary arteriosclerosis}, CKD {Chronic kidney disease}, chronic respiratory failure {Chronic respiratory failure}, hypoxemia {Hypoxemia}, morbid obesity {Morbid obesity}, chest discomfort {Chest discomfort}, EKG changes {Electrocardiogram abnormal}, gastrointestinal illness {Disorder of gastrointestinal tract}, Nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, diarrhea {Diarrhea}, nausea {Nausea}, dry heaving {Retching}, severe {Symptom severe}, chronic diarrhea {Chronic diarrhea}, radiation {Radiation oncology AND/OR radiotherapy}, viral {Viral gastroenteritis}, bacterial 
-gastroenteritis {Bacterial gastroenteritis}, Stool studies {Stool microscopy}, nausea {Nausea}, changed {Change of medication}, QTc 
-prolongation {Prolonged QT interval}, nausea and vomiting {Nausea and vomiting}, resolved {Problem resolved}, diarrhea {Diarrhea}, improved {Patient's condition improved}, Chest pain {Chest pain}, chest discomfort {Chest discomfort}, dry heaving {Retching}, EKG changes {Electrocardiogram abnormal}, Q waves {Finding of electrocardiogram Q wave}, T wave inversions {Inverted T wave}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, cardiac catheterization {Cardiac catheterization}, occlusion {Complete obstruction}, cardiac {Heart structure}, vessels {Blood vessel structure}, procedure {Procedure}, discomfort {Discomfort}, pressure {Tight chest}, MI {Myocardial infarction}, EKG {Electrocardiographic procedure}, baseline {Baseline state}, Troponins {Troponin measurement}, elevated {Elevation}, acute coronary 
-syndrome {Acute coronary syndrome}, anticoagulation {Anticoagulant therapy}, baseline {Baseline state}, thrombocytopenia {Thrombocytopenic disorder}, Cardiology {Cardiology service}, demand ischemia {Ischemia co-occurrent and due to increased oxygen demand}, hypovolemia {Hypovolemia}, ACS {Acute coronary syndrome}, Fever {Fever}, GNR bacteremia {Bacteremia caused by Gram-negative bacteria}, E.Coli {Infection caused by Escherichia coli}, Febrile {Fever}, low-grade fevers {Low grade pyrexia}, UA {Urinalysis}, positive for nitrites {Nitrite detected in urine}, diarrhea {Diarrhea}, GI {Infection of gastrointestinal tract}, infection {Local infection of wound}, changed {Change of medication}, blood cultures {Blood culture}, culture {Microbial culture}, E. 
-coli {Infection caused by Escherichia coli}, penicillin allergy {Allergy to penicillin}, prolonged QTc {Prolonged QT interval}, PICC placement {Insertion of peripherally inserted central catheter}, Surveillance blood 
-cultures {Infection surveillance}, negative {No pathologic diagnosis}, Renal U/S {Echography of kidney}, CT scan of abd/pelvis {Computed tomography of abdomen and pelvis}, abscess {Abscess}, fluid collection {Accumulation of fluid}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, imaging {Imaging}, improved {Patient's condition improved}, seroma {Seroma}, Pancytopenia {Pancytopenia}, Downtrending {Serial hematocrit determinations}, WBCs {White blood cell count}, hematocrit {Hematocrit determination}, platelets {Platelet}, neutropenic {Neutropenia}, precautions {Safety precautions}, infection {Infectious disease}, antibiotics {Antibiotic therapy}, medication {Antibiotic therapy}, e WBCs {White blood cell count}, radiation {Radiation oncology AND/OR radiotherapy}, baseline {Baseline state}, stabilized {Stable hematocrit}, Elevated bicarb  {Serum bicarbonate above reference range}, Bicarb elevated {Serum bicarbonate above reference range}, metabolic alkalosis {Metabolic alkalosis}, GI losses {Volume depletion, gastrointestinal loss}, diarrhea {Diarrhea}, chronic respiratory acidosis {Chronic respiratory acidosis}, Diabetes {Diabetes mellitus}, insulin sliding scale {Sliding scale insulin regime}, Endometrial cancer {Endometrial carcinoma}, radiation therapy {Radiation oncology AND/OR radiotherapy}, chemo {Chemotherapy}, IV antibiotics {Intravenous antibiotic therapy}, E. coli bacteremia {Bacteremia caused by Coliform}, CBC {Complete blood count}, monitor {Monitoring for signs and symptoms of infection}, leukopenia {Leukopenia}, anemia {Anemia}, thrombocytopenia {Thrombocytopenic disorder}, LFT's {Hepatic function panel}, MRI head {Magnetic resonance imaging of head}, CT head {Computed tomography of head}, imaging of abdomen {Imaging of abdomen}, lesions {Lesion}, right kidney {Right kidney structure}, fluid collection {Accumulation of fluid}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Levothyroxine Sodium 100 mcg PO DAILY 
-2. anastrozole *NF* 1 mg Oral daily 
-3. Omeprazole 40 mg PO DAILY 
-4. Fluoxetine 40 mg PO DAILY 
-5. Simvastatin 20 mg PO DAILY 
-6. Isosorbide Mononitrate (Extended Release) 120 mg PO DAILY 
-7. Lisinopril 5 mg PO DAILY 
-8. Metoprolol Succinate XL 100 mg PO BID 
-9. Aspirin 81 mg PO DAILY 
-10. TraZODone 25 mg PO HS 
-11. Nitroglycerin SL 0.4 mg SL PRN chest pain 
-12. OxycoDONE (Immediate Release)  5 mg PO Q4H:PRN pain 
-13. Naproxen 220 mg PO Q8H:PRN pain 
-14. Humulin N 15 Units Breakfast
-Humulin N 15 Units Bedtime
-
- 
-Discharge Medications:
-1. anastrozole *NF* 1 mg Oral daily 
-2. Aspirin 81 mg PO DAILY 
-3. Fluoxetine 40 mg PO DAILY 
-4. Humulin N 15 Units Breakfast
-Humulin N 15 Units Bedtime
-5. Isosorbide Mononitrate (Extended Release) 120 mg PO DAILY 
-6. Levothyroxine Sodium 100 mcg PO DAILY 
-7. Lisinopril 5 mg PO DAILY 
-8. Metoprolol Succinate XL 100 mg PO BID 
-9. Nitroglycerin SL 0.4 mg SL PRN chest pain 
-10. Omeprazole 40 mg PO DAILY 
-11. OxycoDONE (Immediate Release)  5 mg PO Q4H:PRN pain 
-12. Simvastatin 20 mg PO DAILY 
-13. TraZODone 25 mg PO HS 
-14. Naproxen 220 mg PO Q8H:PRN pain 
-15. CeftriaXONE 2 gm IV Q24H 
-RX *ceftriaxone 2 gram 2 g IV once daily Disp #*7 Syringe 
-Refills:*0
-16. Outpatient Lab Work
-Please check CBC with differential on ___ and fax results to 
-PCP ___ MD Phone: ___ 
-Fax: ___ 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-1. Diarrhea
-2. Urinary tract infection
-3. GNR bacteremia
-4. Pancytopenia
-5. Demand ischemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Diarrhea {Diarrhea}, Urinary tract infection {Urinary tract infectious disease}, GNR bacteremia {Bacteremia caused by Gram-negative bacteria}, Pancytopenia {Pancytopenia}, Demand ischemia {Ischemia co-occurrent and due to increased oxygen demand}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, assistance or aid (walker 
-or cane) {Assistance with walking using device}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-You were admitted to the hospital at ___ 
-___ from ___ to ___ for assessment of your 
-chest pain and nausea/vomiting.  Your symptoms resolved on their 
-own but you were found to have a bacterial infection in your 
-blood.  You were started on antibiotics and will continue these 
-at home until ___.  Your blood counts were found to be low 
-but stable; you will need repeat blood work drawn by the 
-visiting nurse on ___.  Please continue to speak with your 
-primary care doctor and oncologist regarding these findings. 
-
-While you were here, a CAT scan of the head was performed 
-showing a small area of asymmetry; please speak with your 
-primary care doctor regarding ___ nonurgent MRI for further 
-evaluation. 
-
-It was a pleasure caring for you during your admission at ___.
- 
-
-###RESPONSE: assessment {Evaluation procedure}, chest pain {Chest pain}, nausea/vomiting {Nausea and vomiting}, resolved {Problem resolved}, bacterial infection {Bacterial infectious disease}, blood {Blood culture}, antibiotics {Antibiotic therapy}, blood counts {Blood test}, stable {Patient's condition stable}, blood {Blood test}, CAT scan of the head {Computed tomography of head}, MRI {Magnetic resonance imaging}, evaluation {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: OBSTETRICS/GYNECOLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Shellfish Derived
- 
-Attending: ___.
- 
-Chief Complaint:
-Incisional pain
- 
-Major Surgical or Invasive Procedure:
-Scar injection
-
- 
-
-###RESPONSE: Shellfish {Allergy to shellfish}, Incisional {Surgical incision wound}, pain {Pain}, Scar {Scar}, injection {Injection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ s/p TAH/BSO on ___ who presented to ED with 
-abdominal pain x 10d.  Pain started after having large BM 10d 
-ago - she stood up from the toilet and was instantly doubled 
-over in pain.  It was the first BM since before her surgery.  
-The pain at that time was deep abdominal in location and has 
-overall improved since that time, turning into the what she 
-describes as ""gas pain"". She has had 2 BM since that time, ___ 
-ago and again 2 days ago.  She has been taking colace BID.
-
-She started having burning pain on her ___ skin and 
-""about 4 layers deep to the skin"" in the same area roughly 8 
-days ago.  ""It feels like my skin is on fire.""  Touching her 
-skin exacerbates the pain.  She reports that even when sleeping, 
-when her sheets touch the ___ skin, it wakes her 
-from
-sleep.  She is unable to wear underpants or pants ___ to pain. 
-She has never experienced this before; she recovered well after 
-her liposuction procedure.
-
-+ nausea when pain is worst, denies emesis.  Tolerating liquids, 
-pudding, and yogurt.  Passing flatus.  Denies fevers, chills, 
-abnormal vaginal discharge or bleeding.  Has had occasional hot 
-flashes and vaginal dryness.  Not sexually active.
-
-In the ED, she received morphine 8mg IV, zofran 4mg IV, and 
-dilaudid 0.5 IV.  The dilaudid has had the best effect.  She had 
-2L of NS.
- 
-
-###RESPONSE: TAH/BSO {Total abdominal hysterectomy with bilateral salpingo-oophorectomy}, abdominal pain {Abdominal pain}, Pain {Abdominal pain}, BM {Passes stool completely}, pain {Abdominal pain}, BM {Passes stool completely}, surgery {Surgical procedure}, pain {Abdominal pain}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, improved {Patient's condition improved}, pain {Pain}, BM {Passes stool completely}, burning pain {Burning pain}, skin {Skin structure}, skin {Skin structure}, skin {Skin structure}, skin {Skin structure}, pain {Abdominal pain}, sleeping {Asleep}, skin {Skin structure}, pain {Pain}, liposuction procedure {Liposuction of subcutaneous tissue}, nausea {Nausea}, pain {Pain}, emesis {Vomiting}, Tolerating liquids {Tolerating oral fluid}, Passing flatus {Passing flatus}, fevers {Fever}, chills {Chill}, abnormal vaginal discharge {Vaginal discharge problem}, bleeding {Bleeding from vagina}, hot 
-flashes {Menopausal flushing}, vaginal dryness {Vaginal dryness}, Not sexually active {Currently not sexually active}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-GYNHx:
-- denies h/o abnl pap, last pap ___ neg
-- Denies h/o STI
-- female partners
-
-___: GO
-
-PMH: Mild asthma, chronic back pain - disc degeneration, GERD,
-Depression, Insomnia
-
-PSH: 
-- TAH BSO as above
-- Liposuction x 2, ___ - stomach and thighs
- 
-
-###RESPONSE: abnl pap {Abnormal cervical smear}, STI {Sexually transmitted infectious disease}, Mild asthma {Mild asthma}, chronic back pain {Chronic back pain}, disc degeneration {Degeneration of intervertebral disc}, GERD {Gastroesophageal reflux disease}, Depression {Depressive disorder}, Insomnia {Insomnia}, TAH BSO {Total abdominal hysterectomy with bilateral salpingo-oophorectomy}, Liposuction {Liposuction of subcutaneous tissue}, stomach {Stomach structure}, thighs {Structure of left thigh}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On admission: 
-VS:  98.9    67   112/70   16   98RA
-uncomfortable appearing
-RRR
-CTAB
-abd - soft, mildly distended +tympany, esp in upper quadrants; 
-mostly TTP in 5cm circumferential area around incision, from 
-below umbilicus to the mons.  no crepitus.  no cutaneous 
-numbness.
-
-inc: Pfannensteil, well healed, partially epithelialized, no 
-erythema, exudates, or induration
-
-ext NT b/l
-pelvic: deferred
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, RRR {Normal heart rate}, CTAB {Normal breath sounds}, soft {Abdomen soft}, distended {Swollen abdomen}, tympany {Abdomen tympanitic}, upper quadrants {Structure of upper abdominal quadrant}, TTP {Tenderness}, incision {Abdomen incision}, umbilicus {Umbilical structure}, mons {Mons pubis structure}, crepitus {Subcutaneous crepitus}, cutaneous 
-numbness {Numbness of skin}, well healed {Surgical wound, healed}, epithelialized {Epithelialization}, erythema {Erythema}, exudates {Exudate}, induration {Induration}, ext {Examination of limb}, NT {Abdominal tenderness}, pelvic {Manual pelvic examination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:15PM BLOOD WBC-6.3 RBC-4.60 Hgb-10.3* Hct-33.8* 
-MCV-74* MCH-22.5* MCHC-30.6* RDW-14.1 Plt ___
-___ 06:20AM BLOOD WBC-5.4 RBC-4.25 Hgb-9.8* Hct-32.3* 
-MCV-76* MCH-23.0* MCHC-30.2* RDW-13.9 Plt ___
-___ 07:15PM BLOOD Neuts-61.0 ___ Monos-3.5 Eos-3.5 
-Baso-0.5
-___ 07:15PM BLOOD Glucose-101* UreaN-9 Creat-0.9 Na-137 
-K-4.3 Cl-102 HCO3-27 AnGap-12
-___ 06:20AM BLOOD Glucose-90 UreaN-13 Creat-1.0 Na-137 
-K-4.4 Cl-100 HCO3-28 AnGap-13
-___ 06:20AM BLOOD Calcium-9.8 Phos-4.0 Mg-2.2
-
-___ 02:58AM URINE Blood-TR Nitrite-NEG Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-TR
-___ 02:58AM URINE RBC-2 WBC-0 Bacteri-NONE Yeast-NONE 
-Epi-22
-URINE CULTURE (Final ___: 
-      MIXED BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT 
-WITH SKIN
-      AND/OR GENITAL CONTAMINATION. 
-
-CT ___: IMPRESSION: No definite intra-abdominal abscess. There 
-is a small amount of fluid at the operative site, not 
-unanticipated. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, URINE CULTURE {Urine culture}, SKIN {Skin structure}, intra-abdominal abscess {Abdominal abscess}, fluid {Effusion}, operative site {Operative site}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ was admitted from the ED early on ___ with abdominal 
-pain and incisional pain. CT had demonstrated no acute 
-intraabdominal process. Her pain was felt to be consistent with 
-post-operative neuropathy. She was started on tylenol, motrin, 
-and dilaudid prn for pain. She was started on a bowel regimen. 
-The chronic pain service saw her later that morning and 
-performed an incisional injection with steroids and bupivicaine. 
-She was also started on gabapentin. She had some immediate 
-relief of her pain, however the majority of the benefit wore off 
-after several hours. Lidocaine patches were applied with 
-excellent relief. She reported a good decrease in her pain where 
-she was able to tolerate some touch and the feel of 
-clothing/blankets on her skin. She did remain constipated, but 
-felt ready for discharge home on ___. Follow-up with the 
-chronic pain clinic was arranged.
- 
-
-###RESPONSE: abdominal 
-pain {Abdominal pain}, incisional {Surgical incision wound}, pain {Pain}, CT {Computed tomography}, intraabdominal {Structure of intraabdominal region}, pain {Abdominal pain}, post-operative {Postoperative state}, neuropathy {Neuropathy}, pain {Abdominal pain}, bowel {Intestinal structure}, regimen {Therapeutic regimen}, pain service saw {Seen by pain management service}, incisional {Surgical incision wound}, injection {Injection}, steroids {Steroid therapy}, pain {Abdominal pain}, pain {Abdominal pain}, skin {Skin structure}, constipated {Constipation}, ready for discharge {Ready for discharge}, chronic pain {Chronic pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-percocet prn, colace, prilosec  
- 
-Discharge Medications:
-1. Ibuprofen 600 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours) as needed for pain.
-Disp:*60 Tablet(s)* Refills:*0*
-2. Acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for pain.  
-3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO TID (3 
-times a day).
-Disp:*90 Capsule(s)* Refills:*2*
-4. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) 
-Tablet, Delayed Release (E.C.) PO DAILY (Daily).
-Disp:*60 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
-5. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO BID (2 times a day).  
-6. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO TID (3 
-times a day).
-Disp:*90 Capsule(s)* Refills:*2*
-7. Hydromorphone 2 mg Tablet Sig: ___ Tablets PO every four (4) 
-hours as needed for pain.
-Disp:*50 Tablet(s)* Refills:*0*
-8. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-Two (2) patch Topical DAILY (Daily): Keep on for 12 hours, off 
-for 12 hours .
-Disp:*20 patch* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Cutaneous neuropathy
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Cutaneous {Skin structure}, neuropathy {Neuropathy}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for nerve pain around your incision. You 
-received an injection of an anesthetic and steroid which helped 
-lessen the pain. We started you on a medication called 
-gabapentin which should start to work in a few days. You also 
-were given lidocaine patches to put on your skin and a narcotic 
-called dilaudid to help lessen the pain until the steroid 
-medication starts to work. You should also continue to take 
-Ibuprofen and colace. It is important to drink lots of fluid to 
-help keep your stools soft.
- 
-
-###RESPONSE: nerve {Nerve structure}, pain {Pain}, incision {Surgical incision wound}, injection {Injection}, steroid {Steroid therapy}, pain {Pain}, medication {Prescription of drug}, skin {Skin structure}, pain {Pain}, steroid 
-medication {Steroid therapy}, drink lots of fluid {Fluid intake encouragement}, stools soft {Soft stool}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: OBSTETRICS/GYNECOLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-nausea/vomiting
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: nausea/vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ year old G1P0 at approximately 15+2 weeks by 
-unsure LMP of ___ presenting to the ED with nausea and 
-vomiting unable to tolerate PO intake for 3 days. Patient 
-reports a history of hyperemesis gravidarum since about 8 weeks 
-gestation. She was seen for an initial prenatal visit by 
-RN-Midwife at ___. She denies having had 
-any ultrasounds yet. She has had her initial prenatal labs. She 
-had a prescription for PO Zofran which she said was not helping. 
-She was seen twice at the ___ urgent care unit for IVF and IV 
-antiemetics. Symptoms persisted for 1 month before spontaneous 
-resolving. Her symptoms recurred on ___ with severe nausea and 
-vomiting. Last meal was chicken soup on that date which she 
-could not keep down. She has tried water and ginger ale which 
-also makes her nauseated. She is not currently taking any 
-antiemetics.
-
-ROS: (+) Back/shoulder pain with emesis, (+) epigastric pain 
-with emesis, (+) chills, (+) 8 lb weight loss. Denies fever, 
-myalgias, diarrhea, SOB, dizziness, rhinorrhea, cough. No sick 
-contacts. Seasonal flu shot 1 month ago. No H1N1.
- 
-
-###RESPONSE: nausea and 
-vomiting {Nausea and vomiting}, hyperemesis gravidarum {Excessive vomiting in pregnancy}, gestation {Pregnancy}, initial prenatal visit {Prenatal initial visit}, ultrasounds {Ultrasonography}, prescription {Prescription}, IVF {Administration of intravenous fluids}, IV {Administration of drug or medicament via intravenous route}, resolving {Patient's condition improved}, nausea and 
-vomiting {Nausea and vomiting}, nauseated {Nausea}, shoulder pain {Shoulder pain}, emesis {Vomiting}, epigastric pain {Epigastric pain}, emesis {Vomiting}, chills {Chill}, weight loss {Weight loss}, fever {Fever}, myalgias {Muscle pain}, diarrhea {Diarrhea}, SOB {Dyspnea}, dizziness {Dizziness}, rhinorrhea {Nasal discharge}, cough {Cough}, Seasonal flu shot {Administration of vaccine product containing only Influenza virus antigen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PRENATAL COURSE
-___ ___ by 17wk U/S (changed from initial ___ ___
-*)Labs: A+/Ab-,RI,HbsAg-,RPRnr,HIV-,GC/CT-
-*)CF negative, nl hgb electrophoresis
-*)No screening/ultrasound prior to this admission
-
-PAST OBSTETRIC HISTORY
-G1
-
-PAST GYNECOLOGIC HISTORY
-- no paps yet
-- denies STDs
-- normal menses
-
-PAST MEDICAL HISTORY
-denies
-
-PAST SURGICAL HISTORY
-denies
- 
-
-###RESPONSE: U/S {Ultrasonography}, HIV {Human immunodeficiency virus infection}, GC {Gonorrhea}, CT {Chlamydia culture}, hgb {Measurement of total hemoglobin concentration}, electrophoresis {Electrophoresis measurement}, ultrasound {Ultrasonography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-(on admission)
-PE: T 97.8->98.4, BP 129/62->103/56, P ___, RR 20, O2 100%
-FHR: 156 bpm
-GENERAL: appears tired and weak, lying in stretcher.
-CV: RRR
-ABDOMEN: soft, gravid, tender to palpation in epigastrium, 
-mildly
-tender RLQ
-EXTREMITIES: no edema
-
-(___) RUQ ULTRASOUND
-IMPRESSION: 
-Normal-appearing gallbladder. No findings to suggest acute 
-cholecystitis. 
-  
-___ FETAL SURVEY
-There is a single live intrauterine pregnancy with fetus in 
-cephalic position.  The placenta is fundal. There is no evidence 
-of previa. There is a normal amount of amniotic fluid. Views of 
-the head, face, stomach, cord insertion site, bladder were 
-normal. There is an echogenic focus in the left cardiac 
-ventricle. There is polydactyly in the left hand and probably 
-polydactyly in the left foot. Both kidneys show caliectasis 
-measuring 3 mm.
-  
-The following biometric data were obtained:
-BPD: 17 weeks 2 days  
-HC: 16 weeks 6 days 
-AC: 17 weeks 4 days 
-FL: 17 weeks 5 days 
-  
-AGE BY ULTRASOUND: 17 weeks 2 days
-AGE BY LMP: 15 weeks 3 days
-EFW: 199g
-
-IMPRESSION: Single live intrauterine pregnancy at 17 weeks 2 
-days. There is an echogenic focus in the left ventricle. 
-Bilateral caliectasis without hydronephrosis. Left hand 
-polydactyly.
- 
-
-###RESPONSE: BP {Blood pressure finding}, RR {Finding of rate of respiration}, FHR {Finding of heart rate}, GENERAL {General examination of patient}, tired {Tired}, weak {Asthenia}, lying {Lying in bed}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, gravid {Finding of gravida}, tender {Abdominal tenderness}, palpation {Palpation}, epigastrium {Epigastric region structure}, tender {Abdominal tenderness}, RLQ {Right lower quadrant pain}, EXTREMITIES {Examination of limb}, edema {Edema}, RA {Breathing room air}, ND {Swollen abdomen}, gallbladder {Gallbladder structure}, acute 
-cholecystitis {Acute cholecystitis}, single live intrauterine pregnancy {Fetus present}, fetus {Entire fetus}, cephalic position {Cephalic fetal presentation}, placenta {Placental structure}, fundal {Structure of fundus uteri}, no evidence {No abnormality detected}, previa {Placenta previa}, normal amount of amniotic fluid {Amniotic fluid volume within reference range}, head {Fetal head structure}, face {Face structure}, stomach {Stomach structure}, cord insertion site {Umbilical cord structure}, bladder {Urinary bladder structure}, left cardiac 
-ventricle {Left cardiac ventricular structure}, polydactyly {Polydactyly}, left hand {Structure of left hand}, polydactyly {Polydactyly}, left foot {Structure of left foot}, Both kidneys {Both kidneys}, caliectasis {Dilatation of calyx}, BPD {Bronchopulmonary dysplasia of newborn}, ULTRASOUND {Ultrasonography}, Single live intrauterine pregnancy {Fetus present}, left ventricle {Left cardiac ventricular structure}, caliectasis {Dilatation of calyx}, hydronephrosis {Hydronephrosis}, Left hand {Structure of left hand}, polydactyly {Polydactyly}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ WBC-12.7 RBC-3.63 Hgb-10.7 Hct-32.5 MCV-89 Plt-460
-___ Neuts-90.2 ___ Monos-2.1 Eos-0.2 Baso-0.1
-___ ___ PTT-30.7 ___
-
-___ Glu-97 BUN-4 Cre-0.5 Na-138 K-3.4 Cl-107 HCO3-14
-___ Glu-89 BUN-3 Creat-0.4 Na-139 K-3.1 Cl-111 HCO3-16
-___ Glu-86 BUN-2 Creat-0.3 Na-138 K-3.2 Cl-109 HCO3-18
-___ ALT-9 AST-13 AlkPhos-48 TotBili-0.5 Lipase-17
-___ Calcium-8.7 Phos-2.1 Mg-1.5 TSH-0.062
-___ Calcium-8.4 Phos-3.8 Mg-2.0
-___ Calcium-7.7 Phos-2.6 Mg-1.5
-___ BLOOD T4-11.0 T3-149 Lactate-0.9
-
-___ BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG Bnzodzp-NEG 
-Barbitr-NEG Tricycl-NEG
-
-HELICOBACTER PYLORI ANTIBODY TEST (Final ___: 
-  NEGATIVE BY EIA
-
-URINE CULTURE (Final ___: 
-  MIXED BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT
-  WITH SKIN AND/OR GENITAL CONTAMINATION
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE CULTURE {Urine culture}, GENITAL {Genital structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ G1 admitted at 17+1 weeks gestation with hyperemesis.
-.
-Ms ___ was admitted for IV hydration, antiemetics, and 
-electrolyte repletion. She complained of epigastric pain and she 
-underwent a right upper quandrant ultrasound which was normal. 
-Her ___ was recalculated based on her full fetal survey. An 
-additional finding on her fetal survey included an echogenic 
-focus in the left ventricle and bilateral caliectasis without 
-hydronephrosis, and left hand polydactyly. Ms ___ was 
-counseled regarding these findings and opted to have a Quad 
-Screen and declined an amniocentesis. The Quad screen was sent 
-during this admission. By hospital day #3, she was tolerating 
-po's and was discharged home. She will have close outpatient 
-followup.
- 
-
-###RESPONSE: gestation {Pregnancy}, hyperemesis {Hyperemesis}, IV hydration {Administration of intravenous fluids}, electrolyte repletion {Administration of electrolytes}, epigastric pain {Epigastric pain}, right upper quandrant ultrasound {Ultrasonography of abdomen, right upper quadrant and epigastrium}, left ventricle {Left cardiac ventricular structure}, caliectasis {Dilatation of calyx}, hydronephrosis {Hydronephrosis}, left hand {Structure of left hand}, polydactyly {Polydactyly}, Quad {Measurement of alpha fetoprotein and human chorionic gonadotropin and unconjugated estriol in serum or plasma specimen}, amniocentesis {Amniocentesis}, Quad {Measurement of alpha fetoprotein and human chorionic gonadotropin and unconjugated estriol in serum or plasma specimen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Flintstones vitamins
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-pregnancy at 17 weeks gestation
-hyperemesis
- 
-Discharge Condition:
-stable
- 
-
-###RESPONSE: pregnancy {Pregnancy}, 17 weeks gestation {Gestation period, 17 weeks}, hyperemesis {Hyperemesis}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-try to stay hydrated. Use medication as needed for your nausea. 
-call your doctor with any abdominal pain/cramping, leaking of 
-fluid, vaginal bleeding, fevers > 100.4, persistent 
-nausea/vomiting, unable to tolerate fluids, or with any 
-questions or concerns you may have
- 
-
-###RESPONSE: nausea {Nausea}, abdominal pain {Abdominal pain}, cramping {Cramping pain}, leaking {Discharge}, fluid {Effusion}, vaginal bleeding {Bleeding from vagina}, fevers {Fever}, nausea/vomiting {Nausea and vomiting}, fluids {Tolerating oral fluid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___
- 
-Chief Complaint:
-Shortness of Breath
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Shortness of Breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ yo F w/hx of afib on coumadin, COPD, MR, TR 
-who presented on ___ from her nursing home with falls and 
-questionable left facial droop.  She was initially a code stroke 
-in the ED.  She was evaluated by neurology who determined that 
-she did not have a stroke and she did not require further 
-neurologic evaluation.  She had CT head noncon and CTA 
-head/neck, both were negative. She also had a negative urine and 
-CXR except cardiomegaly.  On admission she required 3L NC.  Over 
-the course of her hospitalization she has developed worsening 
-hypoxia so that in the evening of ___ she required 100% 
-facemask.  She was given 40mg IV Lasix and urinated 1700ml and 
-improved to 2L NC.  CTA done overnight showed no PE but did show 
-bileratal pleural effusions L>R with LLL collapse and 
-mediastinal lymphadenopathy.  Over the course of the day on 
-___ she again had worsening oxygen requirement and developed 
-worsening tachycardia with afib and RVR.  Blood pressure was 
-stable in the 130s-140s/80s-90s.
-.
-On arrival to the ICU, she is breathing comfortably. She denies 
-shortness of breath, chest pain, palpitations.  She has not had 
-fevers, chills or night sweats.  She has no cough.
-.
-Review of systems: 
-(+) Per HPI
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denies cough, shortness of breath, or wheezing. 
-Denies chest pain, chest pressure, palpitations, or weakness. 
-Denies nausea, vomiting, diarrhea, constipation, abdominal pain, 
-or changes in bowel habits. Denies dysuria, frequency, or 
-urgency. Denies arthralgias or myalgias. Denies rashes or skin 
-changes. 
-
- 
-
-###RESPONSE: afib {Atrial fibrillation}, COPD {Chronic obstructive lung disease}, MR {Mitral valve regurgitation}, falls {Falls}, left {Structure of left half of face}, facial droop {Weakness of face muscles}, stroke {Cerebrovascular accident}, evaluated by neurology {Seen by neurologist}, stroke {Cerebrovascular accident}, neurologic evaluation {Neurological examination}, CT head {Computed tomography of head}, CTA 
-head/neck {Computed tomography angiography of head and neck with contrast}, negative {No abnormality detected}, negative {No abnormality detected}, CXR {Plain chest X-ray}, cardiomegaly {Cardiomegaly}, NC {Oxygen administration by nasal cannula}, worsening {Patient's condition worsened}, hypoxia {Hypoxia}, 100% 
-facemask {Oxygen administration by mask}, IV {Intravenous therapy}, improved {Patient's condition improved}, NC {Oxygen administration by nasal cannula}, CTA {Computed tomography angiography with contrast}, PE {Pulmonary embolism}, bileratal pleural effusions {Bilateral pleural effusion}, LLL {Structure of lower lobe of left lung}, collapse {Atelectasis}, mediastinal lymphadenopathy {Mediastinal lymphadenopathy}, worsening {Patient's condition worsened}, worsening {Patient's condition worsened}, tachycardia {Tachycardia}, afib and RVR {Atrial fibrillation with rapid ventricular response}, Blood pressure was 
-stable {Stable blood pressure}, ICU {Patient transfer to intensive care unit}, breathing comfortably {Breathing easily}, shortness of breath {Dyspnea}, chest pain {Chest pain}, palpitations {Palpitations}, fevers {Fever}, chills {Chill}, night sweats {Night sweats}, cough {Cough}, Review of systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, Denies cough {Does not cough}, shortness of breath {Dyspnea}, wheezing {Wheezing}, chest pain {Chest pain}, chest pressure {Tight chest}, palpitations {Palpitations}, weakness {Asthenia}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, changes in bowel habits {Altered bowel function}, dysuria {Dysuria}, frequency {Increased frequency of urination}, urgency {Urgent desire to urinate}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}, skin 
-changes {Skin appearance abnormal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--Afib on warfarin  
--Chronic leukocytosis and thrombocytosis  
--COPD  
--Mitral and tricuspid regurgitation  
--Chronic gait instability  
--HTN  
--Depression  
--s/p back surgery for tumor resection on spinal cord. Did not 
-received chemo or radiation per son.  
--Spinal stenosis  
--Hysterectomy  
--Osteoporosis  
--GERD  
- 
-
-###RESPONSE: Afib {Atrial fibrillation}, on warfarin {Warfarin therapy}, leukocytosis {Leukocytosis}, thrombocytosis {Thrombocytosis}, COPD {Chronic obstructive lung disease}, Mitral {Mitral valve regurgitation}, tricuspid regurgitation {Tricuspid valve regurgitation}, gait instability  {Unsteady when walking}, HTN {Hypertensive disorder, systemic arterial}, Depression {Depressive disorder}, back {Structure of back of trunk}, surgery {Surgical procedure}, tumor resection {Excision of neoplasm}, spinal cord {Spinal cord structure}, chemo {Chemotherapy}, radiation {Radiation oncology AND/OR radiotherapy}, Spinal stenosis {Spinal stenosis}, Hysterectomy {Hysterectomy}, Osteoporosis {Osteoporosis}, GERD  {Gastroesophageal reflux disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Family Hx: son with CAD s/p MI  
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: BP: P: R: 18 O2:  
-General: Alert, oriented, breathing in the ___ without clear 
-distress
-HEENT: Sclera anicteric, MMM, oropharynx clear
-Neck: supple, JVP not elevated, no LAD
-Lungs: Decreased breath sounds at the bases bilaterally, L 
-moreso than R side. No crackles or wheezes.
-CV: Tachycardic, irregular, no mumurs appreciated.
-Abdomen:  soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly
-GU: + foley
-Ext: warm, well perfused, 2+ pulses, R leg wrapped in bandages.
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Decreased breath sounds {Decreased breath sounds}, bases {Structure of base of lung}, L {Structure of base of left lung}, R side {Structure of base of right lung}, crackles {Respiratory crackles}, wheezes {Wheezing}, CV {Cardiovascular physical examination}, Tachycardic {Tachycardia}, irregular {Irregular heart beat}, mumurs {Heart murmur}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, R leg {Structure of right lower leg}, wrapped in bandages {Application of bandage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:24PM URINE  HOURS-RANDOM
-___ 06:24PM URINE  UHOLD-HOLD
-___ 06:24PM URINE  COLOR-Straw APPEAR-Clear SP ___
-___ 06:24PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 
-LEUK-NEG
-___ 05:38PM   GLUCOSE-112* UREA N-23* CREAT-1.0 SODIUM-144 
-POTASSIUM-4.2 CHLORIDE-108 TOTAL CO2-24 ANION GAP-16
-___ 05:38PM   estGFR-Using this
-___ 05:38PM   WBC-20.3* RBC-6.11* HGB-10.7* HCT-38.6 
-MCV-63* MCH-17.6* MCHC-27.8* RDW-19.3*
-___ 05:38PM   PLT COUNT-657*
-___ 05:38PM   ___ PTT-31.7 ___
- 
-
-###RESPONSE: COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient transferred to ICU with worsening hypoxia and afib with 
-RVR.
-
-1. Hypoxia:  On admission patient had a new oxygen requirement, 
-3L nasal cannula, while at baseline she was on room air.  
-Throughout her admission, patient denied shortness of breath but 
-did complain of fatigue.  Given her rapid heart rate, the 
-patient underwent a CTA to rule out PE.  CTA showed bilateral 
-pleural effusions with LLL collapse, but no PE.  Given CTA 
-findings her initial presentation was thought to be secondary to 
-heart failure, possibly exacerbated by a fib w/ RVR and she was 
-diuresed with po lasix.  CTA did show extensive mediastinal 
-lymphadenopathy and so infectious vs. malignant etiologies were 
-considered.  
-.
-Over the course of her hospitalization, she required two 
-admissions to the MICU.  On ___ she decompensated with 
-hypoxia and A-fib with RVR with a question of aspiration event. 
-Her a-fib was managed by increasing metoprolol dose and digoxin 
-loading/maintenance with good HR (70s-80s) and BP control 
-(110-120s).  Given the rise in WBC, she was started and 
-completed an 8 day course for HCAP with vanc and zosyn.  She was 
-diuresed in the with iv lasix.  A TEE was done that showed 
-diastolic dysfunction and BNP was elevated to 10K.  CE were 
-trended but were flat.  She was transferred to the floor for 
-further management. 
-.
-On the floor patient improved with diuresis and antibiotic 
-course.  Her leukocytosis also downtrended.  Speech and swallow 
-consulted who did not see si/sx of aspiration.  However, there 
-remained concern that patient was aspirating and she was placed 
-on aspiration precautions.  She had another episode of hypoxia 
-with afib and RVR requiring NRB; ABG on NRB showed 7.52/36/65/30 
-with lactate 4.8.  She was transferred to the MICU a second 
-time.  A repeat Chest CT was concerning for right middle lobe 
-pneumonia, patient weaned off to nasal cannula and lactate 
-trended down.  Patient was diuresed and transferred back to the 
-floor.  On ___, patient spiked a fever, and was started on iv 
-meropenem and vanc for an 8 day course of aspiration pneumonia, 
-and pan-cultured.  She improved with antibiotics and 
-defervesced.  Urine and blood culture showed no growth on 
-discharge.
-.
-Patient was managed with chest ___ and aggressive pulmonary 
-toilet.  Pulmonology was consulted, who agreed with management 
-of antibiotics, diuresis, and BP/rate control.  Given her 
-anatomy thoracentesis thought to be unlikely to result in 
-re-expansion of her left lung.  Goals of care were discussed 
-further with patient.  Patient decided that further MICU 
-transfers were not align with her goals of care and decided to 
-be DNI.  Patient was discharged to nursing facility with plans 
-to transition to hospice care.  Ultimately decision was made 
-with family and patient for do not hospitalize as this would not 
-be consistent with patient's goals of care.
-- Continue iv vanc and meropenem until ___ to complete 8 
-day course
-- Continue nasal cannula, wean as tolerated
-- Patient has decided to be: DNR/DNI/DNH
-.
-2. Afib with RVR: This may have been precipitated by lung 
-etiology given hypoxia.  Blood pressure was initially stable 
-though dipped into the low 100s systolic.  She was on Metoprolol 
-on admission which was increased to 75mg PO TID.  Patient had 
-several episodes of RVR to 160s which were managed with gentle 
-bolus, with minimal response, then IV metoprolol and IV dilt.  
-She was ruled out for an MI, and infectious work up was 
-revealing for pneumonia.  Her coumadin was initially held given 
-her history of falls.  This was restarted during her 
-hospitalization.  However, as patient remained hypoxic and weak, 
-further discussions regarding risk/benefit of coumadin were had 
-with patient and son. Ultimately, the immediate risks of bleed 
-were thought to outweigh the long-run benefits. Coumadin was 
-stopped on discharge.
-- Hold metoprolol or diltiazam if SBP<100, HR<60
-.
-3. Acute Heart Failure: CT scans notable for bilateral pleural 
-effusions. A TTE was done that showed EF 55%, RV moderately 
-dilated with mild global free wall hypokinesis. CE were 
-negative.  She was maintained with lasix, bb, ccb, and digoxin.  
-She was transitioned from iv lasix to 40mg PO lasix, to keep net 
-even to 500cc net negative.
-- Suspect that lasix dose will need to be reduced.  When patient 
-stops iv antibiotics please determine new lasix dose by PO 
-intake and fluid status.  Consider reducing dose back to home 
-dose of 10mg daily.
-.
-4. Extensive Mediastinal Lymphadenopathy: This was seen on CTA 
-and the differential thought to include infection vs. 
-malignancy.  On repeat imaging, there was small improvement in 
-lymphadenopathy after diuresis and antibiotic treatment.  
-Pulmonology consulted and given goals of care (as stated above), 
-further invasive work up was not in line with patient's wishes.  
-As stated above she spiked a temp ___ and was pan-cultured and 
-started on ___ x8days for aspiration pna.
-.
-5. Leukocytosis: Seen by hematologist Dr. ___ at ___, 
-with leukocytosis in the past in ___.  Throughout her 
-admission, WBC ranged from 9 to 30 w/ primarily PMN diff (90s).  
-She was treated for pneumonia infection with two course of 
-antibiotics which improved her leukocytosis.
-.
-6. Thrombocytosis: It was confirmed w/ her outpatient 
-hematologist that patient has a known JACK2 mutation by PCR.  
-She was continued on Hydroxyurea 3 days per week.
- 
-
-###RESPONSE: transferred to ICU {Patient transfer to intensive care unit}, worsening {Patient's condition worsened}, hypoxia {Hypoxia}, afib with 
-RVR {Atrial fibrillation with rapid ventricular response}, Hypoxia {Hypoxia}, nasal cannula {Oxygen administration by nasal cannula}, baseline {Baseline state}, on room air {Breathing room air}, shortness of breath {Dyspnea}, fatigue {Fatigue}, rapid heart rate {Tachycardia}, CTA {Computed tomography angiography with contrast}, PE {Pulmonary embolism}, CTA {Computed tomography angiography with contrast}, bilateral 
-pleural effusions {Bilateral pleural effusion}, LLL {Structure of lower lobe of left lung}, collapse {Atelectasis}, PE {Pulmonary embolism}, CTA {Computed tomography angiography with contrast}, heart failure {Heart failure}, a fib w/ RVR {Atrial fibrillation with rapid ventricular response}, diuresed {Diuretic therapy}, lasix {Diuretic therapy}, CTA {Computed tomography angiography with contrast}, mediastinal 
-lymphadenopathy {Mediastinal lymphadenopathy}, infectious {Infectious disease}, malignant {Malignant neoplasm}, admissions to the MICU {Admission to intensive care unit}, hypoxia {Hypoxia}, A-fib with RVR {Atrial fibrillation with rapid ventricular response}, aspiration {Aspiration}, a-fib {Atrial fibrillation}, good HR (70s-80s) {Normal heart rate}, BP control 
-(110-120s) {Normal blood pressure}, WBC {White blood cell count}, HCAP {Nosocomial pneumonia}, diuresed {Diuretic therapy}, lasix {Diuretic therapy}, TEE {Transesophageal echocardiography}, diastolic dysfunction {Diastolic dysfunction}, BNP {Brain natriuretic peptide measurement}, improved {Patient's condition improved}, diuresis {Diuretic therapy}, antibiotic {Antibiotic therapy}, leukocytosis {Leukocytosis}, Speech and swallow 
-consulted {Speech therapy assessment}, aspiration {Aspiration}, aspiration precautions {Aspiration precautions}, hypoxia {Hypoxia}, afib and RVR {Atrial fibrillation with rapid ventricular response}, NRB {Oxygen administration by mask}, ABG {Analysis of arterial blood gases and pH}, NRB {Oxygen administration by mask}, lactate {Lactic acid measurement}, transferred to the MICU {Patient transfer to intensive care unit}, Chest CT {Computed tomography of chest}, right middle lobe 
-pneumonia {Right middle zone pneumonia}, nasal cannula {Oxygen administration by nasal cannula}, lactate {Lactic acid measurement}, diuresed {Diuretic therapy}, fever {Fever}, aspiration pneumonia {Aspiration pneumonia}, pan-cultured {Microbial culture}, improved {Patient's condition improved}, antibiotics {Antibiotic therapy}, Urine {Urine culture}, blood culture {Blood culture}, chest {Thoracic structure}, pulmonary 
-toilet {Airway toilet}, antibiotics {Antibiotic therapy}, diuresis {Diuretic therapy}, rate {Rate measurement}, thoracentesis {Thoracentesis}, left lung {Left lung structure}, hospice care {Hospice care}, nasal cannula {Oxygen administration by nasal cannula}, DNR {Not for resuscitation}, Afib with RVR {Atrial fibrillation with rapid ventricular response}, lung {Lung structure}, hypoxia {Hypoxia}, Blood pressure {Blood pressure finding}, stable {Patient's condition stable}, low 100s systolic {Decreased systolic arterial pressure}, RVR {Atrial fibrillation with rapid ventricular response}, IV {Intravenous therapy}, IV {Intravenous therapy}, MI {Myocardial infarction}, infectious {Infectious disease}, pneumonia {Pneumonia}, falls {Falls}, hypoxic {Hypoxia}, weak {Asthenia}, discussions {Discussion}, bleed {Bleeding}, SBP {Decreased systolic arterial pressure}, HR {Bradycardia}, Acute Heart Failure {Acute heart failure}, CT scans {Computed tomography}, bilateral pleural 
-effusions {Bilateral pleural effusion}, TTE {Transthoracic echocardiography}, RV moderately 
-dilated {Dilatation of right cardiac ventricle}, wall hypokinesis {Hypokinesis of cardiac wall}, CE {Contrast echocardiography}, negative {No abnormality detected}, lasix {Diuretic therapy}, iv {Intravenous therapy}, lasix {Diuretic therapy}, lasix {Diuretic therapy}, lasix {Diuretic therapy}, iv antibiotics {Intravenous antibiotic therapy}, lasix {Diuretic therapy}, Mediastinal Lymphadenopathy {Mediastinal lymphadenopathy}, CTA {Computed tomography angiography with contrast}, infection {Infectious disease}, malignancy {Malignant neoplasm}, imaging {Imaging}, lymphadenopathy {Lymphadenopathy}, diuresis {Diuretic therapy}, antibiotic {Antibiotic therapy}, spiked a temp {Fever}, pan-cultured {Microbial culture}, aspiration pna {Aspiration pneumonia}, Leukocytosis {Leukocytosis}, Seen by hematologist {Seen by hematologist}, leukocytosis {Leukocytosis}, WBC {White blood cell count}, pneumonia {Pneumonia}, infection {Infectious disease}, antibiotics {Antibiotic therapy}, improved {Patient's condition improved}, leukocytosis {Leukocytosis}, Thrombocytosis {Thrombocytosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Omeprazole 40 mg daily  
-2. Aspirin 81 mg daily  
-3. Mirtazapine 45 mg QHS  
-4. Escitalopram 20 mg daily  
-5. Tiotropium Bromide 18 mcg inh daily  
-6. Fluticasone-Salmeterol 250-50 mcg/Dose inh BID  
-7. Metoprolol 50 mg BID  
-8. Diltiazem 120 mg daily  
-9. Coumadin 4 mg daily  
-10. Cephalexin 500mg TID (started pm of ___  
-11. APAP 650mg q4h prn  
-12. Colace 100mg BID  
-13. Hydroxyurea 500mg ___  
-14. MVI daily  
-15. Senna 2 tabs QHS  
-16. Milk of Mg 30ml QID prn  
-17. Furosemide 10mg daily  
-.
-
- 
-Discharge Medications:
-1. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-2. Mirtazapine 15 mg Tablet Sig: Three (3) Tablet PO HS (at 
-bedtime).  
-3. Escitalopram 10 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-4. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-5. Metoprolol Tartrate 25 mg Tablet Sig: Three (3) Tablet PO TID 
-(3 times a day).  
-6. Diltiazem HCl 120 mg Capsule, Sust. Release 24 hr Sig: One 
-(1) Capsule, Sust. Release 24 hr PO once a day.  
-7. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.  
-8. Acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO TID (3 
-times a day) as needed for pain.  
-9. Hydroxyurea 500 mg Capsule Sig: One (1) Capsule PO 3X/WEEK 
-(___).  
-10. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Senna 8.6 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) 
-as needed for constipation.  
-12. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).  
-13. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1)  
-Injection TID (3 times a day).  
-14. Vancomycin in D5W 1 gram/200 mL Piggyback Sig: 1000 (1000) 
-mg Intravenous Q48H (every 48 hours) for 8 days: To be completed 
-___.  
-15. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) 
-ML PO Q6H (every 6 hours) as needed for constipation.  
-16. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig: 
-One (1)  Inhalation twice a day.  
-17. Furosemide 20 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-18. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-One (1) Adhesive Patch, Medicated Topical DAILY (Daily).  
-19. Ipratropium Bromide 0.02 % Solution Sig: One (1)  Inhalation 
-every six (6) hours.  
-20. Metoprolol Succinate 200 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-21. Metoprolol Succinate 25 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO once a day.  
-22. Meropenem 500 mg Recon Soln Sig: One (1) Recon Soln 
-Intravenous Q8H (every 8 hours) for 8 days: To be completed 
-___.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-___ Diagnosis:
-Primary:
-Acute CHF exacerbation
-Pneumonia
-Lung collapse
-Atrial fibrillation with rapid ventricular rate
-
- 
-Discharge Condition:
-A&Ox3
-
- 
-
-###RESPONSE: Acute CHF exacerbation {Acute exacerbation of chronic congestive heart failure}, Pneumonia {Pneumonia}, Lung collapse {Atelectasis}, Atrial fibrillation with rapid ventricular rate {Atrial fibrillation with rapid ventricular response}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-We had the pleasure of taking care of you while you were at the 
-___.  You were admitted because you fell and because of 
-shortness of breath.  Your shortness of breath was from volume 
-overload from your heart failure, lung collapse, and infection.  
-We treated you with lasix, antibiotics, and inhalers.  You also 
-had a very fast heart rate due to your atrial fibrillation.  We 
-increased your metoprolol and started you on a new medication 
-called digoxin.  While you were here we did a chest CT that 
-showed opacities and enlarged lymph nodes in the lung.  A 
-pulmonologist saw you and you agreed that you did not want 
-further invasive testing.  You also decided that you did not 
-want any ICU tranfers and to change your code status from do not 
-resuscitate (DNR) and okay to intubate, to DNR/DNI (do not 
-resuscitate and do not intubate). 
-
-We have made the following changes to your medications:
-1. We have changed your metoprolol to metoprolol succinate daily 
-for your atrial fibrillation
-2. We have started you on digoxin for atrial fibrillation
-3. We have stopped your cephalexin
-4. We have started you on lidocaine patch for pain
-5. We have started you on vancomycin and meropenem for 
-aspiration pneumonia
-6. We have increased your lasix dose to 40mg daily
-7. We have stopped your coumadin
-
-If you feel lightheaded or your blood pressure drops, you should 
-not take your lasix.
- 
-
-###RESPONSE: fell {Elderly fall}, shortness of breath {Dyspnea}, shortness of breath {Dyspnea}, volume 
-overload {Hypervolemia}, heart failure {Heart failure}, lung collapse {Atelectasis}, infection {Infectious disease}, lasix {Diuretic therapy}, antibiotics {Antibiotic therapy}, inhalers {Oxygen therapy}, fast heart rate {Tachycardia}, atrial fibrillation {Atrial fibrillation}, increased {Increasing dosage of medication}, medication {Patient medication education}, chest CT {Computed tomography of chest}, opacities {Abnormally opaque structure}, enlarged lymph nodes {Lymphadenopathy}, lung {Lung structure}, ICU tranfers {Patient transfer to intensive care unit}, do not 
-resuscitate {Not for resuscitation}, DNR {Not for resuscitation}, DNR {Not for resuscitation}, do not 
-resuscitate {Not for resuscitation}, atrial fibrillation {Atrial fibrillation}, atrial fibrillation {Atrial fibrillation}, pain {Pain}, aspiration pneumonia {Aspiration pneumonia}, lasix {Diuretic therapy}, lightheaded {Lightheadedness}, blood pressure drops {Decreased blood oxygen pressure}, lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-achalasia
- 
-Major Surgical or Invasive Procedure:
-___: ___ myotomy and partial fundoplication
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, achalasia {Achalasia}, myotomy {Division of muscle}, partial fundoplication {Partial fundoplication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ with h/o Marfan Syndrome c/b aortic
-aneurysm, ASD and mitral valve regurgitation s/p aortic root
-replacement, MVR and ASD repair who p/w worsening dysphagia c/f
-achalasia. Briefly, patient reports onset of difficulty fully
-swallowing food beginning ___ years ago. Since then, his symptoms
-have progressed to significant chest pain with PO intake. He
-reports the sensation of food becoming stuck in his chest that 
-is
-only able to be swallowed after he drinks large volumes of 
-water.
-This in turn causes significant nausea, some emesis, and
-regurgitation of undigested foods. He reports an 11 lb weight
-loss in recent months, but has been able to gain this back with
-conscious efforts to eat full meals despite symptoms. He has 
-been
-evaluated via esophageal manometry and was found to have 100%
-failure of esophageal contractions with all swallows and lack of
-obvious ___. He underwent confirmatory barium swallow
-that also demonstrated dilation of esophagus proximal to ___ 
-with
-significant delay in passage of a barium tablet without numerous
-sips of water. After thorough GI evaluation, he was diagnosed
-with presumed Type 2 achalasia and is now referred to surgical
-clinic for operative evaluation.
-
-On further review, the patient reports intermittent chest pain
-for which he sometimes presents to the ED for evaluation. He 
-most
-recently underwent exercise stress test on ___ that was
-negative for any signs of myocardial ischemia. He also
-intermittently develops profuse epistaxis (not on
-anticoagulation), for which he has seen his PCP and was
-reportedly prescribed nasal sprays and reassured by his PCP. He
-otherwise denies fevers/chills, severe abdominal pain, SOB,
-dysuria.
-
- 
-
-###RESPONSE: Marfan Syndrome {Marfan's syndrome}, aortic
-aneurysm {Aortic aneurysm}, ASD {Atrial septal defect}, mitral valve regurgitation {Mitral valve regurgitation}, aortic root
-replacement {Replacement of aortic root}, ASD repair {Closure of atrial septal defect}, dysphagia {Dysphagia}, achalasia {Achalasia}, chest pain {Chest pain}, nausea {Nausea}, emesis {Vomiting}, regurgitation of undigested foods {Regurgitation of food}, weight
-loss {Weight loss}, esophageal manometry {Esophageal manometry}, esophageal contractions {Nutcracker esophagus}, swallows {Does swallow}, barium swallow {Barium swallow}, dilation of esophagus {Dilation of esophagus}, GI evaluation {Evaluation of gastrointestinal tract}, achalasia {Achalasia}, surgical {Surgical procedure}, evaluation {Evaluation procedure}, chest pain {Chest pain}, evaluation {Evaluation procedure}, exercise stress test {Exercise tolerance test}, signs {Sign}, myocardial ischemia {Myocardial ischemia}, epistaxis {Bleeding from nose}, fevers {Fever}, chills {Chill}, abdominal pain {Abdominal pain}, dysuria {Dysuria}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Ascending aortic aneurysm
-Gastroesophageal Reflux Disease
-Lactose intolerance
-Marfan's syndrome
-
-Past Surgical History
--MV repair and ASD closure (___) by Dr. ___ aortic root replacement
-with a 32 mm Valsalva Dacron graft and ascending aortic
-replacement with a 24 mm Gelweave tube graft.
-
- 
-
-###RESPONSE: Ascending aortic aneurysm {Aneurysm of ascending aorta}, Gastroesophageal Reflux Disease {Gastroesophageal reflux disease}, Lactose intolerance {Intolerance to lactose}, Marfan's syndrome {Marfan's syndrome}, -MV repair {Repair of mitral valve}, ASD closure {Closure of atrial septal defect}, aortic root replacement {Replacement of aortic root}, Dacron graft {Polyethylene terephthalate graft operations on aorta}, ascending aortic
-replacement {Replacement of ascending aorta}, graft {Structure of transplant}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father, brother and sister with ___. Father died at 
-age ___, brother died at age ___, and sister died at age ___.
-
- 
-
-###RESPONSE: died {Dead}, died {Dead}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals _______
-GEN: A&Ox3, NAD, resting comfortably 
-HEENT: NCAT, EOMI, sclera anicteric. 
-CV: Regular
-PULM: no respiratory distress, CTAB. 
-ABD: soft, mild tenderness, ND, no rebound or guarding, lap 
-sites
-c/d/i with one mildly saturated 
-EXT: warm, well-perfused, no edema 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, GEN {General examination of patient}, Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, sclera anicteric {White sclera}, CV {Cardiovascular physical examination}, PULM {Examination of respiratory system}, distress {Distress}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, tenderness {Tenderness}, ND {Swollen abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXT {Examination of limb}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:15AM BLOOD WBC-8.8 RBC-4.53* Hgb-13.5* Hct-39.4* 
-MCV-87 MCH-29.8 MCHC-34.3 RDW-13.8 RDWSD-43.4 Plt ___
-___ 06:15AM BLOOD Glucose-119* UreaN-11 Creat-0.8 Na-137 
-K-4.4 Cl-100 HCO3-24 AnGap-13
-___ 06:15AM BLOOD Calcium-9.1 Phos-4.9* Mg-1.8
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
- The patient presented to pre-op on ___. Patient was 
-evaluated by anaesthesia.  
- The patient was taken to the operating room for ___ 
-myotomy and partial fundoplication. There were no adverse events 
-in the operating room; please see the operative note for 
-details. Pt was taken to the PACU until stable, then transferred 
-to the ward for observation.  
- Neuro: The patient was alert and oriented throughout 
-hospitalization; pain was initially managed with a PCA. Pain was 
-very well controlled. The patient was then transitioned to 
-liquid oral pain medication.
- CV: The patient remained stable from a cardiovascular 
-standpoint; vital signs were routinely monitored.  
- Pulmonary: The patient remained stable from a pulmonary 
-standpoint; vital signs were routinely monitored. Good pulmonary 
-toilet, early ambulation and incentive spirometry were 
-encouraged throughout hospitalization.  
- GI/GU/FEN: The patient was initially kept NPO. Afterwards, the 
-patient was started on a clears diet, which he tolerated well. 
-Subsequently he was advanced to a mechanical soft diet which he 
-tolerated well without nausea or vomiting. 
- ID: The patient's fever curves were closely watched for signs 
-of infection, of which there were none.  
- HEME: The patient's blood counts were closely watched for signs 
-of bleeding, of which there were none.  
- Prophylaxis: The patient received subcutaneous heparin and ___ 
-dyne boots were used during this stay and was encouraged to get 
-up and ambulate as early as possible.  
- At the time of discharge, the patient was doing well, afebrile 
-and hemodynamically stable. The patient was tolerating a 
-mechanical soft diet, ambulating, voiding without assistance, 
-and pain was well controlled. The patient received discharge 
-teaching and follow-up instructions with understanding 
-verbalized and agreement with the discharge plan.  
-
- 
-
-###RESPONSE: myotomy {Division of muscle}, partial fundoplication {Partial fundoplication}, stable {Patient's condition stable}, Neuro {Neurological examination}, alert {Mentally alert}, pain {Pain}, Pain was 
-very well controlled {Demonstrates adequate pain control}, stable {Patient's condition stable}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, stable {Patient's condition stable}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, incentive spirometry {Incentive spirometry}, diet {Dietary finding}, mechanical soft diet {Soft diet}, nausea {Nausea}, vomiting {Vomiting}, fever {Fever}, watched for signs 
-of infection {Monitoring for signs and symptoms of infection}, signs {Sign}, bleeding {Bleeding}, Prophylaxis {Preventive procedure}, hemodynamically stable {Hemodynamically stable}, mechanical soft diet {Soft diet}, voiding without assistance {Continence independent}, pain was well controlled {Demonstrates adequate pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-AMOXICILLIN - amoxicillin 500 mg capsule. 4 capsule(s) by mouth 
-Once as needed for ___ minutes prior to dental procedure
-ATENOLOL - atenolol 25 mg tablet. 1 tablet(s) by mouth once a 
-day
-GABAPENTIN - gabapentin 300 mg capsule. 1 capsule(s) by mouth 
-three times daily
-OMEPRAZOLE - omeprazole 40 mg capsule,delayed release. 1 
-capsule(s) by mouth in am
-
- 
-Discharge Medications:
-1.  Acetaminophen (Liquid) 650 mg PO Q4H:PRN Pain - Mild 
-RX *acetaminophen 500 mg/15 mL 30 mL by mouth every eight (8) 
-hours Disp #*450 Milliliter Refills:*0 
-2.  Omeprazole 40 mg PO DAILY 
-RX *omeprazole 40 mg 1 capsule(s) by mouth Daily Disp #*30 
-Capsule Refills:*0 
-3.  OxycoDONE Liquid 5 mg PO Q4H:PRN Pain - Moderate 
-RX *oxycodone 5 mg/5 mL ___ mL by mouth every four (4) hours 
-Disp ___ Milliliter Milliliter Refills:*0 
-4.  Atenolol 25 mg PO DAILY  
-5.  Gabapentin 300 mg PO BID  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-achalasia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: achalasia {Achalasia}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr ___,
-
-It was a pleasure taking care of you here at ___ 
-___. You were admitted to our hospital for 
-___ myotomy and partial fundoplication on ___. You 
-tolerated the procedure well and are ambulating, tolerating a 
-regular diet, and your pain is controlled by pain medications by 
-mouth. You are now ready to be discharged to home. Please follow 
-the recommendations below to ensure a speedy and uneventful 
-recovery. 
-
-ACTIVITY:
-- Do not drive until you have stopped taking pain medicine and 
-feel you could respond in an emergency.
-- You may climb stairs. You should continue to walk several 
-times a day. 
-- You may go outside, but avoid traveling long distances until 
-you see your surgeon at your next visit. 
-- You may start some light exercise when you feel comfortable. 
-Slowly increase your activity back to your baseline as 
-tolerated.
-- Heavy exercise may be started after 6 weeks, but use common 
-sense and go slowly at first. 
-- No heavy lifting (10 pounds or more) until cleared by your 
-surgeon, usually about 6 weeks. 
-- You may resume sexual activity unless your doctor has told you 
-otherwise.
-
-HOW YOU MAY FEEL: 
-- You may feel weak or ""washed out"" for 6 weeks. You might want 
-to nap often. Simple tasks may exhaust you.
-- You may have a sore throat because of a tube that was in your 
-throat during the surgery.
-
-YOUR BOWELS:
-- Constipation is a common side effect of narcotic pain medicine 
-such as oxycodone. If needed, you may take a stool softener 
-(such as Colace, one capsule) or gentle laxative (such as milk 
-of magnesia, 1 tbs) twice a day. You can get both of these 
-medicines without a prescription.
-- If you go 48 hours without a bowel movement, or have pain 
-moving the bowels, call your surgeon.
-- After some operations, diarrhea can occur. If you get 
-diarrhea, don't take anti-diarrhea medicines. Drink plenty of 
-fluids and see if it goes away. If it does not go away, or is 
-severe and you feel ill, please call your surgeon.
-
-PAIN MANAGEMENT:
-- You are being discharged with a prescription for oxycodone for 
-pain control. You may take liquid Tylenol as directed, not to 
-exceed 3500mg in 24 hours. Take regularly for a few days after 
-surgery but you may skip a dose or increase time between doses 
-if you are not having pain until you no longer need it. You may 
-take the oxycodone for moderate and severe pain not controlled 
-by the Tylenol. You may take a stool softener while on narcotics 
-to help prevent the constipation that they may cause. Slowly 
-wean off these medications as tolerated. 
-- Your pain should get better day by day. If you find the pain 
-is getting worse instead of better, please contact your surgeon.
-
-If you experience any of the following, please contact your 
-surgeon: 
-- sharp pain or any severe pain that lasts several hours
-- chest pain, pressure, squeezing, or tightness
-- cough, shortness of breath, wheezing
-- pain that is getting worse over time or pain with fever
-- shaking chills, fever of more than 101
-- a drastic change in nature or quality of your pain
-- nausea and vomiting, inability to tolerate fluids, food, or 
-your medications
-- if you are getting dehydrated (dry mouth, rapid heart beat, 
-feeling dizzy or faint especially while standing)
--any change in your symptoms or any symptoms that concern you
-
-Additional: 
-*- pain that is getting worse over time, or going to your chest 
-or back
-*- urinary:  burning or blood in your urine or the inability to 
-urinate
-
-MEDICATIONS:
-- Take all the medicines you were on before the operation just 
-as you did before, unless you have been told differently.
-- If you have any questions about what medicine to take or not 
-to take, please call your surgeon. 
-
-WOUND CARE: 
--Dressing Removal:***
--You may shower with any bandage strips that may be covering 
-your wound. Do not scrub and do not soak or swim, and pat the 
-incision dry. If you have steri strips, they will fall off by 
-themselves in ___ weeks. If any are still on in two weeks and 
-the edges are curling up, you may carefully peel them off.  
-
--Do not take baths, soak, or swim for 6 weeks after surgery 
-unless told otherwise by your surgical team. 
--Notify your surgeon if you notice abnormal (foul smelling, 
-bloody, pus, etc) or increased drainage from your incision site, 
-opening of your incision, or increased pain or bruising. Watch 
-for signs of infection such as redness, streaking of your skin, 
-swelling, increased pain, or increased drainage. 
-
-Please call with any questions or concerns. Thank you for 
-allowing us to participate in your care. We hope you have a 
-quick return to your usual life and activities. 
-
--- Your ___ Care Team
-
- 
-
-###RESPONSE: myotomy {Division of muscle}, partial fundoplication {Partial fundoplication}, procedure {Procedure}, tolerating a 
-regular diet {Tolerating normal diet}, pain {Pain}, climb stairs {Does walk up stairs}, walk {Walking practice}, exercise {Exercises}, exercise {Exercises}, washed out {Exhaustion}, sore throat {Sore throat}, throat {Structure of anterior portion of neck}, surgery {Surgical procedure}, Constipation {Constipation}, prescription {Prescription}, pain {Pain}, bowels {Intestinal structure}, diarrhea {Diarrhea}, diarrhea {Diarrhea}, diarrhea {Diarrhea}, prescription {Prescription}, pain control {Pain control}, after 
-surgery {Postoperative state}, pain {Pain}, severe pain {Severe pain}, constipation {Constipation}, pain {Pain}, pain {Pain}, sharp pain {Sharp pain}, severe pain {Severe pain}, chest pain {Chest pain}, pressure {Tight chest}, squeezing {Squeezing chest pain}, tightness {Tight chest}, cough {Cough}, shortness of breath {Dyspnea}, wheezing {Wheezing}, pain {Pain}, pain {Pain}, fever {Fever}, shaking {Tremor}, chills {Chill}, fever {Fever}, pain {Pain}, nausea and vomiting {Nausea and vomiting}, dehydrated {Dehydration}, dry mouth {Xerostomia}, rapid heart beat {Tachycardia}, dizzy {Dizziness}, faint {Feeling faint}, standing {Orthostatic body position}, pain {Pain}, chest {Radiating chest pain}, blood in your urine {Blood in urine}, operation {Surgical procedure}, WOUND CARE {Wound care}, -Dressing Removal {Removal of dressing}, wound {Wound}, incision {Surgical incision wound}, soak {Soak}, after surgery {Postoperative state}, drainage {Wound discharge}, incision site {Surgical incision wound}, incision {Surgical incision wound}, increased pain {Increased pain}, bruising {Contusion}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, skin {Skin structure}, swelling {Swelling}, increased pain {Increased pain}, drainage {Wound discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Hydrochlorothiazide / Lipitor / Ultram
- 
-Attending: ___.
- 
-Chief Complaint:
-___, poor PO intake
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Hydrochlorothiazide {Allergy to hydrochlorothiazide}, Lipitor {Allergy to atorvastatin}, poor PO intake {Decrease in appetite}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o F referred in by her PCP. Patient has history of severe 
-AS (peak gradient of 58, mean of 35, EF55% in ___, dCHF, HTN. 
-She went in to her PCP with dyspnea on exertion, and routine 
-labs showed a BUN/Cr of 50/2.4 so patient referred into ___ 
-ED. She has had increased Lasix dosing, and decreased PO intake 
-(has had increased GERD recently and thus not tolerating 
-excellent PO, has plans for GI f/u in coming weeks). In this 
-context, patient has had dyspnea while ambulating. On ROS she 
-denies fever/chills/chest pain, shortness of breath at rest. 
-Denies any urinary/stool changes, does have +left knee pain and 
-is s/p left TKR. Left knee pain radiates up to left groin, is 
-chronic and patient did not take her Tylenol today for it.
-In the ED, initial vitals were: 97.6 84 145/89 16 100% RA
-- Exam significant for LLL mild crackles and occ. wheeze
-___ RUSB SEM
-- Labs were significant for unremarkable CBC, BUN/Creat 50/2.4
-- Imaging revealed: (own read) no acute intrathoracic process
-- The patient was given tyelnol x1
-Admitted for work-up ___ and possible TTE.
-Vitals prior to transfer were: 97.7 77 143/64 24 97% RA
-Upon arrival to the floor, pt appears well.
-REVIEW OF SYSTEMS:
-(+) Per HPI
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denies chest pain or tightness, palpitations. Denies 
-nausea, vomiting, diarrhea, constipation or abdominal pain. No 
-recent change in bowel or bladder habits. No dysuria. Denies 
-arthralgias or myalgias.
- 
-
-###RESPONSE: dCHF {Decompensated chronic heart failure}, HTN {Hypertensive disorder, systemic arterial}, dyspnea on exertion {Dyspnea on exertion}, decreased PO intake {Inadequate oral intake}, GERD {Gastroesophageal reflux disease}, dyspnea while ambulating {Dyspnea on exertion}, fever {Fever}, chills {Chill}, chest pain {Chest pain}, shortness of breath {Dyspnea}, urinary {Urinary incontinence}, stool {Hematochezia}, left knee {Structure of left knee region}, pain {Pain of knee region}, left TKR {Total replacement of left knee joint}, Left knee {Structure of left knee region}, pain {Pain of knee region}, radiates {Radiating pain}, left groin {Left inguinal region structure}, chronic {Chronic pain}, vitals {Vital signs finding}, RA {Breathing room air}, Exam {Physical examination procedure}, LLL {Structure of lower lobe of left lung}, crackles {Respiratory crackles}, wheeze {Wheezing}, SEM {Ejection murmur}, unremarkable {No abnormality detected}, CBC {Complete blood count}, work-up {Evaluation procedure}, TTE {Transthoracic echocardiography}, Vitals {Vital signs finding}, RA {Breathing room air}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus {Nasal sinus structure}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Hypertension  
-- Hyperchloseterolemia  
-- AAA - infra-renal 
-- GERD  
-- Left Renal Mass  
--> nodular enhancing solid/cystic left renal mass 16x13mm  
-- Spinal stenosis  
--> with symptoms and signs of radicular compression with an MRI  
-
-from ___ disclosing severe spinal stenosis at the L4-L5 level,  
-
-grade 1 spondylolisthesis of L4 over L5, severe foraminal 
-stenosis  
-at L4-L5 and mild-to-moderate stenosis at L3-L4  
-- degenerative joint disease of ankles and knees secondary to 
-severe  
-mechanical alterations w/ Tricompartmental OA of left knee 
-thyroid nodules 
-.  
-Cardiac Risk Factors: (-)Diabetes, (+) Dyslipidemia and 
-Hypertension  
-
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Hyperchloseterolemia {Hypercholesterolemia}, AAA - infra-renal {Aneurysm of infrarenal abdominal aorta}, GERD {Gastroesophageal reflux disease}, Left Renal {Left kidney structure}, Mass {Nodule of lung}, left renal {Left kidney structure}, mass {Nodule of lung}, Spinal stenosis {Spinal stenosis}, signs {Sign}, compression {Compression}, MRI {Magnetic resonance imaging}, spinal stenosis {Spinal stenosis}, L4 {Entire body of fourth lumbar vertebra}, L5 {Entire body of fifth lumbar vertebra}, grade 1 spondylolisthesis {Spondylolisthesis, grade 1}, L4 {Entire body of fourth lumbar vertebra}, L5 {Entire body of fifth lumbar vertebra}, foraminal 
-stenosis {Stenosis of lumbar vertebral foramen}, L4 {Entire body of fourth lumbar vertebra}, L5 {Entire body of fifth lumbar vertebra}, stenosis {Stenosis}, L3 {Entire body of third lumbar vertebra}, L4 {Entire body of fourth lumbar vertebra}, degenerative joint disease of ankles {Osteoarthritis of ankle}, knees {Osteoarthritis of knee}, OA {Osteoarthritis of knee}, left knee {Structure of left knee region}, thyroid nodules {Thyroid nodule}, Cardiac Risk Factors {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Dyslipidemia {Dyslipidemia}, Hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-===================
-Vitals: 96.9 156/76 69 16 100%RA
-wt 67.25
-General: Alert, oriented, no acute distress
-HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL
-Neck: Supple, JVP mildly elevated, no LAD
-CV: Regular rate and rhythm, normal S1 + S2, SEM ___ at LUSB
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi
-Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly, no rebound or guarding
-GU: No foley
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-Neuro: AAOx3
-
-DISCHARGE PHYSICAL EXAM:
-====================
-Vitals:  Tc 98.0 HR 64 BP 120-160/50-70 RR 16 SpO2 100%RA Wt 
-67.6kg
-General: Alert, oriented, no acute distress  
- HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL  
- Neck: Supple, JVP mildly elevated, no LAD  
- CV: Regular rate and rhythm, normal S1 + S2, SEM ___ at LUSB  
- Lungs: Mild bibasilar crackles, no wheezes
- Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly, no rebound or guarding  
- GU: No foley  
- Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
- Neuro: AAOx2 (said year was ___
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, elevated {Raised jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, SEM {Ejection murmur}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, Vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, JVP {Finding of jugular venous pressure}, elevated {Raised jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 + S2 {Heart sounds normal}, SEM {Ejection murmur}, Lungs {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, wheezes {Wheezing}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, tender {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-
-___ 10:36AM BLOOD WBC-9.3 RBC-4.32 Hgb-12.0 Hct-38.0 MCV-88 
-MCH-27.8 MCHC-31.6* RDW-14.3 RDWSD-45.7 Plt ___
-___ 10:36AM BLOOD Neuts-72.5* ___ Monos-5.2 
-Eos-0.7* Baso-0.2 Im ___ AbsNeut-6.76* AbsLymp-1.97 
-AbsMono-0.49 AbsEos-0.07 AbsBaso-0.02
-___ 10:36AM BLOOD UreaN-50* Creat-2.4*# Na-139 K-4.0 Cl-99
-___ 10:36AM BLOOD proBNP-199
-___ 10:36AM BLOOD 25VitD-29*
-___ 06:04PM URINE Hours-RANDOM UreaN-625 Creat-79 Na-66 
-K-30 Cl-51
-___ 06:04PM URINE Osmolal-453
-
-OTHER PERTINENT LABS:
-
-___ 10:36AM BLOOD UreaN-50* Creat-2.4*# Na-139 K-4.0 Cl-99
-___ 06:57AM BLOOD Glucose-86 UreaN-51* Creat-2.2* Na-139 
-K-4.3 Cl-105 HCO3-23 AnGap-15
-___ 03:05PM BLOOD Glucose-94 UreaN-47* Creat-2.0* Na-139 
-K-4.3 Cl-104 HCO3-23 AnGap-16
-___ 07:17AM BLOOD Glucose-82 UreaN-34* Creat-1.5* Na-141 
-K-4.1 Cl-108 HCO3-22 AnGap-15
-___ 10:36AM BLOOD 25VitD-29*
-
-IMAGING:
-CXR ___ - No acute intrathoracic process.
-
-MICRO: none
-
-DISCHARGE LABS:
-___ 07:55AM BLOOD WBC-5.2 RBC-3.95 Hgb-10.7* Hct-34.5 
-MCV-87 MCH-27.1 MCHC-31.0* RDW-14.0 RDWSD-45.1 Plt ___
-___ 07:55AM BLOOD Glucose-81 UreaN-29* Creat-1.4* Na-143 
-K-4.4 Cl-107 HCO3-26 AnGap-14
-___ 07:55AM BLOOD Calcium-9.4 Phos-3.2 Mg-1.8
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CXR {Plain chest X-ray}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-SUMMARY:
-___ y/o F referred in by her PCP. Patient has history of severe 
-AS (peak gradient of 58, mean of 35, EF55% in ___, dCHF, HTN. 
-She went in to her PCP with dyspnea on exertion, and routine 
-labs showed a BUN/Cr of 50/2.4 in setting of increased lasix 
-dosing x3 days and decreased PO intake.  
-
-___ on CKD:  
- Baseline Creat 1.3. Admitted with Cr 2.4 in setting of 
-increased lasix dosing last week, decreased PO intake over past 
-week due to worsening reflux after eating spicy food. SCr 
-improved with IV fluids. Creatinine was 1.4 after PO intake only 
-for 1 day prior to discharge
-
-#chronic compensated diastolic heart failure:  
-No e/o acute fluid overload. Above ___ likely in setting of 
-overdiuresis and poor PO intake. Held home lasix upon discharge.
-
-#HTN: Continued home amplodipine 
- 
-#GERD: Continued omeprazole, ranitidine. Patient states her 
-reflux was much improved while inpatient, although she reports 
-taking her outpatient medications as prescribed. She lives with 
-her son and daughter-in-law. Patient is well versed in her 
-medications, though she takes them herself out of the bottles 
-each day.
- 
-#Vitamin D deficiency: Continued home vitamin D  
-
-TRANSITIONAL ISSUES:
-- Discharge weight: 67.6 kg
-- ___: Please check CMP to monitor Creatinine/electrolytes on 
-___ or ___ and fax results to patient's PCP ___ 
-___ at ___.
-- Patient states poor PO intake due to reflux/GERD exacerbation. 
-Improved on home regimen while inpatient. Defer additional 
-management of outpatient GERD medications to PCP.
-- Furosemide was held during hospitalization given ___ and fluid 
-resuscitation. Defer restarting this medication to 
-PCP/Cardiologist.
-- Recommend continued goals of care discussion with PCP. Patient 
-may benefit from palliative care/hospice referral.
-- DNR/DNI 
-- contact: ___ (son/HCP) ___ 
- 
-___ on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Amlodipine 10 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. Omeprazole 20 mg PO BID 
-4. Pravastatin 20 mg PO DAILY 
-5. Furosemide 20 mg PO DAILY 
-6. Ranitidine 150 mg PO QHS 
-7. Vitamin D ___ UNIT PO DAILY 
-8. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-9. Acetaminophen 650 mg PO QHS 
-
- 
-Discharge Medications:
-1. Amlodipine 10 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. Omeprazole 20 mg PO BID 
-4. Pravastatin 20 mg PO DAILY 
-5. Ranitidine 150 mg PO QHS 
-6. Vitamin D ___ UNIT PO DAILY 
-7. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-8. Acetaminophen 650 mg PO QHS 
-
- 
-
-###RESPONSE: dCHF {Decompensated chronic heart failure}, HTN {Hypertensive disorder, systemic arterial}, dyspnea on exertion {Dyspnea on exertion}, lasix {Diuretic therapy}, decreased PO intake {Inadequate oral intake}, CKD {Chronic kidney disease}, Baseline {Baseline state}, lasix {Diuretic therapy}, decreased PO intake {Inadequate oral intake}, reflux {Gastric reflux}, improved {Patient's condition improved}, IV fluids {Administration of intravenous fluids}, compensated {Compensated cardiac failure}, diastolic heart failure {Diastolic heart failure}, fluid overload {Hypervolemia}, poor PO intake {Decrease in appetite}, lasix {Diuretic therapy}, HTN {Hypertensive disorder, systemic arterial}, GERD {Gastroesophageal reflux disease}, reflux {Gastric reflux}, improved {Patient's condition improved}, Vitamin D deficiency {Vitamin D deficiency}, weight {Weight finding}, Creatinine {Creatinine measurement}, poor PO intake {Decrease in appetite}, reflux {Gastric reflux}, GERD {Gastroesophageal reflux disease}, GERD {Gastroesophageal reflux disease}, palliative care {Palliative care}, hospice {Hospice care}, referral {Patient referral}, DNR {Not for resuscitation}, constipation {Constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY: 
--acute kidney injury 
-
-SECONDARY: 
--hypertension
--gastroenterologist 
--severe aortic stenosis
--chronic compensated diastolic congestive heart failure 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, acute kidney injury {Acute kidney injury}, hypertension {Hypertensive disorder, systemic arterial}, aortic stenosis {Aortic valve stenosis}, compensated {Compensated cardiac failure}, diastolic congestive heart failure {Diastolic heart failure}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure caring for you at the ___ 
-___. You were recently admitted for elevated 
-creatinine, a measure of your kidney function. You were treated 
-with IV fluids and improved. Please ensure that you are eating 
-and drinking well at home, as dehydration is likely the cause. 
-Please discuss optimizing your reflux medication regimen with 
-your primary care doctor.
-
-Please continue taking all of your medications as prescribed and 
-keep all of your follow-up appointments.
-
-It was a pleasure caring for you.
-
-Sincerely,
-Your ___ care team
- 
-
-###RESPONSE: elevated 
-creatinine {Serum creatinine above reference range}, IV fluids {Administration of intravenous fluids}, improved {Patient's condition improved}, dehydration {Dehydration}, reflux {Gastric reflux}, regimen {Therapeutic regimen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Codeine / Peanut
- 
-Attending: ___
- 
-Chief Complaint:
-Cough
- 
-Major Surgical or Invasive Procedure:
-Right thoracentesis with drainage of 5 cc purulent fluid 
-___
-
- 
-
-###RESPONSE: Codeine {Allergy to codeine}, Peanut {Allergy to peanut}, Cough {Cough}, thoracentesis {Thoracentesis}, drainage {Drainage procedure}, purulent fluid {Purulent discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is an ___ year old male with history of atrial 
-fibrillation on warfarin, esophageal diverticulum/dysphagia, and 
-blindness here with chronic non-productive cough and new 
-right-sided pleuritic chest pain developing ___ the last 48 
-hours. His pain is characterized by a ___ stabbing sensation at 
-worst (now ___ relived with analgesic medications but worsened 
-with inspiration or movement. His pain radiates to his 
-back/shouders. He has had similar pain ___ the past, most 
-recently ___ ___, and has received diagnoses of pneumonia. He 
-denies subjective fevers at home, fatigue, hoarseness, malaise, 
-lymphadenopathy, diaphoresis, left-sided chest pain, 
-lightheadedness, nausea, vomiting, or other somatic complaints.
-
-Per OMR, he was admitted on ___ (and discharged same day) 
-with a diagnosis of mutifocal pneumonia after presenting with 
-left-sided pleuritic chest pain; discharged with prescription 
-for 5 days of levofloxacin and recommendations to have repeat 
-CXR to evaluate for resolution of pneumonia. Presented later to 
-PCP ___ ___ with non-productive cough but without other 
-symptoms/signs of pneumonia - diagnosed with latent pleural 
-irritation secondary to bronchitis. He has not had imaging ___ 
-the interval from ___ until now.
-
-___ the ED, initial VS were 99.0, 83, 156/81, 16, 100%. Initial 
-labs demonstrated leukocytosis with 14,600 WBCs, of which 88% 
-were PMNs. A CXR revealed bibasilar airspace opacities and 
-possible left pleural effusion. His d-dimer was 882. A 
-subsequent CTA chest demonstrated possible right-sided empyema 
-and LLL, RML multifocal pneumonia. He received 1g ceftriaxone 
-and 500mg azithromycin initially at 2330 on ___. He required 
-an extended stay ___ the ED due to bed availability and was then 
-managed by ___, who added 150mg clindamcyin at 0140 on ___ 
-due to empyema presence. He was started on some of his home 
-medications, including warfarin 5mg daily, atenolol, and 
-mirtazapine. He required acetaminophen, tramadol, and oxycodone 
-for control of pleuritic pain. IP was consulted, who recommended 
-discontinuing warfarin (INR was 2.0) and considering FFP for 
-reversal of anticoagulation pending possible thoracentesis 
-and/or chest tube placement. He remained afebrile during his 
-time ___ the ED.
-
-ROS:
-(+) Per HPI
-(-) Denies fatigue, subjective fever, fatigue, weight change, 
-headache, tinnitus, dysphagia, odynophagia, hoarseness, 
-palpitations, dyspnea, paroxysmal nocturnal dyspnea, orthopnea, 
-abdominal pain, nausea, vomiting, diarrhea, melena, 
-hematochezia, lymphadenopathy, dysuria, new bruising, new 
-bleeding, rash, or other somatic complaints.
- 
-
-###RESPONSE: atrial 
-fibrillation {Atrial fibrillation}, on warfarin {Warfarin therapy}, esophageal diverticulum {Diverticulum of esophagus}, dysphagia {Dysphagia}, chronic {Chronic disease}, non-productive cough {Dry cough}, right-sided pleuritic chest pain {Right sided chest pain}, pain {Pain}, stabbing {Stabbing pain}, worsened {Increased pain}, pain {Pain}, shouders {Shoulder region structure}, pain {Pain}, pneumonia {Pneumonia}, fevers {Fever}, fatigue {Fatigue}, hoarseness {Hoarse}, malaise {Malaise}, lymphadenopathy {Lymphadenopathy}, diaphoresis {Excessive sweating}, left-sided chest pain {Left sided chest pain}, lightheadedness {Lightheadedness}, nausea, vomiting {Nausea and vomiting}, pneumonia {Pneumonia}, left-sided {Left sided chest pain}, pleuritic chest pain {Pleuritic pain}, prescription {Prescription}, recommendations to {Recommendation to}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, PCP {Primary care management}, non-productive cough {Dry cough}, signs {Sign}, pneumonia {Pneumonia}, bronchitis {Bronchitis}, imaging {Imaging}, leukocytosis {Leukocytosis}, CXR {Plain chest X-ray}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, left {Structure of left pleural cavity}, pleural effusion {Pleural effusion}, CTA chest {Computed tomography angiography of chest with contrast}, right-sided {Right lung structure}, empyema {Empyema}, LLL {Structure of lower lobe of left lung}, RML {Right middle zone pneumonia}, pneumonia {Pneumonia}, empyema {Empyema}, pleuritic pain {Pleuritic pain}, anticoagulation {Anticoagulant therapy}, thoracentesis {Thoracentesis}, chest tube placement {Insertion of pleural tube drain}, fatigue {Fatigue}, fever {Fever}, fatigue {Fatigue}, headache {Headache}, tinnitus {Tinnitus}, dysphagia {Dysphagia}, odynophagia {Swallowing painful}, hoarseness {Hoarse}, palpitations {Palpitations}, dyspnea {Dyspnea}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, melena {Melena}, hematochezia {Hematochezia}, lymphadenopathy {Lymphadenopathy}, dysuria {Dysuria}, bruising {Contusion}, bleeding {Bleeding}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- atrial fibrillation on warfarin
-- benign prostatic hypertrophy previously with chronic 
-indwelling Foley now s/p TURP
-- esophageal diverticulum leading to dysphagia
-- HTN
-- blindness secondary to macular degeneration on left, retinal 
-detachment on right
-- gait disorder
-- kyphoscoliosis
-- left inguinal herniorrhaphy ___
-- neuropathy
- 
-
-###RESPONSE: atrial fibrillation {Atrial fibrillation}, on warfarin {Warfarin therapy}, benign prostatic hypertrophy {Benign prostatic hyperplasia}, Foley {Catheterization of urinary bladder}, TURP {Transurethral prostatectomy}, esophageal diverticulum {Diverticulum of esophagus}, dysphagia {Dysphagia}, HTN {Hypertensive disorder, systemic arterial}, blindness {Blindness AND/OR vision impairment level}, macular degeneration {Degenerative disorder of macula}, left {Structure of macula lutea of left eye}, retinal 
-detachment {Retinal detachment}, right {Structure of retina of right eye}, gait disorder {Abnormal gait}, kyphoscoliosis {Kyphosis deformity of spine}, left {Structure of left inguinal canal}, inguinal herniorrhaphy {Repair of inguinal hernia using surgical sutures}, neuropathy {Neuropathy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father with history of MI
-
- 
-
-###RESPONSE: MI {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-VS on arrival to floor: 97.8, 146/62, 89, 18, 0.99 on 3L NC
- Gen: NAD, AAOx3, comfortably lying ___ bed and conversant
- HEENT: NC/AT, right pupil clouded, yellowed and orbit sunken ___ 
-socket, left pupil cloudy; sclera anicteric; oropharynx clear 
-without exudate or erythema, mucosa moist but slightly dry; no 
-LAD
- CV: irregularly irregular, no m/r/g
- Pulm: difficult to assess as patient moving small volumes of 
-air, but lung sounds decreased at left posterior bases 
-associated with left-sided dullness to percussion and egophany
- Abd: BS+, soft, NT, ND, no HSM, no palpable masses, ___ 
-negative
- MSK: dorsalis pedis and radial pulses 2+ bilaterally, no c/c/e
- Neuro: oriented x3, CNII-XII intact, moving all extremities, 
-sensation grossly intact
-
-DISCHARGE PHYSICAL EXAM:
-Unchanged.
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, NC {Normal head}, Gen {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, lying {Lying in bed}, HEENT {Physical examination procedure}, NC {Normal head}, right pupil {Structure of pupil of right eye}, yellowed {Scleral icterus}, orbit sunken {Sunken eyes}, left pupil {Structure of pupil of left eye}, sclera anicteric {White sclera}, oropharynx clear {Pharynx normal}, exudate {Exudate}, erythema {Erythema}, mucosa moist {Moist oral mucosa}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, irregularly irregular {Heart irregularly irregular}, no m/r/g {Heart sounds normal}, Pulm {Examination of respiratory system}, lung sounds decreased {Decreased breath sounds}, bases {Structure of base of lung}, left-sided {Structure of left half of chest wall}, dullness to percussion {Dullness to percussion over Traube's space}, egophany {Egophony}, Abd {Examination of abdomen}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, palpable masses {Palpable mass}, MSK {Musculoskeletal system physical examination}, dorsalis pedis {Dorsalis pulse present}, radial pulses 2+ bilaterally {Normal radial pulse}, Neuro {Neurological examination}, oriented {Orientated}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, all extremities {All extremities}, sensation grossly intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 04:45PM BLOOD WBC-14.6* RBC-4.38* Hgb-13.7* Hct-41.7 
-MCV-95 MCH-31.2 MCHC-32.7 RDW-13.7 Plt ___
-___ 04:45PM BLOOD Neuts-88.0* Lymphs-5.5* Monos-5.4 Eos-0.9 
-Baso-0.2
-___ 03:09AM BLOOD ___
-___ 04:45PM BLOOD Glucose-122* UreaN-15 Creat-0.8 Na-141 
-K-5.0 Cl-103 HCO3-29 AnGap-14
-___ 04:45PM BLOOD ALT-11 AST-16 AlkPhos-120 TotBili-0.7
-___ 04:45PM BLOOD Lipase-17
-___ 04:45PM BLOOD Albumin-3.3*
-___ 08:55AM BLOOD Calcium-8.5 Phos-2.6* Mg-2.1
-___ 04:58PM BLOOD Lactate-1.7
-
-DISCHARGE LABS:
-___ 05:22AM BLOOD WBC-14.3* RBC-4.17* Hgb-12.7* Hct-40.1 
-MCV-96 MCH-30.5 MCHC-31.7 RDW-13.6 Plt ___
-___ 05:22AM BLOOD Neuts-87.7* Lymphs-5.5* Monos-6.1 Eos-0.7 
-Baso-0.1
-___ 05:22AM BLOOD ___
-
-MICROBIOLOGY:
-___ 10:15 am FLUID,OTHER      RT LUNG EMPYEMA. 
-
-   GRAM STAIN (Final ___: 
-      3+  ___ per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      3+  ___ per 1000X FIELD):   GRAM POSITIVE COCCI. 
-                                    ___ PAIRS, CHAINS, AND 
-CLUSTERS. 
-      1+    (<1 per 1000X FIELD):   GRAM POSITIVE ROD(S). 
-      SMEAR REVIEWED; RESULTS CONFIRMED. 
-      Reported to and read back by ___ ___ ___ 240PM. 
-
-   FLUID CULTURE (Preliminary): 
-      STREPTOCOCCUS ANGINOSUS (___) GROUP.    MODERATE 
-GROWTH. 
-
-   ANAEROBIC CULTURE (Preliminary):    NO ANAEROBES ISOLATED. 
-
-Blood culture ___ x 2: no growth
-
-STUDIES:
-- Video swallow study ___: IMPRESSION: Penetration with 
-nectar thick liquid and aspiration with thin consistency barium.
-
-- CT guided thoracentesis ___: IMPRESSION: CT-guided 
-empyema aspiration yielding 6 cc of purulent tan pus. 
-Microbiology and cytology are pending.
-
-- CTA CHEST W AND W/O CONTRAST ___:
-IMPRESSION:
-1.  No evidence of pulmonary embolism or acute aortic pathology. 
-
-2.  Multifocal pulmonary opacities, most confluent ___ the left 
-lower lobe and ___ the right middle lobe, compatible with 
-multifocal pneumonia.  Enhancing small fluid collection ___ the 
-right mid lung pleural space concerning for empyema. 
-3.  Moderate sized right pleural effusion. 
-
-- CTA CHEST W AND W/O CONTRAST ___:
-IMPRESSION: 
-1.  Multiple bilateral nodular opacities, with the most 
-confluence at the left base, consistent with multifocal 
-pneumonia.  A dedicated chest CT after resolution of symptoms 
-can be considered to evaluate for nodules. 
-2.  Stable left adrenal nodule, likely an adenoma.  
-3.  No evidence of a pulmonary embolism or acute aortic injury. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, LUNG {Lung structure}, EMPYEMA {Empyema}, GRAM STAIN {Gram stain method}, CULTURE {Microbial culture}, ANAEROBIC CULTURE {Anaerobic microbial culture}, Blood culture {Blood culture}, Video swallow study {Videofluoroscopy swallow}, nectar thick liquid {Dietary liquid consistency - nectar thick liquid}, aspiration {Pulmonary aspiration}, consistency {Consistency finding}, CT guided thoracentesis {Thoracentesis using computed tomography guidance}, empyema aspiration {Drainage of empyema}, purulent {Purulent}, pus {Pus}, Microbiology {Microbiology}, cytology {Cytology examination - general}, pulmonary embolism {Pulmonary embolism}, aortic {Aortic structure}, pulmonary {Lung structure}, opacities {Abnormally opaque structure}, left 
-lower lobe {Structure of lower lobe of left lung}, right middle lobe {Structure of middle lobe of right lung}, pneumonia {Pneumonia}, fluid collection {Accumulation of fluid}, right mid lung pleural space {Structure of right pleural cavity}, empyema {Empyema}, right {Structure of right pleural cavity}, pleural effusion {Pleural effusion}, CTA CHEST W {Computed tomography angiography of chest with contrast}, W/O CONTRAST {Computed tomography of chest without contrast}, opacities {Abnormally opaque structure}, left base {Structure of base of left lung}, pneumonia {Pneumonia}, chest CT {Computed tomography of chest}, nodules {Nodule}, left adrenal {Structure of left adrenal gland}, nodule {Nodule}, adenoma {Adenoma}, pulmonary embolism {Pulmonary embolism}, aortic injury {Injury of aorta}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted to ___ on ___ for workup and 
-treatment of multifocal pneumonia. His hospital course is as 
-follows:
-
-1) Multifocal right middle lobe and left lower lobe pneumonia 
-with right parapneumonic effusion: suspicion of empyema ___ 
-setting of esophageal diverticulum and dysphagia. History of 
-multifocal pneumonia ___ ___, similar clinically. Patient 
-remained afebrile, with stable vital signs throughout admission. 
-Initially the patient was started on ceftriaxone, azithromycin, 
-and clindamycin. Given likely aspiration pneumonia, he underwent 
-video swallow study as above. Per speech pathology 
-recommendations, diet should be nectar thickened liquids, soft 
-solids; POs while upright w/ oral care before meals.  He 
-underwent CT-guided thoracentesis and drainage of 5 cc purulent 
-fluid at ___ location on ___. Initial gram stain of pleural 
-fluid growing 3+ GPCs and 1+ GPRs.  Patient treated with 
-clindamycin and levofloxacin per ID recs, which will continue 
-for four weeks.  He will require follow-up ___ ___ clinic to 
-determine resolution of pneumonia and determination of 
-antibiotic duration.  Patient's white blood cell count was 
-rising on day of discharge, but with no change ___ clinical 
-status.  Patient should have a CBC checked on ___ to follow up 
-this finding.
-
-2) Atrial fibrillation/anticoagulation - CHADS2 score equal to 
-2. Taking 4 mg daily of warfarin at home. Rate controlled with 
-atenolol. INR was mildly prolonged on arrival, suggestive of 
-inhibition of metabolism by antibiotics. Temporarily 
-discontinued warfarin ___, then restarted 4mg 
-daily on ___ after thoracentesis completed. Continued atenolol 
-daily. INR on discharge equal to 1.7.
-
-3) Hypertension - Well-controlled. Continued home atenolol.
-
-4) Benign prostatic hypertrophy previously with chronic 
-indwelling Foley now s/p TURP - No issues throughout admission. 
-Voiding regularly.
-
-5) Blindness secondary to macular degeneration on left, retinal 
-detachment on right - Chronic, stable. Redirected as necessary. 
-Continued home levobunolol.
-
-TRANSITIONAL ISSUES:
-- Please check kidney function and CBC on ___
-- Small 5-mm nodule ___ the right lobe of the thyroid may need 
-dedicated imaging, such as ultrasound.
-- ___ recs: okay for rehab or home w 24hr assistance and home ___
-- Will require follow-up with PCP ___ ___
-- Will require follow-up ___ ___ clinic to determine resolution of 
-pneumonia and determination of antibiotic duration.
-- Will need CT scan ___ weeks after discharge to follow-up 
-resolution of pneumonia.
- 
-
-###RESPONSE: pneumonia {Pneumonia}, right middle lobe {Structure of middle lobe of right lung}, left lower lobe pneumonia {Structure of lower lobe of left lung}, right {Right lung structure}, parapneumonic effusion {Pleural effusion associated with pulmonary infection}, empyema {Empyema}, esophageal diverticulum {Diverticulum of esophagus}, dysphagia {Dysphagia}, pneumonia {Pneumonia}, stable vital signs {Normal vital signs}, aspiration pneumonia {Aspiration pneumonia}, video swallow study {Videofluoroscopy swallow}, diet should be nectar thickened liquids {Dietary liquid consistency - nectar thick liquid}, soft 
-solids {Soft diet}, CT-guided thoracentesis {Thoracentesis using computed tomography guidance}, drainage {Drainage procedure}, purulent 
-fluid {Purulent discharge}, gram stain {Gram stain method}, pleural 
-fluid {Pleural fluid examination abnormal}, require follow-up {Requires follow-up}, pneumonia {Pneumonia}, antibiotic {Antibiotic therapy}, white blood cell count {White blood cell count}, CBC {Complete blood count}, follow up {Follow-up status}, Atrial fibrillation {Atrial fibrillation}, anticoagulation {Anticoagulant therapy}, antibiotics {Antibiotic therapy}, thoracentesis {Thoracentesis}, Hypertension {Hypertensive disorder, systemic arterial}, Benign prostatic hypertrophy {Benign prostatic hyperplasia}, Foley {Catheterization of urinary bladder}, TURP {Transurethral prostatectomy}, Voiding {Micturition finding}, Blindness {Blindness AND/OR vision impairment level}, macular degeneration {Degenerative disorder of macula}, left {Structure of macula lutea of left eye}, retinal 
-detachment {Retinal detachment}, right {Structure of retina of right eye}, Chronic {Chronic disease}, stable {Patient's condition stable}, check kidney function {Renal function monitoring}, CBC {Complete blood count}, nodule {Nodule}, right lobe of the thyroid {Structure of right lobe of thyroid gland}, imaging {Imaging}, ultrasound {Ultrasonography}, require follow-up {Requires follow-up}, PCP {Primary care management}, require follow-up {Requires follow-up}, pneumonia {Pneumonia}, antibiotic {Antibiotic therapy}, CT scan {Computed tomography}, follow-up {Follow-up status}, pneumonia {Pneumonia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Atenolol 25 mg PO DAILY 
-Hold for HR<60 or sBP<100. 
-2. Levobunolol 0.25% 1 DROP LEFT EYE DAILY 
-3. Mirtazapine 30 mg PO HS 
-4. Warfarin 4 mg PO DAILY16 
-5. Docusate Sodium 100 mg PO BID 
-6. DiphenhydrAMINE 25 mg PO HS:PRN insomnia 
-7. Acetaminophen 500 mg PO Q6H:PRN pain 
-
- 
-Discharge Medications:
-1. Acetaminophen 500 mg PO Q6H:PRN pain 
-2. Atenolol 25 mg PO DAILY 
-Hold for HR<60 or sBP<100. 
-3. Docusate Sodium 100 mg PO BID 
-4. Levobunolol 0.25% 1 DROP LEFT EYE DAILY 
-5. Mirtazapine 30 mg PO HS 
-6. DiphenhydrAMINE 25 mg PO HS:PRN insomnia 
-7. Warfarin 4 mg PO DAILY16 
-8. Clindamycin 300 mg PO Q6H 
-RX *clindamycin HCl [Cleocin] 300 mg 1 capsule(s) by mouth every 
-six (6) hours Disp #*120 Capsule Refills:*0
-9. Levofloxacin 500 mg PO DAILY 
-RX *levofloxacin [Levaquin] 500 mg 1 tablet(s) by mouth daily 
-Disp #*30 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY:
-- multifocal pneumonia with complicated parapneumonic effusion, 
-empyema
-SECONDARY:
-- dysphagia secondary to esophageal diverticulum
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: pneumonia {Pneumonia}, parapneumonic effusion {Pleural effusion associated with pulmonary infection}, empyema {Empyema}, dysphagia {Dysphagia}, esophageal diverticulum {Diverticulum of esophagus}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-Thank you for choosing ___ for your medical care. You were 
-admitted with pain ___ your chest caused by a pneumonia. Your 
-pneumonia is probably caused by swallowing dysfunction.
-
-You are now ready for discharge. Please take all your 
-medications as instructed by your doctors. Please keep all of 
-your appointments with your doctors, and bring a copy of your 
-medications to these visits. Upon discharge, please call your 
-PCP, ___, at ___ or return to the ED if you 
-experience any of the following: loss of conciousness, fever, 
-chest pain, trouble breathing, coughing up blood or pus, 
-palpitations, lightheadedness, or any other symptoms that 
-concern you.
-
-It is important that you take precautions while eating to 
-minimize the risk of choking or inhaling small bits of food. You 
-must sit fully upright while eating and take only small sips of 
-liquids. Swallow twice for each bite and sip and clear your 
-throat after each swallow. Clean and rinse your mouth before 
-each meal to decrease the amount of bacteria ___ your throat. You 
-should remain seated upright for one hour after meals.
- 
-
-###RESPONSE: medical care {Medical care}, pain {Pain}, chest {Thoracic structure}, pneumonia {Pneumonia}, pneumonia {Pneumonia}, ready for discharge {Ready for discharge}, PCP {Primary care management}, loss of conciousness {Loss of consciousness}, fever {Fever}, chest pain {Chest pain}, trouble breathing {Difficulty breathing}, coughing up blood {Hemoptysis}, pus {Pus}, palpitations {Palpitations}, lightheadedness {Lightheadedness}, choking {Choking}, mouth {Mouth region structure}, throat {Structure of anterior portion of neck}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: OBSTETRICS/GYNECOLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Compazine / Percocet
- 
-Attending: ___
- 
-Chief Complaint:
-Post dates pregnancy
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Post dates pregnancy {Prolonged pregnancy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ G7P2 at 41___ presents to L&D for cytotec induction of
-labor. She has not had her cervix checked in Dr ___.
-She does not have a ride home. She was seen earlier today in the
-ED with a URI and was prescribed azithromycin and prednisone but
-has not filled those prescriptions. 
-
-Denies VB, LOF, ctx. Reports AFM. No CP/SOB/wheeze. No HA/visual
-changes/RUQ pain.
-
- 
-
-###RESPONSE: induction of
-labor {Induction of labor}, cervix {Cervix uteri structure}, URI {Upper respiratory infection}, VB {Bleeding from vagina}, LOF {Amniotic fluid leaking}, ctx {Contraction of uterus during labor}, AFM {Fetal movement finding}, CP {Chest pain}, SOB {Dyspnea}, wheeze {Wheezing}, HA {Headache}, visual
-changes {Sight deteriorating}, RUQ pain {Right upper quadrant pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PNC:
-- ___: ___ by 6week u/s not c/w LMP 
-- Labs: A+/Ab-/RI/RPR NR/HBsAg-/GBS unk
-- FFS, GLT, GBS results not available but normal per pt
-Issues:
-- current pregnancy dated by 6 wk ultrasound- reportedly had IUD
-in place; ultrasound failed to demonstrate IUD within or outside
-of uterus.  
-- Per Dr ___, uncomplicated antenatal course, other 
-than
-episode of trauma at 28 wks.
-- ultrasound at 40.1 wks noted an EFW of 3341g ___ 
-percentile).
-- h/o crack cocaine use w/ prior pregnancy, now clean
-- h/o domestic violence
-- h/o pre-eclampsia w/previous pregnancy
-
-PAST OBSTETRIC HISTORY: records inconsistent.
-G7P2
-___ SVD, c/b pre-E, 7#7 
-___ SVD, 6#6
-SAB x 3
-TAB x 1
-
-PAST GYNECOLOGICAL HISTORY
-- h/o Chlamydia, TOC neg
-- h/o abnl pap, LSIL at initial OB visit
-
-PAST MEDICAL HISTORY
-- Asthma, no steriods, no intubation, last hospitalized ___ ago,
-uses daughter's inhaler
-- h/o ADD/ADHD, depression, anxiety, PTSD, ?bipolar d/o, 
-multiple
-suicide attempts
-- Pulmonary nodule, PPD negative ___
-
-PAST SURGICAL HISTORY
-- tonsillectomy
-- drainage abscess R elbow
-- D&C x2
-
- 
-
-###RESPONSE: Labs {Laboratory test}, FFS {Fetal fibronectin measurement}, GLT {Glucose load test}, pregnancy {Pregnancy}, ultrasound {Ultrasonography}, IUD
-in place {Intrauterine contraceptive device in situ}, ultrasound {Ultrasonography}, uterus {Uterine structure}, uncomplicated antenatal course {Normal pregnancy}, trauma {Traumatic injury}, ultrasound {Ultrasonography}, cocaine {Cocaine abuse}, pregnancy {Pregnancy}, pre-eclampsia {Pre-eclampsia}, previous pregnancy {Previous pregnancies}, SAB {Miscarriage}, TAB {Therapeutic abortion procedure}, Chlamydia {Chlamydial infection}, abnl pap {Abnormal cervical smear}, LSIL {Low-grade squamous intraepithelial lesion}, Asthma {Asthma}, steriods {Steroid therapy}, intubation {Intubation}, ADD/ADHD {Attention deficit hyperactivity disorder}, depression {Depressive disorder}, anxiety {Anxiety}, PTSD {Posttraumatic stress disorder}, bipolar d/o {Bipolar disorder}, suicide attempts {Suicidal intent}, Pulmonary nodule {Nodule of lung}, PPD {Mantoux: positive}, tonsillectomy {Tonsillectomy}, drainage {Drainage procedure}, abscess {Abscess}, R elbow {Right elbow region structure}, D&C {Dilation and curettage of uterus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Exam on admission: 
-VS 98.0 75 129/75 18 98-99%RA, ___ 145
-A&O NARD
-RRR
-CTAB no wheezes, rare bronchial breath sounds
-Abd soft, gravid nontender
-EFW 8# by ___
-Ext NT no edema
-
-SVE ___
-Toco ___
-FHT 140/mod/+accels/-decels
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, A {Mentally alert}, O {Orientated}, RRR {Normal heart rate}, CTAB {Normal breath sounds}, wheezes {Wheezing}, bronchi {Wheeze - rhonchi}, Abd {Examination of abdomen}, soft {Abdomen soft}, gravid {Abdominal pregnancy}, nontender {Abdominal tenderness}, Ext {Examination of limb}, NT {Abdominal tenderness}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:56AM BLOOD WBC-13.0* RBC-3.47* Hgb-9.9* Hct-29.5* 
-MCV-85 MCH-28.5 MCHC-33.5 RDW-14.1 Plt ___
-___ 12:19PM BLOOD WBC-14.4* RBC-3.87* Hgb-11.1* Hct-32.8* 
-MCV-85 MCH-28.8 MCHC-33.9 RDW-14.0 Plt ___
-___ 12:19PM BLOOD Neuts-71.3* ___ Monos-5.0 Eos-0.6 
-Baso-0.2
-___ 12:19PM BLOOD Glucose-92 UreaN-5* Creat-0.5 Na-138 
-K-3.9 Cl-106 HCO3-20* AnGap-16
-___ 10:26PM URINE Blood-NEG Nitrite-NEG Protein-30 
-Glucose-300 Ketone-80 Bilirub-NEG Urobiln-2* pH-6.0 Leuks-NEG
-___ 12:19PM URINE Blood-NEG Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-2* pH-6.5 Leuks-NEG
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ was admitted to the L+D for post dates induction of 
-labor. She had a succesful induction with cytotec and pitocin 
-and delivered a liveborn infant without complications. 
-
-Her post-partum course was uncomplicated.  Social work saw her 
-due to her complex history.  Her pani was well controlled, she 
-was ambulatory and eating a regular diet. She was discharged on 
-post-partum day 2 with follow-up. 
- 
-
-###RESPONSE: post dates {Prolonged pregnancy}, induction of 
-labor {Induction of labor}, post-partum {Postpartum state}, regular diet {Normal diet}, post-partum {Postpartum state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-- PNV
-- albuterol (___)
-- prescribed azithromycin (Zpack) and prednisone in ED, rx not
-yet filled
-
- 
-Discharge Medications:
-1. Motrin 800 mg Tablet Sig: One (1) Tablet PO every six (6) 
-hours as needed for pain.
-Disp:*30 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-s/p vaginal delivery
-
- 
-Discharge Condition:
-stable
-
- 
-
-###RESPONSE: vaginal delivery {Vaginal delivery}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-No heavy lifting or intercourse
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-R ankle fracture dislocation, open
- 
-Major Surgical or Invasive Procedure:
-ORIF R ankle and I&D ___
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, R ankle {Structure of right ankle}, fracture {Open fracture}, dislocation {Dislocation}, ORIF {Open reduction of fracture with internal fixation}, R ankle {Structure of right ankle}, I&D {Incision AND drainage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Chief Complaint:  ankle pain
-Reason for Orthopedics Consult: management of open fracture
- 
-HISTORY OF PRESENT ILLNESS: 
-Patient is a ___ yo male previously healhty presenting w/ fall 
-from 6 feet, from ladder. Patient landed on LLE w/ forced 
-eversion and subsequent open fracture/dislocation. Denies head 
-strike or LOC. Denies neck pain, back pain, chest pain, abd 
-pain. Denies pelvic or thigh pain. 
-
-Was emergently reduced in ED under conscious sedation. 
-
-In the ED, initial vitals were 77 160/60 16 100%.  Per the ED, 
-the patient's exam did not show evidence of neurovascular 
-symptoms.
-
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, neck or back pain. Denies cough, 
-shortness of breath, chest pain. Denies nausea, vomiting, 
-diarrhea, abdominal pain, or changes in bowel habits. Denies 
-dysuria, frequency, or urgency. 
- 
-PAST MEDICAL HISTORY:  
-none
- 
-MEDICATIONS:  
-none
- 
-ALLERGIES:  
-NKDA
- 
-SOCIAL HISTORY:  
-Denies alcohol, drugs, smoking
- 
-PHYSICAL EXAM:  
-GENERAL: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear  
-NECK: C-spine is non-tender to palpation
-LUNGS: Clear to auscultation bilaterally
-CV: Regular rate and rhythm, 
-ABD: soft, non-tender, non-distended, 
-PELVIS: stable
-EXT: open fracture/likely dislocation of LLE at level of distal 
-tibia. +DP. Unable to assess.  Warm, well perfused, 2+ pulses, 
-no clubbing, cyanosis or edema. ___
-
- 
-Labs: pending
- 
-Images:  
-  
-
-ASSESSMENT & PLAN:  
-___ yo male w/ type II open fracture/dislocation of distal 
-tib/fib.  
-
-1. Ancef 2g, tetanus
-2. Imaging
-3. Admit to ___ for surgical repair
-4. Preop labs
-
- 
-
-###RESPONSE: ankle pain {Ankle pain}, open fracture {Open fracture}, fall {Falls}, LLE {Structure of left lower limb}, eversion {Eversion}, open fracture {Open fracture}, dislocation {Dislocation}, head 
-strike {Injury of head}, LOC {Loss of consciousness}, neck pain {Neck pain}, back pain {Backache}, chest pain {Chest pain}, abd 
-pain {Abdominal pain}, pelvic {Pain in pelvis}, thigh pain {Thigh pain}, conscious sedation {Induction of conscious sedation}, vitals {Vital signs finding}, neurovascular 
-symptoms {Neurological symptom}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Weight gain}, headache {Headache}, neck {Neck pain}, back pain {Backache}, Denies cough {Does not cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, nausea {Nausea}, vomiting {Vomiting}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, changes in bowel habits {Altered bowel function}, dysuria {Dysuria}, frequency {Finding of frequency of urination}, urgency {Urgent desire to urinate}, smoking {Smoker}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx {Oropharyngeal structure}, NECK {Physical examination procedure}, C-spine {Structure of cervical vertebral column}, non-tender {Cervical spine normal}, palpation {Palpation}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, PELVIS {Structure of pelvis}, EXT {Examination of limb}, open fracture {Open fracture}, dislocation {Dislocation}, LLE {Structure of left lower limb}, distal 
-tibia {Bone structure of distal tibia}, DP {Structure of dorsalis pedis artery}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, open fracture {Open fracture}, dislocation {Dislocation}, distal 
-tib {Bone structure of distal tibia}, fib {Bone structure of distal fibula}, tetanus {Tetanus}, Imaging {Imaging}, surgical repair {Surgical repair}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-not contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-AFVSS
-NAD
-RLE: 
-dressing c/d/i
-___ intact dp/t
-___
- 
-
-###RESPONSE: VS {Vital signs finding}, NAD {No abnormality detected}, RLE {Structure of right lower limb}, dressing {Application of dressing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to the emergency department and was 
-evaluated by the orthopedic surgery team. The patient was found 
-to have right ankle open fracture dislocation and was admitted 
-to the orthopedic surgery service.  The patient was taken to the 
-operating room on ___ for R ankle I&D and ORIF, which the 
-patient tolerated well (for full details please see the 
-separately dictated operative report). The patient was taken 
-from the OR to the PACU in stable condition and after recovery 
-from anesthesia was transferred to the floor.  The patient was 
-initially given IV fluids and IV pain medications, and 
-progressed to a regular diet and oral medications by POD#1. The 
-patient was given perioperative antibiotics and anticoagulation 
-per routine.  The patients home medications were continued 
-throughout this hospitalization.  The patient worked with ___ who 
-determined that discharge to home was appropriate. The ___ 
-hospital course was otherwise unremarkable.
-
-At the time of discharge the patient was afebrile with stable 
-vital signs that were within normal limits, pain was well 
-controlled with oral medications, incisions were 
-clean/dry/intact, and the patient was voiding/moving bowels 
-spontaneously. The patient is NWB in the right lower extremity, 
-and will be discharged on lovenox for DVT prophylaxis.  The 
-patient will follow up in two weeks per routine. A thorough 
-discussion was had with the patient regarding the diagnosis and 
-expected post-discharge course, and all questions were answered 
-prior to discharge.
-
- 
-
-###RESPONSE: evaluated by the orthopedic surgery team {Orthopedic assessment}, right ankle {Structure of right ankle}, open fracture {Open fracture}, dislocation {Dislocation}, admitted 
-to the orthopedic surgery service {Admission by orthopedic surgeon}, R ankle {Structure of right ankle}, I&D {Incision AND drainage}, ORIF {Open reduction of fracture with internal fixation}, operative {Surgical procedure}, PACU {Postanesthesia care}, stable condition {Patient's condition stable}, anesthesia {Absence of sensation}, given IV fluids {Administration of intravenous fluids}, IV {Intravenous therapy}, pain medications {Administration of analgesic}, regular diet {Normal diet}, oral medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, unremarkable {No abnormality detected}, stable 
-vital signs {Normal vital signs}, pain {Pain}, oral medications {Administration of drug or medicament via oral route}, incisions {Incision}, voiding {Normal micturition}, moving bowels {Finding of defecation}, right lower extremity {Structure of right lower limb}, DVT {Deep venous thrombosis}, prophylaxis {Preventive procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-none
- 
-Discharge Medications:
-1. Acetaminophen 1000 mg PO Q8H 
-2. Docusate Sodium 100 mg PO BID 
-3. Enoxaparin Sodium 40 mg SC QHS 
-Start: Today - ___, First Dose: Next Routine Administration 
-Time 
-RX *enoxaparin 40 mg/0.4 mL 1 syringe at bedtime Disp #*14 
-Syringe Refills:*0
-4. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth q3hrs Disp #*80 Tablet 
-Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-R ankle fracture dislocation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: R ankle {Structure of right ankle}, fracture {Open fracture}, dislocation {Dislocation}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-MEDICATIONS:
-- Please take all medications as prescribed by your physicians 
-at discharge.
-- Continue all home medications unless specifically instructed 
-to stop by your surgeon.
-- Do not drink alcohol, drive a motor vehicle, or operate 
-machinery while taking narcotic pain relievers.
-- Narcotic pain relievers can cause constipation, so you should 
-drink eight 8oz glasses of water daily and take a stool softener 
-(colace) to prevent this side effect.
-
-ANTICOAGULATION:
-- Please take lovenox 40mg daily for 2 weeks
-
-WOUND CARE:
-- No baths or swimming for at least 4 weeks.
-- Any stitches or staples that need to be removed will be taken 
-out at your 2-week follow up appointment.
-- No dressing is needed if wound continues to be non-draining.
-- Splint must be left on until follow up appointment unless 
-otherwise instructed
-- Do NOT get splint wet
-
-ACTIVITY AND WEIGHT BEARING:
-NWB R ankle 
-
-Danger Signs:
-
-Please call your PCP or surgeon's office and/or return to the 
-emergency department if you experience any of the following:
-- Increasing pain that is not controlled with pain medications
-- Increasing redness, swelling, drainage, or other concerning 
-changes in your incision
-- Persistent or increasing numbness, tingling, or loss of 
-sensation
-- Fever > 101.4
-- Shaking chills
-- Chest pain
-- Shortness of breath
-- Nausea or vomiting with an inability to keep food, liquid, 
-medications down
-- Any other medical concerns
-
- 
-
-###RESPONSE: Do not drink alcohol {Education about alcohol consumption}, pain relievers {Administration of analgesic}, pain relievers {Administration of analgesic}, constipation {Constipation}, take a stool softener {Administration of laxative}, dressing {Application of dressing}, wound {Wound}, draining {Wound discharge}, Splint {Application of splint}, R ankle {Structure of right ankle}, PCP {Primary care management}, pain {Pain}, pain medications {Administration of analgesic}, redness {Redness of skin over lesion}, swelling {Swelling}, drainage {Discharge}, incision {Incision}, numbness, tingling {Numbness and tingling sensation of skin}, loss of 
-sensation {Numbness}, Fever {Fever}, chills {Chill}, Chest pain {Chest pain}, Shortness of breath {Dyspnea}, Nausea {Nausea}, vomiting {Vomiting}, liquid {Liquid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea and hemoptysis
- 
-Major Surgical or Invasive Procedure:
-intubation - ___
-arterial line placement - ___
-cardiac catheterization - ___
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Dyspnea {Dyspnea}, hemoptysis {Hemoptysis}, intubation {Intubation}, arterial line placement {Insertion of catheter into artery}, cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is an ___ year old man with COPD, CAD, CHF and Afib who 
-presented to ___ complaining of dyspnea and hemoptysis. Patient 
-reports productive cough with yellow sputum for the past 3 weeks 
-that was treated with azithromycin by his primary care doctor 
-one week ago. Patient also c/o hemoptysis for the past ___ days, 
-which he described as ""big globs"" of blood. Patient also 
-endorses fever and chills at home. 
-
-  At ___, initial VS were 98.1 140 132/67 24 76% RA that 
-improved to 95% on NRB. Labs revelaed WBC 13.1 91.6%N and INR 
-8.0. CXR revealed RUL consolidation c/f PNA, and he received CTX 
-1g IV, Vitamin K and was transfered to ___ for further care. 
-
-  At ___ initail VS were 99.0 120 111/70 24 94% 15L NRB. Labs 
-revealed lactate 2.9, WBC 13 92.5%N, HCT 40.7, Cr 2.2, proBNP 
-4254, TropT 0.28. ABG 7.43, 28, 81. Patient received 2 units 
-FFP, 40mg IV lasix, 10mg IV diltiazem, 30mg PO diltiazem, 500mg 
-IV azithromycin and 1g IV vancomycin. The patient was then 
-admitted to the MICU.
-
-  On arrival to the MICU, the patient happeard was dyspnic with 
-oxygen saturation of 90% on NRB and was placed on non-invasive 
-ventillation with improvement to 100% oxygen saturation. 
-  
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denies  shortness of breath, cough, dyspnea or 
-wheezing. Denies chest pain, chest pressure, palpitations. 
-Denies  constipation, abdominal pain, diarrhea, dark or bloody 
-stools. Denies dysuria, frequency, or urgency. Denies 
-arthralgias or myalgias. Denies rashes or skin changes.  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, CAD {Coronary arteriosclerosis}, CHF {Congestive heart failure}, Afib {Atrial fibrillation}, dyspnea {Dyspnea}, hemoptysis {Hemoptysis}, productive cough {Productive cough}, yellow sputum {Yellow sputum}, hemoptysis {Hemoptysis}, fever {Fever}, chills {Chill}, RA {Breathing room air}, improved {Patient's condition improved}, NRB {Oxygen administration by mask}, CXR {Plain chest X-ray}, RUL {Structure of upper lobe of right lung}, consolidation {Consolidation}, PNA {Pneumonia}, NRB {Oxygen administration by mask}, lasix {Diuretic therapy}, dyspnic {Dyspnea}, NRB {Oxygen administration by mask}, non-invasive 
-ventillation {Non-invasive ventilation}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus {Nasal sinus structure}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, shortness of breath {Dyspnea}, cough {Cough}, dyspnea {Dyspnea}, wheezing {Wheezing}, chest pain {Chest pain}, chest pressure {Tight chest}, palpitations {Palpitations}, constipation {Constipation}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, dark {Dark stools}, bloody 
-stools {Hematochezia}, dysuria {Dysuria}, frequency {Increased frequency of urination}, urgency {Urgent desire to urinate}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}, skin changes {Skin appearance abnormal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Atrial fibrillation and systolic CHF. EF of 35% to 40%
-- CAD s/p CABG (2 vessel, LIMA to LAD, rSVG to OM) in ___
-- Rheumatic heart disease s/p bioprosthetic AVR in ___
-- Mitral valve prolapse
-- Bioprosthetic AVR ___ (bovine)
-- AAA 3.9 cm in ___ follow at ___
-- Hypertension
-- High cholesterol
-- Restrictive lung disease
-- Asthma
-- Polymyalgia rheumatica, on 10mg prednisone daily
-- History of cholecystectomy
-- Hemorrhoids
-- Chronic renal insufficiency, baseline creatinine 1.6 to 1.9
-- Cataract surgery, left
-- Anemia
-- Seasonal allergy
-- Chronic anal fissure
-
- 
-
-###RESPONSE: Atrial fibrillation {Atrial fibrillation}, systolic CHF {Chronic systolic heart failure}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, OM {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, Rheumatic heart disease {Rheumatic heart disease}, bioprosthetic AVR {Repair of aortic valve with tissue graft}, Mitral valve prolapse {Mitral valve prolapse}, Bioprosthetic AVR {Repair of aortic valve with tissue graft}, AAA {Abdominal aortic aneurysm}, Hypertension {Hypertensive disorder, systemic arterial}, High cholesterol {Hypercholesterolemia}, Restrictive lung disease {Restrictive lung disease}, Asthma {Asthma}, Polymyalgia rheumatica {Polymyalgia rheumatica}, cholecystectomy {Cholecystectomy}, Hemorrhoids {Hemorrhoids}, Chronic renal insufficiency {Chronic renal insufficiency}, Cataract surgery, left {Surgery of cataract of left eye}, Anemia {Anemia}, Seasonal allergy {Seasonal allergy}, Chronic anal fissure {Chronic anal fissure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Pt is adopted, so unknown.
- 
-
-###RESPONSE: adopted {Adopted}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission 
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-General: Tachypnic, oriented, mild respiratory distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL  
-Neck: supple, JVP elevated to 16cm H2O, no LAD  
-CV: tachycardic irrgeular rhythm, no rubs, gallops  
-Lungs: Rales in RUL and ___ bases, no wheezes,  
-Abdomen: soft, non-distended, bowel sounds present, no 
-organomegaly, no tenderness to palpation, no rebound or guarding
-GU: foley in place  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema 
-Neuro: CNII-XII intact, MAEW
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, General {General examination of patient}, Tachypnic {Tachypnea}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, tachycardic {Tachycardia}, irrgeular rhythm {Irregular heart beat}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, Rales {Respiratory crackles}, RUL {Structure of upper lobe of right lung}, bases {Structure of base of lung}, wheezes {Wheezing}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, tenderness {Tenderness}, palpation {Palpation}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley in place {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, MAEW {Does move all four limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs:
-___ 10:50AM BLOOD WBC-13.0*# RBC-4.32* Hgb-12.6* Hct-40.7 
-MCV-94 MCH-29.2 MCHC-31.0 RDW-14.0 Plt ___
-___ 10:50AM BLOOD Neuts-92.5* Lymphs-4.0* Monos-3.0 Eos-0.4 
-Baso-0.2
-___ 10:50AM BLOOD ___ PTT-33.8 ___
-___ 10:50AM BLOOD Glucose-157* UreaN-69* Creat-2.2* Na-135 
-K-4.9 Cl-99 HCO3-21* AnGap-20
-___ 10:50AM BLOOD Calcium-8.7 Phos-3.4 Mg-1.6
-___ 11:05AM BLOOD Lactate-2.9*
-
-Cardiac Labs:
-___ 10:50AM BLOOD CK-MB-8 cTropnT-0.29* proBNP-4254*
-___ 10:50AM BLOOD cTropnT-0.28*
-___ 10:50AM BLOOD CK(CPK)-283
-___ 10:13PM BLOOD CK-MB-4 cTropnT-0.37*
-___ 10:13PM BLOOD CK(CPK)-215
-___ 05:35AM BLOOD CK-MB-4 cTropnT-0.24*
-___ 05:35AM BLOOD CK(CPK)-169
-___ 01:24PM BLOOD CK-MB-5 cTropnT-0.18*
-___ 01:24PM BLOOD CK(CPK)-138
-
-Interim Labs:
-___ 05:35AM BLOOD Cortsol-30.1*
-
-Microbiology:
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-___ URINE URINE CULTURE-FINAL 
-___ SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL 
-{YEAST} 
-___ MRSA SCREEN MRSA SCREEN-FINAL 
-___ URINE Legionella Urinary Antigen -FINAL 
-___ URINE URINE CULTURE-FINAL 
-___ BLOOD CULTURE Blood Culture, Routine-FINAL 
-___ BLOOD CULTURE Blood Culture, Routine-FINAL 
-.
-Imaging:
-CXR ___
-Possible asymmetric right greater than left, pulmonary edema; 
-superimposed 
-infectious process not excluded. Given history of hemoptysis, 
-underlying 
-pulmonary hemorrhage is not excluded. Small right pleural 
-effusion. 
-
-CXR ___
-Status post median sternotomy for CABG with overall stable 
-cardiac and 
-mediastinal contours. Prosthetic aortic valve. There is interval 
-worsening 
-of bilateral airspace and interstitial process which may reflect 
-pulmonary 
-edema, worsening pneumonia, or a progressing hypersensitivity 
-reaction.  
-Pulmonary hemorrhage could also have this appearance. Clinical 
-correlation is advised. No pneumothorax. No acute pulmonary 
-abnormality appreciated. 
-
-TTE ___
-The left atrium is mildly dilated. There is mild symmetric left 
-ventricular hypertrophy with normal cavity size. Due to 
-suboptimal technical quality, a focal wall motion abnormality 
-cannot be fully excluded. Overall left ventricular systolic 
-function is borderline low (LVEF 50%). A bioprosthetic aortic 
-valve prosthesis is well seated, with normal leaflet/disc motion 
-and transvalvular gradients. No aortic regurgitation is seen. 
-The mitral valve leaflets are mildly thickened. Mild to moderate 
-(___) mitral regurgitation is seen. The estimated pulmonary 
-artery systolic pressure is normal. There is no pericardial 
-effusion. 
-IMPRESSION: Mild symmetric left ventricular hypertrophy with 
-borderline low left ventricular systolic function. Well-seated 
-bioprosthetic aortic valve with normal transvalvular gradients. 
-Mild to moderate mitral regurgitation.
-Compared with the prior study (images reviewed) of ___, the 
-left ventricular function appears less vigorous. The gradients 
-across the bioprosthetic aortic valve are normal.  
-
-CXR ___
-FINDINGS: As compared to the previous radiograph, there are 
-unchanged 
-bilateral airspace opacities and a small right pleural effusion. 
-The 
-opacities and the effusion have not changed in the interval. 
-Moderate 
-cardiomegaly, status post CABG with subsequent position of the 
-surgical 
-material. No other relevant findings. 
-
-CXR ___
-IMPRESSION: Slight improvement in diffuse pulmonary opacities, 
-suggesting 
-decrease in edema, with probable superimposed pneumonia. 
-
-CT Chest ___
-FINDINGS: There is mild, apical-predominant centrilobular and 
-paraseptal 
-emphysema. Diffuse ground-glass opacities are present throughout 
-both lungs, involving all lobes and extending to the pleural 
-surfaces. Early fibrosis with mild honeycombing at the lung 
-bases. Mild diffuse peribronchial wall thickening, but no 
-interstitial thickening. No pleural effusions.  Heart is normal 
-in size, without pericardial effusion. Changes of coronary 
-artery bypass grafting, with mediastinal clips. Note is made of 
-a prosthetic aortic valve and discarded right atrial/ventricular 
-pacemaker leads. Diffuse calcific atherosclerosis is present in 
-the thoracic aorta.  Prominent mediastinal nodes measure up to 
-12 mm in short axis in the superior right paratracheal region, 
-10 mm in the inferior right paratracheal region, and 13 mm in 
-the subcarinal region. Changes of median sternotomy, with 
-multiple chronically fractured and malpositioned sternal wires. 
-No sternal fluid collections or osseous abnormalities. 
-Examination is not tailored for subdiaphragmatic evaluation, but 
-reveals a 
-nasogastric tube in appropriate position. Gastric diverticulum 
-arises from 
-the greater curvature. Cholecystectomy changes. Accesorry 
-splenule is 
-present. Multiple colonic diverticula, without acute 
-inflammation.  
-IMPRESSION: Diffuse ground-glass pulmonary opacities and early 
-fibrosis.  
-Given patient history, this may represent acute-on-chronic 
-organizing 
-pneumonia, acute interstitial pneumonitis, less likely fibrosis 
-with 
-superimposed infection.  
-.
-Right Heart Cardiac Catheterization ___
-Cardiac Output Results
-PhaseFick C.O. (l/min)Fick C.I.(l/min/m2)
-     4.39               2.25
-Hemodynamic Measurements (mmHg)
-Baseline
-SiteSysDiasEndMeanA WaveV WaveHR
-RA      ___
-RV      ___
-___    ___
-___      ___
-Radiology Summary
-Total Cine Runs
-Fluoro Time (minutes)0.90
-Effective Equivalent Dose Index (mGy) 12.43
-Findings
-ESTIMATED blood loss: <10 cc
-Hemodynamics (see above): 
-Assessment & Recommendations
-1.Mild pulmonary hypertension
-2.Mildly elevated filling pressures.
-3.Preserved Cardiac Output.
-4.No indication for selective pulmonary vasodilators.
-.
-___ CXR
-REPORT: Status post sternotomy. NG tube courses throughout the 
-mediastinum to its expected location in the stomach. The ET tube 
-is in good position, lying about 4 cm above the carina. 
-There is a right-sided internal jugular line in unchanged 
-position. There is symmetrical blunting of both costophrenic 
-sulci. Generalized increased lung markings consistent most with 
-fluid overload are grossly unchanged. 
-More confluent abnormalities in the left lung base in particular 
-are also 
-unchanged. I note also CT from ___ suggesting this and 
-in fact very little fluid overload, so presumptively the changes 
-represent the ongoing alveolitis-type changes identified on that 
-radiograph. 
-.
-___ CXR
-FINDINGS: Bilateral diffuse lung opacities are presisting. On 
-concurrent 
-review with prior chest CT dated ___, these opacities 
-represent a 
-combination of ground-glass opacities and consolidation and 
-bibasilar 
-fibrosis, unchanged since ___, but improved since ___. All these changes are more on the right side and may 
-represent continuing 
-alveolitis. As appreciated on recent chest CT, there was no 
-component of 
-pulmonary edema then nor in today's radiograph. Mild widening of 
-the 
-mediastinum is from increased mediastinal fat in conjunction 
-with multiple 
-lymph nodes as appreciated on the chest CT. There is evidence of 
-prior median sternotomy and sternal sutures are intact. 
-Effusions, if any, are small bilaterally and unchanged. There is 
-no pneumothorax. Heart size is normal.  
-Hilar contours are unremarkable. Aorta has a mild tortuous 
-course and 
-demonstrates mild-to-moderate and severe atherosclerotic 
-calcification. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, CXR {Plain chest X-ray}, pulmonary edema {Pulmonary edema}, infectious process {Infectious disease}, hemoptysis {Hemoptysis}, pulmonary hemorrhage {Pulmonary hemorrhage}, pleural 
-effusion {Pleural effusion}, CXR {Plain chest X-ray}, Status post {Postoperative state}, median sternotomy {Median sternotomy}, CABG {Coronary artery bypass grafting}, cardiac {Heart structure}, mediastinal {Mediastinal structure}, aortic valve {Aortic valve structure}, pulmonary 
-edema {Pulmonary edema}, pneumonia {Pneumonia}, hypersensitivity 
-reaction {Hypersensitivity reaction}, Pulmonary hemorrhage {Pulmonary hemorrhage}, pneumothorax {Pneumothorax}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, dilated {Dilatation}, mild symmetric left 
-ventricular hypertrophy {Mild left ventricular hypertrophy}, aortic 
-valve {Aortic valve structure}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, Mild {Mild mitral valve regurgitation}, moderate 
-(___) mitral regurgitation {Moderate mitral valve regurgitation}, pulmonary 
-artery {Pulmonary artery structure}, pericardial 
-effusion {Pericardial effusion}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, aortic valve {Aortic valve structure}, Mild {Mild mitral valve regurgitation}, moderate mitral regurgitation {Moderate mitral valve regurgitation}, left ventricular {Left cardiac ventricular structure}, aortic valve {Aortic valve structure}, CXR {Plain chest X-ray}, opacities {Abnormally opaque structure}, pleural effusion {Pleural effusion}, opacities {Abnormally opaque structure}, effusion {Effusion}, cardiomegaly {Cardiomegaly}, status post {Postoperative state}, CABG {Coronary artery bypass grafting}, CXR {Plain chest X-ray}, opacities {Abnormally opaque structure}, edema {Edema}, pneumonia {Pneumonia}, CT Chest {Computed tomography of chest}, centrilobular {Centriacinar emphysema}, paraseptal 
-emphysema {Paraseptal emphysema}, ground-glass opacities {Ground glass lung opacity}, both lungs {Both lungs}, pleural 
-surfaces {Pleural membrane structure}, fibrosis {Fibrosis}, honeycombing {Honeycomb appearance}, lung 
-bases {Structure of base of lung}, thickening {Increased thickness}, thickening {Increased thickness}, pleural effusions {Pleural effusion}, Heart {Heart structure}, normal 
-in size {Normal size}, pericardial effusion {Pericardial effusion}, coronary 
-artery bypass grafting {Coronary artery bypass grafting}, aortic valve {Aortic valve structure}, right atrial {Right atrial structure}, ventricular {Cardiac ventricular structure}, atherosclerosis {Atherosclerosis}, thoracic aorta {Thoracic aorta structure}, mediastinal nodes {Mediastinal lymph node structure}, median sternotomy {Median sternotomy}, fractured {Fracture of bone}, sternal {Structure of sternal region}, osseous {Bone structure}, nasogastric tube in appropriate position {Nasogastric tube in situ}, Gastric diverticulum {Gastric diverticulum}, greater curvature {Structure of greater curvature of stomach}, Cholecystectomy {Cholecystectomy}, Accesorry 
-splenule {Accessory spleen}, colonic diverticula {Diverticulosis of colon}, acute 
-inflammation {Acute inflammation}, Diffuse {Diffuse pain}, ground-glass pulmonary opacities {Ground glass lung opacity}, fibrosis {Fibrosis}, chronic 
-organizing 
-pneumonia {Chronic pneumonia}, acute interstitial pneumonitis {Primary atypical interstitial pneumonia}, fibrosis {Fibrosis}, superimposed infection {Superimposed infection}, Right Heart Cardiac Catheterization {Catheterization of right heart}, Hemodynamic Measurements {Hemodynamic measurements}, blood loss {Hemorrhage}, Mild pulmonary hypertension {Mild pulmonary hypertension}, Preserved Cardiac Output {Normal cardiac output}, CXR {Plain chest X-ray}, Status post {Postoperative state}, sternotomy {Sternotomy}, mediastinum {Mediastinal structure}, stomach {Stomach structure}, carina {Structure of carina of trachea}, costophrenic 
-sulci {Structure of costophrenic angle}, lung {Lung structure}, fluid overload {Hypervolemia}, left lung base {Structure of base of left lung}, fluid overload {Hypervolemia}, radiograph {Plain radiography}, CXR {Plain chest X-ray}, lung {Lung structure}, opacities {Abnormally opaque structure}, chest CT {Computed tomography of chest}, opacities {Abnormally opaque structure}, ground-glass opacities {Ground glass lung opacity}, consolidation {Consolidation}, bibasilar {Structure of base of lung}, fibrosis {Fibrosis}, improved {Patient's condition improved}, right side {Right lung structure}, chest CT {Computed tomography of chest}, pulmonary edema {Pulmonary edema}, radiograph {Plain radiography}, mediastinum {Mediastinal structure}, mediastinal {Mediastinal structure}, fat {Structure of adipose tissue}, lymph nodes {Structure of lymph node}, chest CT {Computed tomography of chest}, median sternotomy {Median sternotomy}, sternal {Structure of sternal region}, pneumothorax {Pneumothorax}, Heart {Heart structure}, size is normal {Normal size}, unremarkable {No abnormality detected}, Aorta {Aortic structure}, atherosclerotic {Atherosclerosis}, calcification {Pathologic calcification, calcified structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with COPD, CAD, CHF and Afib presenting with cough, dyspnea 
-and hemoptysis admitted with PNA and pulmonary edema.
-
-# Dyspnea and Sepsis: Patient likely had bacterial pneumonia 
-that followed a viral URI several weeks ago. On admission, felt 
-to have pulmonary edema and pneumonia, treated for both with 
-ceftriaxone/azithromycin and diuresis.  After 7L diuresis, 
-patient had no improvement.  On ___ he was noted to have 
-increasing respiratory distress and was electively intubated.  
-Following intubation he became hypotensive and required pressor 
-support during ___ and ___.  Cardiac Catheterization showed 
-wedge of 14 with V wave of 80. CT Chest revealed ground-glass 
-opacities consistent with acute-on-chronic organizing pneumonia 
-or acute interstitial pneumonitis.  Was treated with high dose 
-steroids with apparent initial improvement and was extubated.  
-His mental status was very altered after extubation requiring 
-olanazpine with mild effect.  He had a respiratory 
-decompensation after several days of extubation requiring 
-reintubation.  Abx were broadened to vanco/zosyn and he was 
-started on solumedrol 1gm IV for 3 days for concern for 
-undertreated COP, as his infectious work-up to date had not been 
-revealing and his extensive work-up for cardiac causes of his 
-dyspnea and respiratory failure was negative. As such, given the 
-lack of an alternative diagnosis and the suspicion that COP may 
-be the cause of his respiratory failure, aggressive 
-glucocorticoid treatment was pursued in an effort to give him 
-every chance to survive his acute illness. After three days of 
-treatment with pulse-dose Solumedrol, however, there was no 
-meaningful improvement in his respiratory status and his overall 
-clinical status was progressively worsening with progressive 
-acute renal failure, falling platelets, and worsening mental 
-status (decreasing responsiveness despite holding sedative.) To 
-objectively assess his pulmonary response to steroids, we 
-obtained a repeat CT scan after completing three days of pulse 
-dose steroids which did not show improvement. Given this, and 
-given overall status of resp failure, renal failure, altered 
-mental status - several meetings were held with the patient's 
-son ___ (the patient's HCP) and decision was made to move to 
-___.  Terminally extubated and passed away on ___ with son at 
-bedside.
-.
-# AMS - ICU delirium compounded by high steroid dose.  Managed 
-with olanzapine with mild effect. His mental status deteriorated 
-to the point that he was essentially non-responsive, including 
-several absent brinstem reflexed (no corneal reflex, no cough, 
-no gag, minimal pupillary response) prior to his being 
-transitioned to ___ care. 
-.
-# Anuric renal failure - Patient was noted to have increasing 
-Creatinine after reintubation that was concerning for ATN due to 
-an episode of hypotension and hypoperfusion.  His creatinine 
-continued to rise and he developed anuric renal failure over the 
-last day of his ICU stay. 
-.
-# Afib w/ RVR: Patient had a HR in the 140s at ___ and received 
-10mg IV and 30mg PO diltiazem at ___ ED. His HR was controlled 
-to 100-120 by arrival to the ICU.  His home metoprolol was 
-initially resumed, stopped ___ given hypotension.  Digoxin was 
-started ___ for rhythm control.
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, CAD {Coronary arteriosclerosis}, CHF {Congestive heart failure}, Afib {Atrial fibrillation}, cough {Cough}, dyspnea {Dyspnea}, hemoptysis {Hemoptysis}, PNA {Pneumonia}, pulmonary edema {Pulmonary edema}, Dyspnea {Dyspnea}, Sepsis {Sepsis}, bacterial pneumonia {Bacterial pneumonia}, viral URI {Viral upper respiratory tract infection}, pulmonary edema {Pulmonary edema}, pneumonia {Pneumonia}, diuresis {Diuresis}, diuresis {Diuresis}, respiratory distress {Respiratory distress}, intubated {Intubation}, intubation {Intubation}, hypotensive {Low blood pressure}, pressor 
-support {Vasopressor therapy}, Cardiac Catheterization {Cardiac catheterization}, CT Chest {Computed tomography of chest}, ground-glass 
-opacities {Ground glass lung opacity}, pneumonia {Pneumonia}, acute interstitial pneumonitis {Primary atypical interstitial pneumonia}, extubated {Removal of endotracheal tube}, mental status was very altered {Altered mental status}, extubation {Removal of endotracheal tube}, extubation {Removal of endotracheal tube}, cardiac {Heart disease}, dyspnea {Dyspnea}, respiratory failure {Respiratory failure}, respiratory failure {Respiratory failure}, acute renal failure {Acute kidney injury}, falling platelets {Platelet count below reference range}, worsening mental 
-status {Altered mental status}, steroids {Steroid therapy}, CT scan {Computed tomography}, resp failure {Respiratory failure}, renal failure {Renal failure syndrome}, altered 
-mental status {Altered mental status}, extubated {Removal of endotracheal tube}, AMS {Altered mental status}, delirium {Delirium}, mental status deteriorated {Altered mental status}, no corneal reflex {Corneal reflex absent}, cough {Cough}, gag {Gagging}, Anuric {Anuria}, renal failure {Renal failure syndrome}, ATN {Acute tubular necrosis}, hypotension {Low blood pressure}, anuric {Anuria}, renal failure {Renal failure syndrome}, Afib w/ RVR {Atrial fibrillation with rapid ventricular response}, hypotension {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Aspirin 81 mg daily
-Omeprazole 20 mg daily
-Saline Nasal spray daily
-Warfarin 2.5 mg daily
-Lasix 20 mg daily
-Metoprolol Succinate 50 mg daily
-Pravastatin 80 mg daily
-Ropinirole 0.5 mg BID
-Fluticasone 110 mcg/Actuation 2 Puff BID
-Fluticsone 50 mcg nasal spray
-Prednisone 10 mg daily
-
- 
-Discharge Medications:
-Patient expired
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Expired
- 
-Discharge Diagnosis:
-Hypoxic respiratory failure
-Anuric renal failure
-Atrial fibrillation with RVR
-Delirium
- 
-Discharge Condition:
-Patient expired after having been transitioned to CMO after 
-progressive multiorgan system failure prompted discussion with 
-his family and HCP. 
- 
-
-###RESPONSE: Hypoxic {Hypoxia}, respiratory failure {Respiratory failure}, Anuric {Anuria}, renal failure {Renal failure syndrome}, Atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}, Delirium {Delirium}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Patient expired.
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Hyperglycemia/altered mental status/cough
- 
-Major Surgical or Invasive Procedure:
-There were no major surgical or invasive procedures during 
-hospitalization. 
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Hyperglycemia {Hyperglycemia}, altered mental status {Altered mental status}, cough {Cough}, surgical {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with history of dementia, hypertention, diabetes presenting 
-with lethargy, cough for one week, noted to have a pneumonia on 
-a chest x-ray at ___ yesterday. Patient was started on 
-azithromycin for this by basilar pneumonia. Patient is in a 
-memory unit. At this unit, they do have access to 
-rehabilitation. Patient normally uses a walker. Because of the 
-weakness for the past one week, the patient has been using a 
-wheelchair. Patient's thought his medical care in ___, 
-and never establish primary care in ___, the doctor at 
-his facility has been continuing medications from his doctor in 
-___. Daughter concerned that the patient is not 
-receiving adequate attention at facility. Doctor at facility 
-concerned that glucose 367 today. Low 200s here. Patient denies 
-complete ROS. A&Ox1. Patient sent to ___ for further 
-evaluation.  
- 
- -In the ED, initial vitals were: T 98.7 HR 80 BP 136/91 RR 18 
-SpO2 97% RA  
- -Exam notable for: bibasilar crackles, otherwise normal exam  
- -Labs notable for WBC 9.0, Cr 0.8, lactate 2.7  
- -CXR was notable LLL opacity concerning for PNA  
- -Received: 1 L IV NS, Levofloxacin 750 mg IV, Olanzapine 10 mg 
-PO total, and his home medications (Metformin, Memantine, 
-Aspirin, Glipizide, Lisinopril  
- -Transfer VS were: T 102.4 HR 102 BP 128/75 RR 23 SpO2 95% RA  
- -On arrival to the floor, the patient unable to engage in ROS 
-evaluation. Patient appeared to be sleeping comfortably. He was 
-continued on IV abx, his home medications, and started on 
-insulin sliding scale.  
- On arrival to the floor, patient was sleeping comfortably, not 
-responsive to voice and unable to participate in ROS. Family 
-members were in the room who reports the patient has been 
-complaining of cough and more lethargic compared to baseline 
-mental status. The patient was given 1 L IV fluids, continued on 
-IV abx, started on insulin sliding scale, but otherwise 
-continued on his home medications.  
- 
-
-###RESPONSE: dementia {Dementia}, hypertention {Hypertensive disorder, systemic arterial}, diabetes {Diabetes mellitus}, lethargy {Lethargy}, cough {Cough}, pneumonia {Pneumonia}, chest x-ray {Plain chest X-ray}, basilar pneumonia {Basal pneumonia}, rehabilitation {Rehabilitation therapy}, weakness {Asthenia}, evaluation {Evaluation procedure}, RA {Breathing room air}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CXR {Plain chest X-ray}, LLL {Structure of lower lobe of left lung}, opacity {Abnormally opaque structure}, PNA {Pneumonia}, IV {Intravenous therapy}, IV {Intravenous therapy}, RA {Breathing room air}, evaluation {Evaluation procedure}, sleeping {Asleep}, IV abx {Intravenous antibiotic therapy}, sleeping {Asleep}, cough {Cough}, lethargic {Lethargy}, baseline {Baseline state}, mental status {Mental state finding}, IV {Intravenous therapy}, IV abx {Intravenous antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--Hypertension
--Hyperlipidemia
--Dementia
--Type II Diabetes Mellitus
--___: hospitalized at ___ due to hyperglycemia secondary to 
-underlying pneumonia. 
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Dementia {Dementia}, Type II Diabetes Mellitus {Diabetes mellitus type 2}, hyperglycemia {Hyperglycemia}, pneumonia {Pneumonia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father had CAD and died of MI. Mother had stomach cancer  
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, died {Dead}, MI {Myocardial infarction}, stomach cancer {Malignant tumor of stomach}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM
-=====================
-VS T 98.3 BP 153/84 HR 95 RR 20 SpO2 98 RA  
-General: Sleeping comfortably, snoring, does not respond to 
-voice  
-HEENT: Sclerae anicteric, MMM, oropharynx clear, EOMI, PERRL, 
-neck supple, JVP not elevated, no LAD  
-CV: RRR, normal S1 + S2, no murmurs, rubs, gallops  
-Lungs: L basilar inspiratory crackles, no wheezing or rhonci  
-Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly, no rebound or guarding  
-GU: Foley in place  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro: CNII-XII intact, ___ strength upper/lower extremities, 
-grossly normal sensation, 2+ reflexes bilaterally, gait 
-deferred.  
-
-DISCHARGE PHYSICAL EXAM
-======================
-Vitals:     98.4   122/75  82  18  94RA 
-General: Awake, alert and oriented x 1 (to person)
-HEENT: Sclerae anicteric, MMM, neck supple, JVP not elevated. 
-CV: RRR, normal S1 + S2, no murmurs. 
-Lungs: Clear to auscultation  
-Abdomen: Soft, non-tender, non-distended, bowel sounds present,
-no rebound or guarding. 
-Ext: Warm, well perfused, no lower extremity edema.  
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, Sleeping {Asleep}, snoring {Snoring}, respond to 
-voice {Responds to voice}, HEENT {Physical examination procedure}, Sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, L basilar {Structure of base of left lung}, crackles {Respiratory crackles}, wheezing {Wheezing}, rhonci {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, tender {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, upper {Upper limb structure}, lower extremities {Lower limb structure}, normal sensation {Normal sensation}, 2+ reflexes {Normal reflex}, gait {Finding of gait}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Awake {Awake}, alert {Mentally alert}, oriented {Orientated}, HEENT {Physical examination procedure}, Sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, neck {Neck structure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, Lungs {Examination of respiratory system}, Clear to auscultation {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, tender {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-=============
-___ 08:02PM BLOOD WBC-7.3 RBC-3.87* Hgb-12.8* Hct-37.4* 
-MCV-97 MCH-33.1* MCHC-34.2 RDW-13.2 RDWSD-46.6* Plt ___
-___ 08:02PM BLOOD Neuts-63.4 Lymphs-16.3* Monos-15.0* 
-Eos-4.1 Baso-0.7 Im ___ AbsNeut-4.64 AbsLymp-1.19* 
-AbsMono-1.10* AbsEos-0.30 AbsBaso-0.05
-___ 08:02PM BLOOD Glucose-203* UreaN-17 Creat-0.8 Na-134 
-K-4.2 Cl-94* HCO3-28 AnGap-16
-___ 09:00PM BLOOD Calcium-9.3 Phos-3.7 Mg-1.6
-
-DISCHARGE LABS
-=============
-___ 06:45AM BLOOD WBC-5.6 RBC-3.99* Hgb-12.7* Hct-38.5* 
-MCV-97 MCH-31.8 MCHC-33.0 RDW-13.1 RDWSD-46.5* Plt ___
-___ 06:45AM BLOOD Glucose-288* UreaN-15 Creat-0.8 Na-142 
-K-4.5 Cl-101 HCO3-22 AnGap-24*
-___ 06:45AM BLOOD Calcium-9.0 Phos-2.9 Mg-1.8
-
-HEMOGLOBIN A1C
-==============
-___ 09:15AM BLOOD %HbA1c-8.0* eAG-183*
-
-URINE STUDIES
-============
-___ 11:03PM URINE Color-Straw Appear-Clear Sp ___
-___ 11:03PM URINE Blood-NEG Nitrite-NEG Protein-TR 
-Glucose-150 Ketone-NEG Bilirub-NEG Urobiln-2* pH-6.0 Leuks-NEG
-___ 11:03PM URINE RBC-1 WBC-1 Bacteri-FEW Yeast-NONE Epi-0
-
-MICROBIOLOGY
-============
-___: BLOOD CULTURE X 2: PENDING.
-___: BLOOD CULTURE X 1: PENDING.
-
-___ 4:40 am URINE      Source: Catheter. 
-                            **FINAL REPORT ___
-   URINE CULTURE (Final ___:    NO GROWTH. 
-
-IMAGING
-=======
-IMPRESSION: 
-Left lower lobe opacity may reflect pneumonia.  Comparing with 
-prior
-radiograph would be helpful to determine progression or 
-improvement.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, URINE Color-Straw {Normal urine color}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}, MICROBIOLOGY {Microbiology}, CULTURE {Blood culture}, CULTURE {Blood culture}, URINE CULTURE {Urine culture}, IMAGING {Imaging}, Left lower lobe {Structure of lower lobe of left lung}, opacity {Abnormally opaque structure}, pneumonia {Pneumonia}, radiograph {Plain radiography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old gentleman with history of dementia, hypertension, 
-and diabetes presenting with lethargy found to have LLL PNA 
-complicated by hyperglycemia.
-
-# Community Acquired Left Lower Lobe Pneumonia: Patient was 
-initially treated as an outpatient with azithromycin for 
-suspected pneumonia, however, hyperglycemia ensued in the 
-setting of pneumonia leading to admission to ___ (patient 
-lives in a memory unit at ___ on ___ and they were 
-concerned regarding his hyperglycemia). CXR at ___ confirmed 
-left lower lobe pneumonia. He initially was started on 
-levofloxacin and was subsequently transitioned to ceftriaxone 
-and azithromycin. On admission, required supplemental O2 (up to 
-3L) but was quickly weaned back to room air. He was asymptomatic 
-with normal saturation on room air for 3 days at the time of 
-discharge, at which point he had taken 6 days of antibiotics and 
-the decision was made to end his course.
-
-# Type II Diabetes Mellitus Complicated by Hyperglycemia: At 
-Memory unit at ___ on the ___ patient had blood sugars 
-in the high 300s. Given concern for the hyperglycemia, was 
-transferred to ___ for evaluation. As noted above, etiology of 
-the hyperglycemia was in the setting of pneumonia. At his 
-facility he is on metformin 1000 mg PO BID and glipizide 2.5 mg 
-PO daily. Initially, these were held and he was continued 
-insulin sliding scale. He resumed his home glipizide and 
-metformin. He remained hyperglycemia, so sitagliptin was added 
-and metformin and glipizide were increased. He continued to 
-require sliding scale insulin at discharge.
-
-During hospitalization, his hemoglobin A1C was noted to be 8.0%. 
-
-
-As insulin administration in the Memory Unit at his facility is 
-somewhat complicated, an attempt was made to develop an oral 
-diabetes regimen. ___ Diabetes was consulted for further 
-recommendations. They recommended the above regimen with a plan 
-to increase his oral agents and try to wean off the sliding 
-scale. If he is unable, the ___ clinic can change him to a 
-basal bolus insulin regimen and rehab providers and family can 
-determine how this will impact his living situation.
-
-# Hypertension: Continued lisinopril 30 mg PO daily.
-
-# Dementia: Alert and oriented x 1 at baseline. Continued 
-meantime 5 mg PO BID. His home ___ was not on formulary at 
-the hospital. He was discharged on memantine 5 mg PO BID and 
-galantine 16 mg PO daily. 
-
-TRANSITIOANL ISSUES
-=================
-Transitional Issues:
-- needs vitamin D checked as an outpatient
-- ___ follow up
-- Patient was persistently hyperglycemic on metformin, 
-glipizide, Januvia. Insulin sliding scale was added to the 
-regimen. We recommend gradually increasing his glipizide and 
-tapering down his sliding scale to get him off insulin and 
-hopefully transition back to the memory unit. If he is unable to 
-come off the insulin, the ___ clinic can transition him to a 
-basal/bolus insulin regimen at his follow up appointment and if 
-this is a barrier to returning to the memory unit, his long term 
-residential situation will need to be re-addressed with family. 
-- Code Status: DNR/DNI (confirmed, has MOLST)  
-- Contact Information: ___ (___ ___  
- 
-
-###RESPONSE: dementia {Dementia}, hypertension {Hypertensive disorder, systemic arterial}, lethargy {Lethargy}, LLL {Structure of lower lobe of left lung}, PNA {Pneumonia}, hyperglycemia {Hyperglycemia}, Left Lower Lobe Pneumonia {Left lower zone pneumonia}, pneumonia {Pneumonia}, hyperglycemia {Hyperglycemia}, pneumonia {Pneumonia}, hyperglycemia {Hyperglycemia}, CXR {Plain chest X-ray}, left lower lobe pneumonia {Left lower zone pneumonia}, asymptomatic {Asymptomatic}, on room air {Breathing room air}, antibiotics {Antibiotic therapy}, Type II Diabetes Mellitus {Diabetes mellitus type 2}, Hyperglycemia {Hyperglycemia}, hyperglycemia {Hyperglycemia}, evaluation {Evaluation procedure}, hyperglycemia {Hyperglycemia}, pneumonia {Pneumonia}, hyperglycemia {Hyperglycemia}, oral {Administration of drug or medicament via oral route}, diabetes regimen {Diabetic care}, Diabetes {Diabetes mellitus}, regimen {Therapeutic regimen}, clinic {Outpatient care management}, insulin regimen {Insulin regime}, Hypertension {Hypertensive disorder, systemic arterial}, Dementia {Dementia}, Alert {Mentally alert}, oriented {Orientated}, baseline {Baseline state}, regimen {Therapeutic regimen}, clinic {Outpatient care management}, insulin regimen {Insulin regime}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. Atorvastatin 10 mg PO QPM 
-3. galantamine 16 mg oral QDaily 
-4. GlipiZIDE 2.5 mg PO DAILY 
-5. Lisinopril 30 mg PO DAILY 
-6. Memantine 5 mg PO BID 
-7. MetFORMIN (Glucophage) 1000 mg PO BID 
-8. Vitamin D ___ UNIT PO Q21DAYS 
-
- 
-Discharge Medications:
-1.  Insulin SC 
-      Sliding Scale
-
-Fingerstick QACHS
-Insulin SC Sliding Scale using HUM Insulin 
-2.  Januvia (SITagliptin) 100 mg oral DAILY  
-3.  GlipiZIDE 5 mg PO BID  
-4.  Aspirin 81 mg PO DAILY  
-5.  Atorvastatin 10 mg PO QPM  
-6.  galantamine 16 mg oral QDaily  
-7.  Lisinopril 30 mg PO DAILY  
-8.  Memantine 5 mg PO BID  
-9.  MetFORMIN (Glucophage) 1000 mg PO BID  
-10.  Vitamin D ___ UNIT PO Q21DAYS  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS
-================
--Community Acquired Pneumonia
--Type II Diabetes Mellitus
--Dementia 
--Hypertension
-
- 
-Discharge Condition:
-Mental Status: Confused - always.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Community Acquired Pneumonia {Community acquired pneumonia}, Type II Diabetes Mellitus {Diabetes mellitus type 2}, Dementia {Dementia}, Hypertension {Hypertensive disorder, systemic arterial}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ after 
-you were noted to have elevated blood sugars. You were also 
-noted to have a pneumonia. The reason for the elevated blood 
-sugars was likely secondary to the underlying pneumonia. 
-
-You initially required oxygen but after receiving intravenous 
-antibiotics, you were able to breath comfortably on room air. 
-
-in order to better control your blood sugars and optimize you on 
-an oral medication regimen to control your blood sugars, you 
-were seen by the Diabetes specialists at ___. They 
-recommended continuing with metformin, glipizide and 
-sitagliptin. You will remain on sliding scale insulin for now. 
-This will be stopped if recovery from your illness or increased 
-doses of your oral medications will allow. 
-
-Best Wishes,
-Your ___ Care Team 
- 
-
-###RESPONSE: pneumonia {Pneumonia}, pneumonia {Pneumonia}, intravenous 
-antibiotics {Intravenous antibiotic therapy}, on room air {Breathing room air}, oral medication {Administration of drug or medicament via oral route}, regimen {Therapeutic regimen}, oral medications {Administration of drug or medicament via oral route}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-lisinopril / lorazepam
- 
-Attending: ___.
- 
-Chief Complaint:
-Left foot pain 
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Left foot {Structure of left foot}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o M transfered from ___ today for
-angiogram/plasty with Dr. ___. He was originally admitted 
-to
-___ due to confusion and fatigue as well as
-dehydration. He was being treated for a pneumonia upon transfer.
-Pt. presents today to ___ with a year long history of left 
-foot
-discomfort, specifically his left hallux, which ___ has been
-feeling worse over the past week.  Pt. also states he has gout 
-in
-his left foot. 
-
-Medicine HPI:
-___ yo M w/ PMH of COPD, CKD (unknown baseline cr), CVA with 
-residual left arm paresis, and peripheral vascular disease who 
-was transferred here for vascular surgery evaluation given 
-problems with his toes. While on the floor he PEA arrested and 
-was coded x 3 min, then while enroute to the ICU he PEA arrested 
-again. Per mention, there was felt to be RV strain on a bedside 
-informal TTE and therefore it was felt to likely be due to a 
-pulmonary embolism so he was started on a heparin drip. He was 
-tranisently on pressors and monitored with an A line. He was 
-extubated on ___ without difficulty and was off pressors since 
-then as well. He continues to be monitored on telemetry without 
-any additional ectopy.
-Of note, prior to transfer, the patient was being examined and 
-noted to have active hemorrhage from his prior Left AC IV site. 
-He was laying in a large pool of blood. Stat Hct was stable and 
-VS were wnl. The pressure was applied to stop the bleeding and 
-the patient was cleaned up for transfer.
- 
-
-###RESPONSE: angiogram {Angiography}, confusion {Clouded consciousness}, fatigue {Fatigue}, dehydration {Dehydration}, pneumonia {Pneumonia}, left 
-foot {Structure of left foot}, discomfort {Discomfort}, left {Structure of left hand}, hallux {Great toe structure}, gout {Inflammatory disorder due to increased blood urate level}, left foot {Structure of left foot}, COPD {Chronic obstructive lung disease}, CKD {Chronic kidney disease}, CVA {Cerebrovascular accident}, left arm {Left upper arm structure}, paresis {Muscle weakness}, peripheral vascular disease {Peripheral vascular disease}, evaluation {Evaluation procedure}, toes {Structure of all toes}, RV {Right cardiac ventricular structure}, strain {Muscle strain}, TTE {Transthoracic echocardiography}, pulmonary embolism {Pulmonary embolism}, heparin {Heparin therapy}, extubated {Removal of endotracheal tube}, telemetry {Cardiac telemetry}, hemorrhage {Hemorrhage}, Left {Left cerebral hemisphere structure}, Hct was stable {Stable hematocrit}, VS {Vital signs finding}, bleeding {Bleeding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Vascualr complications, chronic kidney disease, anemia,
-COPD, hisotry of pneumonia, failure to thrive, polyneuropathy
-with diabetes, hypertension, vascular dementia, idiopathic
-pulmonary fibrosis. Pt. is a poor historian but states he had a 
-kidney removed.
-
- 
-
-###RESPONSE: Vascualr complications {Peripheral vascular complication}, chronic kidney disease {Chronic kidney disease}, anemia {Anemia}, COPD {Chronic obstructive lung disease}, pneumonia {Pneumonia}, failure to thrive {Failure to thrive}, polyneuropathy {Polyneuropathy}, diabetes {Diabetes mellitus}, hypertension {Hypertensive disorder, systemic arterial}, vascular dementia {Vascular dementia}, idiopathic
-pulmonary fibrosis {Idiopathic pulmonary fibrosis}, poor historian {Poor historian}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-n/c
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VASCULAR SURGERY ADMISSION EXAM:
-not recorded
-
-MEDICINE ADMISSION EXAM:
-VS 98.0, 103/42, 82, 18, 98% 2L
-GEN: A+Ox2 (person and date, not to place but knows its a 
-hospital), mildy hard of hearing.
-HEENT PEERLA, MMM, no elevated JVP.
-PULM moving good air bilaterally, no audible wheezes or crackles 
-anteriorly
-CV RRR no mrg appreciated, no echymotic areas on his chest, no 
-crepitus to palpation. mild tenderness on palpation there.
-ABD soft NT ND increased bowel sounds
-EXT WWP 2+ pulses palpable bilaterally, no c/c/e. LEft arm with 
-dressing saturated in blood in a pool of blood
-NEURO CNs2-12 intact, left arm hemiparetic, moving lwoer 
-extremities
-SKIN no ulcers or lesions
-Labs: Reviewed, please see below.
-
-DEATH EXAM: see death note under 
-###RESPONSE: VS {Vital signs finding}, GEN {General examination of patient}, Ox2 {Orientated}, person {Oriented to person}, place {Oriented to place}, hard of hearing {Hearing difficulty}, PEERLA {Pupils equal and reacting to light}, MMM {Moist oral mucosa}, elevated JVP {Raised jugular venous pressure}, PULM {Examination of respiratory system}, wheezes {Wheezing}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no mrg {Heart sounds normal}, echymotic {Ecchymosis}, chest {Thoracic structure}, crepitus {Bone crepitus}, palpation {Palpation}, tenderness {Tenderness}, palpation {Palpation}, ABD soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, increased bowel sounds {Bowel sounds hyperactive}, EXT {Examination of limb}, WWP {Normal tissue perfusion}, 2+ pulses palpable {Peripheral pulses normal}, LEft arm {Left upper arm structure}, dressing {Application of dressing}, NEURO {Neurological examination}, CNs2-12 intact {Normal nervous system function}, left arm {Left upper arm structure}, hemiparetic {Muscle weakness}, lwoer 
-extremities {Lower limb structure}, SKIN {Examination of skin}, ulcers {Ulcer}, lesions {Skin lesion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-
-___ 05:50PM BLOOD WBC-9.2 RBC-3.72* Hgb-12.1* Hct-37.5* 
-MCV-101* MCH-32.5* MCHC-32.2 RDW-15.4 Plt ___
-___ 05:50PM BLOOD ___ PTT-34.5 ___
-___ 05:50PM BLOOD Glucose-142* UreaN-27* Creat-1.7* Na-140 
-K-4.2 Cl-104 HCO3-24 AnGap-16
-___ 10:31PM BLOOD ALT-121* CK(CPK)-89 AlkPhos-100 
-Amylase-70 TotBili-0.6
-___ 05:50PM BLOOD Calcium-9.1 Phos-3.1 Mg-2.0
-___ 10:30PM BLOOD Type-ART pO2-82* pCO2-37 pH-7.09* 
-calTCO2-12* Base XS--18
-___ 10:30PM BLOOD Glucose-202* Lactate-12.5* Na-140 K-5.2* 
-Cl-113*
-___ 10:30PM BLOOD freeCa-1.25
-
-LABS ON DAY OF DEATH:
-
-___ 01:36AM BLOOD WBC-12.0* RBC-3.23* Hgb-10.6* Hct-32.0* 
-MCV-99* MCH-32.6* MCHC-33.0 RDW-15.3 Plt ___
-___ 08:00PM BLOOD Hct-33.4*
-___ 01:36AM BLOOD Glucose-98 UreaN-39* Creat-2.3* Na-146* 
-K-4.1 Cl-111* HCO3-21* AnGap-18
-___ 01:36AM BLOOD ALT-123* AST-136* AlkPhos-110 
-Amylase-162* TotBili-0.9
-___ 01:36AM BLOOD Calcium-8.8 Phos-3.8 Mg-2.1
-___ 09:07AM BLOOD Type-ART pO2-113* pCO2-31* pH-7.46* 
-calTCO2-23 Base XS-0
-___ 09:07AM BLOOD O2 Sat-98
-___ 01:43AM BLOOD freeCa-1.14
-
-PERTINENT MICRO: NONE
-
-PERTINENT IMAGING:
-EKG: Sinus rhythm. Generalized low voltage. Q-T interval 
-prolongation. T wave
-abnormalities. No previous tracing available for comparison. 
-Clinical
-correlation is suggested.
- 
-Read ___.
- IntervalsAxes
-___
-___
-
-ADMISSION CXR:
-___ male patient with left lower extremity ischemia,
-scheduled for angio but presenting with pneumonia.  Evaluate for 
-interval
-change. 
-Patient's condition required examination in sitting position 
-using AP frontal
-and left lateral views.  There is moderate cardiac enlargement, 
-predominantly
-involving the left heart.  The thoracic aorta is of ordinary 
-dimension but
-demonstrates advanced walled calcifications both in the aortic 
-arch as well as
-in the entire ascending aorta.  Aortic valve calcifications are 
-suspected on
-the lateral view.  There exists a diffuse haze over the entire 
-left-sided
-hemithorax and thickening of the left-sided pleural space is 
-noted along the
-left lateral chest wall.  There exists some crowded vasculature 
-in the left
-lower lobe area in retrocardiac position possibly suggesting 
-some atelectasis
-but acute discrete parenchymal infiltrates identifying a 
-pneumonia cannot be
-seen.  The right hemithorax is better penetrated and there is no 
-evidence of
-pleural thickenings on that side.  Also, the lateral pleural 
-sinuses are free,
-thus no evidence of acute pleural effusion is present.  
-Accessible areas of
-the pulmonary vasculature do not demonstrate any advanced CHF or 
-pulmonary
-edema.  Our records do not include a previous chest examination, 
-thus there is
-no possibility to comment on interval changes
-
-FOLLOW UP CXR:
-As compared to the previous radiograph, the patient has been
-extubated.  The signs previously indicative of pulmonary edema 
-have
-substantially decreased.  However, there still is a 
-mild-to-moderate left
-pleural effusion with subsequent retrocardiac atelectasis.  
-Moderate
-cardiomegaly.  No evidence of pneumonia.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, Glucose {Glucose measurement, blood}, Na {Blood sodium measurement}, K {Blood potassium measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Hct {Hematocrit determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, EKG {Electrocardiographic procedure}, Sinus rhythm {Sinus rhythm}, Q-T interval 
-prolongation {Prolonged QT interval}, T wave
-abnormalities {Electrocardiographic T wave abnormal}, left lower extremity {Structure of left lower limb}, ischemia {Ischemia}, angio {Angiography}, pneumonia {Pneumonia}, sitting position {Sitting position}, AP {Diagnostic radiography, anteroposterior}, lateral {Diagnostic radiography of chest, lateral}, cardiac enlargement {Hypertrophic cardiomegaly}, left heart {Structure of left side of heart}, thoracic aorta {Thoracic aorta structure}, calcifications {Pathologic calcification, calcified structure}, aortic 
-arch {Aortic arch structure}, entire ascending aorta {Entire ascending aorta}, Aortic valve calcifications {Aortic valve calcification}, lateral {Diagnostic radiography of chest, lateral}, left-sided
-hemithorax {Entire left thorax}, thickening {Increased thickness}, left-sided pleural {Left pleura structure}, chest wall {Chest wall structure}, left
-lower lobe {Structure of lower lobe of left lung}, atelectasis {Atelectasis}, infiltrates {Infiltration}, pneumonia {Pneumonia}, right hemithorax {Right thorax structure}, pleural thickenings {Thickening of pleura}, pleural effusion {Pleural effusion}, pulmonary vasculature {Structure of pulmonary blood vessel}, CHF {Congestive heart failure}, pulmonary
-edema {Pulmonary edema}, radiograph {Plain radiography}, signs {Sign}, pulmonary edema {Pulmonary edema}, pleural effusion {Pleural effusion}, atelectasis {Atelectasis}, cardiomegaly {Cardiomegaly}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This ___ y/o M was transferred from ___ with a 
-chief complaint of L foot pain which he has had for about ___ 
-year. He was brought to ___ to have an angiogram/plasty with 
-Dr. ___. Upon presentation to us patient was currently on 
-antibiotics for treatment of pneumonia. He stated his foot was 
-painful, specifically his left hallux. It was decided to change 
-his oral antibiotics (Levaquin) to IV antibiotics and wait for 
-his pneumonia to resolve before taking the patient for Angio. 
-
-On hospital night 1 patient arrested presumably due to a 
-pulmonary embolism. He was successfully resuscitated and 
-transferred to the CVICU intubated on vasopressors and NO. A 
-heparin gtt was empirically started given dilated RV as seen on 
-bedside
-echo. it was also noted that he was no longer producing any 
-urine.
-
-On hospital day 2 the patient was extubated and had oxygen sats 
-of 94% with 50% mask. All pressors were stopped and his kidney 
-function began to return (UO was between ___ cc/hr). A renal 
-consult was called. 
-
-Patient was transferred from the Vascular Surgery service to the 
-medical service, given his complicated course, and the decision 
-that he would hold off on any vascular decision.  
-
-Prior to admission to the internal medicine service late on the 
-evening of ___, pt was noted to be bleeding from a pulled 
-IV site with substantial amount of blood pooled beneath is arm. 
-A stat hematocrit was performed prior to transfer which was 
-stable. His VS were stable. Once patient arrived to the medicine 
-floor, he was monitored on telemetry given his recent PEA 
-arrest. He was continued on IV antibiotics for his previously 
-diagnosed pneumonia, although it was noted he had no pneumonia 
-on his current CXR. He was continued on IV heparin gtt for 
-presumed PE on a tighter therapeutic range given his recent 
-bleeding, with plans to repeat a formal TTE in the morning and 
-pursue further workup of his PEA arrest. Of note, the patient's 
-spouse had a lengthy discussion with the on call ___ 
-resident and it was determined that the patient would continue 
-to have a DNR code status (intubation acceptable). 
-
-Once on the floor, a repeat hematocrit was to be drawn given his 
-recent bleeding. However, this could not be drawn given 
-patient's confusion and agitation which was acute in nature. He 
-was given a dose of zyprexa for agitation and shortly thereafter 
-was noted to convert to asystole on the tele monitor. The 
-nightfloat intern was called to pronounce the patient. The death 
-note is copied below:
-
-Death Note
-___
-
-Called to patient's bedside because of asystole on telemetry.  
-He
-was not responsive to voice or pain. Pulses absent. No heart
-sounds or breath sounds present.  Pupils not reactive to light.
-His most recent code status is DNR.  No resuscitative attempts
-made. Patient pronounced dead at 3:42 am on ___.  Wife 
-___
-notified, she declined autopsy. Attending of record, ___, notified.
-
- 
-
-###RESPONSE: foot pain {Foot pain}, angiogram {Angiography}, plasty {Angioplasty of blood vessel}, antibiotics {Antibiotic therapy}, pneumonia {Pneumonia}, foot was 
-painful {Foot pain}, hallux {Great toe structure}, oral antibiotics {Oral antibiotic therapy}, IV antibiotics {Intravenous antibiotic therapy}, pneumonia {Pneumonia}, pulmonary embolism {Pulmonary embolism}, resuscitated {Resuscitation}, intubated {Intubation}, heparin {Heparin therapy}, dilated RV {Dilatation of right cardiac ventricle}, echo {Echocardiography}, extubated {Removal of endotracheal tube}, kidney 
-function {Renal function monitoring}, bleeding {Bleeding}, arm {Upper limb structure}, VS {Vital signs finding}, stable {Patient's condition stable}, telemetry {Cardiac telemetry}, IV antibiotics {Intravenous antibiotic therapy}, pneumonia {Pneumonia}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, IV {Administration of drug or medicament via intravenous route}, heparin {Heparin therapy}, PE {Pulmonary embolism}, bleeding {Bleeding}, TTE {Transthoracic echocardiography}, workup {Evaluation procedure}, DNR {Not for resuscitation}, bleeding {Bleeding}, confusion {Clouded consciousness}, agitation {Feeling agitated}, agitation {Feeling agitated}, asystole {Asystole}, tele {Cardiac telemetry}, asystole {Asystole}, telemetry {Cardiac telemetry}, responsive to voice {Responds to voice}, pain {Finding of response to pain}, Pulses absent {Absent pulse}, No heart
-sounds {Heart sound inaudible}, breath sounds {Absent breath sounds}, Pupils not reactive to light {No pupillary reaction to light}, DNR {Not for resuscitation}, Patient pronounced dead {Patient status determination, deceased}, autopsy {Consent for postmortem declined}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Levofloxacin 500mg qd x3days
-albuterol nebulizer 4x daily
-ranitidine HCL 150mg qd
-multivitamin qd PO
-Lidocaine HCL 1 patch
-Glipizide 5mg qd po
-gabapentin 300mg poqd
-colace 100mg po qd
-clopidogrel 75mg
-Vit D 1000 units qd PO
-aspirin 81mg qd
-allopurinol ___ qd
-acetaminophen 325mg qd
-Venlafaxine HCL 37.5 mg hs 
-Mirtazapine 7.5 mg hs
-Pravastatin 40mg qd
-Insuline Sliding scale
-Insuline Glargine 18 U
-Ferrous Sulfate 325mg bid po
-Carvedilol 12.5 bid 
-tramadol 50mg q6h prn pain
-milk of mag 10 ml po prn constipation
-
- 
-Discharge Medications:
-EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Expired
- 
-Discharge Diagnosis:
-EXPIRED
- 
-Discharge Condition:
-EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Abacavir Sulfate / Aspirin / fluconazole / levetiracetam / 
-morphine
- 
-Attending: ___.
- 
-Chief Complaint:
-fevers and diarrhea
- 
-Major Surgical or Invasive Procedure:
-Endoscopy and Colonoscopy ___
-
- 
-
-###RESPONSE: Abacavir Sulfate {Allergy to abacavir}, Aspirin {Allergy to aspirin}, fluconazole {Allergy to fluconazole}, levetiracetam {Allergy to lofepramine}, morphine {Allergy to morphine}, fevers {Fever}, diarrhea {Diarrhea}, Endoscopy {Endoscopy}, Colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms ___ is a ___ with HIV/AIDS with poor medication 
-compliance(CD4 24(3%), HIV VL 70K ___, depression, and hx of 
-seizures, who was recently admitted with fever, non-bloody 
-diarrhea, and ___ (___), who now re-presets with 
-similar symptoms.  
-She notes that she was in her usual state of health until 
-approximately ___ when she noticed a fever to 103. She denied 
-any other symptoms at that time; no sinus congestion, headache, 
-body ache, sore throat, cough, shortness of breath, abdominal 
-pain, nausea, vomiting, or diarrhea. She took some Tylenol and 
-fever resolved. She felt very constipated so took some castor 
-oil on ___. This resulted in copious non-bloody diarrhea. She 
-intermittently had fever up to 102 so decided to present to the 
-ED on ___, and she was admitted from ___. Her labs were 
-notable for Cr of 1.8 from baseline of 0.8 just 6 days prior. 
-LFTs were slightly elevated at AST/ALT of 139/42, AP 128, Tbili 
-0.2. UA and CXR were negative. Extensive stools studies were 
-negative. She was started empirically on ciprofloxacin and 
-metronidazole which were stopped by ID recs.  
-She now represents with fevers, diarrhea, nausea and mylagias. 
-She reports 4 loose bowel movements in the past few days. Today 
-she checked her fever which was 102 which promted the ED visit. 
-She denies any sick contact or travel history. No raw food.  
- 
-In the ED, initial VS were 102.2 123 115/98 20 93% .  
-Exam notable for: TTP in LLQ, no rebound or gaurding.  
-Labs showed WBC of 7.0, H/H at baseline (11.8/34.8), plt 175. 
-BMP notable for elevated Cr of 1.5 (basline 0.7-0.8), Na 137, Cl 
-94. ALT: 39 AST: 111 AP: 155 Tbili: 0.3 Alb: 3.2  
-Imaging showed no acute cardiopulmonary process.  
-Received ceftriaxone, flagyl per ID recs, 2L NS, and tylenol 1g. 
- 
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, HIV {Human immunodeficiency virus infection}, depression {Depressive disorder}, seizures {Seizure}, fever {Fever}, bloody 
-diarrhea {Hemorrhagic diarrhea}, fever {Fever}, sinus congestion {Congestion of nasal sinus}, headache {Headache}, body ache {Generalized aches and pains}, sore throat {Sore throat}, cough {Cough}, shortness of breath {Dyspnea}, abdominal 
-pain {Abdominal pain}, nausea, vomiting {Nausea and vomiting}, diarrhea {Diarrhea}, fever {Fever}, resolved {Problem resolved}, constipated {Constipation}, bloody diarrhea {Hemorrhagic diarrhea}, fever {Fever}, Cr {Finding of creatinine level}, baseline {Baseline state}, LFTs {Hepatic function panel}, elevated {Finding of increased blood pressure}, AST {Aspartate aminotransferase measurement}, ALT {Alanine aminotransferase measurement}, AP {Alkaline phosphatase measurement}, UA {Urinalysis}, CXR {Plain chest X-ray}, stools studies {Stool microscopy}, ID {Infectious disease}, fevers {Fever}, diarrhea {Diarrhea}, nausea {Nausea}, mylagias {Muscle pain}, loose bowel movements {Loose stool}, fever {Fever}, VS {Vital signs finding}, Exam {Examination of abdomen}, TTP in LLQ {Tenderness of left lower quadrant of abdomen}, rebound {Rebound tenderness}, gaurding {Abdominal guarding}, WBC {White blood cell count}, H/H {Measurement of total hemoglobin concentration and hematocrit}, baseline {Baseline state}, BMP {Serum metabolic panel}, elevated Cr {Serum creatinine above reference range}, basline {Baseline state}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AP {Alkaline phosphatase measurement}, Imaging {Imaging}, ID {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- AIDS (resistant disease - followed by ID, Dr. ___
--- CD4 nadir 8 in ___, improved to 77 in ___
--- CD4 20 ___
--- HIV Viral Load in ___ - 159,154 copies/ml
--- Opportunistic infections: esophageal candidiasis
--- CIN II-III s/p LEEP procedure
--- several mutations listed in OMR problem list
-- Depression
-- Gastritis secondary to H. Pylori
-- Nephrolithiasis
-- Cervical spondylosis
-- Migraines
-- Excision of left wrist ganglion cyst ___
-- Genital and vaginal condyloma
-- Left carpal tunnel syndrome
-- S/p open cholecystectomy
-- H/o right sided Bell's palsy
-- H/o diverticulitis with microperforation (patient is not clear 
-of this history)
-- H/o CMV esophagitis and ?colitis
- 
-
-###RESPONSE: AIDS {Acquired immune deficiency syndrome}, disease {Disease}, ID {Infectious disease}, improved {Patient's condition improved}, HIV Viral Load {Human immunodeficiency virus viral load}, infections {Infectious disease}, esophageal candidiasis {Candidiasis of the esophagus}, CIN {Cervical intraepithelial neoplasia}, LEEP {Loop electrosurgical excision procedure}, procedure {Procedure}, mutations {Genetic mutation}, problem {Problem}, Depression {Depressive disorder}, Gastritis secondary to H. Pylori {Gastritis caused by Helicobacter pylori}, Nephrolithiasis {Kidney stone}, Cervical spondylosis {Cervical spondylosis}, Migraines {Migraine}, Excision {Excision}, left wrist {Structure of left wrist region}, ganglion cyst {Ganglion cyst}, Genital {Genital structure}, vaginal condyloma {Condyloma acuminata of vagina}, Left {Left upper arm structure}, carpal tunnel syndrome {Carpal tunnel syndrome}, cholecystectomy {Cholecystectomy}, right sided {Structure of right facial muscle}, Bell's palsy {Bell's palsy}, diverticulitis {Diverticulitis}, CMV esophagitis {Esophagitis caused by Cytomegalovirus}, colitis {Cytomegaloviral colitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother alive with a history of hypertension. Father deceased 
-from stroke. Three sisters and six brothers alive. No children.
-
- 
-
-###RESPONSE: alive {Alive}, hypertension {Hypertensive disorder, systemic arterial}, deceased {Dead}, stroke {Cerebrovascular accident}, alive {Alive}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
--------------
-Vitals: 98.2 117/56 97 100%RA  
-General: Alert, oriented, ill appearing, fatigued  
-HEENT: Sclera anicteric, dry mucous membranes, oropharynx clear 
-without exudates  
-Neck: Supple, no cervical or supraclavicular LAD  
-CV: Regular rate and rhythm, normal S1 + S2, ___ systolic murmur 
-in the apex  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-Abdomen: Soft, non-distended, very mild tenderness in the lower 
-abdomen, bowel sounds present, no rebound or guarding  
-Ext: Warm, well perfused, no edema  
-Neuro: Alert and oriented x 3, CNII-XII intact  
-Skin: no rashes  
-
-At Discharge:
--------------
-VS - 98 128-150/70-101 52-104 17 99% RA  
-General: Alert, oriented, chronically ill-appearing woman in NAD 
- 
-HEENT: Sclera anicteric, MMM, oropharynx clear without exudates  
-
-Neck: Supple, no cervical or supraclavicular LAD  
-CV: Regular rate and rhythm, normal S1 + S2, ___ systolic murmur 
-in the apex  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-Abdomen: Soft, non-distended, nontender, bowel sounds present, 
-no rebound or guarding  
-Ext: Warm, well perfused, no edema  
-Neuro: Alert and oriented x 3, CNII-XII intact  
-Skin: no rashes  
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, fatigued {Fatigue}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous membranes {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, exudates {Exudate}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, cervical {Cervical lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, apex {Structure of apex of heart}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, tenderness {Tenderness}, lower 
-abdomen {Lower abdomen structure}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, Skin {Examination of skin}, rashes {Eruption of skin}, VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Oriented to person}, ill-appearing {Looks ill}, NAD {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, exudates {Exudate}, Neck {Neck structure}, Supple {Normal movement of neck}, cervical {Cervical lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 + S2 {Heart sounds normal}, systolic murmur {Systolic murmur}, apex {Structure of apex of heart}, Lungs {Lung structure}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, nontender {Tenderness}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, Alert {Mentally alert}, oriented x 3 {Oriented to person, time and place}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, Skin {Examination of skin}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Labs on Admission:
-------------------
-___ 05:00PM   WBC-7.0 RBC-3.99* HGB-11.8* HCT-34.8* MCV-87 
-MCH-29.7 MCHC-34.0 RDW-15.0
-___ 05:00PM   NEUTS-59 BANDS-0 ___ MONOS-14* EOS-0 
-BASOS-1 ATYPS-2* ___ MYELOS-0
-___ 05:00PM   PLT SMR-NORMAL PLT COUNT-175
-___ 05:00PM   HYPOCHROM-NORMAL ANISOCYT-NORMAL 
-POIKILOCY-NORMAL MACROCYT-NORMAL MICROCYT-NORMAL 
-POLYCHROM-OCCASIONAL OVALOCYT-OCCASIONAL
-___ 05:00PM   GLUCOSE-92 UREA N-23* CREAT-1.5* SODIUM-137 
-POTASSIUM-4.0 CHLORIDE-94* TOTAL CO2-22 ANION GAP-25*
-___ 05:00PM   ALT(SGPT)-39 AST(SGOT)-111* ALK PHOS-155* TOT 
-BILI-0.3
-___ 05:00PM   ALBUMIN-3.2* CALCIUM-9.1 PHOSPHATE-4.4 
-MAGNESIUM-1.6
-___ 05:00PM   LIPASE-57
-___ 05:17PM   LACTATE-1.8
-
-Micro Data:
------------
-All stool cultures, stains, O&P were negative.
-Blood culturtes negative to date. Urine cx negative to date.
-Cryptococcal antigen and toxoplasma IgG negative.
-CMV Viral Load (Final ___: 984 IU/mL. 
-C.difficile negative.
-Cryptosporidium/ giardia negative.
-
-Imaging Reports:
-----------------
-CT Abdomen/ Pelvis with contrast:
-1. Small amount of free fluid in the pelvis, which may be 
-physiologic. 
-2. No GI abnormality to explain the patient's diarrhea 
-3. Postcholecystectomy 
-4. Degenerative disc L4-5 
-
-EGD/ Colonoscopy Report:
-EGD ___:
-Small white plaques in mid-esophagus, ? of mild candidiasis. 
-(biopsy)
-Erythema and petechiae in the whole stomach compatible with mild 
-gastritis (biopsy)
-Normal mucosa in the duodenum (biopsy)
-Otherwise normal EGD to third part of the duodenum
-
-Colonoscopy ___:
-Diverticulosis of the scattered throughout the colon
-Erythema and small erosions in the left colon (biopsy)
-The terminal ileum mucosa appeared normal. (biopsy)
-Otherwise normal colonoscopy to cecum and terminal ileum
-
-EGD/ COLONOSCOPY PATHOLOGY REPORT:
-1. Mid esophagus:
-- Active esophagitis with numerous intraepithelial lymphocytes 
-and scattered eosinophils and
-neutophils.
-- GMS stain for fungal organisms is negative with satisfactory 
-control.
-2.. Gastric/stomach:
-- Corpus/antral mucosa with mild chronic inactive gastritis.
-- Immunostain for Helicobacter species is in progress and the 
-results will be reported in a revised
-report.
-3. Duodenum:
-- Duodenal mucosa, within normal limits.
-4. Terminal ileum:
-- Small intestinal mucosa, within normal limits.
-5. Random colon:
-- Colonic mucosa, within normal limits.
-Addendum yet to be finalized by pathology at time of discharge: 
-evidence of CMV on esophageal biopsies; no evidence of CMV on 
-clononic biopsies.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT 
-BILI {Bilirubin, total measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, stool cultures {Stool culture}, O&P {Finding of presence of ova cysts and parasites}, Blood culturtes {Blood culture}, Urine cx {Urine culture}, IgG {Immunoglobulin G measurement}, Viral Load {Viral load}, pelvis {Structure of pelvis}, GI {Gastrointestinal tract finding}, diarrhea {Diarrhea}, Degenerative {Degenerative abnormality}, L4 {Bone structure of L4}, 5 {Bone structure of L5}, EGD {Esophagogastroduodenoscopy}, plaques {Plaque}, esophagus {Esophageal structure}, candidiasis {Candidiasis}, biopsy {Biopsy}, Erythema {Erythema}, petechiae {Petechia}, stomach {Stomach structure}, gastritis {Gastritis}, biopsy {Biopsy}, mucosa {Vaginal mucous membrane structure}, duodenum {Duodenal structure}, biopsy {Biopsy}, EGD {Esophagogastroduodenoscopy}, third part of the duodenum {Structure of inferior portion of duodenum}, Diverticulosis {Diverticulosis of colon}, colon {Colon structure}, Erythema {Erythema}, erosions {Superficial ulcer}, left colon {Left colon structure}, biopsy {Biopsy}, terminal ileum {Structure of distal portion of ileum}, mucosa {Vaginal mucous membrane structure}, biopsy {Biopsy}, colonoscopy {Colonoscopy}, cecum {Cecum structure}, terminal ileum {Structure of distal portion of ileum}, esophagus {Esophageal structure}, esophagitis {Esophagitis}, fungal {Mycosis}, Corpus {Gastric corpus structure}, antral {Pyloric antrum structure}, mucosa {Vaginal mucous membrane structure}, chronic {Chronic gastritis}, gastritis {Gastritis}, Duodenal mucosa {Duodenal mucous membrane structure}, Small {Structure of small intestine}, intestinal mucosa {Intestinal mucous membrane structure}, Colonic mucosa {Colonic mucous membrane structure}, CMV {Cytomegalovirus infection}, esophageal biopsies {Biopsy of esophagus}, no evidence {No abnormality detected}, CMV {Cytomegalovirus infection}, clononic biopsies {Biopsy of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with HIV/AIDS with poor medication compliance(CD4 24(3%), 
-HIV VL 70K ___, depression, and hx of seizures, who was 
-recently admitted with fever, non-bloody diarrhea, and ___ 
-(___), who now re-presets with similar symptoms.  
-
-# Fevers/ Diarrhea: Most likely secondary to CMV given she had a 
-positive CMV viral load to >900. Given her low CD4 status, 
-differential was broad and included other opportunistic 
-infections as well as non-opportunistic infections.  Less likely 
-to be ischemic or inflammatory. ___ with evidence of 
-esophagitis with concern for contribution from ?___ as well 
-as some mild colitis in left colon, biopsies taken, revealing 
-evidence of CMV in the esophagus, however, no evidence of CMV in 
-the colon. She was started on IV  gancyclovir and transitioned 
-to PO valgancyclovir, to complete a ___ week course, to be 
-determined by outpatient ID. Also started a 14 day course of 
-fluconazole, for ___ esophagitis. Ophthalmology was 
-consulted, and patient was without evidence of CMV retinitis. 
-All other workup, including stool studies, clultures and serum 
-cryptococcal antigen were negative. Her diarrhea and fevers 
-resolved and her diet was advanced without issues. Of note, 
-discontinued empiric CTX/flagyl that were initially started in 
-the ED given low concern for bacterial infection. All of the 
-above was done in consultation with the infectious disease 
-service.  
- 
-# Fevers: As above unifying diagnosis would be infectious 
-colitis possibly from an opportunistic infection as described 
-above. However given her AIDS and CMV viremia, fever could also 
-represent other systemic infection. CXR without any 
-consolidations. The patient did not appear septic. Infectious 
-workup results detailed above. Discharged on valgancyclovir and 
-fluconazole as above.  
-
-# ___: Baseline Cr 1 which was elevated to 1.5 on admission. 
-Most likely pre-renal vs ATN in the setting of diarrhea and poor 
-po intake, however, given that she has remained in the 1.4 to 
-1.5 range on a subacute time period, this may represent a new 
-baseline. Renally dosed all medications, with changes made to 
-include HIV meds that were less nephrotoxic. Avoided NSAIDS, 
-contrast and other nephrotoxic meds as much as possible. 
-Discharge creatinine was 1.4. 
-
-# HIV AIDS: History of med non-complaince however currently 
-reports taking her HIV meds. Cannot use Stribild given ___ For 
-HIV: Discontinued Stribild. Continued with dolutegravir 50mg 
-daily, darunavir 800mg PO daily, cobicistat 100mg daily, 
-lamivudine 150mg PO daily per ID recs. Darunavir and cobicistat 
-were prescribed as a combination pill at time of discharge. Of 
-note, she does have a history of non-adherence to HAART; in the 
-setting of depression she states she became tired of taking the 
-medications and self-discontinued them. Her mother and brother 
-are unaware of her diagnosis; sister is aware and per pt, 
-provides support.   
-
-***TRANSITIONAL ISSUES***
-- history of poor adherence to HAART
-- Patient should have at least yearly dilated eye exams, sooner
-if any issues and this was discussed with the patient. She can
-follow up at ___ or by an outside ophthalmologist.
-- to complete 14 day course of PO fluconazole, end date 
-___.
-- to complete ___ week course of valgancyclovir (exact course to 
-be determined by outpatient ID physician) (trsnaitioned to PO on 
-___.
-- patient with anemia, and borderline low B12, should have MMA 
-checked as an outpatient (likely effect of HAART therapy). 
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, HIV {Human immunodeficiency virus infection}, depression {Depressive disorder}, seizures {Seizure}, fever {Fever}, bloody diarrhea {Hemorrhagic diarrhea}, Fevers {Fever}, Diarrhea {Diarrhea}, CMV {Cytomegalovirus infection}, CMV {Cytomegalovirus infection}, viral load {Viral load}, infections {Infectious disease}, infections {Infectious disease}, ischemic {Ischemia}, inflammatory {Inflammatory disorder}, esophagitis {Esophagitis}, colitis {Colitis}, left colon {Left colon structure}, biopsies {Biopsy}, CMV {Cytomegalovirus infection}, esophagus {Esophageal structure}, no evidence {No abnormality detected}, CMV {Cytomegalovirus infection}, colon {Colon structure}, IV {Administration of drug or medicament via intravenous route}, ID {Infectious disease}, esophagitis {Esophagitis}, CMV retinitis {Cytomegaloviral retinitis}, stool studies {Stool microscopy}, clultures {Stool culture}, diarrhea {Diarrhea}, fevers {Fever}, resolved {Problem resolved}, diet {Normal diet}, CTX {Contraction of uterus during labor}, bacterial infection {Bacterial infectious disease}, infectious disease 
-service {Infectious diseases service}, Fevers {Fever}, infectious 
-colitis {Infectious colitis}, infection {Infectious disease}, AIDS {Acquired immune deficiency syndrome}, CMV viremia {Cytomegalovirus viremia}, fever {Fever}, systemic infection {Sepsis}, CXR {Plain chest X-ray}, consolidations {Consolidation}, septic {Sepsis}, Infectious {Infectious disease}, Baseline {Baseline state}, Cr {Finding of creatinine level}, elevated {Serum creatinine above reference range}, renal {Kidney structure}, ATN {Acute tubular necrosis}, diarrhea {Diarrhea}, poor 
-po intake {Decrease in appetite}, baseline {Baseline state}, HIV {Human immunodeficiency virus infection}, creatinine {Creatinine measurement}, HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, non-complaince {Drug compliance poor}, HIV {Human immunodeficiency virus infection}, HIV {Human immunodeficiency virus infection}, ID {Infectious diseases service}, depression {Depressive disorder}, dilated {Dilated pupil}, eye {Structure of eye proper}, exams {Ophthalmic examination and evaluation}, ID {Infectious disease}, anemia {Anemia}, low B12 {Cobalamin deficiency}, therapy {Therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Atovaquone Suspension 1500 mg PO DAILY 
-2. Azithromycin 600 mg PO 2X/WEEK (WE,SA) 
-3. Darunavir 800 mg PO DAILY 
-4. Prochlorperazine 5 mg PO DAILY PRN nausea 
-5. Stribild 1 TAB PO DAILY 
-6. camphor-menthol 0.5 % topical bid:prn 
-7. Ensure (food supplemt, lactose-reduced) 1 can oral daily 
-8. Triamcinolone Acetonide 0.1% Cream 1 Appl TP BID 
-
- 
-Discharge Medications:
-1. Atovaquone Suspension 1500 mg PO DAILY 
-2. Azithromycin 600 mg PO 2X/WEEK (WE,SA) 
-3. Dolutegravir 50 mg PO DAILY 
-RX *dolutegravir [___] 50 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*1
-RX *dolutegravir [___] 50 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*1
-4. Fluconazole 200 mg PO Q24H 
-RX *fluconazole [Diflucan] 200 mg 1 tablet(s) by mouth daily 
-Disp #*11 Tablet Refills:*0
-5. LaMIVudine 150 mg PO DAILY 
-RX *lamivudine [Epivir] 150 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*1
-6. camphor-menthol 0.5 % topical bid:prn 
-7. Ensure (food supplemt, lactose-reduced) 1 can oral daily 
-8. Prochlorperazine 5 mg PO DAILY PRN nausea 
-9. Triamcinolone Acetonide 0.1% Cream 1 Appl TP BID 
-10. ValGANCIclovir 450 mg PO Q12H 
-RX *valganciclovir 450 mg 1 tablet(s) by mouth twice a day Disp 
-#*60 Tablet Refills:*0
-11. darunavir-cobicistat 800-150 mg-mg oral DAILY 
-RX *darunavir-cobicistat [Prezcobix] 800 mg-150 mg 1 tablet(s) 
-by mouth daily Disp #*30 Tablet Refills:*1
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-------------------
-- CMV viremia
-- ___ and CMV esophagitis
-- fevers and diarrhea
-
-SECONDARY DIAGNOSES:
---------------------
--AIDS
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: CMV viremia {Cytomegalovirus viremia}, CMV esophagitis {Esophagitis caused by Cytomegalovirus}, fevers {Fever}, diarrhea {Diarrhea}, AIDS {Acquired immune deficiency syndrome}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you during your hospital stay 
-at ___. You came in because you 
-were having fevers and diarrhea. Our infectious disease doctors 
-___ and recommended a complete infectious workup. Our 
-lab tests revealed that you had a virus in your blood, called 
-cytomegalovirus, that may have been causing your symptoms. We 
-treated you with an antiviral, called valgancyclovir, a 
-medication which you should continue to take for three to six 
-weeks (your doctor ___ tell you how long exactly). You should 
-also continue to take fluconazole for two weeks. Your symptoms 
-have resolved and it is now safe for you to be discharged. 
-Please be sure to take ALL of your medications as prescribed and 
-keep your follow-up appointments. We wish you the very best!
-
-Sincerely,
-
-Your ___ Team
- 
-
-###RESPONSE: fevers {Fever}, diarrhea {Diarrhea}, infectious disease {Infectious disease}, infectious {Infectious disease}, cytomegalovirus {Cytomegalovirus infection}, medication {Patient medication education}, resolved {Problem resolved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Adenocarcinoma of the bile duct 
- 
-Major Surgical or Invasive Procedure:
-___: 
-1. Diagnostic laparoscopy
-2. Pancreaticoduodenectomy with extended bile duct resection
-3. Open cholecystectomy
-4. Placement of Golden Fiducials for Cyperknife therapy
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Adenocarcinoma of the bile duct {Primary adenocarcinoma of bile duct}, laparoscopy {Laparoscopy}, Pancreaticoduodenectomy {Pancreaticoduodenectomy}, bile duct resection {Resection of extrahepatic bile duct}, cholecystectomy {Cholecystectomy}, Placement {Implantation procedure}, therapy {Therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old with PMH of HTN and BPH who 
-initially presented with 1 week of diarrhea, a few days of dark 
-colored urine and pruritus, found to have an elevated T 
-bilirubin, abnormal abdominal ultrasound and CT scan which 
-showed a 25 mm gallstone as well as intrahepatic and common 
-hepatic duct
-dilatation, concerning for possible malignancy. MRCP was 
-performed which confirmed a 3.5cm segment of distal common 
-hepatic and proximal come bile duct with irregular enhancement 
-with necrotic periportal ___ s/f nodal involvement. 
-He then underwent ERCP on ___ which confirmed a 
-malignant-appearing stricture in the proximal CBD with plastic 
-stent placement. His ampullar was normal and cholangiogram 
-demonstrated a 2cm long, malignant appearing stricture in the
-proximal CBD.  Cytology from the ERCP brushings were consistent 
-for  adenocarcinoma.  He will undergo a whipple procedure.  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, BPH {Benign prostatic hyperplasia}, diarrhea {Diarrhea}, dark 
-colored urine {Urine looks dark}, pruritus {Itching of skin}, elevated T 
-bilirubin {Total bilirubin above reference range}, abnormal abdominal ultrasound {Ultrasonography of abdomen abnormal}, CT scan {Computed tomography of abdomen abnormal}, gallstone {Gallbladder calculus}, intrahepatic {Intrahepatic biliary tract structure}, common 
-hepatic duct {Structure of common hepatic duct}, dilatation {Dilatation}, malignancy {Malignant neoplasm}, MRCP {Magnetic resonance cholangiopancreatography}, distal common 
-hepatic {Structure of common bile duct, distal}, proximal come bile duct {Structure of common bile duct, proximal}, necrotic {Necrosis}, ERCP {Endoscopic retrograde cholangiopancreatography}, stricture {Stricture}, proximal CBD {Structure of common bile duct, proximal}, stent placement {Placement of stent}, cholangiogram {Cholangiogram}, stricture {Stricture}, proximal CBD {Structure of common bile duct, proximal}, ERCP {Endoscopic retrograde cholangiopancreatography}, adenocarcinoma {Adenocarcinoma}, whipple procedure {Pancreaticoduodenectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Hypertension
-- BPH
-- Arthritis
-- Prior Carpal Tunnel Surgery R Wrist
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, BPH {Benign prostatic hyperplasia}, Arthritis {Arthritis}, Carpal Tunnel {Carpal tunnel syndrome}, Surgery {Surgical procedure}, R Wrist {Structure of right wrist region}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-father - CAD
-mother - pancreatic cancer
-brother - HTN
-
- 
-Physical ___:
-Prior To Discharge:
-VS: 98.6, 68, 134/71, 18, 94% RA
-GEN: Pleasant male without acute distress 
-HEENT: NC/AT, PERRL, EOMI, no scleral icterus
-CV: RRR
-PULM: CTAB
-ABD: Bilateral subcostal incision open to air with staples and 
-c/d/I. RLQ with old JP site x 2, lateral with single suture, 
-medial open to air 
-EXTR: Warm, no c/c/e
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, pancreatic cancer {Malignant tumor of pancreas}, HTN {Hypertensive disorder, systemic arterial}, VS {Vital signs finding}, GEN {General examination of patient}, distress {Distress}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, scleral icterus {Scleral icterus}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, subcostal incision {Subcostal incision}, RLQ {Structure of right lower quadrant of abdomen}, EXTR {Examination of limb}, Warm {Warm skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-RECENT LABS:
-
-___ 05:25AM BLOOD WBC-8.4 RBC-3.76* Hgb-11.7* Hct-35.5* 
-MCV-94 MCH-31.1 MCHC-33.0 RDW-16.2* RDWSD-55.7* Plt ___
-___ 05:25AM BLOOD Glucose-143* UreaN-12 Creat-0.6 Na-144 
-K-3.9 Cl-102 HCO3-31 AnGap-11
-___ 04:40PM ASCITES Amylase-8
-___ 04:40PM ASCITES Amylase-8
-
-MICROBIOLOGY:
-___ 2:00 pm SWAB      BILE CULTURE. 
-      Fluid should not be sent in swab transport media.  Submit 
-fluids in a
-      capped syringe (no needle), red top tube, or sterile cup. 
-                  **FINAL REPORT ___
-
-GRAM STAIN (Final ___: 
-      1+    (<1 per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      NO MICROORGANISMS SEEN. 
-
-WOUND CULTURE (Final ___: 
-      ESCHERICHIA COLI.    SPARSE GROWTH. 
-         Cefazolin interpretative criteria are based on a dosage 
-regimen of
-         2g every 8h. 
-      ESCHERICHIA COLI.    SPARSE GROWTH. 
-         Cefazolin interpretative criteria are based on a dosage 
-regimen of
-         2g every 8h.  SECOND MORPHOLOGY. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |          ESCHERICHIA COLI
-                             |          |   
-AMPICILLIN------------   <=2 S        4 S
-AMPICILLIN/SULBACTAM--   <=2 S      <=2 S
-CEFAZOLIN-------------   <=4 S      <=4 S
-CEFEPIME--------------   <=1 S      <=1 S
-CEFTAZIDIME-----------   <=1 S      <=1 S
-CEFTRIAXONE-----------   <=1 S      <=1 S
-CIPROFLOXACIN---------<=0.25 S   <=0.25 S
-GENTAMICIN------------   <=1 S      <=1 S
-MEROPENEM-------------<=0.25 S   <=0.25 S
-PIPERACILLIN/TAZO-----   <=4 S      <=4 S
-TOBRAMYCIN------------   <=1 S      <=1 S
-TRIMETHOPRIM/SULFA----   <=1 S      <=1 S
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CULTURE {Microbial culture}, GRAM STAIN {Gram stain method}, WOUND CULTURE {Wound microscopy, culture and sensitivities}, SENSITIVITIES {Antimicrobial susceptibility test}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient with biopsy proven adenocarcinoma was admitted to 
-the HPB Surgical Service on ___ for elective operation. On 
-___, the patient underwent pylorus-preserving 
-pancreaticoduodenectomy (Whipple) and open cholecystectomy, 
-intraoperative patient spiked a fever and was continued on Zosyn 
-for empiric coverage post operative, bile and blood cultures 
-were sent (please see the Operative Note for details). After a 
-brief, uneventful stay in the PACU, the patient arrived on the 
-floor NPO with an NG tube, on IV fluids, with a foley catheter 
-and a JP drain x 2 in place, and epidural catheter for pain 
-control.  The patient was hemodynamically stable.
-The ___ hospital course was uneventful and followed the 
-Whipple Clinical Pathway without major deviations. 
-Post-operative pain was initially well controlled with epidural 
-analgesia, which was converted to oral pain medication when 
-tolerating clear liquids. The NG tube was discontinued on POD# 
-2, and the foley catheter discontinued at midnight of POD# 4. 
-The patient subsequently voided without problem. The patient was 
-started on sips of clears on POD# 3, which was progressively 
-advanced as tolerated to a regular diet by POD# 6.  JP amylase 
-was sent in the evening of  POD#6; the posterior JP was 
-discontinued on POD# 6, and anterior JP was discontinued on POD 
-7 as the output and amylase level were low. Patient was 
-transitioned from Zosyn to PO Cipro on POD 4 to complete 7 days 
-total. Patient remained afebrile with WBC within normal limits 
-prior to discharge. 
-During this hospitalization, the patient ambulated early and 
-frequently, was adherent with respiratory toilet and incentive 
-spirrometry, and actively participated in the plan of care. The 
-patient received subcutaneous heparin and venodyne boots were 
-used during this stay. He was transitioned to ___ Lovenox prior 
-to discharge. The patient's blood sugar was monitored regularly 
-throughout the stay; no insulin was required on discharge. 
-At the time of discharge on ___, the patient was doing well, 
-afebrile with stable vital signs.  The patient was tolerating a 
-regular diet, ambulating, voiding without assistance, and pain 
-was well controlled. The patient was discharged home without 
-services. The patient received discharge teaching and follow-up 
-instructions with understanding verbalized and agreement with 
-the discharge plan.
-
- 
-
-###RESPONSE: biopsy {Biopsy}, adenocarcinoma {Adenocarcinoma}, elective operation {Optional surgery}, pylorus-preserving 
-pancreaticoduodenectomy {Pylorus-sparing Whipple operation}, cholecystectomy {Cholecystectomy}, fever {Fever}, post operative {Postoperative state}, blood cultures {Blood culture}, NPO {Nil by mouth}, IV fluids {Administration of intravenous fluids}, foley catheter {Urinary catheter in situ}, pain 
-control {Pain control}, hemodynamically stable {Hemodynamically stable}, Post-operative pain {Postoperative pain}, epidural 
-analgesia {Epidural anesthesia}, oral {Administration of drug or medicament via oral route}, pain medication {Administration of analgesic}, voided without problem {Normal micturition}, regular diet {Normal diet}, amylase level {Amylase measurement}, incentive 
-spirrometry {Incentive spirometry}, blood sugar {Glucose measurement, blood}, stable vital signs {Normal vital signs}, regular diet {Normal diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain 
-was well controlled {Demonstrates adequate pain control}, teaching {Patient education}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Lisinopril-HCTZ ___ QD
-Finasteride 5 QD
-Pravastatin 20 QD
- 
-Discharge Medications:
-1.  Acetaminophen ___ mg PO Q8H:PRN Pain - Mild 
-do not exceed more then 3000 mg/day  
-2.  Docusate Sodium 100 mg PO BID 
-RX *docusate sodium 100 mg 1 capsule(s) by mouth twice a day 
-Disp #*60 Capsule Refills:*0 
-3.  Enoxaparin Sodium 40 mg SC DAILY 
-RX *enoxaparin 40 mg/0.4 mL 40 mg SC once a day Disp #*30 
-Syringe Refills:*0 
-4.  lisinopril-hydrochlorothiazide ___ mg oral DAILY  
-5.  Metoclopramide 10 mg PO QIDACHS 
-RX *metoclopramide HCl 10 mg 1 tab by mouth QIDACHS Disp #*56 
-Tablet Refills:*0 
-6.  OxyCODONE (Immediate Release) 5 mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone 5 mg 1 tablet(s) by mouth every six (6) hours Disp 
-#*20 Tablet Refills:*0 
-7.  Pantoprazole 40 mg PO Q24H 
-RX *pantoprazole 40 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*11 
-8.  Senna 8.6 mg PO BID  
-9.  Finasteride 5 mg PO DAILY  
-10.  Pravastatin 20 mg PO QPM  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Locally advanced cholangiocarcinoma 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: cholangiocarcinoma {Cholangiocarcinoma}, Mental Status {Neurological mental status determination}, Clear {Chest clear}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Mr. ___, 
-You were admitted to the surgery service at ___ for surgical 
-resection of your biliary duct mass. You have done well in the 
-post operative period and are now safe to return home to 
-complete your recovery with the following instructions:
-.
-Please call Dr. ___ office at ___ or Office RNs at 
-___ if you have any questions or concerns. 
-.
-Please resume all regular home medications , unless specifically 
-advised not to take a particular medication.  Also, please take 
-any new medications as prescribed.
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids.  Avoid lifting 
-weights greater than ___ lbs until you follow-up with your 
-surgeon, who will instruct you further regarding activity 
-restrictions.
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-Please follow-up with your surgeon and Primary Care Provider 
-(PCP) as advised.
-Incision Care:
-*Please call your doctor or nurse practitioner if you have 
-increased pain, swelling, redness, or drainage from the incision 
-site.
-*Avoid swimming and baths until your follow-up appointment.
-*You may shower, and wash surgical incisions with a mild soap 
-and warm water.  Gently pat the area dry.
-*If you have staples, they will be removed at your follow-up 
-appointment.
-
- 
-
-###RESPONSE: surgical 
-resection {Surgical removal}, biliary duct {Bile duct structure}, mass {Mass of pancreas}, post operative {Postoperative state}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, surgical incisions {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Cefaclor / Aspirin
- 
-Attending: ___.
- 
-Chief Complaint:
-Feeling hot/cold, paresthesias
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Aspirin {Allergy to aspirin}, Feeling hot/cold {Sensation of hot and cold}, paresthesias {Paresthesia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year-old man presented to ___ for his fourth ___ visit for a 
-strange constellation of symptoms including a strange feeling 
-like water in his stomach, abdominal pain, a feeling of fecal 
-urgency, and warm tingling up into his chest and down his leg.  
-He reported a total duration of about three weeks for these 
-symptoms.  His most dramatic symptom had been a strange 
-sensation of hot and cold.  He reported he would have a very 
-cold feeling in his abdomen associated with some pain that was 
-most intense in the right upper quadrant.  This would be 
-followed by a warm, dry feeling in his chest.  He reported after 
-these symptoms he would have a feeling of fecal urgency and 
-almost invariably have a bowel movement.   Additionally, 
-associated with these episodes he endorsed shortness of breath, 
-mild chest pain, diaphoresis, and a presyncopal feeling.  He 
-acknowledged these symptoms would lead to a great deal of 
-anxiety, which would make him feel worse, but was very insistent 
-the anxiety developed after and in response to the symptoms.  He 
-denied actually syncope.  He did report various areas of 
-paresthesia as part of these spells in a band down his arm or 
-leg.  These symptoms led to at least three previous ___ 
-evaluations and he had a CT Abdomen (reportedly benign), 
-multiple ECG's and multiple sets of labs with attempts to 
-empirically treat for PNA, asthma flare, and influenza.  There 
-had been some discussion of sending urine metanephrines and both 
-his PCP and an ___ physician at ___ recommended this but it was 
-deferred as he was completing a steroid course.  He reported 
-none of these symptoms had improved with any of the measures 
-recommended at other hospitals and he continued to be very 
-worried something dangerous was occurring.  Over the last three 
-days preceding his presentation these symptoms had been more 
-marked and he had a chronic sensation of discomfort in his 
-abdomen.  When he awoke on the morning of presentation he had a 
-right frontal headache as well as his other symptoms so he 
-called ___ and the physician on call, Dr ___ him to 
-the ___ for further work up.   
-
-In the ___ VS 99. 100 132/87 18 100%.  Physical exam was notable 
-for wheezing so he received albuterol inhaler.  He also received 
-buprenorphine-naloxone ___.  He had a benign head CT and was 
-admitted to the floor.  
-
-REVIEW OF SYSTEMS: + per HPI.  Also positive for cough and URI 
-symptoms.  Negative for constipation, ememesis, melena, 
-hematochezia, palpitations, dysuria, hematuria, confusion, 
-syncope.
- 
-
-###RESPONSE: stomach {Stomach structure}, abdominal pain {Abdominal pain}, fecal 
-urgency {Urgent desire for stool}, warm {Sensation of being warm}, tingling {Tingling of skin}, chest {Thoracic structure}, leg {Lower limb structure}, sensation of hot and cold {Sensation of hot and cold}, cold feeling {Sensation of being cold}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pain {Chest pain}, right upper quadrant {Structure of right upper quadrant of abdomen}, warm {Sensation of being warm}, dry {Xeroderma}, chest {Thoracic structure}, fecal urgency {Urgent desire for stool}, shortness of breath {Dyspnea}, chest pain {Chest pain}, diaphoresis {Excessive sweating}, presyncopal {Near syncope}, anxiety {Anxiety}, anxiety {Anxiety}, syncope {Syncope}, paresthesia {Paresthesia}, arm {Upper limb structure}, leg {Lower limb structure}, evaluations {Evaluation procedure}, CT Abdomen {Computed tomography of abdomen}, ECG {Electrocardiographic procedure}, PNA {Pneumonia}, asthma {Asthma}, influenza {Influenza}, steroid {Steroid therapy}, improved {Patient's condition improved}, discomfort in his 
-abdomen {Abdominal discomfort}, frontal headache {Frontal headache}, work up {Evaluation procedure}, VS {Vital signs finding}, wheezing {Wheezing}, head CT {Computed tomography of head}, cough {Cough}, URI {Upper respiratory infection}, constipation {Constipation}, melena {Melena}, hematochezia {Hematochezia}, palpitations {Palpitations}, dysuria {Dysuria}, hematuria {Blood in urine}, confusion {Clouded consciousness}, syncope {Syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--Cerbral palsy
--Asthma
--Hep C positive
--Anxiety
--History of substance abuse on naloxone
--S/P left shoulder surgeries * 2
--He reports an episode of acute kidney injury during his period 
-of substance abuse, he reports he not require dialysis but this 
-was discussed
- 
-
-###RESPONSE: Cerbral palsy {Cerebral palsy}, Asthma {Asthma}, Hep C {Viral hepatitis type C}, Anxiety {Anxiety}, substance abuse {Substance abuse}, left shoulder {Structure of left shoulder region}, surgeries {Surgical procedure}, acute kidney injury {Acute kidney injury}, substance abuse {Substance abuse}, dialysis {Dialysis procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Didn't know his father but heard something about an adrenal 
-tumor in him.  Mother had brain aneurysm and has had cardiac 
-stents in ___ (mother is currently actively using drugs).  
- 
-
-###RESPONSE: adrenal 
-tumor {Neoplasm of adrenal gland}, brain {Brain structure}, aneurysm {Aneurysm}, stents {Insertion of arterial stent}, using drugs {Drug abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
-VS: T 98.1, P 76, BP 128/95, RR 18, O2 99% on RA
-Gen: Anxious young man in NAD, diaphoretic
-HEENT: Normocephalic, anicteric, MMM, OP clear without lesions
-Neck: No masses or thyroid nodules appreciated
-CV: RRR, no M/R/G; there is no jugular venous distension 
-appreciated
-Pulm: Resps unlabored, bilateral expiratory wheezes, good air 
-movement.  
-Abd: Mild abdominal tenderness diffusely but no guarding or 
-rebound, no organomegaly or masses appreciated
-Extrem: Warm and well perfused, no C/C/E
-Neuro: A and O*3, CNII-XII exam showed normal movement, 
-complained decreased sensation V2-V3 on R side, strength ___ in 
-all extremities
-Psych: Very anxious affect
-
-On Discharge:
-Neuro: Right V2-V3 sensation normal, but new left face numb 
-sensation.
-Anal: Skin abrasion around anus, but no vesicles, condyloma, 
-erythema, or fluctuance.
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, Gen {General examination of patient}, Anxious {Anxiety}, NAD {No abnormality detected}, diaphoretic {Excessive sweating}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, anicteric {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, lesions {Lesion}, Neck {Physical examination procedure}, masses {Mass of neck}, thyroid nodules {Thyroid nodule}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no M/R/G {Heart sounds normal}, jugular venous distension {Jugular venous engorgement}, Pulm {Examination of respiratory system}, Resp {Examination of respiratory system}, unlabored {Breathing easily}, wheezes {Wheezing}, good air 
-movement {Breath normal}, Abd {Examination of abdomen}, tenderness {Tenderness}, guarding {Abdominal guarding}, rebound {Rebound tenderness}, organomegaly {Abdominal organomegaly}, masses {Abdominal mass}, Extrem {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Neuro {Neurological examination}, CNII-XII {Cranial nerve finding}, decreased sensation {Hypesthesia}, all extremities {All extremities}, Psych {Neurological mental status determination}, anxious {Anxiety}, affect {Mood finding}, Neuro {Neurological examination}, sensation normal {Normal sensation}, left face {Structure of left half of face}, numb {Numbness}, Skin {Examination of skin}, abrasion {Abrasion}, anus {Anal structure}, vesicles {Vesicle}, condyloma {Condyloma}, erythema {Erythema}, fluctuance {Fluctuant}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-===================
-LABORATORY RESULTS
-===================
-On Presentation:
-Na 140, K 4.6, Cl 101, HCO3 28, BUN 16, Cr 0.7, Glu 121
-WBC 10, Hb 15.5, Hct 43.3, MCV 83, Plt 290
---N 65.2, L 30.8, M 2.6, E 0.2, B 1.1
-___ 15.4, PTT 30.1, INR 1.3
-Ca ___, Mg 2.1, P 3.6
-TropT< 0.01
-ALT 19, AST 19, AP 41, LDH 184, TBili 0.5
-TSH-1.2 T4-10.0 T3-139
-Tox: ASA-NEG Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
-
-UA: Mod Bact, 30 protein
-
-On Discharge:
-WBC-7.2 RBC-4.92 Hgb-14.5 Hct-40.2 MCV-82 RDW-13.2 Plt ___
-Glucose-107* UreaN-19 Creat-0.7 Na-138 K-4.3 Cl-101 HCO3-27 
-
-=============
-MICROBIOLOGY
-=============
-Urine Culture ___: No Growth
-
-Monospot ___: Negative
-
-==============
-OTHER STUDIES
-==============
-CT Head W/O Contrast ___:
-IMPRESSION: No acute intracranial process. Sphenoid sinus 
-disease.
-
-Chest Radiograph ___:
-IMPRESSION: No acute intrathoracic process.
-
-ECG: Sinus bradycardia at 83.  Nl axis and intervals.  J point 
-elevation anteriorly.  No acute ST or TW abnormalities.  
- 
-
-###RESPONSE: RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, RDW {Red cell distribution width determination}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, Urine Culture {Urine culture}, Sphenoid sinus 
-disease {Disorder of sphenoidal sinus}, ECG: Sinus bradycardia {Electrocardiogram: sinus bradycardia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is a ___ year old male with history of anxiety, substance 
-abuse, and asthma presenting with three weeks of strange 
-symptoms and multiple ___ evals.
-
-1) Chills/ Warm Sensation/ Paresthesias/ Paresthesias/ 
-Presyncope: The patient presented for at least his fourth visit 
-for a complicated set of somatic symptoms including feeling hot 
-or cold, migrating paresthesias, fecal urgency, and presyncope.  
- His febrile symptoms are, of course, concerning for infection 
-and his neurological symptoms and fever raise concern for 
-neurogenic or cardiogenic syncope vs seizure.  The patient was 
-monitored >24 hours and had multiple episodes of this symptom 
-complex.  Vital signs were checked numerous times and he was 
-monitored on telemetry.  There were no episodes of concerning 
-arrhythmia, hemodynamic instability, fevers, chills, or other 
-appreciable physical exam finding with the exception of the 
-patient being somewhat diaphoretic and having some mild, diffuse 
-tenderness to palpation on his abdomen.  A wide range of labs 
-were checked and no significant abnormalities were detected.  
-Ultimate diagnosis remains unclear though the team has 
-considerable suspicion of anxiety or atypical panic attacks 
-given the patient's marked anxiety and the lack of physical 
-findings.  Other possible etiologies would be vasovagal (near) 
-syncope perhaps initiated by a viral syndrome that caused loose 
-stools and nausea (though neither of these GI symptoms were 
-reported during this hospitalization).  His CT head was benign 
-and pretest probability of stroke or severe intracranial process 
-with NO hard neurological deficits on exam in this young, 
-healthy man would be very low.   Other much less likely 
-diagnostic possibilities would be pheochromocytoma or carcinoid, 
-both of which can cause flushing spells (carcinoid would better 
-explain fecal urgency) though one would expect at least some 
-vital sign abnormalities during the episodes.  Ultimately, the 
-very benign nature of the tests and data from monitoring were 
-discussed with the patient and Dr ___ at ___ 
-___.  Given the difficulties with initiating 24 hour 
-urine monitoring and sending send-out tests in an ultimately 
-VERY stable looking man tests of 5-HIAA and urine metanephrines 
-were deferred.  We explained to the patient that though we were 
-unable to give a specific diagnosis findings were suggestive of 
-something not immediately dangerous, which he found reassuring.  
-The patient was discharged to follow up with his PCP for further 
-___ of these symptoms.  
-
-2) Wheezing/ SOB: Patient has history of asthma and was wheezing 
-on presentation.  He was given albuterol inhaler in house.  
-
-3) History of substance abuse: He was continued on his home 
-buprenorphine-naloxone.
-
-He tolerated a full diet.  He received subcutaneous heparin for 
-DVT prophylaxis.  He was full code.  
- 
-
-###RESPONSE: anxiety {Anxiety}, substance 
-abuse {Substance abuse}, asthma {Asthma}, Chills {Chill}, Warm Sensation {Sensation of being warm}, Paresthesias {Paresthesia}, Paresthesias {Paresthesia}, Presyncope {Near syncope}, feeling hot 
-or cold {Sensation of hot and cold}, paresthesias {Paresthesia}, fecal urgency {Urgent desire for stool}, presyncope {Near syncope}, febrile {Fever}, infection {Infectious disease}, neurological symptoms {Neurological symptom}, fever {Fever}, cardiogenic syncope {Cardiac syncope}, seizure {Seizure}, telemetry {Cardiac telemetry}, arrhythmia {Cardiac arrhythmia}, hemodynamic instability {Hemodynamic instability}, fevers {Fever}, chills {Chill}, diaphoretic {Excessive sweating}, tenderness to palpation {Abdominal tenderness}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, no significant abnormalities {No abnormality detected}, anxiety {Anxiety}, panic attacks {Panic attack}, anxiety {Anxiety}, vasovagal {Vasovagal syncope}, near) 
-syncope {Near syncope}, viral syndrome {Nonspecific syndrome suggestive of viral illness}, loose 
-stools {Loose stool}, nausea {Nausea}, GI symptoms {Gastrointestinal symptom}, CT head {Computed tomography of head}, stroke {Cerebrovascular accident}, neurological deficits {Neurological deficit}, pheochromocytoma {Pheochromocytoma}, carcinoid {Carcinoid syndrome}, flushing {Flushing}, fecal urgency {Urgent desire for stool}, stable {Patient's condition stable}, reassuring {Reassuring}, follow up {Follow-up arranged}, Wheezing {Wheezing}, SOB {Dyspnea}, asthma {Asthma}, wheezing {Wheezing}, substance abuse {Substance abuse}, heparin {Heparin therapy}, DVT prophylaxis {Prevention of deep vein thrombosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Buprenorphine-Naloxone ___ mg PO QAM, ___ mg PO QPM 
- 
-Discharge Medications:
-1. buprenorphine-naloxone ___ mg Tablet, Sublingual Sig: One (1) 
-Tablet Sublingual QAM (once a day (in the morning)).  
-2. Suboxone ___ mg Tablet, Sublingual Sig: Two (2) tabs 
-Sublingual at bedtime.  
-3. acetaminophen 325 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for fever, pain.  
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnoses:
---Somatic symptoms NOS, suspected viral syndrome vs vasovagal
---Asthma
-
-Secondary Diagnosis:
--History of opiate addiction on suboxone maintenance
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Somatic symptoms {Somatic pain}, viral syndrome {Nonspecific syndrome suggestive of viral illness}, vasovagal {Vasovagal syncope}, Asthma {Asthma}, addiction {Addiction}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted due to concerns about the symptoms you have 
-been having including sensation of hot and cold, urgency to go 
-to the bathroom, abdominal discomfort, shortness of breath, and 
-feeling as if you might pass out.  You were admitted and  
-monitored overnight.  You have had no vital sign abnormalities, 
-dangerous cardiac rhythms, and your labs were unremarkable.  A 
-CT scan showed no major intracranial process.  It is unclear 
-what is causing your symptoms.  Most likely you had a viral 
-syndrome that exacerbated your asthma and perhaps is causing 
-something called vasovagal episodes, during which you may feel 
-lightheaded.  There are a few other rare illnesses that could 
-cause some of these symptoms but these require 24 hour urine 
-corrections and take some time to return.  These were deferred 
-as an inpatient but will be pursued as an outpatient by your 
-PCP.  
-
-Your medications have not been changed.  Please continue to take 
-your Suboxone as prescribed.  
- 
-
-###RESPONSE: sensation of hot and cold {Sensation of hot and cold}, abdominal discomfort {Abdominal discomfort}, shortness of breath {Dyspnea}, cardiac rhythms {Finding of heart rhythm}, unremarkable {No abnormality detected}, CT scan {Computed tomography}, viral 
-syndrome {Nonspecific syndrome suggestive of viral illness}, asthma {Asthma}, vasovagal {Vasovagal syncope}, lightheaded {Lightheadedness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Codeine
- 
-Attending: ___.
- 
-Chief Complaint:
-diarrhea
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Codeine {Allergy to codeine}, diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-The patient is a ___ w/ no significant PMH who presents with 3 
-days diarrhea. She has not had F/C/N/V/NS. She had increasing 
-abdominal pain overnight and bloody diarrhea this morning. She 
-was sent in by ___ for evaluation.
-
-In the ED she was afebrile, 98.9, 59, 115/70, 15, 100% RA. She 
-was given IV Cipro and Flagyl. CT abd showed pancolitis with 
-rectal sparing. She was admitted to medicine for further 
-management.
-
-ROS:
--Constitutional: []WNL []Weight loss []Fatigue/Malaise []Fever 
-[]Chills/Rigors []Nightsweats []Anorexia
--Eyes: []WNL []Blurry Vision []Diplopia []Loss of Vision 
-[]Photophobia
--ENT: []WNL []Dry Mouth []Oral ulcers []Bleeding gums/nose 
-[]Tinnitus []Sinus pain []Sore throat
--Cardiac: []WNL []Chest pain []Palpitations ___ edema 
-[]Orthopnea/PND []DOE
--Respiratory: []WNL []SOB []Pleuritic pain []Hemoptysis []Cough
--Gastrointestinal: []WNL []Nausea []Vomiting []Abdominal pain 
-[]Abdominal Swelling []Diarrhea []Constipation []Hematemesis 
-[]Hematochezia []Melena
--Heme/Lymph: []WNL []Bleeding []Bruising []Lymphadenopathy
--GU: []WNL []Incontinence/Retention []Dysuria []Hematuria 
-[]Discharge []Menorrhagia
--Skin: []WNL []Rash []Pruritus
--Endocrine: []WNL []Change in skin/hair []Loss of energy 
-[]Heat/Cold intolerance
--Musculoskeletal: []WNL []Myalgias []Arthralgias []Back pain
--Neurological: []Numbness of extremities []Weakness of 
-extremities []Parasthesias []Dizziness/Lightheaded []Vertigo 
-[]Confusion []Headache
--Psychiatric: []WNL []Depression []Suicidal Ideation
--Allergy/Immunological: [] WNL []Seasonal Allergies
-
- 
-
-###RESPONSE: diarrhea {Diarrhea}, F/C {Fever with chills}, N/V {Nausea and vomiting}, abdominal pain {Abdominal pain}, bloody diarrhea {Hemorrhagic diarrhea}, evaluation {Evaluation procedure}, afebrile {Fever}, RA {Breathing room air}, CT abd {Computed tomography of abdomen}, pancolitis {Ulcerative pancolitis}, rectal {Rectum structure}, WNL {No abnormality detected}, Weight loss {Weight loss}, Fatigue {Fatigue}, Malaise {Malaise}, Fever {Fever}, Chills {Chill}, Rigors {Rigor}, Nightsweats {Night sweats}, Anorexia {Loss of appetite}, Eyes {Ophthalmic examination and evaluation}, WNL {No abnormality detected}, Blurry Vision {Blurring of visual image}, Diplopia {Diplopia}, Loss of Vision {Functional visual loss}, Photophobia {Photophobia}, ENT {Ear, nose and throat examination}, WNL {No abnormality detected}, Dry Mouth {Mucous membrane dryness}, Oral ulcers {Ulcer of mouth}, Bleeding gums {Bleeding gums}, nose {Bleeding from nose}, Tinnitus {Tinnitus}, Sinus {Nasal sinus structure}, pain {Pain}, Sore throat {Sore throat}, Cardiac {Cardiovascular physical examination}, WNL {No abnormality detected}, Chest pain {Chest pain}, Palpitations {Palpitations}, edema {Edema}, Orthopnea {Orthopnea}, PND {Paroxysmal nocturnal dyspnea}, DOE {Dyspnea on exertion}, Respiratory {Examination of respiratory system}, WNL {No abnormality detected}, SOB {Dyspnea}, Pleuritic pain {Pleuritic pain}, Hemoptysis {Hemoptysis}, Cough {Cough}, Gastrointestinal {Examination of digestive system}, WNL {No abnormality detected}, Nausea {Nausea}, Vomiting {Vomiting}, Abdominal pain {Abdominal pain}, Abdominal Swelling {Swollen abdomen}, Diarrhea {Diarrhea}, Constipation {Constipation}, Hematemesis {Hematemesis}, Hematochezia {Hematochezia}, Melena {Melena}, Lymph {Lymphatic system physical examination}, WNL {No abnormality detected}, Bleeding {Bleeding}, Bruising {Contusion}, Lymphadenopathy {Lymphadenopathy}, GU {Examination of genitourinary system}, WNL {No abnormality detected}, Incontinence {Incontinence}, Retention {Retention of urine}, Dysuria {Dysuria}, Hematuria {Blood in urine}, Menorrhagia {Menorrhagia}, Skin {Examination of skin}, WNL {No abnormality detected}, Rash {Eruption of skin}, Pruritus {Itching of skin}, WNL {No abnormality detected}, skin {Skin structure}, hair {Hair structure}, Loss of energy {Lack of energy}, Heat {Intolerant of heat}, Cold intolerance {Intolerant of cold}, Musculoskeletal {Musculoskeletal system physical examination}, WNL {No abnormality detected}, Myalgias {Muscle pain}, Arthralgias {Joint pain}, Back pain {Backache}, Neurological {Neurological examination}, Numbness {Numbness}, extremities {All extremities}, Weakness {Asthenia}, extremities {All extremities}, Parasthesias {Paresthesia}, Dizziness {Dizziness}, Lightheaded {Lightheadedness}, Vertigo {Vertigo}, Confusion {Clouded consciousness}, Headache {Headache}, Psychiatric {Psychiatry procedure or service}, WNL {No abnormality detected}, Depression {Depressive disorder}, Suicidal Ideation {Suicidal thoughts}, WNL {No abnormality detected}, Seasonal Allergies {Seasonal allergy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-None
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Grandfather with colon CA. No h/o IBD.
- 
-
-###RESPONSE: colon CA {Malignant neoplasm of colon}, IBD {Inflammatory bowel disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Appearance: NAD
-Vitals: T: 99.4 BP: 114/79 HR: 58 RR: 18 O2: 99% RA
-Eyes: EOMI, PERRL, conjunctiva clear, noninjected, anicteric, no 
-exudate
-ENT: Moist
-Neck: No JVD, no LAD
-Cardiovascular: RRR, nl S1/S2, no m/r/g
-Respiratory: CTA bilaterally, comfortable, no wheezing, no 
-ronchi, no rales
-Gastrointestinal: soft, tender in umbilical and hypogastric 
-region, non-distended, no hepatosplenomegaly, normal bowel 
-sounds
-Musculoskeletal/Extremities: no clubbing, no cyanosis, no joint 
-swelling, no edema in the bilateral extremities
-Neurological: Alert and oriented x3, fluent speech, sensation 
-WNL, moves all four extremities
-Integument: warm, no rash, no ulcer
-Psychiatric: appropriate, pleasant
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Appearance {Finding of general observation of appearance}, NAD {No abnormality detected}, Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, Eyes {Ophthalmic examination and evaluation}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, conjunctiva clear {Conjunctiva normal}, anicteric {White sclera}, exudate {Exudate}, ENT {Abdominal tenderness}, Moist {Moist oral mucosa}, Neck {Physical examination procedure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Respiratory {Examination of respiratory system}, CTA {Normal breath sounds}, wheezing {Wheezing}, ronchi {Wheeze - rhonchi}, rales {Respiratory crackles}, Gastrointestinal {Examination of digestive system}, soft {Abdomen soft}, tender {Abdominal tenderness}, umbilical {Umbilical region structure}, hypogastric 
-region {Hypogastric region structure}, non-distended {Normal abdominal contour}, hepatosplenomegaly {Hepatosplenomegaly}, normal bowel 
-sounds {Normal bowel sounds}, Musculoskeletal {Musculoskeletal system physical examination}, Extremities {Examination of limb}, clubbing {Clubbing}, cyanosis {Cyanosis}, joint 
-swelling {Joint swelling}, edema {Edema}, extremities {Examination of limb}, Neurologic {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, fluent speech {Finding of fluency of speech}, sensation 
-WNL {Normal sensation}, moves all four extremities {Does move all four limbs}, Integument {Examination of skin}, warm {Warm skin}, rash {Eruption of skin}, ulcer {Ulcer}, Psychiatric {Psychiatry procedure or service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:00AM   GLUCOSE-90 UREA N-10 CREAT-0.9 SODIUM-143 
-POTASSIUM-4.1 CHLORIDE-105 TOTAL CO2-27 ANION GAP-15
-___ 11:00AM   ALT(SGPT)-26 AST(SGOT)-29 ALK PHOS-107 TOT 
-BILI-0.4
-___ 11:00AM   LIPASE-30
-___ 11:00AM   WBC-6.3 RBC-4.18* HGB-12.6 HCT-35.7* MCV-85 
-MCH-30.1 MCHC-35.2* RDW-13.2
-___ 11:00AM   PLT COUNT-217
-___ 12:50PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-___ 12:50PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-8.0 
-LEUK-SM
-___ 12:50PM URINE  ___ BACTERIA-FEW YEAST-NONE 
-___
-
-CT abd/pelvis: Pancolitis, worst along the cecum. Findings may 
-be secondary to infectious or inflammatory process. 
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, AST {Aspartate aminotransferase measurement}, cecum {Cecum structure}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-A/P: ___ w/ no significant PMH presents with 3 days diarrhea, 1 
-day worsening abdominal pain.
-
-## diarrhea/abdominal pain: colitis identified on CT, most 
-likely infectious, especially given occupational risk factor, 
-but cannot rule out inflammatory bowel disease. Stool was sent 
-for culture including C. diff. Her diarrhea improved with 
-empiric Cipro/Flagyl, and she tolerated clears. Her pain 
-improved with Tylenol and oxycodone x1. As she was tolerating 
-clears and PO meds and her diarrhea was improving, she was 
-discharged home with strong recommendations to followup in 
-Healthcare Associates within the week. She will be contacted if 
-the stool cultures return positive and indicate a change in 
-therapy. her her symptoms do not improve with a 7-day course of 
-Abx, a flex sig in GI clinic would be considered to evaluate for 
-evidence of IBD.
-
- 
-
-###RESPONSE: diarrhea {Diarrhea}, worsening {Increased pain}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, colitis {Colitis}, CT {Computed tomography}, infectious {Infectious disease}, inflammatory bowel disease {Inflammatory bowel disease}, Stool was sent 
-for culture {Stool culture}, diarrhea {Diarrhea}, improved {Patient's condition improved}, pain 
-improved {Sensation of pain reduced}, diarrhea {Diarrhea}, improving {Patient's condition improved}, stool cultures {Stool culture}, Abx {Antibiotic therapy}, IBD {Inflammatory bowel disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-multivitamin
- 
-Discharge Medications:
-1. Ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q12H 
-(every 12 hours) for 6 days.
-Disp:*12 Tablet(s)* Refills:*0*
-2. Metronidazole 500 mg Tablet Sig: One (1) Tablet PO Q8H (every 
-8 hours) for 6 days.
-Disp:*18 Tablet(s)* Refills:*0*
-3. Acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary: colitis of presumed infectious origin
-
- 
-Discharge Condition:
-good, stable, tolerating liquids
-
- 
-
-###RESPONSE: colitis {Colitis}, infectious {Infectious disease}, good {Patient's condition satisfactory}, stable {Patient's condition stable}, tolerating liquids {Tolerating oral fluid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were evaluated for diarrhea and abdominal cramping and were 
-found to have inflammation of the colon (colitis) on CT scan. 
-This is most likely due to an infection, although inflammatory 
-bowel disease is also possible. As your diarrhea improved and 
-you were able to keep down fluids, you should be safe for 
-discharge home. Some stool culture results were pending at the 
-time of discharge, and you should follow up early next week at 
-Healthcare Associates for results and consideration of further 
-testing depending on your symptoms.
-
-Take antibiotics (Flagyl and Cipro) as directed.
-
-If you have worsening abdominal pain, lightheadedness, 
-significant blood in your stool, inability to keep down food or 
-liquid, fevers or chills, see ___ Health Services or come 
-to the emergency room.
- 
-
-###RESPONSE: diarrhea {Diarrhea}, abdominal cramping {Stomach cramps}, inflammation {Inflammatory disorder}, colon {Colon structure}, colitis {Colitis}, CT scan {Computed tomography}, infection {Infectious disease}, inflammatory 
-bowel disease {Inflammatory bowel disease}, diarrhea {Diarrhea}, improved {Patient's condition improved}, keep down fluids {Tolerating oral fluid}, stool culture {Stool culture}, antibiotics {Antibiotic therapy}, worsening {Increased pain}, abdominal pain {Abdominal pain}, lightheadedness {Lightheadedness}, blood in your stool {Hematochezia}, fevers {Fever}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Bilaterally heel pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Drugs {Allergy to drug}, heel pain {Heel pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y.o. male with history of hypertrophic cardiomyopathy 
-presents from outside hospital with bilateral calcaneus 
-fractures.  The patient reports that earlier today he was up on 
-a ladder, approximately 8 feet off of the ground.  The bottom of 
-the ladder started to slide backwards, and the ladder fell to 
-the ground.  He landed on his feet, and felt immediate heel pain 
-bilaterally. The patient denies head strike, LOC, or back pain.  
-
-
-He reports no other pain or injury.  He was seen at ___ 
-___ and had plain films of his bilateral ankle/feet which 
-revealed bilateral comminuted heel fractures.  He was 
-transferred to ___ for further management.
-
-He denies recent fever, cough, chest pain, shortness of breath, 
-n/v/d, and abodminal pain.
-
- 
-
-###RESPONSE: hypertrophic cardiomyopathy {Hypertrophic cardiomyopathy}, calcaneus 
-fractures {Fracture of calcaneus}, fell {Falls}, feet {Foot structure}, heel pain {Heel pain}, head strike {Injury of head}, LOC {Loss of consciousness}, back pain {Backache}, pain {Pain}, injury {Traumatic or non-traumatic injury}, plain films {Plain radiography}, bilateral ankle {Both ankles}, feet {Both feet}, comminuted {Fracture, comminuted}, heel fractures {Fracture of calcaneus}, fever {Fever}, cough {Cough}, chest pain {Chest pain}, shortness of breath {Dyspnea}, n/v/d {Nausea, vomiting and diarrhea}, abodminal pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-(1) Hypertrophic Cardiomyopathy
-(2) Depression
-
- 
-
-###RESPONSE: Hypertrophic Cardiomyopathy {Hypertrophic cardiomyopathy}, Depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-General Evaluation Exam
-Sensorium:           Awake (x) Awake impaired () Unconscious ()
-Airway:              Intubated () Not intubated (x)
-Breathing:           Stable (x) Unstable ()
-Circulation:         Stable (x)   Unstable ()
-
-Musculoskeletal Exam
-Neck   Normal (x)  Abnormal ()   Comments:
-Spine  Normal (x)  Abnormal ()   Comments:
-Clavicle
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Shoulder
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Arm
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Elbow
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Forearm
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Wrist
-     R Normal (x)  Abnormal ()   Comments:
-     L Normal (x)  Abnormal ()   Comments:
-Hand
-     R Normal ()  Abnormal (x)   Comments: superficial abrasions
-over dorsum of right hand.
-     L Normal (x)  Abnormal ()   Comments:
-Pelvis
-     R Normal (x)  Abnormal ()    Comments:
-     L Normal (x)  Abnormal ()    Comments:
-Hip
-     R Normal (x)  Abnormal ()    Comments:
-     L Normal (x)  Abnormal ()    Comments:
-Thigh
-     R Normal (x)  Abnormal ()    Comments:
-     L Normal (x)  Abnormal ()    Comments:
-Knee
-     R Normal (x)  Abnormal ()    Comments:
-     L Normal (x)  Abnormal ()    Comments:
-Leg
-     R Normal (x)  Abnormal ()    Comments:
-     L Normal (x)  Abnormal ()    Comments:
-Ankle
-     R Normal ()  Abnormal (x)    Comments: mild edema,
-tenderness to palpation of the heel, plantar surface. No 
-palpable
-deformity. 2+ ___ pulses. Normal sensation, normal capillary
-refill.
-     L Normal ()  Abnormal (x)    Comments: moderate edema,
-tenderness to palpation of the heel, plantar surface. No 
-palpable
-deformity. 2+ ___ pulses. Normal sensation, normal capillary
-refill.
-Foot
-     R Normal ()  Abnormal (x)    Comments: see above
-     L Normal ()  Abnormal (x)    Comments: see above
-
-Vascular:
-Radial   R Palpable (x) Non-palpable () Doppler ()
-         L Palpable (x) Non-palpable () Doppler ()
-Ulnar    R Palpable (x) Non-palpable () Doppler ()
-         L Palpable (x) Non-palpable () Doppler ()
-DP       R Palpable (x) Non-palpable () Doppler ()
-         L Palpable (x) Non-palpable () Doppler ()
-___       R Palpable (x) Non-palpable () Doppler ()
-         L Palpable (x) Non-palpable () Doppler ()
-
-Neuro:
-Deltoid    R (5) L (5)
-Biceps     R (5) L (5)
-Triceps    R (5) L (5)
-Wrist Flx  R (5) L (5)
-Wrist Ext  R (5) L (5)
-Finger Flx R (5) L (5)
-Finger Ext R (5) L (5)
-Thumb Ext  R (5) L (5)
-___ DIP    R (5) L (5)
-Index Abd  R (5) L (5)
-Thumd Add  R (5) L (5)
-Quad       R (5) L (5)
-Ant Tib    R (5) L (5)
-___        R ___ limited by pain) L ___, limited by pain)
-Peroneal   R ___ limited by pain) L ___ limited by pain)
-___         R ___ limited by pain) L ___ limited by pain)
-
- 
-
-###RESPONSE: General {General examination of patient}, Sensorium {Structure of sensory nervous system}, Awake {Awake}, Awake {Awake}, Unconscious {Unconscious}, Airway {Airway structure}, Intubated {Intubation}, intubated {Intubation}, Breathing {Examination of respiratory system}, Stable {Patient's condition stable}, Unstable {Patient's condition unstable}, Circulation {Cardiovascular examination and evaluation}, Stable {Patient's condition stable}, Unstable {Patient's condition unstable}, Musculoskeletal Exam {Musculoskeletal system physical examination}, Spine {Structure of vertebral column}, Clavicle {Bone structure of clavicle}, Shoulder {Structure of right shoulder region}, R {Structure of right shoulder region}, L {Structure of left shoulder region}, Arm {Upper limb structure}, R {Right upper arm structure}, L {Left upper arm structure}, Elbow {Elbow region structure}, R {Right elbow region structure}, L {Left elbow region structure}, Forearm {Forearm structure}, R {Structure of right forearm}, L {Structure of left forearm}, Wrist {Structure of left wrist region}, R {Structure of right wrist region}, L {Structure of left wrist region}, Hand {Hand structure}, R {Structure of right hand}, superficial abrasions {Abrasion}, dorsum of right hand {Structure of dorsum of right hand}, L {Structure of left hand}, Pelvis {Structure of pelvis}, L {Structure of left half of pelvis}, Hip {Hip region structure}, R {Right hip region structure}, L {Left hip region structure}, Thigh {Thigh structure}, R {Structure of right thigh}, L {Structure of left thigh}, Knee {Structure of left knee region}, R {Structure of right knee region}, L {Structure of left knee region}, Leg {Lower limb structure}, R {Structure of right lower leg}, L {Structure of left lower leg}, Ankle {Ankle region structure}, R {Structure of right ankle}, mild {Symptom mild}, edema {Edema}, tenderness {Tenderness}, palpation {Palpation}, heel {Heel structure}, palpable {Finding by palpation}, deformity {Deformity}, pulses {Normal pulse}, Normal sensation {Normal sensation}, capillary
-refill {Capillary refill}, L {Structure of left ankle}, moderate {Symptom moderate}, edema {Edema}, tenderness {Tenderness}, palpation {Palpation}, heel {Heel structure}, palpable {Finding by palpation}, deformity {Deformity}, pulses {Normal pulse}, Normal sensation {Normal sensation}, capillary
-refill {Capillary refill}, Foot {Foot structure}, R {Structure of right foot}, L {Structure of left foot}, Radial {Structure of radial artery}, R {Structure of right radial artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, L {Structure of left radial artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, Ulnar {Structure of ulnar vessel}, R {Structure of right ulnar artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, L {Structure of left ulnar artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, R {Structure of right dorsalis pedis artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, L {Structure of left dorsalis pedis artery}, Palpable {Finding by palpation}, palpable {Finding by palpation}, Palpable {Finding by palpation}, palpable {Finding by palpation}, Neuro {Neurological examination}, Deltoid {Structure of deltoid muscle}, Biceps {Biceps brachii muscle structure}, R {Structure of right biceps brachii muscle}, L {Structure of left biceps brachii muscle}, Triceps {Triceps brachii muscle structure}, Wrist {Structure of left wrist region}, Flx {Structure of flexor of wrist joint}, Wrist {Structure of left wrist region}, Finger {Finger structure}, Finger {Finger structure}, Thumb {Thumb structure}, DIP {Structure of distal interphalangeal joint}, Index {Index finger structure}, Abd {Structure of adductor muscle}, Thumd {Thumb structure}, Add {Structure of adductor muscle}, Quad {Structure of quadriceps femoris muscle}, Ant Tib {Tibialis anterior muscle structure}, pain {Pain}, pain {Pain}, Peroneal {Structure of peroneal artery}, pain {Pain}, pain {Pain}, pain {Pain}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:40PM   GLUCOSE-91 UREA N-11 CREAT-0.9 SODIUM-140 
-POTASSIUM-4.4 CHLORIDE-100 TOTAL CO2-27 ANION GAP-17
-___ 06:40PM   WBC-10.2 RBC-4.39* HGB-14.0 HCT-40.1 MCV-91 
-MCH-31.8 MCHC-34.9 RDW-13.7
-___ 06:40PM   NEUTS-74.6* LYMPHS-16.6* MONOS-7.0 EOS-1.1 
-BASOS-0.7
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was evaluated in the emergency room by the 
-orthopaedic trauma service and found to have bilateral calcaneal 
-fractures. He was admitted to ortho for pain control and 
-bilateral bulky ___ casts were placed.  He was evaluated by 
-physical therapy during his hospital stay.
-
-On the floor he was given a regular diet with PO pain meds.  At 
-the time of discharge he was afebrile with stable vital signs, 
-tolerating a regular diet, voiding spontaneously, and with his 
-pain well controled.
-
- 
-
- 
-
-###RESPONSE: trauma {Traumatic injury}, calcaneal 
-fractures {Fracture of calcaneus}, pain control {Pain control}, casts {Cast}, placed {Implantation procedure}, evaluated by 
-physical therapy {Physical therapy management}, regular diet {Normal diet}, pain {Pain}, afebrile {Fever}, stable vital signs {Normal vital signs}, regular diet {Normal diet}, voiding spontaneously {Normal micturition}, pain well controled {Demonstrates adequate pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-(1) Atenolol 50mg PO daily
-(2) Paxil 20mg PO daily
-
- 
-Discharge Medications:
-1. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours).
-Disp:*240 Tablet(s)* Refills:*2*
-2. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).
-Disp:*60 Capsule(s)* Refills:*2*
-3. Lovenox 40 mg/0.4 mL Syringe Sig: One (1) injection 
-Subcutaneous once a day for 4 weeks.
-Disp:*28 1* Refills:*0*
-4. atenolol 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-5. paroxetine HCl 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-6. oxycodone 5 mg Tablet Sig: ___ Tablets PO Q3H (every 3 hours) 
-as needed for Pain.
-Disp:*90 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Bilateral calcaneal fractures
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: calcaneal fractures {Fracture of calcaneus}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Wound Care: 
-- Keep Incision clean and dry. 
-- Do not soak the incision in a bath or pool. 
-
-Activity: 
-- Continue to be non-weight bearing on both of your legs.
-
-Other Instructions
-- Resume your regular diet. 
-- Avoid nicotine products to optimize healing. 
-- Resume your home medications. Take all medications as 
-instructed. 
-- Continue taking the Lovenox to prevent blood clots.
-- You have also been given Additional Medications to control 
-your pain. Please allow 72 hours ___ through ___, 9am to 
-4pm) for refill of narcotic prescriptions, so plan ahead. There 
-will be no prescription refils on ___, or 
-holidays. You can either have them mailed to your home or pick 
-them up at the clinic located on ___. We are not allowed 
-to call in narcotic (oxycontin, oxycodone, percocet) 
-prescriptions to the pharmacy. In addition, we are only allowed 
-to write for pain medications for 90 days from the date of 
-surgery.
-- Narcotic pain medication may cause drowsiness. Do not drink 
-alcohol while taking narcotic medications. Do not operate any 
-motor vehicle or machinery while taking narcotic pain 
-medications. Taking more than recommended may cause serious 
-breathing problems.
-
-If you have questions, concerns or experience any of the below 
-danger signs then please call your doctor at ___ or go 
-to your local emergency room.
- 
-
-###RESPONSE: Wound Care {Wound care}, Incision {Incision}, soak {Soak}, incision {Incision}, Activity {Functional activity education}, non-weight bearing {Non-weight-bearing}, legs {Lower limb structure}, regular diet {Normal diet}, medications {Patient medication education}, medications {Patient medication education}, blood clots {Blood clot}, Medications {Patient medication education}, pain {Pain}, narcotic {Narcotherapy}, prescriptions {Prescription}, prescription {Prescription}, narcotic {Narcotherapy}, prescriptions {Prescription}, pain medications {Administration of analgesic}, surgery {Surgical procedure}, Narcotic {Narcotherapy}, pain medication {Administration of analgesic}, drowsiness {Drowsy}, Do not drink 
-alcohol {Education about alcohol consumption}, while taking narcotic {Narcotherapy}, medications {Patient medication education}, while taking narcotic {Narcotherapy}, pain 
-medications {Administration of analgesic}, breathing problems {Abnormal breathing}, signs {Sign}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Bactrim / Prochlorperazine / Sulfa (Sulfonamide 
-Antibiotics) / Quinolones / Pineapple / Erythromycin Base / 
-Metoclopramide
- 
-Attending: ___.
- 
-Chief Complaint:
-Abdominal Pain 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Prochlorperazine {Allergy to prochlorperazine}, Sulfonamide 
-Antibiotics {Allergy to sulfonamide antibiotic}, Pineapple {Allergy to pineapple}, Erythromycin {Allergy to erythromycin}, Metoclopramide {Allergy to metoclopramide}, Abdominal Pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old female with a h/o kidney stones who 
-presents with several days of RUQ/flank pain and a distended 
-abdomen. The pain began ___ after eating when she started 
-having nausea and then vomited. Over the next few days she had 
-what she describes as a ""belly ache"" with some associated nausea 
-and one episode of emesis on ___. During the week she was 
-able to tolerate po's then noted an increase in urinary 
-frequency and thought she could feel a kidney stone passing, but 
-when the pain didn't improve she called her PCP's office on 
-___. She was seen by her PCP for evaluation of her 
-abdominal pain, who was concerned about a kidney stone vs. 
-gallbladder pathology so she had a noncontrast abdominal CT scan 
-done. The CT scan showed a 17mm likely cyst in her liver and two 
-kidney stones on the left, but since the cyst had increased in 
-size and she continued to have pain she was referred to the ER 
-for further evaluation.  
-.  
-In the ED, initial vs were: 98.6, 77, 125/80, 18, 100% on RA. 
-Patient was given morphine x 2 for pain, which improved her pain 
-but did not last that long, had an ultrasound of her abdomen 
-that showed a left sided 5mm non-obstructing kidney stone and 
-two likely liver hemangiomas. Labs showed all LFT's within 
-normal limits, lipase of 44, HCT of 34.2, u/a with a small 
-amount of blood, and was admitted for further work up of her 
-abdominal pain.  
-.  
-On the floor initial VS were: 96.2, 110/80, 88, 18, 99% on RA, 
-currently her pain is ___, improved to ___ with morphine. 
-Describes the belly pain as diffuse and dull, flank pain is 
-sharp.  
-.  
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denied cough, shortness of breath. Denied chest pain 
-or tightness, palpitations. Denied nausea, vomiting, diarrhea, 
-constipation. No recent change in bowel habits. No dysuria. 
-Denied arthralgias or myalgias.  
-
- 
-
-###RESPONSE: kidney stones {Kidney stone}, RUQ {Right upper quadrant pain}, flank pain {Flank pain}, distended 
-abdomen {Swollen abdomen}, pain {Abdominal pain}, nausea {Nausea}, vomited {Vomiting}, belly ache {Stomach ache}, nausea {Nausea}, emesis {Vomiting}, increase in urinary 
-frequency {Increased frequency of urination}, kidney stone {Kidney stone}, pain {Pain}, evaluation {Evaluation procedure}, abdominal pain {Abdominal pain}, kidney stone {Kidney stone}, gallbladder {Gallbladder structure}, noncontrast abdominal CT scan {Computed tomography of abdomen without contrast}, CT scan {Computed tomography of abdomen without contrast}, cyst in her liver {Cyst of liver}, kidney stones {Kidney stone}, left {Left kidney structure}, cyst {Cyst of liver}, pain {Pain}, evaluation {Evaluation procedure}, RA {Breathing room air}, improved {Patient's condition improved}, pain {Pain}, ultrasound of her abdomen {Ultrasonography of abdomen}, left {Left kidney structure}, kidney stone {Kidney stone}, liver hemangiomas {Hemangioma of liver}, LFT's within 
-normal limits {Liver function tests within reference range}, u/a {Urinalysis}, abdominal pain {Abdominal pain}, RA {Breathing room air}, pain {Abdominal pain}, improved {Patient's condition improved}, belly pain {Abdominal pain}, diffuse {Diffuse pain}, dull {Dull pain}, flank pain {Flank pain}, sharp {Sharp pain}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus {Nasal sinus structure}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting {Nausea and vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, change in bowel habits {Altered bowel function}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-(per patient and atrius records)  
-Kidney Stones  
-Asthma  
-Anemia  
-Sickle cell trait  
-hx hematuria  
-endometriosis
-Hx Abnormal Pap
-
- 
-
-###RESPONSE: Kidney Stones {Kidney stone}, Asthma {Asthma}, Anemia {Anemia}, Sickle cell trait {Sickle cell trait}, hematuria {Blood in urine}, endometriosis {Endometriosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with HTN, DM, RA and interstitial cystitis  
-Two maternal aunts with breast cancer  
-One paternal aunt with colon cancer  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, RA {Rheumatoid arthritis}, interstitial cystitis {Chronic interstitial cystitis}, breast cancer {Malignant neoplasm of breast}, colon cancer {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: 98 BP: 102/68 P: 77 (70-80s) R: 18 O2: 99% on RA  
-General: WDWN young AA female, appearing in mild discomfort  
-HEENT: NCAT, EOMI, MMM, OP clear  
-Neck: supple  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen: soft, mildly distended, TTP in epigastric region, RUQ 
-and RLQ, no rebound tenderness or guarding  
-Back: no spinal tenderness, +right CVA tenderness  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, General {General examination of patient}, WDWN {Well nourished}, mild {Symptom mild}, discomfort {Discomfort}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, distended {Swollen abdomen}, TTP {Tenderness}, epigastric region {Tenderness of epigastrium}, RUQ {Tenderness of right upper quadrant of abdomen}, RLQ {Tenderness of right lower quadrant of abdomen}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, spinal {Structure of vertebral column}, tenderness {Tenderness}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Laboratory Findings
-___ 08:33PM BLOOD WBC-5.4# RBC-3.95* Hgb-12.1 Hct-34.2*# 
-MCV-87 MCH-30.6 MCHC-35.3* RDW-13.0 Plt ___
-___ 08:33PM BLOOD Neuts-48.5* ___ Monos-6.8 
-Eos-5.2* Baso-0.5
-___ 08:33PM BLOOD Glucose-88 UreaN-10 Creat-0.6 Na-141 
-K-3.6 Cl-110* HCO3-23 AnGap-12
-___ 08:33PM BLOOD ALT-15 AST-22 AlkPhos-58 TotBili-0.4
-___ 08:33PM BLOOD Albumin-4.2
-___ 10:05AM BLOOD Calcium-8.6 Phos-2.9 Mg-1.8
-___ 06:50AM BLOOD WBC-4.6 RBC-3.84* Hgb-11.9* Hct-33.3* 
-MCV-87 MCH-30.9 MCHC-35.7* RDW-12.7 Plt ___
-___ 06:50AM BLOOD Glucose-84 UreaN-9 Creat-0.7 Na-139 K-3.7 
-Cl-107 HCO3-23 AnGap-13
-
-----------------
-Microbiology:
-----------------
-___ 08:33PM URINE Color-Yellow Appear-Clear Sp ___
-___ 08:33PM URINE Blood-SM Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-1 pH-5.0 Leuks-NEG
-___ 08:33PM URINE ___ Bacteri-MOD Yeast-NONE 
-___
-URINE CULTURE (Final ___:    <10,000 organisms/ml. (final 
-report)
-
-----------------
-Imaging
-----------------
-Abdominal Ultrasound ___:
-There is normal echogenicity of the liver. There is no extra- or 
-
-intra-hepatic biliary duct dilatation. There are two hyperechoic 
-lesions in the liver with no convincing vascularity, one 
-measuring 1.8 x 2.1 x 2 cm and second one measuring 8 x 8 x ___ile duct measures 3 mm. The portal vein is 
-patent. The left kidney measures 10.2 cm. There is a 5-mm 
-nonobstructing stone in the upper pole of the left kidney. The 
-right kidney measures 10 cm. There is no evidence of 
-hydronephrosis. There is no free fluid. The spleen is normal 
-measuring 7.3 cm. Evaluation of pancreas is slightly suboptimal 
-due to overlapping bowel gas; however, no gross abnormality of 
-the pancreatic head. Urinary bladder appears within normal 
-limits.   
-IMPRESSION: 
-1. Two hyperechoic liver lesions in the right liver lobe, with 
-no convincing vascularity, with imaging characteristics most 
-suggestive of liver hemangioma. 
-2. 5-mm nonobstructive stone in the upper pole of the left 
-kidney. No 
-hydronephrosis. 
-3. Patent main portal vein. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, liver {Liver structure}, intra-hepatic biliary duct {Intrahepatic biliary tract structure}, dilatation {Dilatation}, lesions {Lesion}, liver {Liver structure}, ile duct {Bile duct structure}, portal vein {Portal vein structure}, left kidney {Left kidney structure}, stone {Calculus}, upper pole of the left kidney {Structure of upper pole of left kidney}, right kidney {Right kidney structure}, no evidence {No abnormality detected}, hydronephrosis {Hydronephrosis}, free fluid {Effusion}, spleen {Splenic structure}, pancreas {Pancreatic structure}, no gross abnormality {No abnormality detected}, pancreatic head {Structure of head of pancreas}, Urinary bladder {Urinary bladder structure}, liver lesions {Lesion of liver}, right liver lobe {Structure of right lobe of liver}, liver hemangioma {Hemangioma of liver}, stone {Calculus}, upper pole of the left 
-kidney {Structure of upper pole of left kidney}, hydronephrosis {Hydronephrosis}, portal vein {Portal vein structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is a ___ year old female with a history of kidney stones who 
-presents with a one week history of right sided crampy abdominal 
-pain, found to have a left-sided kidney stone and liver cyst on 
-abdominal ultrasound.  
-
-.  
-# Abdominal Pain: No clear etiology, but felt to be most likely 
-related to passage of a kidney stone on the right.  The patient 
-described a crampy abdominal pain located on the right, and had 
-right and left CVA tenderness on examination.  She was started 
-on tamsulosin given the presence of a 5mm stone on that side.  
-However, she experienced dizziness, so this medication was 
-stopped.  Additionally, the patient mentioned experiencing a 
-painful big toe during a prior episode of passing a kidney 
-stone. While she did not pass a stone that could be collected 
-for laboratory evaluation, the possibility of hyperuricemia and 
-concurrent gout was considered, and the patient was given 
-information regarding a low uric acid diet.  Her pain resolved 
-spontaneously during the admission, and she was able to tolerate 
-a regular diet at discharge.  She was instructed to contact her 
-PCP regarding further workup for her kidney stones.
-.  
-# Liver lesions: Outpatient CT records were obtained, which 
-noted growth of a liver lesion ___ 7 mm to 17 mm since ___. 
-The report did not specify whether this lesion was consistent 
-with a cyst or hemangioma, and suggested MRI for further 
-characterization.  An ultrasound during admission identified 
-cysts consistent with hemangiomas.  This lesion was felt to be 
-unrelated to her current episode of abdominal pain.  The patient 
-preferred to undergo MRI as an outpatient, and was instructed to 
-contact her PCP regarding scheduling this test on discharge.
-.
-# Migraine HA: The patient reported a history of migraine 
-headaches, for which she had taken fioricet in the past, 
-although this had been discontinued by her PCP for unknown 
-reasons.  While admitted, she did experience a migraine that was 
-partially relieved with acetaminophen and tramadol.  She 
-requested a trial of motrin for headaches, and was discharged 
-with a prescription for several doses of Motrin 800 mg.  She was 
-instructed to discuss this medication further with her PCP if 
-effective and she would like to continue.
-.
-# Asthma: The patient denied any asthmatic symptoms, and was 
-continued on her home dose of flovent and albuterol prn.  
-  
-
- 
-
-###RESPONSE: kidney stones {Kidney stone}, right sided {Right sided abdominal pain}, crampy {Stomach cramps}, abdominal 
-pain {Abdominal pain}, kidney stone {Kidney stone}, liver cyst {Cyst of liver}, abdominal ultrasound {Ultrasonography of abdomen}, Abdominal Pain {Abdominal pain}, kidney stone {Kidney stone}, right {Right kidney structure}, crampy {Stomach cramps}, abdominal pain {Abdominal pain}, right {Structure of right half of abdomen lateral to midsagittal plane}, CVA tenderness {Renal angle tenderness}, stone {Calculus}, dizziness {Dizziness}, painful {Pain in toe}, big toe {Great toe structure}, kidney 
-stone {Kidney stone}, stone {Calculus}, hyperuricemia {Hyperuricemia}, gout {Inflammatory disorder due to increased blood urate level}, pain resolved {No present pain}, regular diet {Normal diet}, workup {Evaluation procedure}, kidney stones {Kidney stone}, Liver lesions {Lesion of liver}, CT {Computed tomography of abdomen}, liver lesion {Lesion of liver}, lesion {Lesion}, cyst {Cyst}, hemangioma {Hemangioma}, MRI {Magnetic resonance imaging}, ultrasound {Ultrasonography}, cysts {Cyst}, hemangiomas {Hemangioma}, lesion {Lesion}, abdominal pain {Abdominal pain}, MRI {Magnetic resonance imaging}, Migraine HA {Migraine}, migraine 
-headaches {Migraine}, migraine {Migraine}, headaches {Headache}, Asthma {Asthma}, asthmatic {Asthma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Flovent 2puffs daily  
-Albuterol PRN  
-
- 
-Discharge Medications:
-1. fluticasone 110 mcg/Actuation Aerosol Sig: Two (2) Puff 
-Inhalation DAILY (Daily).  
-2. albuterol sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: 
-___  Inhalation every six (6) hours as needed for shortness of 
-breath or wheezing.  
-3. Motrin 800 mg Tablet Sig: One (1) Tablet PO once a day as 
-needed for headache.
-Disp:*10 Tablet(s)* Refills:*0*
-4. acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for pain, headache.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnoses:
-Nephrolithiasis
-Liver cysts
-Migraine headaches
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Nephrolithiasis {Kidney stone}, Liver cysts {Cyst of liver}, Migraine headaches {Migraine}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-You were admitted to the hospital for severe abdominal pain.  
-You underwent an abdominal ultrasound that showed a cyst in your 
-liver and a kidney stone on the left.  We think that you likely 
-passed a kidney stone on the right, which caused your pain.  You 
-should call your PCP on ___ to discuss scheduling an MRI to 
-better evaluate your liver cyst.
-
-We made the following changes to your medications:
--Start Motrin to use for headache for the next several days.  If 
-you would like to continue with this medication, please discuss 
-it with your PCP.
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, abdominal ultrasound {Ultrasonography of abdomen}, cyst in your 
-liver {Cyst of liver}, kidney stone {Kidney stone}, left {Left kidney structure}, kidney stone {Kidney stone}, right {Right kidney structure}, pain {Abdominal pain}, MRI {Magnetic resonance imaging}, liver cyst {Cyst of liver}, headache {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROLOGY
- 
-
-###RESPONSE: NEUROLOGY {Neurological examination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-stroke
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms ___ is a lovely ___ yo woman with PMH significant for
-Alzheimer dementia, HTN, HLD, and hypothyroid who presents after
-subacute stroke was found on out patient MRI. The patient lives
-in an assisted living in ___. She started acting ""more
-confused"" this past ___ (10 days PTA). Most notable she
-walked into several other apartments when she was looking for 
-her
-own. She went to see his PCP on ___ and was found to have a
-positive UA and was started on ___ (started on ___. Over
-this weekend she was at a wedding with her daughter and kept
-asking for someone to bring her food, while there was an
-untouched plate sitting in front of her. on ___ she did the
-same with a glass of juice. The patient's daughter asked her PCP
-to order an MRI which was done and showed a subacute infarct on
-the right.  
-
-On neuro ROS: the pt denies headache, loss of vision, blurred
-vision, diplopia, oscilopsia, dysarthria, dysphagia, drop
-attacks, lightheadedness, vertigo, tinnitus or hearing
-difficulty. Denies difficulties producing or comprehending
-speech. Denies focal weakness, numbness, paresthesias. No bowel
-or bladder incontinence or retention. Denies difficulty with
-gait. 
-
-On general ROS: the pt denies recent fever or chills. No night
-sweats or recent weight loss or gain. Denies cough, shortness of
-breath. Denies chest pain or tightness, palpitations. Denies
-nausea, vomiting, diarrhea, constipation or abdominal pain. No
-recent change in bowel or bladder habits. No dysuria. Denies
-arthralgias or myalgias. Denies rash.
- 
-
-###RESPONSE: Alzheimer dementia {Alzheimer's disease}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, hypothyroid {Hypothyroidism}, stroke {Cerebrovascular accident}, MRI {Magnetic resonance imaging of brain}, confused {Clouded consciousness}, positive {Detected by measurement}, UA {Urine examination}, MRI {Magnetic resonance imaging}, infarct {Infarct}, right {Structure of right half of body}, neuro {Neurological examination}, headache {Headache}, loss of vision {Functional visual loss}, blurred
-vision {Blurring of visual image}, diplopia {Diplopia}, oscilopsia {Finding of movement of visual image}, dysarthria {Dysarthria}, dysphagia {Dysphagia}, drop
-attacks {Drop attack}, lightheadedness {Lightheadedness}, vertigo {Vertigo}, tinnitus {Tinnitus}, hearing
-difficulty {Hearing difficulty}, difficulties producing or comprehending
-speech {Difficulty comprehending speech}, weakness {Asthenia}, numbness {Numbness}, paresthesias {Paresthesia}, bowel {Incontinence of feces}, bladder incontinence {Urinary incontinence}, retention {Retention}, difficulty with
-gait {Abnormal gait}, general {General examination of patient}, fever {Fever}, chills {Chill}, night
-sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, Denies cough {Does not cough}, shortness of
-breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Dementia 
-hypothyroidism 
-HTN
-HLD 
-
- 
-
-###RESPONSE: Dementia {Dementia}, hypothyroidism {Hypothyroidism}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-T: 97 HR: 84 BP: 158/80 RR: 18 Sat: 99%
-
-GENERAL MEDICAL EXAMINATION:
-General appearance: alert, in no apparent distress
-HEENT: Neck is supple. Sclera are non-injected. Mucous membranes
-are moist. No carotid bruit 
-CV: Heart rate is regular
-Lungs: Clear to auscultation bilaterally without wheezing or
-crackles. 
-Abdomen: soft, non-tender
-Extremities: No evidence of deformities. No contractures. 
-Skin: No visible rashes. Warm and well perfused.
-
-NEUROLOGICAL EXAMINATION:
-Mental Status: Awake and alert. oriented to ___ and
-___, location was ""a place for head problems"". she was able
-to repeat that she was at ___ (where her
-daughter works) but could not recall this moments later. She
-could also not recall that she was here due to a stroke despite
-several explanations. Inattentive with slow DOWB. Language is
-fluent and appropriate with intact comprehension, repetition and
-naming of both high and low frequency objects. Normal prosody.
-There were no paraphasic errors. Speech was not dysarthric. Able
-to follow both midline and appendicular commands. No neglect,
-left/right confusion or finger agnosia.  No apraxia for salute 
-or
-brush your teeth. + palomental on left. no grasp. 
-
-Cranial Nerves:
-I: not tested
-II: dense homonymous hemianopsia on left. could not visualize
-fundi. 
-III-IV-VI: pupils equally round, reactive to light - small. 
-Eyes were eso deviated. With both eyes open left eye did not
-cross midline to the left. when tested separately EOMI. could 
-not
-test saccads as patient had difficulty finding objects in space.
-she denies diplopia. 
-V: Symmetric perception of LT in V1-3 
-VII: Face is symmetric at rest and with activation; symmetric
-speed and excursion with smile.
-VIII: Hearing intact to finger rub bl
-IX-X: Palate elevates symmetrically
-XI: Shoulder shrug and head rotation ___ bl 
-XII: No tongue deviation or fasciculations
-
-Pt only describes the R side of the stroke cards. She lists
-details in the scene (drawers, water, dish) but can not describe
-the whole image at all. She seem to do the same when asked to
-look at my face (eyes, neck, mouth, nose...) but does not seem 
-to
-see my face. she has trouble locating objects in space both by
-sight and sound, event when placed in her good field. 
-
-Motor: Normal muscle bulk and tone throughout. No pronator drift
-or rebound
-Strength:
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5   5
-R  5    ___   ___  5   5    5  5     5     5   5
-
-Reflexes:
-  Bi Tri ___ Pat Ach
-L  2  2    2    2   1
-R  2  2    2    2   1
-Toes are down going bilaterally.
-
-Sensory: normal and symmetric perception of pinprick, light
-touch, vibration and temperature. Proprioception is intact. No
-agraphesthesia or astereognosis. No extinction to DSS.
-
-Coordination: Finger to nose without dysmetria bilaterally. No
-intention tremor. RAM were symmetric with regard to cadence and
-speed, no dysdiadochokinesia noted.
-
-Gait: not tested. 
-========================================================
-DISCHARGE PHYSICAL EXAM:
-NEUROLOGICAL EXAMINATION:
-Mental Status: Awake and alert. Very hard of hearing. She cannot 
-say why she is in the hospital. Language is fluent and 
-appropriate with intact comprehension, repetition and naming of 
-both high and low frequency objects. Normal prosody. There were 
-no paraphasic errors. Speech was not dysarthric. Able to follow 
-both midline and appendicular commands. Left sided neglect.  
-
-Cranial Nerves:
-I: not tested
-II: dense homonymous hemianopsia on left. could not visualize
-fundi. 
-III-IV-VI: pupils equally round, reactive to light, EOMI. 
-V: Symmetric perception of LT in V1-3 
-VII: Face is symmetric at rest and with activation; symmetric
-speed and excursion with smile.
-VIII: Hearing intact to finger rub bl
-IX-X: Palate elevates symmetrically
-XI: Shoulder shrug and head rotation ___ bl 
-XII: No tongue deviation or fasciculations
-
-Motor: Normal muscle bulk and tone throughout. No pronator drift
-or rebound
-Strength:
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5   5
-R  5    ___   ___  5   5    5  5     5     5   5
-
-Reflexes:
-  Bi Tri ___ Pat Ach
-L  2  2    2    2   1
-R  2  2    2    2   1
-Toes are down going bilaterally.
-
-Sensory: normal and symmetric perception of pinprick, light
-touch, vibration and temperature. Proprioception is intact. No
-agraphesthesia or astereognosis. No extinction to DSS.
-
-Coordination: Finger to nose without dysmetria bilaterally. 
-
-Gait: not tested. 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, Sat {Finding of oxygen saturation}, General {General examination of patient}, appearance {Finding of general observation of appearance}, alert {Mentally alert}, distress {Distress}, HEENT {Physical examination procedure}, Neck {Neck structure}, supple {Normal movement of neck}, Sclera {Scleral structure}, Mucous membranes
-are moist {Moist oral mucosa}, carotid bruit {Carotid bruit}, CV {Cardiovascular physical examination}, Heart rate is regular {Normal heart rate}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezing {Wheezing}, crackles {Respiratory crackles}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, Extremities {Examination of limb}, No evidence {No abnormality detected}, deformities {Deformity}, contractures {Contracture}, Skin {Examination of skin}, rashes {Eruption of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Mental Status {Neurological mental status determination}, Awake {Awake}, alert {Mentally alert}, oriented {Orientated}, head {Head structure}, problems {Problem}, stroke {Cerebrovascular accident}, fluent {Does speak fluently}, intact {Normal sensation}, comprehension {Does comprehend language}, repetition {Verbal repetition}, naming of both high and low frequency objects {Able to recognize objects}, Normal prosody {Able to use prosody in speech}, paraphasic {Paraphasia}, Speech {Speech finding}, dysarthric {Dysarthria}, neglect {Hemi-neglect}, left/right confusion {Right-left disorientation}, finger agnosia {Finger agnosia}, apraxia {Apraxia}, II {Optic nerve structure}, homonymous hemianopsia on left {Left homonymous hemianopsia}, could not visualize
-fundi {Inadequate visualization of fundus of eye}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, pupils equally round {Pupil size and shape normal}, reactive to light {Finding of pupil reaction to light}, small {Constricted pupil}, Eyes were eso deviated {Esotropia}, both eyes {Structure of both eyes}, left eye {Left eye structure}, EOMI {Normal ocular motility}, test saccads {Saccadic velocity test}, difficulty finding objects in space {Cognitive deficit in visuospatial function}, diplopia {Diplopia}, V {Trigeminal nerve structure}, Symmetric {Facial symmetry}, perception {Psychological finding of perception}, VII {Facial nerve structure}, Face {Face structure}, symmetric {Facial symmetry}, symmetric {Facial symmetry}, smile {Smiles}, VIII {Vestibulocochlear nerve structure}, Hearing intact {Hearing normal}, finger rub bl {Hearing examination}, IX {Glossopharyngeal nerve structure}, X {Vagus nerve structure}, Palate elevates {Does elevate soft palate}, XI {Accessory nerve structure}, Shoulder {Shoulder region structure}, head {Head structure}, XII {Hypoglossal nerve structure}, tongue {Tongue structure}, deviation {Displacement}, fasciculations {Fasciculation of tongue}, stroke {Cerebrovascular accident}, cards {Cardiology service}, trouble locating objects in space {Cognitive deficit in visuospatial function}, Motor {Motor testing}, Normal muscle bulk {Skeletal muscle size normal}, tone {Normal tone in skeletal muscle}, pronator drift {Downward drift of outstretched supinated arm}, rebound {Rebound tenderness}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, WrE {Structure of extensor of wrist joint}, FFl {Structure of flexor digitorum superficialis muscle of hand}, FE {Structure of extensor of interphalangeal joint of finger}, IO {Inferior oblique muscle structure}, IP {Interphalangeal joint structure}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, TA {Tibialis anterior muscle structure}, Bi {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, Toes {Structure of all toes}, Sensory {Sensory testing}, normal {No abnormality detected}, symmetric {Facial symmetry}, perception {Psychological finding of perception}, pinprick {Normal pin prick discrimination}, light
-touch {Light touch sensation present}, vibration {Finding of vibration sense}, temperature {Finding of temperature sense}, Proprioception is intact {Normal joint position sense}, agraphesthesia {Graphesthesia finding}, astereognosis {Tactile agnosia}, Coordination {Finding related to coordination / incoordination}, Finger to nose {Finger-to-nose test}, dysmetria {Dysmetria}, intention tremor {Intention tremor}, dysdiadochokinesia {Dysdiadochokinesis}, Gait {Gait normal}, NEUROLOGICAL EXAMINATION {Neurological examination}, Mental Status {Neurological mental status determination}, Awake {Awake}, alert {Mentally alert}, hard of hearing {Hearing loss}, fluent {Does speak fluently}, intact {Normal sensation}, comprehension {Able to comprehend language}, repetition {Verbal repetition}, naming of 
-both high and low frequency objects {Able to recognize objects}, Normal {No abnormality detected}, prosody {Able to use prosody in speech}, paraphasic {Paraphasia}, Speech {Speech finding}, dysarthric {Dysarthria}, Left sided neglect {Hemi-neglect}, Cranial Nerves {Cranial nerve structure}, I {Olfactory nerve structure}, II {Optic nerve structure}, homonymous hemianopsia on left {Left homonymous hemianopsia}, could not visualize
-fundi {Inadequate visualization of fundus of eye}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, pupils equally round {Pupil size and shape normal}, reactive to light {Finding of pupil reaction to light}, EOMI {Normal ocular motility}, V {Trigeminal nerve structure}, Symmetric {Facial symmetry}, perception {Psychological finding of perception}, VII {Facial nerve structure}, Face {Face structure}, symmetric {Facial symmetry}, symmetric {Facial symmetry}, smile {Smiles}, VIII {Vestibulocochlear nerve structure}, Hearing intact {Hearing normal}, finger rub bl {Hearing examination}, IX {Glossopharyngeal nerve structure}, X {Vagus nerve structure}, Palate elevates {Does elevate soft palate}, XI {Accessory nerve structure}, Shoulder {Structure of right shoulder region}, head {Head structure}, XII {Hypoglossal nerve structure}, tongue {Tongue structure}, deviation {Displacement}, fasciculations {Fasciculation of tongue}, Motor {Motor testing}, Normal muscle bulk {Skeletal muscle size normal}, tone {Normal tone in skeletal muscle}, pronator drift {Downward drift of outstretched supinated arm}, rebound {Rebound tenderness}, Strength {Examination of muscle power}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, WrE {Structure of extensor of wrist joint}, FFl {Structure of flexor digitorum superficialis muscle of hand}, FE {Structure of extensor of interphalangeal joint of finger}, IO {Inferior oblique muscle structure}, IP {Interphalangeal joint structure}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, TA {Tibialis anterior muscle structure}, Reflexes {Reflex finding}, Bi {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, Toes {Structure of all toes}, Sensory {Sensory testing}, normal {No abnormality detected}, symmetric {Facial symmetry}, perception {Psychological finding of perception}, pinprick {Normal pin prick discrimination}, light
-touch {Light touch sensation present}, vibration {Finding of vibration sense}, temperature {Finding of temperature sense}, Proprioception is intact {Normal joint position sense}, agraphesthesia {Graphesthesia finding}, astereognosis {Tactile agnosia}, Coordination {Finding related to coordination / incoordination}, Finger to nose {Finger-to-nose test}, dysmetria {Dysmetria}, Gait {Gait normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 07:00PM BLOOD WBC-5.7 RBC-4.37 Hgb-12.6 Hct-40.2 MCV-92 
-MCH-28.8 MCHC-31.3* RDW-13.6 RDWSD-46.2 Plt ___
-___ 07:00PM BLOOD Neuts-58.6 ___ Monos-10.2 Eos-3.0 
-Baso-0.5 Im ___ AbsNeut-3.32 AbsLymp-1.55 AbsMono-0.58 
-AbsEos-0.17 AbsBaso-0.03
-___ 07:00PM BLOOD ___ PTT-32.0 ___
-___ 07:00PM BLOOD Glucose-93 UreaN-22* Creat-1.0 Na-141 
-K-5.4* Cl-104 HCO3-26 AnGap-16
-___ 12:53PM BLOOD ALT-9 AST-16 AlkPhos-68 TotBili-1.0
-___ 12:53PM BLOOD Albumin-4.4 Calcium-10.0 Phos-3.6 Mg-2.4
-___ 12:53PM BLOOD %HbA1c-5.9 eAG-123
-___ 12:53PM BLOOD TSH-3.6
-
-IMAGING:
-MRI BRAIN ___:
-1.  Moderate-sized acute infarction involving the right 
-parietotemporal 
-region, with associated small internal microhemorrhages. 
-2.  Additional findings of moderate global cerebral atrophy and 
-small vessel ischemic disease. 
-3.  A punctate susceptibility focus of the left occipital 
-parietal lobe, which may represent prior microhemorrhage. 
-
-CTA HEAD AND NECK ___ (PRELIM):
-NCHCT: Hypodensity in the right temporoparietal lobe corresponds 
-to the areas of restricted diffusion on the patients recent MRI, 
-consistent with patients known infarction. 
-  
-CTA: No definite vascular abnormalities identified in the region 
-of the known infarction in the right temporoparietal region. No 
-aneurysms identified. 
-
-TTE ___:
-The left atrium is normal in size. No left atrial mass/thrombus 
-seen (best excluded by transesophageal echocardiography). There 
-is mild symmetric left ventricular hypertrophy with normal 
-cavity size and regional/global systolic function (LVEF>55%). 
-Diastolic function could not be assessed. Right ventricular 
-chamber size and free wall motion are normal. The aortic valve 
-leaflets (3) are mildly thickened but aortic stenosis is not 
-present. Mild (1+) aortic regurgitation is seen. The mitral 
-valve leaflets are mildly thickened. The estimated pulmonary 
-artery systolic pressure is normal. There is no pericardial 
-effusion. 
-
-IMPRESSION: Suboptimal image quality. No cardiac source of 
-embolism identified. Mild symmetric left ventricular hypertrophy 
-with preserved regional/global systolic function. Mild aortic 
-regurgitation.  
-
-DISCHARGE LABS:
-___ 12:53PM BLOOD WBC-6.2 RBC-4.63 Hgb-13.4 Hct-42.3 MCV-91 
-MCH-28.9 MCHC-31.7* RDW-13.6 RDWSD-45.4 Plt ___
-___ 12:53PM BLOOD ___ PTT-33.9 ___
-___ 12:53PM BLOOD Glucose-73 UreaN-18 Creat-1.1 Na-142 
-K-4.4 Cl-103 HCO3-26 AnGap-17
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, TSH {Thyroid stimulating hormone measurement}, MRI BRAIN {Magnetic resonance imaging of brain}, Moderate {Symptom moderate}, infarction {Infarct}, right 
-parietotemporal 
-region {Right temporal and parietal lobes (combined site)}, small internal microhemorrhages {Silent micro-hemorrhage of brain}, moderate {Symptom moderate}, cerebral atrophy {Cerebral atrophy}, small vessel {Structure of small blood vessel (organ)}, ischemic disease {Ischemia}, left occipital 
-parietal lobe {Left parietal and occipital lobes (combined site)}, NCHCT {Computed tomography of head without contrast}, Hypodensity {Decreased radiologic density}, right temporoparietal lobe {Right temporal and parietal lobes (combined site)}, MRI {Magnetic resonance imaging of brain}, infarction {Infarct}, CTA {Computed tomography angiography of head with contrast}, vascular {Blood vessel structure}, abnormalities {No abnormality detected}, infarction {Infarct}, right temporoparietal region {Right temporal and parietal lobes (combined site)}, aneurysms {Aneurysm}, left atrium {Left atrial structure}, normal in size {Normal size}, left atrial {Left atrial structure}, mass {Mass}, thrombus {Thrombus}, transesophageal echocardiography {Transesophageal echocardiography}, mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal 
-cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, Right ventricular 
-chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve 
-leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Mild (1+) aortic regurgitation {Mild mitral valve regurgitation}, mitral 
-valve leaflets are mildly thickened {Thickened mitral leaflet}, pulmonary 
-artery {Pulmonary artery structure}, systolic pressure is normal {Normal systolic arterial pressure}, pericardial 
-effusion {Pericardial effusion}, cardiac {Heart structure}, embolism {Embolism}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, aortic 
-regurgitation {Aortic valve regurgitation}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms ___ is an ___ yo woman with PMH significant for Alzheimer 
-dementia, HTN, HLD, and hypothyroidism who presented with left 
-sided neglect with acute right temporoparietal infarct. 
-
-# Right temporoparietal infarct: Patient presented with left 
-sided neglect and possible left sided field cut. She was placed 
-on aspirin 325mg and atorvastatin 40mg and MRI confirmed acute 
-infarction involving the right parietotemporal 
-region, with associated small internal microhemorrhages. CTA was 
-unremarkable. She was monitored on telemetry but there were no 
-episodes of atrial fibrillation to account for stroke. HbA1C and 
-lipid panel were within normal limits. TTE did not show any 
-evidence of left atrial thrombus or PFO. Given her age and 
-mental status, it was decided not to pursue long term cardiac 
-monitoring for evaluation of atrial fibrillation. Patient had 
-difficulty tolerating telemetry monitors while hospitalized and 
-it would not change management as the team decided they would 
-not start anti-coagulation in this patient even if atrial 
-fibrillation was found. She will continue on aspirin as an 
-outpatient and follow-up with stroke neurology as ab outpatient. 
-  
-
-# UTI: Patient was found to have a UTI on admission and treated 
-with 3 days of Ciprofloxacin HCl 250 mg PO/NG Q12H.  
-
-# Hypothyroidism: She was continued on Levothyroxine Sodium 75 
-mcg PO/NG DAILY. 
-
-# HTN: She was continued on Lisinopril 5 mg PO/NG DAILY.  
-
-Transitional issues: 
--continue on aspirin 81mg 
--HCP: ___ (daughter) ___ 
--currently Full code, continue to address goals of care
- 
-
-###RESPONSE: Alzheimer 
-dementia {Alzheimer's disease}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, hypothyroidism {Hypothyroidism}, left 
-sided neglect {Hemi-neglect}, right temporoparietal {Right temporal and parietal lobes (combined site)}, infarct {Infarct}, Right temporoparietal {Right temporal and parietal lobes (combined site)}, infarct {Infarct}, left 
-sided neglect {Hemi-neglect}, left sided field cut {Visual field defect of left eye}, aspirin {Administration of aspirin}, MRI {Magnetic resonance imaging of brain}, infarction {Infarct}, right parietotemporal 
-region {Right temporal and parietal lobes (combined site)}, small internal microhemorrhages {Silent micro-hemorrhage of brain}, CTA {Computed tomography angiography with contrast}, unremarkable {No abnormality detected}, monitored {Monitoring procedure}, telemetry {Electroencephalogram telemetry}, atrial fibrillation {Atrial fibrillation}, stroke {Cerebrovascular accident}, within normal limits {Measurement finding within reference range}, TTE {Transthoracic echocardiography}, left atrial thrombus {Thrombus of left atrium}, PFO {Patent foramen ovale}, mental status {Altered mental status}, cardiac 
-monitoring {Cardiac monitoring}, evaluation {Evaluation procedure}, atrial fibrillation {Atrial fibrillation}, telemetry monitors {Telehealth monitoring}, anti-coagulation {Anticoagulant therapy}, atrial 
-fibrillation {Atrial fibrillation}, stroke {Cerebrovascular accident}, neurology {Neurological examination}, UTI {Urinary tract infectious disease}, UTI {Urinary tract infectious disease}, Hypothyroidism {Hypothyroidism}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. melatonin 3 mg oral QHS:PRN insomnia 
-3. Levothyroxine Sodium 75 mcg PO DAILY 
-4. Lisinopril 5 mg PO DAILY 
-5. Lovastatin 40 mg oral QHS 
-
- 
-Discharge Medications:
-1. Levothyroxine Sodium 75 mcg PO DAILY 
-2. Lisinopril 5 mg PO DAILY 
-3. melatonin 3 mg oral QHS:PRN insomnia 
-4. Lovastatin 40 mg ORAL QHS 
-5. Aspirin 325 mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-___ Diagnosis:
-Primary diagnosis:
-Right parietotemporal stroke
-
-Secondary diagnosis:
-Urinary Tract Infection
-
- 
-Discharge Condition:
-Mental Status: Confused - sometimes.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Right parietotemporal {Right temporal and parietal lobes (combined site)}, stroke {Cerebrovascular accident}, Urinary Tract Infection {Urinary tract infectious disease}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, 
-
-You were admitted to ___ with a stroke. Your heart rhythm was 
-monitored but there was no evidence of an abnormal rhythm 
-causing the stroke. You did not have any evidence of clot in 
-your heart on ultrasound so the cause of your stroke remains 
-unclear. You should continue to take aspirin and you will 
-follow-up with neurology at the appointments scheduled below. 
-
-It was a pleasure taking care of you, 
-Your ___ Neurologists
- 
-
-###RESPONSE: stroke {Cerebrovascular accident}, heart rhythm {Finding of heart rhythm}, no evidence {No abnormality detected}, abnormal rhythm {Cardiac arrhythmia}, stroke {Cerebrovascular accident}, clot {Blood clot}, heart {Heart structure}, ultrasound {Ultrasonography}, stroke {Cerebrovascular accident}, follow-up with neurology {Follow-up neurological assessment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-cardiac catheterization
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ with h/o diabetes, HTN, HLD, DM who 
-presented to OSH for chest pain and was transferred for trop 
-elevation .08.
-
-Mr. ___ in normal state of health until 1 week prior to 
-presentation when he started experiencing recurrent episodes of 
-chest pain.  Pain is typically on the left side of his chest and 
-sometimes radiates to his neck, left arm and back. Described as 
-a tightness or squeezing. Pain sometimes goes away after ___
-minutes but most recently has been persistent for ___ hours. He 
-endorses significant fatigue over the past week as well, night 
-sweats for the past 2 days, prominent cough of 7 days' duration 
-and loose stools for the past ___ days.  He endorses one episode 
-of nausea/emesis on ___. Denies diaphoresis.  He has not been 
-very active over the past week though notes no relation to
-exertion. 2 weeks ago he was able to play hockey as he often 
-does with no issue. Also with some DOE.  Reports if was cutting 
-the lawn would have to take breaks. 
-
-He presented to ___, where he was found to have elevated 
-trop at 0.08. Otherwise, labs were unremarkable and chest X-ray 
-showed no abnormality. He had CTA chest that showed no PE and no 
-dissection. He was treated with aspirin (325) and was 
-transferred for consideration for cath.
-
-In the ED here, he had stable vital signs. His troponin here was 
-negative. EKG showed normal sinus rhythm at 66bpm, normal axis 
-and intervals, early R wave progression, without any ST 
-elevations/depressions, T wave inversions, or Q waves. He was 
-given sublingual nitro with no resolution of symptoms. He was
-also given 12.5mg metoprolol tartrate, atorvastatin 80mg, and 
-started on a heparin gtt.
- 
-On arrival to the cardiology ward, patient corroborates the 
-above history.  He currently is experiencing ___ chest pain and 
-notes no relief of his last dose of sublingual nitrogen.  He is 
-no longer having sweats or shortness of breath but it does 
-endorse increased frequency of stool. 
- 
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, chest pain {Chest pain}, trop {Troponin measurement}, elevation {Measurement finding above reference range}, recurrent {Recurrent disease}, chest pain {Chest pain}, Pain {Pain}, left side of his chest {Structure of left half of chest wall}, radiates {Radiating pain}, neck {Pain radiating to neck}, left arm {Pain radiating to left arm}, tightness {Tight chest}, squeezing {Squeezing chest pain}, Pain {Pain}, fatigue {Fatigue}, night 
-sweats {Night sweats}, cough {Cough}, loose stools {Loose stool}, nausea {Nausea}, emesis {Vomiting}, diaphoresis {Excessive sweating}, not been 
-very active {Physical deconditioning}, exertion {Finding related to exertion}, play hockey {Physically active}, DOE {Dyspnea on exertion}, elevated 
-trop {Troponin I above reference range}, labs {Laboratory test}, unremarkable {No abnormality detected}, chest X-ray {Plain chest X-ray}, no abnormality {Imaging result normal}, CTA chest {Computed tomography angiography of chest with contrast}, PE {Pulmonary embolism}, dissection {Dissection of aorta}, aspirin {Administration of aspirin}, cath {Cardiac catheterization}, stable vital signs {Normal vital signs}, troponin {Troponin measurement}, negative {No pathologic diagnosis}, EKG {Electrocardiographic procedure}, normal sinus rhythm {Electrocardiogram: normal sinus rhythm}, normal {Electrocardiogram normal}, axis {Electrocardiographic axis finding}, intervals {Finding of electrocardiogram waveform}, R wave progression {Electrocardiographic R wave abnormal}, ST 
-elevations {ST segment elevation}, depressions {ST segment depression}, T wave inversions {Inverted T wave}, Q waves {Finding of electrocardiogram Q wave}, no resolution of symptoms {Symptom not changed}, started {New medication added}, cardiology {Cardiology service}, chest pain {Chest pain}, relief {Pain relief}, last dose {Evaluation of response to medications}, sweats {Sweating}, shortness of breath {Dyspnea}, increased frequency of stool {Increased frequency of defecation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. CARDIAC RISK FACTORS  
-- Diabetes  
-- Hypertension  
-- Dyslipidemia  
-2. CARDIAC HISTORY  
-- CAD - mid 50% LAD - no intervention 
-3. OTHER PAST MEDICAL HISTORY
-- Appendectomy
-- Diverticulitis
- 
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, CAD {Coronary arteriosclerosis}, LAD {Structure of anterior descending branch of left coronary artery}, Appendectomy {Excision of appendix}, Diverticulitis {Diverticulitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-FatherAliveHad an ' irrgeular heart rate and had ICD or
-pacemaker placed'
-MotherAliveNo Significant Medical History
-SisterAliveNo Significant Medical History
- 
-
-###RESPONSE: irrgeular heart rate {Pulse irregular}, ICD {Implantation of automatic cardiac defibrillator}, pacemaker placed {Implantation of cardiac pacemaker}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAMINATION:  
-=====================  
-VS: Temp 98.0 BP 139 / 87 HR 68 RR 17SaO2 96%Ra
-GENERAL: NAD, well appearin man in NAD. Ruddy complexion
-HEENT: AT/NC, anicteric sclera, MMM
-NECK: supple, no LAD
-CV: RRR, S1/S2, no murmurs, gallops, or rubs. JVD < 10 cm at 90 
-degrees
-PULM: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles
-GI: abdomen soft, nondistended, nontender in all quadrants, no 
-rebound/guarding, no hepatosplenomegaly
-EXTREMITIES:trace edema b/l, at baseline per patient
-PULSES: 2+ radial pulses bilaterally
-NEURO: Alert, moving all 4 extremities with purpose, face 
-symmetric
-DERM: warm and well perfused, no excoriations or lesions, no 
-rashes
-
-Discharge Exam: 
-GENERAL: NAD, well appearing man in NAD. Ruddy complexion
-HEENT: AT/NC, anicteric sclera
-NECK: supple, no LAD, no elevated JVD
-CV: RRR, S1/S2, no murmurs, gallops, or rubs. 
-PULM: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles
-GI: abdomen soft, nondistended, nontender, no hepatosplenomegaly
-EXTREMITIES: no edema b/l, right arm with dressing over cath 
-site without strike through, bruit, and with perfusion of distal 
-extremities, no evidence hematoma 
-Neuro: sensation to light touch in right hand, strength ___ in 
-B/l hands, movement of bilateral fingers with intention. 
- 
-
-###RESPONSE: PHYSICAL EXAMINATION {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, GENERAL {General examination of patient}, NAD {No abnormality detected}, well appearin {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, anicteric sclera {White sclera}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, JVD {Jugular venous engorgement}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, GI {Examination of digestive system}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, edema {Edema}, baseline {Baseline state}, radial pulses {Radial pulse present}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face 
-symmetric {Facial symmetry}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}, GENERAL {General examination of patient}, NAD {No abnormality detected}, well appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, anicteric sclera {White sclera}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, GI {Examination of digestive system}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, edema {Edema}, right arm {Structure of right upper limb}, cath 
-site {Vascular catheter insertion site}, bruit {Bruit}, perfusion {Normal tissue perfusion}, distal 
-extremities {Structure of distal lower limb artery}, no evidence {No abnormality detected}, hematoma {Hematoma}, Neuro {Neurological examination}, sensation to light touch {Light touch sensation present}, right hand {Structure of right hand}, B/l hands {Both hands}, bilateral {Both hands}, fingers {Finger structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION
-___ 11:20PM   WBC-5.6 RBC-4.45* HGB-14.8 HCT-41.5 MCV-93 
-MCH-33.3* MCHC-35.7 RDW-12.1 RDWSD-41.4
-___ 11:20PM   NEUTS-41.7 ___ MONOS-11.2 EOS-1.8 
-BASOS-1.1* AbsNeut-2.35 AbsLymp-2.49 AbsMono-0.63 AbsEos-0.10 
-AbsBaso-0.06
-___ 11:20PM   ___ PTT-27.1 ___
-___ 11:20PM   GLUCOSE-98 UREA N-12 CREAT-1.0 SODIUM-139 
-POTASSIUM-4.9 CHLORIDE-103 TOTAL CO2-21* ANION GAP-15
-___ 11:20PM   ALT(SGPT)-42* AST(SGOT)-34 CK(CPK)-72 ALK 
-PHOS-63 TOT BILI-0.5
-___ 11:20PM   LIPASE-44
-___ 11:20PM   cTropnT-<0.01
-___ 11:20PM   CK-MB-<1
-___ 11:20PM   ALBUMIN-3.9
-___ 10:45PM URINE  COLOR-Straw APPEAR-Clear SP ___
-___ 10:45PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-TR* 
-GLUCOSE-NEG KETONE-TR* BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 
-LEUK-NEG
-___ 10:45PM URINE  RBC-1 WBC-<1 BACTERIA-NONE YEAST-NONE 
-EPI-<1
- 
-PERTINENT STUDIES:
-___ CATH
-Coronary Anatomy
-Right dominant
-LM: No disease.
-LAD: Focal 50% eccentric stenosis in mid vessel.
-LCx: No significant disease.
-RCA: No significant disease.
- 
-Impressions:
-Intermediate mid LAD disease.
- 
-Recommendations
-Med Rx. If patient has persistent angina or evidence of 
-ischemia, could do mid LAD PCI in future.
-
-Discharge Labs: 
-
-___ 06:33AM BLOOD WBC-6.6 RBC-4.86 Hgb-15.7 Hct-45.6 MCV-94 
-MCH-32.3* MCHC-34.4 RDW-12.1 RDWSD-42.3 Plt ___
-___ 06:33AM BLOOD Plt ___
-___ 06:33AM BLOOD Glucose-123* UreaN-15 Creat-1.1 Na-141 
-K-4.8 Cl-102 HCO3-28 AnGap-11
-___ 06:33AM BLOOD Calcium-9.5 Phos-3.3 Mg-2.___ year old man with PMHx DM2, HTN, HLD, who presented with 
-chest pain at rest and found to have NSTEMI with moderate 
-coronary artery disease on cardiac catheterization, not thought 
-to be contributing to chest pain and no intervention was done. 
-Patient was started on aspirin, high dose atorvastatin and PRN 
-sublingual nitroglycerin and discharged with Cardiology follow 
-up.
-
-Active Issues
-# NSTEMI:
-Presented with chest pain at rest concern for unstable angina. 
-Etiology unclear as underwent coronary angiogram and had only 
-moderate 50% mid LAD disease not thought to be responsible for 
-his chest pain. Patient started on ___, high dose statin and 
-PRN SL NTG and discharged with Cardiology follow up.
- 
-Chronic Issues
-# HTN: continued home felodipine
-# HLD: increased atorvastatin
-# Depression: continued home citalopram
-# Anxiety: continued home lorazepam
- 
-Transitional Issues:
-[ ] new diagnosis of CAD: started on ASA 81, high dose 
-atorvastatin, PRN SL NTG
-[ ] please obtain TTE as outpatient
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PTT {Partial thromboplastin time, activated}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, ALK 
-PHOS {Alkaline phosphatase measurement}, TOT BILI {Bilirubin, total measurement}, LIPASE {Triacylglycerol lipase measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, ALBUMIN {Albumin measurement}, COLOR {Color finding}, APPEAR-Clear {Urine looks clear}, NEG {No abnormality detected}, PROTEIN {Measurement of protein in urine}, GLUCOSE-NEG {Urine glucose not detected}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, NEG {No abnormality detected}, UROBILNGN {Urobilinogen measurement, urine}, NEG {No abnormality detected}, PH {pH measurement}, LEUK-NEG {Urine leukocytes not detected}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, CATH {Cardiac catheterization}, Coronary Anatomy {Coronary artery finding}, Right dominant {Right dominant coronary system}, No disease {No abnormality detected}, LAD {Structure of anterior descending branch of left coronary artery}, stenosis {Stenosis of mid portion of anterior descending branch of left coronary artery}, mid vessel {Structure of mid portion of anterior descending branch of left coronary artery}, No significant disease {No abnormality detected}, RCA {Right coronary artery structure}, No significant disease {No abnormality detected}, mid LAD disease {Stenosis of mid portion of anterior descending branch of left coronary artery}, angina {Angina}, ischemia {Ischemia}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, PCI {Percutaneous coronary intervention}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, DM2 {Diabetes mellitus type 2}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, chest pain at rest {Chest pain at rest}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, moderate {Symptom moderate}, coronary artery disease {Coronary arteriosclerosis}, cardiac catheterization {Cardiac catheterization}, chest pain {Chest pain}, started {New medication added}, aspirin {Administration of aspirin}, nitroglycerin {Administration of prophylactic glyceryl trinitrate}, Cardiology {Cardiology service}, follow 
-up {Follow-up arranged}, chest pain at rest {Chest pain at rest}, unstable angina {Preinfarction syndrome}, coronary angiogram {Angiography of coronary artery}, mid LAD disease {Stenosis of mid portion of anterior descending branch of left coronary artery}, chest pain {Chest pain}, started {New medication added}, NTG {Administration of prophylactic glyceryl trinitrate}, Cardiology {Cardiology service}, follow up {Follow-up arranged}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, increased {Increasing dosage of medication}, Depression {Depressive disorder}, Anxiety {Anxiety}, CAD {Coronary arteriosclerosis}, started {New medication added}, ASA {Administration of aspirin}, NTG {Administration of prophylactic glyceryl trinitrate}, TTE {Transthoracic echocardiography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. MetFORMIN XR (Glucophage XR) 500 mg PO DAILY 
-2. Citalopram 20 mg PO DAILY 
-3. Atorvastatin 40 mg PO QPM 
-4. Zolpidem Tartrate 10 mg PO QHS:PRN Insomnia 
-5. LORazepam 1 mg PO BID:PRN Anxiety 
-6. Felodipine 10 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Aspirin 81 mg PO DAILY  
-2.  Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-RX *nitroglycerin 0.4 mg 1 tablet(s) sublingually Q5minutes Disp 
-#*25 Tablet Refills:*0 
-3.  Atorvastatin 80 mg PO QPM  
-4.  Citalopram 20 mg PO DAILY  
-5.  Felodipine 10 mg PO DAILY  
-6.  LORazepam 1 mg PO BID:PRN Anxiety  
-7.  MetFORMIN XR (Glucophage XR) 500 mg PO DAILY  
-8.  Zolpidem Tartrate 10 mg PO QHS:PRN Insomnia  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-# Coronary artery disease
-# Non-ST elevation myocardial infarction
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Coronary artery disease {Coronary arteriosclerosis}, Non-ST elevation myocardial infarction {Acute non-ST segment elevation myocardial infarction}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,  
- 
-It was a pleasure taking care of you at the ___ 
-___!  
- 
-WHY WAS I IN THE HOSPITAL?  
-==========================  
-- You were admitted because you had chest pain
- 
-WHAT HAPPENED IN THE HOSPITAL?  
-==============================  
-- You were admitted to the hospital because you had chest pain. 
-You were found to have had a heart attack. Your heart arteries 
-were examined (cardiac catheterization) which showed a blockage 
-of one of the arteries. This blockage was not enough to limit 
-the flow in your artery and was not thought to be the reason for 
-your pain.
-- We increased your home medications to take the stress off the 
-heart
-  
-WHAT SHOULD I DO WHEN I GO HOME?  
-================================  
-- Please take your medications as prescribed
-- Please follow up with your primary care doctor
-- Please return to hospital if you have chest pain that does not 
-go away or gets worse when you are being active.
-
-Thank you for allowing us to be involved in your care, we wish 
-you all the best!  
- 
-Your ___ Healthcare Team  
- 
-
- 
-
-###RESPONSE: chest pain {Chest pain}, chest pain {Chest pain}, heart attack {Myocardial infarction}, heart arteries {Coronary artery structure}, cardiac catheterization {Cardiac catheterization}, blockage {Coronary artery stenosis}, arteries {Coronary artery structure}, blockage {Coronary artery stenosis}, artery {Structure of intracranial artery}, pain {Pain}, increased {Increased pain}, medications {Administration of drug or medicament}, heart {Heart structure}, take your medications as prescribed {Recommendation to continue with drug treatment}, follow up {Follow-up arranged}, primary care {Primary care management}, chest pain {Chest pain}, worse {Increased pain}, active {Physically active}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___            Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain, dizziness
- 
-Major Surgical or Invasive Procedure:
-none 
-
- 
-
-###RESPONSE: chest pain {Chest pain}, dizziness {Dizziness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old woman with a history of HTN who presents with one 
-week of chest pain.  She describes the chest pain as a constant, 
-___, left-sided burning sensation that radiates to the back. 
-Pain has been progressively worsening over the week. It is worst 
-in the mornings, when pain is associated with weakness and 
-fatigue.  It is also worse when she exerts her left arm (e.g. 
-cutting vegtables), but not with generalized exertion.  She 
-states current pain is distinct from heartburn symptoms which 
-she had experienced in the past.  Associated symptoms include 
-general weakness, fatigue, and mild DOE throughout the week. She 
-denies nausea, or diaphoresis.  No fevers, sweats or rigors but 
-did have some chills today.  
-.
-She went to see her PCP today due to her ongoing symptoms.  At 
-the PCP's office SL NG was administered with almost immediate 
-relief within seconds. She also recieved Aspirin 325mg. She was 
-referred to the ED for further workup.  
-.  
-Of note:  Patient has prior history of admission to ___ ___ years 
-ago with chest pain similar to current pain. At the time, pain 
-developed acutely while was shoveling snow and was stronger than 
-current complaints but similar in distribution and quality. She 
-says she spent several days in the hospital and was told her 
-heart was ""damaged"". No PTCA was done. She says she had a second 
-admission to ___ ___ years ago for difficult to control HTN.  She 
-takes her BP meds regularly.
-. 
-In the ED, initial Vitals: 99.2 66 185/88 18 99% 2L.  Labs were 
-notable for absence of leukocytosis and Hct 33.  The patient was 
-ruled out for MI by cardiac enzymes x 2 and EKG.  The patient 
-underwent CXR that showed left basilar atelectasis versus 
-infiltrate.  CTA chest ruled out aortic dissection and 
-demonstrated extensive bronchiectasis in the right middle lobe 
-and bilateral lower lobes.  Levoquin was administered prior to 
-admission for possible infiltrate.  Prior to transfer, VS: 97.8, 
-180/70, 57, 17, 98% ra.   
-.  
-On the floor, patient feels well.  She states her pain had 
-resolved completley after NG at ___'s office. She has no further 
-complaints.  She denies any recent or past known aspiration 
-events. She had no recent travel, no sick or animal exposures 
-and denies any history of TB or industrial exposures.  
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, chest pain {Chest pain}, constant {Constant pain}, left-sided {Left sided chest pain}, burning sensation {Burning sensation}, radiates {Radiating pain}, Pain {Pain}, worsening {Increased pain}, pain {Pain}, weakness {Asthenia}, fatigue {Fatigue}, worse {Patient's condition worsened}, left arm {Left upper arm structure}, exertion {Chest pain on exertion}, pain {Pain}, heartburn {Heartburn}, general weakness {Asthenia}, fatigue {Fatigue}, mild {Symptom mild}, DOE {Dyspnea on exertion}, nausea {Nausea}, diaphoresis {Excessive sweating}, No fevers {Temperature normal}, sweats {Sweating}, rigors {Rigor}, chills {Chill}, PCP {Primary care management}, PCP {Primary care management}, relief {Pain relief}, Aspirin {Administration of aspirin}, referred to the ED {Referral to accident and emergency service}, workup {Evaluation procedure}, chest pain {Chest pain}, pain {Pain}, pain {Pain}, heart {Heart structure}, PTCA {Percutaneous transluminal coronary angioplasty}, difficult to control HTN {Poor hypertension control}, Vitals {Vital signs finding}, Labs {Laboratory test}, leukocytosis {Leukocytosis}, cardiac enzymes {Finding of cardiac enzyme levels}, EKG {Electrocardiographic procedure}, CXR {Plain chest X-ray}, left basilar {Structure of lower lobe of left lung}, atelectasis {Atelectasis}, infiltrate {Infiltration}, CTA chest {Computed tomography of chest}, aortic dissection {Dissection of aorta}, bronchiectasis {Bronchiectasis}, right middle lobe {Structure of middle lobe of right lung}, bilateral {Both lungs}, lower lobes {Structure of lower lobe of lung}, infiltrate {Infiltration}, patient feels well {Patient feels well}, pain {Pain}, resolved {Problem resolved}, aspiration {Aspiration}, travel {Travel abroad}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- HTN  
-- Pneumonia ___ years ago treated as out patient  
-- ? of cardiac ""event"" - see HPI.  
-- s/p left salpingectomy > ___ years ago.  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, Pneumonia {Pneumonia}, cardiac {Heart disease}, left salpingectomy {Left salpingectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-- Mother died of ""heart attack"" at age ___  
-- Father had MI at age ___  
-- no siblings or biological children  
-
- 
-
-###RESPONSE: died {Dead}, heart attack {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission 
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:  
-VS - Temp 96.1 F, 161/79 BP , HR 57 , R 18 , 97 O2-sat % RA  
-GENERAL - well-appearing in NAD, comfortable, appropriate  
-HEENT - NC/AT, PERRLA, EOMI, sclerae anicteric, MMM, OP clear  
-NECK - supple, no thyromegaly, no JVD, no carotid bruits  
-CHEST: some reproducible pain in left paravertebral area, mild 
-scoliosis  
-LUNGS - CTA bilat, no r/rh/wh, good air movement, resp 
-unlabored, no accessory muscle use  
-HEART - PMI is hyperdynamic but not displaced, RRR, no MRG, a 
-third heart sound is heard possibly S4.  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, DPs) 
- 
-SKIN - no rashes or lesions  
-LYMPH - no cervical, axillary, or inguinal LAD  
-NEURO - awake, A&Ox3, CNs II-XII grossly intact, muscle strength 
-___ throughout, sensation grossly intact throughout, DTRs 2+ and 
-symmetric, cerebellar exam intact.  
-. 
-Discharge Physical Exam:  
-VS: 97.3 136/74 55 18 97%RA  
-GENERAL - well-appearing in NAD, comfortable  
-NECK - supple, no JVD, no carotid bruits  
-CHEST: non-tender to palpation  
-LUNGS - mild dry crackles in bases, good air movement, resp 
-unlabored  
-HEART - RRR, no MRG  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, DPs) 
- 
-SKIN - no rashes or lesions  
-LYMPH - no cervical, axillary, or inguinal LAD  
-NEURO - awake, A&Ox3, CNs II-XII grossly intact, muscle strength 
-___ throughout, sensation grossly intact throughout, DTRs 2+ and 
-symmetric, cerebellar exam intact.  
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, O2-sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, comfortable {Comfortable appearance}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, thyromegaly {Goiter}, JVD {Jugular venous engorgement}, carotid bruits {Carotid bruit}, pain {Pain}, left {Structure of left half of chest wall}, paravertebral {Structure of paravertebral region}, mild {Symptom mild}, scoliosis {Scoliosis deformity of spine}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, rh/wh {Wheeze - rhonchi}, good air movement {Breath normal}, resp 
-unlabored {Breathing easily}, accessory muscle {Accessory skeletal muscle}, HEART {Cardiovascular physical examination}, PMI {Finding of apex beat}, hyperdynamic {Hyperdynamic circulation}, displaced {Apex beat displaced}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, third heart sound {Third heart sound}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, no c/c/e {No abnormality detected}, 2+ peripheral pulses {Peripheral pulse present}, radials {Radial pulse present}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, cervical {Cervical lymphadenopathy}, axillary {Axillary lymphadenopathy}, LAD {Lymphadenopathy}, NEURO {Neurological examination}, awake {Awake}, Ox3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, muscle strength {Normal muscle function}, sensation grossly intact {Normal sensation}, DTRs 2 {Normal tendon reflex}, exam {Physical examination procedure}, Physical Exam {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, comfortable {Comfortable appearance}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, carotid bruits {Carotid bruit}, non-tender {Abdominal tenderness}, palpation {Palpation}, LUNGS {Examination of respiratory system}, mild {Symptom mild}, crackles {Respiratory crackles}, bases {Structure of base of lung}, good air movement {Breath normal}, resp 
-unlabored {Breathing easily}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, no c/c/e {No abnormality detected}, 2+ peripheral pulses {Peripheral pulse present}, radials {Radial pulse present}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, cervical {Cervical lymphadenopathy}, axillary {Axillary lymphadenopathy}, LAD {Lymphadenopathy}, NEURO {Neurological examination}, awake {Awake}, Ox3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, muscle strength {Normal muscle function}, sensation grossly intact {Normal sensation}, DTRs 2 {Normal tendon reflex}, exam {Physical examination procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs:  
-___ 07:06PM BLOOD WBC-5.4 RBC-3.72* Hgb-11.2* Hct-33.6* 
-MCV-90 MCH-30.0 MCHC-33.3 RDW-13.2 Plt ___
-___ 04:32PM BLOOD Glucose-125* UreaN-20 Creat-1.1 Na-141 
-K-4.0 Cl-104 HCO3-26 AnGap-15
-___ 04:32PM BLOOD LD(LDH)-186
-___ 10:45PM BLOOD Cholest-204*
-___ 10:45PM BLOOD Triglyc-67 HDL-63 CHOL/HD-3.2 LDLcalc-128
-___ 04:32PM BLOOD %HbA1c-5.5 eAG-111
-___ 07:20PM BLOOD Lactate-1.0
-. 
-Discharge Labs:  
-___ 06:25AM BLOOD WBC-5.6 RBC-3.65* Hgb-11.1* Hct-32.8* 
-MCV-90 MCH-30.3 MCHC-33.7 RDW-13.1 Plt ___
-___ 06:25AM BLOOD Glucose-94 UreaN-32* Creat-1.1 Na-144 
-K-3.5 Cl-108 HCO3-28 AnGap-12
-___ 06:25AM BLOOD Calcium-9.2 Phos-4.4 Mg-1.8
-. 
-Cardiac Enzyme trend:  
-___ 04:32PM BLOOD cTropnT-<0.01
-___ 10:45PM BLOOD cTropnT-<0.01
-___ 06:25AM BLOOD CK-MB-2 cTropnT-<0.01
-. 
-Urine:  
-___ 04:33PM URINE Color-Straw Appear-Clear Sp ___
-___ 04:33PM URINE Blood-NEG Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-NEG
-___ 4:33 pm URINE CULTURE (Final ___:    NO GROWTH. 
-. 
-CXR ___:  
-Findings: PA and lateral view of the chest, no prior. There is 
-subtle left 
-basilar opacity, potentially atelectasis, however, infiltrate is 
-not excluded. In addition, there is a 7-mm nodular opacity 
-projecting in the suprahilar region on the left. Elsewhere, the 
-lungs are grossly clear, costophrenic angles are sharp. The 
-cardiomediastinal silhouette is within normal limits.  Osseous 
-and soft tissue structures are unremarkable. 
-IMPRESSION: Left basilar atelectasis versus infiltrate. Possible 
-left 
-suprahilar nodule. These findings can be followed up on the 
-upcoming chest 
-CT, which has been ordered. 
-. 
-CTA chest/abdomen/pelvis ___:  
-1. No evidence of aortic dissection. 
-2. Bilateral adrenal nodules measuring 10 mm on the left and 8 
-mm on the 
-right, incompletely characterized on this single phase study. 
-Further 
-evaluation could be performed with an adrenal protocol CT or MR. 
-
-3. Extensive bronchiectasis with associated reticulation and 
-ground glass 
-opacity in the basilar aspects of the right middle lobe and both 
-lower lobes, possibly secondary to chronic aspiration or prior 
-infection, although an intrinsic lung process, such as 
-non-specific interstitial fibrosis, cannot be excluded. 
-4. Right renal simple cyst. Additional left renal tiny 
-hypodensities are too small to characterize, but are 
-statistically simple cysts. 
-5. Small quantity of free fluid in the dependent portion of the 
-pelvis is a nonspecific finding, but not typically seen in a 
-female patient of this age. 
-6. Moderate lumbar spinal stenosis at L3-L4 and L4-L5. 
-. 
-Cardiac Perfusion Persantine ___:  
-The image quality is adequate but limited due to soft tissue and 
-breast 
-attenuation. There is activity adjacent to the heart in the 
-stress images. 
-Left ventricular cavity size is normal.  Rest and stress 
-perfusion images reveal uniform tracer uptake throughout the 
-left ventricular myocardium.  
-Gated images reveal normal wall motion.  The calculated left 
-ventricular ejection fraction is 57% with an EDV of 102 ml. 
-. 
-Stress Portion ___:  No anginal type symptoms or ischemic ECG 
-changes. 
-. 
-MRI head ___:  
-1. There is no evidence of acute or subacute intracranial 
-pathology. 
-2. A few foci of high signal intensity are identified in the 
-subcortical 
-white matter of the right frontal region, which are nonspecific 
-and may 
-represent chronic microvascular ischemic changes. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, LDH {Lactate dehydrogenase measurement}, Cholest {Cholesterol measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, LDLcalc {Calculated low density lipoprotein cholesterol level}, HbA1c {Hemoglobin A1c measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, Lactate {Lactic acid measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Cardiac Enzyme {Cardiac enzymes/isoenzymes measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Urine {Urinalysis}, URINE Color-Straw {Normal urine color}, Appear-Clear {Urine looks clear}, URINE Blood {Urine blood test}, NEG {No abnormality detected}, Nitrite-NEG {Nitrite not detected in urine}, Protein-NEG {Urine protein not detected}, Glucose-NEG {Urine glucose not detected}, Ketone-NEG {Urine ketones not detected}, NEG {No abnormality detected}, Urobiln-NEG {Urine urobilinogen not detected}, pH {pH measurement}, Leuks-NEG {Urine leukocytes not detected}, URINE CULTURE {Urine culture}, NO GROWTH {No organism isolated by microbiologic culture}, CXR {Plain chest X-ray}, PA and lateral view of the chest {Plain chest X-ray}, left 
-basilar {Structure of lower lobe of left lung}, opacity {Abnormally opaque structure}, atelectasis {Atelectasis}, infiltrate {Infiltration}, nodular {Nodule of lung}, opacity {Abnormally opaque structure}, region on the left {Structure of hilar lymph node}, lungs {Lung structure}, clear {Normal lung}, costophrenic angles {Structure of costophrenic angle}, cardiomediastinal {Mediastinal structure}, normal {No abnormality detected}, Osseous {Bone structure}, soft tissue {Structure of soft tissue}, unremarkable {Imaging result normal}, Left basilar {Structure of lower lobe of left lung}, atelectasis {Atelectasis}, infiltrate {Infiltration}, left {Left lung structure}, nodule {Nodule}, abdomen/pelvis {Computed tomography of abdomen and pelvis}, No evidence {No abnormality detected}, aortic dissection {Dissection of aorta}, Bilateral adrenal {Bilateral adrenal glands}, nodules {Nodule}, left {Structure of left adrenal gland}, right {Structure of right adrenal gland}, study {Evaluation procedure}, evaluation {Evaluation procedure}, bronchiectasis {Bronchiectasis}, opacity {Abnormally opaque structure}, basilar {Structure of base of lung}, right middle lobe {Structure of middle lobe of right lung}, lower lobes {Structure of lower lobe of lung}, chronic {Chronic disease}, aspiration {Aspiration pneumonia}, infection {Infectious disease}, lung {Lung structure}, interstitial fibrosis {Interstitial fibrosis}, Right {Right kidney structure}, renal {Kidney structure}, simple cyst {Simple cyst}, left renal {Left kidney structure}, simple cysts {Simple cyst}, free fluid {Effusion}, pelvis {Structure of pelvis}, Moderate {Symptom moderate}, lumbar spinal stenosis {Spinal stenosis of lumbar region}, L4-L5 {Intervertebral disc structure of fourth lumbar vertebra}, soft tissue {Structure of soft tissue}, breast {Breast structure}, heart {Heart structure}, stress {Radionuclide myocardial perfusion stress study}, Left ventricular cavity {Structure of cavity of left cardiac ventricle}, size is normal {Normal size}, stress 
-perfusion images {Radionuclide myocardial perfusion stress study}, left ventricular myocardium {Structure of myocardium of left ventricle}, normal wall motion {Normal ventricular wall motion}, left 
-ventricular {Left cardiac ventricular structure}, Stress {Radionuclide myocardial perfusion stress study}, anginal {Angina}, ischemic {Ischemia}, ECG {Electrocardiographic procedure}, MRI head {Magnetic resonance imaging of head}, no evidence {No abnormality detected}, intracranial {Intracranial structure}, white matter {Cerebral white matter structure}, right frontal region {Right frontal lobe structure}, chronic {Chronic disease}, microvascular {Structure of small blood vessel (organ)}, ischemic changes {Ischemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old woman with a history of HTN admitted with 1 week of 
-chest pain, hospitalization complicated by dizziness.  
-.  
-# Chest pain: Patient presented to the emergency department with 
-a week of left-sided stabbing, burning chest pain that radiates 
-to the back.  In the emergency department, she was ruled out for 
-myocardial infarction by enzymes and EKG.  She underwent CTA 
-chest/abdomen/pelvis, that did not show evidence of pulmonary 
-embolism or aortic dissection.  Stress test was performed given 
-the patient's risk factors that showed normal myocardial 
-perfusion and function, and absence of cardiac symptoms with 
-stress.  CT did show extensive bronchiectasis and ground glass 
-opacities, likely representing ___ syndrome in the 
-context of the patient's chest pain, associated with fatigue and 
-malaise.  Given absence of fevers and cough, there is no 
-indication for antibiotic therapy.  The patient should undergo 
-follow-up CT in 3 months to evaluate for evolving ground glass 
-opacities.   
-.  
-# Dizziness: During admission, patient endorsed 2 weeks of 
-dizziness that occurred with sudden onset.  She had no focal 
-neurologic deficits on exam.  MRI brain did not show evidence of 
-an acute cerebral process.  Orthostatics were negative and the 
-patient was not bradycardic.  However, given the patient's 
-description of symptoms and borderline-low blood pressure, 
-labetalol was decreased to 200 mg BID.  The patient was seen by 
-physical therapy, and was found to be safe to discharge home.  
-.  
-# Bilateral adrenal nodules: Incidental finding on CT. ___ be of 
-concern given history of difficult-to-control hypertension.  The 
-patient will need dedicated adrenal imaging as an outpatient.  
-___ consider functional adrenal studies to evaluate for cause of 
-poorly-controlled hypertension.  
-.  
-# normocytic anemia: Patient admitted with mild normocytic 
-anemia without known baseline.  Anemia remained stable 
-throughout admission.  No evidence of bleed.  The patient should 
-follow up with her primary care physician regarding her anemia.  
-
-.
-# HTN: chronic.  The patient was normotensive to mildly 
-hypotensive during admission on home regimen of lisinopril and 
-labetalol.  Prior to discharge, the patient's labetalol was 
-decreased to 200 mg BID.  She remained normotensive.  She should 
-follow up with her PCP for ___ blood pressure check on discharge.  
-
-.  
-# CODE: full code  
-================================================================
-TRANSITIONAL ISSUES:
-# Patient should undergo repeat CT chest in 3 months (___) to 
-evaluate ground glass opacities 
-# Patient should undergo dedicated adrenal imaging to evaluate 
-bilateral adrenal nodules.  ___ consider functional studies of 
-nodules.   
-# Patient should follow up with PCP for BP check, as labetalol 
-was decreased on admission.  
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, dizziness {Dizziness}, Chest pain {Chest pain}, emergency {Emergency treatment management}, left-sided {Left sided chest pain}, stabbing {Stabbing pain}, burning chest pain {Burning chest pain}, radiates {Radiating pain}, emergency {Emergency treatment management}, myocardial infarction {Myocardial infarction}, EKG {Electrocardiographic procedure}, CTA 
-chest {Computed tomography angiography of chest with contrast}, abdomen/pelvis {Computed tomography of abdomen and pelvis}, pulmonary 
-embolism {Pulmonary embolism}, aortic dissection {Dissection of aorta}, Stress test {Radionuclide myocardial perfusion stress study}, normal myocardial 
-perfusion {Myocardial perfusion normal}, cardiac {Heart structure}, stress {Radionuclide myocardial perfusion stress study}, bronchiectasis {Bronchiectasis}, ground glass 
-opacities {Ground glass lung opacity}, syndrome {Disease}, chest pain {Chest pain}, fatigue {Fatigue}, malaise {Malaise}, fevers {Fever}, cough {Cough}, antibiotic therapy {Antibiotic therapy}, follow-up {Follow-up arranged}, evaluate {Evaluation procedure}, ground glass 
-opacities {Ground glass lung opacity}, Dizziness {Dizziness}, dizziness {Dizziness}, neurologic deficits {Neurological deficit}, exam {Evaluation procedure}, MRI brain {Magnetic resonance imaging of brain}, Orthostatics {Orthostatic hypotension}, negative {No pathologic diagnosis}, bradycardic {Bradycardia}, low blood pressure {Low blood pressure}, physical therapy {Physical therapy procedure}, Bilateral adrenal {Bilateral adrenal glands}, nodules {Nodule}, difficult-to-control hypertension {Poor hypertension control}, adrenal imaging {Adrenal imaging}, studies {Evaluation procedure}, evaluate {Evaluation procedure}, poorly-controlled hypertension. {Poor hypertension control}, normocytic anemia {Normocytic anemia}, mild {Symptom mild}, normocytic 
-anemia {Normocytic anemia}, baseline {Baseline state}, Anemia {Anemia}, stable {Patient's condition stable}, No evidence {No abnormality detected}, bleed {Hemorrhage}, follow up {Follow-up arranged}, primary care {Primary care management}, anemia {Anemia}, HTN {Hypertensive disorder, systemic arterial}, chronic {Chronic disease}, normotensive {Normal blood pressure}, hypotensive {Low blood pressure}, regimen {Therapeutic regimen}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, normotensive {Normal blood pressure}, follow up {Follow-up arranged}, PCP {Primary care management}, blood pressure {Finding of increased blood pressure}, CT chest {Computed tomography of chest}, evaluate {Evaluation procedure}, ground glass opacities {Ground glass lung opacity}, adrenal imaging {Adrenal imaging}, evaluate {Evaluation procedure}, bilateral adrenal {Bilateral adrenal glands}, nodules {Nodule}, studies {Evaluation procedure}, nodules {Thyroid nodule}, follow up {Follow-up arranged}, PCP {Primary care management}, BP check {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Lisinopril 40mg daily  
-2. Labetolol 400mg BOD  
-3. Aspirin 81mg daily 
-
- 
-Discharge Medications:
-1. lisinopril 40 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*90 Tablet(s)* Refills:*0*
-2. labetalol 200 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).
-Disp:*180 Tablet(s)* Refills:*0*
-3. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:  atypical chest pain, dizziness   
-SECONDARY DIAGNOSIS: Hypertension, bilateral adrenal nodules, 
-normocytic anemia 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: atypical chest pain {Atypical chest pain}, dizziness {Dizziness}, Hypertension {Hypertensive disorder, systemic arterial}, bilateral adrena {Bilateral adrenal glands}, nodules {Nodule}, normocytic anemia {Normocytic anemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___, 
-.
-You were admitted to the hospital with two weeks of left-sided 
-chest pain.  On CT scan, you were found to have changes in your 
-lung, concerning for an infection that does not need treatment 
-with antibiotics at this time.  You were also found to have 
-small nodules in your adrenal glands.  Your chest pain resolved. 
- You should follow up with your primary care physician for ___ 
-repeat CT scan in 3 months to evaluate for changes in your lung 
-findings and adrenal glands.  You had a stress test that showed 
-no acute problems with your heart.  During your hospitalization, 
-you were also noted to have dizziness and a feeling of weakness 
-in your left leg.  We did not note any weakness on physical 
-exam.  You underwent an MRI that showed no evidence of acute 
-stroke.  You were seen by physical therapy who recommended that 
-you walk with a walker (given to you during admission) at all 
-times.  You should follow up with your PCP on discharge.  
-. 
-Medications changed this admission:  
-DECREASE labetalol to 200 mg twice daily   
- 
-
-###RESPONSE: left-sided 
-chest pain {Left sided chest pain}, CT scan {Computed tomography}, lung {Lung structure}, infection {Infectious disease}, antibiotics {Antibiotic therapy}, nodules {Nodule}, adrenal glands {Bilateral adrenal glands}, chest {Chest pain}, pain resolved {No present pain}, primary care {Primary care management}, CT scan {Computed tomography}, evaluate {Evaluation procedure}, lung 
-findings {Lung finding}, adrenal glands {Bilateral adrenal glands}, stress test {Cardiovascular stress testing}, no acute {No abnormality detected}, problems {Problem}, heart {Heart structure}, dizziness {Dizziness}, weakness {Asthenia}, left leg {Structure of left lower limb}, weakness {Asthenia}, physical 
-exam {Physical examination procedure}, MRI {Magnetic resonance imaging of head}, no evidence {No abnormality detected}, stroke {Cerebrovascular accident}, physical therapy {Physical therapy procedure}, walker {Uses zimmer frame}, PCP {Primary care management}, Medications changed {Change of medication}, DECREASE {Medication decreased}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-Cardiac catheterization with two DES ___
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}, Cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is ___ ___ with history of HTN, HLD p/w exertional 
-chest pain. 
-
-She first noticed central chest burning with walking 2 weeks 
-ago. Since then she has had chest burning with exertion almost 
-every day. No associated dyspnea, diaphoresis, nausea. She was 
-evaluated at ___'s office today and was found to have new ECG 
-changes (poor R wave progression, T wave flattening V4,5,6). She 
-received got full dose ASA and was sent to ED for further 
-evaluation. 
-
-Of not she has no previous history of chest pain. No recent 
-fevers/chills, abdominal pain, or dyspnea. 
-
-In the ED, intial vitals were: 98.3 67 135/94 16 98% RA  
-Labs/studies notable for: Trop 0.02
-
-UA notable for leukocytosis with 17 WBCs. Normal CBC and 
-electrolytes. Guaiac negative. 
-
-Atrius on call cardiology was consulted from the ED. Per their 
-recommendations, she was started on heparin drip and admitted to 
-cardiology for unstable angina, consideration of cardiac 
-catheterization. 
-
-Of note, she is followed by Dr. ___. Previous ECG in 
-___ showed LVH and small inferior Q waves. She had stress 
-echo ___ with exercise duration of 9:27 without angina (beta 
-blocker was held by patient for the test). ECG response was 
-non-diagnostic without ischemia. Mild LVH was noted.
- 
-On the floor she reported no chest pain.  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, exertional 
-chest pain. {Chest pain on exertion}, chest burning {Burning chest pain}, chest burning {Burning chest pain}, dyspnea {Dyspnea}, diaphoresis {Excessive sweating}, nausea {Nausea}, evaluation {Evaluation procedure}, chest pain {Chest pain}, fevers {Fever}, chills {Chill}, abdominal pain {Abdominal pain}, dyspnea {Dyspnea}, UA {Urinalysis}, leukocytosis {Leukocytosis}, unstable angina {Preinfarction syndrome}, cardiac 
-catheterization {Cardiac catheterization}, stress 
-echo ___ {Stress echocardiography}, exercise {Exercises}, angina {Angina}, ischemia {Ischemia}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN
-h/o diverticulitis 
-Glaucoma
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, diverticulitis {Diverticulitis}, Glaucoma {Glaucoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Diabetes mother, father.
-Maternal grandmother CAD/PVD; Diabetes - Unknown Type; 
-Hyperlipidemia; Hypertension; Stroke
-Sister breast cancer  
- 
-
-###RESPONSE: Diabetes {Diabetes mellitus}, CAD {Coronary arteriosclerosis}, Diabetes {Diabetes mellitus}, Hyperlipidemia {Hyperlipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, Stroke {Cerebrovascular accident}, breast cancer {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAMINATION:  
-VS: 98.2 160/90 74 18 99%ra  wt 71kg 
-GENERAL: NAD. Oriented x3. Mood, affect appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthelasma.  
-
-NECK: no elev JVP  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No murmurs/rubs/gallops. No thrills, 
-lifts. 
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. No crackles, wheezes or 
-rhonchi.  
-ABDOMEN: Soft, NTND. No HSM or tenderness.  
-EXTREMITIES: No c/c/e. No femoral bruits.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES:  Distal pulses palpable and symmetric
-
-DISCHARGE PHYSICAL EXAMINATION:  
-VS: 99.4 98.7 113/68 80 20 98RA
-GENERAL: NAD. Oriented x3. Mood, affect appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthelasma.  
-
-NECK: no elev JVP  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No murmurs/rubs/gallops. No thrills, 
-lifts. 
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. No crackles, wheezes or 
-rhonchi.  
-ABDOMEN: Soft, NTND. No HSM or tenderness.  
-EXTREMITIES: No c/c/e. No femoral bruits.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. 
-PULSES:  Distal pulses palpable and symmetric
- 
-
-###RESPONSE: PHYSICAL EXAMINATION {Physical examination procedure}, VS {Vital signs finding}, GENERAL {General examination of patient}, NAD {No abnormality detected}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthelasma {Xanthelasma}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, thrills {Thrill}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, EXTREMITIES {Examination of limb}, femoral bruits {Femoral bruit}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, pulses {Normal pulse}, PHYSICAL EXAMINATION {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthelasma {Xanthelasma}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, thrills {Thrill}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, EXTREMITIES {Examination of limb}, femoral bruits {Femoral bruit}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, pulses {Normal pulse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-SELECTED LABORATORY TESTS:
-___ 04:56PM BLOOD WBC-5.0 RBC-4.67 Hgb-13.0 Hct-38.9 MCV-83 
-MCH-27.9 MCHC-33.4 RDW-13.8 Plt ___
-___ 05:10AM BLOOD WBC-5.3 RBC-4.41 Hgb-12.2 Hct-36.3 MCV-82 
-MCH-27.7 MCHC-33.6 RDW-13.4 Plt ___
-___ 04:56PM BLOOD Neuts-30.4* Lymphs-61.4* Monos-4.8 
-Eos-2.5 Baso-0.9
-___ 04:56PM BLOOD ___ PTT-29.8 ___
-___ 04:56PM BLOOD Glucose-162* UreaN-14 Creat-0.9 Na-142 
-K-3.9 Cl-103 HCO3-25 AnGap-18
-___ 05:10AM BLOOD Glucose-102* UreaN-19 Creat-0.9 Na-141 
-K-4.0 Cl-105 HCO3-26 AnGap-14
-___ 05:10AM BLOOD CK(CPK)-131
-___ 04:56PM BLOOD cTropnT-0.02*
-___ 05:10AM BLOOD CK-MB-2 cTropnT-0.02*
-___ 11:00AM BLOOD cTropnT-0.01
-___ 07:15PM BLOOD CK-MB-6 cTropnT-0.08*
-___ 05:05AM BLOOD CK-MB-25* MB Indx-8.5* cTropnT-0.17*
-___ 11:00AM BLOOD CK-MB-21* MB Indx-6.8* cTropnT-0.19*
-___ 05:10AM BLOOD CK-MB-7 cTropnT-0.23*
-___ 05:10AM BLOOD Calcium-9.7 Phos-4.0 Mg-2.1
-
-CXR ___: No acute cardiopulmonary abnormality
- 
-
-###RESPONSE: LABORATORY TESTS {Laboratory test}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CXR {Plain chest X-ray}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is ___ ___ with history of HTN, HLD now presenting with 
-exertional chest pain. 
-
-She had increasing frequency of exertional chest pain, with 
-office EKG showing T wave flattening. Troponin 0.02 in ED. She 
-underwent cardiac catheterization on ___. She was noted to have 
-proximal RCA 100% focal stenosis, (3.8x18 DES) and mid RCA 80% 
-tubular stenosis (3x30 DES). Catheterization also demonstrated 
-LAD ___ proximal stenosis, first diagonal 50-60% proximal 
-stenosis. She was subsequently continued on clopidogrel, 
-aspirin, atorvastatin, and atenolol. Troponin and CK-MB was 
-elevated in the post-procedural setting with subsequent 
-normalization of CK-MB suggesting resolving cardiac injury.
-
-TRANSITION ISSUES:
-- She will need close followup in the post-procedural setting 
-for unstable angina
-- She will benefit from cardiac rehabilitation
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, exertional chest pain {Chest pain on exertion}, exertional chest pain {Chest pain on exertion}, cardiac catheterization {Cardiac catheterization}, stenosis {Stenosis}, stenosis {Stenosis}, Catheterization {Catheterization}, LAD {Structure of anterior descending branch of left coronary artery}, stenosis {Stenosis}, stenosis {Stenosis}, injury {Traumatic or non-traumatic injury}, unstable angina {Preinfarction syndrome}, cardiac rehabilitation {Cardiac rehabilitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Amlodipine 2.5 mg PO DAILY 
-2. Atenolol 50 mg PO DAILY 
-3. Atorvastatin 20 mg PO QPM 
-
- 
-Discharge Medications:
-1. Atenolol 50 mg PO DAILY 
-2. Atorvastatin 80 mg PO QPM 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth Once every evening 
-Disp #*30 Tablet Refills:*0
-3. Aspirin 81 mg PO DAILY 
-RX *aspirin 81 mg 1 tablet(s) by mouth Once a day Disp #*30 
-Tablet Refills:*0
-4. Clopidogrel 75 mg PO DAILY 
-RX *clopidogrel 75 mg 1 tablet(s) by mouth Once a day Disp #*30 
-Tablet Refills:*0
-5. Lisinopril 2.5 mg PO DAILY 
-RX *lisinopril 2.5 mg 1 tablet(s) by mouth Once a day Disp #*30 
-Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:
-Unstable angina, complete occlusion of RCA
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Unstable angina {Preinfarction syndrome}, occlusion {Complete obstruction}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure being part of your care at ___. You were 
-admitted to the hospital due to chest pain and concerning 
-findings on EKG. You had cardiac catheterization which showed 
-blockage of the blood vessels in the heart. A stent was placed. 
-You were monitored after the procedure and were found to be safe 
-for discharge.
-
-After discharge please follow up with your outpatient providers 
-as described below.
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac catheterization {Cardiac catheterization}, blood vessels {Blood vessel structure}, heart {Heart structure}, procedure {Procedure}, follow up {Follow-up status}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.             Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Darvon / lisinopril
- 
-Attending: ___
- 
-Chief Complaint:
-Dyspnea
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Darvon {Allergy to dextropropoxyphene}, lisinopril {Non-allergic hypersensitivity to angiotensin-converting enzyme inhibitor}, Dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with PMHx of COPD, OSA on CPAP, current smoker, and HTN 
-presenting with increasing shortness of breath, cough, and chest 
-tightness similar to prior COPD exacerbations.
-
-Patient was in her USOH until a couple of weeks ago when she 
-developed a cold (rhinorrhea, cough, sinus pressure, etc.). She 
-reports that at that time she also started to have some 
-worsening dyspnea and whezzing. She called her pulmonologist 
-(Dr. ___ and was prescribed a short course of prednisone. She 
-got slightly better when she again noticed the return of her 
-symptoms over the last week. She also noted that her cough which 
-is usually dry or productive of clear/white sputum had become 
-productive of yellow/green sputum. She also developed worsening 
-wheezing and chest tightness. Compounding her issues, she ran 
-out of her home nebulizer treatments which she thought had been 
-helping to keep her symptoms at bay. Denied fevers, abdominal 
-pain, vomiting, diarrhea, constipation, or myalgias. Reports 
-mild chills and nausea. She then decided to come into the ___ 
-ED for evaluation.  
- 
-In the ED:  
-Initial vital signs were notable for T 98.9, HR 86, BP 142/96, 
-RR 40, O2 92% on RA.  
-
-Labs were notable for:  
-- WBC 12.9, Hbg 10.6  
-- VBG pH 7.39, pCO2 51, O2sat 95  
-- Chemistries, renal function wnl, troponin neg x 1 CXR showed a 
-subtle increase in opacity at the right lung base, which could 
-be due to overlapping structures, but could not exclude definite 
-consolidation.  
-
-Patient was given:  
-- 500mg IV azithromycin  
-- 40mg PO prednisone  
-- Duonebs  
-
-The pt triggered in the ED for tachypnea and chest tightness, 
-with respiratory rates in the ___. Both the pt's tachypnea and 
-symptoms improved after administration of duonebs. She was 
-admitted to the medicine service for further management.  
-
-Upon arrival to the floor, the patient was breathing comfortably 
-and said that her SOB seemed to have improved after the 
-nebulizer treatments in the ED. She was hungry and requested 
-dinner. 
- 
-Regarding the pt's relevant pulmonary history, recent pulmonary 
-function tests demonstrate features of moderate obstruction. She 
-has an FEV1 of 42% predicted with an FVC of 53% predicted ratio 
-62%. She continues to smoke cigarettes daily but is down to 
-about one cig every other day.  
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, OSA {Obstructive sleep apnea syndrome}, CPAP {Continuous positive airway pressure ventilation treatment}, current smoker {Smoker}, HTN {Hypertensive disorder, systemic arterial}, increasing {Patient's condition worsened}, shortness of breath {Dyspnea}, cough {Cough}, chest 
-tightness {Tight chest}, COPD exacerbations {Acute exacerbation of chronic obstructive airways disease}, cold {Common cold}, rhinorrhea {Nasal discharge}, cough {Cough}, sinus pressure {Sensation of nasal sinus pressure}, worsening {Patient's condition worsened}, dyspnea {Dyspnea}, whezzing {Wheezing}, called {Informing doctor}, cough {Cough}, dry {Dry cough}, clear {Productive cough -clear sputum}, white sputum {White sputum}, yellow {Productive cough-yellow sputum}, green sputum {Productive cough -green sputum}, worsening {Patient's condition worsened}, wheezing {Wheezing}, chest tightness {Tight chest}, nebulizer treatments {Nebulizer therapy}, fevers {Fever}, abdominal 
-pain {Abdominal pain}, vomiting {Vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, myalgias {Muscle pain}, mild {Symptom mild}, chills {Chill}, nausea {Nausea}, evaluation {Evaluation procedure}, vital signs {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, WBC {White blood cell count}, Hbg {Measurement of total hemoglobin concentration}, VBG {Blood gases, venous measurement}, pH {pH measurement}, pCO2 {Measurement of venous partial pressure of carbon dioxide}, O2sat {Venous oxygen saturation measurement}, renal function wnl {Renal function tests within reference range}, troponin {Troponin measurement}, neg {No abnormality detected}, CXR {Plain chest X-ray}, opacity {Abnormally opaque structure}, right lung base {Structure of base of right lung}, overlapping structures {Overriding structures}, consolidation {Lung consolidation}, azithromycin {Antibiotic therapy}, tachypnea {Tachypnea}, chest tightness {Tight chest}, respiratory rates {Finding of rate of respiration}, tachypnea {Tachypnea}, improved {Patient's condition improved}, breathing comfortably {Breathing easily}, SOB {Dyspnea}, improved {Patient's condition improved}, nebulizer treatments {Nebulizer therapy}, hungry {Hungry}, pulmonary {Respiratory tract structure}, pulmonary 
-function tests {Measurement of respiratory function}, moderate {Symptom moderate}, obstruction {Finding of respiratory obstruction}, smoke {Smoker}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
- - DMII  
- - HTN  
- - COPD  
- - Asthma  
- - Anxiety/Depression  
- - Osteoarthritis  
- - IBS  
- - Seasonal allergies  
- - Hx of EtOH use disorder
- - Obesity  
- - OSA  
- - Thyroid mass 
- 
-
-###RESPONSE: DMII {Diabetes mellitus type 2}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, Asthma {Asthma}, Anxiety/Depression {Mixed anxiety and depressive disorder}, Osteoarthritis {Osteoarthritis}, IBS {Irritable bowel syndrome}, Seasonal allergies {Seasonal allergy}, EtOH use disorder {Alcoholism}, Obesity {Obesity}, OSA {Obstructive sleep apnea syndrome}, Thyroid mass {Mass of thyroid gland}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-- Mother with T2DM 
-- Father with T2DM
-- Sister with HTN  
-- Unknown cancers in grandparents on both sides 
- 
-
-###RESPONSE: T2DM {Diabetes mellitus type 2}, T2DM {Diabetes mellitus type 2}, HTN {Hypertensive disorder, systemic arterial}, cancers {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-========================
-VITALS: 98.1 137 / 85 76 18 96 2L nc   
-GENERAL: Pleasant F in NAD. At times w/ some dyspnea while 
-speaking during interview 
-HEENT: NCAT, MMM 
-CARDIAC: Heart sounds distant, RRR, no m/r/g  
-LUNGS: Decreased breath sounds throughout, no significant 
-wheezing   
-ABDOMEN: Obese, soft, NT/ND, BS+
-EXTREMITIES: WWP, no c/c/e  
-NEUROLOGIC: AAOx3, grossly intact
-
-DISCHARGE PHYSICAL EXAM:
-========================
-GENERAL: Sitting on edge of bed in NAD
-HEENT: NCAT, MMM, R lobe of thyroid enlarged 
-CARDIAC: RRR, no m/r/g  
-LUNGS: coarse breath sounds b/l, no wheezes, breathing
-comfortably on room air
-ABDOMEN: obese, soft, NT/ND, BS+
-EXTREMITIES: WWP, bilateral 2+ nonpitting edema L>R
-NEUROLOGIC: AAOx3, no focal deficits
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VITALS {Vital signs finding}, 2L nc {Oxygen administration by nasal cannula}, GENERAL {General examination of patient}, NAD {No abnormality detected}, dyspnea {Dyspnea}, HEENT {Physical examination procedure}, NC {Normal head}, MMM {Moist oral mucosa}, CARDIAC {Cardiovascular physical examination}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, LUNGS {Examination of respiratory system}, Decreased breath sounds {Decreased breath sounds}, wheezing {Wheezing}, ABDOMEN {Examination of abdomen}, Obese {Obese}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS+ {Normal bowel sounds}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, no c/c/e {No abnormality detected}, NEURO {Neurological examination}, GI {Examination of digestive system}, Ox3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, RA {Breathing room air}, Sitting {Sitting position}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NCAT {Normal head}, MMM {Moist oral mucosa}, R lobe {Structure of right lobe of thyroid gland}, thyroid enlarged {Goiter}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, LUNGS {Examination of respiratory system}, breath sounds {Finding of breath sounds}, wheezes {Wheezing}, breathing
-comfortably on room air {Breathing easily}, ABDOMEN {Examination of abdomen}, obese {Obese}, soft {Abdomen soft}, BS+ {Normal bowel sounds}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, bilateral {Edema of bilateral lower limbs}, edema {Edema}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, no focal deficits {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 04:49PM BLOOD WBC-12.9* RBC-4.36 Hgb-10.6* Hct-36.8 
-MCV-84 MCH-24.3* MCHC-28.8* RDW-16.7* RDWSD-51.1* Plt ___
-___ 04:49PM BLOOD Neuts-68.6 ___ Monos-7.8 Eos-2.6 
-Baso-0.3 Im ___ AbsNeut-8.84* AbsLymp-2.59 AbsMono-1.01* 
-AbsEos-0.34 AbsBaso-0.04
-___ 04:49PM BLOOD Glucose-96 UreaN-9 Creat-0.7 Na-143 K-5.0 
-Cl-103 HCO3-29 AnGap-11
-___ 04:49PM BLOOD cTropnT-<0.01
-___ 04:59PM BLOOD ___ pO2-132* pCO2-51* pH-7.39 
-calTCO2-32* Base XS-5
-___ 04:59PM BLOOD O2 Sat-95
-
-PERTINENT LABS:
-===============
-___ 08:31AM BLOOD proBNP-35
-
-IMAGING:
-========
-___ CXR Portable
-IMPRESSION:  
-Subtle increase in opacity at the right lung base may be due to 
-overlap of 
-structures, but underlying consolidation is difficult to 
-exclude. Consider 
-dedicated PA and lateral views if/when patient able, for better 
-evaluation.
-
-___ CXR PA/Lateral
-IMPRESSION:  
-Cardiomediastinal silhouette is within normal limits.  On the 
-prior study, there was suggestion of an opacity at the right 
-base; however, on today's study, this is not present.  There is 
-mild prominence of the pulmonary interstitial markings 
-suggestive of mild pulmonary edema.  No definite consolidation 
-or pneumothoraces are seen.
-
-___ LENIs
-IMPRESSION:  
-No evidence of deep venous thrombosis in the right or left lower 
-extremity veins. No evidence of medial popliteal fossa (___) 
-cyst. 
-
-___ Thyroid Ultrasound
-IMPRESSION:
-1. Numerous confluent nodules in the right lobe suggest an 
-overall stable 
-appearance although specific measurements are difficult to 
-obtain due to 
-differences in scanning technique. 
-2. Two left lobe nodules are minimally increased in size 
-compared to the prior ultrasound.  No new worrisome nodule is 
-identified within the thyroid gland. 
-
-MICRO:
-======
-___ BCx x2: NGTD
-
-DISCHARGE LABS:
-===============
-___ 05:30AM BLOOD WBC-16.8* RBC-3.92 Hgb-9.4* Hct-33.1* 
-MCV-84 MCH-24.0* MCHC-28.4* RDW-16.9* RDWSD-51.9* Plt ___
-___ 05:30AM BLOOD Glucose-157* UreaN-19 Creat-0.8 Na-141 
-K-4.6 Cl-102 HCO3-30 AnGap-9*
-___ 05:30AM BLOOD Calcium-10.7* Phos-3.5 Mg-2.1
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, pO2 {Measurement of partial pressure of oxygen in blood}, pCO2 {Measurement of partial pressure of carbon dioxide in blood}, pH {pH measurement}, calTCO2 {Blood total carbon dioxide (calculated)}, Base XS {Delta base, blood}, O2 Sat {Oxygen saturation measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, CXR {Plain chest X-ray}, Portable {Portable X-ray}, opacity {Abnormally opaque structure}, right lung base {Structure of base of right lung}, consolidation {Lung consolidation}, lateral {Diagnostic radiography of chest, lateral}, evaluation {Evaluation procedure}, CXR PA/Lateral {Diagnostic radiography of chest, combined posteroanterior and lateral}, Cardiomediastinal {Mediastinal structure}, normal {Normal appearance}, study {Evaluation procedure}, opacity {Abnormally opaque structure}, right 
-base {Structure of base of right lung}, study {Evaluation procedure}, mild {Symptom mild}, pulmonary {Lung structure}, mild {Symptom mild}, pulmonary edema {Pulmonary edema}, consolidation {Lung consolidation}, pneumothoraces {Pneumothorax}, No evidence {No abnormality detected}, deep venous thrombosis {Deep venous thrombosis}, right {Structure of vein of right lower limb}, left lower 
-extremity veins {Structure of vein of left lower limb}, No evidence {No abnormality detected}, medial {Structure of medial aspect of knee}, popliteal fossa {Popliteal fossa structure}, cyst {Cyst}, Thyroid Ultrasound {Ultrasound scan of thyroid}, nodules {Thyroid nodule}, right lobe {Structure of right lobe of thyroid gland}, stable 
-appearance {Patient's condition stable}, measurements {Measurement procedure}, left lobe {Structure of left lobe of thyroid gland}, nodules {Thyroid nodule}, increased in size {Increased size}, ultrasound {Ultrasonography}, nodule {Thyroid nodule}, thyroid gland {Thyroid structure}, BCx {Blood culture}, NGTD {No abnormality detected}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ year old woman with a history of COPD, OSA 
-on CPAP, current smoking, and HTN who presented with increasing 
-shortness of breath, cough, and chest tightness similar to prior 
-COPD exacerbations. 
- 
-ACUTE ISSUES:  
-============== 
-#COPD EXACERBATION: 
-Ms. ___ presented with dyspnea, cough with changes in 
-sputum production, and chest tightness consistent with her prior 
-COPD exacerbations. This episode was likely triggered by a 
-recent URI and unfortunately exacerbated by her running out of 
-her home nebulizer treatments. CXR PA/lateral did not 
-demonstrate overlying pneumonia and flu swab was negative. She 
-was initiated on a 5 day course of PO prednisone 40mg and 
-azithromycin (___), treated with duonebs and albuterol, and 
-managed symptomatically for her cough.
-
-#LOWER EXTREMITY EDEMA:
-Ms. ___ also endorsed bilateral non-pitting edema, left 
-worse than right, for one week. LENIs were negative for DVT or 
-popliteal fossa cyst. There were no other signs of volume 
-overload on exam, and her BNP was 35. The edema could be an 
-amlodipine side effect, though would not expect asymmetry and 
-she has been on this medication (at the same dosage) for 
-multiple years.
-
-STABLE ISSUES:  
-===============  
-#THYROID MASS:
-Previously noted to be benign per biopsy results at ___, however 
-increasing in size per review of OMR. Ms. ___ was due to 
-have repeat thyroid U/S roughly 6 months ago, but had yet to 
-receive it in the outpatient setting. Therefore the study was 
-performed while the patient was admitted. This demonstrated 
-""Numerous confluent nodules in the right lobe suggest an overall 
-stable appearance although specific measurements are difficult 
-to obtain due to differences in scanning technique. Two left 
-lobe nodules are minimally increased in size compared to the 
-prior ultrasound.  No new worrisome nodule is identified within 
-the thyroid gland."" Patient to follow up with PCP regarding 
-these findings.
-
-#CODE: Full (presumed)  
-#CONTACT: ___ (sister) - ___
-
-TRANSITIONAL ISSUES:
-=====================
-[ ] Requires PCP ___ of thyroid ultrasound findings
-[ ] Can consider discontinuing amlodipine to see if lower 
-extremity edema resolves.
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, OSA {Obstructive sleep apnea syndrome}, CPAP {Continuous positive airway pressure ventilation treatment}, smoking {Smoker}, HTN {Hypertensive disorder, systemic arterial}, increasing {Patient's condition worsened}, shortness of breath {Dyspnea}, cough {Cough}, chest tightness {Tight chest}, COPD exacerbations {Acute exacerbation of chronic obstructive airways disease}, COPD EXACERBATION {Acute exacerbation of chronic obstructive airways disease}, dyspnea {Dyspnea}, cough {Cough}, sputum production {Productive cough}, chest tightness {Tight chest}, COPD exacerbations {Acute exacerbation of chronic obstructive airways disease}, URI {Upper respiratory infection}, nebulizer treatments {Nebulizer therapy}, CXR PA/lateral {Diagnostic radiography of chest, combined posteroanterior and lateral}, pneumonia {Pneumonia}, negative {No pathologic diagnosis}, azithromycin {Antibiotic therapy}, cough {Cough}, bilateral {Edema of bilateral lower limbs}, non-pitting edema {Non-pitting edema}, left {Structure of left lower limb}, worse {Patient's condition worsened}, right {Structure of right lower limb}, negative {No pathologic diagnosis}, DVT {Deep venous thrombosis}, popliteal fossa {Popliteal fossa structure}, cyst {Cyst}, signs {Sign}, volume 
-overload {Hypervolemia}, exam {Cardiovascular investigation}, BNP {Brain natriuretic peptide measurement}, edema {Edema}, side effect {Medication side effects present}, medication {Administration of drug or medicament}, benign {Benign neoplasm of thyroid gland}, biopsy {Biopsy of thyroid}, increasing in size {Increased size}, thyroid U/S {Ultrasound scan of thyroid}, study {Evaluation procedure}, nodules {Thyroid nodule}, right lobe {Structure of right lobe of thyroid gland}, stable appearance {Patient's condition stable}, measurements {Measurement procedure}, left 
-lobe {Structure of left lobe of thyroid gland}, nodules {Thyroid nodule}, increased in size {Increased size}, ultrasound {Ultrasound scan of thyroid}, nodule {Thyroid nodule}, thyroid gland {Thyroid structure}, PCP {Primary care management}, thyroid {Ultrasound scan of thyroid}, ultrasound findings {Ultrasound scan finding}, lower 
-extremity edema {Edema of lower extremity}, resolves {Problem resolved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Amlodipine 10 mg PO DAILY 
-2. Atorvastatin 40 mg PO QPM 
-3. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-4. Ipratropium-Albuterol Neb 1 NEB NEB Q6H:PRN SOB/wheeze 
-5. Losartan Potassium 100 mg PO DAILY 
-6. Sertraline 125 mg PO DAILY 
-7. Albuterol Inhaler ___ PUFF IH Q4H:PRN cough/wheezing 
-8. ammonium lactate 12 % topical DAILY 
-9. BuPROPion XL (Once Daily) 150 mg PO DAILY 
-10. diclofenac sodium 1 % topical BID 
-11. Gabapentin 300 mg PO TID 
-12. MetFORMIN XR (Glucophage XR) 500 mg PO DAILY 
-13. Tiotropium Bromide 1 CAP IH DAILY 
-14. Aspirin 81 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Benzonatate 100 mg PO TID:PRN Cough 
-RX *benzonatate 100 mg 1 capsule(s) by mouth Three times per day 
-Disp #*45 Capsule Refills:*0 
-2.  Guaifenesin-Dextromethorphan 5 mL PO Q6H:PRN Cough 
-RX *dextromethorphan-guaifenesin [Adult Cough Formula DM Max] 
-200 mg-10 mg/5 mL 5 mL by mouth Every 6 hours as needed Disp #*1 
-Bottle Refills:*0 
-3.  Albuterol Inhaler ___ PUFF IH Q4H:PRN cough/wheezing 
-RX *albuterol sulfate [ProAir HFA] 90 mcg ___ puffs IH every 4 
-to 6 hours Disp #*1 Inhaler Refills:*0 
-4.  Amlodipine 10 mg PO DAILY  
-5.  ammonium lactate 12 % topical DAILY  
-6.  Aspirin 81 mg PO DAILY  
-7.  Atorvastatin 40 mg PO QPM  
-8.  BuPROPion XL (Once Daily) 150 mg PO DAILY  
-9.  diclofenac sodium 1 % topical BID  
-10.  Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID  
-11.  Gabapentin 300 mg PO TID  
-12.  Ipratropium-Albuterol Neb 1 NEB NEB Q6H:PRN SOB/wheeze  
-13.  Losartan Potassium 100 mg PO DAILY  
-14.  MetFORMIN XR (Glucophage XR) 500 mg PO DAILY 
-Do Not Crush  
-15.  Sertraline 125 mg PO DAILY  
-16.  Tiotropium Bromide 1 CAP IH DAILY  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-#Chronic Obstructive Pulmonary Disease Exacerbation
-
-Secondary Diagnosis:
-#Thyroid Mass
-#Bilateral Lower Extremity Edema
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Chronic Obstructive Pulmonary Disease Exacerbation {Acute exacerbation of chronic obstructive airways disease}, Thyroid Mass {Mass of thyroid gland}, Bilateral Lower Extremity Edema {Edema of bilateral lower limbs}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you at the ___ 
-___.
-
-Why did you come to the hospital?
-- You came to the hospital because you were having a cough and 
-shortness of breath.
-
-What did you receive in the hospital?
-- You were treated for a COPD exacerbation with steroids and 
-antibiotics.
-- You had an ultrasound of your thyroid which did not show any 
-new worrisome nodules.
-
-What should you do once you leave the hospital?
-- Please take all of your medications as prescribed and attend 
-all of your follow up appointments as scheduled.
-
-We wish you all the best!
-- Your ___ Care Team
- 
-
-###RESPONSE: cough {Cough}, shortness of breath {Dyspnea}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, steroids {Steroid therapy}, antibiotics {Antibiotic therapy}, ultrasound of your thyroid {Ultrasound scan of thyroid}, nodules {Thyroid nodule}, take all of your medications as prescribed {Patient medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Levofloxacin / gabapentin
- 
-Attending: ___.
- 
-Chief Complaint:
-cough, dyspnea
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Levofloxacin {Allergy to levofloxacin}, gabapentin {Allergy to gabapentin}, cough {Cough}, dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is an ___ y/o M with a PMHx of COPD not on home O2, 
-CKD baseline Cr 2.8, CAD, heart block with pacemaker placement, 
-BPH and NIDDM who p/w with shortness of breath for ___ days. 
-Patient notes a productive cough with greenish sputum as well as 
-malaise. At baseline he is able to ambulate long distances but 
-recently, has been slowly getting short of breath, which got 
-worse on day of admission when even getting to the bathroom was 
-taxing. He reports chills but no fever or rigors. He checked his 
-temperature at home which was not elevated. He denies chest 
-pain, abdominal pain, dysuria, rhinorrhea, myalgias or 
-headaches. In the ED, initial VS were 98.9 75 183/70 18 100% RA. 
-Exam significant for diffuse wheezing with good air movement and 
-oxygen saturations in 97-100% on 3L. Labs significant for K 5.4, 
-Cr 3.1 (baseline 2.8), WBC 9.6, H/H 12.3/36.8. Flu A/B PCR 
-positive for Influenza A. CXR significant for possible 
-superimposed consolidation at the right lung base. The patient 
-received albuterol/ipatropium nebs, ceftriaxone 1 g IV, 
-azithromycin 500 mg PO, and 60 mg PO prednisone. On transfer to 
-the floor, patient was febrile to 100.6 80 185/75 18 98% 2L 
-Nasal Cannula. On arrival to the floor, his dyspnea is improved 
-after breathing treatments. Patient reports significant cough 
-even at rest. He reports getting winded just talking for long 
-periods of time.   
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, home O2 {Home oxygen therapy}, CKD {Chronic kidney disease}, baseline {Baseline state}, Cr {Creatine measurement}, CAD {Coronary arteriosclerosis}, heart block {Heart block}, pacemaker placement {Implantation of cardiac pacemaker}, BPH {Benign prostatic hyperplasia}, NIDDM {Diabetes mellitus type 2}, shortness of breath {Dyspnea}, productive cough {Productive cough}, greenish sputum {Productive cough -green sputum}, malaise {Malaise}, baseline {Baseline state}, able to ambulate {Able to walk}, short of breath {Dyspnea}, worse {Patient's condition worsened}, chills {Chill}, no fever {Temperature normal}, rigors {Rigor}, checked his 
-temperature {Monitoring of patient temperature}, not elevated {Temperature normal}, chest 
-pain {Chest pain}, abdominal pain {Abdominal pain}, dysuria {Dysuria}, rhinorrhea {Nasal discharge}, myalgias {Muscle pain}, headaches {Headache}, Exam {Physical examination procedure}, wheezing {Wheezing}, good air movement {Breath normal}, oxygen saturations {Finding of oxygen saturation}, Labs {Laboratory test}, K {Blood potassium measurement}, Cr {Creatine measurement}, baseline {Baseline state}, WBC {White blood cell count}, H/H {Measurement of total hemoglobin concentration and hematocrit}, Flu A/B PCR {Analysis using quantitative fluorescent polymerase chain reaction technique}, Influenza A {Influenza A virus present}, CXR {Plain chest X-ray}, consolidation {Lung consolidation}, right lung base {Structure of base of right lung}, nebs {Nebulizer therapy}, azithromycin {Antibiotic therapy}, prednisone {Steroid therapy}, febrile {Fever}, Nasal Cannula {Oxygen administration by nasal cannula}, dyspnea {Dyspnea}, improved {Patient's condition improved}, breathing treatments {Inhalation therapy procedure}, cough {Cough}, at rest {Cough at rest}, winded {Winded}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-DM (diabetes mellitus), type 2, uncontrolled, with renal 
-complications  
-Abdominal aortic aneurysm  
-Back pain  
-Hypertension  
-Pacemaker for heart block  
-Vitamin B 12 deficiency  
-Chronic kidney disease (CKD), stage IV (severe)  
-SPINAL STENOSIS, UNSPEC SITE  
-CORONARY ARTERY DISEASE, UNSPEC VESSEL TYPE  
-COPD 
-BPH
-GERD
-Hypercholesterolemia
-Asbestosis
-Macular degeneration
-Iron deficiency anemia
-s/p left TKR
-s/p carotid endarterectomy
-
- 
-
-###RESPONSE: DM (diabetes mellitus), type 2, uncontrolled {Type II diabetes mellitus uncontrolled}, renal 
-complications {Renal disorder due to type 2 diabetes mellitus}, Abdominal aortic aneurysm {Abdominal aortic aneurysm}, Back pain {Backache}, Hypertension {Hypertensive disorder, systemic arterial}, Pacemaker {Implantation of cardiac pacemaker}, heart block {Heart block}, Vitamin B 12 deficiency {Cobalamin deficiency}, Chronic kidney disease {Chronic kidney disease}, CKD), stage IV {Chronic kidney disease stage 4}, SPINAL STENOSIS {Spinal stenosis}, CORONARY ARTERY DISEASE {Coronary arteriosclerosis}, COPD {Chronic obstructive lung disease}, BPH {Benign prostatic hyperplasia}, GERD {Gastroesophageal reflux disease}, Hypercholesterolemia {Hypercholesterolemia}, Asbestosis {Asbestosis}, Macular degeneration {Degenerative disorder of macula}, Iron deficiency anemia {Iron deficiency anemia}, left TKR {Total replacement of left knee joint}, carotid endarterectomy {Carotid endarterectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VS - 98.0 165/63 (165-183/63-79) 71 22 98% 2L NC 
-I/O: -500mL
-GENERAL: Alert and oriented x 3. NAD  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclerae, pink conjunctivae, 
-patent nares, MMM, good dentition, nontender supple neck, no 
-LAD, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: Faint expiratory wheezes with good air entry. Decreased 
-breath sounds in right lung base. 
-ABDOMEN: obese, nontender, nondistended, normoactive BS 
-EXTREMITIES: 1+ pretibial edema. moving all extremities well, no 
-cyanosis,or clubbing PULSES: 2+ DP pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes  
-
-DISCHARGE PHYSICAL EXAM:
-Objective:  
-VS - 98.3 70 18 161/76 96 on 0.5% 
-BG ___ 181
-Wt 92.9<-92.9
-___ 
-GENERAL: Alert and oriented x 3. NAD  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclerae, pink conjunctivae, 
-patent nares, MMM, good dentition, nontender supple neck, no 
-LAD, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: CTAB. No wheezes, rhonchi. 
-ABDOMEN: obese, nontender, nondistended, normoactive BS 
-EXTREMITIES: 2+ pitting edema to ankles; moving all extremities 
-well, no cyanosis,or clubbing 
-PULSES: 2+ DP pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, NC {Normal head}, I/O {Measuring intake and output}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclerae {White sclera}, pink conjunctivae {Conjunctiva normal}, nares {Structure of anterior naris}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, nontender {Abdominal tenderness}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, wheezes {Wheezing}, good {Normal breath sounds}, air entry {Audible inspiration}, Decreased 
-breath sounds {Decreased breath sounds}, right lung base {Structure of base of right lung}, ABDOMEN {Examination of abdomen}, obese {Obese}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, normoactive BS {Normal bowel sounds}, EXTREMITIES {Examination of limb}, edema {Edema}, all extremities {All extremities}, cyanosis {Cyanosis}, clubbing {Clubbing}, PULSES {Pulse finding}, 2+ DP pulses {Dorsalis pulse present}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}, VS {Vital signs finding}, RA {Breathing room air}, Alert {Mentally alert}, oriented x 3 {Oriented to person, time and place}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclerae {White sclera}, pink conjunctivae {Conjunctiva normal}, nares {Structure of anterior naris}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, nontender {Tenderness of neck}, supple neck {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1/S2 {Heart sounds normal}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, obese {Obese}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, normoactive BS {Normal bowel sounds}, EXTREMITIES {Examination of limb}, edema {Edema}, ankles {Ankle edema}, moving all extremities {Does move all four limbs}, cyanosis {Cyanosis}, clubbing {Clubbing}, PULSES {Pulse finding}, 2+ DP pulses {Dorsalis pulse present}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 02:55PM BLOOD WBC-9.6 RBC-4.05* Hgb-12.3* Hct-36.8* 
-MCV-91 MCH-30.5 MCHC-33.6 RDW-14.3 Plt ___
-___ 02:55PM BLOOD Neuts-91.8* Lymphs-3.3* Monos-2.6 Eos-2.0 
-Baso-0.2
-___ 02:55PM BLOOD Glucose-164* UreaN-45* Creat-3.1* Na-142 
-K-5.4* Cl-107 HCO3-24 AnGap-16
-___ 07:30AM BLOOD proBNP-3750*
-___ 07:30AM BLOOD Calcium-8.7 Phos-3.9 Mg-1.8
-
-IMAGING:
-___ CXR  
-Calcified pleural plaques. Although there is no prior to assess 
-for interval change, there is suspected superimposed 
-consolidation at the right lung base which could represent 
-pneumonia. Correlation with prior exams would be helpful to 
-assess for interval change. Followup will be necessary.  
-
-EKG ___ per Atrius  
-Underlying sinus rhythm with 1st degree AV block  
-
-PFTS ___  
-FEV1/FVC .62 (87% predicted) 
-
-___ RENAL ULTRASOUND: IMPRESSION: Preliminary 
-Report:Slightly increased parenchymal echogenicity bilaterally 
-may be seen in the setting of chronic renal disease. No 
-hydronephrosis. 
-
-DISCHARGE LABS:
-
-___ 06:20AM BLOOD WBC-7.1 RBC-3.85* Hgb-11.8* Hct-34.4* 
-MCV-89 MCH-30.5 MCHC-34.2 RDW-14.0 Plt ___
-___ 06:20AM BLOOD Glucose-127* UreaN-70* Creat-3.7* Na-139 
-K-4.5 Cl-105 HCO3-23 AnGap-16
-___ 06:20AM BLOOD Calcium-9.0 Phos-3.8 Mg-2.___ year old male with hx of COPD p/w with increased shortness of 
-breath. He was found to have influenza, COPD exacerbation, ___ 
-on CKD and lower extremity edema. He was treated with 
-oseltamivir, prednisone, and azithromcyin. He left against 
-medical advice one day prior to planned discharge. 
-
-# Influenza/pneumonia: Patient presented with fever, cough with 
-green sputum and flu positivity with CXR suggesting right lung 
-consolidation. Patient received ceftriaxone and azithromycin in 
-the ED for bacterial pneumonia/COPD exacerbation and was started 
-on Oseltamivir for influenza. Given that patient appeared 
-clinically well without elevated wbc, ceftriaxone was 
-discontinued (as bacterial pneumonia was less suspected). His 
-cough improved with treatment. He was unable to be weaned off of 
-supplemental O2 (ambulatory saturation on discharge 86%) and he 
-was discharged with supplemental O2. Lingering O2 requirment 
-likely due to infection in setting of COPD. 
-
-# Acute on chronic kidney injury: Most likely due to obstruction 
-secondary to BPH. Admission creatinine was 3.1, up from a 
-baseline of 2.8. FeNA was 11%, consistent with obstruction. 
-Patient had good urine output, so he did not have foley placed. 
-Renal ultrasound showed no hydronephrosis. Cr continued to 
-uptrend and stabilized at 3.7. FeUrea on day of discharge was 
-53%, suggestive of more of an intrinsic pathology - likely ATN 
-secondary to obstructive acute kidney injury. He also had 
-increased UOP, suggestive of post-ATN diuresis. 
-
- # Lower extremity edema: Patient presented with 3+ pitting 
-edema to the knees bilaterally. He does not have a history of 
-congestive heart failure but BNP was elevated to 3750, which is 
-consistent with heart failure diagnosis. Patient received IVFs 
-on admission which may have further exacerbated the issue. No 
-evidence to suggest heart failure causing his dyspnea symptoms. 
-No lasix was given due to ___, however, patient autodiuresed and 
-swelling was minimal on discharge. He should have outpatient 
-echocardiogram. 
-
-# Nausea: Patient had onset of nausea and difficulty tolerating 
-PO. He reported that this sometimes occurs at home. He was given 
-reglan and a GI cocktail with little effect. Most likely due to 
-oseltamivir side effect vs, less likely, gastroparesis. Patient 
-was tolerating clears when he left against medical advice. 
-
-# COPD with acute exacerbation: Patient has a history of COPD 
-not on home O2. His presentation was also consistent with a COPD 
-exacerbation. He received steroids and azithromycin in the ED. 
-He continued PO prednisone for a planned 5 day total course. He 
-was unable to be weaned off of supplemental O2 (ambulatory 
-saturation on discharge 86%) and he was discharged with 
-supplemental O2. Lingering O2 requirment likely due to infection 
-in setting of COPD. 
-
-# Hyperkalemia: Likely from CKD. This was within normal limits 
-on discharge. 
-
-# Type 2 DM (diabetes mellitus), noninsulin dependent: Last 
-HbA1C 6.5 in ___. Patient on glimepiride at home. 
-Glimepiride was held on admission but restarted on discharge.  
-
-# Hypertension: He continued home labetalol and amlodipine. 
-
-# CAD: He continued home aspirin and statin.  
-
-# BPH: He continued home finasteride and tamsulosin 
-
-TRANSITIONAL ISSUES:
--Discharge weight: 92.9 kg
--Needs TTE to evaluate new CHF
--Patient will continue prednisone 40mg, azithromycin and 
-oseltamivir until ___ need to increase Tamsulosin given symptoms of BPH causing 
-___
--Patient's blood glucoses elevated while on prednisone 
--Patient was started on preventative COPD medications
--Patient will need oxygen on discharge given drop in sats while 
-ambulating.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CXR {Plain chest X-ray}, Calcified {Pathologic calcification, calcified structure}, pleural plaques {Pleural plaque}, consolidation {Lung consolidation}, right lung base {Structure of base of right lung}, pneumonia {Pneumonia}, exams {Evaluation procedure}, EKG {Electrocardiographic procedure}, sinus rhythm {Sinus rhythm}, 1st degree AV block {First degree atrioventricular block}, PFTS {Measurement of respiratory function}, FVC {Finding of forced vital capacity}, RENAL ULTRASOUND {Echography of kidney}, chronic renal disease {Chronic kidney disease}, hydronephrosis {Hydronephrosis}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, COPD {Chronic obstructive lung disease}, increased {Patient's condition worsened}, shortness of 
-breath {Dyspnea}, influenza {Influenza}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, CKD {Chronic kidney disease}, lower extremity edema {Edema of lower extremity}, prednisone {Steroid therapy}, azithromcyin {Antibiotic therapy}, left against 
-medical advice {Left against medical advice}, Influenza {Influenza}, pneumonia {Pneumonia}, fever {Fever}, cough {Productive cough}, green sputum {Productive cough -green sputum}, CXR {Plain chest X-ray}, right {Right lung structure}, lung 
-consolidation {Lung consolidation}, azithromycin {Antibiotic therapy}, bacterial pneumonia {Bacterial pneumonia}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, started {New medication added}, influenza {Influenza}, elevated wbc {White blood cell count outside reference range}, discontinued {Recommendation to stop drug treatment}, bacterial pneumonia {Bacterial pneumonia}, cough {Cough}, improved with treatment {Good therapeutic response}, O2 {Oxygen therapy}, saturation {Finding of oxygen saturation}, O2 {Oxygen therapy}, infection {Infectious disease}, COPD {Chronic obstructive lung disease}, Acute on chronic kidney injury {Acute-on-chronic renal failure}, obstruction {Urinary tract obstruction}, BPH {Benign prostatic hyperplasia}, creatinine {Creatinine measurement}, baseline {Baseline state}, FeNA {Measurement of fractional excretion of sodium}, obstruction {Urinary tract obstruction}, good urine output {Increased urine output}, foley placed {Catheterization of urinary bladder}, Renal ultrasound {Echography of kidney}, hydronephrosis {Hydronephrosis}, Cr {Creatine measurement}, uptrend {Serum creatinine above reference range}, ATN {Acute tubular necrosis}, obstructive {Urinary tract obstruction}, acute kidney injury {Acute kidney injury}, increased UOP {Increased urine output}, ATN {Acute tubular necrosis}, diuresis {Diuresis}, Lower extremity edema {Edema of lower extremity}, 3+ pitting 
-edema {3+ pitting edema}, knees {Edema of knee}, congestive heart failure {Congestive heart failure}, BNP {Brain natriuretic peptide measurement}, elevated {Complement level above reference range}, heart failure {Heart failure}, IVFs {Administration of intravenous fluids}, No 
-evidence {No abnormality detected}, heart failure {Heart failure}, dyspnea {Dyspnea}, lasix {Diuretic therapy}, autodiuresed {Increased urine output}, swelling {Swelling}, minimal {Symptom mild}, echocardiogram {Echocardiography}, Nausea {Nausea}, nausea {Nausea}, tolerating {Tolerating diet}, side effect {Medication side effects present}, gastroparesis {Gastroparesis}, tolerating clears {Tolerating oral fluid}, left against medical advice {Left against medical advice}, COPD {Chronic obstructive lung disease}, acute exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD {Chronic obstructive lung disease}, home O2 {Home oxygen therapy}, COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, steroids {Steroid therapy}, azithromycin {Antibiotic therapy}, prednisone {Steroid therapy}, O2 {Oxygen therapy}, saturation {Finding of oxygen saturation}, O2 {Oxygen therapy}, infection {Infectious disease}, COPD {Chronic obstructive lung disease}, Hyperkalemia {Hyperkalemia}, CKD {Chronic kidney disease}, normal {Serum potassium level within reference range}, Type 2 DM (diabetes mellitus) {Diabetes mellitus type 2}, HbA1C {Hemoglobin A1c measurement}, held {Recommendation to stop drug treatment}, restarted {Restart of medication}, Hypertension {Hypertensive disorder, systemic arterial}, CAD {Coronary arteriosclerosis}, aspirin {Administration of aspirin}, statin {Administration of prophylactic statin}, BPH {Benign prostatic hyperplasia}, weight {Weight finding}, TTE {Transthoracic echocardiography}, evaluate {Evaluation procedure}, CHF {Congestive heart failure}, prednisone {Steroid therapy}, azithromycin {Antibiotic therapy}, BPH {Benign prostatic hyperplasia}, blood glucoses elevated {Glucose in blood specimen above reference range}, prednisone {Steroid therapy}, started {New medication added}, COPD {Chronic obstructive lung disease}, drop in sats {Oxygen saturation below reference range}, ambulating {Fully mobile}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Calcitriol 0.25 mcg PO EVERY OTHER DAY 
-2. Labetalol 200 mg PO BID 
-3. Pantoprazole 40 mg PO Q12H 
-4. Pravastatin 40 mg PO QPM 
-5. Amlodipine 5 mg PO DAILY 
-6. Tamsulosin 0.4 mg PO DAILY 
-7. glimepiride 1 mg oral BID 
-8. Finasteride 5 mg PO DAILY 
-9. Oxycodone-Acetaminophen (5mg-325mg) 1 TAB PO Q8H:PRN Pain 
-10. Cyanocobalamin 1000 mcg PO DAILY 
-11. Ocuvite (vit C-vit E-lutein-min-om-3) 150-30-5-150 
-mg-unit-mg-mg oral daily 
-12. Aspirin 81 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Amlodipine 5 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. Calcitriol 0.25 mcg PO EVERY OTHER DAY 
-4. Cyanocobalamin 1000 mcg PO DAILY 
-5. Finasteride 5 mg PO DAILY 
-6. Labetalol 200 mg PO BID 
-7. Oxycodone-Acetaminophen (5mg-325mg) 1 TAB PO Q8H:PRN Pain 
-8. Pantoprazole 40 mg PO Q12H 
-9. Pravastatin 40 mg PO QPM 
-10. Tamsulosin 0.4 mg PO DAILY 
-11. Azithromycin 250 mg PO Q24H 
-RX *azithromycin 250 mg 1 tablet(s) by mouth daily Disp #*1 
-Tablet Refills:*0
-12. OSELTAMivir 30 mg PO Q24H Duration: 4 Days 
-RX *oseltamivir [Tamiflu] 30 mg 1 capsule(s) by mouth daily Disp 
-#*1 Capsule Refills:*0
-13. PredniSONE 40 mg PO DAILY Duration: 4 Days 
-RX *prednisone 20 mg 2 tablet(s) by mouth daily Disp #*2 Tablet 
-Refills:*0
-14. Tessalon Perles (benzonatate) 100 mg ORAL TID:PRN cough 
-RX *benzonatate 100 mg 1 capsule(s) by mouth TID PRN Disp #*30 
-Capsule Refills:*0
-15. glimepiride 1 mg ORAL BID 
-16. Ocuvite (vit C-vit E-lutein-min-om-3) 150-30-5-150 
-mg-unit-mg-mg oral daily 
-17. Symbicort (budesonide-formoterol) 160-4.5 mcg/actuation 
-inhalation BID 
-RX *budesonide-formoterol [Symbicort] 160 mcg-4.5 mcg/actuation 
-1 160 mcg-4.5 mcg inhaled twice a day Disp #*1 Inhaler 
-Refills:*0
-18. Albuterol Inhaler 2 PUFF IH Q4H:PRN shortness of breath, 
-wheezing 
-RX *albuterol sulfate [ProAir HFA] 90 mcg 2 puffs inhaled Q4H 
-PRN Disp #*1 Inhaler Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary diagnosis:
-Influenza
-Pneumonia
-
-Secondary diagnosis:
-___ on CKD
-Lower extremity edema
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Influenza {Influenza}, Pneumonia {Pneumonia}, CKD {Chronic kidney disease}, Lower extremity edema {Edema of lower extremity}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were admitted to ___ with shortness of breath and cough 
-and found to have the flu with superimposed pneumonia. You also 
-had a COPD exacerbation. You were treated for these and your 
-symptoms improved. You also had acute kidney injury which was 
-thought to be from your enlarged prostate. 
-
-Given the swelling in your legs, there is concern for a 
-condition in your heart called congestive heart failure. You 
-should talk to your primary care doctor about the next steps in 
-treatment. You may need to get an ultrasound of your heart to 
-get a better look at your heart. 
-
-It is very important that you finish taking all of your 
-medications and follow-up with your primary care doctor on ___. 
-
-
-Despite our recommendation to stay an extra night in the 
-hospital, you left ___ against our medical advice. 
-
-It was a pleasure taking care of you, 
-Your ___ Doctors
- 
-___ Instructions:
-___
-
-###RESPONSE: shortness of breath {Dyspnea}, cough {Cough}, pneumonia {Pneumonia}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, improved {Patient's condition improved}, acute kidney injury {Acute kidney injury}, enlarged prostate {Large prostate}, swelling {Edema of lower extremity}, legs {Lower limb structure}, heart {Heart structure}, congestive heart failure {Congestive heart failure}, primary care {Primary care management}, ultrasound of your heart {Echocardiography}, heart {Heart structure}, finish taking all of your 
-medications {Patient medication education}, follow-up {Follow-up arranged}, primary care {Primary care management}, recommendation to {Recommendation to continue with treatment}, against our medical advice {Left against medical advice}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___           Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest Pain
- 
-Major Surgical or Invasive Procedure:
-___: Left heart cath
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest Pain {Chest pain}, Left heart cath {Catheterization of left heart}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-The majority of the history of obtained through the patient's 
-son and chart review as the patient does not speak ___.  
-Mr. ___ is a ___ year old gentleman with history of CAD s/p 
-3v CABG in ___, HTN, HLD, DM type II who presents with chest 
-pain.  
-Substernal chest pain, ___, per patient's son similar to the 
-pain that lead to his CABG started last night associated with 
-palpitations, diaporesis and dyspnea. The severe pain lasted ___ 
-hrs. It improved overnight to ___. He was having difficulty 
-sleeping last night because of the pain. He didn't tell anyone 
-until his son came back home from work today. Today he tried to 
-go down some stairs in his 2 story house and became very 
-dyspenic and felt palpitations.  
-His son took him to ___ where initial vitals were 
-97.3, 76, ___. Significant labs include WBC 13.3. 
-BUN/Cr ___. Trop I 0.160 (ref range ___, BNP 58. CXR 
-there without acute processes. EKG shows LVH but otherwise no 
-evidence of ischemia. He was given ASA 325mg, Nitro SL x 2 and 
-Nitro paste with resolution of symptoms and correction of 
-hypertension. Vital sign prior to transfer to ___ 134/86 64 16 
-100%RA.  
-In the ED intial vitals were: 96.9 70 150/78 18 99% 0  
-Labs: 11.3 WBC with 12.7% eos. BUN/Cr ___.  
-Patient was given: nitro SL x2 with and nitro paste at the OSH 
-and morphine 5mg IV once in the ED. Trop <0.01.  
-Vitals on transfer: 98 72 120/72 16 97% RA  
-On the floor patient currently without chest pain.  
- 
-
-###RESPONSE: does not speak {Does not speak}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, DM type II {Diabetes mellitus type 2}, chest 
-pain {Chest pain}, Substernal chest pain {Retrosternal pain}, pain {Pain}, CABG {Coronary artery bypass grafting}, palpitations {Palpitations}, diaporesis {Excessive sweating}, dyspnea {Dyspnea}, severe pain {Severe pain}, improved {Patient's condition improved}, difficulty 
-sleeping {Difficulty sleeping}, pain {Pain}, dyspenic {Dyspnea}, palpitations {Palpitations}, labs {Laboratory test}, WBC {White blood cell count}, BUN/Cr {Blood urea nitrogen/creatinine ratio}, Trop I {Troponin I measurement}, BNP {Brain natriuretic peptide measurement}, CXR {Plain chest X-ray}, EKG {Electrocardiographic procedure}, LVH {Left ventricular hypertrophy}, no 
-evidence of ischemia {Electrocardiogram: no myocardial ischemia}, ASA {Administration of aspirin}, resolution {Problem resolved}, hypertension {Hypertensive disorder, systemic arterial}, Vital sign {Vital signs finding}, vitals {Vital signs finding}, Labs {Laboratory test}, WBC {White blood cell count}, BUN/Cr {Blood urea nitrogen/creatinine ratio}, Trop {Troponin measurement}, Vitals {Vital signs finding}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL HISTORY:  
-1. CARDIAC RISK FACTORS: Diabetes, Dyslipidemia, Hypertension  
-2. CARDIAC HISTORY:  
-- CABG: 3v CABG in ___. LIMA graft to the LAD and vein grafts 
-to a circumflex marginal and the distal right coronary artery.  
-- PERCUTANEOUS CORONARY INTERVENTIONS: None  
-- PACING/ICD: None  
-3. OTHER PAST MEDICAL HISTORY:  
-CAD - 3 vessel disease s/p CABG  
-HTN  
-DM type II  
-HLD  
-___ disease  
-Macroscopic hematuria  
-Proteinuria  
-cataracts s/p removal of in ___ c/b enucleated eye  
-urinary incontinence  
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Dyslipidemia {Dyslipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, CABG {Coronary artery bypass grafting}, 3v CABG {Coronary artery bypass grafts x 3}, LIMA graft {Internal mammary-coronary artery bypass graft}, LAD {Structure of anterior descending branch of left coronary artery}, vein grafts {Venous graft}, circumflex marginal {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, distal right coronary artery {Structure of distal portion of right coronary artery}, PERCUTANEOUS CORONARY INTERVENTIONS {Percutaneous coronary intervention}, PACING {Cardiac pacing}, ICD {Automatic implantable cardiac defibrillator in situ}, CAD {Coronary arteriosclerosis}, 3 vessel disease {Triple vessel disease of the heart}, CABG {Coronary artery bypass grafting}, HTN {Hypertensive disorder, systemic arterial}, DM type II {Diabetes mellitus type 2}, HLD {Hyperlipidemia}, Macroscopic hematuria {Frank hematuria}, Proteinuria {Proteinuria}, cataracts {Cataract}, urinary incontinence {Urinary incontinence}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father with ?MI at unknown age. Otherwise no known history of 
-arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise 
-non-contributory.  
- 
-
-###RESPONSE: MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, cardiomyopathies {Cardiomyopathy}, sudden cardiac death {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAMINATION:  
-VS: 97.8 77 176/91 20 100%RA  
-GENERAL: NAD  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthelasma.  
-
-NECK: Supple with JVP of 8 cm.  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or 
-S4.  
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB, no crackles, 
-wheezes or rhonchi.  
-ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not 
-enlarged by palpation. No abdominal bruits.  
-EXTREMITIES: No c/c/e. 
-
- 
- 
-
-###RESPONSE: PHYSICAL EXAMINATION {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva were 
-pink {Conjunctiva normal}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthelasma {Xanthelasma}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, PMI {Finding of apex beat}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Precordial heave}, No S3 {Third heart sound, S>3<, inaudible}, S4 {Fourth heart sound, S>4<, inaudible}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, enlarged {Enlargement}, palpation {Palpation}, abdominal bruits {Abdominal bruit}, EXTREMITIES {Examination of limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs
-___ 12:15AM BLOOD WBC-11.3* RBC-4.98 Hgb-13.8* Hct-41.3 
-MCV-83 MCH-27.8 MCHC-33.5 RDW-14.6 Plt ___
-___ 12:15AM BLOOD Neuts-64.1 ___ Monos-3.6 
-Eos-12.7* Baso-0.7
-___ 12:15AM BLOOD ___ PTT-38.8* ___
-___ 12:15AM BLOOD Glucose-146* UreaN-27* Creat-1.4* Na-138 
-K-5.1 Cl-105 HCO3-22 AnGap-16
-___ 12:15AM BLOOD CK(CPK)-98
-___ 12:15AM BLOOD CK-MB-5
-___ 12:15AM BLOOD cTropnT-0.01
-___ 06:00AM BLOOD cTropnT-<0.01
-___ 12:15AM BLOOD Calcium-9.0 Phos-3.1 Mg-2.3
-
-Discharge LAbs: 
-
-Pertinent 
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Studies:
-CT Abd/Pelvis ___
-IMPRESSION: 
-1. Small retroperitoneal hematoma with hemorrhage extending into 
-a right inguinal hernia sac and alongside the right spermatic 
-cord.
-2. Small hiatal hernia.
-3. Calcifications within the pancreas, likely sequela of chronic 
-pancreatitis.
-
-Echo ___:
-The left atrium is normal in size. The estimated right atrial 
-pressure is ___ mmHg. There is mild symmetric left ventricular 
-hypertrophy with normal cavity size and regional/global systolic 
-function (LVEF>55%). Right ventricular chamber size and free 
-wall motion are normal. The diameters of aorta at the sinus, 
-ascending and arch levels are normal. The aortic valve leaflets 
-(3) appear structurally normal with good leaflet excursion and 
-no aortic stenosis or aortic regurgitation. The mitral valve 
-leaflets are mildly thickened. Trivial mitral regurgitation is 
-seen. There is borderline pulmonary artery systolic 
-hypertension. There is no pericardial effusion. 
-
-IMPRESSION: Normal biventricular size and global systolic 
-function. Mild to moderate tricuspid regurgitation.
-
-Compared with the prior study (images reviewed) of ___, 
-the basal inferior wall has normal function on the current 
-study. 
-
-L Heart Cath: 
-Report pending, please see finalized report when available
- 
-
-###RESPONSE: CT Abd/Pelvis {Computed tomography of abdomen and pelvis}, retroperitoneal hematoma {Retroperitoneal hematoma}, hemorrhage {Hemorrhage}, right inguinal hernia {Right inguinal hernia}, sac {Hernia sac}, right spermatic 
-cord {Structure of right spermatic cord}, hiatal hernia {Hiatal hernia}, Calcifications {Pathologic calcification, calcified structure}, pancreas {Pancreatic structure}, chronic 
-pancreatitis {Chronic pancreatitis}, left atrium {Left atrial structure}, normal in size {Normal size}, right atrial {Right atrial structure}, mild symmetric left ventricular 
-hypertrophy {Mild left ventricular hypertrophy}, normal cavity size {Normal size}, regional/global systolic 
-function {Normal left ventricular systolic function and wall motion}, Right ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aorta at the sinus {Structure of sinus of Valsalva}, ascending {Ascending aorta structure}, arch {Aortic arch structure}, normal {Normal size}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve 
-leaflets are mildly thickened {Thickened mitral leaflet}, Trivial mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery systolic 
-hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, biventricular {Cardiac ventricular structure}, size {Normal size}, systolic 
-function {Normal left ventricular systolic function and wall motion}, Mild {Mild tricuspid valve regurgitation}, moderate tricuspid regurgitation {Moderate tricuspid valve regurgitation}, inferior wall {Structure of myocardium of diaphragmatic region}, normal function {Normal cardiac function}, L Heart Cath {Catheterization of left heart}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ w/ hx of CAD s/p CABG in ___ transferred from OSH for chest 
-pain and shortness of breath. 
-
-Active Issues:
-#Chest pain: Negative trops but found to have V5-V6 depression 
-on subsequent EKG, concerning for new ischemia. He was diuresed 
-given his shortness of breath with improvement and taken to cath 
-lab where angiogram showed occluded SVG to OM, appearing chronic 
-in nature. Medically optimized and continued on nitro gtt post 
-procedure for blood pressure control as symptoms had resolved 
-prior to cath. Echo showed Normal biventricular size and global 
-systolic function. Mild to moderate tricuspid regurgitation.
-
-#Hematoma: Patient complained of groin pain at cath site, though 
-no tenderness to palpation or signs of hematoma. He was found to 
-have a small RP hematoma which was not significant in size and 
-therefore was managed expectantly. 
-
-Chronic Issues:
-# CAD. s/p 3V CABG in ___. LIMA graft to the LAD and vein 
-grafts to a circumflex marginal and the distal right coronary 
-artery. Continued on ASA, metoprolol, and  Atorvastatin.  
-
-# CKD. Patient's Cr 1.4 appears to be baseline. Cr 1.3 in ___ 
-and per PCP note, recent admission to ___ Cr was 1.4  
-
-# HTN: continued amlodipine at home dose 2.5 BID
-
-# DM type II: continued on home lantus 40mg QHS, held 70/30 
-whiel inpatient and given ISS with adequate control of blood 
-glucose.  
-
-# HLD: Atorvasatin as above was continued. 
-
-# Esosinophillia. Patient has had chronic esosinophilla. Given 
-country of origin, sent Strongyloides IgG, pending at time of 
-discharge.  
-
-# ___ disease: continued on home dose Carbidopa-Levodopa. 
- 
-
-Transitional Issues
-#Consider transitioning to metoprolol succinate as an 
-outpatient, and uptitration as needed. Could consider carvedilol 
-for better HTN and rate control
-#Imdur uptitrated to assist with angina, cont as needed as an 
-outpatient
-___ not used given hx of hyperkalemia
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, chest 
-pain {Chest pain}, shortness of breath {Dyspnea}, Chest pain {Chest pain}, trops {Troponin measurement}, V5 {Lead site V5}, V6 {Lead site V6}, EKG {Electrocardiographic procedure}, ischemia {Ischemia}, diuresed {Diuretic therapy}, shortness of breath {Dyspnea}, improvement {Patient's condition improved}, angiogram {Angiography}, occluded {Complete obstruction}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, OM {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, chronic {Chronic total occlusion of coronary artery}, cath {Cardiac catheterization}, Echo {Echocardiography}, biventricular {Cardiac ventricular structure}, size {Normal size}, systolic function {Normal left ventricular systolic function and wall motion}, Mild {Mild tricuspid valve regurgitation}, moderate tricuspid regurgitation {Moderate tricuspid valve regurgitation}, Hematoma {Hematoma}, groin pain {Inguinal pain}, cath site {Vascular catheter insertion site}, tenderness to palpation {Abdominal tenderness}, signs {Sign}, hematoma {Hematoma}, RP hematoma {Retroperitoneal hematoma}, CAD {Coronary arteriosclerosis}, 3V CABG {Coronary artery bypass grafts x 3}, LIMA graft {Coronary artery bypass grafting using free left internal thoracic artery graft}, LAD {Structure of anterior descending branch of left coronary artery}, vein 
-grafts {Venous graft}, circumflex marginal {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, distal right coronary 
-artery {Structure of distal portion of right coronary artery}, CKD {Chronic kidney disease}, Cr {Finding of creatinine level}, Cr {Finding of creatinine level}, Cr {Finding of creatinine level}, HTN {Hypertensive disorder, systemic arterial}, DM type II {Diabetes mellitus type 2}, HLD {Hyperlipidemia}, Esosinophillia {Eosinophil count above reference range}, esosinophilla {Eosinophil count above reference range}, HTN {Hypertensive disorder, systemic arterial}, angina {Angina}, hyperkalemia {Hyperkalemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Isosorbide Mononitrate (Extended Release) 30 mg PO DAILY 
-2. Metoprolol Tartrate 50 mg PO BID 
-3. Aspirin 81 mg PO DAILY 
-4. Docusate Sodium 200 mg PO DAILY 
-5. Senna 17.2 mg PO BID:PRN constipation 
-6. Atorvastatin 40 mg PO QPM 
-7. Amlodipine 2.5 mg PO BID 
-8. Carbidopa-Levodopa (___) 2 TAB PO TID 
-9. 70/30 25 Units Breakfast
-70/30 25 Units Dinner
-Humalog 40 Units Bedtime
-
- 
-Discharge Medications:
-1. Amlodipine 2.5 mg PO BID 
-2. Aspirin 81 mg PO DAILY 
-3. Atorvastatin 40 mg PO QPM 
-4. Carbidopa-Levodopa (___) 2 TAB PO TID 
-5. Docusate Sodium 200 mg PO DAILY 
-6. 70/30 25 Units Breakfast
-70/30 25 Units Dinner
-Humalog 40 Units Bedtime
-7. Isosorbide Mononitrate (Extended Release) 60 mg PO DAILY 
-RX *isosorbide mononitrate 60 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*0
-8. Metoprolol Tartrate 50 mg PO BID 
-9. Senna 17.2 mg PO BID:PRN constipation 
-10. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-RX *nitroglycerin 0.4 mg 1 tablet(s) sublingually q5min:prn Disp 
-#*100 Tablet Refills:*0
-11. Cane
-LENGTH OF NEED: 13 MONTHS
-EQUIPMENT: STANDARD CANE
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Chest pain
-Coronary ARtery Disease
-Secondary Diagnoses:
-Chronic Kidney Disease
-DIabetes Mellitus, Type 2
-Hypertension
-Hyperlipidemia
-___ Disease
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Chest pain {Chest pain}, Coronary ARtery Disease {Coronary arteriosclerosis}, Chronic Kidney Disease {Chronic kidney disease}, DIabetes Mellitus, Type 2 {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted for chest pain in the presence of complex 
-coronary disease.  You had changes in your EKG which was 
-concerning for new blockage and were taken for a cardiac 
-catherization.  You were found to have a chronically occluded 
-vessel from your previous coronary bypass surgery.  An echo was 
-ordered, but was not obtained to monitor your heart function and 
-should be ordered by your primary cardiologist if desired.  You 
-were having groin pain which kept you in the hospital for one 
-additional night and was controlled.
-
-We have increased your dose of imdur. You should continue your 
-remaining medications.
-
-Please follow up with your PCP/cardiologist next week. Please 
-call your PCP on the next business day to make an appointment.  
-He is aware of your hospitalization.
-
-Please be well.
-
-Your ___ Team
- 
-
-###RESPONSE: chest pain {Chest pain}, coronary disease {Coronary arteriosclerosis}, EKG {Electrocardiographic procedure}, blockage {Coronary occlusion}, cardiac 
-catherization {Cardiac catheterization}, occluded 
-vessel {Coronary artery bypass graft occlusion}, coronary bypass surgery {Coronary artery bypass grafting}, echo {Echocardiography}, groin pain {Inguinal pain}, increased {Increasing dosage of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Aspirin
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest Discomfort
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Aspirin {Allergy to aspirin}, Chest Discomfort {Chest discomfort}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-EVENTS / HISTORY OF PRESENTING ILLNESS: The pt is a ___ F with 
-PMH of Asthma admitted with complains of sub-scapular chest pain 
-radiating to the back for the past week. Pain has been constant 
-in nature, with cramping. No numbness/tingling in the arms and 
-legs. Pt Pt reports her symptoms began two weeks ago after 
-breaking into fever, did not take temp., and night sweats. She 
-then developed diffuse muscles aches greatest over her breasts, 
-chest wall and upper extremities b/l. Denies changes with 
-position. States it is mildly worse with deep inspiration. She 
-does report increased physical activity over the past two weeks 
-with ___ cleaning. Denies pain at rest. She denies recent 
-sick contacts. No travel history. Reports night sweats for past 
-two weeks. The pt does relate significant EtOH history, drinking 
-approx 1 glass of wine every other day, then on the weeks she 
-drinks one bottle on ___, then ___ gladsses on ___. 
-Reports remote cocaine history, clean for past ___ years. Pt 
-reports history of asthma, no change is symptoms and no increase 
-in albuterol usage, reports no change of symptoms with exertion, 
-does have occassional dyspnea.  
-.  
-In the ED, Vitals T 98.4, HR 72, RR 18, BP 121/98, Sat 95% RA. 
-She was given aspirin 325mg daily and motrin 600mg once. On 
-arrival to the floor the patient is resting comfortably and in 
-no acute distress.  
-.
-
-.  
-.  
-On review of systems, she denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, joint pains, cough, hemoptysis, black stools or 
-red stools. She denies exertional buttock or calf pain. All of 
-the other review of systems were negative.  
-.  
-Cardiac review of systems is notable for absence of chest pain, 
-dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, 
-ankle edema, palpitations, syncope or presyncope. 
- 
-
-###RESPONSE: Asthma {Asthma}, chest pain {Chest pain}, radiating {Radiating pain}, Pain {Pain}, constant {Constant pain}, cramping {Cramping pain}, numbness/tingling {Numbness and tingling sensation of skin}, arms {Upper limb structure}, legs {Lower limb structure}, fever {Fever}, temp {Body temperature finding}, night sweats {Night sweats}, diffuse {Diffuse pain}, muscles aches {Muscle pain}, breasts {Breast structure}, chest wall {Chest wall structure}, upper extremities {Upper limb structure}, position {Pain provoked by movement}, worse {Increased pain}, increased physical activity {Increased physical activity}, pain at rest {Pain provoked by rest}, travel {Travel abroad}, night sweats {Night sweats}, EtOH {Alcohol abuse}, drinking {Current drinker of alcohol}, drinks {Current drinker of alcohol}, cocaine {Cocaine abuse}, asthma {Asthma}, exertion {Dyspnea on exertion}, dyspnea {Dyspnea}, Vitals {Vital signs finding}, aspirin {Administration of aspirin}, comfortably {Breathing easily}, no acute {No abnormality detected}, distress {Distress}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black stools {Dark stools}, red stools {Red stools}, exertional {Pain provoked by exertion}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No pathologic diagnosis}, Cardiac review of systems {Cardiovascular physical examination}, chest pain {Chest pain}, dyspnea on exertion {Dyspnea on exertion}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN  
-Obesity  
-Endometriosis  
-Asthma  
-Stress Incontinence  
-Cardiac Risk Factors: Hypertension  
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, Obesity {Obesity}, Endometriosis {Endometriosis}, Asthma {Asthma}, Stress Incontinence {Genuine stress incontinence}, Cardiac Risk Factors {Assessment for risk of cardiovascular disease}, Hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-There is a family history of father MI age ___.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS - T 98.8, HR 76, BP 134/62, O2 98%2L  
-Gen: WDWN middle aged female in NAD. Oriented x3. Mood, affect 
-appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.  
-
-Neck: Supple with flat JVP.  
-CV: PMI located in ___ intercostal space, midclavicular line. 
-RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4.  
-Chest: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB, no crackles, 
-wheezes or rhonchi.  
-TTP over left breast, substernal chest tenderness to palp, also 
-tenderness over shoulders and triceps  
-Abd: Soft, NT/ND. No HSM or tenderness. Abd aorta not enlarged 
-by palpation. No abdominial bruits.  
-Ext: No c/c/e. No femoral bruits.  
-Skin: No stasis dermatitis, ulcers, scars, or xanthomas.  
-.  
-Pulses:  
-Right: Carotid 2+ Femoral 2+ DP 2+ ___ 2+  
-Left: Carotid 2+ Femoral 2+ DP 2+ ___ 2+  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, Gen {General examination of patient}, WDWN {Well nourished}, middle aged {Middle-age}, NAD {No abnormality detected}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva were 
-pink {Conjunctiva normal}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, PMI {Finding of apex beat}, intercostal space {Structure of intercostal space}, midclavicular line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Precordial heave}, No S3 {Third heart sound, S>3<, inaudible}, Chest {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, TTP {Tenderness}, left breast {Left breast structure}, substernal {Structure of substernal region}, tenderness {Tenderness}, palp {Palpation of abdomen}, tenderness {Tenderness}, shoulders {Shoulder region structure}, triceps {Triceps brachii muscle structure}, Abd {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, enlarged {Enlargement}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, Ext {Examination of limb}, No c/c/e {No abnormality detected}, femoral bruits {Femoral bruit}, Skin {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Carotid 2 {Normal carotid arterial pulse}, 2+ DP {Dorsalis pulse present}, Carotid 2 {Normal carotid arterial pulse}, 2+ DP {Dorsalis pulse present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 03:20PM   WBC-4.1# RBC-3.98* HGB-11.6* HCT-34.8* MCV-87 
-MCH-29.2 MCHC-33.5 RDW-14.0
-___ 03:20PM   NEUTS-19* BANDS-0 LYMPHS-66* MONOS-10 EOS-4 
-BASOS-0 ATYPS-1* ___ MYELOS-0
-___ 03:20PM   PLT SMR-NORMAL PLT COUNT-309
-___ 03:20PM   ___ PTT-26.1 ___
-___ 03:20PM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG 
-bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
-___ 03:20PM   TSH-0.90
-___ 03:20PM   ALT(SGPT)-33 AST(SGOT)-46* CK(CPK)-936* ALK 
-PHOS-38* TOT BILI-0.2
-___ 03:20PM BLOOD ALT-33 AST-46* CK(CPK)-936* AlkPhos-38* 
-TotBili-0.2
-___ 03:20PM BLOOD CK-MB-9 cTropnT-0.03*
-___ 09:32PM BLOOD CK(CPK)-777*
-___ 09:32PM BLOOD CK-MB-7 cTropnT-0.02*
-___ 06:00AM BLOOD CK-MB-5 cTropnT-0.01
-___ 06:00AM BLOOD CK(CPK)-609*
-.
-CXR ___
-FINDINGS: Lung volumes are diminished. No consolidation or 
-superimposed edema is evident. Mild tortuosity of the thoracic 
-aorta is again demonstrated. The cardiac silhouette is within 
-normal limits for size accounting for patient and technical 
-factors. No effusion or pneumothorax is noted. The visualized 
-osseous structures are unremarkable.
-
-IMPRESSION: Low lung volumes, but otherwise, no superimposed 
-acute process.
-.
-EKG demonstrated NSR, Nl axis and intervals, low voltage in AVF, 
-TWF V5 and V6 with no significant change compared with prior 
-dated ___.  
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT {Platelet count}, NORMAL {No abnormality detected}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, ASA {Aspirin specific immunoglobulin E antibody measurement}, NEG {No abnormality detected}, ETHANOL {Blood ethanol measurement}, NEG {No abnormality detected}, ACETMNPHN {Acetaminophen measurement}, NEG {No abnormality detected}, bnzodzpn {Benzodiazepine measurement}, NEG {No abnormality detected}, barbitrt {Barbiturates measurement}, NEG {No abnormality detected}, tricyclic {Tricyclic antidepressant measurement}, NEG {No abnormality detected}, TSH {Thyroid stimulating hormone measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, ALK 
-PHOS {Alkaline phosphatase measurement}, TOT BILI {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK(CPK {Creatine kinase measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK(CPK {Creatine kinase measurement}, CXR {Plain chest X-ray}, Lung volumes {Finding of respiratory volume}, consolidation {Consolidation}, edema {Edema}, Mild {Symptom mild}, tortuosity {Tortuosity}, thoracic 
-aorta {Thoracic aorta structure}, cardiac {Heart structure}, normal {Normal size}, size {Normal size}, effusion {Pleural effusion}, pneumothorax {Pneumothorax}, osseous structures {Bone structure}, unremarkable {Imaging result normal}, lung volumes {Finding of respiratory volume}, EKG {Electrocardiographic procedure}, NSR {Normal sinus rhythm}, axis {Electrocardiographic axis finding}, intervals {Finding of electrocardiogram waveform}, AVF {aVF}, TWF {Flattened T wave}, no significant {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient is a ___ F with PMH of Asthma admitted with complains 
-of diffuse muscle aches including sub-scapular chest pain 
-radiating to the back for the past week, found to have elevated 
-CK to 936  
-.  
-#. Diffuse Musculoskeletal Pain - Pt presented with complaints 
-of diffuse musculoskeletal pain, worse with movement and found 
-to have elevated CK to 900s. In reviewing labs pt with 
-chronically elevated CK of unclear etiology. Etiology may be 
-recent overuse at home in the setting of deconditioning vs viral 
-myositis. Pt had recent fever/chills prior to onset of muscle 
-pain, could be consistent with infectious etiology. Pt may also 
-have myositis related to EtOH use. She ruled out for myocardial 
-ischemia with three sets of negative cardiac enzymes. She was 
-discharged home with close outpatient follow up for further 
-management. 
-.  
-#. Rhythm - NSR  
-.  
-#. Asthma - pt denies symptoms of dyspnea currently, no wheezing 
-on exam. Continued on outpatient regimen of advair and albuterol 
- 
-.  
-#. HTN - continue HCTZ  
-.  
- 
-
-###RESPONSE: Asthma {Asthma}, diffuse {Diffuse pain}, muscle aches {Muscle pain}, chest pain {Chest pain}, radiating {Radiating pain}, elevated 
-CK {Creatine kinase level above reference range}, Diffuse {Diffuse pain}, Musculoskeletal Pain {Musculoskeletal pain}, diffuse {Diffuse pain}, musculoskeletal pain {Musculoskeletal pain}, worse {Increased pain}, elevated CK {Creatine kinase level above reference range}, labs {Laboratory test}, elevated CK {Creatine kinase level above reference range}, viral 
-myositis {Viral myositis}, fever {Fever}, chills {Chill}, muscle 
-pain {Muscle pain}, infectious {Infectious disease}, myositis {Myositis}, EtOH use {Finding of alcohol intake}, myocardial 
-ischemia {Myocardial ischemia}, negative cardiac enzymes {Cardiac enzymes within reference range}, outpatient follow up {Follow-up arranged}, Rhythm {Normal sinus rhythm}, NSR {Normal sinus rhythm}, Asthma {Asthma}, dyspnea {Dyspnea}, wheezing {Wheezing}, exam {Physical examination procedure}, regimen {Therapeutic regimen}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-CURRENT MEDICATIONS:  
-Albuterol Sulfate - 0.083 % (0.83 mg/mL) Solution for  
-Nebulization - 1 vial po every six (6) hours as needed for SOB  
-Albuterol Sulfate - 90 mcg HFA Aerosol Inhaler - 2 puffs po 
-every  
-six (6) hours as needed for SOB  
-Citalopram - 40 mg Tablet - 1 and ___ Tablet(s) by mouth once a  
-
-day  
-Fluticasone-Salmeterol [Advair Diskus] - 500 mcg-50 mcg/Dose 
-Disk  
-with Device - one puff disk twice a day  
-Hydrochlorothiazide - 25 mg Tablet - 1 (One) Tablet(s) by mouth  
-
-once a day  
-Montelukast [Singulair] - 10 mg Tablet - 1 Tablet(s) by mouth  
-once a day  
-Medications - OTC  
-Omeprazole Magnesium [Prilosec OTC] - 20 mg Tablet, Delayed  
-Release (E.C.) - 1 Tablet(s) by mouth once a day  
- 
-Discharge Medications:
-1. Albuterol Sulfate 2.5 mg/3 mL Solution for Nebulization Sig: 
-One (1)  Inhalation Q6H (every 6 hours) as needed for 
-wheeze/SOB.  
-2. Albuterol 90 mcg/Actuation Aerosol Sig: One (1)  Inhalation 
-every ___ hours as needed for shortness of breath or wheezing.  
-3. Advair Diskus 500-50 mcg/Dose Disk with Device Sig: One (1)  
-Inhalation once a day.  
-4. Citalopram 40 mg Tablet Sig: 1.5 Tablets PO once a day.  
-5. Hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO 
-DAILY (Daily).  
-6. Montelukast 10 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-7. Omeprazole 20 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary:
-1. Myositis
-
- 
-Discharge Condition:
-Afebrile, VSS, ambulating without assistance
-
- 
-
-###RESPONSE: Myositis {Myositis}, Afebrile {Fever}, VSS {Vital signs finding}, ambulating without assistance {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with diffuse muscle pain. You have undergone 
-bloodwork that has demonstrated no evidence of damage to your 
-heart as a cause of this pain. Your bloodwork did show an 
-elevation of a muscle enyme called creatine kinase. You will 
-follow up with Dr. ___ as an outpatient for continued workup.
-.
-Your medications have not changed. Please continue to take your 
-medications as directed. 
-.
-Please return or call your primary care physician if you develop 
-worsening musculoskeletal pain, or if you develop chest pain or 
-shortness of breath. 
- 
-
-###RESPONSE: diffuse {Diffuse pain}, muscle pain {Muscle pain}, no evidence {No abnormality detected}, damage {Damage}, heart {Heart structure}, pain {Pain}, elevation {Measurement finding above reference range}, muscle {Skeletal and/or smooth muscle structure}, called {Informing doctor}, creatine {Creatine measurement}, follow up {Follow-up arranged}, workup {Evaluation procedure}, changed {Change of medication}, primary care {Primary care management}, worsening {Increased pain}, musculoskeletal pain {Musculoskeletal pain}, chest pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Ativan / Amoxicillin / Bactrim / Codeine / ibuprofen / Lamictal 
-/ naproxen / Tetanus Toxoid,Fluid / Cephalexin / Peanuts / Sulfa 
-(Sulfonamide Antibiotics) / golytely / citrate of magnesia / 
-Lithium
- 
-Attending: ___.
- 
-Chief Complaint:
-diverticulitis
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Amoxicillin {Allergy to amoxicillin}, Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Codeine {Allergy to codeine}, ibuprofen {Allergy to ibuprofen}, Tetanus {Tetanus}, Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, diverticulitis {Diverticulitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with multiple medical problems, including ESRD ___ lithium 
-toxicity on PD , admitted to ___ on ___ with abdominal 
-pain and fever to 102 at home. She had a prior admission on 
-___ with similar symptoms; at that time the workup was 
-negative and she was give levofloxacin x5 days for presumptive 
-pneumonia. On representation to ___, her WBC was elevated 
-to 16.5. Peritoneal fluid was sent and demosntrated ___ WBC with 
-no organisms on gram stain. A CT scan was obtained with 
-demonstrated diverticulitis and likely contained perforation 
-with concern for pelvic abscess. She was started on levaquin and 
-flagyl and recommended for percutanous drainage. However given 
-her extensive past surgical history here at ___, the family 
-requested transfer to ___ for further work up and 
-management.
-
-ROS: Endorses 20lb wt loss over the past few months
- 
-
-###RESPONSE: problems {Problem}, ESRD {End-stage renal disease}, lithium 
-toxicity {Lithium poisoning}, abdominal 
-pain {Abdominal pain}, fever {Fever}, workup {Evaluation procedure}, pneumonia {Pneumonia}, gram stain {Gram stain method}, CT scan {Computed tomography}, diverticulitis {Diverticulitis}, perforation {Perforation}, pelvic abscess {Pelvic abscess}, drainage {Drainage procedure}, surgical {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH: tracheostomy ___ for prolonged respiratory failure, 
-hyponatremic seizure following GoLytely prep ___, ESRD for 
-lithium toxicity, on HD, bipolar, GERD, HTN, breast cancer, 
-diverticulosis 
-
-PSH: parathyroidectomy with reimplantation in left arm, left 
-foot surgery in ___, right knee surgery in ___, lumpectomy for 
-breast cancer (DCIS), status post radiation, repeat mammograms 
-were all negative, history of tonsillectomy in the past. 
-
- 
-
-###RESPONSE: tracheostomy {Exteriorization of trachea}, respiratory failure {Respiratory failure}, seizure {Seizure}, ESRD {End-stage renal disease}, lithium toxicity {Lithium poisoning}, HD {Hemodialysis}, GERD {Gastroesophageal reflux disease}, HTN {Hypertensive disorder, systemic arterial}, breast cancer {Malignant neoplasm of breast}, diverticulosis {Diverticulosis of large intestine}, parathyroidectomy {Parathyroidectomy}, reimplantation {Reimplantation}, left arm {Left upper arm structure}, left 
-foot {Structure of left foot}, surgery {Surgical procedure}, right knee {Structure of right knee region}, surgery {Surgical procedure}, lumpectomy {Excision of mass}, breast cancer {Malignant neoplasm of breast}, radiation {Radiation oncology AND/OR radiotherapy}, mammograms {Mammography}, tonsillectomy {Tonsillectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with ovarian CA
-Father with CAD
-
- 
-
-###RESPONSE: ovarian {Malignant tumor of ovary}, CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: 99.1  73  117/64  18  100%ra
-PE:
- Gen: A&Ox3, NAD, pleasant and comfortable appearing
- CV: RRR
- Pulm: CTAB, easy WOB
- Abd: abd soft, mildly distended. PD catheter site in RLQ. 
-Mildly
-TTP RUQ/LUQ/LLQ, worst in LLQ.
- Ext: WWP, trace periph edema bilat, L > R
- 
-
-###RESPONSE: VS {Vital signs finding}, Gen {General examination of patient}, Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Pulm {Examination of respiratory system}, CTAB {Normal breath sounds}, WOB {Breathing easily}, Abd {Examination of abdomen}, abd soft {Abdomen soft}, distended {Swollen abdomen}, RLQ {Right lower quadrant pain}, TTP {Thrombotic thrombocytopenic purpura}, RUQ {Structure of right upper quadrant of abdomen}, LUQ {Structure of left upper quadrant of abdomen}, LLQ {Structure of left lower quadrant of abdomen}, LLQ {Structure of left lower quadrant of abdomen}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:15PM   GLUCOSE-87 UREA N-52* CREAT-10.1*# 
-SODIUM-132* POTASSIUM-4.2 CHLORIDE-93* TOTAL CO2-29 ANION GAP-14
-___ 09:15PM   ALT(SGPT)-17 AST(SGOT)-15 ALK PHOS-311* TOT 
-BILI-0.2
-___ 09:15PM   ALBUMIN-2.5* CALCIUM-7.6* PHOSPHATE-4.3 
-MAGNESIUM-1.6
-___ 09:15PM   LITHIUM-0.9
-___ 09:15PM   WBC-5.4 RBC-2.32*# HGB-7.4*# HCT-25.1*# 
-MCV-108* MCH-31.9 MCHC-29.4* RDW-19.1*
-___ 09:15PM   NEUTS-77.4* LYMPHS-12.7* MONOS-7.0 EOS-2.7 
-BASOS-0.1
-___ 09:15PM   ___ PTT-31.5 ___
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ was admitted to the Transplant Surgery Service 
-under the care of Dr. ___ on ___. She 
-was transferred from ___ in ___ with 
-a colonic microperforation in the setting of diverticulitis. 
-This was of particular concern given her concurrent use of 
-peritoneal dialysis for renal replacement therapy for her long 
-standing history of ESRD. Upon admission, physical exam and 
-vital signs were un concerning for systemic infection. She was 
-afebrile, did not have evidence of cellulitis around her PD 
-catheter exit site, and did not have leukocytosis.
-
-Levofloxacin and metronidazole were administered to treat Ms. 
-___ diverticulitis. She was kept NPO. Abdominal pain 
-resolved. Nephrology followed and managed the peritoneal 
-dialysis adding heparin for fibrin in dialysate. Diet was 
-resumed and well tolerated. 
-
-Throughout the course of her admission, Ms. ___ home 
-medications to treat her psychiatric and medical co morbidities 
-were continued. Vital signs remained stable, she was pain free 
-and was oob to chair with assist. 
-
-She will f/u with her local nephrologist. Vitamin D and 
-calcitriol were started and Cinacalcet stopped. Atenolol and 
-Nifedipine were also stopped for SBPs in ___. Heart rates ranged 
-between ___. She was instructed to f/u with her 
-nephrologist. 
- 
-
-###RESPONSE: colonic microperforation in the setting of diverticulitis {Diverticulitis of colon with perforation}, peritoneal dialysis {Peritoneal dialysis}, renal replacement therapy {Continuous renal replacement therapy}, ESRD {End-stage renal disease}, vital signs {Vital signs finding}, systemic infection {Sepsis}, cellulitis {Cellulitis}, catheter exit site {Catheter exit site}, leukocytosis {Leukocytosis}, diverticulitis {Diverticulitis}, NPO {Nil by mouth}, Abdominal pain {Abdominal pain}, peritoneal 
-dialysis {Peritoneal dialysis}, Diet {Dietary finding}, medications {Administration of drug or medicament}, psychiatric {Psychiatric symptom}, Vital signs {Vital signs finding}, stable {Normal vital signs}, Heart rates {Finding of heart rate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-fluoxetine 20 qam, lithium 150 qam 150qpm prn, goal level 0.7. 
-antenerol 25 qpm. zyprexa 10mg qpm, ___ prn for agitation, 
-dialyvite 800 qam, iron 65mg qd, prilosec 20mg BID, topiramate 
-25mg qpm, colace 100mg BID, procrit 40,000 ___, sensipar 30mg 
-qd, senna prn, renvela TID with meals
- 
-Discharge Medications:
-1. Docusate Sodium 100 mg PO BID 
-2. Fluoxetine 20 mg PO DAILY 
-3. Lithium Carbonate 150 mg PO DAILY 
-4. OLANZapine 10 mg PO DAILY 
-additional doses PRN agitation 
-5. Omeprazole 20 mg PO BID 
-6. Calcitriol 0.25 mcg PO DAILY 
-RX *calcitriol 0.25 mcg 1 capsule(s) by mouth once a day Disp 
-#*30 Capsule Refills:*2
-7. Heparin Flush (1000 units/mL) 1000 UNIT DWELL QID 
-each 1 liter dwell IP for fibrin  
-8. Lactulose 30 mL PO BID 
-RX *lactulose 20 gram/30 mL 30 ml by mouth twice a day Disp #*1 
-Bottle Refills:*2
-9. Levofloxacin 250 mg PO Q24H Duration: 8 Days 
-RX *levofloxacin [Levaquin] 250 mg 1 tablet(s) by mouth once a 
-day Disp #*8 Tablet Refills:*0
-10. Lorazepam 1 mg PO HS:PRN insomnia 
-11. MetRONIDAZOLE (FLagyl) 500 mg PO Q8H 
-RX *metronidazole [Flagyl] 500 mg 1 tablet(s) by mouth every 
-eight (8) hours Disp #*24 Tablet Refills:*0
-12. Miconazole Powder 2% 1 Appl TP BID 
-13. Tucks Hemorrhoidal Oint 1% 1 Appl PR PRN hemorrhoidal pain 
-14. Vitamin D 50,000 UNIT PO 1X/WEEK (___) 
-RX *ergocalciferol (vitamin D2) [Vitamin D2] 50,000 unit 1 
-capsule(s) by mouth once a week Disp #*12 Capsule Refills:*0
-15. Epoetin Alfa 40,000 units SC Q ___ 
-16. Senna 1 TAB PO BID:PRN constipation 
-17. OLANZapine 5 mg PO ASDIR 
-Please assess patient for leg tingling, restlessness and give 
-this additional dose. Will likely need while doing CAPD 
-18. Topiramate (Topamax) 25 mg PO DAILY 
-19. DIALYVITE 800 *NF* (B complex-C-folic acid-Zn) 0.8 mg Oral 
-Daily 
-20. Ferrous Sulfate 325 mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-diverticulitis
-colonic microperforation
-ESRD
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: diverticulitis {Diverticulitis}, colonic {Colon structure}, ESRD {End-stage renal disease}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call Dr. ___ office ___ if you have 
-any of the following: temperature of 101 or greater, chills, 
-increased abdominal pain, nausea, vomiting, peritoneal effluent 
-appears cloudy or bloody, or has a foul smell, bloody stool or 
-diarrhea
--continue with peritoneal dialysis
--finish antibiotics as prescribed
--atenolol and nifedipine stopped for low blood pressure
- 
-
-###RESPONSE: chills {Chill}, abdominal pain {Abdominal pain}, nausea, vomiting {Nausea and vomiting}, peritoneal effluent 
-appears cloudy or bloody {Peritoneal fluid abnormal}, bloody stool {Hematochezia}, diarrhea {Diarrhea}, peritoneal dialysis {Peritoneal dialysis}, antibiotics {Antibiotic therapy}, low blood pressure {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-vancomycin in D5W
- 
-Attending: ___.
- 
-Chief Complaint:
-lightheadedness
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: lightheadedness {Lightheadedness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ male with the past medical
-history of COPD on 2L NC, CAD s/p CABG, DM, afib s/p ablation,
-who presents with lightheadedness.
-
-Per patient, he notes that he ""felt like I was having a stroke"".
-He said that just prior to presentation he got up out of the car
-and felt like he was going to fall down and that the ground was
-rushing up at him.  He sat back down in the car and the feeling
-subsided in ___ minutes.  He denies a spinning sensation or a
-disequilibrium type feeling.  No chest pain, SOB, palpitations,
-f/c/s.  No numbness, tingling, LOS or weakness anywhere.
-
-He reports he has similar episodes ___, in which he
-experiences symptoms like he is being ""electrocuted.""  He calls
-these mini-strokes, though he does not have a h/o CVA.  He has
-not seen a neurologist for these given infrequency; he has
-discussed this with his PCP.  
-
-Currently he feels well without complaints or concerns.  No
-further episodes.  Denies current dizziness, headache, fevers,
-cough, chest pain, abd pain, N/V/D, or double vision.  He checks
-his fingersticks weekly and they have been running between
-120-140s. No recent medication changes. 
-
-In the ED, VSS.  He had a head CT which was wnl.  Labs were
-notable for Cr 2.1, elevated from his baseline, so he received 1
-liter of LR in the ED.  He also had positive orthostatics while
-there.  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, 2L NC {Oxygen administration by nasal cannula}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, DM {Diabetes mellitus}, afib {Atrial fibrillation}, ablation {Catheter ablation of arrhythmogenic focus}, lightheadedness {Lightheadedness}, spinning sensation {Vertigo}, chest pain {Chest pain}, SOB {Dyspnea}, palpitations {Palpitations}, numbness, tingling {Numbness and tingling sensation of skin}, LOS {Loss of consciousness}, weakness {Asthenia}, CVA {Cerebrovascular accident}, feels well {Well in self}, dizziness {Dizziness}, headache {Headache}, fevers {Fever}, cough {Cough}, chest pain {Chest pain}, abd pain {Abdominal pain}, N/V/D {Nausea, vomiting and diarrhea}, double vision {Diplopia}, medication changes {Change of medication}, VSS {Vital signs finding}, head CT {Computed tomography of head}, baseline {Baseline state}, orthostatics {Orthostatic body position}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Asthma/COPD
-CAD status post CABG
-Atrial fibrillation status post ablation
-PVD status post subclavian artery stent
-Right shoulder osteoarthritis
-Cataracts
-Osteoporosis
-Chronic kidney injury
-Diabetes mellitus
-Hypertension
-Cholelithiasis
-Allergic rhinitis
-History of alcohol misuse
-History of cognitive deficits
-History of depression
- 
-
-###RESPONSE: Asthma {Asthma}, COPD {Chronic obstructive lung disease}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, Atrial fibrillation {Atrial fibrillation}, ablation {Catheter ablation of arrhythmogenic focus}, PVD {Peripheral vascular disease}, subclavian artery stent {Insertion of stent into subclavian artery}, Right shoulder {Structure of right shoulder region}, osteoarthritis {Osteoarthritis}, Cataracts {Cataract}, Osteoporosis {Osteoporosis}, Chronic kidney injury {Chronic kidney disease}, Diabetes mellitus {Diabetes mellitus}, Hypertension {Hypertensive disorder, systemic arterial}, Cholelithiasis {Calculus in biliary tract}, Allergic rhinitis {Allergic rhinitis}, alcohol misuse {Alcohol abuse}, cognitive deficits {Impaired cognition}, depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with lung cancer and father with CVA.
- 
-
-###RESPONSE: lung cancer {Malignant tumor of lung}, CVA {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:
-VITALS: Afebrile and vital signs stable except for SBP 180s
-GENERAL: Alert and in no apparent distress
-EYES: Anicteric, pupils equally round
-ENT: Ears and nose without visible erythema, masses, or trauma. 
-Oropharynx without visible lesion, erythema or exudate, MM
-slightly dry. 
-CV: Heart regular, no murmur, no S3, no S4.  No JVD.
-RESP: Lungs clear to auscultation with good air movement
-bilaterally.  Breathing is non-labored
-GI: Abdomen soft, non-distended, non-tender to palpation.  Bowel
-sounds present.  No HSM
-GU: No suprapubic fullness or tenderness to palpation
-MSK: Neck supple, moves all extremities, strength grossly full
-and symmetric bilaterally in all limbs
-SKIN: No rashes or ulcerations noted
-NEURO: Alert, oriented, face symmetric, gaze conjugate with 
-EOMI,
-speech fluent, moves all limbs, sensation to light touch grossly
-intact throughout
-PSYCH: pleasant, appropriate affect
-
-DISCHARGE EXAM:
-VITALS: Afebrile and vital signs stable except for SBP 180s
-GENERAL: Alert and in no apparent distress
-EYES: Anicteric, pupils equally round
-ENT: Ears and nose without visible erythema, masses, or trauma. 
-Oropharynx without visible lesion, erythema or exudate, MM
-slightly dry. 
-CV: Heart regular, no murmur, no S3, no S4.  No JVD.
-RESP: Lungs clear to auscultation with good air movement
-bilaterally.  Breathing is non-labored
-GI: Abdomen soft, non-distended, non-tender to palpation.  Bowel
-sounds present.  No HSM
-GU: No suprapubic fullness or tenderness to palpation
-MSK: Neck supple, moves all extremities, strength grossly full
-and symmetric bilaterally in all limbs
-SKIN: No rashes or ulcerations noted
-NEURO: Alert, oriented, face symmetric, gaze conjugate with 
-EOMI,
-speech fluent, moves all limbs, sensation to light touch grossly
-intact throughout
-PSYCH: pleasant, appropriate affect
- 
-
-###RESPONSE: VITALS {Vital signs finding}, vital signs {Vital signs finding}, stable {Normal vital signs}, SBP {Blood pressure finding}, GENERAL {General examination of patient}, Alert {Mentally alert}, distress {Distress}, Anicteric {White sclera}, pupils equally round {Pupil size and shape normal}, ENT {Abdominal tenderness}, Ears {Ear structure}, nose {Nasal structure}, erythema {Erythema}, masses {Mass of body structure}, trauma {Traumatic injury}, Oropharynx {Oropharyngeal structure}, lesion {Lesion}, erythema {Erythema}, exudate {Exudate}, MM
-slightly dry {Mucous membrane dryness}, CV {Cardiovascular physical examination}, Heart {Cardiovascular physical examination}, murmur {Murmur}, no S3 {Third heart sound, S>3<, inaudible}, no S4 {Fourth heart sound, S>4<, inaudible}, JVD {Jugular venous engorgement}, RESP {Examination of respiratory system}, Lungs {Examination of respiratory system}, GI {Examination of digestive system}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, palpation {Palpation}, Bowel
-sounds present {Normal bowel sounds}, HSM {Hepatosplenomegaly}, GU {Examination of genitourinary system}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, palpation {Palpation}, supple {Normal movement of neck}, all extremities {All extremities}, symmetric bilaterally in all limbs {Normal bilateral upper limbs and bilateral lower limbs}, SKIN {Examination of skin}, rashes {Eruption of skin}, ulcerations {Ulcer}, NEURO {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, face symmetric {Facial symmetry}, EOMI {Normal ocular motility}, speech fluent {Does speak fluently}, moves all limbs {Does move all four limbs}, sensation to light touch grossly
-intact {Normal light touch sensation}, affect {Mood finding}, VITALS {Vital signs finding}, vital signs {Vital signs finding}, stable {Normal vital signs}, GENERAL {General examination of patient}, Alert {Mentally alert}, distress {Distress}, Anicteric {White sclera}, pupils equally round {Pupil size and shape normal}, ENT {Ear, nose and throat examination}, Ears {Ear structure}, nose {Nasal structure}, erythema {Erythema}, masses {Mass of body structure}, trauma {Traumatic injury}, Oropharynx {Oropharyngeal structure}, lesion {Lesion}, erythema {Erythema}, exudate {Exudate}, CV {Cardiovascular physical examination}, Heart regular {Normal sinus rhythm}, murmur {Heart murmur}, no S3 {Third heart sound, S>3<, inaudible}, no S4 {Fourth heart sound, S>4<, inaudible}, RESP {Examination of respiratory system}, Lungs clear to auscultation {Normal breath sounds}, GI {Examination of digestive system}, Abdomen soft {Abdomen soft}, non-distended {Normal abdominal contour}, tender to palpation {Abdominal tenderness}, Bowel
-sounds present {Normal bowel sounds}, HSM {Hepatosplenomegaly}, GU {Examination of genitourinary system}, suprapubic {Hypogastric region structure}, tenderness to palpation {Tenderness}, moves all extremities {Does move all four limbs}, symmetric bilaterally in all limbs {Normal bilateral upper limbs and bilateral lower limbs}, SKIN {Examination of skin}, rashes {Eruption of skin}, ulcerations {Ulcer}, NEURO {Neurological examination}, Alert {Mentally alert}, oriented {Oriented to person}, face symmetric {Facial symmetry}, EOMI {Normal ocular motility}, speech fluent {Does speak fluently}, moves all limbs {Does move all four limbs}, sensation to light touch grossly
-intact {Normal light touch sensation}, appropriate affect {Appropriate affect}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 11:20AM BLOOD WBC-8.0 RBC-4.44* Hgb-14.3 Hct-44.3 
-MCV-100* MCH-32.2* MCHC-32.3 RDW-13.3 RDWSD-48.7* Plt ___
-___ 11:20AM BLOOD Neuts-56.5 ___ Monos-13.0 Eos-6.1 
-Baso-0.9 Im ___ AbsNeut-4.53 AbsLymp-1.87 AbsMono-1.04* 
-AbsEos-0.49 AbsBaso-0.07
-___ 11:20AM BLOOD Glucose-125* UreaN-35* Creat-2.1* Na-139 
-K-4.6 Cl-104 HCO3-18* AnGap-17
-___ 11:20AM BLOOD Calcium-9.2 Phos-3.4 Mg-2.4
-___ 11:40AM BLOOD Lactate-2.4*
-
-DISCHARGE LABS:
-___ 06:22AM BLOOD Glucose-113* UreaN-29* Creat-1.5* Na-141 
-K-4.9 Cl-109* HCO3-18* AnGap-14
-___ 06:22AM BLOOD WBC-7.3 RBC-4.29* Hgb-14.3 Hct-43.1 
-MCV-101* MCH-33.3* MCHC-33.2 RDW-13.1 RDWSD-48.0* Plt ___
-
-NCHCT: There is a large CSF density lesion in the right middle 
-cranial fossa 
-unchanged from prior and most likely representing a large 
-arachnoid cyst.  
-There is no intra-axial or extra-axial hemorrhage, edema, shift 
-of normally 
-midline structures, or evidence of acute major vascular 
-territorial 
-infarction.  Age related involutional changes are again noted.  
-Ventricles are 
-stable in size.  Minimal periventricular white matter 
-hypodensities are again 
-noted consistent with chronic microvascular ischemic disease.  
-The imaged bony 
-structures are intact.  Imaged paranasal sinuses, mastoid air 
-cells and middle 
-ear cavities appear well aerated.  Dense carotid siphon 
-calcification is 
-noted. 
-  
-IMPRESSION:  
-  
-No acute intracranial process.  Large arachnoid cyst within the 
-right middle 
-cranial fossa. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NCHCT {Computed tomography of head without contrast}, density {Abnormally opaque structure}, lesion {Lesion}, middle 
-cranial fossa {Structure of middle fossa of cranial cavity}, arachnoid cyst {Arachnoid cyst}, intra-axial or extra-axial hemorrhage {Cerebral hemorrhage}, edema {Edema}, shift 
-of normally 
-midline structures {Midline shift of brain}, vascular 
-territorial {Vascular structure within brain}, infarction {Infarct}, Ventricles {Brain ventricle structure}, periventricular white matter {Structure of periventricular white matter}, chronic {Chronic disease}, ischemic disease {Ischemia}, paranasal sinuses {Nasal sinus structure}, mastoid air 
-cells {Structure of mastoid cell}, middle 
-ear cavities {Middle ear structure}, carotid siphon {Structure of carotid siphon}, calcification {Pathologic calcification, calcified structure}, arachnoid cyst {Arachnoid cyst}, middle 
-cranial fossa {Structure of middle fossa of cranial cavity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ male with PMH of COPD on 2L NC, 
-CAD s/p CABG, DM, Afib s/p ablation, who presents with 
-lightheadedness and was found to have ___ and orthostatic 
-hypotension.
-
-ACUTE/ACTIVE PROBLEMS:
-# Lightheadedness/presyncope: Neuro exam was normal on 
-admission. He did not have arrhythmias or signs of ischemia on 
-EKG and telemetry overnight was without arrhythmia. NCHCT was 
-normal, without evidence of stroke/bleed. Based on history, his 
-episode appeared more consistent with presyncope, and 
-orthostatic vital signs support this diagnosis. He also had ___ 
-that improved with IVF which is evidence of dehydration though 
-he denies that he has had reduced intake. Even though ___ 
-improved, he continued to have orthostatic VS with SBP going 
-from 160 to 100 from lying to standing. Could possibly have 
-autonomic dysfunction as he does not appear dehydrated anymore.
-
-# ___ on CKD stage III - His Cr was elevated at 2.1 which 
-improved to 1.5 with 1L IVF which is his baseline. Losartan was 
-held on admission but restarted at discharge.
-
-#Orthostatic hypotension: Patient had positive orthostatic vital 
-signs on admission and also after IVF, concerning for some 
-possible autonomic dysfunction versus medication effect. Now 
-that Cr is improved, will discharge on losartan for HTN, but 
-will hold amlodipine as it can worsen orthostatic hypotension.
-
-#Metabolic acidosis: Bicarb was 18 even with improvement in ___. 
-Based on prior nephrology note, has history of metabolic 
-acidosis which had been attributed to his CKD. Continue to 
-monitor and follow up with ___ clinic.
-
-#Macrocytic anemia: Has normal Hgb but with MCV elevated to low 
-100s. VitB12 and folate in the past few years have been normal. 
-Could possibly be due to alcohol intake. No diagnosis of liver 
-disease, but hasn't had an ultrasound in ___ records. MDS is 
-also on differential.
-
-CHRONIC/STABLE PROBLEMS:
-# CAD s/p CABG - continued ASA, ezetimibe 
-# COPD on 2L - continued advair, albuterol prn, loratidine
-# Afib - s/p ablation
-# DM - ___ qid, placed on SS in hospital, held Januvia. Restarted 
-Januvia on discharge.
-
-TRANSITIONAL ISSUES:
-- For syncope work up, could consider TTE as outpatient, though 
-no evidence of valvular abnormality on cardiac exam. Last TTE 
-was ___.
-- Follow up BP and increase medications as needed, but would 
-avoid CCB and beta blockers due to potential to worsen 
-orthostatic hypotension
-- Should have evaluation for macrocytic anemia. Consider liver 
-ultrasound. Has follow up with hematology in ___.
-- Repeat Cr at next clinic visit.
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, 2L NC {Oxygen administration by nasal cannula}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, DM {Diabetes mellitus}, Afib {Atrial fibrillation}, ablation {Catheter ablation of arrhythmogenic focus}, lightheadedness {Lightheadedness}, orthostatic 
-hypotension {Orthostatic hypotension}, Lightheadedness {Lightheadedness}, presyncope {Near syncope}, Neuro exam was normal {Normal nervous system function}, arrhythmias {Cardiac arrhythmia}, signs {Sign}, ischemia {Ischemia}, EKG {Electrocardiographic procedure}, telemetry {Electroencephalogram telemetry}, arrhythmia {Cardiac arrhythmia}, NCHCT {Computed tomography of head without contrast}, stroke {Cerebrovascular accident}, bleed {Hemorrhage}, presyncope {Near syncope}, orthostatic {Orthostatic body position}, vital signs {Vital signs finding}, improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, dehydration {Dehydration}, improved {Patient's condition improved}, orthostatic {Orthostatic body position}, dehydrated {Dehydration}, CKD stage III {Chronic kidney disease stage 3}, improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, baseline {Baseline state}, Orthostatic hypotension {Orthostatic hypotension}, orthostatic {Orthostatic body position}, vital 
-signs {Vital signs finding}, IVF {Administration of intravenous fluids}, improved {Patient's condition improved}, HTN {Hypertensive disorder, systemic arterial}, orthostatic hypotension {Orthostatic hypotension}, Metabolic acidosis {Metabolic acidosis}, metabolic 
-acidosis {Metabolic acidosis}, CKD {Chronic kidney disease}, Macrocytic anemia {Macrocytic anemia}, normal Hgb {Hemoglobin within reference range}, MCV elevated {Mean corpuscular volume above reference range}, liver 
-disease {Disorder of liver}, ultrasound {Ultrasonography}, MDS {Myelodysplastic syndrome}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, COPD {Chronic obstructive lung disease}, Afib {Atrial fibrillation}, ablation {Catheter ablation of arrhythmogenic focus}, DM {Diabetes mellitus}, syncope {Syncope}, TTE {Transthoracic echocardiography}, no evidence {No abnormality detected}, valvular abnormality {Valvular insufficiency}, cardiac exam {Cardiovascular physical examination}, TTE {Transthoracic echocardiography}, orthostatic hypotension {Orthostatic hypotension}, evaluation {Evaluation procedure}, macrocytic anemia {Macrocytic anemia}, liver {Disorder of liver}, ultrasound {Ultrasonography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Losartan Potassium 25 mg PO DAILY 
-2. BuPROPion XL (Once Daily) 150 mg PO BID 
-3. Mirtazapine 15 mg PO QHS 
-4. Ezetimibe 10 mg PO DAILY 
-5. Fluticasone Propionate NASAL 1 SPRY NU DAILY:PRN allergy 
-symptoms 
-6. amLODIPine 5 mg PO DAILY 
-7. Atorvastatin 80 mg PO QPM 
-8. Multivitamins 1 TAB PO DAILY 
-9. Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain 
-10. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-11. Aspirin 325 mg PO DAILY 
-12. Loratadine 10 mg PO DAILY 
-13. albuterol sulfate 90 mcg/actuation inhalation Q4H:PRN 
-
- 
-Discharge Medications:
-1.  albuterol sulfate 90 mcg/actuation inhalation Q4H:PRN  
-2.  Aspirin 325 mg PO DAILY  
-3.  Atorvastatin 80 mg PO QPM  
-4.  BuPROPion XL (Once Daily) 150 mg PO BID  
-5.  Ezetimibe 10 mg PO DAILY  
-6.  Fluticasone Propionate NASAL 1 SPRY NU DAILY:PRN allergy 
-symptoms  
-7.  Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID  
-8.  Loratadine 10 mg PO DAILY  
-9.  Losartan Potassium 25 mg PO DAILY  
-10.  Mirtazapine 15 mg PO QHS  
-11.  Multivitamins 1 TAB PO DAILY  
-12.  Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Acute kidney injury
-Pre-syncope
-Orthostatic hypotension versus autonomic dysfunction
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Acute kidney injury {Acute kidney injury}, Pre-syncope {Near syncope}, Orthostatic hypotension {Orthostatic hypotension}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ for an episode of feeling like you 
-were going to pass out.
-
-You were found to have acute kidney injury, likely due to 
-dehydration. You received IV fluids and your kidney function 
-improved back to normal.
-
-You were also found to have orthostatic hypotension, which means 
-that your blood pressure gets low when you stand. You need to go 
-from sitting to standing very slowly and walk carefully when you 
-are out of the hospital so you do not pass out/faint.
-
-Sincerely,
-Your ___ Team
- 
-
-###RESPONSE: acute kidney injury {Acute kidney injury}, dehydration {Dehydration}, IV fluids {Administration of intravenous fluids}, kidney function 
-improved back to normal {Normal renal function}, orthostatic hypotension {Orthostatic hypotension}, blood pressure {Finding of increased blood pressure}, stand {Does stand}, sitting {Sitting position}, standing {Orthostatic body position}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-CABG ___ 
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}, CABG {Coronary artery bypass grafting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old man with a history of diabetes, 
-hyperlipidemia, hypertension, and smoking. Over the past two 
-weeks, he noted multiple episodes of chest pain mostly occuring 
-at rest. He described the pain as retrosternal, radiating to his 
-face and left jaw, lasting minutes to an hour, and occuring ___ 
-times per day. On the morning of presentation, he had more of a 
-grabbing/pressure like pain in his left chest. He also endorsed 
-headache and shortness of breath. He presented to the emergency 
-department for further evaulation. A CTA was performed to rule 
-out dissection and was negative. Initial troponin was positive 
-at 0.24. An EKG demonstrated a right bundle branch block and ST 
-depressions in leads V4-V6. Cardiology was consulted in the ER 
-and he was started on IV heparin with plan for cardiac 
-catheterization. Cardiac catheterization revealed multivessel 
-coronary artery disease and he was referred to cardiac surgery 
-for evaluation.
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, hyperlipidemia {Hyperlipidemia}, hypertension {Hypertensive disorder, systemic arterial}, smoking {Smoker}, chest pain {Chest pain}, pain {Pain}, retrosternal {Retrosternal pain}, radiating {Radiating pain}, face {Face structure}, jaw {Pain radiating to jaw}, pressure {Tight chest}, pain {Chest pain}, left chest {Structure of left half of chest wall}, headache {Headache}, shortness of breath {Dyspnea}, evaulation {Evaluation procedure}, CTA {Computed tomography angiography with contrast}, EKG {Electrocardiographic procedure}, right bundle branch block {Right bundle branch block}, ST 
-depressions {ST segment depression}, leads V4 {Lead site V4}, V6 {Lead site V6}, cardiac 
-catheterization {Cardiac catheterization}, Cardiac catheterization {Cardiac catheterization}, coronary artery disease {Coronary arteriosclerosis}, evaluation {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMHx:
-1. Hypertension, essential [401.9] ___ new RBBB on routine EKG. 
-___: adenosine MIBI neg for ischemia.
-2. DM (diabetes mellitus), type 2 with neurological 
-complications [250.60]
-3. Hypercholesterolemia [272.0] ___
-4. OBESITY UNSPEC [278.00] ___
-5. GAIT ABNMLTY [781.2] ___
-6. IMPOTENCE DUE TO ERECTILE DYSFUNCTION [607.84] ___
-7. SLEEP APNEA - OBSTRUCTIVE [327.23] ___. Stopped CPAP
-8. MENIERE'S DISEASE, UNSPEC [386.00]
-9. DERMATITIS - SEBORRHEIC, UNSPEC [690.10]
-10. CHRONIC DAILY HEADACHE
-PSHx:
-• ___ pilonidal sinus/cyst ___
-• ___ 2.1-3 cm
-lipoma on back
-• Tarsal tunnel release ___
-left foot with partial plantar fasciectomy & spur removal
-• ___ ___
-left thumb CMC jt
-CAD-s/p CABG ___
- 
-
-###RESPONSE: Hypertension, essential {Essential hypertension}, RBBB on routine EKG {Electrocardiographic right bundle branch block}, MIBI {Radionuclide myocardial perfusion study}, ischemia {Ischemia}, DM {Diabetes mellitus}, diabetes mellitus), type 2 {Diabetes mellitus type 2}, neurological 
-complications {Disorder of nervous system due to diabetes mellitus}, Hypercholesterolemia {Hypercholesterolemia}, OBESITY {Obesity}, GAIT ABNMLTY {Abnormal gait}, ERECTILE DYSFUNCTION {Erectile dysfunction}, SLEEP APNEA - OBSTRUCTIVE {Obstructive sleep apnea syndrome}, CPAP {Continuous positive airway pressure ventilation treatment}, MENIERE'S DISEASE {Ménière's disease}, DERMATITIS {Seborrheic dermatitis}, DAILY HEADACHE {Daily headache}, pilonidal sinus {Hair sinus}, cyst {Pilonidal cyst}, lipoma {Lipoma}, back {Structure of back of trunk}, Tarsal tunnel release {Tarsal tunnel release}, left foot {Structure of left foot}, partial plantar fasciectomy {Partial fasciectomy of plantar fascia}, left thumb {Structure of left thumb}, CMC jt {Carpometacarpal joint structure}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals-  98.1, 142/81, 65, 18, 99% RA
-General: NAD, sitting comfortably in bed, jovial and pleasant
-HEENT: MMM, EOMI, no icterus
-Cardiac: Normocardic, regular, no MRG
-Vascular: JVP visible 2-3cm above sternal angle with HOB at 30 
-degr. Extr wwp with 2+ radial, dp/pt pulses. 
-Lungs: no incr WOB sitting upright. minimal bibasilar crackles, 
-incr RR with lying flat but no increase in subjective dyspnea 
-Abdomen: obese, nontender - otherwise limited by habitus 
-GU: no foley 
-Neuro: AOX3, grossly nonfocal
-Skin: dry skin on LEs with absent hair, otherwise no lesions
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, sitting {Sitting position}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, icterus {Jaundice}, Cardiac {Cardiovascular physical examination}, regular {Normal heart rate}, no MRG {Heart sounds normal}, JVP {Finding of jugular venous pressure}, sternal angle {Structure of sternal angle}, Extr {Limb structure}, 2+ radial {Normal radial pulse}, Lungs {Examination of respiratory system}, WOB {Labored breathing}, sitting {Sitting position}, crackles {Respiratory crackles}, RR {Finding of rate of respiration}, dyspnea {Dyspnea}, Abdomen {Examination of abdomen}, obese {Obese abdomen}, nontender {Abdominal tenderness}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Neuro {Neurological examination}, Skin {Examination of skin}, dry skin {Xeroderma}, absent hair {Hair absent}, lesions {Lesion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-TEE ___:
-Findings  
-LEFT ATRIUM: No spontaneous echo contrast or thrombus in the 
-___ or the RA/RAA. 
-RIGHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D or 
-color Doppler. 
-LEFT VENTRICLE: Mild symmetric LV hypertrophy with normal cavity 
-size, and global systolic function (biplane LVEF>55%). 
-RIGHT VENTRICLE: Normal RV chamber size and free wall motion. 
-AORTA: Normal aortic diameter at the sinus level. Focal 
-calcifications in aortic root. Normal ascending aorta diameter. 
-Focal calcifications in ascending aorta. Normal aortic arch 
-diameter. 
-AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. 
-Trace AR. 
-MITRAL VALVE: Mildly thickened mitral valve leaflets. Trivial 
-MR. 
-___ VALVE: Normal tricuspid valve leaflets with trivial 
-TR. 
-PULMONIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. 
-No PS. Physiologic PR. 
-PERICARDIUM: No pericardial effusion. 
-
-PRE-BYPASS: 
-No spontaneous echo contrast or thrombus is seen in the body of 
-the left atrium/left atrial appendage or the body of the right 
-atrium/right atrial appendage. No atrial septal defect is seen 
-by 2D or color Doppler. Mild symmetric left ventricular 
-hypertrophy with normal cavity size, and global systolic 
-function (biplane LVEF = 55 %). Right ventricular chamber size 
-and free wall motion are normal. The aortic valve leaflets (3) 
-are mildly thickened but aortic stenosis is not present. Trace 
-aortic regurgitation is seen. The mitral valve leaflets are 
-mildly thickened. Trivial mitral regurgitation is seen. There is 
-no pericardial effusion. POST-BYPASS: 
-Preserved biventricular systolic function.
-LVEF 55%.
-Intact thoracic aorta.
-No other new findings.   
-
-___ 07:24AM BLOOD WBC-15.7* RBC-4.37* Hgb-13.5* Hct-38.6* 
-MCV-88 MCH-31.0 MCHC-35.1* RDW-15.2 Plt ___
-___ 07:10AM BLOOD WBC-13.6* RBC-4.27* Hgb-13.3* Hct-37.7* 
-MCV-88 MCH-31.2 MCHC-35.3* RDW-15.1 Plt ___
-___ 07:05AM BLOOD WBC-10.3 RBC-3.83* Hgb-12.0* Hct-34.2* 
-MCV-89 MCH-31.3 MCHC-35.1* RDW-15.1 Plt ___
-___ 12:50PM BLOOD Na-133 K-4.4 Cl-95*
-___ 07:24AM BLOOD Glucose-155* UreaN-25* Creat-1.2 Na-133 
-K-5.2* Cl-95* HCO3-22 AnGap-21*
-___ 12:50PM BLOOD UreaN-21* Creat-1.1 Na-133 K-4.9 Cl-96 
-HCO3-26 AnGap-16
-___ 07:05AM BLOOD Glucose-114* UreaN-21* Creat-1.1 Na-136 
-K-5.0 Cl-99 HCO3-25 AnGap-17
-___ 06:30AM BLOOD Glucose-85 UreaN-26* Creat-1.1 Na-136 
-K-4.2 Cl-98 HCO3-28 AnGap-14
-___ 05:05AM BLOOD Glucose-144* UreaN-27* Creat-0.9 Na-135 
-K-4.0 Cl-99 HCO3-27 AnGap-13
- 
-
-###RESPONSE: TEE {Transesophageal echocardiography}, thrombus {Thrombus}, RA {Right atrial structure}, RA {Right atrial structure}, ASD {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, LV hypertrophy {Left ventricular hypertrophy}, RV chamber {Structure of cavity of right cardiac ventricle}, free wall motion {Normal ventricular wall motion}, AORTA {Aortic structure}, aortic {Aortic structure}, Focal 
-calcifications {Focal calcium deposition, calcified structure}, aortic root {Supraaortic valve area structure}, ascending aorta {Ascending aorta structure}, Focal calcifications {Focal calcium deposition, calcified structure}, ascending aorta {Ascending aorta structure}, aortic arch {Aortic arch structure}, AORTIC VALVE {Aortic valve structure}, Mildly thickened {Increased thickness}, aortic valve leaflets {Structure of cusp of aortic valve}, AS {Aortic valve stenosis}, AR {Aortic valve regurgitation}, Mildly thickened {Increased thickness}, mitral valve leaflets {Structure of leaflet of mitral valve}, MR {Mitral valve regurgitation}, tricuspid valve leaflets {Structure of leaflet of tricuspid valve}, PULMONIC VALVE {Pulmonary valve structure}, PULMONARY ARTERY {Pulmonary artery structure}, pulmonic valve leaflet {Structure of cusp of pulmonic valve}, PS {Pulmonic valve stenosis}, PR {Pulmonic valve regurgitation}, PERICARDIUM {Pericardial structure}, pericardial effusion {Pericardial effusion}, thrombus {Thrombus}, left atrium {Left atrial structure}, left atrial appendage {Entire left auricular appendage}, right 
-atrium {Right atrial structure}, right atrial appendage {Structure of right auricular appendage}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, Mild symmetric left ventricular 
-hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, Right ventricular chamber {Structure of cavity of right cardiac ventricle}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cusp of aortic valve}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are 
-mildly thickened {Thickened mitral leaflet}, mitral regurgitation {Mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, biventricular {Cardiac ventricular structure}, thoracic aorta {Thoracic aorta structure}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-He underwent routine preoperative testing and evaluation. 
-Carotid ultrasound revealed bilateral carotid artery stenosis, 
-right > left. The vascular surgery service was consulted. Given 
-that he is asypmtomatic, recommendation is to follow up with Dr. 
-___ as an outpatient for further evaluation. He remained 
-hemodynamically stable and was taken to the operating room on 
-___. He underwent coronary artery bypass grafting x 3. 
-Please see operative note for full details. He tolerated the 
-procedure well and was transferred to the CVICU in stable 
-condition for recovery and invasive monitoring. 
- 
-He weaned from sedation, awoke neurologically intact and was 
-extubated on POD 1. He was weaned from inotropic and vasopressor 
-support. Beta blocker was initiated and he was diuresed toward 
-his preoperative weight. His chest tubes were discontinued on 
-POD#1 and his epicardial pacing wires were discontinued on 
-POD#3.  He had a +UTI and was started on Bactrim. He was started 
-on Kefzol for sternal drainage which resolved by the time 
-discharge and kefzol was stopped. He remained hemodynamically 
-stable and was transferred to the telemetry floor for further 
-recovery.  He was evaluated by the physical therapy service for 
-assistance with strength and mobility and rehab was recommended. 
-By the time of discharge on POD #8 he was ambulating with 
-supervision,  the sternal wound was healing without redness or 
-drainage, and pain was controlled with oral analgesics. He was 
-discharged to ___ Rehab in good condition with appropriate 
-follow up instructions.
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, Carotid ultrasound {Ultrasonography of carotid artery}, carotid artery stenosis {Carotid artery stenosis}, right {Structure of right carotid artery}, left {Structure of left carotid artery}, asypmtomatic {Asymptomatic}, evaluation {Evaluation procedure}, hemodynamically stable {Hemodynamically stable}, coronary artery bypass grafting {Coronary artery bypass grafting}, stable 
-condition {Patient's condition stable}, neurologically intact {Normal nervous system function}, extubated {Removal of endotracheal tube}, vasopressor 
-support {Vasopressor therapy}, diuresed {Diuretic therapy}, epicardial pacing {Insertion of epicardial electrode for temporary cardiac pacing}, UTI {Urinary tract infectious disease}, sternal {Structure of sternal region}, drainage {Wound discharge}, hemodynamically 
-stable {Hemodynamically stable}, ambulating {Fully mobile}, supervision {Supervision}, sternal {Structure of sternal region}, wound was healing {Wound healing well}, redness {Redness of skin over lesion}, drainage {Discharge}, pain was controlled with oral analgesics {Demonstrates adequate pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. ClonazePAM 1 mg PO BID 
-2. Simvastatin 80 mg PO DAILY 
-3. Aspirin 81 mg PO DAILY 
-4. Diazepam 5 mg PO PRN nausea 
-5. Lisinopril 5 mg PO DAILY 
-6. MetFORMIN (Glucophage) 1000 mg PO BID 
-7. Glargine 38 Units Dinner
-8. fluocinolone acetonide oil 0.01 % otic DAILY 
-9. Omeprazole 40 mg PO DAILY 
-10. Propranolol LA 60 mg PO DAILY 
-11. Fluticasone Propionate NASAL 2 SPRY NU DAILY 
-12. TraZODone 100 mg PO QHS:PRN insomnia 
-13. Acetaminophen 325-650 mg PO Q6H:PRN pain 
-
- 
-Discharge Medications:
-1. Acetaminophen 650 mg PO Q4H:PRN pain, fever 
-2. Aspirin EC 81 mg PO DAILY 
-3. ClonazePAM 1 mg PO BID:PRN anxiety 
-RX *clonazepam 1 mg 1 tablet(s) by mouth twice a day Disp #*65 
-Tablet Refills:*0
-4. Fluticasone Propionate NASAL 2 SPRY NU DAILY 
-5. Glargine 38 Units Dinner
-6. MetFORMIN (Glucophage) 1000 mg PO BID 
-7. Omeprazole 40 mg PO DAILY 
-8. Simvastatin 80 mg PO DAILY 
-9. TraZODone 100 mg PO QHS:PRN insomnia 
-10. BuPROPion (Sustained Release) 150 mg PO BID 
-11. Docusate Sodium 100 mg PO BID 
-12. Fluocinolone Acetonide 0.01% Solution 1 Appl TP DAILY 
-13. Ipratropium Bromide Neb 1 NEB IH Q6H:PRN wheezes 
-14. Metoprolol Tartrate 25 mg PO BID 
-15. OxycoDONE (Immediate Release)  ___ mg PO Q6H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth very 6 hours Disp #*65 
-Tablet Refills:*0
-16. Sulfameth/Trimethoprim DS 1 TAB PO BID Duration: 5 Days 
-17. Furosemide 20 mg PO BID Duration: 5 Days 
-18. Potassium Chloride 20 mEq PO DAILY Duration: 5 Days 
-19. fluocinolone acetonide oil 0.01 % otic DAILY 
-20. Atorvastatin 80 mg PO QPM 
-21. Diazepam 5 mg PO PRN nausea 
-RX *diazepam 5 mg 1 tablet by mouth prn Disp #*25 Tablet 
-Refills:*0
-22. Outpatient Lab Work
-plaese check BUN/Creat on ___  and if greater than 1.3, please 
-continue to follow until off lasix and bactrim and returns to 
-baseline of 1.0
-
- 
-
-###RESPONSE: lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary: NSTEMI
-Secondary:
-IDDM
-HTN
-Hyperlipidemia
-GERD, s/p gastric ulcer ___ yrs ago
-vertigo
-chronic back pain
-chronic headaches
-deaf left ear
-coronary artery disease s/p CABG ___
-Past Surgical History: prostatectomy ___
-
- 
-Discharge Condition:
-Alert and oriented x3 nonfocal 
-Ambulating with steady gait
-Incisional pain managed with Oxycodone 
-Incisions: 
-Sternal - healing well, no erythema or drainage 
-Leg Left - healing well, no erythema or drainage. 
-Edema trace
- 
-
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, IDDM {Diabetes mellitus type 1}, HTN {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, GERD {Gastroesophageal reflux disease}, gastric ulcer {Gastric ulcer}, vertigo {Vertigo}, chronic back pain {Chronic back pain}, chronic headaches {Chronic headache disorder}, deaf left ear {Deafness of left ear}, coronary artery disease {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, prostatectomy {Prostatectomy}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, steady gait {Gait normal}, Incisional {Surgical incision wound}, pain {Pain}, Incisions {Surgical incision wound}, Sternal {Structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Leg Left {Structure of left lower leg}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please shower daily including washing incisions gently with mild 
-soap, no baths or swimming until cleared by surgeon. Look at 
-your incisions daily for redness or drainage
-Please NO lotions, cream, powder, or ointments to incisions 
-Each morning you should weigh yourself and then in the evening 
-take your temperature, these should be written down on the chart 
-
-No driving for approximately one month and while taking 
-narcotics, will be discussed at follow up appointment with 
-surgeon when you will be able to drive 
-No lifting more than 10 pounds for 10 weeks
-Please call with any questions or concerns ___
-**Please call cardiac surgery office with any questions or 
-concerns ___. Answering service will contact on call 
-person during off hours**
-
- 
-
-###RESPONSE: incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, incisions {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-___
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p mechanical fall
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: fall {Falls}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ PMHx CAD s/p CABG, 2 prior colon surgeries, presenting as 
-transfer from ___ for trauma eval for R ___ rib 
-fractures due to mechanical fall. Patient reports trying to get 
-into his walker at his ___ this evening, when he tripped and 
-fell onto his right side. Denies LOC or headstrike. He sustained 
-a laceration to his R forearm and was sent to an OSH. head CT 
-head, torso, abdomen, CXR and x-ray R hand, found to have 
-non-displaced fractures of ___ to 9th ribs on right.
-
-Upon evaluation in the ED, patient appears comfortable and NAD. 
-He is breathing well on room air, although his breaths still 
-appear to be shallow. He demonstrates significant pain along his 
-right flank.
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, colon {Colon structure}, surgeries {Surgical procedure}, trauma {Traumatic injury}, eval {Evaluation procedure}, rib 
-fractures {Fracture of multiple ribs}, fall {Falls}, walker {Uses zimmer frame}, fell {Falls}, right side {Structure of right half of body}, LOC {Loss of consciousness}, headstrike {Injury of head}, laceration {Laceration}, R forearm {Structure of right forearm}, head {Head structure}, CT 
-head {Computed tomography of head}, torso {Computed tomography of chest}, abdomen {Computed tomography of abdomen}, CXR {Plain chest X-ray}, x-ray R hand {Plain X-ray of right hand}, non-displaced fractures {Undisplaced fracture}, 9th ribs {Bone structure of ninth rib}, evaluation {Evaluation procedure}, comfortable {Comfortable appearance}, NAD {No abnormality detected}, breathing well on room air {Breathing room air}, shallow {Shallow breathing}, pain along his 
-right flank {Right flank pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMHx: CHF, CODP, CKD, anemia
- 
-
-###RESPONSE: CHF {Congestive heart failure}, CODP {Chronic obstructive lung disease}, CKD {Chronic kidney disease}, anemia {Anemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission 
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:|
-R ribs TTP along mid-axillary line, most prominent at rib 9. No 
-flail chest, no ecchymosis. Lungs clear anteriorly, pt refuses 
-to sit up for posterior exam. Head NCAT. R forearm with ~3 x 4 
-cm area of denuded skin.
-
-Discharge Physical Exam:
-VS: T: 97.4 PO BP: 113/68 L Sitting HR: 79 RR: 16 O2: 96% Ra 
-GEN: A+Ox3, NAD
-HEENT: atraumatic, MMM
-CV: RRR
-PULM: CTA b/l
-ABD: soft, non-distended, non-tender to palpation
-EXT: wwp, trace edema b/l UE.  RUE abrasions with mepilex 
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, TTP {Tenderness}, mid-axillary line {Midaxillary line}, rib 9 {Bone structure of ninth rib}, flail chest {Flail chest}, ecchymosis {Ecchymosis}, Lungs {Examination of respiratory system}, NC {Normal head}, R forearm {Structure of right forearm}, denuded skin {Denuded skin}, VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, Ra {Breathing room air}, GEN {General examination of patient}, A+Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, atraumatic {No injuries apparent}, MMM {Moist oral mucosa}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, PULM {Examination of respiratory system}, CTA b/l {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, tender {Abdominal tenderness}, EXT {Examination of limb}, edema b/l UE {Edema of bilateral upper limbs}, RUE {Structure of right upper limb}, abrasions {Abrasion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-IMAGING:
-
-OSH Right Hand x-ray ___
-Impression - No acute abnormality identified
-
-OSH CT Chest w/ contrast ___
-Impression - nondisplaced fractures of the lateral right ___ 
-through 9th ribs
-
-OSH CT abd/pelvis w/ contrast ___
-Impression - No acute abnormality idenitified
-
-OSH CT C-spine w/o contrast ___
-Impression - there are degenerative disc and facet findings. No 
-acute abnormality identified
-
-LABS:
-
-___ 09:09PM   GLUCOSE-102* UREA N-20 CREAT-1.2 SODIUM-138 
-POTASSIUM-4.3 CHLORIDE-102 TOTAL CO2-21* ANION GAP-15
-___ 09:09PM   CALCIUM-8.4 PHOSPHATE-3.5 MAGNESIUM-2.0
-___ 09:09PM   WBC-6.7 RBC-3.03* HGB-11.1* HCT-33.0* 
-MCV-109* MCH-36.6* MCHC-33.6 RDW-16.3* RDWSD-65.7*
-___ 09:09PM   NEUTS-79.7* LYMPHS-7.6* MONOS-9.3 EOS-2.4 
-BASOS-0.4 IM ___ AbsNeut-5.34 AbsLymp-0.51* AbsMono-0.62 
-AbsEos-0.16 AbsBaso-0.03
-___ 09:09PM   PLT SMR-LOW* PLT COUNT-90*
-___ 09:09PM   ___ PTT-31.6 ___
- 
-
-###RESPONSE: IMAGING {Imaging}, x-ray {Radiographic imaging procedure}, No acute abnormality {No abnormality detected}, nondisplaced fractures {Undisplaced fracture}, 9th ribs {Bone structure of ninth rib}, No acute abnormality {No abnormality detected}, degenerative disc {Degeneration of intervertebral disc}, facet {Osteoarthritis of spinal facet joint}, No 
-acute abnormality {No abnormality detected}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT {Platelet count}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ who presented as transfer from ___ 
-for trauma evaluation for right ___ rib fractures s/p 
-mechanical fall. The patient was admitted to the trauma surgery 
-service for respiratory monitoring and pulmonary toilet. Pain 
-was managed with acetaminophen and tramadol. 
-
-The patient was alert and oriented throughout hospitalization.  
-The patient remained stable from a cardiovascular and pulmonary 
-standpoint. Vital signs were routinely monitored. Good pulmonary 
-toilet, early ambulation and incentive spirometry were 
-encouraged throughout hospitalization. The patient tolerated a 
-regular diet. The patient's fever curves were closely watched 
-for signs of infection, of which there were none. The patient's 
-blood counts were closely watched for signs of bleeding, of 
-which there were none. The patient received subcutaneous heparin 
-and ___ dyne boots were used during this stay and was 
-encouraged to get up and ambulate as early as possible.
-
-The patient worked with Physical Therapy and ___ recommended 
-discharge to home with home physical therapy. At the time of 
-discharge, the patient was doing well, afebrile and 
-hemodynamically stable.  The patient was tolerating a diet, 
-ambulating, voiding without assistance, and pain was well 
-controlled.  The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
-
- 
-
-###RESPONSE: trauma {Traumatic injury}, evaluation {Evaluation procedure}, right {Bone structure of right rib}, rib fractures {Fracture of multiple ribs}, fall {Falls}, respiratory monitoring {Monitoring of respiration}, pulmonary toilet {Airway toilet}, Pain {Pain}, alert {Mentally alert}, oriented {Orientated}, stable {Patient's condition stable}, Vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, pulmonary 
-toilet {Airway toilet}, ambulation {Ambulation training}, incentive spirometry {Incentive spirometry}, tolerated a 
-regular diet {Tolerating normal diet}, fever {Fever}, watched 
-for signs of infection {Monitoring for signs and symptoms of infection}, blood counts {Cell count}, signs {Sign}, bleeding {Bleeding}, subcutaneous heparin {Subcutaneous injection of heparin}, ambulate {Ambulation training}, Physical Therapy {Physical therapy procedure}, physical therapy {Physical therapy procedure}, afebrile {Temperature normal}, hemodynamically stable {Hemodynamically stable}, tolerating a diet {Tolerating diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Tylenol
-Diltiazem ER 120mg
-Flovent 220mcg HFA BID
-Folic acid 1mg
-Furosemide 20mg
-Guaifensin 10cc q4 prn cough
-Ipratropium-albuterol q4 prn
-Loperamide 2mg TID prn
-Methotrexate 2.5mg (7.5mg weekly on ___
-Omeprazole 20mg daily
-Pro-air HFA 90mcg inhaler
-Procrit 40,000 ___
-Spiriva 18mcg
-Trazodone 50mg qhs
-Vitamin B12 1000mcg daily
-
- 
-Discharge Medications:
-1.  Acetaminophen ___ mg PO Q6H:PRN Pain - Mild 
-RX *acetaminophen 500 mg ___ tablet(s) by mouth every six (6) 
-hours Disp #*40 Tablet Refills:*0 
-2.  Docusate Sodium 100 mg PO BID:PRN constipation   
-3.  Lidocaine 5% Patch 1 PTCH TD DAILY 
-apply patch and leave on for 12 hours, and then remove and leave 
-off for 12 hours  
-RX *lidocaine 5 % Apply one patch to area of rib pain Daily Disp 
-#*7 Patch Refills:*0 
-4.  TraMADol 25 mg PO Q6H:PRN pain 
-RX *tramadol 50 mg 0.5 (One half) tablet(s) by mouth every six 
-(6) hours Disp #*15 Tablet Refills:*0 
-5.  Cyanocobalamin 1000 mcg PO DAILY  
-6.  Diltiazem Extended-Release 120 mg PO DAILY  
-7.  Epoetin ___ ___  Units SC WEEKLY   
-8.  Flovent HFA (fluticasone) 220 mcg/actuation inhalation BID  
-9.  FoLIC Acid 1 mg PO DAILY  
-10.  Furosemide 20 mg PO DAILY  
-11.  Ipratropium-Albuterol Neb 1 NEB NEB Q4H:PRN wheezing  
-12.  LOPERamide 2 mg PO TID:PRN diarrhea   
-13.  Methotrexate 7.5 mg PO 1X/WEEK (___)  
-14.  Omeprazole 20 mg PO DAILY  
-15.  ProAir HFA (albuterol sulfate) 90 mcg/actuation inhalation 
-Q4H:PRN  
-16.  Tiotropium Bromide 1 CAP IH DAILY  
-17.  TraZODone 50 mg PO QHS  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
--Right ___ rib fractures 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Right {Bone structure of right rib}, rib fractures {Fracture of rib}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were transferred to ___ in 
-___ with multiple right-sided rib fractures after a fall.  
-You were admitted to the Trauma Surgery Service for pain control 
-and to monitor your breathing. While in the hospital, you worked 
-with Physical Therapy and it is recommended that you have 
-Physical Therapy services come to your home to help you regain 
-your strength. You are now ready to be discharged home.  Please 
-note the following discharge instructions:
-
-* Your injury caused right-sided rib fractures which can cause 
-severe pain and subsequently cause you to take shallow breaths 
-because of the pain.
- 
-* You should take your pain medication as directed to stay ahead 
-of the pain otherwise you won't be able to take deep breaths. If 
-the pain medication is too sedating take half the dose and 
-notify your physician.
- 
-* Pneumonia is a complication of rib fractures.  In order to 
-decrease your risk you must use your incentive spirometer 4 
-times every hour while awake.  This will help expand the small 
-airways in your lungs and assist in coughing up secretions that 
-pool in the lungs.
- 
-* You will be more comfortable if you use a cough pillow to hold 
-against your chest and guard your rib cage while coughing and 
-deep breathing.
- 
-* Symptomatic relief with ice packs or heating pads for short 
-periods may ease the pain.
- 
-* Narcotic pain medication can cause constipation therefore you 
-should take a stool softener twice daily and increase your fluid 
-and fiber intake if possible.
- 
-* Do NOT smoke
- 
-* If your doctor allows, non-steroidal ___ drugs 
-are very effective in controlling pain ( ie, Ibuprofen, Motrin, 
-Advil, Aleve, Naprosyn) but they have their own set of side 
-effects so make sure your doctor approves.
- 
-* Return to the Emergency Room right away for any acute 
-shortness of breath, increased pain or crackling sensation 
-around your ribs (crepitus).
-
- 
- 
-
-###RESPONSE: right-sided {Bone structure of right rib}, rib fractures {Fracture of multiple ribs}, fall {Falls}, pain control {Pain control}, monitor {Monitoring for signs and symptoms of infection}, injury {Traumatic injury}, right-sided {Bone structure of right rib}, rib fractures {Fracture of multiple ribs}, severe pain {Severe pain}, shallow breaths {Shallow breathing}, pain {Pain}, pain medication {Administration of analgesic}, pain {Pain}, able to take deep breaths {Able to take deep breaths}, pain medication {Administration of analgesic}, Pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, decrease your risk {Preventive procedure}, use your incentive spirometer {Incentive spirometry}, airways {Airway structure}, lungs {Lung structure}, lungs {Lung structure}, chest {Thoracic structure}, rib cage {Thoracic cage structure}, coughing and 
-deep breathing {Deep breathing and coughing exercises}, relief {Pain relief}, ice packs {Application of ice}, heating pads {Heat therapy}, pain {Pain}, constipation {Constipation}, take a stool softener {Administration of laxative}, increase your fluid {Fluid intake encouragement}, fiber intake {High fiber diet education}, Do NOT smoke {Smoking cessation education}, controlling pain {Pain control}, shortness of breath {Dyspnea}, increased pain {Increased pain}, crackling {Respiratory crackles}, ribs {Bone structure of rib}, crepitus {Bone crepitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Morphine / Aspirin / Methocarbamol / Meperidine / Hydrocodone
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Morphine {Allergy to morphine}, Aspirin {Allergy to aspirin}, Dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with PMH of CHF, AAA, and chronic back pain presenting from 
-Rehab with confusion and disorientation, found to have a T=101, 
-SaO2=88%. She was sent to the emergency room for further 
-evaluation. In the emergency room she was somnolent, but 
-arousable, and was confused and disoriented. She was transiently 
-hypotensive and received ___ of IVF. CXR was consistent with 
-pneumonia and she was given Vancomycin, Levofloxacin, and Zosyn. 
-She was then transferred to the MICU for further management.
- 
-
-###RESPONSE: CHF {Congestive heart failure}, AAA {Abdominal aortic aneurysm}, chronic back pain {Chronic back pain}, confusion {Clouded consciousness}, disorientation {Disorientated}, SaO2 {Finding of oxygen saturation}, emergency {Emergency treatment management}, evaluation {Evaluation procedure}, emergency {Emergency treatment management}, confused {Clouded consciousness}, disoriented {Disorientated}, hypotensive {Low blood pressure}, IVF {Administration of intravenous fluids}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, Vancomycin {Antibiotic therapy}, Levofloxacin {Antibiotic therapy}, transferred to the MICU {Patient transfer to intensive care unit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CHF: EF unknown
-AAA
-Back Pain
-GERD
-Depression
- 
-
-###RESPONSE: CHF {Congestive heart failure}, AAA {Abdominal aortic aneurysm}, Back Pain {Backache}, GERD {Gastroesophageal reflux disease}, Depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-T=95.7  HR=71  BP=99/39  RR=22   SpO2=92%
-General: NAD
-HEENT: Anicteric
-CV: RR, ___ systolic murmur
-Pulm: crackles on R>L, dullness at L base
-Abd: soft, NTND, positive bowel sounds
-Ext: no edema
-
- 
-
-###RESPONSE: HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, General {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Anicteric {White sclera}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, murmur {Murmur}, Pulm {Examination of respiratory system}, crackles {Respiratory crackles}, dullness {Chest dull to percussion}, L base {Structure of base of left lung}, Abd {Examination of abdomen}, soft {Abdomen soft}, ND {Swollen abdomen}, Ext {Examination of limb}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:06PM   TYPE-ART RATES-/28 PO2-98 PCO2-53* PH-7.32* 
-TOTAL CO2-29 BASE XS-0 INTUBATED-NOT INTUBA
-___ 02:07PM   LACTATE-1.2
-___ 01:58PM   GLUCOSE-106* UREA N-22* CREAT-1.4* SODIUM-142 
-POTASSIUM-3.9 CHLORIDE-105 TOTAL CO2-28 ANION GAP-13
-___ 01:58PM   ALT(SGPT)-14 AST(SGOT)-22 ALK PHOS-179* TOT 
-BILI-0.6
-___ 01:58PM   LIPASE-11
-___ 01:58PM   proBNP-___*
-___ 01:58PM   WBC-19.4*# RBC-3.26*# HGB-8.8*# HCT-28.9*# 
-MCV-89 MCH-26.9* MCHC-30.4* RDW-16.5*
-___ 01:58PM   ___ PTT-27.8 ___
-
-___ 07:10PM 
-WBC RBC Hgb Hct MCV MCH MCHC RDW Plt Ct
-6.8 3.55* 9.6* 30.4* 86 27.0 31.6 17.3* 443*
-
-Glucose UreaN Creat Na K Cl HCO3 AnGap
-112* 14 1.2* 142 3.6 104 31 11
-
-___ 15:27 ECHO
-
-The left atrium is elongated. No atrial septal defect is seen by 
-2D or color Doppler. The right atrial pressure is indeterminate. 
-There is mild symmetric left ventricular hypertrophy with normal 
-cavity size and regional/global systolic function (LVEF>55%). 
-There is no ventricular septal defect. Right ventricular chamber 
-size and free wall motion are normal. The diameters of aorta at 
-the sinus, ascending and arch levels are normal. The aortic 
-valve leaflets (3) are mildly thickened. There is mild aortic 
-valve stenosis (valve area 1.2-1.9cm2). No aortic regurgitation 
-is seen. The mitral valve leaflets are mildly thickened. There 
-is no mitral valve prolapse. Trivial mitral regurgitation is 
-seen. The tricuspid valve leaflets are mildly thickened. There 
-is moderate pulmonary artery systolic hypertension. There is a 
-trivial/physiologic pericardial effusion.  
-
-___ CXR
-In comparison with the study of ___, there is again 
-enlargement
-of the cardiac silhouette with evidence of some pulmonary 
-vascular congestion. Areas of increased opacification are seen 
-at both bases with apparent silhouetting the hemidiaphragm. This 
-most likely represents combination of atelectasis and effusion, 
-though superimposed pneumonia be definitely excluded.
- 
-
-###RESPONSE: PO2 {Oxygen measurement, partial pressure, arterial}, PCO2 {Measurement of arterial partial pressure of carbon dioxide}, PH {pH measurement}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, BASE XS {Delta base, blood}, INTUBATED {Intubation}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT 
-BILI {Bilirubin, total measurement}, LIPASE {Triacylglycerol lipase measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ECHO {Echocardiography}, left atrium is elongated {Left atrial enlargement}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, right atrial {Right atrial structure}, mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal 
-cavity size {Normal size}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, ventricular septal defect {Ventricular septal defect}, Right ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aorta at 
-the sinus {Structure of sinus of Valsalva}, ascending {Ascending aorta structure}, arch {Aortic arch structure}, normal {No abnormality detected}, aortic 
-valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, mild aortic 
-valve stenosis {Mild stenosis of aortic valve}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, mitral valve prolapse {Mitral valve prolapse}, Trivial mitral regurgitation {Mild mitral valve regurgitation}, tricuspid valve leaflets are mildly thickened {Tricuspid leaflet thickened}, moderate pulmonary artery systolic hypertension {Moderate pulmonary hypertension}, pericardial effusion {Pericardial effusion}, CXR {Plain chest X-ray}, study {Evaluation procedure}, enlargement {Enlargement}, cardiac {Heart structure}, pulmonary 
-vascular congestion {Pulmonary congestion}, opacification {Abnormally opaque structure}, bases {Structure of base of lung}, atelectasis {Atelectasis}, effusion {Pleural effusion}, pneumonia {Pneumonia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with PMH of CHF, depression, AAA, GERD presenting with 
-altered mental status and hypotension, found to have sepsis 
-likely due to a multi-lobar pneumonia admitted to the ICU for 
-two days and transferred to medical floor on ___. She did 
-not require tracheal intubation in the ICU.
-
-1. Pneumonia: Urine legionella negative, blood cultures (NGTD 
-from ___, viral culture negative. Patient improved on 
-Vanc/Zosyn with steady improvement in her oxygen saturation to 
-normal on RA at the time of discharge. She received an 8day 
-course of antibiotics, then they were discontinued.  Oxygen was 
-given and eventually weaned off.  Asnoted above, she did not 
-require tracheal intubation in the ICU.
-
-2. Dyspnea: Likely multifactorial due to pneumonia, and a 
-component of diastolic congestive heart failure with volume 
-resuscitation in the ER. Initial BNP elevated, and blood 
-tests/EKG did not reveal suggestive myocardial injury. Patient 
-responded well to intermittent doses of Lasix 10mg IV. 
-
-3. Hypertension: Pt had episodes of hypotension at presentation; 
-on the general medicine floor she remained intermitently 
-hypertensive to SBP=180 despite Labetalol 200mg BID, which is 
-her home regiment. Elevated values tended to be right before 
-next dose of medicine is given; otherwise relatively 
-well-controlled.  on discharge =150s/70s
-
-4. Chronic diastolic CHF: TTE obtained this hospitalization 
-showed EF>55%, no echocardiographic evidence of diastolic 
-dysfunction, only mild LVH on TTE. She was continued on 
-Labetalol as above for BP and rate control.
-
-5. Anemia: Hct improved slowly to 31 at the time of discharge, 
-MCV=89, baseline unknown. Given MCV, likely due to anemia of 
-chronic disease, eval studies were consistent with this.
-
-6. Lumbar disc disease - s/p lumbar surgery.  Back pain was 
-slightly worse in hospital and so her Oxycontin to increased to 
-40mg BID on ___ with good effect.  Not requireing breakthrough 
-pain.  Valium was decreased to 2mg BID, and she's being 
-discharged on 2mg once daily prn anxiety. She has not displayed 
-high levels of anxiety, though the valium had been given to her 
-prior to hospitalization more to help any spasm component of her 
-back pain. 
-
- 
- 
-
-###RESPONSE: CHF {Congestive heart failure}, depression {Depressive disorder}, AAA {Abdominal aortic aneurysm}, GERD {Gastroesophageal reflux disease}, altered mental status {Altered mental status}, hypotension {Low blood pressure}, sepsis {Sepsis}, lobar pneumonia {Lobar pneumonia}, ICU {Patient transfer to intensive care unit}, tracheal intubation {Insertion of endotracheal tube}, ICU {Patient transfer to intensive care unit}, Pneumonia {Pneumonia}, Urine {Urinalysis}, legionella {Legionella infection}, blood cultures {Blood culture}, viral culture {Viral culture}, improved {Patient's condition improved}, Vanc {Antibiotic therapy}, improvement {Patient's condition improved}, oxygen saturation to 
-normal {Oxygen saturation within reference range}, antibiotics {Antibiotic therapy}, discontinued {Recommendation to stop drug treatment}, tracheal intubation {Insertion of endotracheal tube}, ICU {Patient transfer to intensive care unit}, Dyspnea {Dyspnea}, pneumonia {Pneumonia}, diastolic congestive heart failure {Heart failure with normal ejection fraction}, volume 
-resuscitation {Oxygen therapy}, BNP {Brain natriuretic peptide measurement}, blood 
-tests {Blood test}, EKG {Electrocardiographic procedure}, injury {Traumatic or non-traumatic injury}, responded well {Good therapeutic response}, Lasix {Diuretic therapy}, Hypertension {Hypertensive disorder, systemic arterial}, hypotension {Low blood pressure}, hypertensive {Finding of increased blood pressure}, SBP {Increased systolic arterial pressure}, regiment {Therapeutic regimen}, Elevated {Finding of increased blood pressure}, well-controlled {Disease condition determination, well controlled}, Chronic diastolic CHF {Chronic diastolic heart failure}, TTE {Transthoracic echocardiography}, echocardiographic {Echocardiography}, diastolic 
-dysfunction {Diastolic dysfunction}, mild LVH {Mild left ventricular hypertrophy}, TTE {Transthoracic echocardiography}, Anemia {Anemia}, improved {Patient's condition improved}, MCV {Erythrocyte mean corpuscular volume determination}, baseline {Baseline state}, MCV {Erythrocyte mean corpuscular volume determination}, anemia of 
-chronic disease {Anemia of chronic disorder}, eval {Evaluation procedure}, studies {Evaluation procedure}, Lumbar disc disease {Disorder of lumbar disc}, Back pain {Backache}, worse {Increased pain}, good effect {Good therapeutic response}, breakthrough 
-pain {Breakthrough pain}, anxiety {Anxiety}, levels of anxiety {Level of anxiety}, spasm {Spasm}, back pain {Backache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Lidoderm patch
-Levothyroxine 25mcg po qday
-prilosec 20mg po qday
-cymbalta 60mg po qday
-colace 100mg po bid
-labetalol 200mg po bid
-xoycontin 30mg po bid
-senna 1 tablet po bid
-diazepam 5mg po q6h prn anxiety
-oxycodone 10mg po q6 prn pain
-mvi daily
-lyrica 50mg po qday
-robitussin prn
- 
-Discharge Medications:
-1. Acetaminophen 325 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for pain, fever.  
-2. Levothyroxine 25 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-4. Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-5. Oxycodone 40 mg Tablet Sustained Release 12 hr Sig: One (1) 
-Tablet Sustained Release 12 hr PO Q12H (every 12 hours) as 
-needed for chronic back pain.  
-6. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-7. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) dose 
-Injection TID (3 times a day).  
-8. Ipratropium Bromide 0.02 % Solution Sig: One (1) neb 
-Inhalation Q6H (every 6 hours) as needed for shortness of breath 
-or wheezing.  
-9. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for 
-Nebulization Sig: One (1) neb Inhalation Q6H (every 6 hours) as 
-needed for wheeze, shortness of breath.  
-10. Diazepam 2 mg Tablet Sig: One (1) Tablet PO once a day as 
-needed for anxiety.  
-11. Labetalol 200 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Pneumonia
-Congestive Heart Failure (diastolic)
-Low Back Pain
-
- 
-Discharge Condition:
-Improved
-
- 
-
-###RESPONSE: Pneumonia {Pneumonia}, Congestive Heart Failure {Congestive heart failure}, diastolic {Diastolic heart failure}, Low Back Pain {Low back pain}, Improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with pneumonia and sepsis and treated for this 
-in the ICU and hospital floor with antibiotics and have 
-completed this course.  You had an ultrasound of the heart which 
-was normal. Your back pain medication was adjusted for increased 
-pain.  If you have fever, cough, shortness of breath, chest pain 
-or worsening back pain, please have this evaluated by your 
-doctor.
- 
-
-###RESPONSE: pneumonia {Pneumonia}, sepsis {Sepsis}, ICU {Patient transfer to intensive care unit}, antibiotics {Antibiotic therapy}, ultrasound {Ultrasonography}, heart {Heart structure}, normal {No abnormality detected}, pain medication {Administration of analgesic}, adjusted {Drug dosage altered}, increased 
-pain {Increased pain}, fever {Fever}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, worsening {Increased pain}, back pain {Backache}, evaluated {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: UROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim DS
- 
-Attending: ___.
- 
-Chief Complaint:
-hematuria, urinary retention
- 
-Major Surgical or Invasive Procedure:
-___ Dr. ___, bladder biopsy
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, hematuria {Blood in urine}, urinary retention {Retention of urine}, bladder biopsy {Biopsy of bladder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ with a history of BPH.  He states that he saw 
-a urologist more than ___ years ago and was started on terazosin. 
- He also underwent urodynamics and cystoscopy around ___ years 
-ago and was told that he will likely need an operation.  
-Yesterday, he presented to the ED in urinary retention following 
-4 days of weak stream.  A foley was placed and he was found to 
-have a UTI.  He was discharged with a 7d course of cipro.  Last 
-night he noticed blood in his catheter which got progressibly 
-darker in appearanced.  He returned to the ED this morning.  His 
-catheter was changed to a 3 way foley, he was hand irrigated 
-with return of clots and he was placed on CBI.  A few hours 
-later his drainage became bloody again and he was hand irrigated 
-with further return of clots. 
-
- 
-
-###RESPONSE: BPH {Benign prostatic hyperplasia}, urodynamics {Urodynamic studies}, cystoscopy {Transurethral cystoscopy}, operation {Surgical procedure}, urinary retention {Retention of urine}, weak stream {Poor stream of urine}, foley was placed {Introduction of urinary catheter}, UTI {Urinary tract infectious disease}, blood {Blood in urine}, catheter was changed {Change of urethral catheter}, foley {Catheterization of urinary bladder}, hand irrigated {Manual bladder washout through catheter}, clots {Blood clot}, CBI {Monitoring of continuous bladder irrigation}, s hand irrigated {Manual bladder washout through catheter}, clots {Blood clot}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Diabetes type 2, complicated by retinopathy
-h/o syphilis
-Angioedema
-Glaucoma
-BPH
-spinal stenosis
-s/p laminectomy
-Paget's disease
-s/p shoulder surgery
-gout
-lichen planus
-
- 
-
-###RESPONSE: Diabetes type 2 {Diabetes mellitus type 2}, retinopathy {Retinal disorder}, syphilis {Syphilis}, Angioedema {Angioedema}, Glaucoma {Glaucoma}, BPH {Benign prostatic hyperplasia}, spinal stenosis {Spinal stenosis}, laminectomy {Excision of lamina of vertebra}, Paget's disease {Osteitis deformans}, shoulder {Structure of left shoulder region}, surgery {Surgical procedure}, gout {Inflammatory disorder due to increased blood urate level}, lichen planus {Lichen planus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
- 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-nad
-Abd soft, nt/nd
-Foley with clear yellow urine
- 
-
-###RESPONSE: nad {No abnormality detected}, soft {Abdomen soft}, Foley {Urinary catheter in situ}, clear yellow urine {Urine looks clear}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:30PM   HCT-37.7*
-___ 11:00AM   GLUCOSE-238* UREA N-19 CREAT-1.1 SODIUM-142 
-POTASSIUM-3.6 CHLORIDE-104 TOTAL CO2-27 ANION GAP-15
-___ 3:15 pm URINE     Site: CLEAN CATCH
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      KLEBSIELLA PNEUMONIAE.    >100,000 ORGANISMS/ML.. 
-         Piperacillin/tazobactam sensitivity testing available 
-on request. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             KLEBSIELLA PNEUMONIAE
-                             |   
-AMPICILLIN/SULBACTAM--     4 S
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------<=0.25 S
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-NITROFURANTOIN--------    ___ I
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----   <=1 S
-
-___ 07:04PM BLOOD WBC-13.4* RBC-3.76* Hgb-11.2* Hct-34.0* 
-MCV-90 MCH-29.7 MCHC-32.8 RDW-13.7 Plt ___
-___ 07:18AM BLOOD WBC-12.1* RBC-3.62* Hgb-10.6* Hct-32.4* 
-MCV-90 MCH-29.4 MCHC-32.8 RDW-13.8 Plt ___
-___ 07:18AM BLOOD Glucose-122* UreaN-14 Creat-1.2 Na-139 
-K-3.7 Cl-102 HCO3-29 AnGap-12
- 
-
-###RESPONSE: HCT {Hematocrit determination}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, URINE {Urine culture}, CATCH {Urine specimen collection, clean catch}, URINE CULTURE {Urine culture}, sensitivity {Antimicrobial susceptibility test}, SENSITIVITIES {Antimicrobial susceptibility test}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to Dr. ___ service with 
-hematuria.  He underwent conservative management with CBI but 
-continued to have hematuria when the CBI was clamped.  On HD3 he 
-underwent cystoscopy and bladder biopsy. No obvious bleeding 
-source was identified. No concerning intraoperative events 
-occurred; please see dictated operative note for details. The 
-patient received ___ antibiotic prophylaxis. On POD1 
-he underwent a voiding trial but failed and a foley was 
-replaced.  The evening of POD1 he developed fevers and chills.  
-His WBC was elevated to 13.  Urine and blood cultures were 
-obtained and are still pending.  CXR was normal.  He deferveced 
-on POD2 and his WBC count was decreasing.  At discharge, 
-patient's pain well controlled with oral pain medications, 
-tolerating regular diet, ambulating without assistance, and 
-urine is clear yellow. He will be discharged with a total 3 week 
-course of cipro.  He is given explicit instructions to call Dr. 
-___ follow-up next week to have the catheter removed.
- 
-
-###RESPONSE: hematuria {Blood in urine}, conservative management {Conservative therapy}, CBI {Irrigation of urinary bladder}, hematuria {Blood in urine}, CBI {Irrigation of urinary bladder}, clamped {Application of clamp}, cystoscopy and bladder biopsy {Cystoscopy and biopsy of bladder}, bleeding {Bleeding}, intraoperative {Intraoperative state}, operative {Surgical procedure}, antibiotic prophylaxis {Administration of prophylactic antibiotic}, voiding {Normal micturition}, foley {Catheterization of urinary bladder}, replaced {Catheterization of urinary bladder}, fevers {Fever}, chills {Chill}, WBC {White blood cell count}, Urine {Urine culture}, blood cultures {Blood culture}, CXR was normal {Standard chest X-ray normal}, WBC count {White blood cell count}, pain well controlled {Demonstrates adequate pain control}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, tolerating {Tolerating diet}, regular diet {Normal diet}, ambulating without assistance {Independent walking}, urine is clear yellow {Urine looks clear}, instructions {Recommendation to}, catheter removed {Removal of urinary system catheter}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-BIMATOPROST [LUMIGAN] - 0.03 % Drops - one drop each eye once a
-day
-METFORMIN - 500 mg Tablet - 1 Tablet(s) by mouth twice a day
-TADALAFIL [CIALIS] - 20 mg Tablet - one Tablet(s) by mouth 60 
-min
-prior to intercourse Do not take more than once per day.
-TERAZOSIN - 5 mg Capsule - 1 Capsule(s) by mouth once a day
-TRIAMCINOLONE ACETONIDE - 0.1 % Ointment - apply after shower
-every other day
-ASPIRIN -  (OTC) - 81 mg Tablet, Delayed Release (E.C.) - 1
-Tablet(s) by mouth once a day
-ERGOCALCIFEROL (VITAMIN D2) [VITAMIN D] -  (OTC; record) - 
-Dosage
-uncertain
-GARLIC -  (OTC) - Dosage uncertain
-
- 
-Discharge Medications:
-1. bacitracin zinc 500 unit/g Ointment Sig: One (1) Appl Topical 
-QID (4 times a day).  
-2. ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q12H 
-(every 12 hours) for 16 days.
-Disp:*32 Tablet(s)* Refills:*0*
-3. cholecalciferol (vitamin D3) 400 unit Tablet Sig: Two (2) 
-Tablet PO DAILY (Daily).  
-4. latanoprost 0.005 % Drops Sig: One (1) Drop Ophthalmic DAILY 
-(Daily).  
-5. finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*2*
-6. terazosin 5 mg Capsule Sig: Two (2) Capsule PO HS (at 
-bedtime).
-Disp:*30 Capsule(s)* Refills:*2*
-7. oxycodone 5 mg Tablet Sig: 0.5 Tablet PO Q4H (every 4 hours) 
-as needed for pain.
-Disp:*15 Tablet(s)* Refills:*0*
-8. acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours).  
-9. metformin 500 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-10. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day: 
-hold if diarrhea.
-Disp:*60 Capsule(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-hematuria, BPH
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: hematuria {Blood in urine}, BPH {Benign prostatic hyperplasia}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
--No vigorous physical activity for 2 weeks. 
-
- 
-
--Expect to see occasional blood in your urine and to experience 
-urgency and frequecy over the next month. 
-
- 
-
--You may shower and bathe normally. 
-
- 
-
--Tylenol should be your first line pain medication, a narcotic 
-pain medication has been prescribed for breakthough pain >4.  
-Replace Tylenol with narcotic pain medication.  Max daily 
-Tylenol dose is 4gm, note that narcotic pain medication also 
-contains Tylenol (acetaminophen)
-
- 
-
--Do not drive or drink alcohol while taking narcotics
-
- 
-
--Colace has been prescribed to avoid post surgical constipation 
-and constipation related to narcotic pain medication, 
-discontinue if loose stool or diarrhea develops.
-
- 
-
--Resume all of your home medications, except hold NSAID 
-(aspirin,  and ibuprofen containing products such as advil & 
-motrin,) until you see your urologist in follow-up
-
- 
-
- -Resume all of your home medications, but please avoid 
-aspirin/advil for one week.   
-
-- Ciprofloxacin has been prescribed.  You will take a total of 3 
-week course.
- 
-
--Call Dr. ___ (___) for follow-up AND if you 
-have any questions (page Dr. ___ at ___. 
-
- 
-
- -If you have fevers > 101.5 F, vomiting, severe abdominal pain, 
-or inability to urinate, call your doctor or go to the nearest 
-emergency room.
-
- 
-
-###RESPONSE: activity {Functional activity education}, blood in your urine {Blood in urine}, urgency {Urgent desire to urinate}, frequecy {Increased frequency of urination}, may shower {Wound treatment education}, Tylenol {Administration of analgesic}, pain medication {Administration of analgesic}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, breakthough pain {Breakthrough pain}, Tylenol {Administration of analgesic}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, Tylenol {Administration of analgesic}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, Tylenol {Administration of analgesic}, Do not drive {Recommendation to avoid activity of daily living}, post surgical {Postoperative state}, constipation {Constipation}, constipation {Constipation}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, loose stool {Loose stool}, diarrhea {Diarrhea}, aspirin {Administration of aspirin}, aspirin {Administration of aspirin}, Ciprofloxacin {Antibiotic therapy}, fevers {Fever}, vomiting {Vomiting}, abdominal pain {Abdominal pain}, inability to urinate {Retention of urine}, call your doctor {Informing doctor}, emergency {Emergency treatment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-charcot arthropathy
- 
-Major Surgical or Invasive Procedure:
-___
-1. Closed treatment right bimalleolar ankle fracture with
-    manipulation.
-2. Tenotomy, right Achilles tendon.
-3. Flexor hallucis longus tendon release.
-4. Flexor digitorum longus release.
-5. Posterior tibial tendon release.
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, charcot arthropathy {Charcot's arthropathy}, right {Structure of right ankle}, bimalleolar ankle fracture {Bimalleolar fracture of ankle}, manipulation {Manipulation}, Tenotomy {Tenotomy}, right Achilles tendon {Structure of right Achilles tendon}, Flexor hallucis longus tendon {Structure of flexor hallucis longus tendon}, release {Release}, Flexor digitorum longus {Flexor digitorum longus muscle structure}, release {Release}, Posterior tibial tendon {Tendon structure of posterior tibial muscle}, release {Release}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-I am seeing your patient today in the ___ clinic.  I am
-seeing this patient today for review.  She has had unfortunately
-a fall approximately one and half weeks ago.  She had a twisting
-injury.  She has had pain in the ankle since that time.
-
-She does not describe any changes in her health.  Her past
-medical history has been documented including diabetes.
-
-I examined her today and found that she has some tenderness on
-deep palpation of medial or lateral aspects of her ankle.  No
-complaints of any calf pain or calf swelling to suggest deep 
-vein
-thrombosis or pulmonary embolus.
-
-IMAGING:  I reviewed her x-rays that show evidence of an acute
-fracture involving her ankle joint, specifically a bimalleolar
-ankle fracture.  She does have underlying Charcot arthropathy.
-
-ASSESSMENT AND PLAN:  I had a discussion today with ___
-regarding management.  I am concerned regarding her new 
-fracture.
- We have talked about treatment.  We have talked about surgical
-intervention to address her deformity; however, I am concerned
-about adding additional hardware because of her history of
-noncompliance and the risk of deep infection that may require
-additional procedures including a possible below-knee 
-amputation.
-
-We will go ahead and make the appropriate arrangements for her 
-to
-have her procedure done to stabilize the ankle and again, we 
-will
-try to avoid any hardware that would not be removed at a later
-date.  She also is aware of the possibility that she may require
-a fusion type procedure as if she continues to have instability
-involving the ankle.
-
-I have answered all of her questions.  She was given specific
-instructions regarding followup.  She is to remain
-nonweightbearing.  She understands signs and symptoms associated
-with deep vein thrombosis and pulmonary embolus.
-
- 
-
-###RESPONSE: fall {Falls}, twisting
-injury {Rotation injury}, pain in the ankle {Ankle pain}, tenderness {Tenderness}, deep palpation {Deep palpation}, medial {Structure of medial aspect of ankle}, lateral aspects {Structure of lateral aspect of ankle}, ankle {Ankle region structure}, No
-complaints {No complaints}, calf pain {Pain in calf}, calf swelling {Swollen calf}, deep 
-vein
-thrombosis {Deep venous thrombosis}, pulmonary embolus {Pulmonary embolism}, IMAGING {Imaging}, x-rays {Radiographic imaging procedure}, fracture {Fracture}, ankle joint {Ankle joint structure}, bimalleolar
-ankle fracture {Bimalleolar fracture of ankle}, Charcot arthropathy {Charcot's arthropathy}, fracture {Fracture}, surgical
-intervention {Surgical procedure}, deformity {Deformity}, infection {Infectious disease}, procedures {Procedure}, below-knee 
-amputation {Amputation of leg through tibia and fibula}, ankle {Ankle region structure}, fusion type procedure {Fusion procedure}, ankle {Ankle region structure}, signs {Sign}, deep vein thrombosis {Deep venous thrombosis}, pulmonary embolus {Pulmonary embolism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH: 
-type 1 DM
-alport syndrome
-htn
-hypercholesterolemia
-
-PSH:
-vp shunt 
-c-section
-
- 
-
-###RESPONSE: type 1 DM {Diabetes mellitus type 1}, alport syndrome {Alport syndrome}, htn {Hypertensive disorder, systemic arterial}, hypercholesterolemia {Hypercholesterolemia}, shunt {Surgical fistula}, c-section {Cesarean section}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-splint c/d/i
-neurovascularly intact distally
-foot wwp
- 
-
-###RESPONSE: splint {Application of splint}, neurovascularly intact {Normal peripheral neurovascular function}, foot {Foot structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the orthopaedic surgery service and 
-was taken to the operating room for above described procedure. 
-Please see separately dictated operative report for details. The 
-surgery was uncomplicated and the patient tolerated the 
-procedure well. Patient received perioperative IV antibiotics.
-
-Otherwise, pain was initially controlled with a PCA followed by 
-a transition to oral pain medications on POD#1.  The patient 
-received lovenox for DVT prophylaxis starting on the morning of 
-POD#1.  The patient was seen daily by physical therapy.   
-
-At the time of discharge the patient was tolerating a regular 
-diet and feeling well.  The patient was afebrile with stable 
-vital signs.  The patient's  pain was adequately controlled on 
-an oral regimen. The operative extremity was neurovascularly 
-intact.   The patient is non-weight-bearing on the operative 
-lower extremity.
- 
-She is discharged to home in stable condition with prescriptions 
-for oxycodone and lovenox
- 
-
-###RESPONSE: surgery {Surgical procedure}, IV antibiotics {Intravenous antibiotic therapy}, pain {Pain}, PCA {Patient controlled analgesia}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, DVT prophylaxis {Prevention of deep vein thrombosis}, physical therapy {Physical therapy procedure}, regular 
-diet {Normal diet}, feeling well {Well in self}, afebrile {Fever}, stable 
-vital signs {Normal vital signs}, pain was adequately controlled {Demonstrates adequate pain control}, oral {Administration of drug or medicament via oral route}, regimen {Therapeutic regimen}, operative {Operative site}, extremity {Limb structure}, neurovascularly 
-intact {Normal peripheral neurovascular function}, non-weight-bearing {Non-weight-bearing}, operative {Operative site}, lower extremity {Lower limb structure}, stable condition {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Medications - Prescription
-AMLODIPINE - 10 mg Tablet - take 1 Tablet(s) by mouth once a day
-ENALAPRIL MALEATE - 20 mg Tablet - take 1 Tablet(s) by mouth
-twice a day
-INSULIN GLARGINE [LANTUS] - 100 unit/mL Solution - use as
-directed twice a day
-INSULIN LISPRO [HUMALOG] - 100 unit/mL Solution - use as 
-directed
-four times a day
-PAROXETINE HCL [PAXIL] - 10 mg Tablet - take 1 Tablet(s) by 
-mouth
-once a day
-PRAVASTATIN - 40 mg Tablet - take 1 Tablet(s) by mouth at 
-bedtime
-SULFAMETHOXAZOLE-TRIMETHOPRIM - 800 mg-160 mg Tablet - take 1
-Tablet(s) by mouth twice a day
- 
-Medications - OTC
-BLOOD SUGAR DIAGNOSTIC [FREESTYLE LITE STRIPS] -   Strip - use 
-as
-directed to measure blood glucose four times a day
-INSULIN SYRINGE-NEEDLE U-100 [BD INSULIN SYRINGE ULTRA-FINE] - 
-30
-gauge X ___ Syringe - use as directed 8 times a day as needed
-for glucose level
-
- 
-Discharge Medications:
-1. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed for pain.  
-2. amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-
-3. enalapril maleate 10 mg Tablet Sig: Two (2) Tablet PO BID (2 
-times a day).  
-4. pravastatin 20 mg Tablet Sig: Two (2) Tablet PO HS (at 
-bedtime).  
-5. oxycodone 5 mg Tablet Sig: ___ Tablets PO Q4H (every 4 hours) 
-as needed for Pain.  
-6. enoxaparin 40 mg/0.4 mL Syringe Sig: One (1) syringe 
-Subcutaneous Q 24H (Every 24 Hours).  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-charcot arthropathy
-
- 
-Discharge Condition:
-home.  stable.  alert and oriented x3.
-
- 
-
-###RESPONSE: charcot arthropathy {Charcot's arthropathy}, stable {Patient's condition stable}, alert {Mentally alert}, oriented x3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. Please return to the emergency department or notify your 
-physician if you experience any of the following: severe pain 
-not relieved by medication, increased swelling, decreased 
-sensation, difficulty with movement, fevers greater than 101.5, 
-shaking chills, increasing redness or drainage from the incision 
-site, chest pain, shortness of breath or any other concerns.
-
-2. Please follow up with your primary physician regarding this 
-admission and any new medications and refills.  
- 
-3. Resume your home medications unless otherwise instructed.
-
- 
-4. You have been given medications for pain control. Please do 
-not drive, operate heavy machinery, or drink alcohol while 
-taking these medications. As your pain decreases, take fewer 
-tablets and increase the time between doses. This medication can 
-cause constipation, so you should drink plenty of water daily 
-and take a stool softener (such as colace) as needed to prevent 
-this side effect.  Call your surgeons office 3 days before you 
-are out of medication so that it can be refilled.  These 
-medications cannot be called into your pharmacy and must be 
-picked up in the clinic or mailed to your house.  Please allow 
-an extra 2 days if you would like your medication mailed to your 
-home.
-
- 
-5. Please call your surgeon's office to schedule or confirm your 
-follow-up appointment in two (2) weeks.
-
- 
-6. Please DO NOT take any non-steroidal anti-inflammatory 
-medications (NSAIDs such as celebrex, ibuprofen, advil, aleve, 
-motrin, etc).
-
- 
-7. ANTICOAGULATION: Please continue your lovenox for four (4) 
-weeks to help prevent deep vein thrombosis (blood clots).  
-
- 
-8. CAST CARE: Please keep your cast clean, dry and intact. 
-
- 
-9. ACTIVITY: Non-weight bearing on the operative extremity
- 
-
-###RESPONSE: severe pain {Severe pain}, swelling {Swelling}, decreased 
-sensation {Hypesthesia}, difficulty with movement {Difficulty moving}, fevers {Fever}, shaking {Tremor}, chills {Chill}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision 
-site {Surgical incision wound}, chest pain {Chest pain}, shortness of breath {Dyspnea}, medications {Patient medication education}, medications {Patient medication education}, medications {Patient medication education}, pain control {Pain control}, drink alcohol {Current drinker of alcohol}, while 
-taking these medications {Patient medication education}, pain decreases {Sensation of pain reduced}, constipation {Constipation}, take a stool softener {Administration of laxative}, side effect {Medication side effects present}, medication so that it can be refilled {Medication prefill education}, medications {Patient medication education}, medication {Patient medication education}, non-steroidal anti-inflammatory 
-medications {Non-steroidal anti-inflammatory agent therapy}, ANTICOAGULATION {Anticoagulant therapy}, prevent deep vein thrombosis {Prevention of deep vein thrombosis}, blood clots {Blood clot}, CAST CARE {Cast care}, cast {Cast}, clean, dry and intact {Wound healing well}, ACTIVITY {Functional activity education}, Non-weight bearing {Non-weight-bearing}, operative {Operative site}, extremity {Limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Lincosamides / Penicillins
- 
-Attending: ___
- 
-Chief Complaint:
-Presentation for TIPS procedure
- 
-Major Surgical or Invasive Procedure:
-TIPS
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, TIPS procedure {Transjugular intrahepatic portosystemic shunt}, TIPS {Transjugular intrahepatic portosystemic shunt}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with a PMHx of ___ cirrhosis c/b refractory ascites and 
-esophageal varices who presents for direct admission to the ET 
-service for TIPS procedure given now weekly need for 
-paracenteses and abdominal pain.  Pt dx with NASH in ___ 
-following her gastric bypass and had no symptoms until ___ when 
-she started to have increased abdominal girth and abd pain.  Pt 
-has had weekly paracentesis for refractory ascites, most 
-recently ___ where 9L was taken off. She has complaints today of 
-dull abd pain given length of time since last tap.  
-
-Pt had EGD on ___ which revealed two lower esophageal 
-varices. Had one episode of HE one month ago when she missed her 
-lactulose. Pt notes persistent issues with varying constipation 
-and diarrhea and requires lactulose for BM's. Had 3 BM's 
-yesterday, denies melena/ BRBPR/ hematemesis.
-
- 
-
-###RESPONSE: cirrhosis {Cirrhosis of liver}, refractory ascites {Refractory ascites}, esophageal varices {Esophageal varices}, TIPS procedure {Transjugular intrahepatic portosystemic shunt}, paracenteses {Abdominal paracentesis}, abdominal pain {Abdominal pain}, NASH {Nonalcoholic steatohepatitis}, gastric bypass {Bypass of stomach}, increased abdominal girth {Swollen abdomen}, abd pain {Abdominal pain}, paracentesis {Abdominal paracentesis}, refractory ascites {Refractory ascites}, dull {Dull pain}, abd pain {Abdominal pain}, tap {Abdominal paracentesis}, EGD {Esophagogastroduodenoscopy}, esophageal 
-varices {Esophageal varices}, HE {Hepatic encephalopathy}, constipation {Constipation}, diarrhea {Diarrhea}, BM {Defecation care}, BM {Finding of defecation}, melena {Melena}, BRBPR {Hematochezia}, hematemesis {Hematemesis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-NASH cirrhosis with portal hypertension c/b refractory ascites, 
-esophageal varices (EGD on ___
-ITP
-Obesity s/p gastric bypass surgery in ___
-CCY in ___
-C-section ___
-
- 
-
-###RESPONSE: NASH {Nonalcoholic steatohepatitis}, cirrhosis {Cirrhosis of liver}, portal hypertension {Portal hypertension}, refractory ascites {Refractory ascites}, esophageal varices {Esophageal varices}, EGD {Esophagogastroduodenoscopy}, ITP {Chronic idiopathic thrombocytopenic purpura}, Obesity {Obesity}, gastric bypass {Bypass of stomach}, surgery {Surgical procedure}, CCY {Cholecystectomy}, C-section {Cesarean section}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Great uncle died of ""liver disease"" at age ___, possible HCC
-
- 
-
-###RESPONSE: died {Dead}, liver disease {Disorder of liver}, HCC {Liver cell carcinoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Physical exam on admission:
-Vitals-  97.9 118/64 83 18 99% RA
-General:  Alert, oriented, pleasant, sitting up in bed
-HEENT:  NCAT, PERRL, EOMI, MMM, oropharynx clear
-Neck:  supple, no JVD, no LAD
-CV:  RRR, nl S1 and S2, no m/r/g
-Lungs:  CTAB without wheeze or crackles
-Abdomen:  obese, distended with + fluid wave, non-tender, no 
-appreciable organomegaly
-GU:  no foley
-Ext:  Warm and dry, 2+ peripheral pulses, trace pedal edema, no 
-cyanosis
-Neuro:  AOx3, CN2-12 grossly intact, moves all extremities 
-freely
-Skin:  varicose veins noted on bilateral ___, no rash or lesions
-
-On discharge:
-
-Vitals:  Tm 98.3 Tc 97.9 HR 88 BP 127/67 RR 20 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, sitting {Sitting position}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, wheeze {Wheezing}, crackles {Respiratory crackles}, Abdomen {Examination of abdomen}, obese {Obese abdomen}, distended {Swollen abdomen}, fluid {Effusion}, non-tender {Abdominal tenderness}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, Ext {Examination of limb}, Warm {Warm skin}, 2+ peripheral pulses {Peripheral pulses normal}, edema {Edema}, cyanosis {Cyanosis}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, 12 {Hypoglossal nerve structure}, grossly intact {Normal nervous system function}, all extremities {All extremities}, Skin {Examination of skin}, varicose veins {Venous varices}, rash {Eruption of skin}, lesions {Lesion}, Vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam: 
-Gen: WDWN, no acute distress, sitting in chair
-HENT: no scleral icterus
-CV: RRR, no m/r/g
-Pulm: CTA in all fields, no wheezes or ronchi
-Abd: obese, distended, mild tenderness to palpation in RUQ, hard 
-enlarged liver palpated. RUQ wound bandaged, clean dry and 
-intact.
-Ext: 2+ DP pulses bilaterally
-Neuro: A&Ox3, fine tremor but no asterixis 
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Gen {General examination of patient}, WDWN {Well nourished}, no acute {No abnormality detected}, distress {Distress}, sitting {Sitting position}, HENT {Physical examination procedure}, scleral icterus {Scleral icterus}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, Pulm {Examination of respiratory system}, CTA {Normal breath sounds}, wheezes {Wheezing}, ronchi {Wheeze - rhonchi}, Abd {Examination of abdomen}, obese {Obese abdomen}, distended {Swollen abdomen}, mild {Symptom mild}, tenderness to palpation in RUQ {Tenderness of right upper quadrant of abdomen}, enlarged liver {Large liver}, palpated {Palpation of abdomen}, RUQ {Structure of right upper quadrant of abdomen}, wound {Surgical incision wound}, bandaged {Application of bandage}, clean dry and 
-intact {Wound healing well}, Ext {Examination of limb}, 2+ DP pulses {All pulses present in bilateral lower limbs}, Neuro {Neurological examination}, A&Ox3 {Oriented to person, time and place}, fine tremor {Fine tremor}, asterixis {Asterixis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Pertinent labs on admission:
-
-___ 05:11PM BLOOD WBC-3.4* RBC-3.61* Hgb-7.4* Hct-25.8* 
-MCV-72* MCH-20.5* MCHC-28.7* RDW-20.7* RDWSD-53.4* Plt Ct-77*
-___ 05:11PM BLOOD ___ PTT-30.1 ___
-___ 05:11PM BLOOD Glucose-127* UreaN-10 Creat-0.8 Na-132* 
-K-3.6 Cl-99 HCO3-23 AnGap-14
-___ 05:11PM BLOOD ALT-15 AST-47* AlkPhos-226* TotBili-0.7 
-DirBili-0.3 IndBili-0.4
-___ 05:11PM BLOOD Albumin-3.0* Calcium-9.0 Phos-3.5 Mg-1.7
-___ 05:11PM BLOOD HCG-<5
-
-Reports:
-Hepatic ultrasound with doppler studies ___
-FINDINGS:  
-  
-Liver:  The hepatic parenchyma is coarsened and nodular.  
-Nofocal liver 
-lesions are identified.  There is a moderate amount of ascites. 
-Bile ducts:  There is no intrahepatic biliary ductal dilation.  
-The common 
-hepatic duct measures 2 mm. 
-Gallbladder:  The gallbladder surgically absent. 
-Pancreas:  The pancreas is largely obscured by overlying bowel 
-gas, with 
-imaged portions of the pancreas appearing within normal limits. 
-Spleen:  The spleen is markedly enlarged, and measures greater 
-than 18.3 cm. 
-Kidneys:  Limited sagittal views of the right kidney demonstrate 
-no evidence 
-of hydronephrosis. 
-  
-Doppler evaluation: 
-The main portal vein is patent, with flow in the appropriate 
-direction.  The 
-right and left portal veins are patent, with antegrade flow. 
-The main hepatic artery is patent, with appropriate waveform. 
-Right, middle and left hepatic veins are patent, with 
-appropriate waveforms. 
-  
-IMPRESSION: 
-  
-  
-1. Patent hepatic vasculature with appropriate direction of 
-flow. 
-2. Cirrhosis and sequela of portal hypertension including marked 
-splenomegaly 
-and a moderate amount of ascites. 
-3. Status post cholecystectomy. 
-
-Micro:
-
-Pertinent labs on discharge:
-
-___ 05:45PM BLOOD WBC-2.8* RBC-3.44* Hgb-7.4* Hct-25.6* 
-MCV-74* MCH-21.5* MCHC-28.9* RDW-20.5* RDWSD-53.5* Plt Ct-66*
-___ 04:33AM BLOOD Glucose-133* UreaN-13 Creat-0.9 Na-129* 
-K-4.0 Cl-97 HCO3-23 AnGap-13
-___ 04:33AM BLOOD ALT-100* AST-258* AlkPhos-212* 
-TotBili-1.4
-___ 04:33AM BLOOD Calcium-8.9 Phos-3.3 Mg-1.9
-___ 04:50AM BLOOD Albumin-3.0* Calcium-9.0 Phos-3.9 Mg-1.___ female with ITP and NASH cirrhosis c/b portal HTN resulting 
-in refractory ascites requiring large volume (___) paracenteses 
-qWeek presenting for TIPS procedure.
-
-#NASH cirrhosis c/b esophageal varicies, refractory ascites and 
-hepatic encephalopathy: Pt with persistent disease and symptoms 
-since ___. Has been previously evaluated for 
-transplant, however, it was decided to undergo TIPS given weekly 
-need for large volume paracenteses and abdominal pain.
-
-#NASH cirrhosis c/b esophageal varicies, refractory ascites and 
-hepatic encephalopathy: Pt with persistent disease and symptoms 
-since ___. Has been previously evaluated for 
-transplant, however, it was decided to undergo TIPS given weekly 
-need for large volume paracenteses and abdominal pain. 
-Complicated TIPS completed ___. Specifically, right hepatic 
-vein to right portal vein TIPS placed, complicated by suspected 
-dissection of the portal vein and jailing of right PV posterior 
-branches. TIPS was extended into main PV with luminex stents, 
-dilated to 10 mm. post procedure gradient approx 15, similar to 
-preprocedure gradient. 5 L paracentesis. approx 470 cc contrast 
-used. Pt reported abd soreness ""like punched"" which improved 
-with oxycodone. LFTs and Cr bumped. Creatinine normalized with 
-500cc 5% albumin for suspected contrast-induced nephropathy vs 
-HRS. Will obtain f/u ultrasound in 1 week post-discharge and f/u 
-with hepatology as arranged. Pt was maintained on lactulose 
-without evidence of hepatic encephalopathy throughout her stay.
-
-#Hypotension - likely secondary to cirrhosis. Held home lasix, 
-spironolactone, nadolol for labile blood pressure and optimizing 
-renal blood flow which may be restarted per hepatology as an 
-outpatient. 
-
-#Anemia - likely secondary to chronic liver disease
-- required 1U pRBC during stay with Hg 6.7 and appropriate rise 
-in Hg to 7.4 prior to discharge. 
-
-# History of ITP:
--Stable during hospitalization. Plt ranged 66-103
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Hepatic ultrasound with doppler {Doppler ultrasonography of liver and portal system}, Liver {Liver structure}, hepatic parenchyma {Structure of parenchyma of liver}, nodular {Nodule}, liver 
-lesions {Lesion of liver}, ascites {Ascites}, Bile ducts {Bile duct structure}, intrahepatic biliary ductal {Intrahepatic biliary tract structure}, dilation {Dilatation}, common 
-hepatic duct {Structure of common hepatic duct}, Gallbladder {Gallbladder structure}, gallbladder surgically absent {Gallbladder not seen}, Pancreas {Pancreatic structure}, pancreas {Pancreatic structure}, bowel {Intestinal structure}, pancreas {Pancreatic structure}, Spleen {Splenic structure}, spleen is markedly enlarged {Splenomegaly}, Kidneys {Kidney structure}, right kidney {Right kidney structure}, no evidence {No abnormality detected}, hydronephrosis {Hydronephrosis}, evaluation {Evaluation procedure}, portal vein {Portal vein structure}, right {Structure of right main branch of portal vein}, left portal veins {Structure of left main branch of portal vein}, hepatic artery {Structure of hepatic artery}, Right {Structure of right main branch of portal vein}, middle {Structure of middle hepatic vein}, left hepatic veins {Structure of left hepatic vein}, hepatic vasculature {Vascular structure of liver}, Cirrhosis {Cirrhosis of liver}, portal hypertension {Portal hypertension}, splenomegaly {Splenomegaly}, ascites {Ascites}, Status post {Postoperative state}, cholecystectomy {Cholecystectomy}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, ITP {Chronic idiopathic thrombocytopenic purpura}, NASH {Nonalcoholic steatohepatitis}, cirrhosis {Cirrhosis of liver}, portal HTN {Portal hypertension}, refractory ascites {Refractory ascites}, paracenteses {Abdominal paracentesis}, TIPS procedure {Transjugular intrahepatic portosystemic shunt}, NASH {Nonalcoholic steatohepatitis}, cirrhosis {Cirrhosis of liver}, esophageal varicies {Esophageal varices}, refractory ascites {Refractory ascites}, hepatic encephalopathy {Hepatic encephalopathy}, disease {Disease}, transplant {Transplantation of liver}, TIPS {Transjugular intrahepatic portosystemic shunt}, paracenteses {Abdominal paracentesis}, abdominal pain {Abdominal pain}, NASH {Nonalcoholic steatohepatitis}, cirrhosis {Cirrhosis of liver}, esophageal varicies {Esophageal varices}, refractory ascites {Refractory ascites}, hepatic encephalopathy {Hepatic encephalopathy}, disease {Disease}, transplant {Transplantation of liver}, TIPS {Transjugular intrahepatic portosystemic shunt}, paracenteses {Abdominal paracentesis}, abdominal pain {Abdominal pain}, TIPS {Transjugular intrahepatic portosystemic shunt}, right hepatic 
-vein {Structure of right hepatic vein}, right portal vein {Structure of right main branch of portal vein}, TIPS {Transjugular intrahepatic portosystemic shunt}, placed {Implantation procedure}, dissection {Dissection procedure}, portal vein {Portal vein structure}, right PV {Structure of right main branch of portal vein}, TIPS {Transjugular intrahepatic portosystemic shunt}, PV {Pulmonary valve structure}, stents {Insertion of arterial stent}, dilated {Dilatation}, procedure {Procedure}, paracentesis {Abdominal paracentesis}, abd soreness {Abdominal pain}, improved {Patient's condition improved}, LFTs {Hepatic function panel}, Cr {Finding of creatinine level}, Creatinine normalized {Serum creatinine within reference range}, albumin {Administration of albumin}, contrast-induced nephropath {Acute kidney injury caused by contrast agent}, HRS {Hepatorenal syndrome}, ultrasound {Ultrasonography}, hepatic encephalopathy {Hepatic encephalopathy}, Hypotension {Low blood pressure}, cirrhosis {Cirrhosis of liver}, lasix {Diuretic therapy}, labile blood pressure {Labile blood pressure}, renal {Kidney structure}, restarted {Restart of medication}, Anemia {Anemia}, chronic liver disease {Chronic liver disease}, 1U pRBC {Transfusion of packed red blood cells}, ITP {Chronic idiopathic thrombocytopenic purpura}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Furosemide 20 mg PO DAILY 
-2. Lactulose 30 mL PO TID 
-3. Nadolol 20 mg PO DAILY 
-4. Omeprazole 20 mg PO BID 
-5. Spironolactone 150 mg PO DAILY 
-6. Vitamin D 400 UNIT PO DAILY 
-
- 
-Discharge Medications:
-1. Omeprazole 20 mg PO BID 
-2. Lactulose 30 mL PO TID 
-3. Vitamin D 400 UNIT PO DAILY 
-4. OxycoDONE (Immediate Release)  2.5 mg PO Q6H:PRN pain 
-RX *oxycodone 5 mg 1 tablet(s) by mouth every six hours Disp #*5 
-Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary diagnosis
-NASH cirrhosis s/p TIPS procedure
-
-Secondary diagnoses:
-ITP
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: NASH {Nonalcoholic steatohepatitis}, cirrhosis {Cirrhosis of liver}, TIPS procedure {Transjugular intrahepatic portosystemic shunt}, ITP {Chronic idiopathic thrombocytopenic purpura}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking part in your care during your recent 
-hospitalization at ___. You 
-were hospitalized for a TIPS procedure. Your blood pressure was 
-low at times during this admission so we stopped your blood 
-pressure medications including furosemide, nadolol, and 
-spironolactone. Please discuss with your liver doctor when to 
-restart these medications.
-
-Please follow-up with all appointments listed below and take 
-your medications as prescribed.
-
-Again, it was a pleasure taking part in your care-
-
--Your ___ Care Team
- 
-                             ___ MD ___
- 
-Completed by: ___
-
-###RESPONSE: TIPS procedure {Transjugular intrahepatic portosystemic shunt}, blood pressure {Blood pressure monitoring}, blood 
-pressure medications {Antihypertensive therapy}, liver {Liver structure}, medications {Administration of drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___          Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-nausea, vomiting, diarrhea
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o M with a past medical history of hypertension
-NIDDM2, HLD, stable angina, hearing loss and metastatic 
-pancreatic cancer s/p ___ on palliative chemotherapy 
-presenting with 6 days of diarrhea and 2 days of nausea and 
-vomiting. He notes ___ episodes of watery, non-bloody diarrhea 
-every day for the past 6 days. He also complains of several days 
-of nausea and vomiting. He also complains of one episode of 
-night sweats and chills on day prior to admission. Notes he has 
-been unable to take POs and has been feeling dehydrated and 
-lightheaded.  He denies abdominal pain,
-fevers, bloody stools, chest pain and SOB. The patient had his 
-most recent session of chemotherapy on ___ and his prior 
-session was held in the setting of acute illness. He denies any 
-recent sick contacts.
-
-Of note, he was recently hospitalized ___ for chest 
-pain when he was found to be febrile and have a UTI and GNR 
-bacteremia.
-
-ED course:
-In the ED, patient was noted to have nausea, vomiting and 
-diarrhea. He received 1L IVF, Zofran and morphine for pain 
-control. CT A/P showed mild proctitis so he was admitted for 
-further workup.
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, NIDDM2 {Diabetes mellitus type 2}, HLD {Hyperlipidemia}, stable angina {Stable angina}, hearing loss {Hearing loss}, metastatic 
-pancreatic cancer {Metastatic carcinoma to head of pancreas}, palliative chemotherapy {Administration of palliative antineoplastic agent}, diarrhea {Diarrhea}, nausea and 
-vomiting {Nausea and vomiting}, bloody diarrhea {Hemorrhagic diarrhea}, nausea and vomiting {Nausea and vomiting}, night sweats {Night sweats}, chills {Chill}, dehydrated {Dehydration}, lightheaded {Lightheadedness}, abdominal pain {Abdominal pain}, fevers {Fever}, bloody stools {Hematochezia}, chest pain {Chest pain}, SOB {Dyspnea}, chemotherapy {Chemotherapy}, chest 
-pain {Chest pain}, febrile {Fever}, UTI {Urinary tract infectious disease}, GNR 
-bacteremia {Bacteremia caused by Gram-negative bacteria}, nausea, vomiting and 
-diarrhea {Nausea, vomiting and diarrhea}, IVF {Administration of intravenous fluids}, morphine {Allergy to morphine}, pain 
-control {Pain control}, CT A/P {Computed tomography of abdomen and pelvis}, mild {Symptom mild}, proctitis {Proctitis}, workup {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL HISTORY:
-T2D,HLD,HTN,stable angina and hearing loss. 
-
-See OMR for detailed oncologic history: Briefly, 
-
-___: dx with pancreatic cancer ___ s/p Whipple
-Adjuvant gemcitabine and Abraxane until ___ 
-___- additional chemotherapy for metatastatic liver lesions
-___- worsening metastatic liver lesions
-
-PAST SURGICAL HISTORY: 
-___ ___ 
-
- 
-
-###RESPONSE: T2D {Diabetes mellitus type 2}, HLD {Hyperlipidemia}, HTN {Hypertensive disorder, systemic arterial}, stable angina {Stable angina}, hearing loss {Hearing loss}, pancreatic cancer {Carcinoma of pancreas}, chemotherapy {Chemotherapy}, metatastatic liver {Metastatic malignant neoplasm to liver}, metastatic liver {Metastatic malignant neoplasm to liver}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father prostate cancer, brother liver cancer.
- 
-
-###RESPONSE: prostate cancer {Carcinoma of prostate}, liver cancer {Malignant neoplasm of liver}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM
-Vitals: ___ 1126 Temp: 98.0 PO BP: 130/72 HR: 88 RR: 18 O2
-sat: 99% O2 delivery: RA   
-General: Awake, cooperative, NAD.
-HEENT: Pupils react normally to light. Oropharynx is clear.
-Neck: Supple
-Lungs: Clear with no wheezing, rhonchi or rales.
-Cardiovascular: Regular rate and rhythm. Normal S1 and S2 no
-m/r/g.
-Abdomen: soft, tender to palpation in epigastric area.
-non-distended. periumbilical surgical scar. No suprapubic
-tenderness. There is no 
-organomegaly or appreciable mass. Bowel sounds are hyperactive.
-Back: No CVA tenderness. 
-Extremities: No edema, 2+ pedal pulses
-Neurologic: Cranial nerves II through XII are intact. No focal
-motor or sensory deficits are noted.
-
-DISCHARGE PHYSICAL EXAM
-Vitals:  ___ 2314 Temp: 97.9 PO BP: 155/70 HR: 77 RR: 20 O2
-sat: 98% O2 delivery: Ra 
-General: Awake, cooperative, NAD.
-HEENT: Pupils react normally to light. Oropharynx is clear.
-Neck: Supple
-Lungs: Clear with no wheezing, rhonchi or rales.
-Cardiovascular: Regular rate and rhythm. Normal S1 and S2 no
-m/r/g.
-Abdomen: soft, non-tender, non-distended. periumbilical surgical
-scar. No suprapubic tenderness. There is no 
-organomegaly or appreciable mass. normal bowel sounds.
-Back: No CVA tenderness. 
-Extremities: No edema, 2+ pedal pulses
-Neurologic: Cranial nerves II through XII are intact. No focal
-motor or sensory deficits are noted.
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2
-sat {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, Awake {Awake}, cooperative {Cooperative mental state}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Pupils react normally to light {Pupil afferent light reaction normal}, Oropharynx is clear {Pharynx normal}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Lungs {Examination of respiratory system}, Clear {Normal breath sounds}, wheezing {Wheezing}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, Cardiovascular {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, Normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, no
-m/r/g {Heart sounds normal}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, tender {Abdominal tenderness}, palpation {Palpation}, epigastric {Epigastric region structure}, non-distended {Normal abdominal contour}, surgical scar {Surgical scar}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, organomegaly {Abdominal organomegaly}, mass {Abdominal mass}, Bowel sounds are hyperactive {Bowel sounds hyperactive}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Extremities {Examination of limb}, edema {Edema}, 2+ pedal pulses {Normal foot pulse}, Neurologic {Neurological examination}, Cranial nerves II {Optic nerve structure}, XII {Hypoglossal nerve structure}, motor {Motor testing}, sensory {Sensory testing}, deficits {Neurological deficit}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2
-sat {Oxygen saturation measurement}, Ra {Breathing room air}, General {General examination of patient}, Awake {Awake}, cooperative {Cooperative mental state}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Pupils react normally to light {Pupil afferent light reaction normal}, Oropharynx is clear {Pharynx normal}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Lungs {Examination of respiratory system}, Clear {Normal breath sounds}, wheezing {Wheezing}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, Cardiovascular {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, Normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, no
-m/r/g {Heart sounds normal}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, surgical
-scar {Surgical scar}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, organomegaly {Abdominal organomegaly}, mass {Abdominal mass}, normal bowel sounds {Normal bowel sounds}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Extremities {Examination of limb}, edema {Edema}, 2+ pedal pulses {Normal foot pulse}, Neurologic {Neurological examination}, Cranial nerves II {Optic nerve structure}, XII {Hypoglossal nerve structure}, motor {Motor testing}, sensory {Sensory testing}, deficits {Neurological deficit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 11:07PM BLOOD WBC-7.7 RBC-3.31* Hgb-9.8* Hct-32.9* 
-MCV-99* MCH-29.6 MCHC-29.8* RDW-16.3* RDWSD-60.0* Plt ___
-___ 11:07PM BLOOD Neuts-87.0* Lymphs-10.4* Monos-1.3* 
-Eos-0.7* Baso-0.1 Im ___ AbsNeut-6.67* AbsLymp-0.80* 
-AbsMono-0.10* AbsEos-0.05 AbsBaso-0.01
-___ 11:07PM BLOOD Glucose-195* UreaN-20 Creat-0.9 Na-132* 
-K-4.9 Cl-98 HCO3-21* AnGap-13
-___ 11:07PM BLOOD ALT-37 AST-26 AlkPhos-859* TotBili-0.9
-___ 11:07PM BLOOD Albumin-3.5
-
-DISCHARGE LABS
-___ 05:25AM BLOOD WBC-3.0* RBC-2.56* Hgb-7.5* Hct-23.8* 
-MCV-93 MCH-29.3 MCHC-31.5* RDW-15.8* RDWSD-53.8* Plt ___
-___ 05:25AM BLOOD Neuts-70.2 ___ Monos-3.9* 
-Eos-0.7* Baso-0.4 AbsNeut-1.98 AbsLymp-0.68* AbsMono-0.11* 
-AbsEos-0.02* AbsBaso-0.01
-___ 05:25AM BLOOD Glucose-134* UreaN-9 Creat-0.7 Na-139 
-K-3.6 Cl-104 HCO3-22 AnGap-13
-___ 05:25AM BLOOD Calcium-8.5 Phos-3.1 Mg-1.9
-
-MICRO
-
-___ 7:43 pm URINE      Source: ___. 
-
-                            **FINAL REPORT ___
-
-   Legionella Urinary Antigen  (Final ___: 
-      NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN. 
-
-___ 7:43 pm STOOL     CONSISTENCY: LOOSE      Source: 
-Stool. 
-
-                            **FINAL REPORT ___
-
-   C. difficile PCR (Final ___: 
-      NEGATIVE. 
-___ 7:43 pm STOOL     CONSISTENCY: LOOSE      Source: 
-Stool. 
-
-                            **FINAL REPORT ___
-
-   FECAL CULTURE (Final ___:    NO SALMONELLA OR SHIGELLA 
-FOUND. 
-
-   CAMPYLOBACTER CULTURE (Final ___:    NO CAMPYLOBACTER 
-FOUND. 
-
-   OVA + PARASITES (Final ___: 
-      NO OVA AND PARASITES SEEN. 
-      . 
-      This test does not reliably detect Cryptosporidium, 
-Cyclospora or
-      Microsporidium. While most cases of Giardia are detected 
-by routine
-      O+P, the Giardia antigen test may enhance detection when 
-organisms
-      are rare. 
-      . 
-      FEW POLYMORPHONUCLEAR LEUKOCYTES. 
-___ 12:40 am BLOOD CULTURE      Source: Line-Port. 
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-
-___ 9:05 am STOOL     CONSISTENCY: LOOSE      Source: 
-Stool. 
-
-                            **FINAL REPORT ___
-
-   OVA + PARASITES (Final ___: 
-      NO OVA AND PARASITES SEEN. 
-      . 
-      This test does not reliably detect Cryptosporidium, 
-Cyclospora or
-      Microsporidium. While most cases of Giardia are detected 
-by routine
-      O+P, the Giardia antigen test may enhance detection when 
-organisms
-      are rare. 
-      . 
-      FEW POLYMORPHONUCLEAR LEUKOCYTES. 
-
-___ 9:21 am URINE      Source: ___. 
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      ESCHERICHIA COLI.    >100,000 CFU/mL.  PRESUMPTIVE 
-IDENTIFICATION. 
-         Cefazolin interpretative criteria are based on a dosage 
-regimen of
-         2g every 8h. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |   
-AMPICILLIN------------     8 S
-AMPICILLIN/SULBACTAM--     4 S
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------   0.5 S
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-NITROFURANTOIN--------  <=16 S
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----   <=1 S
-
-___ 6:13 pm BLOOD CULTURE      Source: Line-POC. 
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-
-___ 7:20 pm BLOOD CULTURE      Source: Line-POC. 
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-
-IMAGING
-CT ABD/PELVIS ___
-1. Likely mild proctitis without a perirectal abscess or bowel 
-obstruction. 
-2. The known metastatic lesion in the right hepatic lobe 
-measuring up to 6.6 cm, is slightly large in size since prior 
-exam from ___, when it measured up to 6.2 cm.  The 
-adjacent hepatic parenchyma in segment VI and VII enhances 
-heterogeneously raising suspicion for satellite metastases. 
-Unchanged appearance of occluded right hepatic vein and right 
-branch of the portal vein. 
-3. Subacute healing pathologic fracture is again seen in the 
-left lateral 
-tenth rib.  Unchanged compression deformities of the L3-L5 
-vertebrae. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, URINE CULTURE {Urine culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, IMAGING {Imaging}, proctitis {Proctitis}, perirectal abscess {Perirectal abscess}, bowel 
-obstruction {Intestinal obstruction}, metastatic {Metastatic malignant neoplasm}, lesion {Lesion}, right hepatic lobe {Structure of right lobe of liver}, hepatic parenchyma {Structure of parenchyma of liver}, metastases {Metastatic malignant neoplasm}, occluded {Complete obstruction}, right hepatic vein {Structure of right hepatic vein}, right 
-branch of the portal vein {Structure of right main branch of portal vein}, healing {Structure resulting from tissue repair process}, pathologic fracture {Pathologic fracture}, tenth rib {Bone structure of tenth rib}, compression {Compression}, deformities {Deformity}, L3 {Bone structure of L3}, L5 {Bone structure of L5}, vertebrae {Bone structure of L3}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ y/o M with a past medical history of hypertension NIDDM2, 
-HLD, stable angina, hearing loss and metastatic pancreatic 
-cancer s/p Whipple on palliative chemotherapy, who presented 
-with 6 days of diarrhea and 2 days of nausea and
-vomiting likely ___ recent chemotherapy and a urinary tract 
-infection.
-
-ACUTE ISSUES
-#Complicated urinary tract infection
-Despite lack of symptoms, due to a history of recurrent urinary 
-infections and ongoing fevers, we sent for a UA and urine 
-culture. The patient was found to have a grossly positive UA and 
-culture grew pan-sensitive E. Coli. The patient was initially 
-placed on Zosyn and was discharged to complete a 7 day course of 
-Bactrim DS. Given recurrent urinary tract infections, urology 
-was consulted and they recommended continuing prophylactic 
-Bactrim SS indefinitely. He will be following up with urology 
-outpatient.
-
-#Diarrhea, nausea, vomiting
-#Poor PO intake
-Patient with one week of diarrhea and several days of nausea and 
-vomiting. C4D1 of chemotherapy was ___. Diarrhea is a 
-common adverse effect of onivyde. Given patient had a 2 month 
-break from chemotherapy, it is possible that this was a rebound 
-effect in the setting of drug break. The patient was also 
-complaining of chills and sweats concerning for possible 
-infectious etiology. During his last admission, he had GNR 
-bacteremia and was treated with meropenem and discharged on 
-ertapenem with course finishing ___. On this admission, C. 
-Diff and Legionella were negative. Nausea and vomiting resolved 
-rapidly with symptomatic treatment. He was able to eat, but 
-continued to have diarrhea throughout hospital course. It 
-resolved prior to discharge with loperamide. Stool, blood and 
-urine cultures were all negative to date.
-
-#Proctitis:
-CT with mild proctitis. DDx included anal fissures/fistulas, C. 
-Diff, diverticulitis, infectious, IBD, traumatic. In this case, 
-it was likely due to inflammation from severe diarrhea.
-
-#Hyponatremia:
-This was noted on admission and believed to be likely hypotonic 
-hypovolemic in the setting of poor PO intake and less likely 
-SIADH. Na was noted to be 133 on ___ at appointment prior for 
-chemotherapy, and believed to be ___ poor PO intake. Na 138 on 
-___.
-
-#Metastatic pancreatic cancer
-Followed by oncologist Dr. ___. His current regimen is 
-___ which he recently received on ___ for 
-palliative chemotherapy. Palliative care was consulted to 
-discuss GOC and symptom management. Patient will follow closely 
-with Dr. ___ discharge to discuss next steps.
-
-CHRONIC ISSUES
-#Anemia
-Baseline around ___ at recent admission. Patient remained around 
-baseline and did not require any transfusions. 
-
-#Hx of stable angina
-EKG on admission with no evidence of ST segment changes. 
-Troponins negative x1.
-
-#Hypertension:
-He was continued on amlodipine, lisinopril. Metoprolol was held 
-during this admission as it was held on discharge at last 
-admission. Given blood pressures were slightly elevated while 
-inpatient, patient may benefit from restarting metoprolol.
-
-#Diabetes:
-Patient placed on insulin sliding scale while inpatient.
-
-TRANSITIONAL ISSUES
-[]Last day of Bactrim DS for UTI ___
-[]Given recurrent UTIs, urology consulted and recommended 
-prophylactic Bactrim SS indefinitely, will need to follow 
-closely with urology outpatient
-[]Patient has had numerous hospitalizations and poor tolerance 
-to chemo, would benefit from conversations with outpatient 
-oncologist Dr. ___ plan moving forward
-[]Will need ongoing conversations regarding code status
-[]Nausea, vomiting and diarrhea resolved with symptomatic 
-treatment but will likely require titration of symptomatic 
-medications to ensure doesn't become constipated; encourage 
-patient to take loperamide for symptomatic relief
-[]Patient seems somewhat confused about medication regimen, 
-would benefit from clarification or help with medication 
-management
-[]BPs mostly 140s/60s while inpatient but going up to SBPs 160s 
-prior to discharge on amlodipine and lisinopril. metoprolol was 
-held on discharge but patient would benefit from ongoing BP 
-monitoring and may need to restart metoprolol.
-[]Patient would benefit from ongoing follow up with nutrition as 
-PO intake appears somewhat poor at baseline and albumin was 3.1.
-
-___) ___ 
-#CODE STATUS: FULL 
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, NIDDM2 {Diabetes mellitus type 2}, HLD {Hyperlipidemia}, stable angina {Stable angina}, hearing loss {Hearing loss}, metastatic pancreatic 
-cancer {Metastatic carcinoma to head of pancreas}, Whipple {Pancreaticoduodenectomy}, palliative chemotherapy {Administration of palliative antineoplastic agent}, diarrhea {Diarrhea}, nausea and
-vomiting {Nausea and vomiting}, chemotherapy {Chemotherapy}, urinary tract 
-infection {Urinary tract infectious disease}, urinary tract infection {Urinary tract infectious disease}, urinary {Urinary tract infectious disease}, infections {Infectious disease}, fevers {Fever}, UA {Urinalysis}, urine 
-culture {Urine culture}, UA {Urinalysis}, culture {Microbial culture}, recurrent urinary tract infections {Recurrent urinary tract infection}, Diarrhea {Diarrhea}, nausea, vomiting {Nausea and vomiting}, Poor PO intake {Decrease in appetite}, diarrhea {Diarrhea}, nausea and 
-vomiting {Nausea and vomiting}, chemotherapy {Chemotherapy}, Diarrhea {Diarrhea}, chemotherapy {Chemotherapy}, rebound 
-effect {Medication rebound effect}, chills {Chill}, sweats {Sweating}, infectious {Infectious disease}, GNR 
-bacteremia {Bacteremia caused by Gram-negative bacteria}, Nausea and vomiting {Nausea and vomiting}, resolved {Problem resolved}, able to eat {Able to eat}, diarrhea {Diarrhea}, resolved {Problem resolved}, Stool {Hematochezia}, urine cultures {Urine culture}, CT {Computed tomography}, proctitis {Proctitis}, anal fissures {Anal fissure}, fistulas {Fistula}, diverticulitis {Diverticulitis}, infectious {Infectious disease}, IBD {Inflammatory bowel disease}, traumatic {Traumatic injury}, inflammation {Inflammatory disorder}, severe diarrhea {Severe diarrhea}, hypovolemic {Hypovolemia}, poor PO intake {Decrease in appetite}, SIADH {Syndrome of inappropriate vasopressin secretion}, chemotherapy {Chemotherapy}, poor PO intake {Decrease in appetite}, Metastatic pancreatic cancer {Metastatic carcinoma to pancreas}, regimen {Therapeutic regimen}, palliative chemotherapy {Administration of palliative antineoplastic agent}, symptom management {Symptom management}, Anemia {Anemia}, Baseline {Baseline state}, baseline {Baseline state}, transfusions {Transfusion}, stable angina {Stable angina}, EKG {Electrocardiographic procedure}, ST segment changes {Finding of electrocardiogram ST segment}, Troponins {Troponin measurement}, blood pressures {Blood pressure monitoring}, elevated {Finding of increased blood pressure}, insulin sliding scale {Sliding scale insulin regime}, UTI {Urinary tract infectious disease}, recurrent UTIs {Recurrent urinary tract infection}, chemo {Chemotherapy}, Nausea, vomiting and diarrhea {Nausea, vomiting and diarrhea}, resolved {Problem resolved}, medications {Prescription of drug}, constipated {Constipation}, medication {Prescription of drug}, regimen {Therapeutic regimen}, medication 
-management {Procedure related to management of drug administration}, BP 
-monitoring {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. amLODIPine 10 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. Atorvastatin 20 mg PO QPM 
-4. Creon 12 2 CAP PO QIDWMHS 
-5. Finasteride 5 mg PO DAILY 
-6. Isosorbide Mononitrate (Extended Release) 60 mg PO DAILY 
-7. Lisinopril 5 mg PO DAILY 
-8. Polyethylene Glycol 17 g PO DAILY 
-9. Senna 17.2 mg PO BID 
-10. LOPERamide 2 mg PO QID:PRN diarrhea 
-11. Magnesium Oxide 400 mg PO DAILY 
-12. MetFORMIN (Glucophage) 850 mg PO DAILY 
-13. Metoprolol Succinate XL 100 mg PO DAILY 
-14. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-
- 
-Discharge Medications:
-1.  Sulfameth/Trimethoprim DS 1 TAB PO BID Duration: 5 Days 
-RX *sulfamethoxazole-trimethoprim 800 mg-160 mg 1 tablet(s) by 
-mouth twice a day Disp #*10 Tablet Refills:*0 
-2.  Sulfameth/Trimethoprim SS 1 TAB PO DAILY 
-Take this medication after you finish Bactrim DS to prevent 
-recurrent urinary infection 
-RX *sulfamethoxazole-trimethoprim 400 mg-80 mg 1 tablet(s) by 
-mouth every day Disp #*30 Tablet Refills:*0 
-3.  amLODIPine 10 mg PO DAILY  
-4.  Aspirin 81 mg PO DAILY  
-5.  Atorvastatin 20 mg PO QPM  
-6.  Creon 12 2 CAP PO QIDWMHS  
-7.  Finasteride 5 mg PO DAILY  
-8.  Isosorbide Mononitrate (Extended Release) 60 mg PO DAILY  
-9.  Lisinopril 5 mg PO DAILY  
-10.  LOPERamide 2 mg PO QID:PRN diarrhea 
-RX *loperamide 2 mg 1 tablet by mouth every 6 hours Disp #*60 
-Capsule Refills:*0 
-11.  MetFORMIN (Glucophage) 850 mg PO DAILY  
-12.  Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain  
-13.  Polyethylene Glycol 17 g PO DAILY  
-14.  Senna 17.2 mg PO BID  
-15. HELD- Magnesium Oxide 400 mg PO DAILY  This medication was 
-held. Do not restart Magnesium Oxide until your doctor tells you 
-to
-16. HELD- Metoprolol Succinate XL 100 mg PO DAILY  This 
-medication was held. Do not restart Metoprolol Succinate XL 
-until your doctor tells you to
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS
-Complicated urinary tract infection
-Diarrhea
-
-SECONDARY DIAGNOSES
-metastatic pancreatic cancer
-hyponatremia
-proctitis
-anemia
-hypertension
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, urinary tract infection {Urinary tract infectious disease}, Diarrhea {Diarrhea}, metastatic pancreatic cancer {Metastatic carcinoma to pancreas}, hyponatremia {Hyponatremia}, proctitis {Proctitis}, anemia {Anemia}, hypertension {Hypertensive disorder, systemic arterial}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-It was a pleasure caring for you at ___ 
-___.
-
-WHY WAS I IN THE HOSPITAL?
-- You came to the hospital because you were nauseous and were 
-having diarrhea and vomiting all week.
-
-WHAT HAPPENED TO ME IN THE HOSPITAL?
-- We gave you lots of fluids through the IV and you felt better
-- You were found to have a urinary infection and we gave you 
-antibiotics
-- We gave you medications for your nausea and diarrhea and you 
-felt better
-- You were able to eat and stopped having diarrhea so you were 
-discharged home
-
-WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL?
-- Be sure to take the DOUBLE STRENGTH Bactrim until ___ 
-after this switch to the SINGLE STRENGTH Bactrim and only take 
-one of those tablets daily until you talk to the urologists
-- Continue to take all your medicines and keep your 
-appointments.
-- Please come back to the hospital if you have any worsening of 
-your nausea, vomiting, diarrhea, dehydration or if you are 
-unable to eat and drink.
-
-We wish you the best!
-
-Sincerely,
-Your ___ Team
-
- 
-
-###RESPONSE: nauseous {Nausea}, diarrhea and vomiting {Diarrhea and vomiting}, fluids {Administration of fluid therapy}, IV {Administration of drug or medicament via intravenous route}, urinary infection {Urinary tract infectious disease}, antibiotics {Antibiotic therapy}, medications {Prescription of drug}, nausea {Nausea}, diarrhea {Diarrhea}, able to eat {Able to eat}, diarrhea {Diarrhea}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, dehydration {Dehydration}, unable to eat {Unable to eat}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Morphine
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Morphine {Allergy to morphine}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness: ___ yo man with h/o ""small heart 
-attack ___ years ago"", ESRD (on HD for ___ years, urinates 
-3x/day), HTN, HLP, DM, presents with chest pain and SOB since 
-late afternoon today. He was sitting on his bed when he suddenly 
-developed ___ substernal chest heaviness, that may have 
-radiated to the back. This was associated with SOB, but no N/V, 
-sweats, dizziness, numbness or tingling. There was no 
-association of his pain with food, position, breathing, or 
-cough. He's never had this pain before. When he had the ""mild 
-heart attack"" ___ years ago, he cannot recal if this pain was 
-similar. He decided to present to the ED.
-.
-In the ED, initial vs were: 98 118/48 60 16 99%RA. Patient was 
-given . Vitals on transfer were 98.3 55 136/58 14 100%2LNC. ASA 
-325mg PO ONCE, morphine 4mg IV ONCE, 1gm tylenol PO ONCE
-.
-On the floor,
-.
-Review of sytems:
-(+) Per HPI
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denied cough, shortness of breath. Denied 
-palpitations. Denied nausea, vomiting, diarrhea, constipation. 
-No recent change in bowel or bladder habits. 
- 
-
-###RESPONSE: heart 
-attack {Myocardial infarction}, ESRD (on HD {End stage renal failure on dialysis}, urinates {Micturition finding}, HTN {Hypertensive disorder, systemic arterial}, HLP {Hyperlipidemia}, DM {Diabetes mellitus}, chest pain {Chest pain}, SOB {Dyspnea}, sitting {Sitting position}, substernal {Structure of substernal region}, chest heaviness {Tight chest}, radiated {Radiating pain}, back {Structure of back of trunk}, SOB {Dyspnea}, N/V {Nausea and vomiting}, sweats {Sweating}, dizziness {Dizziness}, numbness {Numbness}, tingling {Pins and needles}, pain {Pain}, food {Pain provoked by eating}, position {Pain provoked by movement}, breathing {Pain provoked by breathing}, cough {Pain provoked by coughing}, pain {Pain}, heart attack {Myocardial infarction}, pain {Pain}, Vitals {Vital signs finding}, ASA {Administration of aspirin}, tylenol {Administration of analgesic}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of breath {Dyspnea}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1) ESRD on HD for ___ years
-2) ""Mild heart attack"" at ___ in ___
-3) HTN
-4) HLP
-5) DM
-6) ?Dementia 
- 
-
-###RESPONSE: ESRD on HD {End stage renal failure on dialysis}, heart attack {Myocardial infarction}, HTN {Hypertensive disorder, systemic arterial}, HLP {Hyperlipidemia}, DM {Diabetes mellitus}, Dementia {Dementia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Patient's father died of an MI in mid ___. No other personal or 
-family history of heart disease or blood clot.
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}, heart disease {Heart disease}, blood clot {Blood clot}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: 96.5 150/68 66 18 100%2LNC
-General: Alert, oriented x ___ (says he's in ___, can't recall 
-city, says he's in hospital can't recall name, says ___ can't 
-recall date) no acute distress
-HEENT: Sclera anicteric, MMM, oropharynx clear
-Neck: supple, JVP not elevated
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi except bibasilar rhales
-CV: Regular rate and rhythm, normal S1 + S2, soft ___ SM at apex 
-no rubs, gallops
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly
-GU: no foley
-Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, NC {Normal head}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, bibasilar {Structure of base of lung}, rhales {Respiratory crackles}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, soft {Abdomen soft}, apex {Structure of apex of heart}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 02:25PM BLOOD WBC-8.0 RBC-3.74* Hgb-12.1* Hct-36.5* 
-MCV-98 MCH-32.4* MCHC-33.2 RDW-16.5* Plt ___
-___ 02:25PM BLOOD Neuts-57.8 ___ Monos-5.9 Eos-2.5 
-Baso-0.7
-___ 02:25PM BLOOD ___ PTT-22.1 ___
-___ 02:25PM BLOOD Glucose-137* UreaN-45* Creat-6.4* Na-139 
-K-3.1* Cl-91* HCO3-36* AnGap-15
-___ 02:25PM BLOOD ALT-4 AST-11 LD(LDH)-110 CK(CPK)-33* 
-AlkPhos-58 Amylase-74 TotBili-0.5
-___ 02:25PM BLOOD proBNP-699*
-___ 02:25PM BLOOD cTropnT-0.02*
-___ 11:59PM BLOOD CK-MB-NotDone cTropnT-0.03*
-___ 07:10AM BLOOD CK-MB-NotDone cTropnT-0.02*
-___ 07:10AM BLOOD Calcium-9.4 Phos-4.9* Mg-2.1
-___ 02:25PM BLOOD Albumin-4.0
-
-REPORTS: 
-
-___   Radiology CARDIAC PERFUSION PERSA  Left 
-ventricular cavity size is normal. The end-diastolic volume is 
-129 ml.
-Rest and stress perfusion images reveal a small region of 
-decreased tracer
-uptake along the inferior wall of the left ventricle, although 
-this may be due to artifact generated by adjacent soft tissue. 
-There is no change in tracer uptake on stress versus rest 
-images.
-Gated images reveal normal wall motion.
-The calculated left ventricular ejection fraction is 68 %.
-No prior studies are available for comparison.
-IMPRESSION: 1. No reversible myocardial perfusion defect. 2. 
-Focal decreased tracer uptake in the left ventricular inferior 
-wall is likely due to artifact from adjacent soft tissue; 
-alternatively this could represent a mild fixed perfusion 
-defect.
-     
-___   Cardiology STRESS ___: ___ yo 
-man with h/o HTN, HL and type II DM requiring
-insulin; s/p ""small heart attack"" ___ years ago was referred to 
-evaluate
-an atypical chest discomfort and shortness of breath. The 
-patient was
-administered 0.142 mg/kg/min of Persantine over 4 minutes. No 
-chest,
-back, neck or arm discomforts were reported by the patient 
-during the
-procedure. No significant ST segment changes were noted. The 
-rhythm was
-sinus with no ectopy noted. An appropriate heart rate and blood 
-pressure
-response to the Persantine infusion was noted. Post-infusion, 
-the
-patient was administered 125 mg Aminophylline IV.
-IMPRESSION: No anginal symptoms or ischemic ST segment changes 
-to
-Persantine. Appropriate heart rate and blood pressure response 
-to
-Persantine infusion. Nuclear report sent separately.  
- 
-___   Radiology CHEST (PA & LAT)   
-FINDINGS: Lung volumes are mildly diminished. Hazy subsegmental 
-atelectasis
-is seen in both lung bases. No consolidation or edema is 
-evident. The
-mediastinum is unremarkable. The cardiac silhouette is 
-borderline enlarged
-even accounting for patient and technical factors. No effusion 
-or
-pneumothorax is noted. The osseous structures are grossly 
-unremarkable.
-IMPRESSION: Low lung volumes with hazy bibasilar atelectasis. 
-Otherwise, no
-acute pulmonary process.
-
-DISCHARGE LABS: 
-
-___ 06:35AM BLOOD WBC-7.0 RBC-3.83* Hgb-12.5* Hct-37.1* 
-MCV-97 MCH-32.6* MCHC-33.6 RDW-15.5 Plt ___
-___ 06:35AM BLOOD Glucose-103* UreaN-53* Creat-6.7*# Na-141 
-K-3.5 Cl-96 HCO3-31 AnGap-18
-___ 06:35AM BLOOD Calcium-9.5 Phos-4.7* Mg-1.___ yo man with h/o ""small heart attack ___ years ago"", ESRD (on HD 
-for ___ years, urinates 3x/day), HTN, HLP, DM, presents with 
-chest pain and SOB since late afternoon today.
-.
-# Chest pain: Unclear etiology, ACS thought to be unlikely given 
-atypically pain, no EKG changes, negative enzymes, and negative 
-PMIBI results. LFTs including amylase/lipase were wnl. CXR 
-negative for any acute process. PE unlikely given lack of risk 
-factors, such as tachycardia, recent surgery/travel, hemoptysis, 
-DVT sx, h/o cancer or DVT/PE. Mild volume overload secondary to 
-ESRD was thought to be a possible cause, which was resolved 
-after HD. Pt was initially treated with ACS protocol with ASA 
-325mg PO daily, Plavix 75mg PO Daily, Atorvastatin 80mg PO 
-daily. We continued Metoprolol tartrate 200mg PO HS, Continue 
-Cozaar 50mg PO Daily. Once PMIBI was negative plavix was DC'd, 
-ASA dropped back to 81 and pt's original simvastatin 40 was 
-restarted.  
-.
-# ESRD: On HD for ___ years. Continued HD ___, with 
-renal following. 
-.
-# HTN: Continued BB and ___ per above
-.
-# HLP: Atorvastatin per above
-.
-# DM: Continued home Lantus 28 units plus SSI.
-.
-# Dementia: Continued carbidopa and levadopa.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, CK(CPK {Creatine kinase measurement}, AlkPhos {Alkaline phosphatase measurement}, Amylase {Amylase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Radiology CARDIAC PERFUSION {Radionuclide myocardial perfusion study}, Left 
-ventricular cavity {Structure of cavity of left cardiac ventricle}, size is normal {Normal size}, stress perfusion images {Radionuclide myocardial perfusion stress study}, inferior wall {Structure of myocardium of diaphragmatic region}, left ventricle {Left cardiac ventricular structure}, artifact {Artifact}, soft tissue {Structure of soft tissue}, stress {Radionuclide myocardial perfusion stress study}, normal wall motion {Normal ventricular wall motion}, left ventricular {Structure of myocardium of left ventricle}, studies {Evaluation procedure}, reversible myocardial perfusion defect {Reversible myocardial perfusion defect}, left ventricular {Structure of myocardium of left ventricle}, inferior 
-wall {Structure of myocardium of diaphragmatic region}, artifact {Artifact}, soft tissue {Structure of soft tissue}, perfusion 
-defect {Myocardial perfusion defect}, HTN {Hypertensive disorder, systemic arterial}, HL {Hyperlipidemia}, type II DM {Diabetes mellitus type 2}, insulin {Insulin regime}, heart attack {Myocardial infarction}, evaluate {Evaluation procedure}, atypical {Atypical chest pain}, chest discomfort {Chest discomfort}, shortness of breath {Dyspnea}, chest {Thoracic structure}, back {Structure of back of trunk}, neck {Neck structure}, arm {Upper limb structure}, discomforts {Discomfort}, procedure {Procedure}, ST segment changes {Electrocardiographic ST segment changes}, rhythm was
-sinus {Normal sinus rhythm}, heart rate {Finding of heart rate}, blood 
-pressure {Blood pressure finding}, infusion {Infusion}, infusion {Infusion}, anginal symptoms {Angina}, ischemic {Ischemia}, ST segment changes {Electrocardiographic ST segment changes}, heart rate {Finding of heart rate}, blood pressure {Blood pressure finding}, infusion {Infusion}, Radiology CHEST (PA & LAT) {Diagnostic radiography of chest, combined posteroanterior and lateral}, Lung volumes {Finding of respiratory volume}, atelectasis {Atelectasis}, lung bases {Structure of base of lung}, consolidation {Consolidation}, edema {Edema}, mediastinum {Mediastinal structure}, unremarkable {No abnormality detected}, cardiac {Heart structure}, enlarged {Enlargement}, effusion {Pleural effusion}, pneumothorax {Pneumothorax}, osseous structures {Bone structure}, unremarkable {No abnormality detected}, lung volumes {Finding of respiratory volume}, bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, no
-acute {No abnormality detected}, pulmonary {Lung structure}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, heart attack {Myocardial infarction}, ESRD (on HD {End stage renal failure on dialysis}, urinates {Micturition finding}, HTN {Hypertensive disorder, systemic arterial}, HLP {Hyperlipidemia}, DM {Diabetes mellitus}, chest pain {Chest pain}, SOB {Dyspnea}, Chest pain {Chest pain}, ACS {Acute coronary syndrome}, atypically pain {Atypical chest pain}, no EKG changes {Electrocardiogram normal}, negative enzymes {Cardiac enzymes within reference range}, negative {No abnormality detected}, PMIBI {Radionuclide myocardial perfusion study}, LFTs {Hepatic function panel}, amylase {Amylase measurement}, lipase {Serum lipase measurement}, wnl {Liver function tests within reference range}, CXR {Plain chest X-ray}, PE {Pulmonary embolism}, tachycardia {Tachycardia}, surgery {Surgical procedure}, travel {Travel abroad}, hemoptysis {Hemoptysis}, DVT {Deep venous thrombosis}, cancer {Malignant neoplasm}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, volume overload {Hypervolemia}, ESRD {End-stage renal disease}, resolved {Problem resolved}, HD {Hemodialysis}, ACS {Acute coronary syndrome}, ASA {Administration of aspirin}, PMIBI {Radionuclide myocardial perfusion study}, negative {No abnormality detected}, ASA {Administration of aspirin}, restarted {Restart of medication}, ESRD {End stage renal failure on dialysis}, HD {Hemodialysis}, HD {Hemodialysis}, HTN {Hypertensive disorder, systemic arterial}, HLP {Hyperlipidemia}, DM {Diabetes mellitus}, SSI {Sliding scale insulin regime}, Dementia {Dementia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1) Aspirin 81mg PO daily
-2) Simvastatin 40mg PO daily
-3) Losartan 50mg PO daily
-4) Nexium 40mg PO Daily
-5) Sevelamer carbonate 800mg PO TID
-6) Nephrocaps 1 cap PO Daily
-7) Ambien 10mg PO HS
-8) Trazadone 100mg PO HS
-9) Insulin glargine 28 units daily
-10) Sliding scale insulin
-11) Carbidopa-Levodopa (___) 2 tab PO TID
-12) Metoprolol XL 200mg PO HS 
- 
-Discharge Medications:
-1. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.  
-2. Nexium 40 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-3. Losartan 25 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-4. Zolpidem 5 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime).  
-
-5. Trazodone 100 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-6. Sevelamer Carbonate 800 mg Tablet Sig: One (1) Tablet PO TID 
-W/MEALS (3 TIMES A DAY WITH MEALS).  
-7. Carbidopa-Levodopa ___ mg Tablet Sig: Two (2) Tablet PO 
-TID (3 times a day).  
-8. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap 
-PO DAILY (Daily).  
-9. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr 
-Sig: Two (2) Tablet Sustained Release 24 hr PO HS (at bedtime).  
-
-10. Insulin Glargine 100 unit/mL Solution Sig: ___ (28) 
-Units Subcutaneous once a day: Plus sliding scale. .  
-11. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO once a day.  
-
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-1) Atypical chest pain
-2) Musculoskeletal chest pain 
-3) End stage renal disease
-
- 
-Discharge Condition:
-Mental Status: Confused - sometimes.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Atypical chest pain {Atypical chest pain}, Musculoskeletal chest pain {Musculoskeletal chest pain}, End stage renal disease {End-stage renal disease}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-It was a pleasure to take care of you here at ___. You were 
-admitted for chest pain. Fortunately, an stress test was 
-negative for any evidence of heart disease. Also, our testing 
-revealed that you did not have a heart attack. You will be 
-discharged home with physical therapy. 
-
-We have not made the any changes to your medications.
-
- 
-
-###RESPONSE: chest pain {Chest pain}, stress test {Radionuclide myocardial perfusion stress study}, negative {No abnormality detected}, heart disease {Heart disease}, heart attack {Myocardial infarction}, physical therapy {Physical therapy procedure}, changes to your medications {Change of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Keflex / Augmentin / Amoxicillin
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of breath.
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Keflex {Allergy to cefalexin}, Augmentin {Antibiotic therapy}, Amoxicillin {Allergy to amoxicillin}, Shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
- Mrs. ___ is a ___ y.o. female with a past history of 
-COPD/Asthma, who reported increased dyspnea over approximately 
-one week.  Apparently, her husband came home almost a week ago 
-with a ""cold"" and she then developed a non-productive cough, 
-malaise, dyspnea on exertion and eventually an inability to 
-sleep due to dyspnea.  She denied the presence of fevers, 
-chills, or chest pain.  Over the past 3 days her dyspnea 
-increased and today she appeared in significant distress.  She 
-was brought to the ED.  She has had several admissions in the 
-past for dyspnea/COPD exacerbation, has been on BiPAP, never 
-been intubated.
-.  
-In the ED on arrival, VS:  Temp 98.8; BP 129/61; HR 95; RR 28; 
-SpO2 80% on RA.  She arrived ambulatory from home with family 
-(who reported cough productive with yellow sputum).  Blood gases 
-after 3.5 L for 4 minutes revealed hypoxia with PO2 61 and PCO2 
-47.  She received 3 combivent nebs with marked improvement. A 
-CXR was suggestive of pneumonia.  She was given prednisone and 
-levofloxacin and admitted for COPD exacerbation/pneumonia.  On 
-transfer to the floor, VS: Temp 98.8; BP 140/47; HR 102; RR 20; 
-SpO2 93% on 3L.
-.  
-Currently, her dyspnea is much better.  She denied chest pain, 
-or other symptoms.  Her daughter, a nurse, was with her and able 
-to assist with much of the history, as the patient reproted her 
-memory was poor.  Her daughter reported that the patient became 
-confused during previous admission.
-.  
-ROS: Denies fever, chills, night sweats, headache, vision 
-changes, rhinorrhea, congestion, sore throat, chest pain, 
-abdominal pain, nausea, vomiting, diarrhea, constipation, BRBPR, 
-melena, hematochezia, dysuria, hematuria.  She refuses to have a 
-mammogram or colonoscopy.
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, Asthma {Asthma}, increased {Patient's condition worsened}, dyspnea {Dyspnea}, cold {Common cold}, non-productive cough {Dry cough}, malaise {Malaise}, dyspnea on exertion {Dyspnea on exertion}, dyspnea {Dyspnea}, fevers {Fever}, chills {Chill}, chest pain {Chest pain}, dyspnea {Dyspnea}, increased {Patient's condition worsened}, distress {Distress}, dyspnea {Dyspnea}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, BiPAP {Bilevel positive airway pressure titration}, intubated {Insertion of endotracheal tube}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, RA {Breathing room air}, cough productive {Productive cough}, yellow sputum {Yellow sputum}, Blood gases {Blood gas measurement}, hypoxia {Hypoxia}, PO2 {Measurement of venous partial pressure of oxygen}, PCO2 {Measurement of venous partial pressure of carbon dioxide}, nebs {Nebulizer therapy}, improvement {Patient's condition improved}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, prednisone {Steroid therapy}, levofloxacin {Antibiotic therapy}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, pneumonia {Pneumonia}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, dyspnea {Dyspnea}, chest pain {Chest pain}, memory was poor. {Memory impairment}, confused {Clouded consciousness}, ROS {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, vision 
-changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}, mammogram {Mammography}, colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. COPD/Ashtma
-2. Hypertension
-3. Hyperlipidemia
-4. Type II Diabetes
-5. Peripheral Neuropathy
-6. s/p MRSA osteomyelitis in right foot with 3 surgical 
-debridements
-7. s/p MRSA bacteremia in ___. ?Dementia (reported by daughter)
-9. Bilateral cataract surgery
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, Ashtma {Asthma}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Type II Diabetes {Diabetes mellitus type 2}, Peripheral Neuropathy {Peripheral nerve disease}, MRSA {Methicillin resistant Staphylococcus aureus infection}, surgical {Surgical procedure}, debridements {Debridement}, MRSA bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, Dementia {Dementia}, Bilateral cataract surgery {Surgery of cataract of bilateral eyes}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Her father was a smoker and exposed to asbestos, died of lung 
-cancer at age ___.  Her mother died form with complications from 
-Alzheimer's at age ___.  One sister survived breast CA.
- 
-
-###RESPONSE: smoker {Smoker}, died {Dead}, lung 
-cancer {Malignant tumor of lung}, died {Dead}, Alzheimer {Alzheimer's disease}, breast CA {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals - T: 99.3; BP: 128/76; HR: 100; RR: 20; SpO2: 93% on 3L
-GENERAL: Pleasant, female with mild respiratory distress.  
-Speaks in near full sentences, slight tachypnea.
-HEENT: Normocephalic, atraumatic. Conjunctiva moist and pink. No 
-scleral icterus. PERRLA, EOMs intact. Mucosa pink and moist. 
-Neck Supple, No LAD, No thyromegaly.  
-CARDIAC: Regular rhythm, tachy rate. Normal S1, S2. No murmurs, 
-rubs or ___. No gross JVD.
-LUNGS: Good, equal chest excursion.  Lung sounds with rales and 
-rhonchi in right lower lobe, slight in left base.  Scattered 
-expiratory wheezes throughout.  No egophony.
-ABDOMEN: Protuberant.  Positive bowel sounds.  Soft, non-tender 
-to palpation. 
-EXTREMITIES: No peripheral edema, positive pain in left calf, 2+ 
-dorsalis pedis pulses.  Noted deformed toenails and prior 
-surgery on right foot.
-SKIN: Pink/hot/dry.  No rashes/lesions, ecchymoses.  
-NEURO: A&Ox3. Appropriate, seems slightly confused, refers many 
-answers to daughter. CN ___ grossly intact. Sensation and 
-moevement grossly intact in all extremities.
-PSYCH: Listens and responds to questions appropriately, 
-pleasant. 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, GENERAL {General examination of patient}, distress {Distress}, Speaks {Does speak}, full sentences {Able to complete sentence in one breath}, tachypnea {Tachypnea}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Conjunctiva moist and pink {Finding of moistness of eye}, scleral icterus {Scleral icterus}, PERRLA {Pupils equal, react to light and accommodation}, EOMs {Ophthalmic examination and evaluation}, intact {No abnormality detected}, Mucosa pink and moist {Moist oral mucosa}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, thyromegaly {Goiter}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, tachy {Tachycardia}, rate {Finding of heart rate}, Normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, JVD {Jugular venous engorgement}, LUNGS {Examination of respiratory system}, Good {Normal breath sounds}, chest excursion {Finding of chest expansion}, Lung {Lung structure}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, right lower lobe {Structure of lower lobe of right lung}, left base {Structure of base of left lung}, wheezes {Wheezing}, egophony {Egophony}, ABDOMEN {Examination of abdomen}, Protuberant {Swollen abdomen}, Positive bowel sounds {Normal bowel sounds}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, palpation {Palpation}, EXTREMITIES {Examination of limb}, edema {Edema}, pain {Pain}, left calf {Structure of calf of left lower leg}, 2+ 
-dorsalis pedis {Dorsalis pulse present}, pulses {Pulse finding}, right foot {Structure of soft tissue of dorsum of right foot}, SKIN {Examination of skin}, Pink {Pink skin}, hot {Hot skin}, dry {Xeroderma}, rashes {Eruption of skin}, lesions {Lesion}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, Appropriate {Appropriate affect}, confused {Clouded consciousness}, grossly intact {Normal nervous system function}, Sensation {Finding of sensation by site}, grossly intact {Normal nervous system function}, all extremities {All extremities}, PSYCH {Psychological assessment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-IMAGING: 
-CXR ___ - IMPRESSION: Patchy airspace opacities, most 
-notable in the right lung base, but also in the right mid lung 
-and likely also left lower lung. Findings are concerning for 
-aspiration or pneumonia. 
-.
-MICROBIOLOGY:  Blood cultures ___ - pending
-.
-LAB DATA:
-LABS ON ADMISSION:
-___ 10:45AM BLOOD WBC-19.3* RBC-5.09 Hgb-14.9 Hct-44.3 
-MCV-87 MCH-29.3 MCHC-33.7 RDW-14.2 Plt ___
-___ 10:45AM BLOOD Neuts-86.3* Lymphs-9.0* Monos-3.8 Eos-0.7 
-Baso-0.2
-___ 10:45AM BLOOD Plt ___
-___ 10:45AM BLOOD Glucose-170* UreaN-24* Creat-1.0 Na-139 
-K-4.6 Cl-99 HCO3-28 AnGap-17
-___ 10:45AM BLOOD cTropnT-<0.01
-___ 10:45AM BLOOD CK-MB-5
-___ 10:50AM BLOOD Type-ART pO2-61* pCO2-47* pH-7.40 
-calTCO2-30 Base XS-2
-___ 10:50AM BLOOD Lactate-1.0
-.
-LABS ON DISCHARGE:
- 
-
-###RESPONSE: IMAGING {Imaging}, CXR {Plain chest X-ray}, opacities {Abnormally opaque structure}, right lung base {Structure of base of right lung}, right mid lung {Structure of middle lobe of right lung}, left lower lung {Structure of lower lobe of left lung}, aspiration {Aspiration pneumonia}, pneumonia {Pneumonia}, MICROBIOLOGY {Microbiology}, Blood cultures {Blood culture}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, ART {Arterial specimen collection for laboratory test}, pH {pH measurement}, calTCO2 {Blood total carbon dioxide (calculated)}, Base XS {Delta base, blood}, Lactate {Lactic acid measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ y.o. woman with a past history of COPD and asthma that 
-presented with increasing dyspnea and cough.  
-.  
-# Dyspnea: Likely due to COPD exacerbation with pneumonia 
-suggested by CXR. ___ have occured in the setting of a URI given 
-her husband's recent cold symptoms, but may also be due 
-COPD/asthma exacerbation alone. Respiratory status has improved 
-significantly since she presented to the ED. Infleunza was 
-negative Does not appear to be volume overloaded, making CHF 
-less likely. PE unlikely given her presentation and response to 
-bronchodilators. Given her baseline respiratory dysfunction, she 
-will likely need pulmonary rehab prior to returning home. She is 
-not a candidate for home oxygen because she continues to smoke.  
-If she can quit, she should start on nighttime home oxygen. 
-Smoking cessation was discussed.  She had a nicotine patch and 
-was discharged on chantix.  She plans not to smoke on this 
-medication and knows to watch for depression and altered dreams.
-She was discharged with a steroid taper, plan to complete a 10 
-day course of antibiotics, and nebs for COPD/Asthma.  She should 
-continue oxygen as needed. 
-.  
-Leukocytosis: Elevated WBC prior to steroids. Decreased during 
-admission. Likely related to pneumonia, as suggested by CXR. 
-This trended down.  
-.  
-# Hypertension: Well controlled with home medications. HCTZ, 
-metoprolol and norvasc were continued, BP remained stable.  
-.  
-# Type II Diabetes: Glucose checks qid, standing coverage with 
-70/30 and sliding scale.  Her 70/30 was increased while on 
-prednisone and she was started on metformin.
-.  
-# Hyperlipidemia: Continued her simvastatin.  
-.  
-# Peripheral Neuropathy: Continued with her gabapentin.  
-.  
-# ? Dementia: Patient is on aricept, she and her daughter 
-reported forgetfulness. Aricept was continued and she was 
-monitored closely for delerium.  
-.  
-# CODE: Remains FULL code at this time. Patient did express that 
-she may not want to be resuscitated/intubated, but further 
-discussion with patient and family is required. She does not 
-have a health care proxy.  
-.  
-# CONTACT: With patient and her daughter.  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, asthma {Asthma}, increasing {Patient's condition worsened}, dyspnea {Dyspnea}, cough {Cough}, Dyspnea {Dyspnea}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, URI {Upper respiratory infection}, cold {Common cold}, COPD {Chronic obstructive lung disease}, asthma exacerbation {Exacerbation of asthma}, Respiratory status {Monitoring of respiration}, improved {Patient's condition improved}, Infleunza {Influenza}, negative {No pathologic diagnosis}, volume overloaded {Hypervolemia}, CHF {Congestive heart failure}, PE {Pulmonary embolism}, baseline {Baseline state}, respiratory {Respiratory function finding}, dysfunction {Functional disorder}, pulmonary rehab {Pulmonary rehabilitation}, home oxygen {Home oxygen therapy}, smoke {Smoker}, home oxygen {Home oxygen therapy}, Smoking cessation {Smoking cessation education}, smoke {Smoker}, medication {Administration of drug or medicament}, depression {Depressive disorder}, steroid {Steroid therapy}, taper {Medication decreased}, antibiotics {Antibiotic therapy}, nebs {Nebulizer therapy}, COPD {Chronic obstructive lung disease}, Asthma {Asthma}, oxygen {Oxygen therapy}, Leukocytosis {Leukocytosis}, Elevated WBC {White blood cell count outside reference range}, steroids {Steroid therapy}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, Hypertension {Hypertensive disorder, systemic arterial}, Well controlled {Disease condition determination, well controlled}, medications {Administration of drug or medicament}, stable {Stable blood pressure}, Type II Diabetes {Diabetes mellitus type 2}, Glucose {Glucose measurement, blood}, sliding scale {Sliding scale insulin regime}, increased {Increasing dosage of medication}, prednisone {Steroid therapy}, started {New medication added}, Hyperlipidemia {Hyperlipidemia}, Peripheral Neuropathy {Peripheral nerve disease}, Dementia {Dementia}, forgetfulness {Forgetful}, monitored {Monitoring procedure}, delerium {Delirium}, resuscitated {Resuscitation}, intubated {Insertion of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Albuterol - 90mcg aerosol prn
-Citalopram - 10 mg PO daily
-Fluticasone-Salmeterol (Advair) - 250 mcg-50 mcg inhaled bid
-Gabapentin - 300 mg PO qhs
-HCTZ - 25 mg PO daily
-Metoprolol Succinatate - 150 mg PO daily
-Simvastatin - 40 mg PO qhs
-ASA - 81 mg PO daily
-Norvasc - 5 mg PO daily
-Aricept - 5 mg PO daily
-Insulin NPH and Regular (Humulin 70/30) - 32 units, QAM and QPM
- 
-Discharge Medications:
-1. Prednisone 10 mg Tablet Sig: as directed Tablet PO once a day 
-for 12 days: 6 tabs for 2 days, then 4 tabs for 2 days, then 3 
-tabs for 2 days, then 2 tabs for 2 days, then 1 tab for 2 days 
-then ___ tab for 2 days.
-Disp:*43 Tablet(s)* Refills:*0*
-2. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: 
-___  Inhalation every four (4) hours as needed for shortness of 
-breath or wheezing.  
-3. Chantix 0.5(11)-1(3X14) mg Tablets, Dose Pack Sig: ___ 
-Tablets, Dose Packs PO as directed for 11 weeks: 0.5 mg daily 
-for 3 days, then 0.5 mg BID for 4 days, then 1 mg BID.
-Disp:*1 Tablets, Dose Pack(s)* Refills:*0*
-4. Citalopram 10 mg Tablet Sig: One (1) Tablet PO once a day.  
-5. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig: 
-One (1) Disk with Device Inhalation BID (2 times a day).  
-6. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO HS (at 
-bedtime).  
-7. Hydrochlorothiazide 12.5 mg Capsule Sig: Two (2) Capsule PO 
-DAILY (Daily).  
-8. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr 
-Sig: Three (3) Tablet Sustained Release 24 hr PO once a day.  
-9. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-10. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-11. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-12. Donepezil 5 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-13. Insulin NPH & Regular Human 100 unit/mL (70-30) Suspension 
-Sig: ___ (32)  Subcutaneous twice a day: Take 40 units 
-twice daily for the next ___ days while on prednisone.  
-14. Tiotropium Bromide 18 mcg Capsule, w/Inhalation Device Sig: 
-One (1) Inh Inhalation once a day.
-Disp:*QS 1 month unit* Refills:*2*
-15. Cefpodoxime 200 mg Tablet Sig: One (1) Tablet PO twice a day 
-for 7 days.
-Disp:*14 Tablet(s)* Refills:*0*
-16. Azithromycin 250 mg Tablet Sig: One (1) Tablet PO Q24H 
-(every 24 hours) for 7 days.  
-17. Metformin 500 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).
-Disp:*60 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Priamry: COPD exacerbation, penumonia.
-Secondary: Hypertension, Type II Diabetes, Hyperlipidemia, 
-Peripheral Neuropathy, Dementia: 
-
- 
-Discharge Condition:
-Stable
- 
-
-###RESPONSE: COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, penumonia {Pneumonia}, Hypertension {Hypertensive disorder, systemic arterial}, Type II Diabetes {Diabetes mellitus type 2}, Hyperlipidemia {Hyperlipidemia}, Peripheral Neuropathy {Peripheral nerve disease}, Dementia {Dementia}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for shortness of breath.  You were treated a 
-COPD exacerbation and pneumonia and were given frequent 
-nebulizers, supplemental oxygen, oral steroids and antibiotics 
-with improvement in your breathing.  You were also given a 
-nicotine patch and encouraged to stop or reduce your smoking, 
-which is likely contributing to your condition.  
-
-You were started on a new medication, chantix, to help with 
-smoking cessation.  Please watch for depressed mood or strange 
-dreams on this medication and report these symptoms to your PCP.
-
-You were started on Spireva for better COPD control as well as a 
-taper of prednisone.  You were given increased insulin and 
-metformin to help control your blood sugars while on the 
-prednisone.  You should comeplete a 10 day course of 
-antibiotics.
-
-Please call your primary care physician or come to the emergency 
-room if you experience worsening breathing difficulties that do 
-not respond to inhalers, fevers, chills, chest pain, or other 
-concerning symptoms.
-
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, pneumonia {Pneumonia}, nebulizers {Nebulizer therapy}, supplemental oxygen {Oxygen therapy support}, oral {Administration of drug or medicament via oral route}, steroids {Steroid therapy}, antibiotics {Antibiotic therapy}, improvement {Patient's condition improved}, reduce your smoking {Smoking cessation education}, started {New medication added}, new medication {New medication commenced}, smoking cessation {Smoking cessation education}, depressed mood {Depressed mood}, medication {Administration of drug or medicament}, PCP {Primary care management}, started {New medication added}, COPD {Chronic obstructive lung disease}, taper {Medication decreased}, prednisone {Steroid therapy}, increased {Increasing dosage of medication}, insulin {Insulin regime}, metformin {Allergy to metformin}, blood sugars {Blood sugar management}, prednisone {Steroid therapy}, antibiotics {Antibiotic therapy}, primary care {Primary care management}, emergency {Emergency treatment management}, breathing difficulties {Difficulty breathing}, fevers {Fever}, chills {Chill}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Aspirin / Penicillins / Codeine / Inderal / Isordil Titradose / 
-Iodine-Iodine Containing / Celexa / Glucophage / Atorvastatin / 
-Dilaudid (PF) / Vioxx / Levofloxacin / Hydralazine And 
-Derivatives / Ondansetron / Carbapenem / Lidocaine / 
-Nortriptyline / Fosfomycin / Morphine / Trimethoprim / Latex
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Aspirin {Allergy to aspirin}, Penicillins {Allergy to penicillin}, Codeine {Allergy to codeine}, Iodine-Iodine {Allergy to iodine compound}, Atorvastatin {Allergy to atorvastatin}, Levofloxacin {Allergy to levofloxacin}, Morphine {Allergy to morphine}, Latex {Allergy to Hevea brasiliensis latex protein}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old female with CAD, HTN, Type II DM, CKD 
-and a history of bradycardia with Wenckebach rhythm, CVA, s/p 
-DVT with indwelling IVC filter w/o coumadin, presenting with 
-___ substernal chest pressure radiating to the left arm as well 
-as jaw while waiting for dermatology appointment.  
-In the ED, initial vitals were 98.6 76 150/82 16 98% 2L NC  
-Labs and imaging significant for clear CXR, Cr 1.2 (baseline), 
-troponin T <0.01  
-Patient started on nitro gtt, heparin bolus and gtt, started on 
-2L n/c and was transferred to floor for further w/u.  
-Vitals on transfer were 97.1, 73, 134/60, 24, 93% 2L  
-.  
-On arrival to the floor, patient denies CP, states has improved. 
-She only notes feeling of general malaise. Denies DOE, SOB, 
-cough, F/C/S. She notes that the pain had started at about 
-10:45, and remained constant until about 4pm when it improved.  
-.  
-Pt had admission for chest pain ___, was ruled out for MI 
-with echo and CE, felt to have large anxiety component to pain 
-at that time.  
-REVIEW OF SYSTEMS  
-On review of systems, she denies any prior history of pulmonary 
-embolism, bleeding at the time of surgery, myalgias, joint 
-pains, cough, hemoptysis, black stools or red stools. She denies 
-recent fevers, chills or rigors. She denies exertional buttock 
-or calf pain. All of the other review of systems were negative.  
-
-.  
-Cardiac review of systems is notable for absence of dyspnea on 
-exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, 
-palpitations, syncope or presyncope.  
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, Type II DM {Diabetes mellitus type 2}, CKD {Chronic kidney disease}, bradycardia {Bradycardia}, rhythm {Irregular heart beat}, CVA {Cerebrovascular accident}, DVT {Deep venous thrombosis}, IVC filter {Inferior vena cava filter in situ}, coumadin {Anticoagulant therapy}, chest pressure {Tight chest}, radiating to the left arm {Pain radiating to left arm}, jaw {Pain radiating to jaw}, vitals {Vital signs finding}, NC {Oxygen administration by nasal cannula}, imaging {Imaging}, clear {Chest clear}, CXR {Plain chest X-ray}, baseline {Baseline state}, troponin {Troponin measurement}, heparin {Heparin therapy}, Vitals {Vital signs finding}, CP {Chest pain}, improved {Patient's condition improved}, malaise {Malaise}, DOE {Dyspnea on exertion}, SOB {Dyspnea}, cough {Cough}, F/C {Fever with chills}, pain {Chest pain}, constant {Constant pain}, improved {Patient's condition improved}, chest pain {Chest pain}, MI {Myocardial infarction}, echo {Echocardiography}, anxiety {Anxiety}, pain {Chest pain}, review of systems {Review of systems}, pulmonary 
-embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint 
-pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, Cardiac {Heart disease}, review of systems {Review of systems}, dyspnea on 
-exertion {Dyspnea on exertion}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- CAD: Cardiac cath ___ showed 50% mid LAD, 50% OM1 lesions c/b 
-
-coronary aneurysm
-- HTN  
-- Diabetes mellitus, type 2
-- CRI: baseline creatinine 0.9-1.2
-- Asymptomatic bradycardia w/ ___ rhythm in past
-- s/p CVA with residual left sided weakness in ___  
-- h/o DVT in ___ post-op from back surgery, s/p IVC filter  
-- L1-2 discectomy, L5-S1 fusion, R sided L2-3 and L3-4 w/ 
-residual right leg weakness, now wheelchair bound when going 
-outside but uses a walker at home
-- Cervical stenosis on ___ MRI: mild stenosis C3-4, moderate 
-
-stenosis C4-5, C5-6
-- Foraminotomy
-- Recurrent UTIs, on chronic suppressive methenamine  
-- Arthritis  
-- Cervical spondylosis  
-- Osteoporosis  
-- GERD
-- s/p: appendectomy, hysterectomy, tonsillectomy, lap 
-cholecystectomy in ___, cataract surgery x 2
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, Cardiac cath {Cardiac catheterization}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, lesions {Lesion}, coronary aneurysm {Aneurysm of coronary vessels}, HTN {Hypertensive disorder, systemic arterial}, Diabetes mellitus, type 2 {Diabetes mellitus type 2}, CRI {Chronic renal insufficiency}, baseline {Baseline state}, creatinine {Creatinine measurement}, Asymptomatic bradycardia {Asymptomatic bradycardia}, rhythm {Irregular heart beat}, CVA {Cerebrovascular accident}, left sided weakness {Left hemiparesis}, DVT {Deep venous thrombosis}, post-op {Postoperative state}, surgery {Surgical procedure}, IVC filter {Inferior vena cava filter in situ}, discectomy {Chondrectomy of spine}, L5-S1 {Structure of intervertebral disc of L5 and S1}, fusion {Spinal arthrodesis}, right leg weakness {Right hemiparesis}, wheelchair bound {Does mobilize using wheelchair}, Cervical stenosis {Spinal stenosis in cervical region}, MRI {Magnetic resonance imaging}, stenosis {Stenosis}, stenosis {Stenosis}, Foraminotomy {Foraminotomy}, Recurrent UTIs {Recurrent urinary tract infection}, Arthritis {Arthritis}, Cervical spondylosis {Cervical spondylosis}, Osteoporosis {Osteoporosis}, GERD {Gastroesophageal reflux disease}, appendectomy {Excision of appendix}, hysterectomy {Hysterectomy}, tonsillectomy {Tonsillectomy}, lap 
-cholecystectomy {Laparoscopic cholecystectomy}, cataract surgery {Cataract surgery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother died at age ___ of CAD. Father died ___ CAD. 2 brothers 
-died at ___ of CAD. Sister: ___. Sister: lung cancer. 3 
-brothers: diabetes and CAD. 3 daughters: 1 with ""hole in her 
-heart"", 1 with learning disability, 1 died of melanoma ___ years 
-ago.
- 
-
-###RESPONSE: died {Dead}, CAD {Coronary arteriosclerosis}, died {Dead}, CAD {Coronary arteriosclerosis}, died {Dead}, CAD {Coronary arteriosclerosis}, lung cancer {Malignant tumor of lung}, CAD {Coronary arteriosclerosis}, ""hole in her 
-heart"" {Atrial septal defect}, learning disability {Developmental academic disorder}, died {Dead}, melanoma {Malignant melanoma of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission PE:
-GENERAL: ___ F in NAD. Oriented x3. Mood, affect appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. 
-No Carotid Bruits.  
-NECK: Supple with JVP of 2 cm.  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or 
-S4.  
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. Few crackles b/l at the 
-bases  
-ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not 
-enlarged by palpation. No abdominial bruits.  
-EXTREMITIES: No c/c/e. No femoral bruits.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES:  
-Right: Carotid 2+ Femoral 2+ Popliteal 2+ DP 2+ ___ 2+  
-Left: Carotid 2+ Femoral 2+ Popliteal 2+ DP 2+ ___ 2+  
-
-Discharge PE:
-T 97.6 126/66 HR 78 RR 20 96% RA
-GENERAL: WDWN F in NAD. Oriented x3. Mood, affect appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. 
-No Carotid Bruits.  
-NECK: Supple with JVP of 2 cm.  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or 
-S4.  
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. Few crackles b/l at the 
-bases  
-ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not 
-enlarged by palpation. No abdominial bruits.  
-EXTREMITIES: No c/c/e. No femoral bruits.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES:  
-Right: Carotid 2+ Femoral 2+ Popliteal 2+ DP 2+ ___ 2+  
-Left: Carotid 2+ Femoral 2+ Popliteal 2+ DP 2+ ___ 2+  
-
- 
-
-###RESPONSE: GENERAL {General examination of patient}, NAD {No abnormality detected}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, Carotid Bruits {Carotid bruit}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Does lift}, No S3 {Third heart sound, S>3<, inaudible}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, bases {Structure of base of lung}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, enlarged {Enlargement}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, EXTREMITIES {Examination of limb}, femoral bruits {Femoral bruit}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Right {Right coronary artery structure}, Carotid {Carotid artery structure}, Femoral {Structure of femoral artery}, DP {Structure of dorsalis pedis artery}, Left {Structure of left carotid artery}, Carotid {Carotid artery structure}, Femoral {Structure of femoral artery}, DP {Structure of dorsalis pedis artery}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, WDWN {Well nourished}, NAD {Distress}, Oriented x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, NCAT {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, Carotid Bruits {Carotid bruit}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, RR {Finding of rate of respiration}, normal S1, S2 {Heart sounds normal}, No m/r/g {Heart sounds normal}, thrills {Thrill}, lifts {Does lift}, No S3 {Third heart sound, S>3<, inaudible}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp 
-were unlabored {Breathing easily}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, bases {Structure of base of lung}, Soft {Abdomen soft}, NTND {Abdominal tenderness}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd aorta {Abdominal aorta structure}, enlarged {Enlargement}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, femoral bruits {Femoral bruit}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Right {Right coronary artery structure}, Carotid {Carotid artery structure}, Femoral {Structure of femoral artery}, DP {Structure of dorsalis pedis artery}, Left {Structure of left carotid artery}, Carotid {Carotid artery structure}, Femoral {Structure of femoral artery}, DP {Structure of dorsalis pedis artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:45AM BLOOD WBC-6.1 RBC-3.45* Hgb-10.8* Hct-31.8* 
-MCV-92 MCH-31.3 MCHC-34.0 RDW-13.7 Plt ___
-___ 11:45AM BLOOD Neuts-60.5 ___ Monos-6.3 Eos-1.8 
-Baso-0.7
-___ 11:45AM BLOOD ___ PTT-20.5* ___
-___ 11:45AM BLOOD Glucose-277* UreaN-18 Creat-1.2* Na-140 
-K-4.5 Cl-104 HCO3-26 AnGap-15
-___ 08:45PM BLOOD CK(CPK)-48
-___ 11:45AM BLOOD cTropnT-<0.01
-___ 08:45PM BLOOD CK-MB-2 cTropnT-<0.01
-___ 06:13AM BLOOD Calcium-8.7 Phos-4.1 Mg-2.0
-UA negative
-
-___ CXR: No acute cardiopulmonary process
-
-Discharge labs:
-
-___ 06:13AM BLOOD WBC-6.0 RBC-3.30* Hgb-10.3* Hct-30.7* 
-MCV-93 MCH-31.3 MCHC-33.7 RDW-13.8 Plt ___
-___ 06:13AM BLOOD ___ PTT-69.1* ___
-___ 06:13AM BLOOD Plt ___
-___ 06:13AM BLOOD Glucose-156* UreaN-15 Creat-1.1 Na-141 
-K-4.2 Cl-108 HCO___ AnGap-___ year old female with CAD, HTN, Type II DM, CKD and a history 
-of bradycardia with ___ rhythm, CVA, s/p DVT with 
-indwelling IVC filter w/o coumadin, presenting with ___ left 
-sided jaw, neck, chest, torso pain lasting for ___ hours.  
-
-# Atypical chest pain: Has long history of chest pain with 
-previous cath in ___ showing normal arteries and stress echo in 
-___ showing evidence of old infarct with no inducible 
-ischemia. CE negative x2. No acute changes on EKG. Has long 
-history of similar pain. Given history, ACS is possible and she 
-was ruled out with enzymes and seriel EKGs. Other possibilities 
-included anxiety/psychosomatic component which has been 
-documented in past. She has cervical stenosis which may have had 
-component. ___ have had musculoskeletal sprain/strain/pull.  PE 
-was unlikely given no tachycardia, no pleuritic component, no 
-s/s DVT, s/p IVC filter. Pna unlikely given no infiltrate on 
-CXR, no cough, no F/C/S.
---On the floor she was weaned off nitro gtt with no return of 
-her pain, and stopped heparin. No events noted on telemetry.  
-ticlopidine was continued as pt allergic to asa.  Simvastatin 
-was continued - patient had a documented allergy as ""elevated 
-CPK"" however pt has been on this medication at home for some 
-time without documented CPK elevations. No issues while in 
-house.  Acetaminophen was used PRN for pain, further analgesic 
-options were limited given extensive allergy list.  No beta 
-blocker was started as patient has documented allergy to 
-propanolol.  Patient had a negative UA and UTI was unlikely 
-cause.
-  
-#nausea: was controlled with home prn compazine.  
-
-# Normocytic anemia: stable  during admission
- 
-# Hypertension: patient not currently treated, has been on ACE-I 
-in past but blood pressures were controlled while in house.
- 
-# Diabetes Mellitus Type II- stable on sliding scale insulin in 
-house
-# CKD - At baseline. Cr remained stable.  
-# H/o cerebrovascular accident - stable. continued ticlopidine.  
-
-# GERD - stable. continued home omeprazole.  
-.  
-FEN: Cardiac Heart Healthy  
-.  
-ACCESS: PIV's  while in house
-.  
-PROPHYLAXIS:  
--DVT ppx with heparin gtt followed by sub cutaneous heparin.  
--Pain management with tylenol  
--Bowel regimen with senna/colace  
-.  
-CODE: full  
-
-Transitional issues:
--Atypical chest pain:  Felt very unlikely to be cardiac.  
-Definitive diagnosis was difficult.  She does have previously 
-diagnosed CAD, but does not tolerate beta blockers or aspirin.
--Social work/psych:  ___ benefit from seeing a therapist 
-regarding anxiety. This has been broached with her in the past 
-and may be worth speaking to her about again.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, UA {Urinalysis}, CXR {Plain chest X-ray}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, Type II DM {Diabetes mellitus type 2}, CKD {Chronic kidney disease}, bradycardia {Bradycardia}, rhythm {Irregular heart beat}, CVA {Cerebrovascular accident}, DVT {Deep venous thrombosis}, IVC filter {Inferior vena cava filter in situ}, coumadin {Anticoagulant therapy}, jaw {Pain radiating to jaw}, neck {Neck pain}, chest {Chest pain}, torso {Trunk structure}, pain {Pain}, Atypical chest pain {Atypical chest pain}, chest pain {Chest pain}, cath {Cardiac catheterization}, arteries {Arterial structure}, stress echo {Stress echocardiography}, old infarct {Healed infarct}, ischemia {Ischemia}, EKG {Electrocardiographic procedure}, pain {Chest pain}, ACS {Acute coronary syndrome}, EKGs {Electrocardiographic procedure}, anxiety {Anxiety}, cervical stenosis {Spinal stenosis in cervical region}, musculoskeletal sprain/strain/pull {Muscle strain}, PE {Pulmonary embolism}, tachycardia {Tachycardia}, pleuritic {Pleuritic pain}, DVT {Deep venous thrombosis}, IVC filter {Inferior vena cava filter in situ}, Pna {Pneumonia}, infiltrate {Infiltration}, CXR {Plain chest X-ray}, cough {Cough}, F/C {Fever with chills}, pain {Chest pain}, heparin {Heparin therapy}, telemetry {Cardiac telemetry}, allergy {Allergic disposition}, ""elevated 
-CPK"" {Serum creatine kinase MB isoenzyme measurement}, pain {Pain}, allergy {Allergic disposition}, allergy to 
-propanolol {Allergy to propranolol}, UA {Urinalysis}, UTI {Urinary tract infectious disease}, nausea {Nausea}, Normocytic anemia {Normocytic anemia}, stable {Patient's condition stable}, Hypertension {Hypertensive disorder, systemic arterial}, blood pressures {Blood pressure monitoring}, Diabetes Mellitus Type II {Diabetes mellitus type 2}, sliding scale insulin {Sliding scale insulin regime}, CKD {Chronic kidney disease}, baseline {Baseline state}, stable {Patient's condition stable}, cerebrovascular accident {Cerebrovascular accident}, stable {Patient's condition stable}, GERD {Gastroesophageal reflux disease}, stable {Patient's condition stable}, Cardiac {Heart structure}, Heart {Heart structure}, PROPHYLAXIS {Preventive procedure}, DVT {Deep venous thrombosis}, ppx {Preventive procedure}, heparin {Heparin therapy}, cutaneous {Skin structure}, heparin {Heparin therapy}, Pain management {Pain management}, Bowel {Normal bowel habits}, regimen {Therapeutic regimen}, Atypical chest pain {Atypical chest pain}, cardiac {Heart disease}, CAD {Coronary arteriosclerosis}, anxiety {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. gabapentin 100 mg Capsule Sig: One (1) Capsule PO HS (at 
-bedtime).  
-2. gabapentin 300 mg Capsule Sig: One (1) Capsule PO QAM (once a 
-
-day (in the morning)).  
-3. meclizine 12.5 mg Tablet Sig: One (1) Tablet PO three times a 
-
-day as needed for dizziness.  
-4. omeprazole 40 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-5. prochlorperazine maleate 5 mg Tablet Sig: One (1) Tablet PO 
-every six (6) hours as needed for nausea.  
-6. simvastatin 40 mg Tablet Sig: One (1) Tablet PO once a day.  
-7. alum-mag hydroxide-simeth 200-200-20 mg/5 mL Suspension Sig: 
-___ MLs PO QID (4 times a day) as needed for heartburn.  
-8. ticlopidine 250 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-
-a day).  
-9. Lantus 100 unit/mL Solution Sig: Fifteen (15) units 
-Subcutaneous at bedtime.
-
- 
-Discharge Medications:
-1. gabapentin 100 mg Capsule Sig: One (1) Capsule PO HS (at 
-bedtime). Capsule(s) 
-2. gabapentin 300 mg Capsule Sig: One (1) Capsule PO QAM (once a 
-day (in the morning)).  
-3. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-4. prochlorperazine maleate 10 mg Tablet Sig: One (1) Tablet PO 
-Q6H (every 6 hours) as needed for Nausea.  
-5. ticlopidine 250 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-6. meclizine 12.5 mg Tablet Sig: One (1) Tablet PO three times a 
-day as needed for nausea.  
-7. Lantus 100 unit/mL Solution Sig: Fifteen (15) Units 
-Subcutaneous At bedtime.  
-8. simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Atypical chest pain with normal cardiac enzymes and no 
-electrocardiogram changes.
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Atypical chest pain {Atypical chest pain}, cardiac enzymes {Finding of cardiac enzyme levels}, electrocardiogram {Electrocardiographic procedure}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-It was a pleasure taking care of you in the hospital.  You were 
-admitted for chest pain.  The major concern was that this was 
-related to your heart.  All the testing done, including lab work 
-and EKGs were very reassuring and it was unlikely this was 
-related to a problem with your heart.  It may have been related 
-to your cervical stenosis or it may have been a muscle pull, 
-strain, or sprain.  You should keep taking all of your 
-medications exactly as prescribed.
-
- 
-
-###RESPONSE: chest pain {Chest pain}, heart {Heart structure}, EKGs {Electrocardiographic procedure}, problem {Problem}, heart {Heart structure}, cervical stenosis {Spinal stenosis in cervical region}, strain {Muscle strain}, sprain {Sprain}, medications {Medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___             Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim / Claritin / Sulfa (Sulfonamide Antibiotics)
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Claritin {Allergy to histamine H1 receptor antagonist}, Sulfa {Allergy to sulfonamide antibiotic}, Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ CAD with NSTEMI in ___ s/p DES to LAD s/p in ___ DES 
-to LCX presenting with onset of rightsided cp (typical of his 
-angina equivilant). Pain started at rest around 1pm. resolved 
-s/p nitroX2. No CP since then. Pt denies SOB, n,v, diaphoresis, 
-dizziness, lightheaded. Of note, had a URI type illness ___ 
-weeks ago that has resolved, but now has sporadic non-productive 
-cough. 
-
-In the ED, initial vitals were:  98.1 64 162/76 96RA  
-- Labs were significant for WBC 17. Initial trop<.01, MN trop 
-.02, and 02AM trop .03. 
-- Imaging revealed  CXR with patchy R base opacity, most likely 
-atelectasis, but could be consistent with PNA in the right 
-clinical setting.
-- The patient was given Asp 325,g, levofloxacin 750mg, 
-atorvastatin 80mg. Was started on heparin gtt.  
-Vitals prior to transfer were: 56 105/55 18 94% RA  
-
-Upon arrival to the floor, pt CP free. No SOB, dizziness, 
-lightheadedness. 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, DES {Endovascular insertion of drug eluting stent}, LAD {Structure of anterior descending branch of left coronary artery}, DES {Endovascular insertion of drug eluting stent}, LCX {Structure of circumflex branch of left coronary artery}, angina {Angina}, Pain {Pain}, at rest {Chest pain at rest}, resolved {Problem resolved}, SOB {Dyspnea}, n,v {Nausea and vomiting}, diaphoresis {Excessive sweating}, dizziness {Dizziness}, lightheaded {Lightheadedness}, URI {Upper respiratory infection}, resolved {Problem resolved}, non-productive 
-cough {Dry cough}, vitals {Vital signs finding}, RA {Breathing room air}, Labs {Laboratory test}, WBC {White blood cell count}, trop {Troponin measurement}, trop {Troponin measurement}, trop {Troponin measurement}, Imaging {Imaging}, CXR {Plain chest X-ray}, R base {Structure of base of right lung}, opacity {Abnormally opaque structure}, atelectasis {Atelectasis}, PNA {Pneumonia}, levofloxacin {Antibiotic therapy}, started {New medication added}, heparin {Heparin therapy}, Vitals {Vital signs finding}, RA {Breathing room air}, CP {Chest pain}, SOB {Dyspnea}, dizziness {Dizziness}, lightheadedness {Lightheadedness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Hypertension  
-- CAD with NSTEMI in ___ s/p DES to LAD s/p in ___ DES to 
-LCX 
-- COPD not on oxygen  
-- Chronic lymphocytic leukemia  
-- Prostate cancer  
-- DVT and PE in ___  
-- GERD  
-- Raynaud's syndrome  
-- Osteoarthritis of left knee  
-- Osteoporosis  
-- Spinal stenosis  
-- Attention deficit disorder  
-- Anxiety and depression
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, CAD {Coronary arteriosclerosis}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, DES {Endovascular insertion of drug eluting stent}, LAD {Structure of anterior descending branch of left coronary artery}, DES {Endovascular insertion of drug eluting stent}, LCX {Structure of circumflex branch of left coronary artery}, COPD {Chronic obstructive lung disease}, oxygen {Oxygen therapy}, Chronic lymphocytic leukemia {Chronic lymphoid leukemia, disease}, Prostate cancer {Carcinoma of prostate}, DVT {Deep venous thrombosis}, GERD {Gastroesophageal reflux disease}, Raynaud's syndrome {Raynaud's disease}, Osteoarthritis of left knee {Osteoarthritis of left knee joint}, Osteoporosis {Osteoporosis}, Spinal stenosis {Spinal stenosis}, Attention deficit disorder {Attention deficit hyperactivity disorder, predominantly inattentive type}, Anxiety {Anxiety}, depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-- Sister has a brain tumor.
-- No family history of early MI, arrhythmia, cardiomyopathies, 
-or 
-sudden cardiac death; father had colon cancer
- 
-
-###RESPONSE: brain tumor {Neoplasm of brain}, MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, cardiomyopathies {Cardiomyopathy}, sudden cardiac death {Sudden cardiac death}, colon cancer {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION
-Vitals:  98.1 131/73 58 18 94/1L Wt 86.5kg
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL  
-Neck: Supple, JVP not elevated, no LAD  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly, no rebound or guarding  
-GU: No foley  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro: CNII-XII intact, ___ strength upper/lower extremities, 
-grossly normal sensation, 2+ reflexes bilaterally  
-
-DISCHARGE
-Vitals:  t 98 BP 140/70 HR 58 RR 18 94/1L 
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL  
-Neck: Supple, JVP not elevated, no LAD  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Lungs: right base with rhonchi, no rales or wheezing. left lung 
-CTA.   
-Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly, no rebound or guarding  
-GU: No foley  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, 1L {Oxygen therapy}, Wt {Weight finding}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNII-XII intact {Normal central nervous system}, upper {Upper limb structure}, lower extremities {Lower limb structure}, normal sensation {Normal sensation}, 2+ reflexes {Normal reflex}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, 1L {Oxygen therapy}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, right base {Structure of base of right lung}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, wheezing {Wheezing}, left lung {Left lung structure}, CTA {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulse present}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-=======================================================
-LABS
-
-ADMISSION
-___ 06:10PM BLOOD WBC-17.0* RBC-5.11 Hgb-13.8 Hct-42.8 
-MCV-84 MCH-27.0 MCHC-32.2 RDW-18.4* RDWSD-53.7* Plt ___
-___ 06:10PM BLOOD ___ PTT-30.3 ___
-___ 06:10PM BLOOD Glucose-95 UreaN-32* Creat-1.2 Na-137 
-K-4.8 Cl-101 HCO3-24 AnGap-17
-
-CARDIAC BIOMARKERS
-___ 06:10PM BLOOD cTropnT-<0.01
-___ 12:00AM BLOOD cTropnT-0.02*
-___ 01:50AM BLOOD cTropnT-0.03*
-___ 09:00AM BLOOD cTropnT-0.03*
-___ 03:40PM BLOOD cTropnT-0.03*
-___ 10:04PM BLOOD cTropnT-0.02*
-___ 10:00AM BLOOD cTropnT-0.01
-
-DISCHARGE
-___ 10:00AM BLOOD WBC-15.8* RBC-5.37 Hgb-14.4 Hct-45.5 
-MCV-85 MCH-26.8 MCHC-31.6* RDW-19.1* RDWSD-55.3* Plt ___
-___ 10:00AM BLOOD Glucose-145* UreaN-28* Creat-1.3* Na-139 
-K-4.2 Cl-101 HCO3-26 AnGap-16
-
-=======================================================
-MICRO
-
-___ CULTUREBlood Culture, 
-Routine-PENDINGINPATIENT
-
-___ CULTUREBlood Culture, 
-Routine-PENDINGINPATIENT
-
-___ CULTURE-FINALINPATIENT
-No growth
-
-=======================================================
-IMAGING/STUDIES
-
-___
-Signnificant baseline artifact. Sinus rhythm. Diffuse 
-non-specific ST segment straightening throughout. Compared to 
-tracing #1 non-specific repolarization abnormalities are new and 
-suggest an ongoing pharmacologic metabolic process. Clinical 
-correlation is suggested. TRACING #2
-Read ___
- Intervals  Axes
-RatePRQRSQTQTc (___)  ___
-___
- 
-   
-___ (PA & LAT)
-Patchy right base opacity most likely due to atelectasis, 
-although infectious process is difficult to exclude in the 
-appropriate clinical setting.  
-
-___
-Sinus rhythm. Tracing is within normal limits. Compared to the 
-previous
-tracing of ___ the rate is minimally faster and no longer 
-technically
-bradycardic. TRACING #1
-Read ___
- Intervals  Axes
-RatePRQRSQTQTc (___)  ___
-___
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CARDIAC {Heart structure}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, Culture {Blood culture}, CULTURE {Microbial culture}, No growth {No organism isolated by microbiologic culture}, IMAGING {Imaging}, STUDIES {Evaluation procedure}, baseline {Baseline state}, artifact {Artifact}, Sinus rhythm {Sinus rhythm}, non-specific ST segment straightening {Nonspecific ST-T abnormality on electrocardiogram}, abnormalities {Imaging result abnormal}, Intervals {Finding of electrocardiogram waveform}, (PA & LAT) {Diagnostic radiography of chest, combined posteroanterior and lateral}, right base {Structure of base of right lung}, opacity {Abnormally opaque structure}, atelectasis {Atelectasis}, infectious process {Infectious disease}, Sinus rhythm {Sinus rhythm}, normal {Electrocardiogram normal}, rate {Finding of heart rate}, bradycardic {Bradycardia}, Intervals {Finding of electrocardiogram waveform}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is an ___ yo man with a history of NSTEMI s/p s/p 
-DES to LAD (___), LCX (___) who presented with right sided 
-light chest pressure at rest which was similar to his previous 
-NSTEMIs. Of note, he described holding his aspirin and 
-clopidogrel for a Dermatology procedure.
-
-ACTIVE PROBLEMS
-# NSTEMI
-# Community acquired pneumonia
-
-He was noted to have an NSTEMI with troponins peaking at 0.03. 
-His EKG was unremarkable for ischemic change, normal sinus 
-rhythm, TWI in V1, no STE, unchanged from prior. He was placed 
-on a heparin gtt with a plan for cardiac catheterization. 
-However, patient declined cardiac catheterization given his 
-desire for no invasive procedures. He also declines reversal of 
-code status from DNR/DNI for procedures. He is on Plavix, 
-aspirin, carvidilol, atorvastatin 80, and lisinopril-HCTZ at 
-home, and these were continued. Also, we counseled the patient 
-yesterday that he could NOT,
-under any circumstances, discontinue his DAPT without a 
-cardiologist's permission.
-
-In addition, he was noted to have a retrocardiac opacity, 
-leukocytosis, and a history of cough x2-3 weeks. He was started 
-on levofloxacin 750 mg x5 days with planned course from 
-___.
-
-Unfortunately, before our team could prepare his discharge 
-paperwork, he walked to the nursing station dressed and shouted 
-that we had ""no regard for patient care."" I asked him to stay 
-for just a few minutes so that we could prepare the ___ and 
-homemaker services he had requested earlier, but he declined, 
-saying that we were just trying to ""CYA."" He did not leave with 
-his prescription for levofloxacin, or his ___ services 
-arranged. We forwarded this information to PCP and ___ 
-in hopes they can assist with his follow-up care. 
-
-TRANSITIONAL ISSUES
-- NSTEMI likely precipitated by holding DAPT - iterate in the 
-outpatient setting that he cannot discontinue these medications
-- Levofloxacin 750 mg daily (___) for community acquired 
-PNA was prescribed but NOT completed, and he should be queried 
-specifically for PNA symptoms at next outpatient f/u
-- Patient planned for cardiology appointment in ___ with 
-Dr. ___ would recommend follow up in the next month 
-with cardiology. Patient vocalized that he would make an 
-appointment within the next month to see cardiology. 
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, DES {Endovascular insertion of drug eluting stent}, LAD {Structure of anterior descending branch of left coronary artery}, LCX {Structure of circumflex branch of left coronary artery}, right sided {Right thorax structure}, at rest {Chest pain at rest}, NSTEMIs {Acute non-ST segment elevation myocardial infarction}, aspirin {Administration of aspirin}, PROBLEMS {Problem}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, Community acquired pneumonia {Community acquired pneumonia}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, troponins {Troponin measurement}, EKG {Electrocardiographic procedure}, unremarkable {No abnormality detected}, ischemic change {Ischemia}, normal sinus 
-rhythm {Electrocardiogram: normal sinus rhythm}, TWI {Inverted T wave}, V1 {Lead site V1}, STE {ST segment elevation}, unchanged {Patient condition unchanged}, heparin {Heparin therapy}, cardiac catheterization {Cardiac catheterization}, cardiac catheterization {Cardiac catheterization}, procedures {Procedure}, DNR {Not for resuscitation}, procedures {Surgical procedure}, Plavix {Administration of prophylactic clopidogrel}, aspirin {Administration of aspirin}, could NOT,
-under any circumstances, discontinue {Recommendation to continue with drug treatment}, opacity {Abnormally opaque structure}, leukocytosis {Leukocytosis}, cough {Cough}, started {New medication added}, levofloxacin {Antibiotic therapy}, walked {Does walk}, leave {Left against medical advice}, prescription {Prescription}, levofloxacin {Antibiotic therapy}, PCP {Primary care management}, follow-up care {Postoperative procedure education}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, cannot discontinue these medications {Recommendation to continue with drug treatment}, Levofloxacin {Antibiotic therapy}, community acquired 
-PNA {Community acquired pneumonia}, PNA {Pneumonia}, cardiology appointment {Cardiac care management}, follow up {Follow-up arranged}, cardiology {Cardiology service}, make an 
-appointment {Follow-up arranged}, cardiology {Cardiology service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Amlodipine 10 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. BuPROPion (Sustained Release) 300 mg PO QAM 
-4. Clopidogrel 75 mg PO DAILY 
-5. DiphenhydrAMINE 25 mg PO QHS insomnia 
-6. Fluticasone Propionate NASAL 2 SPRY NU DAILY PRN 
-7. Lorazepam 1.5 mg PO QHS insomnia 
-8. Multivitamins 1 TAB PO DAILY 
-9. Omeprazole 20 mg PO DAILY 
-10. AndroGel (testosterone) 1.25 gram/ actuation (1 %) 
-transdermal 5 pumps daily 
-11. lisinopril-hydrochlorothiazide ___ mg ORAL DAILY 
-12. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-13. Atorvastatin 80 mg PO QPM 
-14. Carvedilol 6.25 mg PO BID 
-15. Amphetamine-Dextroamphetamine 10 mg PO TID 
-16. glucosamine-chondroitin unknown strength oral 2 tablets PO 
-daily 
-17. Ascorbic Acid ___ mg PO DAILY 
-18. Benefiber Clear SF (dextrin) (wheat dextrin) 3 gram/3.5 gram 
-oral with meals 
-19. azelastine 137 mcg (0.1 %) nasal 2 sprays NU BID as needed 
-
- 
-Discharge Medications:
-1. Amlodipine 10 mg PO DAILY 
-2. Amphetamine-Dextroamphetamine 10 mg PO TID 
-3. Aspirin 81 mg PO DAILY 
-4. Atorvastatin 80 mg PO QPM 
-5. BuPROPion (Sustained Release) 300 mg PO QAM 
-6. Clopidogrel 75 mg PO DAILY 
-7. DiphenhydrAMINE 25 mg PO QHS insomnia 
-8. Fluticasone Propionate NASAL 2 SPRY NU DAILY PRN 
-9. Lorazepam 1.5 mg PO QHS insomnia 
-10. Multivitamins 1 TAB PO DAILY 
-11. Omeprazole 20 mg PO DAILY 
-12. Carvedilol 6.25 mg PO BID 
-13. Levofloxacin 750 mg PO DAILY 
-RX *levofloxacin 750 mg 1 tablet(s) by mouth daily Disp #*2 
-Tablet Refills:*0
-14. AndroGel (testosterone) 1.25 gram/ actuation (1 %) 
-transdermal 5 pumps daily 
-15. Ascorbic Acid ___ mg PO DAILY 
-16. azelastine 137 mcg (0.1 %) nasal 2 sprays NU BID as needed 
-17. Benefiber Clear SF (dextrin) (wheat dextrin) 3 gram/3.5 gram 
-oral with meals 
-18. glucosamine-chondroitin 0 strength ORAL 2 TABLETS PO DAILY 
-19. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain 
-20. lisinopril-hydrochlorothiazide ___ mg ORAL DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary:
-NSTEMI
-community acquired PNA
-
-Secondary:
-CAD w/ NSTEMI s/p DES to LAD ___ DES to LCX (___)
-COPD
-HTN
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: NSTEMI {Acute non-ST segment elevation myocardial infarction}, community acquired PNA {Community acquired pneumonia}, CAD {Coronary arteriosclerosis}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, DES {Endovascular insertion of drug eluting stent}, LAD {Structure of anterior descending branch of left coronary artery}, DES {Endovascular insertion of drug eluting stent}, LCX {Structure of circumflex branch of left coronary artery}, COPD {Chronic obstructive lung disease}, HTN {Hypertensive disorder, systemic arterial}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were seen at ___ for the light chest 
-pressure you felt in your chest that was the same as you 
-experienced before with your heart attacks. You did have 
-elevation of troponins, which indicates a lack of blood flow to 
-your heart. This is concerning for ischemia, or the beginning of 
-a heart attack. We placed you on a medication called heparin to 
-prevent ischemia. Your troponins trended down, and your EKG was 
-normal. You were seen by our cardiology team, who felt that you 
-should have a cardiac catheterization to evaluate your heart 
-vessels and stents. You declined this procedure as it is not 
-within your goals of care. 
-
-In addition, you were noted to have a pneumonia, and we are 
-treating you with antibiotics. Please continue these until 
-___.
-
-We are keeping you on your home medications. Please follow up 
-with your appointments that we have arranged. Please follow up 
-with your cardiologist Dr. ___ the next month as we 
-discussed.
-
-It was a pleasure taking care of you.
-
-Your ___ team
- 
-
-###RESPONSE: chest 
-pressure {Tight chest}, chest {Thoracic structure}, heart attacks {Myocardial infarction}, elevation {Measurement finding above reference range}, troponins {Troponin measurement}, lack of blood flow {Decreased vascular flow}, heart {Heart structure}, ischemia {Ischemia}, heart attack {Myocardial infarction}, medication {Administration of drug or medicament}, heparin {Heparin therapy}, prevent {Preventive procedure}, ischemia {Ischemia}, troponins {Troponin measurement}, EKG {Electrocardiographic procedure}, normal {Electrocardiogram normal}, cardiology {Cardiology service}, cardiac catheterization {Cardiac catheterization}, evaluate {Evaluation procedure}, heart 
-vessels {Coronary artery structure}, stents {Coronary stent patent}, procedure {Procedure}, pneumonia {Pneumonia}, antibiotics {Antibiotic therapy}, keeping {Recommendation to continue with drug treatment}, medications {Administration of drug or medicament}, follow up {Follow-up arranged}, follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-none
- 
-Major Surgical or Invasive Procedure:
-None.
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ ___ speaking, with h/o dementia living in senior 
-apartment who presented with reported suicidal ideation. History 
-is gathered mainly from reports as pt poor historian. Per EMS a 
-family member at the scene stated that the pt was upset about 
-breaking up with her boyfriend and has had increased depression. 
-Tried to jump out of a window and family had to restrain her. 
-EMS found her calm, cooperative, and smiling.  
-.  
-In the ED, initial VS: 98.1 64 160/75 20 99%. She was noted to 
-only be oriented to person and needed a sitter for wandering 
-off, but was pleasant and cooperative. Through interpreter in 
-the ED, the only positive ROS was pain with urination. The ED 
-housestaff spoke to the son who stated he's having a hard time 
-taking care of her. Case management contacted in the ED -- 
-because of her dementia she needs to have a guardian or HCP 
-assigned before she can placed and requires admission in the 
-meantime.  
-.  
-Psych saw the pt who noted her to be disoriented at baseline, 
-unable to provide any history or details of what happened, no SI 
-or HI; they note severe memory deficits and baseline is 
-wandering and getting lost, unable to recall family, unable to 
-feed or bathe self but can feed herself.  
-
- 
-
-###RESPONSE: dementia {Dementia}, suicidal ideation {Suicidal thoughts}, poor historian {Poor historian}, upset {Feeling upset}, depression {Depressive disorder}, calm {Feeling calm}, cooperative {Cooperative mental state}, smiling {Smiling}, VS {Vital signs finding}, oriented to person {Oriented to person}, wandering {Wandering}, cooperative {Cooperative mental state}, ROS {Review of systems}, pain with urination {Dysuria}, dementia {Dementia}, memory deficits {Memory impairment}, wandering {Wandering}, getting lost {Getting lost}, bathe self {Unable to bath self}, can feed herself {Able to feed self}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Dementia -> per husband patient has had this diagnosis for ___ 
- 
-years. She apparently does not remember family members names  
-intermittently, she gets lost, has a history of falls, per notes 
-with neuropsychologist Dr. ___ also has been having a long 
-history of word finding-difficulty. According to her husband, 
-her cognitive baseline is that she is alert & oriented to person 
-only. She cannot dress or bathe herself but she can eat 
-independently. She usually is talkative and understands commands 
-and conversations.  
-- Diabetes (Type 2)  
-- Psoriasis  
-- Hypertension  
-- Depression  
-- cholecystectomy  
-- hysterectomy  
-- Breast cancer status post lumpectomy, radiation, and CMF  
-chemotherapy. This was stage I invasive mucinous carcinoma of  
-the right breast diagnosed in ___.  
-
- 
-
- 
-
-###RESPONSE: Dementia {Dementia}, gets lost {Getting lost}, word finding-difficulty {Word finding difficulty}, alert {Mentally alert}, oriented to person {Oriented to person}, cannot dress {Unable to dress}, bathe {Unable to bath self}, can eat 
-independently {Able to feed self}, Diabetes (Type 2) {Diabetes mellitus type 2}, Psoriasis {Psoriasis}, Hypertension {Hypertensive disorder, systemic arterial}, Depression {Depressive disorder}, cholecystectomy {Cholecystectomy}, hysterectomy {Hysterectomy}, Breast cancer {Malignant neoplasm of breast}, status post {Postoperative state}, lumpectomy {Excision of mass}, radiation {Radiation oncology AND/OR radiotherapy}, chemotherapy {Chemotherapy}, mucinous carcinoma {Mucinous adenocarcinoma}, right breast {Right breast structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Unknown
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:
-98.2 134/82 72 20 98%RA  
-Overweight elderly F, sleeping soundly but easily awoken, 
-appears well, comfortable  
-EOMI, no scleral icterus  
-CTAB no w/c/r/r  
-RRR without m/g  
-Obese NT ND, benign  
-No BLE edema, cyanasis, mottling,  
-CN ___ grossly intact, speech normal, moving all extremities  
-
-DISCHARGE EXAM:
-97.2 121/51 79 16 99%
-Overweight elderly F, sleeping soundly but easily awoken, 
-appears well, comfortable  
-EOMI, no scleral icterus  
-CTAB no w/c/r/r  
-RRR without m/g  
-Obese NT ND, benign  
-No BLE edema, cyanasis, mottling,  
-CN ___ grossly intact, speech normal, moving all extremities 
- 
-
-###RESPONSE: RA {Breathing room air}, Overweight {Overweight}, sleeping {Asleep}, comfortable {Comfortable appearance}, EOMI {Normal ocular motility}, scleral icterus {Scleral icterus}, CTAB {Normal breath sounds}, w {Wheezing}, c {Respiratory crackles}, RRR {Normal heart rate}, m {Heart murmur}, g {Gallop rhythm}, Obese {Obese}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BLE {Edema of bilateral lower legs}, edema {Edema}, cyanasis {Cyanosis}, mottling {Mottling}, CN {Cranial nerve structure}, grossly intact {Normal nervous system function}, speech {Speech finding}, normal {No abnormality detected}, all extremities {All extremities}, Overweight {Overweight}, sleeping {Asleep}, comfortable {Comfortable appearance}, EOMI {Normal ocular motility}, scleral icterus {Scleral icterus}, CTAB {Normal breath sounds}, w {Wheezing}, c {Respiratory crackles}, RRR {Normal heart rate}, m {Heart murmur}, g {Gallop rhythm}, Obese {Obese}, BLE {Edema of bilateral lower legs}, edema {Edema}, cyanasis {Cyanosis}, mottling {Mottling}, CN {Cranial nerve structure}, grossly intact {Normal nervous system function}, speech {Speech finding}, normal {No abnormality detected}, moving all extremities {Does move all four limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:48PM   WBC-8.7 RBC-3.95* HGB-11.4* HCT-33.9* MCV-86 
-MCH-28.9 MCHC-33.6 RDW-14.5
-___ 09:48PM   NEUTS-68.2 ___ MONOS-5.3 EOS-4.6* 
-BASOS-1.2
-___ 09:48PM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG 
-bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
-___ 09:48PM   GLUCOSE-100 UREA N-26* CREAT-1.0 SODIUM-132* 
-POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-24 ANION GAP-15
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-PATIENT: ___ yo F history of dementia, HTN, DM2 who presents with 
-failure to thrive, admitted for ~1 months awaiting guardianship 
-papers and nursing home placement.
-.
-ACUTE ISSUES:
-# Failure to thrive - Initially brought to the ED for question 
-of suicidal ideation. Family members reported she tried to jump 
-out the window. Further evaluation by psychiatry revealed 
-worsening dementia and a lack of caregivers in the home. 
-Patient's husband had recently moved back to ___, and 
-she was unable to care for herself at home. Patient's son 
-___ was contacted and agree to guardianship. Paperwork was 
-filed with the courts and with approval of guardianship she was 
-discharged to nursing home.
-.
-CHRONIC ISSUES:
-# Dementia - continued on home memantine in the hospital. 
-Consistently alert but not oriented. Spent most of her time 
-walking around the unit. Easily re-directable. Not agitated. 
-There was a question of whether she was taking exelon at home, 
-this was not given during her hospitalization. 
-.
-# Diabetes type II - It was confirmed through her pharmacy that 
-she was taking metformin 1000mg BID. This was held during her 
-hospital stay and instead she was maintained on an insulin 
-sliding scale. At discharge, her metformin will be restarted. 
-.
-# Hypertension - We continued on home regimen of amlopidine, 
-HTCZ, and lisinopril. Atenolol was held given good BP control.
-
- 
-
-###RESPONSE: dementia {Dementia}, HTN {Hypertensive disorder, systemic arterial}, DM2 {Diabetes mellitus type 2}, failure to thrive {Failure to thrive}, Failure to thrive {Failure to thrive}, suicidal ideation {Suicidal thoughts}, worsening {Patient's condition worsened}, dementia {Dementia}, Dementia {Dementia}, alert {Mentally alert}, agitated {Feeling agitated}, .
-# Diabetes type II {Diabetes mellitus type 2}, insulin 
-sliding scale {Sliding scale insulin regime}, Hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Confirmed with her pharmacy: 
-ferrous sulfate 325 daily
-multivit
-namenda 10 mg BID
-HCTZ 25 mg daily
-lisinopril 20 mg daily
-lipitor 20 mg daily
-metformin 1 gm BID
-amlodipine 5 mg daily
-atenolol 50 daily
-
- 
-Discharge Medications:
-1. memantine 10 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-2. atorvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-4. hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO 
-DAILY (Daily).  
-5. lisinopril 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-6. metformin 500 mg Tablet Sig: Two (2) Tablet PO twice a day.  
-7. amlodipine 5 mg Tablet Sig: One (1) Tablet PO once a day.  
-8. aspirin 325 mg Tablet Sig: One (1) Tablet PO once a day.  
-9. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO once a 
-day as needed for constipation.  
-10. senna 8.6 mg Capsule Sig: One (1) Capsule PO once a day as 
-needed for constipation.  
-11. ferrous sulfate 325 mg (65 mg iron) Tablet Sig: One (1) 
-Tablet PO once a day.  
-12. Tylenol ___ mg Tablet Sig: ___ Tablets PO four times a day 
-as needed for pain.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:
-- Dementia
-
-SECONDARY DIAGNOSES:
-- Diabetes (Type 2)  
-- Psoriasis  
-- Hypertension  
-- Depression  
-- Cholecystectomy  
-- Hysterectomy  
-- Breast cancer status post lumpectomy, radiation, and CMF  
-chemotherapy. This was stage I invasive mucinous carcinoma of  
-the right breast diagnosed in ___.  
-
- 
-Discharge Condition:
-Mental Status: Confused - always.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Dementia {Dementia}, Diabetes (Type 2) {Diabetes mellitus type 2}, Psoriasis {Psoriasis}, Hypertension {Hypertensive disorder, systemic arterial}, Depression {Depressive disorder}, Cholecystectomy {Cholecystectomy}, Hysterectomy {Hysterectomy}, Breast cancer {Malignant neoplasm of breast}, status post {Postoperative state}, lumpectomy {Excision of mass}, radiation {Radiation oncology AND/OR radiotherapy}, chemotherapy {Chemotherapy}, mucinous carcinoma {Mucinous adenocarcinoma}, right breast {Right breast structure}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-It was a pleasure to participate in Ms. ___ care while she 
-was in the hospital.  She was admitted to the hospital after her 
-family had some concerns about her behavior.  According to her 
-family, she had been trying to jump out of a window.  Our 
-psychiatry team evaluated Ms. ___ upon her presentation and 
-determined that she was not suicidal.  It was thought that her 
-concerning behavior represented confusion due to her dementia.  
-Ms. ___ primary caretaker was her boyfriend, but he recently 
-moved back to ___.  Ms. ___ is unable to care for 
-herself without the assistance of others.  Prior to this 
-hospitalization, she did not have a guardian. Her son ___ 
-agreed to be her guardian and paperwork for guardianship was 
-processed.
-
- 
-
-###RESPONSE: suicidal {Suicidal}, confusion {Clouded consciousness}, dementia {Dementia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-None.
-
- 
-
-###RESPONSE: chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with PMH of NIDDM, smoking,
-CAD s/p MI (___), PCI in ___ at ___ who presents as transfer
-from ___ with NSTEMI. 
-  
- Pain started on ___ morning while at work as a ___ 
-___.
-Per pt, pain similar to chest pain from previous MI. Episodic
-pain lasting ~15 mins. Per pt, not currently on sublingual
-nitroglycerin. Pain epigastric, shartp, ___, and radiates
-episodically to R or L chest. No diaphoresis, nausea, vomiting,
-or chest pressure.
-  
- Went to ___ where he had trop elevated to 0.131. He AMA'd after
-not feeling staff were addressing his needs.  
-
-At ___: s/p 4x ASA 81, 4,000U IV heparin @ ___ 140-160s systolic
-Cr 1.4
-Trop I 0.10
-
- During initial eval, had brief episode of CP lasting a few
-seconds that resolved. CP free currently. Denies headache,
-dizziness, fever, chills, SOB, abdominal pain, nausea vomiting,
-or dysuria.  
- 
-In the ED initial vitals were: 98 82 184/99 14 100% RA  
- ED Exam:  
- Gen: NAD  
- HEENT: PERRLA, EOMI, MMM, oropharynx clear  
- Lungs: bibasilar crackles, otherwise CTAB  
- CV: RRR, no murmurs  
- Abd: soft NTND  
- Ext: WWP, no edema  
- 
-EKG (___)- J point elevation in T2& V3 without reciprocal
-changes.  
-
- Labs notable for:  
- 1) CBC 10.4, Hb 16.5, plt 189  
- 2) BNP 16  
- 3) Trop-T <0.01 x2  
- 4) BMP: Na 143, K 4.1, Cl 103, HCO3 21, BUN 17, Cr 1.3, AG 19  
- 5) Coags: INR 1.2, PTT 150  
- 6) U/A: negative bacteria/nitr, 2 WBC, 0 RBC  
- 
-Patient was given:  
- ___ 17:13 IV Heparin 900 units/hr  
- ___ 19:14 IV Heparin Stopped As Directed  
- ___ 20:20 IV Heparin Restarted 500 units/hr  
- 
-Vitals on transfer: ___ pain 97.6 72 173/94 23 98% RA  
- 
-On the floor: 
-
-He reports he presented initially to ___, and from there went to
-___.
-He reports his chest pain started after he had gone to see his
-sister. He reports he was sitting in his car, and all of a 
-sudden
-he felt like his heart was beating fast with some pressure. He
-reports this pain radiated upward. 
-He reports that he did nothing for the pain at that time, and
-drove to ___. He reports the pain came and went a few more 
-times.
-
-He reports he was given some medications. 
-He reports that this pain lasts about 20 minutes and then goes
-away.
-
-He reports that he is not currently having any pain or pressure
-for at least a few hours. 
-
-Denies dizziness, lightheadedness. Denies pain elsewhere except
-for some pain in the back of his neck with extension which is
-new. Denies blurry or double vision. Denies SOB. 
-Denies f/c, nausea, vomiting, diarrhea, constipation. 
-Denies recent infections. Denies DOE. Denies syncope. 
-
-He reports remote history of MI (___) and catheterization with
-stent placement at ___. 
-
-REVIEW OF SYSTEMS:  
- Positive per HPI.  
-
- 
-
-###RESPONSE: NIDDM {Diabetes mellitus type 2}, smoking {Smoker}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Percutaneous coronary intervention}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, Pain {Pain}, pain {Pain}, chest pain {Chest pain}, MI {Myocardial infarction}, Episodic
-pain {Intermittent pain}, Pain epigastric {Epigastric pain}, radiates
-episodically to R or L chest {Radiating chest pain}, diaphoresis {Excessive sweating}, nausea, vomiting {Nausea and vomiting}, chest pressure {Tight chest}, trop elevated {Troponin I above reference range}, AMA'd {Patient self-discharge against medical advice}, IV {Intravenous therapy}, heparin {Heparin therapy}, 140-160s systolic {Increased systolic arterial pressure}, Trop {Troponin measurement}, CP {Chest pain}, resolved {Problem resolved}, CP {Chest pain}, headache {Headache}, dizziness {Dizziness}, fever {Fever}, chills {Chill}, SOB {Dyspnea}, abdominal pain {Abdominal pain}, nausea vomiting {Nausea and vomiting}, dysuria {Dysuria}, vitals {Vital signs finding}, RA {Breathing room air}, Exam {Physical examination procedure}, Gen {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, oropharynx {Oropharyngeal structure}, Lungs {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CTAB {Normal breath sounds}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Murmur}, Abd {Examination of abdomen}, soft {Abdomen soft}, NTND {Abdominal tenderness}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, EKG {Electrocardiographic procedure}, elevation in T2& V3 {Electrocardiogram abnormal}, CBC {Complete blood count}, BNP {Brain natriuretic peptide measurement}, Trop {Troponin measurement}, BMP {Serum metabolic panel}, BUN {Blood urea nitrogen measurement}, INR {Calculation of international normalized ratio}, U/A {Urinalysis}, negative {No abnormality detected}, bacteria {Bacteriuria}, WBC {White blood cell count}, RBC {Red blood cell count}, IV {Intravenous therapy}, Heparin {Heparin therapy}, IV {Intravenous therapy}, Heparin {Heparin therapy}, IV {Intravenous therapy}, Heparin {Heparin therapy}, Restarted {Restart of medication}, Vitals {Vital signs finding}, pain {Pain}, RA {Breathing room air}, chest pain {Chest pain}, sitting {Sitting position}, heart was beating fast {Tachycardia}, pressure {Tight chest}, pain radiated {Radiating pain}, pain {Pain}, pain came and went a few more 
-times {Intermittent pain}, medications {Administration of drug or medicament}, pain {Pain}, pain {Pain}, pressure {Tight chest}, dizziness {Dizziness}, lightheadedness {Lightheadedness}, pain {Pain}, pain {Pain}, back of his neck {Cervical region back structure}, blurry {Blurring of visual image}, double vision {Diplopia}, SOB {Dyspnea}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, infections {Infectious disease}, DOE {Dyspnea on exertion}, syncope {Syncope}, MI {Myocardial infarction}, catheterization {Cardiac catheterization}, stent placement {Placement of stent in coronary artery}, REVIEW OF SYSTEMS {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
- 1. CARDIAC RISK FACTORS  
-- NIDDM
--Tobacco use
-
- 2. CARDIAC HISTORY  
-- CAD s/p MI (___)
-- PCI in ___ at ___
- 
- 3. OTHER PAST MEDICAL HISTORY  
--None
- 
-Past surgical history: 
-cyst removal (unknown date)
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, NIDDM {Diabetes mellitus type 2}, Tobacco use {Tobacco user}, CARDIAC {Heart disease}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Percutaneous coronary intervention}, cyst {Cyst}, removal {Aneurysmectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history of early MI, arrhythmia, cardiomyopathies, or
-sudden cardiac death.  
- 
-
-###RESPONSE: MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, cardiomyopathies {Cardiomyopathy}, sudden cardiac death {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission
-
-Vital Signs:  2345 98.2 PO 150 / 84 L Sitting 95 18 94 Ra 
-General: Patient is well appearing in no acute distress,
-cooperative with exam.  Laying flat in bed without difficulty.
-Eyes: no conjunctival injection or scleral icterus.
-Head, ears, nose, and throat: Normocephalic.  Atraumatic. 
-Ears grossly normal bilaterally. Nose grossly normal. MMM
-Neck: Supple with full ROM.  Does experience pain with
-hyperextension of neck, however full range of motion with no
-stiffness.  Some muscular tenderness in bilateral cervical 
-spine.
-No bony deformities.  JVP not elevated.
-Respiratory/chest: No respiratory distress, speaks in full
-sentences.  Crackles noted in lung bases bilaterally, no wheezes
-noted.
-Cardiovascular: RRR no m/r/g, normal S1/S2
-Gastrointestinal: Abdomen is soft.  No distension.  + bowel
-sounds.  No tenderness. No rebound.
-Back: No tenderness. No CVAT
-Musculoskeletal: Normal muscle tone, moving all extremities.  No
-calf tenderness.  No lower extremity edema.
-Skin: Warm and well perfused.  No obvious rash.  No obvious
-erythema/ecchymosis.
-Neurologic: Alert and oriented x 3, no focal deficits.
-
-Discharge
-
-Vital Signs:  97.4 PO 148 / 83 83 20 99 Ra 
-General: comfortable, lying in bed, flat, without difficulty
-breathing
-
-Neck: Supple w/ JVP not elevated.
-Respiratory/chest: CTAB
-Cardiovascular: RRR no m/r/g, normal S1/S2
-Gastrointestinal: Abdomen is soft.  NTND, +BS
-Extremities: no ___, WWP 
-Neurologic: Alert and oriented x 3, moving all extremities with
-purpose
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vital Signs {Vital signs finding}, Sitting {Sitting position}, 4 Ra {Breathing room air}, General {General examination of patient}, well appearing {Well cared for appearance}, no acute {No abnormality detected}, distress {Distress}, cooperative {Cooperative mental state}, exam {Physical examination procedure}, Laying flat in bed {Lying in bed}, Eyes {Ophthalmic examination and evaluation}, conjunctival injection {Conjunctival hyperemia}, scleral icterus {Scleral icterus}, Head {Head structure}, ears {Ear structure}, nose {Nasal structure}, throat {Structure of anterior portion of neck}, Normocephalic {Normal head}, Atraumatic {No injuries apparent}, Ears grossly normal bilaterally {Ear normal}, Nose grossly normal {Nose normal}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, full ROM {Normal range of cervical spine movement}, pain {Pain}, hyperextension {Hyperextension}, neck {Neck structure}, stiffness {Stiff neck}, tenderness {Tenderness}, bony deformities {Deformity of bone}, JVP not elevated {Normal jugular venous pressure}, Respiratory {Examination of respiratory system}, chest {Examination of respiratory system}, distress {Distress}, speaks {Does speak}, Crackles {Respiratory crackles}, bases {Structure of base of lung}, wheezes {Wheezing}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, Gastrointestinal {Examination of digestive system}, soft {Abdomen soft}, distension {Swollen abdomen}, + bowel
-sounds {Normal bowel sounds}, tenderness {Tenderness}, rebound {Rebound tenderness}, Back {Structure of back of trunk}, tenderness {Tenderness}, CV {Cardiovascular physical examination}, Musculoskeletal {Musculoskeletal system physical examination}, Normal muscle tone {Normal tone in skeletal muscle}, all extremities {All extremities}, tenderness {Tenderness}, edema {Edema}, Skin {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, rash {Eruption of skin}, erythema {Erythema}, ecchymosis {Ecchymosis}, Neurologic {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, no focal deficits {Normal nervous system function}, Vital Signs {Vital signs finding}, Ra {Breathing room air}, General {General examination of patient}, comfortable {Comfortable appearance}, lying in bed {Lying in bed}, difficulty
-breathing {Difficulty breathing}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, Respiratory {Examination of respiratory system}, chest {Examination of respiratory system}, CTAB {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, Gastrointestinal {Examination of digestive system}, soft {Abdomen soft}, ND {Swollen abdomen}, +BS {Normal bowel sounds}, Extremities {Examination of limb}, WWP {Normal tissue perfusion}, Neurologic {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, all extremities {All extremities}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Studies
-
-Stress test ___
-
-% MAX HRT RATE ACHIEVED:  89
-
-IMPRESSION: Poor exercise tolerance with the test being 
-terminated 
-secondary to an exaggerated systolic blood pressure response 
-with 
-exercise. No anginal symptoms or ischemic ST segment changes. 
-Echo 
-report sent separately. 
-
-TTE ___
-
-The patient exercised for 4 minutes and 30 seconds according to 
-a Modified ___ treadmill protocol ___ METS) reaching a peak 
-heart rate of 142 bpm and a peak blood pressure of 256/80 mmHg. 
-The test was stopped because of a hypertensive response. This 
-level of exercise represents a poor exercise tolerance for age 
-and gender. In response to stress, the ECG showed no ST-T wave 
-changes (see exercise report for details). with an abnormal 
-increase in blood pressure/hypertensive response and a normal 
-heart rate response to stress. 
- .
- Resting images were acquired at a heart rate of 63 bpm and a 
-blood pressure of 170/96 mmHg. These demonstrated normal 
-regional and global left ventricular systolic function. Right 
-ventricular free wall motion is normal. There is no pericardial 
-effusion. Doppler demonstrated no aortic stenosis, aortic 
-regurgitation or significant mitral regurgitation or resting 
-LVOT gradient. .
-
- Echo images were acquired within 46 seconds after peak stress 
-at heart rates of 131 - 108 bpm. These demonstrated appropriate 
-augmentation of all left ventricular segments with slight 
-decrease in cavity size. There was augmentation of right 
-ventricular free wall motion. 
-
- IMPRESSION: Test stopped because of hypertension. No ECG or 2D 
-echocardiographic evidence of inducible ischemia to achieved 
-workload. Marked hypertensive response to exercise.
-
-Admission labs
-
-___ 04:47PM BLOOD WBC-10.4* RBC-5.76 Hgb-16.5 Hct-49.5 
-MCV-86 MCH-28.6 MCHC-33.3 RDW-15.4 RDWSD-47.5* Plt ___
-___ 04:47PM BLOOD Neuts-37 Bands-0 ___ Monos-8 Eos-1 
-Baso-0 Atyps-3* ___ Myelos-0 AbsNeut-3.85 AbsLymp-5.62* 
-AbsMono-0.83* AbsEos-0.10 AbsBaso-0.00*
-___ 05:06PM BLOOD ___ PTT-150* ___
-___ 04:47PM BLOOD Glucose-154* UreaN-17 Creat-1.3* Na-143 
-K-4.1 Cl-103 HCO3-21* AnGap-19*
-___ 05:57AM BLOOD ALT-20 AST-22 LD(LDH)-216 AlkPhos-77 
-TotBili-0.5
-___ 04:47PM BLOOD cTropnT-<0.01 proBNP-16
-___ 05:06PM BLOOD proBNP-16
-___ 05:06PM BLOOD cTropnT-<0.01
-___ 12:10AM BLOOD cTropnT-<0.01 proBNP-19
-___ 04:47PM BLOOD Calcium-9.3 Phos-2.9 Mg-2.2
-
-Discharge
-
-___ 06:40AM BLOOD ___ PTT-35.1 ___
-___ 06:40AM BLOOD Glucose-129* UreaN-20 Creat-1.2 Na-143 
-K-4.3 Cl-103 HCO3-23 AnGap-17
-___ 06:40AM BLOOD Calcium-9.4 Phos-3.6 Mg-2.___ with PMH of NIDDM, smoking, CAD s/p MI (___), PCI in ___ 
-who presents as transfer from ___ with NSTEMI. 
-
-ACUTE ISSUES: 
-============= 
-#NSTEMI
-#CAD s/p PCI in ___
-The patien's presentation in the setting of his significant 
-coronary artery disease, status post PCI, and similarity of 
-chest pain to prior episodes when he was diagnosed with MI, was 
-consistent with an ischemic process underlying his chest pain. 
-Elevated troponin at OSH prior to arrival was consistent with 
-NSTEMI. Troponins at ___ were negative and EKGs after transfer 
-negative for changes suggesting active ischemia. Given these 
-negative findings, IV heparin was discontinued and the patient 
-underwent a stress test for further risk stratification which 
-was negative for anginal symptoms or ischemic ST segment changes 
-in the setting of appropiate heart rate response to exercise. 
-Given the stress test results, the decision was made to defer 
-cardiac catheterization at this point. Aspirin and high dose 
-atorvastatin were continued. In addition, the patient was 
-started on metoprolol to optimize anti-anginal treatment and 
-lisinopril for blood pressure management.
-
-___
-Cr 1.3 on admission, baseline unknown; improved to 1.2 in ED. 
-Creatinine on discharge stable at 1.2. Potassium stable at 4.3. 
-Please obtain BMP on follow up with one to two weeks to monitor 
-renal function and potassium
-
-CHRONIC ISSUES: 
-=============== 
-#Hypertension
-The patient had been on lisinopril as an outpatient in the past 
-(but wasn't taking any his medications for several months prior 
-to admission). No anti-hypertensives were given on admission in 
-setting of initial ___ and potential catheterization. Systolic 
-blood pressures were subsequently between 150-160 and the 
-patient was started on Lisinopril 10mg dialy.
-- Follow-up as an outpatient with uptitration of 
-anti-hypertensives as tolerated is recommended. 
-
-#Non-insulin dependent diabetes
-A1c 6.7% on labs ___ at ___. Patient does not report any
-medications to treat this issue at this time. Not started on 
-Metformin as he was newly started on Lisinopril with possible 
-worsening of his renal function 
-- Metformin should be started as an outpatient if his renal 
-function allows
-
-TRANSITIONAL ISSUES
-===================
-[] Discharge Creatinine 1.2; potassium on discharge 4.3 (both 
-stable) [] Please repeat BMP within two weeks of discharge to 
-ensure resolution ___ and to monitor potassium (newly started 
-on Lisinopril)
-[] Newly started on Lisinopril 20mg daily - follow-up blood 
-pressure, consider uptitration of lisinopril as tolerated by 
-renal function and electrolytes
-[] Patient also started on Metoprolol succinate 25mg, aspirin 
-81mg daily and atorvastatin 80mg daily during this admission; 
-please continue this medications in the outpatient setting
-[] Follow-up on blood sugar and HBA1c, consider initiating 
-metformin going forward pending renal function
-
-#CODE STATUS: FULL, confirmed 
-#CONTACT: Silnola (sister) ___ 
- 
-
-###RESPONSE: Stress test {Electrocardiogram with exercise test}, HRT RATE {Finding of heart rate}, Poor exercise tolerance {Impaired exercise tolerance}, exaggerated systolic blood pressure {Increased systolic arterial pressure}, exercise {Exercises}, anginal symptoms {Angina}, ischemic {Ischemia}, ST segment changes {Electrocardiographic ST segment changes}, Echo {Echocardiography}, TTE {Transthoracic echocardiography}, exercised {Exercises}, heart rate {Finding of heart rate}, peak blood pressure {Increased systolic arterial pressure}, hypertensive {Increased systolic arterial pressure}, exercise {Exercises}, poor exercise tolerance {Impaired exercise tolerance}, stress {Electrocardiogram with exercise test}, ECG {Electrocardiographic procedure}, no ST-T wave 
-changes {Electrocardiogram normal}, exercise {Electrocardiogram with exercise test}, increase in blood pressure {Increased systolic arterial pressure}, hypertensive {Increased systolic arterial pressure}, normal 
-heart rate {Normal heart rate}, stress {Electrocardiogram with exercise test}, heart rate {Finding of heart rate}, blood pressure {Blood pressure finding}, normal 
-regional and global left ventricular systolic function {Echocardiogram shows normal left ventricular function}, Right 
-ventricular {Right cardiac ventricular structure}, free wall motion is normal {Normal ventricular wall motion}, pericardial 
-effusion {Pericardial effusion}, Doppler {Doppler ultrasound}, aortic stenosis {Aortic valve stenosis}, aortic 
-regurgitation {Aortic valve regurgitation}, mitral regurgitation {Mitral valve regurgitation}, Echo {Echocardiography}, stress {Physical stress}, heart rates {Finding of heart rate}, left ventricular segments {Structure of segment of left cardiac ventricle}, decrease {Decreased size}, cavity {Structure of cavity of left cardiac ventricle}, right 
-ventricular {Right cardiac ventricular structure}, free wall motion {Normal ventricular wall motion}, hypertension {Hypertensive disorder, systemic arterial}, ECG {Electrocardiographic procedure}, echocardiographic {Echocardiography}, ischemia {Ischemia}, hypertensive {Hypertensive disorder, systemic arterial}, exercise {Exercises}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, NIDDM {Diabetes mellitus type 2}, smoking {Smoker}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Percutaneous coronary intervention}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, disease {Disease}, status post {Postoperative state}, PCI {Percutaneous coronary intervention}, chest pain {Chest pain}, MI {Myocardial infarction}, ischemic {Ischemia}, chest pain {Chest pain}, Elevated troponin {Troponin I above reference range}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, Troponins {Troponin measurement}, negative {No abnormality detected}, EKGs {Electrocardiographic procedure}, negative {No abnormality detected}, ischemia {Ischemia}, negative {No abnormality detected}, IV {Intravenous therapy}, heparin {Heparin therapy}, discontinued {Recommendation to stop drug treatment}, stress test {Electrocardiogram with exercise test}, negative {No abnormality detected}, anginal symptoms {Angina}, ST segment changes {Finding of electrocardiogram ST segment}, heart rate {Finding of heart rate}, exercise {Electrocardiogram with exercise test}, stress test {Electrocardiogram with exercise test}, cardiac catheterization {Cardiac catheterization}, Aspirin {Administration of aspirin}, anginal {Angina}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, blood pressure management {Angiotensin converting enzyme inhibitor therapy}, Cr {Creatinine measurement}, baseline {Baseline state}, improved {Patient's condition improved}, Creatinine {Creatinine measurement}, stable {Patient's condition stable}, Potassium {Potassium measurement}, stable {Patient's condition stable}, BMP {Serum metabolic panel}, monitor 
-renal function {Renal function monitoring}, potassium {Potassium measurement}, Hypertension {Hypertensive disorder, systemic arterial}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, wasn't taking any his medications {Does not take medication}, anti-hypertensives {On treatment for hypertension}, catheterization {Cardiac catheterization}, Systolic 
-blood pressures were subsequently between 150-160 {Increased systolic arterial pressure}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}, uptitration {Increasing dosage of medication}, anti-hypertensives {On treatment for hypertension}, Non-insulin dependent diabetes {Diabetes mellitus type 2}, does not report any
-medications to treat {Does not take medication}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}, worsening of his renal function {Decreased renal function}, if his renal 
-function allows {Renal function monitoring}, Creatinine {Creatinine measurement}, potassium {Potassium measurement}, stable {Patient's condition stable}, BMP {Serum metabolic panel}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}, blood 
-pressure {Blood pressure monitoring}, r uptitration {Increasing dosage of medication}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, renal function {Renal function monitoring}, electrolytes {Electrolyte monitoring}, aspirin {Administration of aspirin}, continue this medications {Recommendation to continue with drug treatment}, blood sugar {Blood sugar management}, pending renal function {Renal function monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-None
- 
-Discharge Medications:
-1.  Aspirin 81 mg PO DAILY 
-RX *aspirin [Adult Low Dose Aspirin] 81 mg 1 tablet(s) by mouth 
-daily Disp #*30 Tablet Refills:*0 
-2.  Atorvastatin 80 mg PO QPM 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth QPM Disp #*30 Tablet 
-Refills:*0 
-3.  Lisinopril 20 mg PO DAILY 
-RX *lisinopril 20 mg 1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0 
-4.  Metoprolol Succinate XL 25 mg PO DAILY 
-RX *metoprolol succinate 25 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*0 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary diagnoses:
-#Unstable angina
-#CAD s/p PCI in ___
-___
-
-Secondary diagnoses:
-#Hypertension
-#Non-insulin dependent diabetes mellitus
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Unstable angina {Preinfarction syndrome}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, Hypertension {Hypertensive disorder, systemic arterial}, Non-insulin dependent diabetes mellitus {Diabetes mellitus type 2}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr ___,
-
-It was a pleasure taking care of you at ___!
-
-Why was I admitted to the hospital?
-- you had two episodes of chest pain that were similar in 
-character to the pain you had in the past when you had a heart 
-attack
-- the current episodes were likely caused by a minor heart 
-attack. You underwent a test that showed you were able to 
-exercise appropriately. Therefore, you did not require any 
-intervention at this point.
-- You were started on medications to help prevent future 
-episodes of chest pain
-
-What should I do after discharge?
-- Please take all the medications as prescribed (your were newly 
-started on aspirin, metoprolol, lisinopril, and atorvastatin)
-- Please follow up with your new PCP as below for further 
-management of your blood pressure
-- Please see an MD or go to the emergency department in case of 
-recurrent or new symptoms
-
-All the best,
-
-Your ___ care team
- 
-
-###RESPONSE: chest pain {Chest pain}, pain {Pain}, heart 
-attack {Myocardial infarction}, heart 
-attack {Myocardial infarction}, exercise {Exercises}, medications {Administration of drug or medicament}, chest pain {Chest pain}, medications {Patient medication education}, aspirin {Administration of aspirin}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, PCP {Primary care management}, management of your blood pressure {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Metastatic Renal Cell Cancer
- 
-Major Surgical or Invasive Procedure:
-Central Line placmeent and removal
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Metastatic Renal Cell Cancer {Metastatic renal cell carcinoma}, Central Line placmeent {Insertion of peripherally inserted central catheter}, removal {Removal of central venous line}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old man with a history of T2 renal cell
-carcinoma, s/p left nephrectomy on ___, who was recently
-found to have pulmonary metastases.
-
-In ___, he noted left back pain, which he thought was
-activity-related after working out.  A CT scan showed a 7 cm 
-left
-kidney mass. Additional imaging showed no evidence of metastatic
-disease at the time and a nephrectomy was done on ___ which
-revealed clear cell renal cell carcinoma.  A follow-up CT scan
-done in ___ showed right-sided pulmonary nodules, the largest 
-of
-which was 1 cm in size.  Repeat CT scan down ___ revealed 5
-masses in the right lung, the largest of which was > 3 cm in
-size. A PET scan done ___ showed these pulmonary masses as
-well as a mass in the right tonsillar tissue measuring 1.8 cm in
-size with an SVU of 6.2 and nonspecific uptake in the left
-parotid.  He was seen by ENT on ___, who recommended
-observation and follow-up in 1 month. A CT-guided biopsy of the
-right lung mass was obtained on ___ and showed metastatic
-renal cell carcinoma. He passed all screenign tests and is here 
-to begin cycle 1 week 1 of HD Il-2. He feels excellent and ROS 
-negative. 
- 
-
-###RESPONSE: renal cell
-carcinoma {Renal cell carcinoma}, left nephrectomy {Excision of left kidney}, pulmonary metastases {Metastatic malignant neoplasm to lung}, back pain {Backache}, CT scan {Computed tomography}, left {Left kidney structure}, kidney mass {Renal mass}, imaging {Imaging}, no evidence {No abnormality detected}, metastatic
-disease {Metastatic malignant neoplasm}, nephrectomy {Total excision of left kidney}, clear cell renal cell carcinoma {Clear cell renal cell carcinoma}, CT scan {Computed tomography}, right-sided {Right lung structure}, pulmonary nodules {Nodule of lung}, CT scan {Computed tomography}, masses {Lung mass}, right lung {Right lung structure}, PET scan {Positron emission tomography}, pulmonary masses {Nodule of lung}, mass {Mass of body structure}, right tonsillar tissue {Right faucial tonsil structure}, left
-parotid {Structure of left parotid gland}, CT-guided biopsy {Computed tomography guided biopsy}, right {Right lung structure}, metastatic
-renal cell carcinoma {Metastatic renal cell carcinoma}, HD {Hemodialysis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-alcohol abuse, in AA
-anxiety and depression
- 
-
-###RESPONSE: alcohol abuse {Alcohol abuse}, anxiety {Anxiety}, depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-He reports a mother with pancreatic cancer.  His father had
-diabetes and hypertension.  He has 1 brother and 1 sister who 
-are
-healthy.
-
- 
-
-###RESPONSE: pancreatic cancer {Malignant tumor of pancreas}, diabetes {Diabetes mellitus}, hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-GEN: Well appearing gentleman in no acute distress. 
-Ht: 67 inches             Wt: 168.3 lbs
-VS: ___   O2 sat 99%RA
-HEENT: clear, atraumatic, anicteric.
-CV: RRR without MGR
-RESP: CTA, no wheezes or rhonchi
-ABD: Soft, nontender BS positive
-M/S: ROM intact
-Lymph: No lympadenopathy in the bilateral axillary, 
-supraclavicular, ingunal, cervical nodes. 
-Neuro: No focal deficit on exam
- 
-
-###RESPONSE: GEN {General examination of patient}, Well appearing {Well cared for appearance}, distress {Distress}, VS {Vital signs finding}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, HEENT {Physical examination procedure}, clear {Normal breath sounds}, atraumatic {No injuries apparent}, anicteric {White sclera}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, RESP {Examination of respiratory system}, CTA {Normal breath sounds}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, nontender {Abdominal tenderness}, BS {Normal bowel sounds}, ROM {Range of motion activity}, intact {Normal sensation}, Lymph {Lymphatic system physical examination}, lympadenopathy {Lymphadenopathy}, axillary {Axillary lymph node structure}, supraclavicular {Structure of supraclavicular lymph node}, ingunal {Inguinal lymph node structure}, cervical nodes {Cervical lymph node structure}, Neuro {Neurological examination}, No focal deficit {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:55AM   GLUCOSE-93 UREA N-12 CREAT-1.1 SODIUM-139 
-POTASSIUM-4.5 CHLORIDE-104 TOTAL CO2-31 ANION GAP-9
-___ 11:55AM   estGFR-Using this
-___ 11:55AM   ALT(SGPT)-13 AST(SGOT)-16 CK(CPK)-147 TOT 
-BILI-0.3
-___ 11:55AM   ALBUMIN-4.1 CALCIUM-9.3 PHOSPHATE-3.4 
-MAGNESIUM-1.8
-___ 11:55AM   WBC-6.4 RBC-4.06* HGB-12.6* HCT-37.8* MCV-93 
-MCH-31.0 MCHC-33.3 RDW-12.8
-___ 11:55AM   PLT COUNT-206
-___ 11:55AM   ___ PTT-29.7 ___
-___ 04:00AM BLOOD WBC-4.3 RBC-4.14* Hgb-12.5* Hct-36.8* 
-MCV-89 MCH-30.3 MCHC-34.1 RDW-12.7 Plt Ct-98*
-___ 04:00AM BLOOD Plt Ct-98*
-___ 04:00AM BLOOD Glucose-119* UreaN-15 Creat-1.2 Na-137 
-K-4.5 Cl-106 HCO3-19* AnGap-17
-___ 04:00AM BLOOD ALT-50* AST-44* CK(CPK)-40* TotBili-1.7*
-___ 04:00AM BLOOD Albumin-2.8* Calcium-7.7* Phos-2.7 
-Mg-1.5*
-___ 04:03AM BLOOD WBC-7.6# RBC-3.88* Hgb-12.0* Hct-34.2* 
-MCV-88 MCH-30.9 MCHC-35.0 RDW-12.7 Plt Ct-91*
-___ 04:03AM BLOOD Glucose-104* UreaN-16 Creat-1.2 Na-135 
-K-4.3 Cl-104 HCO3-24 AnGap-11
-___ 12:00PM BLOOD CK(CPK)-38*
-___ 04:03AM BLOOD ALT-61* AST-46* CK(CPK)-47 TotBili-1.6*
-___ 04:03AM BLOOD Albumin-2.5* Calcium-7.9* Phos-2.6* 
-Mg-1.9
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TOT 
-BILI {Bilirubin, total measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted for HD IL-2 cycle 1 week 1.
-Upon arrival to ___, informed consent was obtained for HD 
-IL-2. He then underwent central line placement with chest X-ray 
-confirmation of placement. 
-He received HD IL-2, 45.7 Million Units IV Q8H. He recieved 
-total of ___ doses this week. His course was complicated by 
-chills, rigors, fever, diarrhea, and pruritus. Of all, chills 
-and rigors were difficult to control given he refused all 
-controlled medications such as lorazepam and demerol due to his 
-past medical history of ETOH ause and being in AA. He also had 
-thrombocytopenia of PLT 98k. On day 5,  with increased fatigue, 
-malaise, rigors after each dose, he refused fruther doses and 
-this was agreed by our team as well. 
-His central line was removed on day 6 and was discharged to home 
-in stable condition on ___. 
- 
-
-###RESPONSE: HD {Hemodialysis}, informed consent {Informed consent for procedure}, HD {Hemodialysis}, central line placement {Insertion of peripherally inserted central catheter}, chest X-ray {Plain chest X-ray}, placement {Implantation procedure}, HD {Hemodialysis}, IV {Administration of drug or medicament via intravenous route}, chills {Chill}, rigors {Rigor}, fever {Fever}, diarrhea {Diarrhea}, pruritus {Itching of skin}, chills {Chill}, rigors {Rigor}, ETOH ause {Alcohol abuse}, thrombocytopenia {Thrombocytopenic disorder}, fatigue {Fatigue}, malaise {Malaise}, rigors {Rigor}, central line was removed {Removal of central venous line}, stable condition {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-fluoxetin 40 mg 2 tabs a day
- 
-Discharge Medications:
-1. diphenhydramine HCl 25 mg Capsule Sig: ___ Capsules PO Q6H 
-(every 6 hours) as needed for pruritis.
-Disp:*30 Capsule(s)* Refills:*0*
-2. cephalexin 500 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day) for 5 days.
-Disp:*10 Capsule(s)* Refills:*0*
-3. oral wound care products     Gel in Packet Sig: Fifteen (15) 
-ML Mucous membrane TID (3 times a day) as needed for mucositis.
-Disp:*500 ML(s)* Refills:*0*
-4. ondansetron 8 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO every eight (8) hours.
-Disp:*60 Tablet, Rapid Dissolve(s)* Refills:*2*
-5. furosemide 20 mg Tablet Sig: One (1) Tablet PO once a day for 
-5 days.
-Disp:*5 Tablet(s)* Refills:*0*
-6. camphor-menthol 0.5-0.5 % Lotion Sig: One (1) Appl Topical 
-QID (4 times a day) as needed for pruritus.
-Disp:*1 bottle* Refills:*3*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Metastatic Renal Cell CA
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-
- 
-
-###RESPONSE: Metastatic Renal Cell CA {Metastatic renal cell carcinoma}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call ___, RN for any issues after discharge.
-___
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Lisinopril / alcohol
- 
-Attending: ___
- 
-Chief Complaint:
-atrial fibrillation with RVR
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Lisinopril {Non-allergic hypersensitivity to lisinopril}, alcohol {Allergy to ethyl alcohol}, atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ presents with tachycardia. Patient with recent admission for 
-atrial fibrillation with RVR at that time underwent 
-cardioversion and was started on low-dose 
-metoprolol. Now with returned for tachycardia to the 150s. 
-Patient was reportedly feeling weak at home and noted to be 
-orthostatic. She was additionally noted to have highly variable 
-heart rate with irregular heart rhythm. At time of evaluation 
-she denies any acute complaints however is noted to be 
-tachycardic from the 120s to 150s. Patient states she has been 
-taking her metoprolol as prescribed.
- 
-In the ED, initial vitals were 97.8 74 128/50 16 97% ra. Labs 
-significant for unremarkable CBC and CHem7 with the exception of 
-BUN 21, glucose 127, phos 2.0, Lactate: 1.9. UA unremarkable. 
-Urine and blood cultures sent. CXR showed cardiomegaly and small 
-bilateral effusions. No superimposed acute cardiopulmonary 
-process. Patient was evaluated by cardiology in the ED and 
-admitted for AF with RVR, for rate control with beta blocker 
-uptitration. VS prior to transfer include 98.8 113 122/78 20 98% 
-RA.
-
-On the floor, patient is comfortable without any recent chest 
-pain, palpitations, shortness of breath, lightheadedness with 
-walking to the bathroom or peripheral edema. She states she 
-cannot feel that her heart rate is fast.
- 
-On review of systems, she denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, myalgias, joint pains, cough, hemoptysis, black 
-stools or red stools. She denies recent fevers, chills or 
-rigors. She denies exertional buttock or calf pain. All of the 
-other review of systems were negative.  
- 
-Cardiac review of systems is notable for absence of chest pain, 
-dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, 
-ankle edema, palpitations, syncope or presyncope.  
-
- 
-
-###RESPONSE: tachycardia {Tachycardia}, atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}, cardioversion {Cardioversion}, tachycardia {Tachycardia}, feeling weak {Asthenia}, orthostatic {Orthostatic body position}, variable 
-heart rate {Alteration in heart rate}, irregular heart rhythm {Irregular heart beat}, evaluation {Evaluation procedure}, tachycardic {Tachycardia}, vitals {Vital signs finding}, ra {Breathing room air}, unremarkable {No abnormality detected}, CBC {Complete blood count}, BUN {Blood urea nitrogen measurement}, Lactate {Lactic acid measurement}, UA unremarkable {Urinalysis = no abnormality}, Urine {Urine culture}, blood cultures {Blood culture}, CXR {Plain chest X-ray}, cardiomegaly {Cardiomegaly}, small {Symptom mild}, bilateral effusions {Bilateral pleural effusion}, cardiology {Cardiology service}, AF with RVR {Atrial fibrillation with rapid ventricular response}, uptitration {Increasing dosage of medication}, VS {Vital signs finding}, RA {Breathing room air}, chest 
-pain {Chest pain}, palpitations {Palpitations}, shortness of breath {Dyspnea}, lightheadedness {Lightheadedness}, walking {Does walk}, peripheral edema {Peripheral edema}, heart rate is fast {Tachycardia}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black 
-stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No abnormality detected}, Cardiac {Cardiovascular physical examination}, review of systems {Review of systems}, chest pain {Chest pain}, dyspnea on exertion {Dyspnea on exertion}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. CARDIAC RISK FACTORS: + Hypertension  
-2. CARDIAC HISTORY: afib
-3. OTHER PAST MEDICAL HISTORY:                             
-CATARACT                                                        
-DEGENERATIVE JOINT DISEASE                                       
-
-OSTEOPOROSIS                                                    
-PELVIC FRACTURE                                                 
-TINNITUS                                                        
-RETINAL VASCULAR OCCLUSION                                      
-H/O COLLES' FRACTURE                                            
-H/O HEMATURIA S/P CYSTOSCOPY                                 
-H/O PROLAPSE VAGINAL WALL W/O UTERINE PROLAPSE 
-H/O SYNCOPE   
-
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Hypertension {Hypertensive disorder, systemic arterial}, CARDIAC {Heart structure}, afib {Atrial fibrillation}, CATARACT {Cataract}, DEGENERATIVE JOINT DISEASE {Osteoarthritis}, OSTEOPOROSIS {Osteoporosis}, PELVIC FRACTURE {Fracture of pelvis}, TINNITUS {Tinnitus}, RETINAL VASCULAR OCCLUSION {Retinal vascular occlusion}, COLLES' FRACTURE {Colles' fracture}, HEMATURIA {Blood in urine}, CYSTOSCOPY {Transurethral cystoscopy}, PROLAPSE VAGINAL WALL {Vaginal wall prolapse}, UTERINE PROLAPSE {Uterine prolapse}, SYNCOPE {Syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory to this admission
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
-VS: 98.1 123/71 120s-140s 16 93%RA wt 38kg (discharged at 
-36.4kg) 
-GENERAL: awake and alert, in NAD, pleasant
-HEENT: AT/NC, + cataracts, anicteric sclera, good dentition  
-NECK: JVP not elevated    
-CARDIAC: irreg irreg, no Murmurs appreciated  
-LUNG: bibasilar crackles  
-ABDOMEN: soft, non-tender, non-distended   
-EXT: warm and well-perfused, no edema 
-NEURO: alert, neuro exam grossly non-focal 
-
-On Discharge:
-Vitals: 97.5  104/76(80-123/46-73)  97(68-136)  16  92%RA 
-weight: 38.1kg from 38kg at admission (last discharge at 36.4kg)
-GENERAL: awake and alert, in NAD  
-HEENT: AT/NC, HOH, anicteric sclera, good dentition  
-NECK: JVP of 6  
-CARDIAC: RRR, no Murmurs appreciated  
-LUNG: bibasilar crackles, no wheezing  
-ABDOMEN: soft, non-tender, non-distended  
-EXT: warm and well-perfused, no edema.  
-NEURO: alert, neuro exam grossly non-focal  
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, wt {Weight finding}, GENERAL {General examination of patient}, awake {Awake}, alert {Mentally alert}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, cataracts {Cataract}, anicteric sclera {White sclera}, good dentition {Normal dentition}, NECK {Physical examination procedure}, JVP not elevated {Normal jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, irreg irreg {Pulse irregularly irregular}, Murmurs {Heart murmur}, LUNG {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, EXT {Examination of limb}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}, NEURO {Neurological examination}, alert {Mentally alert}, neuro exam {Neurological examination}, Vitals {Vital signs finding}, RA {Breathing room air}, weight {Weight finding}, GENERAL {General examination of patient}, awake {Awake}, alert {Mentally alert}, NAD {No abnormality detected}, HOH {Hearing loss}, anicteric sclera {White sclera}, good dentition {Normal dentition}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, Murmurs {Heart murmur}, LUNG {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, wheezing {Wheezing}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, EXT {Examination of limb}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}, NEURO {Neurological examination}, alert {Mentally alert}, neuro exam {Neurological examination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 01:49PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-___ 01:49PM URINE  BLOOD-MOD NITRITE-NEG PROTEIN-30 
-GLUCOSE-300 KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 
-LEUK-TR
-___ 01:49PM URINE  RBC-30* WBC-4 BACTERIA-NONE YEAST-NONE 
-EPI-6
-___ 01:49PM URINE  MUCOUS-FEW
-___ 01:33PM   LACTATE-1.9
-___ 01:15PM   GLUCOSE-127* UREA N-21* CREAT-0.6 SODIUM-138 
-POTASSIUM-3.9 CHLORIDE-103 TOTAL CO2-26 ANION GAP-13
-___ 01:15PM   CALCIUM-8.6 PHOSPHATE-2.0*# MAGNESIUM-2.2
-___ 01:15PM   WBC-5.9 RBC-4.02* HGB-11.5* HCT-36.6 MCV-91 
-MCH-28.7 MCHC-31.5 RDW-15.7*
-___ 01:15PM   NEUTS-64.9 ___ MONOS-10.6 EOS-1.2 
-BASOS-1.4
-___ 01:15PM   PLT COUNT-324
-
-Other Pertinent Labs:
-___ 06:10AM BLOOD ___ PTT-36.7* ___
-___ 06:10AM BLOOD ALT-37 AST-20 AlkPhos-72 TotBili-0.4
-
-On Dishcarge:
-___ 06:20AM BLOOD WBC-3.9* RBC-3.64* Hgb-10.7* Hct-34.0* 
-MCV-93 MCH-29.5 MCHC-31.6 RDW-15.6* Plt ___
-___ 06:20AM BLOOD Glucose-79 UreaN-20 Creat-0.6 Na-136 
-K-4.7 Cl-103 HCO3-28 AnGap-10
-___ 06:20AM BLOOD Mg-2.1
-
-Imaging:
-CXR ___:
-Cardiomegaly and small bilateral effusions.  No superimposed 
-acute cardiopulmonary process. 
-
-EKG:  ___:
-afib with RVR, rate 127, normal axis, nonspecific ST changes 
-laterally and Q waves w/TWI in III, aVF similar to last 
-admission
-
- 
-
-###RESPONSE: URINE {Evaluation of urine specimen}, COLOR {Color finding}, Clear {Urine looks clear}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, URINE {Evaluation of urine specimen}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Mg {Blood magnesium measurement}, CXR {Plain chest X-ray}, Cardiomegaly {Cardiomegaly}, bilateral effusions {Bilateral pleural effusion}, afib with RVR {Atrial fibrillation with rapid ventricular response}, normal {No abnormality detected}, axis {Electrocardiographic axis finding}, ST changes {Electrocardiographic ST segment changes}, TWI {Inverted T wave}, III {Lead III}, aVF {Finding present on electrocardiogram}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with history of hypertension, presented with recurrent 
-atrial fibrillation with RVR s/p cardioversion on ___.
- 
-# Atrial fibrillation with rapid ventricular response: CHADS2=3 
-(HTN, CHF, Age). Underwent workup for etiology of new atrial 
-fibrillation at last admission. She returned with rapid atrial 
-fibrillation but no signs of systolic heart failure 
-exacerbation. Rate control strategy was favored given paroxysmal 
-nature of her atrial fibrillation despite being euvolemic as 
-volume overload was initially felt to be a contributing factor. 
-She was rate controlled on increased dose of metoprolol and her 
-symptoms of fatigue resolved. She also continued Rivaroxaban for 
-stroke prevention. 
-   
-# Chronic Systolic Congestive Heart Failure Exacerbation: Has 
-dilated cardiomyopathy. Appears euvolemic on exam with flat JVP. 
-She has crackles but no dyspnea or other signs of volume 
-overload on exam. She was discharged on low dose of lasix to 
-take outpatient to prevent volume overload as her JVP had 
-increased slightly over the course of the hospitalization 
-(although remains <10) and her weight was increased from her 
-prior discharge weight. She is now lacking her atrial kick to 
-aid with forward flow. She was instructed to monitor her weights 
-outpatient. 
-
-# Leg Pain: Felt to be from trochanteric bursitis outpatient. No 
-acute fracture was seen on imaging. DVT was ruled out with 
-ultrasound last admission. Continued Tylenol for pain control 
-and physical therapy was consulted.
-
-# Hypertension: Her home olmesartan and Felodipine continued to 
-be held from last admission. Metoprolol was given per above. She 
-should restart her ___ outpatient as she has systolic heart 
-failure if her blood pressure permits. 
-  
-
-HOSPITAL ISSUES:   
-- Code: Full Code  
-- should have BP check at follow up outpatient visit and restart 
-___ if BP allows
-- CTA last hospitalization showed incidental finding of 
-narrowing of the left 
-mainstem bronchus with soft tissue fullness posteriorly and 
-distal esophageal thickening. This can be further worked up if 
-clinically indicated.
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, recurrent {Recurrent disease}, atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}, cardioversion {Cardioversion}, Atrial fibrillation with rapid ventricular response {Atrial fibrillation with rapid ventricular response}, HTN {Hypertensive disorder, systemic arterial}, CHF {Congestive heart failure}, workup {Evaluation procedure}, atrial 
-fibrillation {Atrial fibrillation}, rapid atrial 
-fibrillation {Rapid atrial fibrillation}, signs {Sign}, systolic heart failure {Systolic heart failure}, atrial fibrillation {Atrial fibrillation}, euvolemic {Normal blood volume}, volume overload {Hypervolemia}, fatigue {Fatigue}, resolved {Problem resolved}, Rivaroxaban {Administration of prophylactic anticoagulant}, stroke prevention {Stroke prevention}, Chronic {Chronic congestive heart failure}, Systolic Congestive Heart Failure {Congestive heart failure due to left ventricular systolic dysfunction}, dilated cardiomyopathy {Congestive cardiomyopathy}, euvolemic {Normal blood volume}, exam {Physical examination procedure}, flat JVP {Normal jugular venous pressure}, crackles {Respiratory crackles}, dyspnea {Dyspnea}, signs {Sign}, volume 
-overload {Hypervolemia}, exam {Physical examination procedure}, lasix {Diuretic therapy}, volume overload {Hypervolemia}, JVP had 
-increased {Raised jugular venous pressure}, weight was increased {Weight increased}, weight {Weight finding}, atrial {Atrial structure}, monitor her weights {Weight monitoring}, Leg Pain {Pain in lower limb}, trochanteric bursitis {Greater trochanteric pain syndrome}, No 
-acute {No abnormality detected}, fracture {Fracture}, imaging {Imaging}, DVT {Deep venous thrombosis}, ultrasound {Ultrasonography}, Tylenol {Administration of analgesic}, pain control {Pain control}, physical therapy {Physical therapy procedure}, Hypertension {Hypertensive disorder, systemic arterial}, restart {Restart of medication}, systolic heart 
-failure {Systolic heart failure}, blood pressure {Blood pressure monitoring}, BP check {Blood pressure monitoring}, restart {Restart of medication}, CTA {Computed tomography angiography with contrast}, narrowing {Narrowing}, left {Structure of left bronchus}, bronchus {Bronchial structure}, soft tissue {Structure of soft tissue}, distal esophageal {Structure of lower third of esophagus}, thickening {Increased thickness}, worked up {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Calcium Carbonate 1250 mg PO DAILY 
-2. Metoprolol Succinate XL 25 mg PO DAILY 
-3. Rivaroxaban 15 mg PO DAILY 
-4. alendronate 70 mg oral weekly 
-5. Estrogens Conjugated 1 gm VG PRN daily 
-
- 
-Discharge Medications:
-1. Calcium Carbonate 1250 mg PO DAILY 
-2. Metoprolol Succinate XL 75 mg PO BID 
-RX *metoprolol succinate 25 mg 3 tablet extended release 24 
-hr(s) by mouth twice a day Disp #*180 Tablet Refills:*0
-3. Rivaroxaban 15 mg PO DAILY 
-4. alendronate 70 mg oral weekly 
-5. Estrogens Conjugated 1 gm VG PRN daily 
-6. Furosemide 10 mg PO DAILY 
-RX *furosemide 20 mg 0.5 (One half) tablet(s) by mouth once a 
-day Disp #*20 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-atrial fibrillation with rapid ventricular response
-chronic systolic heart failure
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Home {Home health aide service management}, With Service {Home health aide service management}, atrial fibrillation with rapid ventricular response {Atrial fibrillation with rapid ventricular response}, chronic systolic heart failure {Chronic systolic heart failure}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure seeing you again during your recent 
-hospitalization at ___. You were admitted to the hospital 
-again because your heart rhythm returned into atrial 
-fibrillation and was beating very fast. We increased your dose 
-of metoprolol and now your heart rate is better controlled. 
-
-Please take your medications as prescribed and go to your clinic 
-appointments shown below. Remember to weigh yourself every 
-morning and call your doctor if your weight goes up more than 3 
-lbs.
- 
-
-###RESPONSE: heart rhythm {Finding of heart rhythm}, atrial 
-fibrillation {Atrial fibrillation}, beating very fast {Tachycardia}, heart rate {Finding of heart rate}, better controlled {Disease condition determination, well controlled}, take your medications as prescribed {Patient medication education}, clinic {Outpatient care management}, weigh yourself every 
-morning {Weight monitoring}, weight goes up {Weight increased}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Ace Inhibitors / Aspirin / Rifaximin / Tramadol / 
-Plavix / morphine / Statins-Hmg-Coa Reductase Inhibitors / 
-Effexor XR
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Ace Inhibitors {Allergy to acetylcholinesterase inhibitor}, Aspirin {Allergy to aspirin}, Tramadol {Allergy to tramadol}, morphine {Allergy to morphine}, Statins-Hmg-Coa Reductase Inhibitors {Allergy to 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ year old female, history of CAD (MI ___ s/p
-PCIx2 to ramus intermedius, TTE ___, pAF (on Coumadin),
-moderate AS, HTN, anemia, dementia, GERD, and hx breast cancer
-(s/p R mastectomy with XRT) who presents with chest pain. 
-Patient
-reports that symptoms began 2 or 3 days ago. She reports 8 out 
-of
-10 substernal chest ""pressure."" Mild dyspnea with cough. No
-hemoptysis. Denies fever, chills, nausea, vomiting, change in
-bowel or bladder function, change in vision or hearing, 
-bruising,
-adenopathy, new rash or lesion.
-
-She is somewhat difficult to get a clear history from w/r/t her
-pain. When it initially started about 48 hours ago, it awoke her
-up out of her sleep. She doesn't recall anything that improved 
-or
-made it worse, but since then it has been rather episodic
-throughout the day. She has felt generally ""low energy"" and thus
-has not been moving about all that much, but when she has 
-exerted
-herself she does not think that brought about the pain or made 
-it
-any worse. She does think that she has felt generally weaker
-while exerting herself over the last week or so.
-
-In the ED initial vitals were: 
-
-97.3 56 155/65 16 97% RA 
- 
-Labs/studies notable for:
-
-___: 35.8  PTT: 43.3  INR: 3.3  
-
-5.1 > 12.1/37.1 < 230 
-  
-ALT: 36 AP: 85 Tbili: 0.4 Alb: 4.2 
-AST: 45 
-
-CK: 295  MB: 8  Trop-T: 0.02 
-
-135  97  29   
--------------< 82 
-4.2  23  1.2  
-
-UA negative
-
-Trop 0.02 --> 0.01
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Percutaneous coronary intervention}, ramus intermedius {Structure of coronary intermediate artery}, TTE {Transthoracic echocardiography}, pAF {Paroxysmal atrial fibrillation}, moderate AS {Moderate stenosis of aortic valve}, HTN {Hypertensive disorder, systemic arterial}, anemia {Anemia}, dementia {Dementia}, GERD {Gastroesophageal reflux disease}, breast cancer {Malignant neoplasm of breast}, R mastectomy {Mastectomy of right breast}, XRT {X-ray beam therapy}, chest pain {Chest pain}, substernal {Structure of substernal region}, chest ""pressure {Tight chest}, dyspnea {Dyspnea}, cough {Cough}, hemoptysis {Hemoptysis}, fever {Fever}, chills {Chill}, nausea {Nausea}, vomiting {Vomiting}, change in
-bowel {Altered bowel function}, bladder function {Altered bladder function}, bruising {Contusion}, adenopathy {Lymphadenopathy}, rash {Eruption of skin}, lesion {Lesion}, pain {Pain}, improved {Patient's condition improved}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HYPONATREMIA  
- ATRIAL FIBRILLATION on Coumadin  
- BREAST CANCER TWICE IN RIGHT BREAST  
- lumpectomy and xrt s/p mastectomy ___  
- CORONARY ARTERY DISEASE  
- s/p ramus stent ___, negative exercise echo ___  
- CORONARY ARTERY DISEASE  
- ___ cath 3-v disease with PCTA ramus of circ  
- DEPRESSION  
- GASTROESOPHAGEAL REFLUX  
- HYPERTENSION  
- OSTEOARTHRITIS  
- OSTEOPOROSIS  
- ANXIETY  
- MDD WITH PSYCHOTIC FEATURES  
- GAD  
- CATARACT  
- AORTIC SCLEROSIS  
-
- 
-
-###RESPONSE: HYPONATREMIA {Hyponatremia}, ATRIAL FIBRILLATION {Atrial fibrillation}, BREAST CANCER {Malignant neoplasm of breast}, RIGHT BREAST {Right breast structure}, lumpectomy {Lumpectomy of breast}, xrt {X-ray beam therapy}, mastectomy {Excision of breast}, CORONARY ARTERY DISEASE {Coronary arteriosclerosis}, stent {Insertion of arterial stent}, exercise echo {Exercise stress echocardiography}, CORONARY ARTERY DISEASE {Coronary arteriosclerosis}, cath {Cardiac catheterization}, 3-v disease {Triple vessel disease of the heart}, PCTA {Percutaneous transluminal coronary angioplasty}, DEPRESSION {Depressive disorder}, GASTROESOPHAGEAL REFLUX {Gastroesophageal reflux disease}, HYPERTENSION {Hypertensive disorder, systemic arterial}, OSTEOARTHRITIS {Osteoarthritis}, OSTEOPOROSIS {Osteoporosis}, ANXIETY {Anxiety}, MDD WITH PSYCHOTIC FEATURES {Major depression with psychotic features}, GAD {Generalized anxiety disorder}, CATARACT {Cataract}, AORTIC SCLEROSIS {Aortic valve sclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-FAMILY PSYCHIATRIC HISTORY: brother with ___ (in ___
-Mother died of AD at age ___
-Father died of MI age ___. 
-
- 
-
-###RESPONSE: died {Dead}, died {Dead}, MI {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM
-==========================
-VS:  ___ 0200 Temp: 98.0 PO BP: 150/63 L Lying HR: 58 RR: 
-18
-O2 sat: 99% O2 delivery: Ra 
-GENERAL: Cachectic elderly woman, lying comfortably in bed, NAD
-HEENT: Normocephalic atraumatic. Sclera anicteric. PERRL. EOMI.
-Conjunctiva were pink. No pallor or cyanosis of the oral mucosa.
-No xanthelasma.  
-NECK: No JVD.
-CARDIAC: PMI located in ___ intercostal space, midclavicular
-line. Regular rate and rhythm. ___, late peaking cresc/decresc
-murmur best heart at LUSB, radiating to carotids with delayed
-carotid upstroke.   
-LUNGS: No chest wall deformities or tenderness. Respiration is
-unlabored with no accessory muscle use. No crackles, wheezes or
-rhonchi.  
-ABDOMEN: Soft, non-tender, non-distended. No hepatomegaly. No
-splenomegaly.  
-EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or
-peripheral edema.  
-SKIN: No significant skin lesions or rashes.  
-PULSES: Distal pulses palpable and symmetric. 
-
-DISCHARGE PHYSICAL EXAM
-=====================================
-Temp: 97.7 (Tm 98.8), BP: 159/72 (113-159/53-72), HR: 69
-(52-69), RR: 18 (___), O2 sat: 97% (96-98), O2 delivery: Ra,
-Wt: 92.15 lb/41.8 kg
-GENERAL: Cachectic elderly woman, lying comfortably in bed, NAD
-HEENT: Normocephalic atraumatic. Sclera anicteric. PERRL. EOMI.
-Conjunctiva were pink. No pallor or cyanosis of the oral mucosa.
-No xanthelasma.  
-NECK: No JVD.
-CARDIAC: PMI located in ___ intercostal space, midclavicular
-line. Regular rate and rhythm. ___, late peaking cresc/decresc
-murmur best heart at LUSB, radiating to carotids with delayed
-carotid upstroke.   
-LUNGS: No chest wall deformities or tenderness. Respiration is
-unlabored with no accessory muscle use. No crackles, wheezes or
-rhonchi.  
-ABDOMEN: Soft, non-tender, non-distended. No hepatomegaly. No
-splenomegaly.  
-EXTREMITIES: Warm, well perfused. No clubbing, cyanosis, or
-peripheral edema.  
-SKIN: No significant skin lesions or rashes.  
-PULSES: Distal pulses palpable and symmetric.
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, GENERAL {General examination of patient}, Cachectic {Cachexia}, lying comfortably in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthelasma {Xanthelasma}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular
-line {Midclavicular line}, Regular rate {Normal heart rate}, murmur {Murmur}, LUSB {Structure of upper parasternal region}, carotids {Carotid artery structure}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, tenderness {Tenderness}, Respiration {Examination of respiratory system}, unlabored {Breathing easily}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, hepatomegaly {Large liver}, splenomegaly {Splenomegaly}, EXTREMITIES {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, SKIN {Examination of skin}, lesions {Lesion}, rashes {Eruption of skin}, pulses palpable {Peripheral pulse palpable}, PHYSICAL EXAM {Physical examination procedure}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, GENERAL {General examination of patient}, Cachectic {Cachexia}, lying comfortably in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthelasma {Xanthelasma}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular
-line {Midclavicular line}, Regular rate {Normal heart rate}, murmur {Murmur}, LUSB {Structure of upper parasternal region}, carotids {Carotid artery structure}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, tenderness {Tenderness}, Respiration {Examination of respiratory system}, unlabored {Breathing easily}, accessory muscle {Accessory skeletal muscle}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, hepatomegaly {Large liver}, splenomegaly {Splenomegaly}, EXTREMITIES {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, SKIN {Examination of skin}, lesions {Lesion}, rashes {Eruption of skin}, pulses palpable {Peripheral pulse palpable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-=====================
-___ 02:10PM   cTropnT-<0.01
-___ 12:29PM URINE  HOURS-RANDOM
-___ 12:29PM URINE  UHOLD-HOLD
-___ 12:29PM URINE  COLOR-Straw APPEAR-Clear SP ___
-___ 12:29PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.5 
-LEUK-NEG
-___ 08:15AM   GLUCOSE-82 UREA N-29* CREAT-1.2* SODIUM-135 
-POTASSIUM-4.2 CHLORIDE-97 TOTAL CO2-23 ANION GAP-15
-___ 08:15AM   estGFR-Using this
-___ 08:15AM   ALT(SGPT)-36 AST(SGOT)-45* CK(CPK)-295* ALK 
-PHOS-85 TOT BILI-0.4
-___ 08:15AM   LIPASE-46
-___ 08:15AM   CK-MB-8 cTropnT-0.02*
-___ 08:15AM   ALBUMIN-4.2 CALCIUM-9.5 PHOSPHATE-3.0 
-MAGNESIUM-2.1
-___ 08:15AM   WBC-5.1 RBC-3.90 HGB-12.1 HCT-37.1 MCV-95 
-MCH-31.0 MCHC-32.6 RDW-14.0 RDWSD-49.2*
-___ 08:15AM   NEUTS-59.3 ___ MONOS-12.4 EOS-1.6 
-BASOS-1.2* IM ___ AbsNeut-3.02 AbsLymp-1.29 AbsMono-0.63 
-AbsEos-0.08 AbsBaso-0.06
-___ 08:15AM   PLT COUNT-230
-___ 08:15AM   PLT COUNT-230
-
-PERTINENT STUDIES
-========================
-CARDIAC PERFUSION PHARM ___
-Normal myocardial perfusion exam. The ejection fraction is 70%.
-
-CXR ___
-No acute cardiopulmonary abnormality.
-
-TTE ___
-Vigorous left ventricular systolic function. Severe aortic 
-stenosis with mild aortic regurgitation. Mild mitral and 
-tricuspid regurgitation. Borderline pulmonary hypertension.
-
-STRESS TEST ___
-Non-anginal type symptoms in the absence of significant ST 
-segment changes. Resting systolic hypertension with an 
-appropriate 
-hemodynamic response to vasodilator stress. Nuclear report sent 
-separately. 
-
-DISCHARGE LABS
-========================
-___ 08:40AM BLOOD WBC-5.1 RBC-3.58* Hgb-11.2 Hct-34.9 
-MCV-98 MCH-31.3 MCHC-32.1 RDW-14.2 RDWSD-51.8* Plt ___
-___ 07:33PM BLOOD ___ PTT-40.6* ___
-___ 08:40AM BLOOD Glucose-75 UreaN-28* Creat-1.1 Na-137 
-K-4.3 Cl-101 HCO3-23 AnGap-13
-___ 08:40AM BLOOD CK(CPK)-191
-___ 08:40AM BLOOD CRP-7.3*
- 
-
-###RESPONSE: cTropnT {Troponin T cardiac measurement}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TOT BILI {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, CXR {Plain chest X-ray}, TTE {Transthoracic echocardiography}, aortic 
-stenosis {Aortic valve stenosis}, mild aortic regurgitation {Mild aortic valve regurgitation}, Mild mitral {Mild mitral valve regurgitation}, tricuspid regurgitation {Tricuspid valve regurgitation}, pulmonary hypertension {Pulmonary hypertension}, ST 
-segment changes {Electrocardiographic ST segment changes}, systolic hypertension {Systolic hypertension}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-====================
-PATIENT SUMMARY:
-====================
-___ year old female, history of CAD (MI ___ s/p PCIx2 to ramus
-intermedius, TTE ___, pAF (on Coumadin), moderate AS, HTN,
-anemia, dementia, GERD, and hx breast cancer (s/p R mastectomy
-with XRT) who presents with chest pain, possibly anginal vs.
-symptomatic severe AS vs. non-cardiac.
-
-CORONARIES: Diffuse 3VD
-PUMP: Preserved EF (70%)
-RHYTHM: pAF
-
-====================
-ACTIVE ISSUES
-====================
-
-#Chest pain
-#CAD (MI ___ s/p PCIx2 to ramus intermedius, last cath ___
-with 3VD, declining intervention)
-Suspect that some of her chest pain is anginal in nature, though
-not entirely clear from her history. Low concern for ACS given 
-very mild trop elevation which was downtrending and no ischemic 
-EKG changes. Pmibi was reassuring. Notably long acting nitrates 
-have resulted in HA in the past. Beta blocker not uptitrated due 
-to resting bradycardia. Also, she recently had two episodic 
-visits for diffuse muscle aches and fatigue, with labs showing 
-mildly elevated CK; statin was discontinued in this setting. ASA 
-was also held on her last admission due to concern for GIB. Her 
-symptoms were resolved on the day of discharge.
-
-#pAF: On warfarin. INR on admission 3.3 so Warfarin held on 
-admission day but resumed on ___. Patient was in sinus this 
-admission. Continued Amiodarone but Carvedilol 3.125 BID held 
-due to resting bradycardia. INR on discharge was 2.3.
-
-#Moderate-Severe AS: AS valve area of 1cm, with mean gradient 
-36.
-This is slightly worsened in the past year with prior area
-measured at 1.1cm with mean gradient in the low ___. Aortic 
-stenosis will be discussed further at outpatient visit with 
-___.
-
-#Diffuse muscle aches: Given vague nature of symptoms, certainly 
-possible that her pain was related to neither AS nor ischemic 
-heart disease. Interestingly, her CK and AST were both elevated 
-on admission likely indicating some skeletal muscle breakdown. 
-Statin induced myopathy is certainly possible so continued to 
-hold her Atorvastatin, though other myopathies should be 
-considered. CRP mildly elevated and ESR pending on discharge. 
-TSH also checked which was normal. 
-
-#HTN: Holding carvedilol but continued amlodipine as above.
-
-#Dementia
-#Anxiety:
-Continued home wellbutrin and mirtazapine.
-
-#CKD: Appeared to be at baseline Cr from most recent checks. Cr 
-on discharge was 1.1.
-
-#H/o breast CA s/p R mastectomy with XRT
-
-====================
-TRANSITIONAL ISSUES:
-====================
-- New Meds: None
-- Stopped/Held Meds: Carvedilol 3.125mg BID
-- Changed Meds: None
-- Discharge weight: 41.8 kg (92.15 lb) 
-- Discharge creatinine: 1.1
-
-[] Held carvedilol in the setting of resting bradycardia. Please 
-consider restarting if heart rates allow.
-[] Warfarin held on ___ because patient was supratherapeutic 
-but resumed her home dose prior to discharge
-
-# CONTACT: HCP: ___ (Nephew)
-Phone number: ___ 
-Cell phone: ___ 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Electrocardiographic ST segment changes}, ramus
-intermedius {Structure of coronary intermediate artery}, TTE {Transthoracic echocardiography}, pAF {Paroxysmal atrial fibrillation}, moderate AS {Moderate stenosis of aortic valve}, HTN {Hypertensive disorder, systemic arterial}, anemia {Anemia}, dementia {Dementia}, GERD {Gastroesophageal reflux disease}, breast cancer {Malignant neoplasm of breast}, R mastectomy {Mastectomy of right breast}, XRT {X-ray beam therapy}, chest pain {Chest pain}, 3VD {Triple vessel disease of the heart}, pAF {Paroxysmal atrial fibrillation}, Chest pain {Chest pain}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Electrocardiographic ST segment changes}, ramus intermedius {Structure of coronary intermediate artery}, cath {Cardiac catheterization}, 3VD {Triple vessel disease of the heart}, chest pain {Chest pain}, ACS {Acute coronary syndrome}, ischemic 
-EKG changes {Electrocardiographic myocardial ischemia}, HA {Headache}, bradycardia {Bradycardia}, muscle aches {Muscle pain}, fatigue {Fatigue}, elevated CK {Creatine kinase level above reference range}, GIB {Gastrointestinal hemorrhage}, pAF {Paroxysmal atrial fibrillation}, On warfarin {Warfarin therapy}, sinus {Sinus rhythm}, bradycardia {Bradycardia}, AS {Aortic valve stenosis}, AS {Aortic valve stenosis}, Aortic 
-stenosis {Aortic valve stenosis}, muscle aches {Muscle pain}, pain {Muscle pain}, AS {Aortic valve stenosis}, ischemic 
-heart disease {Ischemic heart disease}, CK {Creatine kinase level above reference range}, AST were both elevated {Aspartate aminotransferase serum level above reference range}, skeletal muscle {Skeletal muscle structure}, myopathy {Disorder of skeletal AND/OR smooth muscle}, myopathies {Disorder of skeletal AND/OR smooth muscle}, CRP mildly elevated {C-reactive protein above reference range}, TSH also checked which was normal {Serum thyroid stimulating hormone level within reference range}, HTN {Hypertensive disorder, systemic arterial}, Dementia {Dementia}, CKD {Chronic kidney disease}, breast CA {Malignant neoplasm of breast}, R mastectomy {Mastectomy of right breast}, XRT {X-ray beam therapy}, bradycardia {Bradycardia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acetaminophen 650 mg PO Q4H:PRN Pain - Mild 
-2. Amiodarone 100 mg PO DAILY 
-3. amLODIPine 2.5 mg PO DAILY 
-4. Carvedilol 3.125 mg PO BID 
-5. Docusate Sodium 100 mg PO BID 
-6. Dorzolamide 2% Ophth. Soln. 1 DROP BOTH EYES TID 
-7. Milk of Magnesia 30 mL PO DAILY:PRN Constipation - Second 
-Line 
-8. Mirtazapine 7.5 mg PO QHS 
-9. Polyethylene Glycol 17 g PO DAILY 
-10. Senna 17.2 mg PO QHS 
-11. Warfarin 2 mg PO 4X/WEEK (___) 
-12. Warfarin 1.5 mg PO 3X/WEEK (___) 
-13. Azopt (brinzolamide) 1 % ophthalmic (eye) TID 
-14. BuPROPion 100 mg PO BID 
-15. Chlorpheniramine-Hydrocodone 5 mL PO Q6H:PRN cough 
-16. Citracal + D Petites (calcium citrate-vitamin D3) 200 mg 
-calcium -250 unit oral BID 
-17. Furosemide 20 mg PO DAILY 
-18. Mag-Al Plus (alum-mag hydroxide-simeth) 200-200-20 mg/5 mL 
-oral TID 
-19. melatonin 1 mg oral QHS 
-20. Sucralfate 0.5 gm PO TID:PRN stomach upset 
-21. trimethobenzamide 300 mg oral Q8H:PRN nausea 
-22. Vitamin D 1000 UNIT PO DAILY 
-23. Pantoprazole 40 mg PO Q24H 
-
- 
-Discharge Medications:
-1.  Warfarin 1.5 mg PO DAILY16  
-2.  Acetaminophen 650 mg PO Q4H:PRN Pain - Mild  
-3.  Amiodarone 100 mg PO DAILY  
-4.  amLODIPine 2.5 mg PO DAILY  
-5.  Azopt (brinzolamide) 1 % ophthalmic (eye) TID  
-6.  BuPROPion 100 mg PO BID  
-7.  Chlorpheniramine-Hydrocodone 5 mL PO Q6H:PRN cough  
-8.  Citracal + D Petites (calcium citrate-vitamin D3) 200 mg 
-calcium -250 unit oral BID  
-9.  Docusate Sodium 100 mg PO BID  
-10.  Dorzolamide 2% Ophth. Soln. 1 DROP BOTH EYES TID  
-11.  Furosemide 20 mg PO DAILY  
-12.  Mag-Al Plus (alum-mag hydroxide-simeth) 200-200-20 mg/5 mL 
-oral TID  
-13.  melatonin 1 mg oral QHS  
-14.  Milk of Magnesia 30 mL PO DAILY:PRN Constipation - Second 
-Line  
-15.  Mirtazapine 7.5 mg PO QHS  
-16.  Pantoprazole 40 mg PO Q24H  
-17.  Polyethylene Glycol 17 g PO DAILY  
-18.  Senna 17.2 mg PO QHS  
-19.  Sucralfate 0.5 gm PO TID:PRN stomach upset  
-20.  trimethobenzamide 300 mg oral Q8H:PRN nausea  
-21.  Vitamin D 1000 UNIT PO DAILY  
-22.  Warfarin 2 mg PO 4X/WEEK (___)  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS
-====================
-non-coronary chest pain
-
-SECONDARY DIAGNOSIS
-====================
-coronary artery disease
-aortic stenosis
-
- 
-Discharge Condition:
-Mental Status: Confused - sometimes.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: non-coronary chest pain {Non-cardiac chest pain}, coronary artery disease {Coronary arteriosclerosis}, aortic stenosis {Aortic valve stenosis}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,  
-
-It was a pleasure taking part in your care here at ___!  
-
-Why was I admitted to the hospital?  
-- You were admitted for chest pain and fatigue
-
-What was done for me while I was in the hospital?  
-- You underwent a stress test which was normal.
-- Your medicines were changed to improve your symptoms. 
-
-What should I do when I leave the hospital?  
-- Please continue to take your medicines as prescribed and 
-follow up with your outpatient providers.
-
-We wish you the best!
-
-Sincerely,  
-Your ___ Care Team  
-
- 
-
-###RESPONSE: chest pain {Chest pain}, fatigue {Fatigue}, stress test {Electrocardiogram with exercise test}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Latex
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Latex {Allergy to Hevea brasiliensis latex protein}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with h/o liver transplant ___ (HBV) on prograf, IDDM, HLD 
-with chest pain. Briefly, pt developed severe 
-epigastric/substernal pain this morning. Pain was severe and 
-woke him up. He describes it as crampy, nonradiating. Pain was 
-constant and unremitting, lasting for approximately 3 hours. It 
-was associated with 3x episodes of vomiting with some relief of 
-pain. It was not affected by position. No 
-light-headedness/dizziness. No abdominal pain. Pt notes he had a 
-very large meal earlier that night. He has never had this type 
-of pain before. He has never had an esopohogram before and 
-denies any history of DES. No history of esophageal injury. No 
-recent dysphagia/odynophagia. No recent sick contacts/illnesses. 
-Mild SOB, which patient attributes to not being able to take a 
-deep breath from pain.
-
-In the ambulance, pt received 2x nitro without improvement in 
-sx.
-
-On admission to the ED, VS were: 96.4 100 97/62 20 97% 4L. Labs 
-significant for Cr 1.4, ALT/AST: ___, AP 86, TBili 0.5, Lipase 
-42. Trops negative x2. EKG grossly unchanged from prior. CTA 
-negative for PE, and CXR negative for any acute process. Pt was 
-given zofran, morphine x2, GI ocktail, donnatal with improvement 
-in symptoms. Pt desated to 92% on RA, and he was placed back on 
-nasal cannula and admitted for workup of chest pain an hypoxia.
-
-On arrival, VS were: 99.5; 130/85; 80; 16; 97% 2LNC. Pt reported 
-feeling much better. He continues to have some mild chest pain 
-which is worse with deep breaths.
-
- 
-
-###RESPONSE: liver transplant {Transplanted liver present}, HBV {Viral hepatitis type B}, IDDM {Diabetes mellitus type 1}, HLD {Hyperlipidemia}, chest pain {Chest pain}, severe {Severe pain}, epigastric {Epigastric pain}, substernal {Retrosternal pain}, pain {Pain}, Pain was severe {Severe pain}, crampy {Cramping pain}, Pain {Pain}, constant {Constant pain}, vomiting {Vomiting}, pain {Pain}, light-headedness {Lightheadedness}, dizziness {Dizziness}, abdominal pain {Abdominal pain}, pain {Pain}, DES {Endovascular insertion of drug eluting stent}, esophageal injury {Injury of esophagus}, dysphagia {Dysphagia}, odynophagia {Swallowing painful}, illnesses {Illness}, Mild {Symptom mild}, SOB {Dyspnea}, deep breath {Deep breathing}, pain {Pain}, improvement {Patient's condition improved}, Labs {Laboratory test}, TBili {Bilirubin, total measurement}, Lipase {Serum lipase measurement}, Trops {Troponin measurement}, negative {No pathologic diagnosis}, EKG {Electrocardiographic procedure}, CTA {Computed tomography angiography with contrast}, negative {No pathologic diagnosis}, PE {Pulmonary embolism}, CXR negative {Standard chest X-ray normal}, improvement {Patient's condition improved}, desated {Oxygen saturation below reference range}, placed back on 
-nasal cannula {Oxygen administration by nasal cannula}, workup {Evaluation procedure}, chest pain {Chest pain}, hypoxia {Hypoxia}, 2LNC {Oxygen administration by nasal cannula}, mild {Symptom mild}, chest pain {Chest pain}, worse {Increased pain}, deep breaths {Deep breathing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HepB cirrhosis s/p OLT in ___
--On Prograf
-Hepatitis B on ___ and HepaGam
-IDDM
-HLD
-
- 
-
-###RESPONSE: HepB cirrhosis {Cirrhosis of liver due to hepatitis B}, OLT {Orthotopic transplantation of whole liver}, Hepatitis B {Viral hepatitis type B}, IDDM {Diabetes mellitus type 1}, HLD {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-DM, HTN, HLD
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
-General: Pleasant, well-appearing NAD.
-HEENT: NC/AT. MMM. EOMI.
-LAD: No LAD appreciated
-CV: RRR. No MRG.
-Pulmonary: CTAB. No wheezes, rales, rhonchi
-Abdomen: +BS. Soft, NTND. Long horizontal incision over 
-epigastric region well-healed. No HSM appreciated.
-Extremities: WWP. 2+ DP pulese, equal bilaterally. No c/c/e
-Neuro: CNII-XII grossly intact
-
-On Discharge:
-General: Pleasant, well-appearing NAD.
-HEENT: NC/AT. MMM. EOMI.
-LAD: No LAD appreciated
-CV: RRR. No MRG.
-Pulmonary: CTAB. No wheezes, rales, rhonchi
-Abdomen: +BS. Soft, NTND. Long horizontal incision over 
-epigastric region well-healed. No HSM appreciated.
-Extremities: WWP. 2+ DP pulese, equal bilaterally. No c/c/e
-Neuro: CNII-XII grossly intact
- 
-
-###RESPONSE: General {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, LAD {Lymphadenopathy}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, No MRG {Heart sounds normal}, Pulm {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, incision {Surgical incision wound}, epigastric region {Epigastric region structure}, well-healed {Wound healed}, HSM {Hepatosplenomegaly}, Extremities {Examination of limb}, WWP {Normal tissue perfusion}, 2+ DP {Dorsalis pulse present}, No c/c/e {No abnormality detected}, Neuro {Neurological examination}, grossly intact {Normal nervous system function}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC/AT {Normal head}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, LAD {Examination of lymph nodes}, LAD {Lymphadenopathy}, RRR {Normal heart rate}, No MRG {Heart sounds normal}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Soft {Abdomen soft}, NTND {Abdominal tenderness}, incision {Surgical incision wound}, epigastric region {Epigastric region structure}, well-healed {Wound healed}, HSM {Hepatosplenomegaly}, WWP {Normal tissue perfusion}, 2+ DP {Dorsalis pulse present}, No c/c/e {No abnormality detected}, Neuro {Neurological examination}, CNII-XII grossly intact {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 05:30AM BLOOD WBC-10.5# RBC-4.63 Hgb-14.6 Hct-40.7 
-MCV-88 MCH-31.6 MCHC-36.0* RDW-14.8 Plt ___
-___ 05:30AM BLOOD ___ PTT-23.1* ___
-___ 05:30AM BLOOD Glucose-216* UreaN-22* Creat-1.4* Na-139 
-K-4.4 Cl-101 HCO3-27 AnGap-15
-___ 05:30AM BLOOD ALT-23 AST-26 AlkPhos-86 TotBili-0.5
-
-Troponins:
-___ 05:30AM BLOOD cTropnT-<0.01
-___ 11:36AM BLOOD cTropnT-<0.01
-
-On Discharge:
-___ 04:35AM BLOOD WBC-8.1 RBC-4.40* Hgb-13.8* Hct-39.1* 
-MCV-89 MCH-31.3 MCHC-35.3* RDW-14.3 Plt ___
-___ 04:35AM BLOOD ___ PTT-28.4 ___
-___ 04:35AM BLOOD Glucose-145* UreaN-23* Creat-1.4* Na-139 
-K-4.6 Cl-98 HCO3-30 AnGap-16
-___ 04:35AM BLOOD ALT-19 AST-23 AlkPhos-79 TotBili-0.9
-___ 04:35AM BLOOD Calcium-9.5 Phos-1.8* Mg-1.9
-___ 04:35AM BLOOD tacroFK-3.1*
-
-Microbiology:
-None
-
-Imaging:
-___ CTA Chest
-IMPRESSION:  
-1. No pulmonary embolism. 
-2. Small pericardial effusion. 
-3. Few pulmonary nodules measuring up to 4 mm.  Followup in ___ 
-year is 
-recommended there is high risk for lung malignancy. 
-4. Paraesophageal varices. 
-
-___ CXR:
-IMPRESSION:    
-1.  Mild vascular congestion. 
-2.  Chronic small right pleural effusion versus pleural 
-thickening. 
-2.  Left lower lobe atelectasis with elevation of left 
-hemidiaphragm. 
-
-___ ECG:
-Sinus rhythm. Compared to the previous tracing of ___ there 
-are no 
-significant changes. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CTA Chest {Computed tomography angiography of chest with contrast}, pulmonary embolism {Pulmonary embolism}, pericardial effusion {Pericardial effusion}, pulmonary nodules {Nodule of lung}, Followup {Follow-up consultation}, lung malignancy {Metastatic malignant neoplasm to lung}, Paraesophageal varices {Esophageal varices}, Mild {Symptom mild}, vascular {Blood vessel structure}, congestion {Congestion}, Chronic {Chronic disease}, right {Right pleura structure}, pleural effusion {Pleural effusion}, pleural 
-thickening {Thickening of pleura}, Left lower lobe {Structure of lower lobe of left lung}, atelectasis {Atelectasis}, elevation {Elevated diaphragm}, left 
-hemidiaphragm {Structure of left hemidiaphragm}, ECG:
-Sinus rhythm {Electrocardiogram: sinus rhythm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with pmhx of HBV cirrhosis (sp xplant in ___, IDDM, HLD, 
-CKD, h/o strongyloides, h/o fasciola who presented with SSCP 
-following a large meal. 
-
-#Chest pain: Felt to be esophageal spasm in the setting of GERD. 
-EKG unchanged from prior and tropopnins were negative. CTA 
-otherwise negative for PE. Pt was started on a PPI, and he had 
-only minor recurrence of chest pain after coming to the floor. 
-Pt was discharged with a PPT as well as a plan for follow up EGD 
-with possible barium swallow.
-
-#Shortness of Breath: Pt's shortness of breath was felt to be 
-related to his inability to take a deep breath due to pain. His 
-desaturation in the ED may have been related to the pain 
-medications he was administered. Pt's oxygen was quickly weanes 
-off an admission, and his respiratory status remained stable 
-during this admission.
-
-#Hepatitis B: Pt was continued on ___
-
-#Cirrhosis s/p OLT: MELD score 10. Pt was continued on home 
-Prograf. Level was 3.1 on morning of discharge.
-
-#Pulmonary nodules: Pt was incidentally found to have pulmonary 
-nodules on CTA, and it was recommended that they be followed up 
-in ___ year if pt felt to be high risk for malignancy.
-
-Transitional:
-[] Please consider up-titration of PPI
-[] Pt will be scheduled for follow-up EGD +/- barium swallow - 
-manometry may be indicated in the future
-[] Consider f/u of pulmonary nodules in ___ year
- 
-
-###RESPONSE: HBV cirrhosis {Cirrhosis of liver due to hepatitis B}, xplant {Transplanted liver present}, IDDM {Diabetes mellitus type 1}, HLD {Hyperlipidemia}, CKD {Chronic kidney disease}, strongyloides {Infection caused by Strongyloides}, fasciola {Infection caused by Fasciola}, Chest pain {Chest pain}, esophageal spasm {Diffuse spasm of esophagus}, GERD {Gastroesophageal reflux disease}, EKG {Electrocardiographic procedure}, tropopnins {Troponin measurement}, negative {No pathologic diagnosis}, CTA {Computed tomography angiography of chest with contrast}, negative {No pathologic diagnosis}, PE {Pulmonary embolism}, started {New medication added}, PPI {Proton pump inhibitor therapy}, chest pain {Chest pain}, follow up {Follow-up arranged}, EGD {Esophagogastroduodenoscopy}, barium swallow {Barium swallow}, Shortness of Breath {Dyspnea}, shortness of breath {Dyspnea}, inability to take a deep breath {Unable to take deep breaths}, pain {Pain}, desaturation {Oxygen saturation below reference range}, pain 
-medications {Administration of analgesic}, respiratory status {Monitoring of respiration}, stable {Patient's condition stable}, Hepatitis B {Viral hepatitis type B}, Cirrhosis {Cirrhosis of liver}, OLT {Orthotopic transplantation of whole liver}, Prograf. Level {Blood tacrolimus level}, Pulmonary nodules {Nodule of lung}, pulmonary 
-nodules {Nodule of lung}, CTA {Computed tomography angiography of chest with contrast}, risk for malignancy {At increased risk of malignancy}, PPI {Proton pump inhibitor therapy}, follow-up {Follow-up arranged}, EGD {Esophagogastroduodenoscopy}, barium swallow {Barium swallow}, manometry {Esophageal manometry}, pulmonary nodules {Nodule of lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Pravastatin 40 mg PO QPM 
-2. Phosphorus 250 mg PO TID W/MEALS 
-3. Amoxicillin ___ mg PO ONE HOUR PRIOR TO DENTAL SURGERY 
-4. Tacrolimus 0.5 mg PO Q12H 
-5. Multivitamins W/minerals 1 TAB PO DAILY 
-6. Entecavir 1 mg PO DAILY 
-7. Escitalopram Oxalate 10 mg PO DAILY 
-8. Sulfameth/Trimethoprim SS 1 TAB PO DAILY 
-9. GlipiZIDE 7.5 mg PO QAM 
-10. GlipiZIDE 10 mg PO QPM 
-11. Calcitriol 0.25 mcg PO BID 
-12. Glargine 28 Units Bedtime
-Insulin SC Sliding Scale using HUM Insulin
-13. Hepatitis B Immun Globulin (HepaGam B) 5000 UNIT IV Q4 
-MONTHS 
-
- 
-Discharge Medications:
-1. Calcitriol 0.25 mcg PO BID 
-2. Entecavir 1 mg PO DAILY 
-3. Escitalopram Oxalate 10 mg PO DAILY 
-4. Glargine 28 Units Bedtime
-Insulin SC Sliding Scale using HUM Insulin
-5. Multivitamins W/minerals 1 TAB PO DAILY 
-6. Phosphorus 250 mg PO TID W/MEALS 
-7. Pravastatin 40 mg PO QPM 
-8. Sulfameth/Trimethoprim SS 1 TAB PO DAILY 
-9. Tacrolimus 0.5 mg PO Q12H 
-10. Omeprazole 20 mg PO BID 
-RX *omeprazole 20 mg 1 capsule(s) by mouth twice a day Disp #*60 
-Capsule Refills:*0
-11. Amoxicillin ___ mg PO ONE HOUR PRIOR TO DENTAL SURGERY 
-___. GlipiZIDE 7.5 mg PO QAM 
-13. GlipiZIDE 10 mg PO QPM 
-14. Hepatitis B Immun Globulin (HepaGam B) 5000 UNIT IV Q4 
-MONTHS 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary: 
-Esophageal spasm
-Gastroesophageal reflux disease
-Chest pain
-
-Secondary:
-Diabetes
-Chronic kidney disease
-Hepatitis B
-Hyperlipidemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Esophageal spasm {Diffuse spasm of esophagus}, Gastroesophageal reflux disease {Gastroesophageal reflux disease}, Chest pain {Chest pain}, Diabetes {Diabetes mellitus type 1}, Chronic kidney disease {Chronic kidney disease}, Hepatitis B {Viral hepatitis type B}, Hyperlipidemia {Hyperlipidemia}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Dr. ___, 
-
-___ was a pleasure to participate in your care. You were admitted 
-for chest pain. You were found to have no evidence of cardiac 
-ischemia or pulmonary embolism. Your symptoms improved with a 
-proton pump inhibitor. We believe that your symptoms may have 
-been due to gastric reflux or esophageal spasm. Please follow up 
-with your Gastroenterologist for outpatient endoscopy and barium 
-enema. 
-
-Best Regards,
-Your ___ Medicine Team
- 
-
-###RESPONSE: chest pain {Chest pain}, no evidence {No abnormality detected}, cardiac 
-ischemia {Myocardial ischemia}, pulmonary embolism {Pulmonary embolism}, improved {Patient's condition improved}, proton pump inhibitor {Proton pump inhibitor therapy}, gastric reflux {Gastric reflux}, esophageal spasm {Diffuse spasm of esophagus}, follow up {Follow-up arranged}, endoscopy {Endoscopy}, barium 
-enema {Barium enema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Amoxicillin
- 
-Attending: ___.
- 
-Chief Complaint:
-Back and Left Leg Pain
- 
-Major Surgical or Invasive Procedure:
-PROCEDURES: ___
-1. Anterior lumbar interbody fusion, L4-L5, L5-S1.
-2. Anterior interbody cage placement L4-L5, L5-S1.
-
-PROCEDURES: ___
-1. L5 laminectomy, L4 laminotomy
-2. Posterior Spinal Instrumented Fusion L4-S1 
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Amoxicillin {Allergy to amoxicillin}, Back {Structure of back of trunk}, Left Leg Pain {Pain in left lower limb}, Anterior lumbar interbody fusion {Interbody fusion of lumbar spine by anterior approach}, L4-L5 {Intervertebral disc structure of fourth lumbar vertebra}, L5-S1 {Structure of intervertebral disc of L5 and S1}, placement {Implantation procedure}, L4-L5 {Intervertebral disc structure of fourth lumbar vertebra}, L5-S1 {Structure of intervertebral disc of L5 and S1}, L5 {Structure of lamina of fifth lumbar vertebra}, laminectomy {Excision of lamina of vertebra}, L4 {Structure of lamina of fourth lumbar vertebra}, laminotomy {Laminotomy}, Posterior Spinal Instrumented {Posterior spinal instrumentation}, Fusion {Fusion procedure}, L4 {Bone structure of L4}, S1 {Structure of first sacral vertebra}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This patient presented with persistent back and left-sided leg 
-pain.  This goes down in an L5 distribution. It is approximately 
-60% back, 40% leg and it goes down the outside of his leg, 
-outside of his calf, top of his foot.  He had
-an injury approximately ___ years ago while wrestling and he wore
-a back brace for two to three months due to spondylolisthesis. 
-He has been followed at ___.  He has been good
-for approximately five to ___ years, but the past six months 
-have
-been significantly bothersome for him.  He had a recent child; 
-he
-is unable to pick the child up.  He has had no injections
-recently.  He discontinued physical therapy secondary to pain. 
-It is ___ ___nd ___ with activity.  His mom is with him
-today.  He has a history of anxiety and chest pain and he had a
-workup for cardiac chest pain, which was negative and with a
-diagnosis of stress.  He is on Lamictal and Geodon for bipolar
-depression.  He is allergic to amoxicillin.  He smokes
-approximately half a pack a day, which is a decrease from the 
-two
-packs.
-
-His films were reviewed, which show a grade ___ 
-spondylolisthesis
-at L5-S1 with spondylolysis.  An MRI was reviewed from 
-___
-from ___ MRI, which shows a bilateral L5 spondylolysis and
-L5-S1 spondylolisthesis that is grade 2.  There is severe
-foraminal stenosis bilaterally.
-
-On physical examination, he is an alert and oriented male. 
-Affect is within normal limits.  He has an antalgic gait.  He 
-has
-___ strength bilaterally with a ___ ___ and abductors.  His
-sensation is grossly intact to light touch.  He has a positive
-straight leg raise approximately 70 degrees.  No pain with
-internal rotation of hips.  Distal pulses intact.  Calves are
-soft.  No signs of atrophy.
-
-This is a patient with a grade ___ spondylolisthesis, who by
-report was a grade 1 and followed at ___.  He 
-has
-severe left back as well as left lower extremity radicular
-symptoms.  We talked about possible surgical intervention.  This
-would either be an anterior-posterior fusion with interbody 
-cages
-from ___ versus a strut graft through the sacrum and L5 combined
-with a posterolateral fusion.  We discussed this at length as
-well as risks and benefits using models as MRI.  All questions
-were answered.  I would like to obtain a CT scan and see him 
-back
-in followup.  I gave him a surgical packet and asked him to look
-at the animations and come back with any questions.  Given his
-x-rays and MRIs as well as clinical symptoms, I do recommend
-surgical intervention.
-
- 
-
-###RESPONSE: back {Structure of back of trunk}, left-sided leg 
-pain {Pain in left lower limb}, L5 {Bone structure of L5}, back {Structure of back of trunk}, leg {Structure of left lower leg}, leg {Structure of left lower leg}, calf {Structure of calf of right lower leg}, foot {Structure of right foot}, injury {Traumatic or non-traumatic injury}, wore
-a back brace {Application of back brace}, spondylolisthesis {Spondylolisthesis}, unable to pick the child up {Unable to pick up objects}, injections {Injection}, physical therapy {Physical therapy procedure}, pain {Abdominal pain}, anxiety {Anxiety}, chest pain {Chest pain}, cardiac chest pain {Cardiac chest pain}, stress {Stress}, bipolar {Bipolar disorder}, depression {Depressive disorder}, allergic to amoxicillin {Allergy to amoxicillin}, smokes {Smoker}, spondylolisthesis {Spondylolisthesis}, L5 {Bone structure of L5}, S1 {Structure of first sacral vertebra}, spondylolysis {Spondylolysis}, MRI {Magnetic resonance imaging}, MRI {Magnetic resonance imaging}, L5 {Bone structure of L5}, spondylolysis {Spondylolysis}, L5 {Bone structure of L5}, S1 {Structure of first sacral vertebra}, spondylolisthesis that is grade 2 {Spondylolisthesis, grade 2}, foraminal stenosis {Stenosis of lumbar vertebral foramen}, physical examination {Physical examination procedure}, alert {Mentally alert}, oriented {Orientated}, Affect {Mood finding}, antalgic gait {Antalgic gait}, sensation {Normal sensation}, intact to light touch {Light touch sensation present}, straight leg raise {Finding of straight leg raise}, pain {Abdominal pain}, internal rotation of hips {Structure of internal rotator of hip joint}, Calves {Structure of calf of leg}, atrophy {Atrophy}, spondylolisthesis {Spondylolisthesis}, grade 1 {Spondylolisthesis, grade 1}, t back {Structure of back of trunk}, left lower extremity {Structure of left lower limb}, radicular
-symptoms {Radicular pain}, surgical intervention {Surgical procedure}, fusion {Fusion procedure}, sacrum {Structure of sacral vertebral column}, L5 {Bone structure of L5}, fusion {Fusion procedure}, MRI {Magnetic resonance imaging}, CT scan {Computed tomography of abdomen}, x-rays {Radiographic imaging procedure}, MRIs {Magnetic resonance imaging}, surgical intervention {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-see HPI
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-see HPI
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-see HPI
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:09AM BLOOD ALT-24 AST-18 LD(LDH)-148 AlkPhos-81 
-TotBili-1.6*
-___ 05:00AM BLOOD Glucose-135* UreaN-10 Creat-0.7 Na-137 
-K-4.8 Cl-103 HCO3-28 AnGap-11
-___ 05:00AM BLOOD WBC-12.2* RBC-3.43* Hgb-10.7* Hct-30.6* 
-MCV-89 MCH-31.2 MCHC-35.1* RDW-12.3 Plt ___
- 
-
-###RESPONSE: ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient was admitted to the ___ Spine Surgery Service and 
-taken to the Operating Room for the above procedure.   The two 
-portions of the surgery were staged apart by four days.  Refer 
-to the dictated operative notes for further details.  The 
-surgeries were without complication and the patient was 
-transferred to the PACU in a stable condition each time.  
-TEDs/pnemoboots were used for postoperative DVT prophylaxis.  
-Intravenous antibiotics were continued for 24hrs postop per 
-standard protocol. Initial postop pain was controlled with a 
-PCA.  Diet was advanced as tolerated.  The patient was 
-transitioned to oral pain medication when tolerating PO diet.  
-Foley was removed on POD#1.  Physical therapy was consulted for 
-mobilization OOB to ambulate.  Hospital course was otherwise 
-unremarkable.  On the day of discharge the patient was afebrile 
-with stable vital signs, comfortable on oral pain control and 
-tolerating a regular diet. 
- 
-
-###RESPONSE: procedure {Surgical procedure}, surgery {Surgical procedure}, stable condition {Patient's condition stable}, TEDs {Application of antithromboembolic stockings}, postoperative {Postoperative state}, DVT prophylaxis {Prevention of deep vein thrombosis}, Intravenous antibiotics {Intravenous antibiotic therapy}, pain was controlled {Demonstrates adequate pain control}, PCA {Patient controlled analgesia}, Diet was advanced as tolerated {Advance diet as tolerated}, oral {Administration of drug or medicament via oral route}, pain medication {Administration of analgesic}, diet {Dietary finding}, Foley was removed {Removal of urinary bladder catheter}, mobilization {Mobilization}, ambulate {Ambulation training}, unremarkable {No abnormality detected}, afebrile {Fever}, stable vital signs {Normal vital signs}, oral {Administration of drug or medicament via oral route}, pain control {Pain control}, regular diet {Normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-2. lamotrigine 100 mg Tablet Sig: Three (3) Tablet PO DAILY 
-(Daily).  
-3. ziprasidone HCl 20 mg Capsule Sig: One (1) Capsule PO QHS 
-(once a day (at bedtime)).  
-
- 
-Discharge Medications:
-1. bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal 
-once a day as needed for constipation for 3 doses.  
-2. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-3. lamotrigine 100 mg Tablet Sig: Three (3) Tablet PO DAILY 
-(Daily).  
-4. ziprasidone HCl 20 mg Capsule Sig: One (1) Capsule PO QHS 
-(once a day (at bedtime)).  
-5. oxycodone-acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q4H (every 4 hours) as needed for pain.
-Disp:*60 Tablet(s)* Refills:*0*
-6. senna 8.6 mg Tablet Sig: One (1) Tablet PO QHS (once a day 
-(at bedtime)) as needed for constipation.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-L5-S1 Anterior Spondylolisthesis
-
- 
-Discharge Condition:
-A+Ox3
-Ambulate as tolerated
-
- 
-
-###RESPONSE: 5-S1 {Structure of first sacral vertebra}, Spondylolisthesis {Spondylolisthesis}, Ox3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You have undergone the following operation: Lumbar Decompression 
-With Fusion
-
-Immediately after the operation:
-
--Activity: You should not lift anything greater than 10 lbs for 
-2 weeks. You will be more comfortable if you do not sit or stand 
-more than ~45 minutes without getting up and walking around.
-
--Rehabilitation/ Physical Therapy: 
-o2-3 times a day you should go for a walk for ___ minutes as 
-part of your recovery.  You can walk as much as you can 
-tolerate. 
-oLimit any kind of lifting.
-
--Diet: Eat a normal healthy diet. You may have some 
-constipation after surgery.  You have been given medication to 
-help with this issue.
-
--Brace: You may have been given a brace. This brace is to be 
-worn when you are walking. You may take it off when sitting in a 
-chair or while lying in bed.
-
--Wound Care: Remove the dressing in 2 days.  If the incision is 
-draining cover it with a new sterile dressing.  If it is dry 
-then you can leave the incision open to the air.  Once the 
-incision is completely dry (usually ___ days after the 
-operation) you may take a shower. Do not soak the incision in a 
-bath or pool.  If the incision starts draining at anytime after 
-surgery, do not get the incision wet. Cover it with a sterile 
-dressing.  Call the office. 
-
--You should resume taking your normal home medications.
-
--You have also been given Additional Medications to control 
-your pain.  Please allow 72 hours for refill of narcotic 
-prescriptions, so please plan ahead.  You can either have them 
-mailed to your home or pick them up at the clinic located on 
-___ 2.  We are not allowed to call in or fax narcotic 
-prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. 
- In addition, we are only allowed to write for pain medications 
-for 90 days from the date of surgery.
-
- 
-
-###RESPONSE: operation {Surgical procedure}, Lumbar Decompression {Decompression of lumbar spine}, Fusion {Lumbar spinal fusion}, operation {Surgical procedure}, Activity {Functional activity education}, Rehabilitation/ Physical Therapy {Physical rehabilitation therapy procedure}, Diet {Dietary finding}, healthy diet {Healthy diet}, constipation {Constipation}, surgery {Surgical procedure}, medication {Administration of drug or medicament}, Brace {Application of back brace}, sitting {Sitting position}, lying in bed {Lying in bed}, Wound Care {Wound treatment education}, dressing {Application of dressing}, incision {Surgical incision wound}, draining {Wound discharge}, sterile dressing {Application of dressing, sterile}, incision {Surgical incision wound}, incision {Surgical incision wound}, operation {Surgical procedure}, soak {Soak}, incision {Surgical incision wound}, incision {Surgical incision wound}, draining {Wound discharge}, surgery {Surgical procedure}, incision {Surgical incision wound}, sterile 
-dressing {Application of dressing, sterile}, medications {Administration of drug or medicament}, pain {Pain}, prescriptions {Prescription}, prescriptions {Prescription}, pain medications {Administration of analgesic}, surgery {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea
- 
-Major Surgical or Invasive Procedure:
-NONE
- 
-
-###RESPONSE: Dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o ___ man with multiple medical problems 
-most notable for HTN, COPD, HFpEF, Afib on Coumadin who presents 
-with dyspnea. Of note, the patient was discharged on ___ 
-following treatment for community acquired pneumonia. The 
-patient was found to have RML consolidation, initially treated 
-with IV CTX and Azithromycin and transitioned to Levofloxacin x7 
-day total course (last day ___.
-
-Patient complained of increasing dyspnea. EMS called, patient 
-was not initially hypoxic but hypertensive SBP 210s, patient 
-given nitro spray x3 and started on BiPAP. Patient brought to 
-___ ED. In the ED, initial vitals:  T 97.5 HR 89 BP 107/67 RR 
-19 SpO2 100% cpap. Exam notable for respiratory distress and 
-increased work of breathing. No evidence of JVD ___ edema. 
-Initial labs notable for lactate 1.3 and VBG pH 7.29 pCO2 66 pO2 
-36. The patient was given Albuterol/Ipratropium Nebs and 
-Methylpred 125 mg IV x1.
-
-On arrival to the MICU,  ___ y/o ___ man with 
-multiple medical problems most notable for HTN, COPD, HFpEF, 
-Afib on Coumadin who presents with dyspnea. Of note, the patient 
-was discharged on ___ following treatment for community 
-acquired pneumonia. The patient was found to have RML 
-consolidation, initially treated with IV CTX and Azithromycin 
-and transitioned to Levofloxacin x7 day total course (last day 
-___.
-
- 
-
-###RESPONSE: problems {Problem}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, HFpEF {Heart failure with normal ejection fraction}, Afib {Atrial fibrillation}, Coumadin {Anticoagulant therapy}, dyspnea {Dyspnea}, community acquired pneumonia {Community acquired pneumonia}, RML {Right middle zone pneumonia}, consolidation {Consolidation}, IV {Administration of drug or medicament via intravenous route}, dyspnea {Dyspnea}, hypoxic {Hypoxia}, hypertensive {Finding of increased blood pressure}, BiPAP {Bilevel positive airway pressure titration}, vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, cpap {Continuous positive airway pressure ventilation treatment}, respiratory distress {Respiratory distress}, No evidence {No abnormality detected}, JVD {Jugular venous engorgement}, edema {Edema}, IV {Administration of drug or medicament via intravenous route}, problems {Problem}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, HFpEF {Heart failure with normal ejection fraction}, Afib {Atrial fibrillation}, Coumadin {Anticoagulant therapy}, dyspnea {Dyspnea}, community 
-acquired pneumonia {Community acquired pneumonia}, RML {Right middle zone pneumonia}, consolidation {Consolidation}, IV {Administration of drug or medicament via intravenous route}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Hyperlipidemia
-- Hypertension   
-- COPD  
-- CHF  
-- Atrial fibrillation (CHADS=3)  
-- Gout   
- 
-
-###RESPONSE: Hyperlipidemia {Hyperlipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, CHF {Congestive heart failure}, Atrial fibrillation {Atrial fibrillation}, Gout {Inflammatory disorder due to increased blood urate level}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No cardiac disease, HTN, DM in family.
- 
-
-###RESPONSE: cardiac disease {Heart disease}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ON ADMISSION:
-=============
-Vitals-  T 97.9 BP138/67 HR78 RR20 SaO2 98RA
-GENERAL: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear  
-NECK: supple, JVP not elevated, no LAD  
-LUNGS: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-CV: Regular rate and rhythm, normal S1 S2, no murmurs, rubs, 
-gallops  
-ABD: soft, non-tender, non-distended, bowel sounds present, no 
-rebound tenderness or guarding, no organomegaly  
-EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-  
-ON DISCHARGE:
-=============
-Vitals- T 97.7 Tmax98.1 BP 126-148/64-87 HR ___ RR ___ 98% 
-RA
-General- Alert, oriented, no acute distress, seated in chair at 
-bedside  
-HEENT- Sclera anicteric, MMM, oropharynx clear  
-Neck- supple, JVP not elevated, no LAD  
-Lungs- Minimal wheezes diffusely, decreased breath sounds at 
-bases
-CV- Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen- soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-Ext- warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro- Moving all 4 limbs without focal neuro deficits
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, Alert {Mentally alert}, oriented {Oriented to person}, distress {Distress}, seated {Sitting position}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck- supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, wheezes {Wheezing}, decreased breath sounds {Decreased breath sounds}, bases {Structure of base of lung}, Regular rate and rhythm {Normal heart rate}, normal S1 + S2 {Heart sounds normal}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen- soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Moving all 4 limbs {Does move all four limbs}, neuro deficits {Neurological deficit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ON ADMISSION:
-=============
-___ 09:24PM BLOOD WBC-9.5 RBC-5.11 Hgb-10.9* Hct-35.7* 
-MCV-70* MCH-21.3* MCHC-30.5* RDW-17.9* RDWSD-42.6 Plt ___
-___ 09:24PM BLOOD Neuts-55.6 ___ Monos-9.8 Eos-3.5 
-Baso-0.7 Im ___ AbsNeut-5.25 AbsLymp-2.85 AbsMono-0.93* 
-AbsEos-0.33 AbsBaso-0.07
-___ 09:24PM BLOOD ___ PTT-37.6* ___
-___ 09:24PM BLOOD Plt ___
-___ 09:24PM BLOOD Glucose-138* UreaN-16 Creat-1.3* Na-137 
-K-3.9 Cl-96 HCO3-28 AnGap-17
-___ 09:24PM BLOOD ALT-14 AST-24 AlkPhos-112 TotBili-0.3
-___ 09:24PM BLOOD proBNP-1603*
-___ 09:24PM BLOOD cTropnT-<0.01
-___ 02:53PM BLOOD CK-MB-3 cTropnT-0.03*
-___ 09:24PM BLOOD Albumin-4.1
-___ 09:28PM BLOOD ___ pO2-36* pCO2-66* pH-7.29* 
-calTCO2-33* Base XS-2
-___ 09:28PM BLOOD Lactate-1.3
-
-STUDIES AND IMAGING
-___ PORTABLE CXR
-Resolved pneumonia.  Limited evaluation of the lung apices.  No 
-convincing 
-evidence for pneumonia or edema. 
-
-ON DISCHARGE:
-=============
-___ 06:45AM BLOOD WBC-10.0 RBC-4.89 Hgb-10.4* Hct-33.5* 
-MCV-69* MCH-21.3* MCHC-31.0* RDW-18.0* RDWSD-41.5 Plt ___
-___ 06:45AM BLOOD Plt ___
-___ 06:45AM BLOOD Glucose-116* UreaN-23* Creat-1.0 Na-136 
-K-3.8 Cl-95* HCO3-33* AnGap-12
-___ 06:45AM BLOOD Calcium-9.1 Phos-3.1 Mg-1.7
-___ 07:45AM BLOOD Lactate-2.___ old ___ man, ___'s Witness, with dCHF, HTN, 
-COPD, AF on coumadin p/w dyspnea, without pain. 
-
-MICU COURSE:
-============
-# Hypercarbic respiratory failure. Pt admitted after course of 
-treatment for CAP with increased dyspnea.  In the the MICU, put 
-on BiPAP, PEEP8 FiO2 50% on arrival, breathing comfortably. 
-Received ipratropium/albuterol nebs x3, methylprednisolone in 
-the ED. Given the findings of the chest X-ray showing 
-hyperinflated lungs, there was an initial concern is for COPD 
-exacerbation. Patient started on standing duonebs, prn 
-albuterol, azithromycin: 500mg x 1, 250mg x 4 days and 
-prednisone 40 mg daily for five day course.  However, on ___ 
-lactate noted to be uptrending from 3.4 to 5.5 despite fluids 
-and IV thiamine.  CXR at this time showed RLL consolidation, 
-started Vanc/Cefepime for ___ vs aspiration PNA. Speech/swallow 
-eval was ordered but no frank aspiration noted at bedside.  Of 
-note, he was going to be called out to the medical floor on 
-___ but lactate persistently elevated to 3's. Given no other 
-signs of hypoperfusion, ICU team attributed his elevated lactate 
-to frequent nebs.  
-
-FLOOR COURSE:
-=============
-#Acute COPD exacerbation: Continued treatment for ___ and COPD 
-exacerbation with 7 day course of Levofloxacin (first day ___, 
-last day ___ and 5 days of prednisone (first day ___, last 
-day ___. BNP was at his baseline at roughly 1600. Patient was 
-on standing duonebs and albuterol PRN.
-
-#Leukocytosis: Initially elevated then improved to 10 on ___. 
-Likely secondary to prednisone.
-
-#Acute Renal Failure: Creatinine initially 1.3 and held home 
-bumetanide. Creatinine down to 1.0 on ___.
-
-CHRONIC ISSUES  
-#dCHF: Creatinine initially 1.3 and held home bumetanide. 
-Restarted home bumetanide 3.5mg daily, clinically appears 
-euvolemic on exam.
-
-#HTN: Continued carvedilol, valsartan, diltiazem
-  
-#AF: Rate controlled, continued home diltiazem and carvedilol. 
-Warfarin held for INR 3.4 on ___. 
-
-#Gout: Continued allopurinol.
-
-#Anemia:  Microcytic anemia with low iron in ___ gave 1 
-dose ferric gluconate here. Can work up further as outpatient if 
-within patients goals of care.
-
-***TRANSITIONAL ISSUES:***
-- Continue Levofloxacin 750mg PO QDay until last day ___
-- Warfarin held for supratherapeutic INR (INR 3.4 on ___, INR 
-needs to be monitored and Warfarin restarted accordingly
-- Consider anemia work up as outpatient
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Albumin {Albumin measurement}, pH {pH measurement}, CXR {Plain chest X-ray}, Resolved {Problem resolved}, pneumonia {Pneumonia}, evaluation {Evaluation procedure}, lung apices {Structure of apex of lung}, pneumonia {Pneumonia}, edema {Edema}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, dCHF {Chronic diastolic heart failure}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, AF {Atrial fibrillation}, coumadin {Anticoagulant therapy}, dyspnea {Dyspnea}, without pain {No present pain}, Hypercarbic respiratory failure {Hypercapnic respiratory failure}, CAP {Community acquired pneumonia}, dyspnea {Dyspnea}, BiPAP {Bilevel positive airway pressure titration}, breathing comfortably {Breathing easily}, chest X-ray {Plain chest X-ray}, hyperinflated {Chest over-expanded}, COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, fluids {Administration of fluid therapy}, IV {Administration of drug or medicament via intravenous route}, CXR {Plain chest X-ray}, RLL {Structure of lower lobe of right lung}, consolidation {Consolidation}, aspiration PNA {Aspiration pneumonia}, Speech/swallow 
-eval {Evaluation of oral and pharyngeal swallowing function}, aspiration {Pulmonary aspiration}, signs {Sign}, Acute COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, BNP {Brain natriuretic peptide measurement}, baseline {Baseline state}, Leukocytosis {Leukocytosis}, improved {Patient's condition improved}, Acute Renal Failure {Acute kidney injury}, Creatinine {Creatinine measurement}, Creatinine {Creatinine measurement}, CHRONIC ISSUES {Chronic disease}, dCHF {Chronic diastolic heart failure}, Creatinine {Creatinine measurement}, euvolemic {Normal blood volume}, exam {Physical examination procedure}, HTN {Hypertensive disorder, systemic arterial}, AF {Atrial fibrillation}, Gout {Inflammatory disorder due to increased blood urate level}, Anemia {Anemia}, Microcytic anemia {Microcytic anemia}, work up {Evaluation procedure}, anemia {Anemia}, work up {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acetaminophen 500 mg PO Q8H:PRN pain 
-2. albuterol sulfate 2.5 /3 mL (0.083 %) INHALATION BID:PRN 
-shortness of breath 
-3. Allopurinol ___ mg PO DAILY 
-4. Benzonatate 100 mg PO TID 
-5. Bumetanide 3.5 mg PO DAILY 
-6. Carvedilol 6.25 mg PO BID 
-7. Diltiazem Extended-Release 120 mg PO DAILY 
-8. Docusate Sodium 200 mg PO BID 
-9. Fluticasone Propionate 110mcg 2 PUFF IH BID 
-10. Ipratropium Bromide Neb 1 NEB IH BID 
-11. Senna 8.6 mg PO BID 
-12. Valsartan 40 mg PO BID 
-13. Warfarin 4 mg PO DAILY16 
-
- 
-Discharge Medications:
-1. Acetaminophen 500 mg PO Q8H:PRN pain 
-2. albuterol sulfate 2.5 /3 mL (0.083 %) INHALATION BID:PRN 
-shortness of breath 
-3. Allopurinol ___ mg PO DAILY 
-4. Benzonatate 100 mg PO TID 
-5. Bumetanide 3.5 mg PO DAILY 
-6. Carvedilol 6.25 mg PO BID 
-7. Diltiazem Extended-Release 120 mg PO DAILY 
-8. Docusate Sodium 200 mg PO BID 
-9. Fluticasone Propionate 110mcg 2 PUFF IH BID 
-10. Senna 8.6 mg PO BID 
-11. Valsartan 40 mg PO BID 
-12. Ipratropium Bromide Neb 1 NEB IH BID 
-13. Levofloxacin 750 mg PO DAILY 
-RX *levofloxacin 750 mg 1 tablet(s) by mouth once a day Disp #*2 
-Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Hypercapnia Respiratory Failure
-COPD exacerbation
-___
-
-Secondary:
-___
-HTN
-Atrial fibrillation
-Gout
-Anemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Hypercapnia Respiratory Failure {Hypercapnic respiratory failure}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, HTN {Hypertensive disorder, systemic arterial}, Atrial fibrillation {Atrial fibrillation}, Gout {Inflammatory disorder due to increased blood urate level}, Anemia {Anemia}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ on ___ because you were having 
-trouble breathing. We found that you were having a severe 
-exacerbation of your COPD as well as pneumonia. We treated you 
-with antibiotics and steroids and your breathing improved. You 
-were also found to have an acute injury of the kidneys, but we 
-gave you fluids and your kidneys recovered.
-
-It was a pleasure taking care of you!
--Your BI___ team
- 
-
-###RESPONSE: trouble breathing {Difficulty breathing}, COPD {Chronic obstructive lung disease}, pneumonia {Pneumonia}, antibiotics {Antibiotic therapy}, steroids {Steroid therapy}, improved {Patient's condition improved}, injury {Traumatic or non-traumatic injury}, kidneys {Kidney structure}, fluids {Administration of fluid therapy}, kidneys recovered {Normal renal function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___        Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Right non-healing foot ulcer
- 
-Major Surgical or Invasive Procedure:
-Right lower extremity Angiogram with stent placement to the 
-distal SFA/popliteal artery.
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, healing {Structure resulting from tissue repair process}, foot ulcer {Ulcer of foot}, Right lower extremity Angiogram {Angiography of artery of right lower limb}, stent placement {Placement of stent}, SFA {Structure of superficial femoral artery}, popliteal artery {Structure of popliteal artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ presents with chronic right
-calcaneal ulcer. It has been present for approximately 6 months.
-She also reports calf pain on ambulation to suggest 
-claudication. Her foot ulcer has been followed by podiatry.  She 
-presents for a RLE angiogram for further evaluation and possible 
-intervention of RLE peripheral vascular disease.
-
- 
-
-###RESPONSE: chronic right
-calcaneal ulcer {Chronic ulcer of right heel}, calf pain {Pain in calf}, ambulation {Pain aggravated by walking}, claudication {Intermittent claudication}, foot ulcer {Ulcer of foot}, RLE angiogram {Angiography of artery of right lower limb}, evaluation {Evaluation procedure}, RLE {Structure of right lower limb}, peripheral vascular disease {Peripheral vascular disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- CAD, s/p stent ___
-- Non-healing foot wound
-- Diabetes Mellitus , type II 
-- Hypertension  
-- Hyperlipidemia
-- anxiety
- 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, stent {Insertion of arterial stent}, Non-healing foot wound {Chronic ulcer of right foot}, Diabetes Mellitus , type II {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, anxiety {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-significant for CAD in father and diabetes mellitis, type II in 
-mother
-
- 
-Physical ___:
-Vital Signs: 98.3  79  150/79  18  98%/RA
-General: alert and oriented x 3, lying in bed in NAD
-HEENT: atraumatic, skin anicteric, MMM, no lymphadenopathy 
-appreciated
-CV: RRR
-Pulm: breathing unlabored
-Abd: Soft, NT, ND
-Left groin puncture site: well approximated, soft, no 
-ecchymosis, no drainage
-Extremities: 
-Pulses: (___):
-R: P/ /D/faintly palpable L: P/ /D/D
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, diabetes mellitis, type II {Diabetes mellitus type 2}, Vital Signs {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, alert {Mentally alert}, oriented x 3 {Oriented to person, time and place}, lying in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, atraumatic {No injuries apparent}, skin anicteric {Normal color of skin}, MMM {Moist oral mucosa}, lymphadenopathy {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Pulm {Examination of respiratory system}, unlabored {Breathing easily}, Abd {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Left groin {Left inguinal region structure}, puncture site {Insertion site}, well approximated {Wound healing well}, soft {Abdomen soft}, ecchymosis {Ecchymosis}, drainage {Wound discharge}, Extremities {Examination of limb}, Pulses {Normal pulse}, palpable {Finding by palpation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:02AM BLOOD Hct-31.9*
-___ 06:02AM BLOOD Creat-0.8 K-4.___ with PMH signifcant for CAD, s/p stenting in ___, HTN, DM, 
-and HLD who presents with a 6 month history of a non-healing 
-right heel ulcer. She was admitted on ___ for a right lower 
-extremity angiogram.  As a result of findings, a bare metal 
-stent was placed in  distal SFA/popliteal artery and at the end 
-of the case, patient had dopplerable ___ signals bilaterally.  
-For full details of the surgical procedure please see the 
-dictated operative report. Patient tolerated the procedure well. 
- She requested to stay over night which provided opportunity for 
-continued monitoring of her groin puncture site. She did have 
-some bleeding overnight which was quickly controlled with manual 
-pressure.  It continues to do well and on exam has no further 
-drainage. Her diet was advanced to a house diet which she 
-tolerated well.  She was able to void on her own QS and was able 
-to ambulate with her walker in her room.
-
-Paient had a bare metal stent placed in her distal SFA which 
-will require a 30 day course of clopidogrel.  Patient reports a 
-history of clopidogrel use since placement of coronary stents in 
-___ but she reports she no longer requires it.  She was advised 
-to follow up with cardiology for further guidance on that.  She 
-should continue her daily ASA 81mg.
-
-Patient has a PMH of Diabetes Mellitus which was stable during 
-admission.  Her home medication, metformin was held and her 
-blood sugars were addressed with SSI.
-
-Patient has a PMH of HTN, which was stable during admission, 
-however, the patient had some confusion about which doses and 
-medications she should be taking.  The PCP office, Dr. ___, 
-as well as the pharmacy, was contacted by this author and 
-several discrepancies were found between patient's recollection 
-and PCPs recommendations.  ___ services have been arranged to 
-follow the patient after discharge and a request was made to 
-have the RN complete a medication reconciliation with the 
-patient at home.  The current medication list from this 
-discharge is complete and accurate per the PCP ___. PCP ___ 
-follow up with ___ findings at patient's follow up appt.
-
-Patient will also need to follow up with vascular surgery for a 
-RLE duplex and office visit in approximately 1 month. Patient 
-should continue to follow up with Podiatry for her right heel 
-ulcer and should off-load the heel to assist with healing.
-
-Patient is discharged home with services in an improved and 
-stable condition.
-
- 
- 
-
-###RESPONSE: Hct {Hematocrit determination}, Creat {Creatinine measurement}, K {Blood potassium measurement}, CAD {Coronary arteriosclerosis}, stenting {Insertion of arterial stent}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HLD {Hyperlipidemia}, non-healing 
-right heel ulcer. {Chronic ulcer of right heel}, right lower 
-extremity angiogram {Angiography of artery of right lower limb}, stent was placed {Placement of stent}, SFA/popliteal artery {Femoral and popliteal arteries (combined site)}, surgical procedure {Surgical procedure}, procedure {Procedure}, monitoring {Monitoring procedure}, groin {Inguinal region structure}, puncture site {Insertion site}, bleeding {Bleeding}, pressure {Application of dressing, pressure}, drainage {Wound discharge}, diet was advanced {Advance diet as tolerated}, diet {Dietary regime}, able to void {Normal micturition}, able 
-to ambulate {Able to walk}, walker {Uses zimmer frame}, stent placed {Placement of stent}, SFA {Structure of superficial femoral artery}, placement of coronary stents {Placement of stent in coronary artery}, follow up with cardiology {Follow-up cardiac assessment}, Diabetes Mellitus {Diabetes mellitus}, stable {Patient's condition stable}, blood sugars {Blood sugar management}, SSI {Sliding scale insulin regime}, HTN {Hypertensive disorder, systemic arterial}, stable {Patient's condition stable}, PCP {Primary care management}, PCP {Primary care management}, medication reconciliation {Medication reconciliation}, PCP {Primary care management}, PCP {Primary care management}, vascular surgery {Vascular surgery procedure}, RLE {Structure of right lower limb}, duplex {Duplex ultrasonography of veins of lower limb}, right heel {Structure of right heel}, heel {Heel structure}, healing {Structure resulting from tissue repair process}, improved {Patient's condition improved}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. amLODIPine 5 mg PO DAILY 
-3. Clopidogrel 75 mg PO DAILY 
-4. Dorzolamide 2%/Timolol 0.5% Ophth. 1 DROP BOTH EYES BID 
-5. losartan 50 mg oral DAILY 
-6. MetFORMIN (Glucophage) 1000 mg PO TAKE 500MG IN AM AND 1000MG 
-IN ___ 
-7. Omeprazole 20 mg PO DAILY 
-8. Pravastatin 10 mg PO QPM 
-9. RisperiDONE 1 mg PO DAILY 
-10. Collagenase Ointment 1 Appl TP DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H  
-2.  Clopidogrel 75 mg PO DAILY 
-Take for 30 days only 
-RX *clopidogrel 75 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0 
-3.  amLODIPine 5 mg PO DAILY  
-4.  Aspirin 81 mg PO DAILY  
-5.  Collagenase Ointment 1 Appl TP DAILY  
-6.  Dorzolamide 2%/Timolol 0.5% Ophth. 1 DROP BOTH EYES BID  
-7.  Losartan Potassium 50 mg PO DAILY  
-8.  losartan 50 mg oral DAILY  
-9.  MetFORMIN (Glucophage) 1000 mg PO TAKE 500MG IN AM AND 
-1000MG IN ___  
-10.  Omeprazole 20 mg PO DAILY  
-11.  Pravastatin 10 mg PO QPM  
-12.  RisperiDONE 1 mg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary: Peripheral vascular disease with non-healing ulcer
-
-Secondary: Diabetes Mellitus- type II, Hypertension, 
-hyperlipidemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Peripheral vascular disease {Peripheral vascular disease}, healing ulcer {Healing ulcer}, Diabetes Mellitus- type II {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___,
-
-It was a pleasure taking care of you at ___ 
-___.  You were admitted to the hospital after a 
-peripheral angiogram.   To do the test, a small puncture was 
-made in one of your arteries.  The puncture site heals on its 
-own: there are no stitches to remove.   You tolerated the 
-procedure well and are now ready to be discharged from the 
-hospital.   Please follow the recommendations below to ensure a 
-speedy and uneventful recovery.
-
-Peripheral Angiography
-Puncture Site Care
-For one week:
-•Do not take a tub bath, go swimming or use a Jacuzzi or hot 
-tub.
-•Use only mild soap and water to gently clean the area around 
-the puncture site. 
-•Gently pat the puncture site dry after showering. 
-•Do not use powders, lotions, or ointments in the area of the 
-puncture site. 
-
-You may remove the bandage and shower the day after the 
-procedure.  You may leave the bandage off. 
-You may have a small bruise around the puncture site.  This is 
-normal and will go away one-two weeks. 
-Activity 
-For the first 48 hours: 
-•Do not drive for 48 hours after the procedure
-For the first week:
-•Do not lift, push , pull or carry anything heavier than 10 
-pounds
-•Do not do any exercises or activity that causes you to hold 
-your breath or bear down with abdominal muscles.   Take care not 
-to put strain on your abdominal muscles when coughing, sneezing, 
-or moving your bowels.
-After one week:
-•You may go back to all your regular activities, including 
-sexual activity.  We suggest you begin your exercise program at 
-half of your usual routine for the first few days.   You may 
-then gradually work back to your full routine.
-Medications:
-Before you leave the hospital, you will be given a list of all 
-the medicine you should take at home.  If a medication that you 
-normally take is not on the list or a medication that you do not 
-take is on the list please discuss it with the team!  
-
-For  Problems or Questions:
-Call ___ in an emergency such as:
-•Sudden, brisk bleeding or swelling at the groin puncture site 
-that does not stop after applying pressure for ___ minutes
-•Bleeding that is associated with nausea, weakness, or 
-fainting.
-Call the vascular surgery office (___) right away if 
-you have any of the following. (Please note that someone is 
-available 24 hours a day, 7 days a week)
-•Swelling, bleeding, drainage, or discomfort at the puncture 
-site that is new or increasing since discharge from the hospital
-•Any change in sensation or temperature in your legs
-•Fever of 101 or greater
-•Any questions or concerns about recovery from your angiogram 
-
- 
-
-###RESPONSE: angiogram {Angiography}, puncture {Puncture}, arteries {Arterial structure}, puncture site {Insertion site}, stitches {Removal of suture}, procedure {Procedure}, Peripheral Angiography {Angiography of peripheral vascular system}, Puncture Site {Insertion site}, puncture site {Insertion site}, puncture site {Insertion site}, puncture site {Insertion site}, shower {Functional activity education}, procedure {Procedure}, bruise {Contusion}, puncture site {Insertion site}, normal {No abnormality detected}, Activity {Functional activity education}, Do not drive {Recommendation to avoid activity of daily living}, procedure {Procedure}, lift {Does lift}, push {Does push}, pull {Does pull}, carry {Does carry}, exercises {Exercises}, activity {Functional activity education}, abdominal muscles {Entire skeletal muscle of abdomen}, strain {Muscle strain}, abdominal muscles {Entire skeletal muscle of abdomen}, coughing {Cough}, sneezing {Sneezing}, bowels {Intestinal structure}, activities {Functional activity education}, sexual activity {Finding relating to sexual behavior}, exercise {Exercises}, bleeding {Bleeding}, swelling {Swelling}, groin {Inguinal region structure}, puncture site {Insertion site}, pressure {Application of dressing, pressure}, Bleeding {Bleeding}, nausea {Nausea}, weakness {Asthenia}, fainting {Syncope}, Swelling {Swelling}, bleeding {Bleeding}, drainage {Wound discharge}, discomfort {Discomfort}, puncture 
-site {Insertion site}, change in sensation {Altered sensation of skin}, temperature {Body temperature finding}, legs {Lower limb structure}, Fever {Fever}, angiogram {Angiography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim / Ampicillin / Sulfa (Sulfonamide Antibiotics) / 
-cefuroxime / Gadolinium-Containing Contrast Media / gluten / 
-nadolol / Pneumovax 23
- 
-Attending: ___
- 
-Chief Complaint:
-low grade fevers, abdominal pain  
- 
-Major Surgical or Invasive Procedure:
-___ line placement
-
- 
-
-###RESPONSE: Ampicillin {Allergy to ampicillin}, Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, 
-cefuroxime {Allergy to cefuroxime}, Contrast Media {Allergy to contrast media}, gluten {Allergy to gluten}, nadolol {Allergy to nadolol}, low grade fevers {Low grade pyrexia}, abdominal pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mrs. ___ is a ___ year-old lady with a history of cirrhosis 
-due to PSC complicated by ascites, encephalopathy and varices 
-being admitted directly from clinic due to low grade fevers and 
-abdominal pain in the setting of recurrent ascending 
-cholangitis.  
-Mrs. ___ has been having chill and low grade fevers 
-(100.0-100.4) with a peak temperature at 100.7 today. She has 
-also been having RUQ discomfort, nausea requiring her to take 
-her prn ondansetron. She also reports some mild arthralgias and 
-fatigue that are typical for her when she has an episode of 
-cholangitis.  
-In clinic , initial vitals were: 98.5 | 114/53 | 84 | 16 | 99%RA 
- 
-Labs were notable for:  
-*CBC: 5.2 > 10.5/34.0 < 266  
-*Na 140 | K 4.3 | Cl 101 | HCO3 29 | BUN 13 | Cr 0.7  
-*AST 51 | ALT 46 | AP 292 | TB 1.1 | INR 1.2  
-*UA negative  
-*1xBCx drawn  
-Patient was directly admitted to ___ 10.  
-Currently, she complains of mild nausea and abdominal 
-discomfort. Does not feel feverish anymore. Denies recent gluten 
-exposure although household not gluten-free, uses same pots and 
-pans.  
- 
-
-###RESPONSE: cirrhosis {Cirrhosis of liver}, PSC {Primary sclerosing cholangitis}, ascites {Ascites}, encephalopathy {Disorder of brain}, varices {Esophageal varices}, low grade fevers {Low grade pyrexia}, abdominal pain {Abdominal pain}, ascending 
-cholangitis {Ascending cholangitis}, chill {Chill}, low grade fevers {Low grade pyrexia}, temperature {Body temperature finding}, RUQ {Right upper quadrant pain}, discomfort {Discomfort}, nausea {Nausea}, mild {Symptom mild}, arthralgias {Joint pain}, fatigue {Fatigue}, cholangitis {Cholangitis}, vitals {Vital signs finding}, RA {Breathing room air}, CBC {Complete blood count}, UA {Urinalysis}, negative {No abnormality detected}, mild {Symptom mild}, nausea {Nausea}, abdominal 
-discomfort {Abdominal discomfort}, feel feverish {Feeling feverish}, gluten {Allergy to gluten}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL HISTORY:
-- Primary sclerosing cholangitis (PSC)
-- History of recurrent cholangitis requiring hospitalization and 
-
-IV antibiotics
-- ___ Laparoscopic cholecystectomy with liver biopsy 
-showing bile ductular proliferation and very focal early, 
-incomplete 
-nodule formation (stage ___ fibrosis)
-- Celiac sprue (diagnosed by biopsy, slightly elevated tTG) 
-- Hypertension
-- GERD  
-- Hypothyroidim  
-- OSA previously on CPAP - negative on repeat testing  
-- (?) IBD (Crohn disease diagnosed at ___ at the age of ___, but 
-questionable diagnosis as no symptoms for over ___
- 
-
-###RESPONSE: Primary sclerosing cholangitis {Primary sclerosing cholangitis}, recurrent cholangitis {Recurrent cholangitis}, IV antibiotics {Intravenous antibiotic therapy}, Laparoscopic cholecystectomy {Laparoscopic cholecystectomy}, liver biopsy {Biopsy of liver}, nodule {Nodule}, fibrosis {Fibrosis}, Celiac sprue {Celiac disease}, biopsy {Biopsy}, elevated {Measurement finding above reference range}, tTG {Serum tissue transglutaminase level}, Hypertension {Hypertensive disorder, systemic arterial}, GERD {Gastroesophageal reflux disease}, Hypothyroidim {Hypothyroidism}, OSA {Obstructive sleep apnea syndrome}, on CPAP {Dependence on continuous positive airway pressure ventilation}, negative {No abnormality detected}, IBD {Inflammatory bowel disease}, Crohn disease {Crohn's disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Daughter has ___ disease. The patient denies a history of 
-premature cardiac disease such as MI, arrhythmia or sudden 
-cardiac death. No history of liver disease. Sister with 
-endometrial cancer and thyroid condition. Other sister and a 
-brother with thyroid condition. Father with CAD, DM. Mother with 
-thyroid disease and peritoneal cancer.
- 
-
-###RESPONSE: cardiac disease {Heart disease}, MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, sudden 
-cardiac death {Sudden cardiac death}, liver disease {Disorder of liver}, endometrial cancer {Endometrial carcinoma}, thyroid condition {Disorder of thyroid gland}, thyroid condition {Disorder of thyroid gland}, CAD {Coronary arteriosclerosis}, DM {Diabetes mellitus}, thyroid disease {Disorder of thyroid gland}, peritoneal cancer {Malignant tumor of peritoneum}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM: 
-===============
-VS: 98.7 | 108/60 | 76 | 18 | 98%RA  
-General: Well-appearing, alert and oriented, no acute distress  
-HEENT: No scleral icterus or conjunctival pallor, MMM  
-Neck: No JVD, no LAD  
-CV: RRR, no murmurs/rubs/gallops  
-Lungs: Clear to auscultation bilaterally  
-Abdomen: non-distended, soft, mild tenderness in RUQ, no rebound 
- 
-GU: no Foley  
-Ext: WWP, 1+ bilateral lower extremity edema  
-Neuro: AOx3, no asterixis, fluent speech, no focal deficits  
-Skin: Tanned skin, no lesions  
-
-DISCHARGE EXAM:
-===============
-VS: 98.6 tm: 98.8 67 (64-72) 101/51 (95-108/46-58) 18 100RA  
-General: Well-appearing, alert and oriented, no acute distress  
-HEENT: No scleral icterus or conjunctival pallor, MMM  
-Neck: No JVD, no LAD  
-CV: RRR, ___ systolic ejection murmur, no rubs/gallops  
-Lungs: Clear to auscultation bilaterally  
-Abdomen: non-distended, soft, mild tenderness in RUQ, no rebound 
- 
-GU: no Foley  
-Ext: WWP, 1+ bilateral lower extremity edema  
-Neuro: AOx3 fluent speech, no focal deficits  
-Skin: Tanned skin, no lesions 
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Well-appearing {Well cared for appearance}, alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, conjunctival pallor {Pale conjunctiva}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, Abdomen {Examination of abdomen}, non-distended {Normal abdominal contour}, soft {Abdomen soft}, mild {Symptom mild}, tenderness {Tenderness}, RUQ {Structure of right upper quadrant of abdomen}, rebound {Rebound tenderness}, GU {Examination of genitourinary system}, Foley {Urinary catheter in situ}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, asterixis {Asterixis}, fluent speech {Finding of fluency of speech}, no focal deficits {Normal nervous system function}, Skin {Examination of skin}, lesions {Lesion}, VS {Vital signs finding}, General {General examination of patient}, Well-appearing {Well cared for appearance}, alert {Mentally alert}, oriented {Oriented to person}, distress {Distress}, scleral icterus {Scleral icterus}, conjunctival pallor {Pale conjunctiva}, MMM {Moist oral mucosa}, Neck {Neck structure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, systolic ejection murmur {Systolic murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, mild {Symptom mild}, tenderness {Tenderness}, RUQ {Structure of right upper quadrant of abdomen}, rebound {Rebound tenderness}, GU {Examination of genitourinary system}, Foley {Urinary catheter in situ}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, bilateral lower extremity edema {Edema of bilateral lower limbs}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, fluent speech {Finding of fluency of speech}, no focal deficits {Normal nervous system function}, Skin {Examination of skin}, lesions {Skin lesion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 11:15AM BLOOD WBC-5.2 RBC-3.99 Hgb-10.5* Hct-34.0 
-MCV-85 MCH-26.3 MCHC-30.9* RDW-22.2* RDWSD-68.0* Plt ___
-___ 11:15AM BLOOD Neuts-67.0 Lymphs-12.8* Monos-15.3* 
-Eos-3.9 Baso-0.8 Im ___ AbsNeut-3.45 AbsLymp-0.66* 
-AbsMono-0.79 AbsEos-0.20 AbsBaso-0.04
-___ 11:15AM BLOOD ___
-___ 11:15AM BLOOD UreaN-13 Creat-0.7 Na-140 K-4.3 Cl-101 
-HCO3-29 AnGap-14
-___ 11:15AM BLOOD ALT-46* AST-51* AlkPhos-292* TotBili-1.1
-___ 11:15AM BLOOD Albumin-4.2
-___ 11:15AM BLOOD AFP-2.0
-
-MICROBIOLOGY: 
-==============
-URINE CULTURE (Final ___:    NO GROWTH. 
-
-Blood culture x3: PENDING, NGTD
-
-DISCHARGE LABS:
-===============
-
-___ 06:24AM BLOOD WBC-3.4* RBC-3.57* Hgb-9.5* Hct-31.2* 
-MCV-87 MCH-26.6 MCHC-30.4* RDW-22.3* RDWSD-71.2* Plt ___
-___ 06:24AM BLOOD ___ PTT-39.9* ___
-___ 06:24AM BLOOD Glucose-119* UreaN-9 Creat-0.5 Na-141 
-K-4.2 Cl-107 HCO3-26 AnGap-12
-___ 06:24AM BLOOD ALT-31 AST-30 AlkPhos-257* TotBili-0.6
-___ 06:24AM BLOOD Calcium-8.9 Phos-3.9 Mg-2.0
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, MICROBIOLOGY {Microbiology}, URINE CULTURE {Urine culture}, Blood culture {Blood culture}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mrs. ___ is a ___ year-old woman with a history of cirrhosis 
-due to PSC complicated by ascites, encephalopathy and varices 
-being admitted directly from clinic due to low grade fevers and 
-abdominal pain in the setting of history of recurrent ascending 
-cholangitis.  
-
-#FEVERS/RUQ tenderness: Low grade fever at home with RUQ 
-discomfort and associated nausea. On presentation she was 
-afebrile and hemodynamically stable. She was found to have no 
-leukocytosis and her LFTS were at baseline, AST: 51, ALT: 46, 
-AP: 292, Tb: 1.1.  Lipase was WNL. MRCP was not done given her 
-recent unchanged MRCP in ___.  Given her history of recurrent 
-ascending cholangitis with resistant organisms, treatment for 
-presumed cholangitis was initiated.  Blood cultures were sent, 
-with no growth to date. Hepatology was consulted and she was 
-initially started on meropenem per their recommendations. She 
-was then switched to cefepime/flagyl which she tolerated well. 
-Her pain and nausea improved and she continued to be afebrile 
-and hemodynamically stable.  A picc line was placed and she 
-ultimately was switched to ertapenem on discharge for a total 14 
-day course. 
-
-#PSC: There was low concern for new stenotic lesion given recent 
-stable MRCP in ___. She was continued on her home ursodiol, 
-cholestyramine and hydroxyzine.   
-
-# CIRRHOSIS: Due to PSC. Childs class B. MELD 9. She was 
-continued on rifaximin. Her home diuretics were held in the 
-setting of infection. They were not resumed on discharge given 
-soft blood pressures in the ___ range.
-* Transplant status: unclear  
-* Hepatic encephalopathy: Cont rifaximin, only takes lactulose 
-prn  
-* Fluid status: holding diuretics  
-* h/o SBP: no hx, protein 0.9
-* Variceal status: 2x grade II varices s/p banding  
-
-TRANSITIONAL ISSUES:
-=====================
-- Lasix and spironolactone were held in the setting of 
-infection, blood pressures lower than baseline thoughout 
-admission without evidence of volume overload, please 
-re-evaluate at follow-up appointment 
-- f/u blood cx
-- receiving ertapenem 1G daily via ___ line with ___ services, 
-will need PICC removed after last day of antibiotics on ___
- 
-
-###RESPONSE: cirrhosis {Cirrhosis of liver}, PSC {Primary sclerosing cholangitis}, ascites {Ascites}, encephalopathy {Disorder of brain}, varices {Esophageal varices}, low grade fevers {Low grade pyrexia}, abdominal pain {Abdominal pain}, ascending 
-cholangitis {Ascending cholangitis}, FEVERS {Fever}, RUQ tenderness {Tenderness of right upper quadrant of abdomen}, Low grade fever {Low grade pyrexia}, RUQ {Right upper quadrant pain}, discomfort {Discomfort}, nausea {Nausea}, afebrile {Temperature normal}, hemodynamically stable {Hemodynamically stable}, leukocytosis {Leukocytosis}, LFTS {Hepatic function panel}, baseline {Baseline state}, AST {Aspartate aminotransferase measurement}, ALT {Alanine aminotransferase measurement}, AP {Alkaline phosphatase measurement}, Tb {Finding of bilirubin level}, Lipase {Serum lipase measurement}, WNL {No abnormality detected}, MRCP {Magnetic resonance cholangiopancreatography}, MRCP {Magnetic resonance cholangiopancreatography}, ascending cholangitis {Ascending cholangitis}, cholangitis {Cholangitis}, Blood cultures {Blood culture}, pain {Abdominal pain}, nausea {Nausea}, improved {Patient's condition improved}, afebrile {Fever}, hemodynamically stable {Hemodynamically stable}, picc line was placed {Percutaneous transluminal insertion of peripherally inserted central catheter}, PSC {Primary sclerosing cholangitis}, stenotic lesion {Stenosis of bile duct}, MRCP {Magnetic resonance cholangiopancreatography}, CIRRHOSIS {Cirrhosis of liver}, PSC {Primary sclerosing cholangitis}, diuretics {Diuretic therapy}, infection {Infectious disease}, soft blood pressures {Low blood pressure}, Hepatic encephalopathy {Hepatic encephalopathy}, diuretics {Diuretic therapy}, SBP {Primary bacterial peritonitis}, varices {Esophageal varices}, banding {Banding}, infection {Infectious disease}, blood pressures lower than baseline {Low blood pressure}, volume overload {Hypervolemia}, blood cx {Blood culture}, PICC {Peripherally inserted central venous catheter in situ}, removed {Removal of catheter}, antibiotics {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Ondansetron 4 mg PO BID:PRN nausea 
-2. Cholestyramine 4 gm PO DAILY 
-3. Escitalopram Oxalate 20 mg PO DAILY 
-4. Furosemide 40 mg PO BID 
-5. HydrOXYzine 50 mg PO QHS:PRN itching 
-6. Lactulose 15 mL PO BID:PRN confusion 
-7. Levothyroxine Sodium 75 mcg PO DAILY 
-8. Omeprazole 40 mg PO DAILY 
-9. Rifaximin 550 mg PO BID 
-10. Spironolactone 100 mg PO BID 
-11. Temazepam 15 mg PO QHS:PRN insomnia 
-12. Ursodiol 300 mg PO TID 
-13. Ferrous Sulfate 325 mg PO DAILY 
-14. Multivitamins 1 TAB PO DAILY 
-
- 
-Discharge Medications:
-1. Ertapenem Sodium 1 g IV ONCE cholangitis Duration: 1 Dose 
-Continue until last dose on ___.  
-RX *ertapenem [Invanz] 1 gram 1 gram IV daily Disp #*12 Vial 
-Refills:*0
-2. Cholestyramine 4 gm PO DAILY 
-3. Escitalopram Oxalate 20 mg PO DAILY 
-4. HydrOXYzine 50 mg PO QHS:PRN itching 
-5. Lactulose 15 mL PO BID:PRN confusion 
-6. Levothyroxine Sodium 75 mcg PO DAILY 
-7. Multivitamins 1 TAB PO DAILY 
-8. Omeprazole 40 mg PO DAILY 
-9. Rifaximin 550 mg PO BID 
-10. Temazepam 15 mg PO QHS:PRN insomnia 
-11. Ursodiol 300 mg PO TID 
-12. Ferrous Sulfate 325 mg PO DAILY 
-13. Ondansetron 4 mg PO BID:PRN nausea 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:
-CHOLANGITIS
-PSC
-
-SECONDARY DIAGNOSIS: 
-Cirrhosis ___ PSC
-recurrent cholangitis 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, CHOLANGITIS {Cholangitis}, PSC {Primary sclerosing cholangitis}, Cirrhosis {Cirrhosis of liver}, PSC {Primary sclerosing cholangitis}, recurrent cholangitis {Recurrent cholangitis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, 
-
-You came into the hospital because you were having low grade 
-fevers and abdominal pain. You were treated with antibiotics for 
-cholangitis and monitored in the hospital. Your pain improved on 
-antibiotics. Your spironolactone and lasix were held because of 
-your infection. You were given a PICC line and arranged to have 
-antibiotics through the PICC line for a total course of 14 days. 
-You were instructed to stop taking your lasix and spironolactone 
-on discharge because your blood pressures have been lower than 
-usual.  The liver clinic will call you with a follow-up 
-appointment with Dr. ___. 
-
-It was a pleasure being involved in your care!
-
-Your ___ Team  
- 
-
-###RESPONSE: low grade 
-fevers {Low grade pyrexia}, abdominal pain {Abdominal pain}, treated with antibiotics {Antibiotic therapy}, cholangitis {Cholangitis}, pain {Pain}, improved {Patient's condition improved}, antibiotics {Antibiotic therapy}, lasix {Diuretic therapy}, infection {Infectious disease}, PICC line {Percutaneous transluminal insertion of peripherally inserted central catheter}, antibiotics {Antibiotic therapy}, PICC line {Peripherally inserted central venous catheter in situ}, lasix {Diuretic therapy}, blood pressures have been lower {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Compazine / Tree Nut
- 
-Attending: ___
- 
-___ Complaint:
-SOB, cough
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Compazine {Allergy to prochlorperazine}, Tree Nut {Allergy to tree nut}, SOB {Dyspnea}, cough {Cough}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ hx of COPD, s/p trach x2, multiple intubations for resp 
-failure who presents with worsening SOB for over a week. Pt had 
-been completing prednisone taper however the past several days 
-she noted increas in cough and sputum production. Also reports 
-chest tightness which began yesterday which she describes as 
-pleuritic, non-radiating and non-exertional States she has had 
-similar symptoms in past with severe COPD flares. Denies 
-abdominal pain or emesis although states she did have decreased 
-appetite and nausea yesterday. No dysuria. States she was not 
-having known fevers at home although does not appear to have 
-been taking temperature. Did take a dose of PO levo today as 
-well. Sick contacts include her mother who is currently 
-hospitalized with a COPD exacerbation and possible pna. Had been 
-using xopenex nebs at home.
-
-On arrival to the ED, VS: 102.0 ___ 28 100% 15L NRB. 
-After nebs, VS: HR 160s 220/100. Pt started on nitroglycerin 
-gtt. Also received CTX,  azithro and 125 mg methylprednisone. Pt 
-required ICU transfer given nonrebreather requirement.
- 
-On the floor, VS: 98.7, 133/87, HR 119, 96% on 2L NC. Pt states 
-her breathing is much improved. She does now have a headache. 
-Chest tightness still present although has improved as 
-respiratory status improving.
- 
-Review of systems:  
-(+) Per HPI  
-(-) Denies recent weight loss or gain.  Denies chest pain, chest 
-pressure, palpitations, or weakness. Denies nausea, vomiting, 
-diarrhea, constipation, abdominal pain, or changes in bowel 
-habits. Denies dysuria, frequency, or urgency. Denies 
-arthralgias or myalgias. Denies rashes or skin changes.  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, trach {Exteriorization of trachea}, intubations {Insertion of endotracheal tube}, resp 
-failure {Respiratory failure}, worsening {Patient's condition worsened}, SOB {Dyspnea}, prednisone {Steroid therapy}, taper {Medication decreased}, cough {Cough}, sputum production {Sputum finding}, chest tightness {Tight chest}, pleuritic {Pleuritic pain}, radiating {Radiating pain}, exertional {Chest pain on exertion}, severe {Symptom severe}, COPD flares {Acute exacerbation of chronic obstructive airways disease}, abdominal pain {Abdominal pain}, emesis {Vomiting}, decreased 
-appetite {Decrease in appetite}, nausea {Nausea}, dysuria {Dysuria}, fevers {Fever}, taking temperature {Temperature taking}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, VS {Vital signs finding}, NRB {Oxygen administration by mask}, VS {Vital signs finding}, HR {Finding of heart rate}, started {New medication added}, ICU transfer {Patient transfer to intensive care unit}, VS {Vital signs finding}, HR {Finding of heart rate}, 2L NC {Oxygen administration by nasal cannula}, breathing {Difficulty breathing}, improved {Patient's condition improved}, headache {Headache}, Chest tightness {Tight chest}, improved {Patient's condition improved}, respiratory {Respiratory function finding}, improving {Patient's condition improved}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, chest pain {Chest pain}, chest 
-pressure {Tight chest}, palpitations {Palpitations}, weakness {Asthenia}, nausea, vomiting, 
-diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, changes in bowel 
-habits {Altered bowel function}, dysuria {Dysuria}, frequency {Increased frequency of urination}, urgency {Urgent desire to urinate}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}, skin changes {Skin appearance abnormal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. COPD, PFTs in ___ with FEV1 0.30 (13%), FVC 1.02 (34%) and  
-FVC/FEV1 38% - on Home O2 at 3L NC, on chronic steroids, hx of  
-prolonged intubation requiring trach for resp failure in ___,  
-
-___. She was recently taken off the lung transplant list at the 
- 
-___ due to compression fractures. Has 
-previous history of asthma per OMR  
-2. Hypertension  
-3. Anxiety  
-4. Leukocytosis of unknown etiology with negative BMBx.  
-5. Osteoporosis with compression fractures  
-6. Shoulder pain  
-7. History of positive PPD s/p 6mos of isoniazid  
-8. Mitral valve prolapse  
-9. Obstructive sleep apnea on BiPAP ___ every night)  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, PFTs {Measurement of respiratory function}, FEV {Finding of forced expired volume}, FVC {Finding of forced vital capacity}, Home O2 {Home oxygen therapy}, 3L NC {Oxygen administration by nasal cannula}, steroids {Steroid therapy}, intubation {Insertion of endotracheal tube}, trach {Exteriorization of trachea}, resp failure {Respiratory failure}, lung transplant {Transplant of lung}, compression fractures {Compression fracture}, asthma {Asthma}, Hypertension {Hypertensive disorder, systemic arterial}, Anxiety {Anxiety}, Leukocytosis {Leukocytosis}, negative {No pathologic diagnosis}, BMBx {Bone marrow sampling}, Osteoporosis {Osteoporosis}, compression fractures {Compression fracture}, Shoulder pain {Shoulder pain}, positive PPD {Mantoux: positive}, Mitral valve prolapse {Mitral valve prolapse}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, BiPAP {Bilevel positive airway pressure titration}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Great uncle had MI in ___, Maternal & Paternal GMs had CVAs in 
-___.
-
- 
-
-###RESPONSE: CVAs {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-Vitals:  98.7, 133/87, HR 119, 96% on 2L NC.
-General: Alert, oriented, no acute distress, pursed lips 
-breathing, no notable conversational dyspnea  
-HEENT: Sclera anicteric, dry MM, oropharynx clear  
-Neck: supple, JVP not elevated, no LAD  
-Lungs: decreased breath sounds bilaterally, unable to appreciate 
-wheezing 
-CV: tachy, normal S1 + S2, no murmurs, rubs, gallops  
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU: no foley  
-Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema 
-
-DISCHARGE PHYSICAL EXAM:
-General: Alert, oriented, no acute distress, pursed lips 
-breathing, no notable conversational dyspnea  
-HEENT: Sclera anicteric, dry MM, oropharynx clear, no dental 
-pain, no evidence of swelling/fullness of floor of mouth, no 
-dilation of whartons duct
-Neck: supple, JVP not elevated, large soft mildly tender left 
-cervical mass, unchanged from prior 
-Lungs: decreased breath sounds bilaterally, unable to appreciate 
-wheezing 
-CV: tachy, normal S1 + S2, no murmurs, rubs, gallops  
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU: no foley  
-Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-
- 
-
- 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, HR {Finding of heart rate}, NC {Normal head}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, pursed lips 
-breathing {Pursed-lip breathing}, dyspnea {Dyspnea}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry MM {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, decreased breath sounds {Decreased breath sounds}, wheezing {Wheezing}, CV {Cardiovascular physical examination}, tachy {Tachycardia}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, pursed lips 
-breathing {Pursed-lip breathing}, dyspnea {Dyspnea}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry MM {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, dental 
-pain {Toothache}, no evidence {No abnormality detected}, swelling {Swelling of oral cavity structure}, floor of mouth {Floor of mouth structure}, dilation of whartons duct {Dilation of Wharton's duct}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, soft {Mass of soft tissue}, tender {Tenderness of neck}, left {Structure of left half of neck}, cervical mass {Mass of neck}, Lungs {Examination of respiratory system}, decreased breath sounds {Decreased breath sounds}, wheezing {Wheezing}, CV {Cardiovascular physical examination}, tachy {Tachycardia}, normal S1 + S2 {Heart sounds normal}, murmurs {Heart murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:59PM   TYPE-ART PO2-289* PCO2-53* PH-7.44 TOTAL 
-CO2-37* BASE XS-10 INTUBATED-NOT INTUBA
-___ 09:59PM   O2 SAT-99
-___ 09:43PM   LACTATE-2.4*
-___ 09:35PM   GLUCOSE-138* UREA N-10 CREAT-0.7 SODIUM-136 
-POTASSIUM-4.2 CHLORIDE-95* TOTAL CO2-34* ANION GAP-11
-___ 09:35PM   estGFR-Using this
-___ 09:35PM   cTropnT-<0.01
-___ 09:35PM   CALCIUM-9.3 PHOSPHATE-2.1* MAGNESIUM-1.6
-___ 09:35PM   WBC-16.2*# RBC-4.39 HGB-13.2 HCT-39.9 MCV-91 
-MCH-30.0 MCHC-33.0 RDW-12.7
-___ 09:35PM   NEUTS-86.9* LYMPHS-6.3* MONOS-6.2 EOS-0.4 
-BASOS-0.2
-___ 09:35PM   PLT COUNT-358
-___ 09:35PM   ___ PTT-26.9 ___
-
-MICRO:
-BLOOD CX-NEG X2
-=======
-Final Report 
-PORTABLE CHEST:  ___. 
-  
-HISTORY:  ___ female with respiratory distress.  
-Question pneumonia. 
-  
-COMPARISON:  ___. 
-  
-FINDINGS:  Streaky linear opacities are again seen, similar to 
-prior and may 
-be due to atelectasis.  There is no confluent consolidation.  
-Costophrenic 
-angles are sharp.  The cardiomediastinal silhouette is within 
-normal limits.  
-Rounded calcific density overlying the anterior left seventh rib 
-is compatible 
-with calcification at the costochondral junction.  No acute 
-osseous 
-abnormality is detected. 
-  
-IMPRESSION:  No focal consolidations to suggest pneumonia. 
-
-=======
-
-Final Report CT NECK W/CONTRAST (EG:PAROTIDS) Study Date of 
-___ 1:45 ___
-HISTORY:  History of COPD with shortness of breath and 2new 
-eft-sided tender 
-neck mass.  Rule out infection versus mass. 
-  
-COMPARISON:  Prior neck soft tissue ultrasound from ___. 
-  
-TECHNIQUE:  Routine enhanced MDCT study of the neck was 
-performed with images 
-obtained from the skullbase to the thoracic inlet using 3 mm 
-thick sections.  
-Coronal and sagittal reformations were performed.  
-  
-Total exam DLP:  394 mGy-cm. 
-  
-FINDINGS: 
-  
-Evaluation of the aerodigestive tract demonstrates no exophytic 
-mucosal mass, 
-there is no focal mass effect.  There is mild mucosal thickening 
-of the 
-maxillary sinuses bilaterally and ethmoidal air cells, worse on 
-the left.  
-Evaluation of the cervical lymph chains demonstrate no 
-pathologic 
-lymphadenopathy by imaging criteria.  The thyroid gland is 
-normal.  The left 
-salivary gland appears slightly larger than the left however no 
-focal 
-abnormality is identified.  Adjacent to the left salivary gland 
-however, there 
-is a heterogeneous soft tissue lesion similar in appearance to 
-the left 
-parotid gland, measuring 2 x 2 cm and demonstrating fat density. 
- This lesion 
-seems to connect to the parotid gland and could correlate to the 
-lesion 
-identified on prior ultrasound.  There appears to be surrounding 
-fat stranding 
-and thickening of the adjacent tissues (5 b: 36, 04:39).  There 
-is however no 
-definite enhancement to suggest abscess formation.  Neck vessels 
-enhance 
-bilaterally without significant stenosis.   
-  
-IMPRESSION: 
-  
-2 x 2 cm heterogeneous soft tissue lesion adjacent to the left 
-salivary gland 
-with apparent connection to the parotid gland, similar in 
-appearance to 
-parotid tissue, demonstrating fatty density and surrounding fat 
-stranding 
-could represent an extension of normal parotid tissue with 
-possible early 
-signs of inflammatory changes, given surrounding fat stranding.  
-However, no 
-definite enhancement is seen to suggest abscess formation. This 
-lesion likely 
-correlates to lesion seen on prior ultrasound. 
-  
-The study and the report were reviewed by the staff radiologist. 
-
-  
-___. ___ 
-___. ___ 
-___: SAT ___ 5:10 ___ 
-
-DISCHARGE LABS:
-
-___ 04:59AM BLOOD WBC-11.4* RBC-4.42 Hgb-13.1 Hct-40.3 
-MCV-91 MCH-29.7 MCHC-32.6 RDW-12.9 Plt ___
-___ 04:59AM BLOOD Glucose-96 UreaN-12 Creat-0.7 Na-135 
-K-3.9 Cl-88* HCO3-41* AnGap-10
-___ 04:59AM BLOOD Calcium-8.9 Phos-3.9 Mg-2.___ hx of COPD, s/p trach x2, multiple intubations for 
-respiratory failure who presents with worsening SOB for over a 
-week, now with cough, increased sputum production and fevers for 
-2 days. Patient was treated for COPD exacerbation
-
-#COPD exacerbation: Patient with history of debilitating COPD, 
-on home oxygen. Patient received nebs, 125 mg methylpred, CTX 
-and azithro in ED with improvement of respiratory status. In the 
-ICU patient was treated with course of azithromycin and 
-Prednisone 60mg daily. Patient with continued improvement in 
-respiratory status with standing Albuterol and Tiotroprium nebs. 
-Plan for ***Prednisone taper for total 2 weeks (down from 60mg x 
-7 days): ___ - ___ => Prednisone 40mg daily; ___ => 
-Prednisone 20mg daily; ___ => Prednisone 10mg daily. 
-Then STOP ___.
-
-# Acute non-suppurative Parotitis: Patient with tender left neck 
-swelling noted on ___, U/S and CT scan with possible early 
-inflamation vs. extension of parotid tissue. No evidence of 
-abcess or stones on imaging and no purulence on exam. Patient 
-received several doses of IV clindamycin and was generally well 
-appearing. Low suspicion of MRSA. Discussed with ENT who 
-reviewed imaging, and agreed patient could be stepped down to PO 
-antibiotics. Discharged on Augmentin 875mg BID x 10 days ending 
-___. Continue sialigogues (i.e. lemon wedges, lozenges every 
-few hours to promote salivation).
-
-#HTN: Pt hypertensive to SBP 220 in ED after receiving nebs. 
-Improved with nitro gtt. Stable (133/87) now on floor. Patient 
-restarted on home dose of Verapamil with improvement in 
-hypertension. Patient should follow up with outpatient PCP for 
-consideration of additional antihypertensive.
-
-#Chest Tightness: Patient reports pleuritic CP which she has had 
-in past during COPD exacerbations. Unlikely cardiac: 
-non-exertional, non-radiating, troponins negative. Pain resolved 
-while inpatient.
-
-#Anxiety: Patient with significant anxiety associated with 
-tachycardia to 130s. Significant improvement with Lorazepam 
-0.5mg q4 hours. Switched to clonazepam at discharge.
-
-#Depression: Continued on home dose Lexapro while inpatient.
-
-TRANSITIONAL ISSUES
-- Patient is MRSA nasal swab positive.
-1) COPD: Patient with end stage lung disease. Discharged to ___ 
-and will require close outpatient follow up.
-2) Hypertension: Patient hypertensive while hospitalized. Please 
-consider addition of second antihypertensive as an outpatient.
-3) Suspected mild Parotitis: Augmentin 875mg BID x 10 days 
-ending ___.
-***Broaden to IV antibiotics, add MRSA coverage, and obtain 
-urgent ENT evaluation if patient has worsening parotitis 
-symptoms including high fevers, purulence, redness tracking down 
-the neck, or Trismus***
-4) Prednisone taper as above.
-
- 
-
-###RESPONSE: ART {Arterial specimen collection for laboratory test}, PO2 {Oxygen measurement, partial pressure, arterial}, PCO2 {Measurement of arterial partial pressure of carbon dioxide}, PH {pH measurement}, TOTAL 
-CO2 {Blood total carbon dioxide (calculated)}, BASE XS {Delta base, blood}, O2 SAT {Oxygen saturation measurement}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, BLOOD CX {Blood culture}, NEG {No abnormality detected}, PORTABLE {Portable X-ray}, CHEST {Plain chest X-ray}, respiratory distress {Respiratory distress}, pneumonia {Pneumonia}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, consolidation {Lung consolidation}, Costophrenic 
-angles {Structure of costophrenic angle}, cardiomediastinal {Mediastinal structure}, normal {No abnormality detected}, calcific {Pathologic calcification, calcified structure}, density {Abnormally opaque structure}, left {Bone structure of left rib}, seventh rib {Bone structure of seventh rib}, calcification {Pathologic calcification, calcified structure}, costochondral junction {Structure of seventh costochondral junction}, No acute {No abnormality detected}, osseous {Bone structure}, consolidations {Lung consolidation}, pneumonia {Pneumonia}, CT NECK W/CONTRAST {Computed tomography of neck with contrast}, PAROTIDS {Parotid gland structure}, Study {Evaluation procedure}, COPD {Chronic obstructive lung disease}, shortness of breath {Dyspnea}, eft-sided {Structure of left half of neck}, tender {Tenderness of neck}, neck mass {Mass of neck}, Rule out {Evaluation procedure}, infection {Infectious disease}, mass {Mass of body structure}, neck soft tissue ultrasound {Ultrasonography of mass of soft tissue of neck}, CT study of the neck {Computed tomography of neck}, skullbase {Base of skull structure}, thoracic inlet {Structure of thoracic inlet}, Evaluation {Evaluation procedure}, mass {Mass of body structure}, mild {Symptom mild}, mucosal {Mucous membrane structure}, thickening {Increased thickness}, maxillary sinuses {Maxillary sinus structure}, ethmoidal air cells {Ethmoid sinus structure}, worse {Patient's condition worsened}, left {Structure of left half of head}, Evaluation {Evaluation procedure}, cervical lymph chains {Cervical lymph node structure}, no 
-pathologic {No pathologic diagnosis}, lymphadenopathy {Cervical lymphadenopathy}, imaging {Imaging}, thyroid gland {Thyroid structure}, normal {No abnormality detected}, left 
-salivary gland {Structure of left salivary gland}, larger {Increased size}, no 
-focal 
-abnormality {No abnormality detected}, left salivary gland {Structure of left salivary gland}, soft tissue lesion {Soft tissue lesion}, left 
-parotid gland {Structure of left parotid gland}, fat density {Lesion with fat containing (radiolucent) density}, lesion {Lesion}, parotid gland {Parotid gland structure}, lesion {Lesion}, ultrasound {Ultrasonography}, thickening {Increased thickness}, tissues {Body tissue structure}, abscess {Abscess}, Neck vessels {Vascular structure of neck}, stenosis {Stenosis}, soft tissue lesion {Soft tissue lesion}, left 
-salivary gland {Structure of left salivary gland}, parotid gland {Parotid gland structure}, parotid tissue {Structure of interstitial tissue of parotid gland}, fatty density {Lesion with fat containing (radiolucent) density}, extension {Abnormal extension}, normal {No abnormality detected}, parotid tissue {Structure of interstitial tissue of parotid gland}, signs {Sign}, inflammatory {Inflammatory disorder}, abscess {Abscess}, lesion {Lesion}, lesion {Lesion}, ultrasound {Ultrasonography}, study {Evaluation procedure}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, COPD {Chronic obstructive lung disease}, trach {Exteriorization of trachea}, intubations {Insertion of endotracheal tube}, respiratory failure {Respiratory failure}, worsening {Patient's condition worsened}, SOB {Dyspnea}, cough {Cough}, increased {Patient's condition worsened}, sputum production {Sputum finding}, fevers {Fever}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD {Chronic obstructive lung disease}, home oxygen {Home oxygen therapy}, improvement {Patient's condition improved}, respiratory {Respiratory function finding}, ICU {Admission to intensive care unit}, azithromycin {Antibiotic therapy}, Prednisone {Steroid therapy}, improvement {Patient's condition improved}, respiratory {Respiratory function finding}, taper {Medication decreased}, Prednisone {Steroid therapy}, Prednisone {Steroid therapy}, Prednisone {Steroid therapy}, Parotitis {Parotitis}, tender {Tenderness of neck}, left {Structure of left half of neck}, neck 
-swelling {Neck swelling}, U/S {Ultrasonography of mass of soft tissue of neck}, CT scan {Computed tomography of neck}, inflamation {Inflammatory disorder}, parotid tissue {Structure of interstitial tissue of parotid gland}, No evidence {No abnormality detected}, abcess {Abscess}, stones {Calculus}, imaging {Imaging}, purulence {Purulent discharge}, exam {Evaluation procedure}, IV clindamycin {Intravenous antibiotic therapy}, well 
-appearing {Normal appearance}, MRSA {Methicillin resistant Staphylococcus aureus infection}, imaging {Imaging}, PO 
-antibiotics {Oral antibiotic therapy}, Augmentin {Antibiotic therapy}, HTN {Hypertensive disorder, systemic arterial}, hypertensive {Finding of increased blood pressure}, SBP {Increased systolic arterial pressure}, nebs {Nebulizer therapy}, Improved {Patient's condition improved}, Stable {Patient's condition stable}, restarted {Restart of medication}, improvement {Patient's condition improved}, hypertension {Hypertensive disorder, systemic arterial}, PCP {Primary care management}, antihypertensive {Antihypertensive therapy}, Chest Tightness {Tight chest}, pleuritic CP {Pleuritic pain}, COPD exacerbations {Acute exacerbation of chronic obstructive airways disease}, cardiac {Heart disease}, exertional {Chest pain on exertion}, radiating {Radiating pain}, troponins {Troponin measurement}, negative {No abnormality detected}, Pain resolved {No present pain}, Anxiety {Anxiety}, anxiety {Anxiety}, tachycardia {Tachycardia}, improvement {Patient's condition improved}, Switched {Change of medication}, Depression {Depressive disorder}, MRSA {Methicillin resistant Staphylococcus aureus infection}, nasal swab {Taking nasal swab}, COPD {Chronic obstructive lung disease}, lung disease {Disorder of lung}, outpatient follow up {Outpatient care management}, Hypertension {Hypertensive disorder, systemic arterial}, hypertensive {Hypertensive disorder, systemic arterial}, antihypertensive {Antihypertensive therapy}, mild {Symptom mild}, Parotitis {Parotitis}, Augmentin {Antibiotic therapy}, IV antibiotics {Intravenous antibiotic therapy}, MRSA {Methicillin resistant Staphylococcus aureus infection}, ENT {Ear, nose and throat examination}, evaluation {Evaluation procedure}, worsening {Patient's condition worsened}, parotitis {Parotitis}, fevers {Fever}, purulence {Purulent discharge}, redness {Redness of skin over lesion}, neck {Neck structure}, Trismus {Trismus}, Prednisone {Steroid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Tiotropium Bromide 1 CAP IH DAILY 
-2. Benzonatate 100 mg PO TID 
-3. Verapamil SR 240 mg PO QAM 
-4. Verapamil SR 120 mg PO QHS 
-5. Ipratropium Bromide MDI 2 PUFF IH QID 
-6. Furosemide 20 mg PO ONCE 
-7. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-8. Omeprazole 20 mg PO DAILY 
-9. Calcitrate-Vitamin D (calcium citrate-vitamin D3) 315mg-200 
-unit oral 2 tablets Qday 
-10. Levalbuterol Neb 0.63 mg/3 mL inhalation q4 hrs 
-11. Escitalopram Oxalate 10 mg PO DAILY 
-12. TraZODone 150 mg PO HS:PRN insomnia 
-13. Vitamin D 1000 UNIT PO DAILY 
-14. Albuterol Inhaler 2 PUFF IH Q4H:PRN dyspnea 
-
- 
-Discharge Medications:
-1. Escitalopram Oxalate 10 mg PO DAILY 
-2. Furosemide 20 mg PO DAILY 
-3. Levalbuterol Neb 1.26 mg INHALATION Q4H Wheezing, SOB 
-4. TraZODone 50 mg PO HS:PRN insomnia 
-5. Verapamil SR 240 mg PO QAM 
-6. Verapamil SR 120 mg PO QHS 
-7. Acetaminophen 650 mg PO Q6H:PRN pain 
-8. Amoxicillin-Clavulanic Acid ___ mg PO Q12H Duration: 10 Days 
-9. Cepastat (Phenol) Lozenge 1 LOZ PO Q2H:PRN Sore throat 
-10. Docusate Sodium 100 mg PO BID 
-11. Ipratropium Bromide Neb 1 NEB IH Q6H SOB 
-12. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-13. Senna 1 TAB PO BID 
-14. Benzonatate 100 mg PO TID 
-15. Calcitrate-Vitamin D (calcium citrate-vitamin D3) 315mg-200 
-unit oral 2 tablets Qday 
-16. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-17. Omeprazole 20 mg PO DAILY 
-18. Vitamin D 1000 UNIT PO DAILY 
-19. PredniSONE 40 mg PO DAILY Duration: 1 Day 
-Start: Tomorrow - ___, First Dose: First Routine 
-Administration Time 
-Total 2 week taper beginning ___ at 60mg 
-20. PredniSONE 20 mg PO DAILY Duration: 2 Days 
-Start: After 40 mg tapered dose 
-Total 2 week taper beginning ___ at 60mg 
-21. PredniSONE 10 mg PO DAILY Duration: 2 Days 
-Start: After 20 mg tapered dose 
-Total 2 week taper beginning ___ at 60mg 
-22. Lemon wedges
-Q4H to promote salivation while treating Parotid Gland infection
-23. ClonazePAM 0.5 mg PO BID:PRN anxiety 
-RX *clonazepam 0.5 mg 1 tablet(s) by mouth twice a day as needed 
-Disp #*10 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-COPD exacerbation
-parotidis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, parotidis {Parotitis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, it was a pleasure taking care of you during your 
-stay at ___. You were admitted for a COPD exacerbation. 
-You were treated with antibiotics, steroids and nebulizers. Your 
-breathing improved. While you were here you developed an 
-inflammation of your parotid gland. You should continue on 
-antibiotics for this inflammation.
- 
-
-###RESPONSE: COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, treated with antibiotics {Antibiotic therapy}, steroids {Steroid therapy}, nebulizers {Nebulizer therapy}, breathing {Finding of respiration}, improved {Patient's condition improved}, inflammation {Inflammatory disorder}, parotid gland {Parotid gland structure}, antibiotics {Antibiotic therapy}, inflammation {Inflammatory disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Tetracyclines
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain 
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Tetracyclines {Allergy to tetracycline}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ year-old female with a history of HTN who presents 
-with chest pain.  
-.  
-For a couple weeks, pt has been feeling fatigued, generalized 
-weakness, increased frequency of headaches. Her symptoms 
-worsened 4 days ago. Her headache has been persistent the last 4 
-days despite motrin, tylenol, zanaflex, excedrin, and zonegran. 
-She has had these headaches before. She describes a frontal 
-headache, throbbing, currently ___. No photophobia, neck 
-stiffness. She also noted chills, but have them with her 
-hypothyeroidism. She also reports watery diarrhea over the 
-weekend. No abdominal pain. She has her worsening nausea. No 
-vomiting. No fevers. No sick contacts.  
-.  
-Over the years, she has had chest pain intermittently, 
-associated with stress. The chest pain started 2 weeks ago but 
-intensified over the weekend. She describes the pain as a heavy 
-substernal pressure radiating down to her left arm. This pain 
-started ___ and worsened until today, prompting her go to 
-the ED. She feels the pain is worse when she bends over. It does 
-not worsen with deep breaths. She was noted to be pale, 
-diaphoretic today while at therapy. She has chronic nausea and 
-palpitations. No dizziness, SOB. No recent exertion.  
-.  
-Of note, pt has had chronic nausea for the past ___ years and was 
-evaluated by GI over the summer. EGD showed gastritis and grade 
-2 esophagitis; gastric emptying study was normal.  
-.  
-In the ED, initial vitals were T: 97.1 BP: 129/81 HR: 79 RR: 22 
-O2Sat: 98RA. EKG showed sinus bradycardia with HR of ___ without 
-acute signs of ischemia. She received ASA, toradol x2, and SL 
-NTG x2 with improvement of CP from 6->4. 2 sets of CEs neg.  
-.  
-Currently her CP is at a 6, improved from 10 this AM. She 
-believes the NTG helped the most. Her HA has improved with 
-Toradol.  
-.  
-ROS: The patient denies any orthopnea, PND, lower extremity 
-oedema, cough, sinus problems, nasal congestion, sore throat, 
-urinary frequency, urgency, dysuria, vision changes, focal 
-weakness, rash.  
-.  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, fatigued {Fatigue}, weakness {Asthenia}, headaches {Headache}, worsened {Patient's condition worsened}, headache has been persistent {New daily persistent headache}, tylenol {Administration of analgesic}, headaches {Headache}, frontal 
-headache {Frontal headache}, throbbing {Throbbing pain}, photophobia {Photophobia}, neck 
-stiffness {Stiff neck}, chills {Chill}, hypothyeroidism {Hypothyroidism}, watery {Liquid stool}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, worsening {Patient's condition worsened}, nausea {Nausea}, vomiting {Vomiting}, No fevers {Temperature normal}, chest pain {Chest pain}, stress {Stress}, chest pain {Chest pain}, pain {Chest pain}, substernal {Structure of substernal region}, pressure {Tight chest}, radiating down to her left arm {Pain radiating to left arm}, pain {Chest pain}, worsened {Increased pain}, pain {Chest pain}, worse {Increased pain}, worsen {Patient's condition worsened}, deep breaths {Deep breathing}, pale {Pale discoloration of entire skin of body}, diaphoretic {Excessive sweating}, therapy {Therapy}, chronic {Chronic disease}, nausea {Nausea}, palpitations {Palpitations}, dizziness {Dizziness}, SOB {Dyspnea}, chronic {Chronic disease}, nausea {Nausea}, evaluated {Evaluation procedure}, EGD {Esophagogastroduodenoscopy}, gastritis {Gastritis}, esophagitis {Esophagitis}, gastric emptying study {Gastric emptying study}, normal {No abnormality detected}, vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2Sat {Oxygen saturation measurement}, RA {Breathing room air}, EKG {Electrocardiographic procedure}, sinus bradycardia {Sinus bradycardia}, HR {Finding of heart rate}, without 
-acute signs of ischemia {Electrocardiogram normal}, ASA {Administration of aspirin}, NTG {Administration of prophylactic glyceryl trinitrate}, improvement {Patient's condition improved}, CP {Chest pain}, CEs neg {Cardiac enzymes within reference range}, CP {Chest pain}, improved {Patient's condition improved}, NTG {Administration of prophylactic glyceryl trinitrate}, HA {Headache}, improved {Patient's condition improved}, ROS {Review of systems}, orthopnea {Orthopnea}, PND {Paroxysmal nocturnal dyspnea}, lower extremity 
-oedema {Edema of lower extremity}, cough {Cough}, sinus problems {Disorder of nasal sinus}, nasal congestion {Nasal congestion}, sore throat {Sore throat}, urinary frequency {Increased frequency of urination}, urgency {Urgent desire to urinate}, dysuria {Dysuria}, vision changes {Visual disturbance}, weakness {Asthenia}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN  
-Hypothyroidism  
-Migraine and tension headaches  
-MVP  
-Complex partial seizures  
-Sleep apnea, not tolerating CPAP at home  
-Depression/Generalized anxiety disorder  
-ADHD  
-Asthma  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, Hypothyroidism {Hypothyroidism}, Migraine {Migraine}, tension headaches {Tension-type headache}, partial seizures {Focal onset epileptic seizure}, Sleep apnea {Sleep apnea}, CPAP at home {Uses home continuous positive airway pressure ventilation supply}, Depression {Depressive disorder}, Generalized anxiety disorder {Generalized anxiety disorder}, ADHD {Attention deficit hyperactivity disorder}, Asthma {Asthma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with colorectal cancer, pancreatitis. No h/o MI.  
-Father died of MI at age of ___.  
-
- 
-
-###RESPONSE: colorectal cancer {Malignant neoplasm of colon and/or rectum}, pancreatitis {Pancreatitis}, MI {Myocardial infarction}, died {Dead}, MI {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: 97.8, BP: 138/94, HR: 61, RR: 20, O2Sat: 100RA  
-GEN: Well-appearing, obese female no acute distress  
-HEENT: EOMI, sclera anicteric, MMM, OP Clear  
-NECK: No JVD, no carotid bruits, no cervical lymphadenopathy, no 
-meningismus  
-COR: RRR, no M/G/R, normal S1 S2  
-PULM: Lungs CTAB, no W/R/R  
-CHEST: tender to palpation over sternum, L side of chest and L 
-arm  
-ABD: Obese, soft, mildly tender in LLQ, no rebound, no guarding, 
-ND, +BS  
-EXT: No C/C/E, 2+ DP pulses  
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2Sat {Oxygen saturation measurement}, RA {Breathing room air}, GEN {General examination of patient}, Well-appearing {Well cared for appearance}, obese {Obese}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, sclera anicteric {White sclera}, MMM {Moist oral mucosa}, OP Clear {Pharynx normal}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, carotid bruits {Carotid bruit}, cervical lymphadenopathy {Cervical lymphadenopathy}, meningismus {Meningeal irritation}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, no M/G/R {Heart sounds abnormal}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, no W/R/R {Normal breath sounds}, CHEST {Examination of respiratory system}, tender {Abdominal tenderness}, palpation {Palpation}, sternum {Bone structure of sternum}, L side of chest {Structure of left half of chest wall}, L 
-arm {Structure of left upper limb}, ABD {Examination of abdomen}, Obese {Obese}, soft {Abdomen soft}, tender {Abdominal tenderness}, LLQ {Structure of left lower quadrant of abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, ND {Swollen abdomen}, +BS {Normal bowel sounds}, EXT {Examination of limb}, No C/C/E {No abnormality detected}, 2+ DP pulses {Dorsalis pulse present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-troponins <0.01 x3
- 
-
-###RESPONSE: troponins {Troponin measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Assesment: This is a ___ year-old female with a history of HTN, 
-hypothyroidism, GAD who presents with chest pain, fatigue, and 
-headaches.  
-.
-Chest pain: Likely MSK given reproducible pain on exam. ___ also 
-be from esophagitis and gastritis, ? esophageal spasm as 
-improved with NTG. Unlikely pericarditis since no EKG changes. 
-Unlikely to be ACS given duration of symptoms without EKG 
-changes or increased CEs. Also had normal stress test in ___. 
-Patient had serial normal EKGs, CEs negative x3. 
-.  
-Headache: Pt reports it's consistent with her tension headaches 
-except not being relieved. Has improved with Toradol. No 
-meningimus, afebrile, no leukocytosis to suggest meninigitis.  
-cont. toradol  
-.  
-# Nausea: Has been thoroughly worked up by GI.  
-- start protonix
-- Compazine prn  
-.  
-# HTN: Well controlled.  
-- cont. propranolol  
-.  
-# Hypothyroidism: TSH WNL on admission.  
-- cont. levothyroxine.  
-.  
-# Complex partial seizures:  
-- cont. Lamictal.  
-.  
-# Sleep apnea, not tolerating CPAP at home:  
-- CPAP ordered  
-.  
-# Depression/Generalized anxiety disorder:  
-- cont.  
-.  
-# ADHD  
-- cont. Ritalin  
-.  
-# Asthma: Currently asymptomatic.  
-- albuterol prn  
-
- 
-
-###RESPONSE: Assesment {Evaluation procedure}, HTN {Hypertensive disorder, systemic arterial}, hypothyroidism {Hypothyroidism}, GAD {Generalized anxiety disorder}, chest pain {Chest pain}, fatigue {Fatigue}, headaches {Headache}, Chest pain {Chest pain}, MSK {Structure of musculoskeletal system}, pain {Pain}, exam {Physical examination procedure}, esophagitis {Esophagitis}, gastritis {Gastritis}, esophageal spasm {Diffuse spasm of esophagus}, improved {Patient's condition improved}, NTG {Administration of prophylactic glyceryl trinitrate}, pericarditis {Pericarditis}, no EKG changes {Electrocardiogram normal}, ACS {Acute coronary syndrome}, without EKG 
-changes {Electrocardiogram normal}, increased CEs {Cardiac enzyme or marker above reference range}, normal {Electrocardiogram normal}, stress test {Cardiovascular stress testing}, normal EKGs {Electrocardiogram normal}, CEs negative {Cardiac enzymes within reference range}, Headache {Headache}, tension headaches {Tension-type headache}, improved {Patient's condition improved}, meningimus {Meningeal irritation}, afebrile {Temperature normal}, leukocytosis {Leukocytosis}, meninigitis {Meningitis}, Nausea {Nausea}, worked up {Evaluation procedure}, HTN {Hypertensive disorder, systemic arterial}, Well controlled {Disease condition determination, well controlled}, Hypothyroidism {Hypothyroidism}, TSH WNL {Serum thyroid stimulating hormone level within reference range}, partial seizures {Focal onset epileptic seizure}, Sleep apnea {Sleep apnea}, CPAP at home {Uses home continuous positive airway pressure ventilation supply}, CPAP {Continuous positive airway pressure ventilation treatment}, Depression {Depressive disorder}, Generalized anxiety disorder {Generalized anxiety disorder}, ADHD {Attention deficit hyperactivity disorder}, Asthma {Asthma}, asymptomatic {Asymptomatic}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-ALBUTEROL SULFATE [PROAIR HFA] - 90 mcg HFA Aerosol Inhaler - 2  
-
-puffs by mouth every four (4) to six (6) hours as needed for  
-cough/wheezing  
-LAMOTRIGINE [LAMICTAL] - (Prescribed by Other Provider: ___ 
- 
-- 200 mg Tablet - 1 (One) Tablet(s) by mouth twice a day  
-LEVOTHYROXINE SODIUM - 175MCG Tablet - ONE BY MOUTH EVERY DAY  
-METHYLPHENIDATE [RITALIN LA] - (Prescribed by Other Provider:  
-___ - 30 mg Capsule, Multiphasic Rel.50-50 - 2 (Two)  
-Capsule(s) by mouth once a day  
-PRAMIPEXOLE [MIRAPEX] - 0.125 mg Tablet - 1 (One) Tablet(s) by  
-mouth once a day 2 hours before sleep  
-PRAZOSIN - (Prescribed by Other Provider: ___ - 1 mg  
-Capsule - 1 (One) Capsule(s) by mouth three times a day  
-PROCHLORPERAZINE MALEATE - 10 mg Tablet - 1 Tablet(s) by mouth  
-twice a day  
-PROPRANOLOL - (Prescribed by Other Provider: ___ - 80 mg  
-Capsule, Sust. Release 24 hr - 1 (One) Capsule(s) by mouth once 
-a  
-day  
-TIZANIDINE [ZANAFLEX] - 4 mg Tablet - 1 Tablet(s) by mouth twice 
- 
-a day  
-TRAZODONE - 100 mg Tablet - 2 Tablet(s) by mouth at bedtime ___  
-
-take additional tablet qhs prn sleeplessness  
-ZONISAMIDE [ZONEGRAN] - 100 mg Capsule - 2 Capsule(s) by mouth 
-at  
-bedtime  
-
- 
-Discharge Medications:
-1. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for 
-Nebulization Sig: One (1)  Inhalation Q6H (every 6 hours) as 
-needed.  
-2. Lamotrigine 100 mg Tablet Sig: Two (2) Tablet PO BID (2 times 
-a day).  
-3. Levothyroxine 175 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-4. Methylphenidate 20 mg Tablet Sustained Release Sig: Three (3) 
-Tablet Sustained Release PO DAILY (Daily).  
-5. Pramipexole 0.125 mg Tablet Sig: One (1) Tablet PO qhs ().  
-6. Prazosin 1 mg Capsule Sig: One (1) Capsule PO TID (3 times a 
-day).  
-7. Prochlorperazine Maleate 10 mg Tablet Sig: One (1) Tablet PO 
-twice a day as needed for nausea.  
-8. Propranolol 80 mg Capsule,Sustained Action 24 hr Sig: One (1) 
-Capsule,Sustained Action 24 hr PO DAILY (Daily).  
-9. Tizanidine 2 mg Tablet Sig: Two (2) Tablet PO BID (2 times a 
-day).  
-10. Trazodone 100 mg Tablet Sig: Two (2) Tablet PO HS (at 
-bedtime) as needed.  
-11. Zonisamide 100 mg Capsule Sig: Two (2) Capsule PO QHS (once 
-a day (at bedtime)).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary:
-Atypical Chest pain
-
-Secondary:
-HTN
-Hypothyroid
-GAD
-
- 
-Discharge Condition:
-stable
-
- 
-
-###RESPONSE: Atypical Chest pain {Atypical chest pain}, HTN {Hypertensive disorder, systemic arterial}, Hypothyroid {Hypothyroidism}, GAD {Generalized anxiety disorder}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital with chest pain that was 
-thought to NOT be of cardiac origin per blood tests and EKGS.
-
-Please take all medications as prescribed
-
-Please call your doctor or return to the hosptial if you have 
-more chest pain, shortness of breath or any other concerning 
-symptoms
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac {Heart structure}, blood tests {Blood test}, EKGS {Electrocardiographic procedure}, Please take all medications as prescribed {Patient medication education}, call your doctor {Informing doctor}, chest pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-amlodipine
- 
-Attending: ___.
- 
-Chief Complaint:
-fever, dyspnea
-
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: amlodipine {Allergy to amlodipine}, fever {Fever}, dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ h/o severe COPD not on home O2, s/p endobronchial coil 
-placement for stage 4 emphysema as part of a study on ___. Dc'd 
-home began having fevers, went to ___ local ___, admitted 
-___ (discharged yesterday) after treatment for pneumonia, 
-continued on PO levoquin. Presents today after speaking w/ study 
-coordinator who recommended he present here for further 
-evaluation if temp >100.4. Temp at home to 101. Increased 
-dyspnea from baseline. Denies CP. No n/v. Soft stool this AM, no 
-abd pain.
-In the ED initial vitals were: 99.4 102 146/74 18 100% RA. Pt 
-spiked to 100.2 and received tylenol.
-- Labs were significant for no leukocytosis, normal lactate, INR 
-1.4.
-- CXR was pending.
-- EKG was unchanged.
-- Patient was given IV vanc and zosyn, tylenol, duonebs x2, and 
-1L NS.
-On the floor, patient is resting fairly comfortably with his 
-wife at bedside. He reports that his breathing is still bad. He 
-confirms the above history and also adds the following: While 
-hospitalized at ___ in ___, his inpatient 
-MDs were communicating with Dr. ___ for 
-recommendations about his pulmonary management. He was started 
-on levaquin ___, which he took for one day and then was 
-changed to IV vanc/zosyn while in the hospital, but discharged 
-again on levaquin after improvement.
-He says that initially after the coil embolization ___ he felt 
-well for a few days. However, on the ___ following the 
-procedure (___), he began feeling unwell. On ___ he 
-developed a fever. Of note, his sputum after the procedure was 
-initially white with streaks of BRB but then changed to a rust 
-color after he got sick. Even with the antibiotics, he continued 
-to feel unwell. His sputum changed to a yellow mucous. He went 2 
-days without fevers, was discharged, and then had another fever 
-that night (last night). Denies flu like symptoms such as body 
-aches, HA, n/v/d. Most importantly, he reports that since being 
-unwell, his breathing really hasn't improved. He feels like he 
-is not moving any air. No CP or leg swelling. No diarrhea or 
-dysuria.
-Review of Systems:
-(+) per HPI. Remainder of 10 point ROS is negative.
-
- 
-
-###RESPONSE: severe COPD {Severe chronic obstructive pulmonary disease}, home O2 {Home oxygen therapy}, endobronchial coil 
-placement {Endotracheal tube present}, emphysema {Emphysema}, study {Evaluation procedure}, fevers {Fever}, pneumonia {Pneumonia}, study {Evaluation procedure}, evaluation {Evaluation procedure}, temp {Body temperature finding}, Temp {Body temperature finding}, Increased {Patient's condition worsened}, dyspnea {Dyspnea}, baseline {Baseline state}, Soft stool {Soft stool}, abd pain {Abdominal pain}, vitals {Vital signs finding}, tylenol {Administration of analgesic}, Labs {Laboratory test}, leukocytosis {Leukocytosis}, normal {No abnormality detected}, lactate {Lactic acid measurement}, INR {Calculation of international normalized ratio}, CXR {Plain chest X-ray}, EKG {Electrocardiographic procedure}, unchanged {Patient condition unchanged}, vanc {Antibiotic therapy}, tylenol {Administration of analgesic}, comfortably {Breathing easily}, breathing {Difficulty breathing}, pulmonary {Pulmonary medicine service}, started {New medication added}, changed {Change of medication}, vanc {Antibiotic therapy}, improvement {Patient's condition improved}, embolization {Embolization procedure}, following the 
-procedure {Postoperative state}, feeling unwell {Malaise}, fever {Fever}, sputum {Sputum finding}, procedure {Procedure}, changed {Change of medication}, color {Color finding}, antibiotics {Antibiotic therapy}, feel unwell {Malaise}, sputum {Sputum finding}, yellow {Yellow sputum}, fevers {Fever}, fever {Fever}, flu like symptoms {Influenza-like symptoms}, body 
-aches {Generalized aches and pains}, n/v/d {Nausea, vomiting and diarrhea}, breathing {Difficulty breathing}, improved {Patient's condition improved}, leg swelling {Leg swelling symptom}, diarrhea {Diarrhea}, dysuria {Dysuria}, ROS {Review of systems}, negative {No pathologic diagnosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Severe COPD/emphysema. FEV1 23% in ___, with significant
-hyperinflation. Negative for A1AT deficiency. No history of
-respiratory failure.
-- s/p RUL endobronchial coil placement ___
-- CAD s/p MI and PCI x2, in ___
-- Hypertension
-- Nephrolithiasis, with lithotripsy, stenting, and nephrostomies
-in the past.
-- Hypothyroidism
-- Systolic HF with EF 40% on ___
-
- 
-
-###RESPONSE: Severe COPD {Severe chronic obstructive pulmonary disease}, emphysema {Emphysema}, hyperinflation {Hyperdistention}, Negative {No pathologic diagnosis}, A1AT deficiency {Alpha-1-antitrypsin deficiency}, respiratory failure {Respiratory failure}, endobronchial coil placement {Endotracheal tube present}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, Hypertension {Hypertensive disorder, systemic arterial}, Nephrolithiasis {Kidney stone}, lithotripsy {Lithotripsy}, stenting {Insertion of arterial stent}, Hypothyroidism {Hypothyroidism}, Systolic {Systolic heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-His grandfather had emphysema and asbestos exposure.
-
- 
-
-###RESPONSE: emphysema {Emphysema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-Vitals: 98.3, 122/75, 80, 18, 97% on RA
-GENERAL: well nourished middle aged man lying in bed with O2 on 
-for comfort, AAOx3, NAD
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM, good dentition
-NECK: no JVD
-CARDIAC: very difficult to auscultate, no murmurs, gallops, or 
-rubs appreciated
-LUNG: mild RUL crackles, overall poor air movement. no wheezing. 
-no use of accessory muscles. able to speak in full sentences.
-ABDOMEN: nondistended, +BS, nontender in all quadrants, no 
-rebound/guarding, no hepatosplenomegaly
-EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 
-extremities with purpose
-NEURO: CN II-XII intact
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes
-
-DISCHARGE PHYSICAL EXAM:
-Vitals: Tmax 98.6 Tc 97.8 122-133/78-79 HR ___ RR ___ 99% RA
-GEN: Well appearing, speaks in full sentences on room air
-Exam otherwise unchanged
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, well nourished {Well nourished}, middle aged {Middle-age}, lying in bed {Lying in bed}, Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, mild {Symptom mild}, RUL {Structure of upper lobe of right lung}, crackles {Respiratory crackles}, poor air movement {Decreased breath sounds}, wheezing {Wheezing}, accessory muscles {Accessory skeletal muscle}, able to speak {Able to speak}, full sentences {Able to complete sentence in one breath}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, moving all 4 
-extremities {Does move all four limbs}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}, Vitals {Vital signs finding}, RA {Breathing room air}, Well appearing {Well cared for appearance}, speaks {Does speak}, full sentences {Able to complete sentence in one breath}, on room air {Breathing room air}, Exam {Lung finding}, unchanged {Patient condition unchanged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-LABS:
-=======
-___ 03:10PM   GLUCOSE-140* UREA N-13 CREAT-1.0 SODIUM-138 
-POTASSIUM-4.3 CHLORIDE-101 TOTAL CO2-25 ANION GAP-16
-___ 03:10PM   WBC-8.6 RBC-4.21* HGB-12.6* HCT-37.3* MCV-89 
-MCH-30.0 MCHC-33.9 RDW-12.8
-___ 03:10PM   PLT COUNT-286
-___ 03:10PM   ___ PTT-29.6 ___
-___ 12:30PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-___ 12:30PM URINE  BLOOD-TR NITRITE-NEG PROTEIN-TR 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 
-LEUK-NEG
-___ 12:30PM URINE  RBC-7* WBC-5 BACTERIA-NONE YEAST-NONE 
-EPI-0
-___ 12:30AM   ___ COMMENTS-GREEN TOP
-___ 12:30AM   LACTATE-1.3 K+-4.1
-___ 12:20AM   GLUCOSE-105* UREA N-15 CREAT-1.0 SODIUM-136 
-POTASSIUM-5.6* CHLORIDE-100 TOTAL CO2-24 ANION GAP-18
-___ 12:20AM   WBC-11.0 RBC-4.42* HGB-13.5* HCT-38.9* MCV-88 
-MCH-30.5 MCHC-34.7 RDW-13.1
-___:20AM   NEUTS-71.8* LYMPHS-13.6* MONOS-11.7* EOS-2.0 
-BASOS-0.8
-___ 12:20AM   PLT COUNT-282
-___ 12:20AM   ___ PTT-28.4 ___
-___ 05:59AM BLOOD WBC-8.8 RBC-4.22* Hgb-12.6* Hct-37.6* 
-MCV-89 MCH-30.0 MCHC-33.6 RDW-12.9 Plt ___
-___ 05:59AM BLOOD Glucose-90 UreaN-20 Creat-1.1 Na-143 
-K-3.7 Cl-105 HCO3-28 AnGap-14
-___ 05:59AM BLOOD ALT-30 AST-16 AlkPhos-38* TotBili-0.3
-
-MICRO:
-========
-___ 11:45 am SPUTUM     Site: EXPECTORATED
-      Source: Expectorated. 
-
-   ACID FAST SMEAR (Final ___: 
-      NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. 
-
-   ACID FAST CULTURE (Preliminary): 
-
-___ 8:30 pm SPUTUM      Source: Expectorated. 
-
-   ACID FAST SMEAR (Final ___: 
-      NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. 
-
-   ACID FAST CULTURE (Preliminary): 
-
-   MTB Direct Amplification (Final ___: 
-      M. TUBERCULOSIS DNA NOT DETECTED BY NAAT: A negative NAAT 
-cannot rule
-      out TB  or other mycobacterial infection. 
-      NAAT results will be followed by confirmatory testing with
-      conventional culture and DST methods. This TB NAAT method 
-has not
-      been approved by FDA for clinical diagnostic purposes. 
-However, ___
-      ___ Institute (___) has established assay 
-performance by
-      in-house validation in accordance with ___ standards. 
-      TEST PERFORMED BY ___ LAB (___). 
-
-___ 11:36 am SPUTUM      Source: Expectorated. 
-
-   GRAM STAIN (Final ___: 
-      >25 PMNs and <10 epithelial cells/100X field. 
-      1+    (<1 per 1000X FIELD):   GRAM NEGATIVE ROD(S). 
-      1+    (<1 per 1000X FIELD):   GRAM POSITIVE COCCI IN 
-PAIRS. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      SPARSE GROWTH Commensal Respiratory Flora. 
-      YEAST.    SPARSE GROWTH. 
-
-   FUNGAL CULTURE (Preliminary): 
-      YEAST. 
-
-   ACID FAST SMEAR (Final ___: 
-      NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. 
-
-   ACID FAST CULTURE (Pending): 
-
-___ 12:20 am BLOOD CULTURE
-
-   Blood Culture, Routine (Pending): 
-
-___ 10:54 am BRONCHIAL WASHINGS      RIGHT BRONCHIAL WASH. 
-
-   GRAM STAIN (Final ___: 
-      2+   ___ per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      3+  ___ per 1000X FIELD):   GRAM NEGATIVE ROD(S). 
-
-   RESPIRATORY CULTURE (Final ___: 
-      ~4000/ML Commensal Respiratory Flora. 
-      PSEUDOMONAS AERUGINOSA.    >100,000 ORGANISMS/ML.. 
-         Piperacillin/Tazobactam sensitivity testing performed 
-by ___
-         ___.  MEROPENEM sensitivity testing performed by 
-___. 
-      ACHROMOBACTER SPECIES.    10,000-100,000 ORGANISMS/ML.. 
-         sensitivity testing performed by Microscan. 
-         MEROPENEM <= 1 MCG/ML.  Cefepime >16 MCG/ML. 
-      PSEUDOMONAS AERUGINOSA.    10,000-100,000 ORGANISMS/ML.. 
-         SECOND MORPHOLOGY. 
-         Piperacillin/Tazobactam sensitivity testing performed 
-by ___
-         ___. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             PSEUDOMONAS AERUGINOSA
-                             |          ACHROMOBACTER SPECIES
-                             |          |          PSEUDOMONAS 
-AERUGINOSA
-                             |          |          |   
-CEFEPIME--------------    32 R          R        2 S
-CEFTAZIDIME-----------  =>64 R     =>32 R        4 S
-CEFTRIAXONE-----------               32 I
-CIPROFLOXACIN---------     2 I      =>4 R      0.5 S
-GENTAMICIN------------   <=1 S        2 S      <=1 S
-IMIPENEM--------------              <=1 S
-LEVOFLOXACIN----------              <=1 S
-MEROPENEM-------------       R          S   <=0.25 S
-PIPERACILLIN/TAZO-----       I      <=8 S          S
-TOBRAMYCIN------------   <=1 S        2 S      <=1 S
-TRIMETHOPRIM/SULFA----              <=2 S
-
-   ACID FAST SMEAR (Final ___: 
-      NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR. 
-
-   ACID FAST CULTURE (Preliminary): 
-            MYCOBACTERIUM AVIUM COMPLEX. 
-         Identified by ___ Laboratory ,REPORT DATE: 
-___. 
-
-   FUNGAL CULTURE (Final ___: 
-      EXOPHIALA SPECIES.    1 COLONY. 
-
-IMAGING:
-=========
-___ Imaging CHEST (PA & LAT)      
-1. Large right upper lobe consolidation, concerning for 
-pneumonia versus 
-hemorrhage little change since ___. Concurrent 
-peribronchial 
-infiltration in the right middle and lower lobes has improved. 
-     
-___ Cardiovascular ECG 
-Sinus tachycardia. Borderline R wave progression. Borderline 
-leftward axis. Compared to the previous tracing of ___ the 
-rate is faster. The findings are otherwise similar. 
-  Intervals Axes 
-Rate PR QRS QT/QTc P QRS T 
-103 140 88 ___ ___ with h/o severe COPD s/p right sided endobronchial coil 
-placement on ___ admitted with fever, RUL infiltrate consistent 
-with PNA.
-
-# RUL bacterial pneumonia: Pt developed fever and increased 
-sputum production following last admission for endobronchial 
-coil placement. He was started on levofloxacin as an outpatient 
-and shortly after admitted to OSH where he received 
-vanc/piperacillin-tazobactam for several days and was discharged 
-home on levofloxacin. He experienced recurrent fever at home and 
-was advised to present to ___ where CXR showed RUL 
-consolidation infiltrate, most likely postobstructive PNA in 
-area of coiling procedure given fevers, change in sputum 
-production and temporary clinical improvement while on broad 
-spectrum abx at OSH. He was initially treated with 
-vanc/piperacillin-tazobactam /levofloxacin. Notably, BAL from 
-___ on last admission grew resistant pseudomonas. Patient at 
-risk for developing further antibiotic resistance given 
-interrupted courses of levofloxacin and vanc/zosyn in the week 
-prior to presentation. However, given clinical improvement, 
-antibiotics were narrowed to piperacillin-tazobactam in 
-consultation with ID with plan for 14 day total course with 
-close outpatient follow up. Sputum culture this admission grew 
-commensal respiratory flora and sparse yeast, which may 
-represent exophiala species felt to represent colonization on 
-prior BAL. Endobronchial coil removal was discussed with IP and 
-ID, but deferred given clinical improvement on antibiotics. 
-
-# COPD: Severe with FEV1 23% and reduced DLCO s/p endobronchial 
-coiling as above. Normally on prednisone 10mg daily, recently on 
-prednisone taper following coiling procedure. Increased to 60mg 
-on admission in case COPD symptoms were contributing to SOB. 
-Treated with prednisone 60mg daily x 5 day burst (d1 = ___. 
-Continued home advair, spiriva, zyrtec, montelukast.
-
-# ___: AFB cx from ___ BAL returned positive on ___. Patient 
-had history of partially treated ___ in ___ per Parters 
-records. Ruled out for active pulm TB with negative sputum AFB x 
-3. AFB cx from ___ sent to state lab and identified as ___. 
-
-# Emergency Contact: ___ ___ (wife)
-
-TRANSITIONAL ISSUES:
-====================
-# RUL Pseudomonal PNA: Discharged on piperacillin-tazobactam for 
-14 day total course (last day ___. If worsens clinically, 
-may require tobramycin given intermediate sensitivity of 
-pseudomonas from BAL ___ to pip-tazo. Has ID followup on 
-___. Will need labs to include CBC with differential, 
-Creatinine, LFTs in 5 days of discharge ___ or ___ 
-given upcoming ___) faxed to Dr. ___ 
-new ID provider ___ ___.
-# ___: Consider reattempting outpatient treatment, would require 
-prolonged course. ___ have positive AFB culture on future BALs 
-given known ___ infection.
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, URINE {Evaluation of urine specimen}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, GLUCOSE-NEG {Urine glucose not detected}, KETONE-NEG {Urine ketones not detected}, BILIRUBIN {Bilirubin measurement, urine}, NEG {No abnormality detected}, UROBILNGN {Urobilinogen measurement, urine}, NEG {No abnormality detected}, PH {pH measurement}, LEUK-NEG {Urine leukocytes not detected}, URINE {Urinalysis}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, SPUTUM {Microbial culture of sputum}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, CULTURE {Microbial culture}, SPUTUM {Microbial culture of sputum}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, CULTURE {Microbial culture}, TUBERCULOSIS {Tuberculosis}, negative {No pathologic diagnosis}, infection {Infectious disease}, culture {Microbial culture}, SPUTUM {Microbial culture of sputum}, GRAM STAIN {Gram stain method}, epithelial cells {Epithelial cells present}, NEGATIVE {No pathologic diagnosis}, RESPIRATORY CULTURE {Respiratory microbial culture}, YEAST {Yeast culture}, FUNGAL {Mycology culture}, CULTURE {Microbial culture}, YEAST {Yeast culture}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, CULTURE {Microbial culture}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, BRONCHIAL WASHINGS {Lavage of bronchus}, RIGHT {Right lung structure}, BRONCHIAL {Bronchial structure}, WASH {Bronchoscopic lavage}, GRAM STAIN {Gram stain method}, POLYMORPHONUCLEAR 
-LEUKOCYTES {Polymorphonuclear leukocyte count}, NEGATIVE {No pathologic diagnosis}, RESPIRATORY CULTURE {Respiratory microbial culture}, sensitivity {Antimicrobial susceptibility test}, sensitivity {Antimicrobial susceptibility test}, sensitivity {Antimicrobial susceptibility test}, sensitivity {Antimicrobial susceptibility test}, SENSITIVITIES {Antimicrobial susceptibility test}, CIPROFLOXACIN {Antibiotic therapy}, LEVOFLOXACIN {Antibiotic therapy}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, ACID FAST {Acid fast bacilli culture}, CULTURE {Microbial culture}, Laboratory {Laboratory test}, FUNGAL {Mycology culture}, CULTURE {Mycology culture}, Imaging CHEST (PA & LAT {Diagnostic radiography of chest, combined posteroanterior and lateral}, right upper lobe {Structure of bronchus of right upper lobe}, consolidation {Lung consolidation}, pneumonia {Pneumonia}, hemorrhage {Hemorrhage}, infiltration {Infiltration}, right {Right lung structure}, middle {Structure of middle lobe of right lung}, lower lobes {Structure of lower lobe of right lung}, improved {Patient's condition improved}, ECG {Electrocardiographic procedure}, Sinus tachycardia {Sinus tachycardia}, R wave progression {Electrocardiographic R wave abnormal}, axis {Electrocardiographic axis finding}, rate {Finding of heart rate}, Rate {Finding of heart rate}, QRS {Finding of electrocardiogram QRS complex}, QRS {Finding of electrocardiogram QRS complex}, severe COPD {Severe chronic obstructive pulmonary disease}, right sided {Right lung structure}, endobronchial coil 
-placement {Endotracheal tube present}, fever {Fever}, RUL {Structure of upper lobe of right lung}, infiltrate {Infiltration}, PNA {Pneumonia}, RUL {Structure of upper lobe of right lung}, bacterial pneumonia {Bacterial pneumonia}, fever {Fever}, increased {Patient's condition worsened}, sputum production {Productive cough}, placement {Implantation procedure}, started {New medication added}, levofloxacin {Antibiotic therapy}, vanc {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, recurrent {Recurrent disease}, fever {Fever}, CXR {Plain chest X-ray}, RUL {Structure of upper lobe of right lung}, consolidation {Lung consolidation}, infiltrate {Infiltration}, PNA {Pneumonia}, procedure {Procedure}, fevers {Fever}, sputum 
-production {Sputum finding}, improvement {Patient's condition improved}, vanc {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, BAL {Bronchoscopy and bronchoalveolar lavage}, antibiotic {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, vanc {Antibiotic therapy}, improvement {Patient's condition improved}, antibiotics {Antibiotic therapy}, consultation {Consultation}, outpatient follow up {Outpatient care management}, Sputum culture {Microbial culture of sputum}, yeast {Yeast detected}, BAL {Bronchoscopy and bronchoalveolar lavage}, Endobronchial coil removal {Removal of endotracheal tube}, improvement {Patient's condition improved}, antibiotics {Antibiotic therapy}, COPD: Severe {Severe chronic obstructive pulmonary disease}, prednisone {Steroid therapy}, prednisone {Steroid therapy}, taper {Medication decreased}, procedure {Procedure}, Increased {Medication increased}, COPD {Chronic obstructive lung disease}, SOB {Dyspnea}, prednisone {Steroid therapy}, BAL {Bronchoscopy and bronchoalveolar lavage}, r active pulm TB {Active tuberculosis}, negative {No pathologic diagnosis}, sputum {Microbial culture of sputum}, RUL {Structure of upper lobe of right lung}, Pseudomonal PNA {Pneumonia caused by Pseudomonas}, worsens {Patient's condition worsened}, sensitivity {Antimicrobial susceptibility test}, BAL {Bronchoscopy and bronchoalveolar lavage}, labs {Laboratory test}, CBC {Complete blood count}, differential {Differential white cell count within reference range}, Creatinine {Creatinine measurement}, LFTs {Hepatic function panel}, AFB culture {Acid fast bacilli culture}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB, wheeze 
-2. Cetirizine 10 mg PO DAILY 
-3. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-4. Guaifenesin ER 600 mg PO Q12H 
-5. Levothyroxine Sodium 150 mcg PO DAILY 
-6. Lorazepam 1 mg PO BID 
-7. Montelukast 10 mg PO DAILY 
-8. Losartan Potassium 25 mg PO DAILY 
-9. Tiotropium Bromide 1 CAP IH DAILY 
-10. Aspirin 81 mg PO DAILY 
-11. Multivitamins 1 TAB PO DAILY 
-12. Vitamin D 1000 UNIT PO DAILY 
-13. PredniSONE 10 mg PO DAILY 
-Start: After 20 mg tapered dose 
-14. Levofloxacin 500 mg PO Q24H 
-
- 
-Discharge Medications:
-1. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB, wheeze 
-2. Aspirin 81 mg PO DAILY 
-3. Cetirizine 10 mg PO DAILY 
-4. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-5. Guaifenesin ER 600 mg PO Q12H 
-6. Levothyroxine Sodium 150 mcg PO DAILY 
-7. Lorazepam 1 mg PO BID 
-8. Losartan Potassium 25 mg PO DAILY 
-9. Montelukast 10 mg PO DAILY 
-10. Multivitamins 1 TAB PO DAILY 
-11. Tiotropium Bromide 1 CAP IH DAILY 
-12. Vitamin D 1000 UNIT PO DAILY 
-13. Piperacillin-Tazobactam 4.5 g IV Q6H 
-RX *piperacillin-tazobactam 4.5 gram 4.5 gram IV Every 6 hours 
-Disp #*44 Vial Refills:*0
-14. PredniSONE 60 mg PO DAILY Duration: 1 Dose 
-Take on ___ and return to regular 10mg dosing after that. 
-RX *prednisone 20 mg 3 tablet(s) by mouth Once Disp #*3 Tablet 
-Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Bacterial Pneumonia
-
-Secondary: 
-COPD
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Bacterial Pneumonia {Bacterial pneumonia}, COPD {Chronic obstructive lung disease}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-It was a pleasure participating in your care at ___. You were 
-admitted to the hospital for shortness of breath due to a 
-pneumonia. You were treated with IV antibiotics and should 
-continue to take them through your new ___ line for a total of 
-14 days (last day ___. You are scheduled to see Dr. ___ in 
-the ___ Diseases clinic to discuss whether you will need 
-additional antibiotics after that. Please follow up with the 
-interventional pulmonary doctors as ___. 
-
-We gave you high dose prednisone (60mg) in the hospital which 
-you should also take tomorrow to complete 5 days. On ___, you 
-may resume your normal dose of 10mg daily.
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, pneumonia {Pneumonia}, IV antibiotics {Intravenous antibiotic therapy}, antibiotics {Antibiotic therapy}, follow up {Follow-up arranged}, pulmonary {Pulmonary medicine service}, prednisone {Steroid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Latex
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of Breath
- 
-Major Surgical or Invasive Procedure:
-Thoracentesis (x2)
-Chest Tube
-Bronchoscopy
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Latex {Allergy to Hevea brasiliensis latex protein}, Shortness of Breath {Dyspnea}, Thoracentesis {Thoracentesis}, Chest Tube {Insertion of pleural tube drain}, Bronchoscopy {Bronchoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with newly diagnosed Stage IV NSCLC, rapidly progrsesive, 
-presenting to clinic today with SOB. She was diagnosed on ___ 
-after a ___ week history of cough following which the patient 
-palpated a R supraclavicular node. One week ago the pt was seen 
-by medical oncology and is now s/p a right supraclavicular node 
-biopsy that revealed NSCLC. She presented for follow up PET/CT 
-and subsequently to clinic today. and found be hypoxic (O2 sat 
-___ on RA). The patient was recently started on prednisone 80 mg 
-daily by her PCP for the last 2 days without significant 
-improvement.  
-.  
-Upon further ROS: The pt denies fevers, chills, headache, chest 
-pain, nausea, vomitting, diarrhea, dysuria. The patient notes 
-mild constipation when taking Vicoden.  
-
- 
-
-###RESPONSE: Stage IV NSCLC {Non-small cell carcinoma of lung, TNM stage 4}, progrsesive {Patient's condition worsened}, clinic {Outpatient care management}, SOB {Dyspnea}, cough {Cough}, palpated {Palpation}, R supraclavicular node {Structure of right supraclavicular lymph node}, supraclavicular node 
-biopsy {Supraclavicular lymph node biopsy}, NSCLC {Non-small cell lung cancer}, PET/CT {Positron emission tomography}, clinic {Outpatient care management}, hypoxic {Hypoxia}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, PCP {Primary care management}, improvement {Patient's condition improved}, fevers {Fever}, chills {Chill}, headache {Headache}, chest 
-pain {Chest pain}, nausea {Nausea}, vomitting {Vomiting}, diarrhea {Diarrhea}, dysuria {Dysuria}, mild {Symptom mild}, constipation {Constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Past Oncology History:  
-- Initial symptoms: cough, supraclavicular lymph node, nodular 
-mass lower abdomen  
-- CXR demonstrated R hilar mass. CT on ___ showed 3.5 X 3.7 
-cm R hilar mass with marked narrowing of the right upper lobe 
-bronchus and apparent obstruction of the posterior bronchus to 
-the right upper lobe. Bulky bilateral mediastinal 
-lymphadenopathy was noted. The  
-dominant lymph node mass in the right paratracheal region 
-measured 2.9 x 2.7 cm, with a dominant conglomerate nodal mass 
-in the precarinal lesion measuring 3.3 x 2.8 cm. Multiple lymph 
-nodes were identified throughout the mediastinum including the 
-prevascular space bilaterally, the posterior subcarinal space, 
-and the right hilum. There was a moderate dependent right 
-pleural effusion and a small left pleural effusion as well as a 
-small pericardial effusion. Also noted was a 2.8 x 1.9 cm nodule 
-within the periphery of the right upper lobe. Heterogeneous 
-enhancement of the left adrenal gland was seen, measuring 1.9 x 
-1.8 cm. In addition, an enlarged left supraclavicular lymph node 
-measured 1.4 x 1 cm. Several lucent vertebral body lesions were 
-identified in the lower thoracic spine.  
-- Excisional biopsy of the right supraclavicular lymph node on 
-___.  
-- Pathology: poorly differentiated neuroendocrine carcinoma of 
-pulmonary origin, probably best characterized as large cell 
-type, although there is considerable variation in cell size. No 
-e/o lymphoproliferative disorder.  
-.  
-
-###RESPONSE: cough {Cough}, supraclavicular lymph node {Structure of supraclavicular lymph node}, nodular 
-mass {Nodule}, lower abdomen {Lower abdomen structure}, CXR {Plain chest X-ray}, hilar mass {Mass of hilum}, CT {Computed tomography of abdomen}, hilar mass {Mass of hilum}, narrowing {Narrowing}, right upper lobe 
-bronchus {Structure of bronchus of right upper lobe}, obstruction {Obstruction}, posterior bronchus to 
-the right upper lobe {Structure of right upper lobe posterior segmental bronchus}, mediastinal 
-lymphadenopathy {Mediastinal lymphadenopathy}, lymph node {Structure of lymph node}, mass {Mass}, right paratracheal {Structure of right paratracheal lymph node}, mass {Mass}, precarinal {Structure of pretracheal lymph node}, lesion {Lesion}, lymph 
-nodes {Structure of lymph node}, mediastinum {Mediastinal lymph node structure}, prevascular {Structure of prevascular and/or retrotracheal lymph node}, subcarinal {Structure of subcarinal lymph node}, right hilum {Structure of hilum of right lung}, right {Right sphenoid sinus structure}, pleural effusion {Pleural effusion}, pleural effusion {Pleural effusion}, pericardial effusion {Pericardial effusion}, nodule {Nodule of lung}, right upper lobe {Structure of upper lobe of right lung}, enhancement {Adrenal hyperplasia}, left adrenal gland {Structure of left adrenal gland}, enlarged {Localized enlarged lymph nodes}, left supraclavicular lymph node {Structure of left supraclavicular lymph node}, vertebral body {Structure of body of vertebra}, lesions {Lesion}, thoracic spine {Structure of thoracic vertebral column}, Excisional biopsy {Excisional biopsy}, right supraclavicular lymph node {Structure of right supraclavicular lymph node}, Pathology {Abnormal histology findings}, poorly differentiated neuroendocrine carcinoma {Malignant poorly differentiated neuroendocrine carcinoma}, pulmonary {Examination of respiratory system}, large cell {Large cell carcinoma of lung}, variation in cell size {Cell size alteration}, lymphoproliferative disorder {Lymphoproliferative disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:  
-1. L4/L5 spondylolisthesis with synovial cyst resected in  
-___.  
-2. Left piriformis syndrome.  
-3. Hypertension.  
-4. Status post hysterectomy in ___ for leiomyomata with foci of 
- 
-atypical hyperplasia of the endometrium, focally involving an  
-endometrial polyp.  
-
- 
-
-###RESPONSE: L4 {Bone structure of L4}, L5 {Bone structure of L5}, spondylolisthesis {Spondylolisthesis of lumbar vertebra}, synovial cyst resected {Excision of synovial cyst}, Left {Structure of left piriformis muscle}, piriformis syndrome {Piriformis syndrome}, Hypertension {Hypertensive disorder, systemic arterial}, Status post {Postoperative state}, hysterectomy {Hysterectomy}, leiomyomata {Leiomyoma}, atypical hyperplasia of the endometrium {Endometrioid intraepithelial neoplasia}, endometrial polyp {Polyp of endometrium}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-The patient's mother died at age ___ from squamous cell carcinoma 
-of the oral cavity. Her father died of congestive heart failure 
-at age ___. She has no siblings. Her  paternal aunt was diagnosed 
-with breast cancer in her ___.  
-.  
-
- 
-
-###RESPONSE: died {Dead}, squamous cell carcinoma {Squamous cell carcinoma}, oral cavity {Oral cavity structure}, died {Dead}, congestive heart failure {Congestive heart failure}, breast cancer {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Tc 97.3 BP 125/79 HR 95 RR 28 93% 3L NC  
-Gen: Mild Distress, Sitting upright, AOx3  
-HEENT: PEERLA, EOMI, OP without exudates or erythema  
-Neck: Supple  
-Resp: Healing R supraclavicular bx site with palpable node, 
-bilateral diffuse expiratory wheezes, no accessory muscle use, 
-decreased BS at bases, coarse BS throughout.  
-Card: Regular, S1S2 No MRG  
-Abd: Palpable non-tender mobile 2cm nodule in LLQ, soft, 
-slightly protuberant, non-tender, non-distended, BS+  
-Extr: Trace edema bilaterally, Bilateral mild ulnar deviation of 
-the phalanges  
-Neuro: AOx3, CNII-XII tested and intact. ___ strength and 
-sensation in upper and lower extremities, normal finger to nose 
-bilaterally.  
-Psych: Patient visibly anxious but appropriate conversation.  
-
- 
-
-###RESPONSE: BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, NC {Normal head}, Gen {General examination of patient}, Mild {Symptom mild}, Distress {Distress}, Sitting upright {Sitting upright}, AOx3 {Oriented to person, time and place}, HEENT {Physical examination procedure}, PEERLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, OP {Oropharyngeal structure}, exudates {Exudate}, erythema {Erythema}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Resp {Examination of respiratory system}, Healing {Structure resulting from tissue repair process}, R supraclavicular bx site with palpable node {Supraclavicular lymph node biopsy}, wheezes {Wheezing}, accessory muscle {Accessory skeletal muscle}, decreased BS {Decreased breath sounds}, bases {Structure of base of lung}, BS {Normal bowel sounds}, Card {Cardiovascular physical examination}, Regular {Normal heart rate}, S2 {Normal second heart sound, S>2<}, No MRG {Heart sounds normal}, Abd {Examination of abdomen}, Palpable {Finding by palpation}, non-tender {Abdominal tenderness}, nodule {Nodule}, LLQ {Structure of left lower quadrant of abdomen}, soft {Abdomen soft}, protuberant {Swollen abdomen}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, BS+ {Normal bowel sounds}, Extr {Examination of limb}, edema {Edema}, mild {Symptom mild}, ulnar deviation of 
-the phalanges {Ulnar deviation of fingers}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, XII {Hypoglossal nerve structure}, intact {Normal sensation}, sensation {Normal sensation}, upper {Upper limb structure}, lower extremities {Lower limb structure}, normal {No abnormality detected}, nose {Nasal structure}, Psych {Psychological assessment}, anxious {Anxiety}, appropriate conversation {Conversation content appropriate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs:
-___ 04:40PM   WBC-25.2*# RBC-4.08* HGB-12.0 HCT-35.7* 
-MCV-88 MCH-29.5 MCHC-33.7 RDW-13.2
-___ 04:40PM   NEUTS-86.9* LYMPHS-5.3* MONOS-5.6 EOS-2.0 
-BASOS-0.3
-___ 04:40PM   PLT COUNT-570*
-___ 04:40PM   ___ PTT-35.1* ___
-___ 04:40PM   CALCIUM-9.7 PHOSPHATE-3.3 MAGNESIUM-2.5 URIC 
-ACID-4.5
-___ 04:40PM   CK-MB-5 cTropnT-<0.01 proBNP-2531*
-___ 04:40PM   LIPASE-23
-___ 04:40PM   ALT(SGPT)-26 AST(SGOT)-35 LD(LDH)-370* ALK 
-PHOS-148* AMYLASE-59 TOT BILI-0.2
-___ 04:40PM   GLUCOSE-69* UREA N-19 CREAT-0.7 SODIUM-130* 
-POTASSIUM-4.2 CHLORIDE-85* TOTAL CO2-26 ANION GAP-23*
-.
-CT Head ___
-IMPRESSION: There is no evidence of abnormal enhancement or 
-evidence of focal
-or diffuse lesions. There is no evidence of intracranial 
-hemorrhage, mass, or
-mass effect. No metastasic lesions are visulized, however CT 
-with contrast
-is not able to provide the same anatomical detail comparable to 
-MRI with and
-without contrast.
-.
-PET CT: ___
-MPRESSION: 1. Widespread metastatic disease. 2. Malignant soft 
-tissue nodule
-in the deep right breast is most likely a metastasis from lung 
-cancer (given
-second subcutaneous deposit in the anterior abdominal wall), but 
-the possibility
-of a second breast primary remains a remote consideration. 3. 
-Suspicious
-focus in the pancreas is also likely a metastasis, but again, a 
-primary
-malignancy would be difficult to entirely exclude.
-.
-ECHO: ___
-The left atrium is normal in size. Left ventricular wall 
-thicknesses are normal. The left ventricular cavity size is 
-normal. Overall left ventricular systolic function is normal 
-(LVEF 60-70%). Right ventricular chamber size and free wall 
-motion are normal. There are focal calcifications in the aortic 
-arch. The aortic valve leaflets (3) are mildly thickened but 
-aortic stenosis is not present. Trace aortic regurgitation is 
-seen. The mitral valve leaflets are mildly thickened. There is 
-no mitral valve prolapse. Trivial mitral regurgitation is seen. 
-There is mild pulmonary artery systolic hypertension. The main 
-pulmonary artery is dilated.
-.
-There is a small to moderate sized pericardial effusion. The 
-effusion appears circumferential. There is brief right atrial as 
-well as right ventricular free wall diastolic invagination. 
-However, there is no major respirophasic variation of right or 
-left ventriculart inflow. These findings suggest that increased 
-pericardial pressure is present, without major impairment of 
-ventricular filling or frank cardiac tamponade. Serial clinical 
-and echocardiographic followup is recommended. 
-.
-ECHO ___:
-Overall left ventricular systolic function is normal (LVEF>55%). 
-Right ventricular chamber size and free wall motion are normal. 
-The aortic valve leaflets (3) are mildly thickened. The mitral 
-valve leaflets are mildly thickened. There is a small to 
-moderate sized pericardial effusion. The effusion appears 
-circumferential. There are no echocardiographic signs of 
-tamponade. There is brief right atrial diastolic collapse. 
-.
-Compared with the prior study (images reviewed) of ___, no 
-right ventricular diastolic invagination is appreciated. The 
-pericardial effusion appears slightly smaller.
-.
-___:
-IMPRESSION:
-1. No evidence of aortic dissection or pulmonary embolism to the 
-subsegmental
-level.
-2. Increased dense nonenhancing right lower lobe consolidation 
-consistent
-with pneumonia, with additional increased predominantly 
-ground-glass
-consolidation / post obstructive changes (due to right hilar 
-mass /
-adenopathy) within the posterior portion of the left upper lobe 
-and adjacent
-to the right pleural effusion, which are also presumably 
-infectious in
-etiology. Please note reexpansion edema involving a portion of 
-the right lower
-lobe may also have a similar appearance.
-3. Increased enhancing atelectasis involving the left lower lobe 
-with left
-pleural fluid noted to insinuate around regions of ""drowned"" 
-lung.
-4. No significant interval change in the degree of previously 
-described
-adenopathy and a dominant right hilar mass, with stable mass 
-effect on right
-upper lobe and bronchus intermedius bronchi. Stable mass effect 
-on the right
-upper lobe pulmonary artery, which remains patent.
-5. Unchanged soft tissue density within the deep right breast, 
-which was
-noted to be FDG-avid.
-6. Unchanged background emphysema and interstitial septal 
-thickening, which
-is worrisome for lymphangitic carcinomatosis.
-7. Stable lytic metastatic lesions and thickening of the left 
-adrenal gland.
-.
-___:
-Cytology ReportPLEURAL FLUIDProcedure Date of ___
-  
-REPORT APPROVED ___
-SPECIMEN ___    ___    PLEURAL FLUID
- 
-SPECIMEN DESCRIPTION: Received 1,300 ml of bloody fluid.
-  Prepared 1 ThinPrep slide.
- 
-CLINICAL DATA: 73 with metastatic NSCLA with R pleural 
-effusion.
-PREVIOUS BIOPSIES:
-___ PLEURAL FLUID
-___ PERITONEAL WASHINGS
-REPORT ___. ___
- 
-___: Pleural fluid:
-  
-  ATYPICAL.
-  
-  Clusters of atypical epithelioid cells on cell block
-  (___) only. The cells are negative for ___ 31,
-  B72.3, TTF-1 and CEA and cannot be further classified.
-  
-DIAGNOSED BY:
-___, CT(___)
-___, M.D.
- 
-(___)
-.
-___: TTE
-Overall left ventricular systolic function is normal (LVEF>55%). 
-Right ventricular chamber size and free wall motion are normal. 
-The aortic valve leaflets are mildly thickened. The mitral valve 
-leaflets are mildly thickened. There is a small to moderate 
-sized pericardial effusion. The effusion appears 
-circumferential. No right ventricular diastolic collapse is 
-seen. There is brief right atrial diastolic collapse. There is 
-significant, accentuated respiratory variation in 
-mitral/tricuspid valve inflows, consistent with impaired 
-ventricular filling. 
-
-Compared with the prior study (images reviewed) of ___, 
-the resting heart rate is faster and respiratory variation in 
-mitral valve inflow is present (this may be secondary to other 
-entities than impending tamponade such as volume depletion or 
-lung disease). Left ventricular function is more vigorous. 
-.
-___: CXR
-FINDINGS: As compared to the previous examination, there is 
-increasing
-consolidation and volume loss in the right upper lobe. The 
-perihilar right
-lung areas, notably neighboring a hilar mass, are denser than on 
-the previous
-examination. A pre-existing right-sided pleural effusion is 
-unchanged, and
-the expansion of the right lower lobe is slightly improved as 
-compared to the
-previous exam. No pathologic changes in the left lung.
-.
-Discharge Labs:
-___ 06:40AM BLOOD WBC-4.6 RBC-3.37* Hgb-10.0* Hct-29.9* 
-MCV-89 MCH-29.7 MCHC-33.5 RDW-13.0 Plt ___
-___ 06:40AM BLOOD Plt ___
-___ 07:10AM BLOOD ___ PTT-33.6 ___
-___ 06:40AM BLOOD Glucose-97 UreaN-23* Creat-0.7 Na-136 
-K-3.8 Cl-100 HCO3-29 AnGap-11
-___ 07:10AM BLOOD ALT-12 AST-15 LD(LDH)-168 AlkPhos-91 
-TotBili-0.6
-___ 06:40AM BLOOD Calcium-8.2* Phos-2.6* Mg-2.___ with newly diagnosed metastatic NSCLC here with dyspnea and 
-new 02 requirement.
-.
-# Dyspnea, Hypoxia: The patients initial differential included 
-worsening atelectasis, bronchospasms, worsening effusions, 
-post-obstructive PNA, anxiety, anemia. The patient was admitted 
-on Prednsione 80mg PO Daily which was tapered down during her 
-hospital course in addition to receiving nebs PRN. CXR revealed 
-a large R sided effusion and the  pt underwent thoracentesis on 
-___ during which 2.1L were removed. That evening the pt had an 
-episode of desaturation requiring up to 10L with CXR evidence of 
-re-expansion pulmonary edema, this improved somewhat with 
-diuresis, but CT chest ___ showed marked worsening of effusions 
-& dense consolodate of RLL with ground glass opacities 
-surrounding. A second thoarcenetsis was then performed which was 
-complcated by a PTX after which a chest tube was placed for 24 
-hrs without complication. The patient was placed on Levo/Flagyl 
-for a questionable post-obstructive PNA. The chest tube was 
-removed and ___ 48hrs the patient an the patients 02 requirement 
-resolved. The patient was discharged on room air with home 02 
-PRN.
-.
-# Metastatic NSCLC: PET-CT revealed wide-spread metastatic 
-disease. Pathology ""poorly differentiated neuroendocrine 
-carcinoma of pulmonary origin, probably best characterized as 
-large cell type"". Potentially the etiology of the patients SOB. 
-The patient was initiated on her first cycle of 
-Cabroplatin/Etoposide on ___ for 3 days. The patient tolerated 
-the treatment during her hospital course without complications.
-.
-# Pericardial effusion: A pericardial effusion was noted on CT 
-prior to admittion. TTE (details above) revealed early signs of 
-tamponade on ___, this was improved on ___ echo. Care was 
-taken during diureses not to drop the patients BP. (The patient 
-tolerated doses of 20IV lasix, although 40IV lasix caused 
-asymptomatic drops to the mid ___ systolically). The patient 
-required no interventions and the patients TTE was repeated on 
-___ prior to d/c (details above).
-.
-# Anxiety: Continued anxiety over the past ___ weeks. Has been 
-taking Ativan and Valium while at home.The patient was continued 
-on Ativan 0.5-1mg as needed.
-.
-# HTN: BP controlled.The patients BP was exchanged (Toprol XL 
-50mg for Metoprolol 25mg PO BID) while in house.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}, CALCIUM {Blood calcium measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, LIPASE {Triacylglycerol lipase measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, TOT BILI {Bilirubin, total measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, no evidence {No abnormality detected}, enhancement {Refractive surgery enhancement}, lesions {Lesion}, no evidence {No abnormality detected}, intracranial 
-hemorrhage {Intracranial hemorrhage}, mass {Mass}, mass {Mass}, metastasic {Metastatic malignant neoplasm}, lesions {Lesion}, MRI with {Magnetic resonance imaging of head with contrast}, without contrast {Magnetic resonance imaging without contrast}, disease {Disease}, Malignant soft 
-tissue {Malignant neoplasm of soft tissue}, nodule {Nodule}, right breast {Metastatic malignant neoplasm to right breast}, metastasis from lung 
-cancer {Primary malignant neoplasm of lung}, subcutaneous {Subcutaneous tissue structure of anterior abdominal wall}, deposit {Deposition}, anterior abdominal wall {Anterior abdominal wall structure}, breast primary {Primary malignant neoplasm of breast}, pancreas is also likely a metastasis {Metastatic malignant neoplasm to pancreas}, primary
-malignancy {Primary malignant neoplasm of pancreas}, ECHO {Echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, Left ventricular wall {Left cardiac ventricular structure}, thicknesses are normal {Normal thickness}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, size is 
-normal {Normal size}, left ventricular systolic function {Normal left ventricular systolic function and wall motion}, normal {No abnormality detected}, Right ventricular chamber {Right cardiac ventricular structure}, wall 
-motion are normal {Normal ventricular wall motion}, focal calcifications {Focal calcium deposition, calcified structure}, aortic 
-arch {Aortic arch structure}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, mitral valve prolapse {Mitral valve prolapse}, Trivial mitral regurgitation {Mild mitral valve regurgitation}, mild {Mild mitral valve regurgitation}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, pulmonary artery is dilated {Dilatation of pulmonary artery}, pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, right atrial {Right atrial structure}, right ventricular {Right cardiac ventricular structure}, wall {Cardiac wall structure}, invagination {Invagination}, right {Right cardiac ventricular structure}, left ventriculart {Left cardiac ventricular structure}, inflow {Abnormal cardiac flow}, pericardial {Pericardial structure}, pressure {Pressure}, impairment {Impairment}, ventricular {Cardiac ventricular structure}, filling {Abnormal cardiac flow}, cardiac tamponade {Cardiac tamponade}, echocardiographic {Echocardiography}, followup {Follow-up consultation}, left ventricular systolic function {Normal left ventricular systolic function and wall motion}, normal {No abnormality detected}, Right ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, mitral 
-valve leaflets are mildly thickened {Thickened mitral leaflet}, pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, echocardiographic {Echocardiography}, signs {Sign}, tamponade {Cardiac tamponade}, right atrial {Right atrial structure}, collapse {Collapse}, study {Evaluation procedure}, right ventricular {Right cardiac ventricular structure}, invagination {Invagination}, pericardial effusion {Pericardial effusion}, No evidence {No abnormality detected}, aortic dissection {Dissection of aorta}, pulmonary embolism {Pulmonary embolism}, right lower lobe {Structure of lower lobe of right lung}, consolidation {Lung consolidation}, pneumonia {Pneumonia}, ground-glass {Ground glass lung opacity}, consolidation {Lung consolidation}, obstructive {Obstruction}, hilar 
-mass {Mass of hilum}, adenopathy {Lymphadenopathy}, left upper lobe {Structure of upper lobe of left lung}, right {Right sphenoid sinus structure}, pleural effusion {Pleural effusion}, infectious {Infectious disease}, edema {Edema}, right lower
-lobe {Structure of lower lobe of right lung}, atelectasis {Atelectasis}, left lower lobe {Structure of lower lobe of left lung}, pleural fluid {Pleural effusion}, lung {Lung structure}, adenopathy {Lymphadenopathy}, hilar mass {Mass of hilum}, stable {Symptom not changed}, mass {Nodule of lung}, right
-upper lobe {Structure of upper lobe of right lung}, bronchus {Structure of right bronchus}, Stable {Symptom not changed}, mass {Nodule of lung}, right
-upper lobe pulmonary {Structure of upper lobe of right lung}, soft tissue {Structure of soft tissue}, density {Abnormally opaque structure}, right breast {Right breast structure}, FDG {Positron emission tomography with computed tomography using fluorodeoxyglucose (18-F)}, emphysema {Emphysema}, septal {Cardiac septum structure}, thickening {Increased thickness}, lymphangitic carcinomatosis {Lymphangitis carcinomatosa}, Stable {Patient's condition stable}, lytic {Lysis}, metastatic {Metastatic malignant neoplasm}, lesions {Lesion}, thickening {Increased thickness}, left 
-adrenal gland {Structure of left adrenal gland}, Cytology {Cytology examination - general}, PLEURAL FLUID {Pleural effusion}, SPECIMEN DESCRIPTION {Specimen description}, bloody fluid {Pleural fluid bloodstained}, metastatic {Metastatic malignant neoplasm}, NSCLA {Non-small cell lung cancer}, pleural 
-effusion {Pleural effusion}, BIOPSIES {Biopsy}, PLEURAL FLUID {Pleural effusion}, Pleural fluid {Pleural effusion}, cells {Cell structure}, cell {Cell structure}, block {Obstruction}, cells {Cell structure}, negative {No abnormality detected}, TTE {Transthoracic echocardiography}, left ventricular systolic function {Normal left ventricular systolic function and wall motion}, normal {No abnormality detected}, Right ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, mitral valve 
-leaflets are mildly thickened {Thickened mitral leaflet}, pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, right ventricular {Right cardiac ventricular structure}, collapse {Collapse}, right atrial {Right atrial structure}, collapse {Collapse}, respiratory {Examination of respiratory system}, mitral {Mitral valve regurgitation}, tricuspid valve {Tricuspid valve structure}, inflows {Abnormal cardiac flow}, impaired {Impairment}, ventricular {Cardiac ventricular structure}, filling {Abnormal cardiac flow}, study {Evaluation procedure}, heart rate is faster {Tachycardia}, respiratory {Examination of respiratory system}, mitral valve {Mitral valve structure}, inflow {Abnormal cardiac flow}, tamponade {Cardiac tamponade}, volume depletion {Decreased blood volume}, lung disease {Disorder of lung}, Left ventricular {Left cardiac ventricular structure}, CXR {Plain chest X-ray}, consolidation {Consolidation}, volume loss {Decreased size}, right upper lobe {Structure of upper lobe of right lung}, perihilar right
-lung areas {Structure of perihilar region of right lung}, hilar mass {Mass of hilum}, right-sided {Right breast structure}, pleural effusion {Pleural effusion}, right lower lobe {Structure of lower lobe of right lung}, improved {Patient's condition improved}, exam {Examination of respiratory system}, left lung {Left lung structure}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, metastatic {Metastatic malignant neoplasm}, NSCLC {Non-small cell lung cancer}, dyspnea {Dyspnea}, Dyspnea {Dyspnea}, Hypoxia {Hypoxia}, worsening {Patient's condition worsened}, atelectasis {Atelectasis}, bronchospasms {Bronchospasm}, worsening {Patient's condition worsened}, effusions {Effusion}, post-obstructive PNA {Postobstructive pneumonia}, anxiety {Anxiety}, anemia {Anemia}, CXR {Plain chest X-ray}, R sided {Right pleura structure}, effusion {Pleural effusion}, thoracentesis {Thoracentesis}, removed {Drainage of pleural cavity}, desaturation {Oxygen saturation below reference range}, 10L {Oxygen therapy}, CXR {Plain chest X-ray}, pulmonary edema {Pulmonary edema}, improved {Patient's condition improved}, diuresis {Diuretic therapy}, CT chest {Computed tomography of chest}, worsening {Patient's condition worsened}, effusions {Pleural effusion}, RLL {Structure of lower lobe of right lung}, ground glass opacities {Ground glass lung opacity}, thoarcenetsis {Thoracentesis}, PTX {Pneumothorax}, chest tube was placed {Insertion of pleural tube drain}, on Levo/Flagyl {Antibiotic therapy}, post-obstructive PNA {Postobstructive pneumonia}, chest tube was 
-removed {Intercostal drain removal}, resolved {Problem resolved}, on room air {Breathing room air}, 02 {Oxygen therapy}, Metastatic {Metastatic malignant neoplasm}, NSCLC {Non-small cell lung cancer}, PET-CT {Positron emission tomography}, wide-spread metastatic 
-disease {Widespread metastatic malignant neoplastic disease}, Pathology {Abnormal histology findings}, poorly differentiated neuroendocrine 
-carcinoma {Malignant poorly differentiated neuroendocrine carcinoma}, pulmonary {Primary malignant neoplasm of lung}, large cell {Large cell carcinoma of lung}, SOB {Dyspnea}, Cabroplatin/Etoposide {Chemotherapy}, Pericardial effusion {Pericardial effusion}, pericardial effusion {Pericardial effusion}, TTE {Transthoracic echocardiography}, signs {Sign}, tamponade {Cardiac tamponade}, improved {Patient's condition improved}, echo {Echocardiography}, diureses {Diuretic therapy}, drop the patients BP {Finding of decreased blood pressure}, lasix {Diuretic therapy}, lasix {Diuretic therapy}, asymptomatic {Asymptomatic}, drops {Finding of decreased blood pressure}, TTE {Transthoracic echocardiography}, Anxiety {Anxiety}, anxiety {Anxiety}, HTN {Hypertensive disorder, systemic arterial}, BP {Blood pressure finding}, BP {Blood pressure finding}, exchanged {Change of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-HYDROCODONE-ACETAMINOPHEN - 5 mg-500 mg Tablet - ___ Tablet(s) 
-by  
-mouth every six (6) hours as needed for pain  
-LORAZEPAM - (Prescribed by Other Provider) - 1 mg Tablet -  
-Tablet(s) by mouth  
-METOPROLOL SUCCINATE - (Prescribed by Other Provider) - 50 mg  
-Tablet Sustained Release 24 hr - 1 (One) Tablet(s) by mouth qd  
-- OTC  
-ACETAMINOPHEN [TYLENOL ARTHRITIS] - (___) - 650 mg Tablet  
-Sustained Release - Tablet(s) by mouth as needed for pain  
-ASPIRIN [BABY ASPIRIN] - (OTC) - 81 mg Tablet, Chewable - 1  
-Tablet(s) by mouth once a day  
-DOCUSATE SODIUM [DOCUSIL] - 100 mg Capsule - 1 Capsule(s) by  
-mouth twice a day as needed for while on pain med HOLD if having 
- 
-diarrhea  
-IBUPROFEN [MOTRIN] - (___) - 600 mg Tablet - 1 Tablet(s) by  
-mouth twice a day as needed for pain  
-
- 
-Discharge Medications:
-1. Home O2 therapy ___
-Patient requires home O2 for hypoxia with malignant pleural 
-effusion
-2. Prednisone 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily) 
-for 4 days: to complete taper.
-Disp:*4 Tablet(s)* Refills:*0*
-3. Percocet ___ mg Tablet Sig: ___ Tablets PO every six (6) 
-hours as needed for pain: do not drive or drink alcohol with 
-this medication.  
-4. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 
-hours) as needed for anxiety: do not drink or drink alcohol with 
-this medication.  
-5. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO once a day.  
-6. Tylenol ___ mg Tablet Sig: ___ Tablets PO every six (6) hours 
-as needed for pain.  
-7. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day.  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Community acquired pneumonia
-Pleural Effusion
-Pericardial effusion
-.
-Secondary Diagnosis:
-Non small cell lung cancer
-Anxiety
-
- 
-Discharge Condition:
-Good, on RA. Desats to the high ___ when climbing stairs. At her 
-mental baseline.
-
- 
-
-###RESPONSE: With Service {Home health aide service management}, Community acquired pneumonia {Community acquired pneumonia}, Pleural Effusion {Pleural effusion}, Pericardial effusion {Pericardial effusion}, Non small cell lung cancer {Non-small cell lung cancer}, Anxiety {Anxiety}, Good {Patient's condition satisfactory}, RA {Breathing room air}, climbing stairs {Difficulty walking up stairs}, mental {Mental state finding}, baseline {Baseline state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with shortness of breath.  You were found to 
-have both a pneumonia and fluid in your lung (pleural effusion). 
- You underwent a thoracentesis with removal of fluid in your 
-lung.  Your chest x rays have been stable since then, as well as 
-your echocardiogram.
-.
-Please continue your home medications as before.  You have 
-completed a course of antibiotics for presumed pneumonia.  
-Additionally, we are tapering your steroids starting by your 
-primary physician.  Please continue Prednisone 10mg daily for an 
-additional 4 days and then stop.
-.
-Please follow up with Dr. ___ on ___ as scheduled, and 
-follow up with Dr. ___ in 2 weeks to reassess your pericardial 
-effusion
-.
-Please return to the hospital if you experience worsening 
-shortness of breath, chest pain, high fever, or low blood 
-pressure
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, pneumonia {Pneumonia}, fluid in your lung {Pleural effusion}, pleural effusion {Pleural effusion}, thoracentesis {Thoracentesis}, removal {Removal}, fluid in your 
-lung {Pleural effusion}, chest x rays {Plain chest X-ray}, stable {Patient's condition stable}, echocardiogram {Echocardiography}, medications {Administration of drug or medicament}, antibiotics {Antibiotic therapy}, pneumonia {Pneumonia}, steroids {Steroid therapy}, primary physician {Primary care management}, follow up {Follow-up arranged}, pericardial 
-effusion {Pericardial effusion}, worsening {Patient's condition worsened}, shortness of breath {Dyspnea}, chest pain {Chest pain}, fever {Fever}, low blood 
-pressure {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Citalopram
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of breath
- 
-Major Surgical or Invasive Procedure:
-None 
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ woman with history of moderate COPD/asthma (FEV1 40% 
-pred. in ___, CAD, diastolic CHF, and aortic aneurysm who 
-presented to the emergency room overnight with several weeks of 
-SOB and cough productive of yellow sputum. Pt reports that 
-symptoms have been intermittent for several weeks; recently 
-symptoms have become worse. She was seen by her PCP ___ who 
-recommended that she keep her appointment with her pulmonologist 
-___ for consideration of initiation of daily low dose 
-prednisone. Of note, in the past pt has had issues with 
-noncompliance with meds. Pt reports that she has been using her 
-nebs more frequently recently given her SOB.  
-.  
-Her initial vitals in the ED were 100.4, 86, 136/89, 16, and 
-94%. Labs notable for no white count, normal electrolytes and 
-normal lactate (1.3). Chest x-ray notable for stable left 
-lingular nodule and linear opacities in the right mid lung. 
-There was no acute process. Nevertheless, the patient was 
-treated for CAP in the ED with ceftriaxone and azithromycin. She 
-was also treated with methylprednisolone and Combivent nebs for 
-presumptive COPD exacerbation. Blood cultures were drawn prior 
-to antibiotic administration. The patient was then admitted for 
-further treatment. Vitals at time of admit: 97.9, 77, 157/83, 
-18, 100% RA.  
-.  
-Review of Systems:  
-(+) Pt reports feeling nightsweats yesterday, nausea two days 
-ago, intermittent headaches (recently changed from amitriptyline 
-prn to daily), chronic constipation  
-(-) Denies rhinorrhea, sore throat, chest pain, palpitations, 
-abdominal pain  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, asthma {Asthma}, CAD {Coronary arteriosclerosis}, diastolic CHF {Heart failure with normal ejection fraction}, aortic aneurysm {Aortic aneurysm}, emergency {Emergency treatment management}, SOB {Dyspnea}, cough productive of yellow sputum {Productive cough-yellow sputum}, worse {Patient's condition worsened}, PCP {Primary care management}, prednisone {Steroid therapy}, noncompliance with meds {Non-compliance of drug therapy}, nebs {Nebulizer therapy}, SOB {Dyspnea}, vitals {Vital signs finding}, Labs {Laboratory test}, white count {White blood cell count outside reference range}, normal electrolytes {Electrolytes within reference range}, normal {No abnormality detected}, lactate {Lactic acid measurement}, Chest x-ray {Plain chest X-ray}, stable {Symptom not changed}, left {Left pleura structure}, lingular {Structure of lingular bronchus}, nodule {Nodule of lung}, opacities {Abnormally opaque structure}, right mid lung {Structure of middle lobe of right lung}, no acute {No abnormality detected}, CAP {Community acquired pneumonia}, azithromycin {Antibiotic therapy}, nebs {Nebulizer therapy}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, Blood cultures {Blood culture}, antibiotic {Antibiotic therapy}, Vitals {Vital signs finding}, Review of Systems {Review of systems}, nightsweats {Night sweats}, nausea {Nausea}, intermittent headaches {Intermittent headache}, changed {Change of medication}, chronic constipation {Chronic constipation}, rhinorrhea {Nasal discharge}, sore throat {Sore throat}, chest pain {Chest pain}, palpitations {Palpitations}, abdominal pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Chronic obstructive pulmonary disease  
-- Asthma  
-- Hypertension  
-- Headaches  
-- Duodenal and stomach ulcers, s/p partial gastrectomy  
-- Aortic aneurysm  
-- Cataracts  
-- History of pulmonary nodule  
-- Diastolic CHF  
-
- 
-
-###RESPONSE: Chronic obstructive pulmonary disease {Chronic obstructive lung disease}, Asthma {Asthma}, Hypertension {Hypertensive disorder, systemic arterial}, Headaches {Headache}, Duodenal {Ulcer of duodenum}, stomach ulcers {Gastric ulcer}, partial gastrectomy {Subtotal gastrectomy}, Aortic aneurysm {Aortic aneurysm}, Cataracts {Cataract}, pulmonary nodule {Nodule of lung}, Diastolic CHF {Heart failure with normal ejection fraction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On admission:
-VS: 98.1  140/80  72  24  100%4L 
-Gen: NAD. Alert and oriented x3. Mood and affect appropriate. 
-Pleasant and cooperative. Resting in bed.
-HEENT: NCAT. PERRL, EOMI, anicteric sclera. MMM, OP clear.
-Neck: Supple. JVP not elevated.  
-CV: RRR.  Normal S1, S2.  No murmur, rubs, or gallops.
-Chest: Faint diffuse wheezes, decreased breath sounds diffusely, 
-bibasilar crackles  
-Abd: BS present. Soft, NT, ND. No HSM detected.
-Ext: WWP, no cyanosis or clubbing. Trace ___ edema. Digital cap 
-refill <2 sec.  Distal pulses DP 2+, ___ 2+.
-Neuro/Psych: CNs II-XII intact. ___ strength in U/L extremities
- 
-
-###RESPONSE: VS {Vital signs finding}, Gen {General examination of patient}, NAD {No abnormality detected}, Alert {Mentally alert}, oriented {Orientated}, Mood {Level of mood - normal}, affect {Mood finding}, cooperative {Cooperative mental state}, Resting in bed {Lying in bed}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, anicteric sclera {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Chest {Examination of respiratory system}, wheezes {Wheezing}, decreased breath sounds {Decreased breath sounds}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, Abd {Examination of abdomen}, BS present {Normal bowel sounds}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, pulses {Pulse finding}, DP 2 {Dorsalis pulse present}, Neuro {Neurological examination}, CNs II-XII {Cranial nerve structure}, intact {No abnormality detected}, extremities {All extremities}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
---------------
-___ 01:00AM BLOOD WBC-4.1 RBC-4.26 Hgb-12.3 Hct-37.7 MCV-89 
-MCH-28.9 MCHC-32.6 RDW-14.0 Plt ___
-___ 01:00AM BLOOD Glucose-148* UreaN-14 Creat-0.8 Na-141 
-K-5.1 Cl-102 HCO3-31 AnGap-13
-___ 01:19AM BLOOD Lactate-1.3
-___ 1:00 am Blood Culture, Routine (Preliminary): 
-      STAPHYLOCOCCUS, COAGULASE NEGATIVE. 
-.
-DISCHARGE LABS
---------------
-___ 07:20AM BLOOD WBC-5.3 RBC-4.20 Hgb-12.4 Hct-38.0 MCV-90 
-MCH-29.5 MCHC-32.6 RDW-14.7 Plt ___
-___ 07:20AM BLOOD Glucose-112* UreaN-26* Creat-0.8 Na-144 
-K-3.5 Cl-105 HCO3-26 AnGap-17
-___ 07:20AM BLOOD Calcium-9.0 Phos-4.2 Mg-2.0
-.
-IMAGING
--------
-Chest (PA & LAT) ___:
-FRONTAL AND LATERAL VIEWS OF THE CHEST: Linear opacities in the 
-right lung are again seen, unchanged since the prior study and 
-likely relate to 
-scarring/nonspecific fibrosis. The left lingular nodular opacity 
-is not as discretely seen on this study but appears stable in 
-size. There is no new pleural effusion or pneumothorax. Mild 
-cardiomegaly is unchanged. The aorta remains tortuous. 
-  
-IMPRESSION: No acute intrathoracic process. Stable appearance of 
-scarring/fibrosis over the right mid lung and lingular nodular 
-density. 
-.
-MICROBIOLOGY
-------------
-___ 1:00 am BLOOD CULTURE
-
-   Blood Culture, Routine (Preliminary): 
-      STAPHYLOCOCCUS, COAGULASE NEGATIVE. 
-         Isolated from only one set in the previous five days. 
-         SENSITIVITIES PERFORMED ON REQUEST.. 
-
-   Aerobic Bottle Gram Stain (Final ___: 
-      Reported to and read back by ___ @ 5:54A 
-___. 
-      GRAM POSITIVE COCCI. 
-      IN PAIRS AND CLUSTERS.
-.
-Blood culture ___: pending, no growth to date
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Lactate {Lactic acid measurement}, Blood Culture {Blood culture}, NEGATIVE {No pathologic diagnosis}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, IMAGING {Imaging}, CHEST {Plain chest X-ray}, opacities {Abnormally opaque structure}, right lung {Right lung structure}, unchanged {Patient condition unchanged}, study {Evaluation procedure}, scarring {Scar}, fibrosis {Fibrosis}, left {Left pleura structure}, lingular {Structure of lingular bronchus}, nodular {Nodule of lung}, opacity {Abnormally opaque structure}, study {Evaluation procedure}, stable {Symptom not changed}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, cardiomegaly {Cardiomegaly}, unchanged {Patient condition unchanged}, aorta {Aortic structure}, tortuous {Tortuosity}, No acute intrathoracic process {No abnormality detected}, scarring {Scar}, fibrosis {Fibrosis}, right mid lung {Structure of middle lobe of right lung}, lingular {Structure of lingular bronchus}, nodular {Nodule of lung}, density {Abnormally opaque structure}, MICROBIOLOGY {Microbiology}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, NEGATIVE {No pathologic diagnosis}, SENSITIVITIES {Antimicrobial susceptibility test}, Gram Stain {Gram stain method}, Blood culture {Blood culture}, no growth {No organism isolated by microbiologic culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ woman with history of moderate obstructive lung 
-disease presents with two weeks of shortness of breath and a 
-couple days of sputum production, with low-grade fevers in the 
-emergency room.  
-.  
-ACTIVE ISSUES
--------------
-# Shortness of breath, productive cough, low-grade fever: 
-dyspnea likely secondary to COPD flare, possibly exacerbated by 
-viral bronchitis given cough and low grade temperature.  Chest 
-X-ray did not show pneumonia.  Patient was given standing 
-nebulizers and prednisone 60mg x 7 days without a taper.  She 
-was also treated with azithromycin x 5 days.  She was kept on 
-her home oxygen of 4 liters with maintenance of oxygen 
-saturations.
-.  
-INACTIVE ISSUES
----------------
-# Diastolic CHF: Last TTE on ___ showed preserved ejection 
-fraction, and no significant valvular disease.  She appeared 
-euvolemic on exam.  Chest X-ray was without any large effusions. 
- Patient was continued on her home dose of furosemide during 
-hospitalization. 
-.  
-# Aortic aneurysm: CTA performed on ___ showing slightly 
-enlarged aortic aneurysm measuring approximately 4.5 cm AP x 4.9 
-cm transversely (previously 4.2 cm in AP x 4.2 cm transverse).  
-She should follow-up with her PCP as an outpatient further 
-regarding this problem.
-. 
-# Hypertension: patient was continued on her home dose of lasix 
-and lisinopril. 
-.  
-# Headaches: patient was continued on her home dose of 
-amitryptiline.  
-.
-# Gastroesophageal reflux disease: patient was continued on home 
-proton pump inhibitor. 
-.
-TRANSITION OF CARE
-------------------
-# Follow-up: patient has pending blood cultures that should be 
-followed up upon discharge.  She will be scheduled by her 
-primary care provider for ___ follow-up 
-appointment.  She will also be seen by Pulmonary soon after 
-discharge for an initial assessment.
-.
-# Code status: patient is confirmed full code
-.
-# Communication:
-- Al (son): ___.  
-- ___ (son): ___. 
- 
-
-###RESPONSE: moderate obstructive lung 
-disease {Moderate chronic obstructive pulmonary disease}, shortness of breath {Dyspnea}, sputum production {Productive cough}, low-grade fevers {Low grade pyrexia}, emergency {Emergency treatment management}, Shortness of breath {Dyspnea}, productive cough {Productive cough}, low-grade fever {Low grade pyrexia}, dyspnea {Dyspnea}, COPD flare {Acute exacerbation of chronic obstructive airways disease}, viral bronchitis {Viral bronchitis}, cough {Cough}, temperature {Body temperature above reference range}, Chest 
-X-ray {Plain chest X-ray}, pneumonia {Pneumonia}, nebulizers {Nebulizer therapy}, prednisone {Steroid therapy}, taper {Medication decreased}, azithromycin {Antibiotic therapy}, home oxygen {Home oxygen therapy}, oxygen 
-saturations {Finding of oxygen saturation}, Diastolic CHF {Heart failure with normal ejection fraction}, TTE {Transthoracic echocardiography}, valvular disease {Heart valve disorder}, euvolemic {Normal blood volume}, exam {Evaluation procedure}, Chest X-ray {Plain chest X-ray}, effusions {Pleural effusion}, Aortic aneurysm {Aortic aneurysm}, CTA {Computed tomography angiography with contrast}, enlarged {Enlargement}, aortic aneurysm {Aortic aneurysm}, PCP {Primary care management}, problem {Problem}, Hypertension {Hypertensive disorder, systemic arterial}, lasix {Diuretic therapy}, Headaches {Headache}, Gastroesophageal reflux disease {Gastroesophageal reflux disease}, proton pump inhibitor {Proton pump inhibitor therapy}, TRANSITION OF CARE {Transition of care}, blood cultures {Blood culture}, primary care {Primary care management}, Pulmonary {Pulmonary medicine service}, assessment {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-- albuterol 90 mcg HFA 2 puffs q6h prn  
-- amitryptiline 50 mg once daily at night  
-- budesonide 0.5 mg/2 mL solution for nebulizer bid  
-- furosemide 40 mg every morning  
-- ibuprofen 600 mg tid to qid prn  
-- ipratropium-albuterol nebs up to three times daily  
-- lactulose hs prn for constipation  
-- lisinopril 40 mg qday  
-- omeprazole 20 mg qday  
-- oxygen 4L at night  
-- acetaminophen prn  
-- multivitamin 
- 
-Discharge Medications:
-1. amitriptyline 50 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-2. furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-3. lactulose 10 gram/15 mL Syrup Sig: Thirty (30) ML PO DAILY 
-(Daily) as needed for constipation.  
-4. lisinopril 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 
- 
-5. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-6. multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-7. prednisone 20 mg Tablet Sig: Three (3) Tablet PO DAILY 
-(Daily) for 3 days.
-Disp:*9 Tablet(s)* Refills:*0*
-8. azithromycin 250 mg Tablet Sig: One (1) Tablet PO Q24H (every 
-24 hours) for 1 days.
-Disp:*1 Tablet(s)* Refills:*0*
-9. acetaminophen  Oral
-10. albuterol sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: 
-Two (2) puffs Inhalation every six (6) hours as needed for 
-shortness of breath or wheezing.  
-11. budesonide 0.5 mg/2 mL Suspension for Nebulization Sig: One 
-(1)  Inhalation twice a day.  
-12. ipratropium-albuterol 0.5 mg-3 mg(2.5 mg base)/3 mL Solution 
-for Nebulization Sig: One (1)  Inhalation three times a day as 
-needed for shortness of breath or wheezing.  
-13. ibuprofen  Oral
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary diagnosis:
-
-Chronic obstructive pulmonary disease flare
-Bacteremia
-
-Secondary diagnosis: 
-
-Diastolic congestive heart failure
-Hypertension
-Aortic aneurysm
-Gastroesophageal reflux disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Chronic obstructive pulmonary disease flare {Acute exacerbation of chronic obstructive airways disease}, Bacteremia {Bacteremia}, Diastolic congestive heart failure {Heart failure with normal ejection fraction}, Hypertension {Hypertensive disorder, systemic arterial}, Aortic aneurysm {Aortic aneurysm}, Gastroesophageal reflux disease {Gastroesophageal reflux disease}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you at the ___.  You came for 
-further evaluation of shortness of breath.  Further evaluation 
-suggested that you had a flare-up of your chronic obstructive 
-pulmonary disease.  It is very important that you continue to 
-take your medications as prescribed and follow up with your 
-primary care provider after discharge.
-
-The following changes have been made to your medications:
-1) Prednisone 60mg was started, which you should continue for 
-three more days, starting tomorrow
-2) Azithromycin 250mg was started, which you should continue for 
-one more day, starting tomorrow
-
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, shortness of breath {Dyspnea}, evaluation {Evaluation procedure}, flare-up of your chronic obstructive 
-pulmonary disease {Acute exacerbation of chronic obstructive airways disease}, continue to 
-take your medications as prescribed {Recommendation to continue with drug treatment}, primary care {Primary care management}, Prednisone {Steroid therapy}, started {New medication added}, Azithromycin {Antibiotic therapy}, started {New medication added}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics)
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of Breath 
- 
-Major Surgical or Invasive Procedure:
-None 
-
- 
-
-###RESPONSE: Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, Shortness of Breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is an ___ year old female with PMH of moderate-to-severe 
-COPD (on home 2L O2, no intubations/ICU stays) who presents from 
-home with shortness of breath for 4 days. Patient was last in 
-her usual state of health until 3 days prior to presentation 
-when she developed insidious onset shortness of breath with 
-cough. She had no fevers or chills and noted increased chest 
-congestion but is unable to expectorate. She presented to her 
-PCP's office 2 days PTA when she was prescribed prednisone and a 
-z-pak. Then on the day prior to this admission she presented to 
-the ___ ED for persistant SOB nad weakness. She was unable to 
-eat large quantities because of the shortness of breath. In the 
-ED she was treated with albuterol nebs and was discharged after 
-performing well on a walk test around the ED. Then, on the day 
-of presentation, patient's shortness of breath again became 
-suddenly worse. She was speaking in short sentences and 
-activities such as walking across the room or going to the 
-bathroom caused her severe dyspnea. She called the ambulance and 
-was taken back to the ED.
-.  
-In the ED, initial vital signs were T95.6, HR98, BP175/96, RR28, 
-O2sat99% 2L nasal prongs. Exam was significant for initially 
-speaking in 2 word sentences, and poor air entry b/l with no 
-wheezes/crackles. This improved with nebulizers and she was able 
-to speak in full sentences. ECG showed sinus tachycardia with no 
-acute ST-t wave changes. Troponin was <0.01. WBC count was 
-normal, and patient received prednisone 60mg, ipratropium and 
-albuterol nebs, and azithromycin 250mg. She had an episode of 
-desaturation to 86% on nebs and was placed on NIPPV (FiO2: 100 
-PEEP: 5 PS: 10) with improvement of sats up to 96%. Unable to 
-tolerate further bipap she was placed on 5LNC with O2sats 96%. 
-She received 1mg of IV ativan for anxiety. Vital signs prior to 
-transfer were T97.9 HR103 BP177/87 RR28 O2sat95% 5LNC.  
-. 
-On arrival to the MICU, intial VS were T98.1, HR99, BP152/90, 
-RR29, O2sat94% 5LNC. She reports improvement in her SOB. She 
-reports being hungry. She endorses a slight headache. She 
-reports having some loose stool that corresponds to when she 
-started azithromycin as an outpatient.  
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, intubations {Intubation}, shortness of breath {Dyspnea}, cough {Cough}, fevers {Fever}, chills {Chill}, unable to expectorate {Unable to expectorate}, SOB {Dyspnea}, weakness {Asthenia}, unable to 
-eat {Unable to eat}, shortness of breath {Dyspnea}, shortness of breath {Dyspnea}, dyspnea {Dyspnea}, wheezes {Wheezing}, crackles {Respiratory crackles}, improved {Patient's condition improved}, nebulizers {Nebulizer therapy}, able 
-to speak {Able to speak}, ECG {Electrocardiographic procedure}, sinus tachycardia {Sinus tachycardia}, t wave changes {Electrocardiographic T wave abnormal}, Troponin {Troponin measurement}, WBC count was 
-normal {White blood cell count within reference range}, bipap {Bilevel positive airway pressure titration}, anxiety {Anxiety}, SOB {Dyspnea}, hungry {Hungry}, headache {Headache}, loose stool {Loose stool}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Asthma
-- COPD
-- GERD
-- Anxiety
-- Osteopenia 
-- S/p cataract surgery
-- White coat HTN (BPs at home 120s-130s/70s-80s) 
- 
-
-###RESPONSE: Asthma {Asthma}, COPD {Chronic obstructive lung disease}, GERD {Gastroesophageal reflux disease}, Anxiety {Anxiety}, Osteopenia {Osteopenia}, cataract surgery {Cataract surgery}, White coat HTN {Labile hypertension due to being in a clinical environment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother had angina. No other CAD, no cancers. Brother has 
-___.  
-
- 
-
-###RESPONSE: angina {Angina}, CAD {Coronary arteriosclerosis}, cancers {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM: 
-Vitals: T 98.1, HR 99, BP 152/90, RR 29, O2sat 94% 5LNC  
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL  
-Neck: Supple, JVP not elevated, no LAD  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Lungs: Poor air movement bilaterally, diffuse rhonchi  
-Abdomen: Soft, non-tender, non-distended, bowel sounds present, 
-no organomegaly  
-GU: No foley  
-Ext: Warm, well perfused, no edema or cyanosis  
-Neuro: CNII-XII intact, ___ strength upper/lower extremities, 
-grossly normal sensation, gait deferred  
-.
-DISCHARGE EXAM: 
-VS: Tm 98.5, BP 164/82, P 70, R 18, 97-99% on 1L NC    
-GENERAL: NAD, comfortable, speaking in full sentences  
-HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, MMM, OP clear  
-NECK: Supple, no thyromegaly, no JVD
-HEART: RRR, nl S1-S2, no MRG
-LUNGS: Ronchorus BS throughout with diffuse expiratory wheezing 
-though improved 
-ABDOMEN: NABS, soft/NT/ND, no masses or HSM, no rebound/guarding
-EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses (radials, DPs)  
-
-SKIN: Scattered ecchymoses
-NEURO: Awake, A&Ox3, CNs II-XII grossly intact, strength and 
-sensation grossly intact 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, NC {Normal head}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Lungs {Examination of respiratory system}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, cyanosis {Cyanosis}, Neuro {Neurological examination}, CNII {Optic nerve structure}, XII intact {Intact hypoglossal nerve}, upper {Upper limb structure}, lower extremities {Lower limb structure}, normal sensation {Normal sensation}, gait deferred {Abnormal gait}, VS {Vital signs finding}, BP {Blood pressure finding}, NC {Normal head}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, thyromegaly {Goiter}, JVD {Jugular venous engorgement}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no MRG {Heart sounds normal}, LUNGS {Examination of respiratory system}, Ronchorus {Wheeze - rhonchi}, wheezing {Wheezing}, improved {Patient's condition improved}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, 2+ peripheral pulses {Peripheral pulses normal}, radials {Normal radial pulse}, SKIN {Examination of skin}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Awake {Awake}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, CNs II {Optic nerve structure}, XII {Hypoglossal nerve structure}, grossly intact {Normal nervous system function}, sensation grossly intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 06:12PM BLOOD WBC-8.8 RBC-4.78 Hgb-14.1 Hct-42.5 MCV-89 
-MCH-29.6 MCHC-33.3 RDW-12.8 Plt ___
-___ 06:12PM BLOOD Neuts-91.7* Lymphs-6.7* Monos-1.4* Eos-0 
-Baso-0.2
-___ 06:12PM BLOOD Glucose-169* UreaN-18 Creat-0.9 Na-136 
-K-4.5 Cl-101 HCO3-23 AnGap-17
-___ 04:06AM BLOOD Calcium-9.3 Phos-3.9 Mg-2.3
-___ 09:55AM BLOOD cTropnT-<0.01
-___ 04:00PM URINE Color-Yellow Appear-Clear Sp ___
-___ 04:00PM URINE Blood-TR Nitrite-NEG Protein-TR 
-Glucose-150 Ketone-10 Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-NEG
-___ 04:00PM URINE RBC-1 WBC-2 Bacteri-NONE Yeast-NONE Epi-1
-.
-DISCHARGE LABS:
-___ 08:00AM BLOOD WBC-11.9* RBC-4.66 Hgb-13.8 Hct-42.4 
-MCV-91 MCH-29.7 MCHC-32.6 RDW-12.6 Plt ___
-___ 08:00AM BLOOD Glucose-130* UreaN-27* Creat-0.9 Na-142 
-K-4.0 Cl-99 HCO3-34* AnGap-13
-___ 08:00AM BLOOD Calcium-9.5 Phos-3.6 Mg-2.0
-.
-MICRO:
-___ Blood cultures: no growth to date
-___ Urine culture: pending  
-.
-IMAGING:
-___ PA/LAT/OBLIQUE CXR: The heart is normal in size. The 
-mediastinal and hilar contours appear unchanged. The aortic arch 
-is calcified. Central pulmonary arteries are again prominent. 
-The chest is hyperinflated. Bronchovascular markings are 
-attenuated and irregular, particularly in the upper lungs, 
-suggesting obstructive pulmonary disease. A hiatal hernia is 
-probably small-to-moderate in size. No focal opacity is 
-identified. There is no pleural effusion or pneumothorax. Mild 
-degenerative changes are similar along the lower thoracic spine.
-IMPRESSION: Findings suggesting chronic obstructive pulmonary 
-disease. No evidence of pneumonia. Small-to-moderate hiatal 
-hernia. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, cTropnT {Troponin T cardiac measurement}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Blood cultures {Blood culture}, Urine culture {Urine culture}, PA {Plain x-ray of chest posteroanterior view}, LAT {Diagnostic radiography of chest, lateral}, CXR {Plain chest X-ray}, heart {Heart structure}, normal in size {Normal size}, mediastinal {Mediastinal structure}, hilar {Hilar lymphadenopathy}, aortic arch {Aortic arch structure}, calcified {Pathologic calcification, calcified structure}, Central pulmonary arteries {Structure of central pulmonary artery}, chest is hyperinflated {Chest over-expanded}, upper lungs {Structure of upper zone of lung}, pulmonary disease {Disorder of lung}, hiatal hernia {Hiatal hernia}, opacity {Abnormally opaque structure}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, thoracic spine {Structure of thoracic vertebral column}, chronic obstructive pulmonary 
-disease {Chronic obstructive lung disease}, pneumonia {Pneumonia}, hiatal 
-hernia {Hiatal hernia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old female with PMH of moderate-to-severe COPD (FEV1 37% 
-of predicted ___ on home O2 for exertion, who presented with 
-SOB secondary to a COPD exacerbation. 
-. 
-ACTIVE ISSUES: 
-# COPD exacerbation: Patient has moderate-severe COPD on 2LNC 
-home oxygen only with exertion, otherwise on room air. She 
-presented with 3 days of increasing shortness of breath 
-improving with bronchodilators and at one point requiring NIPPV 
-in the ED. She had a significant component of anxiety while in 
-the ED, exacerbating the tachypnea in addition to her COPD 
-flare, which has been the case in prior exacerbations as well 
-per discussion with her PCP. Overnight in the ICU she was easily 
-weaned to 91% oxygen on room air and was able to be transferred 
-to the medical floor. Although there was no evidence of 
-pneumonia on her CXR, she was continued on the azithromycin 
-which had been started by her PCP and completed ___ 5-day course. 
-She was also started on prednisone 60mg daily with plan for a 
-slow taper. Her Advair, Spiriva, and albuterol were continued 
-and she was treated with lorazepam prn for anxiety with good 
-effect. Upon discharge she was breathing comfortably with O2 
-sats in the mid-90s on 1L NC and was ambulating. She is 
-currently on prednisone 50mg daily with plan to taper as 
-follows: 40mg (___), 30mg (___), 20mg (___), 
-10mg (___), and then stop. She will have outpatient 
-pulmonary rehab and has f/u appointments scheduled with her PCP 
-and pulmonologist.   
-.
-# Hypertension: Patient's blood pressure was persistent elevated 
-in the 150s-160s with several readings in the 170s. She denies a 
-history of HTN and after discussing this with her PCP ___. 
-___ may be a component of white coat hypertension 
-and anxiety. We elected not to treat it at this time. She has a 
-f/u appointment with Dr. ___ at which time he will recheck 
-her BP and decide whether to start an antihypertensive agent.  
-.
-# UTI: Patient developed a mild leukocytosis (WBC 11.9) on the 
-day of discharge. She has been afebrile but UA revealed a UTI. 
-She states that she has a history of recurrent UTIs and has a 
-prescription for ciprofloxacin 250mg at home which is not 
-expired. She wishes to take her own medication at home and 
-states that she will take 1 pill BID for the next 3 days. She 
-understands warning signs that should prompt her to seek medical 
-attention such as worsening abdominal pain, flank pain, or 
-fevers. The urine culture is pending at the time of discharge. I 
-will follow this up and contact the patient and her PCP should 
-the organism return resistant to ciprofloxacin.   
-.
-INACTIVE ISSUES: 
-# Osteopenia: Continued Vitamin D supplementation.
-.
-TRANSITIONAL ISSUES: 
-# Opacity on CXR: Patient had a small opacity in the 
-costophrenic recess on the lateral view CXR. Unclear etiology 
-but stable since ___. Radiology recommends non-emergent CT scan 
-to evaluate. The patient is aware of this. 
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, SOB {Dyspnea}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD {Chronic obstructive lung disease}, on room air {Breathing room air}, shortness of breath {Dyspnea}, anxiety {Anxiety}, tachypnea {Tachypnea}, COPD {Chronic obstructive lung disease}, on room air {Breathing room air}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, anxiety {Anxiety}, ambulating {Fully mobile}, Hypertension {Hypertensive disorder, systemic arterial}, blood pressure was persistent elevated {Finding of increased blood pressure}, HTN {Hypertensive disorder, systemic arterial}, white coat hypertension {Labile hypertension due to being in a clinical environment}, anxiety {Anxiety}, UTI {Urinary tract infectious disease}, leukocytosis {Leukocytosis}, afebrile {Fever}, UA {Urinalysis}, UTI {Urinary tract infectious disease}, recurrent UTIs {Recurrent urinary tract infection}, abdominal pain {Abdominal pain}, flank pain {Flank pain}, fevers {Fever}, urine culture {Urine culture}, Osteopenia {Osteopenia}, Opacity {Abnormally opaque structure}, CXR {Plain chest X-ray}, opacity {Abnormally opaque structure}, costophrenic recess {Structure of phrenicocostal sinus}, lateral view CXR {Diagnostic radiography of chest, lateral}, CT scan {Computed tomography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Aspirin 81 mg PO 4X/WEEK (___) 
-Pt states she only takes it 4x/wk because of increased bruising 
-with daily dosing 
-2. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-3. Tiotropium Bromide 1 CAP IH DAILY 
-4. Vitamin D 800 UNIT PO DAILY 
-5. Albuterol Inhaler 2 PUFF IH Q4H:PRN shortness of breath 
-6. PredniSONE 40 mg PO DAILY Duration: 10 Days 
-started ___ by PCP 
-7. Azithromycin 250 mg PO Q24H Duration: 4 Days 
-Day 1 of z-pack was ___ from PCP 
-
- 
-___:
-1. Aspirin 81 mg PO 4X/WEEK (___) 
-Pt states she only takes it 4x/wk because of increased bruising 
-with daily dosing 
-2. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-3. Tiotropium Bromide 1 CAP IH DAILY 
-4. Vitamin D 800 UNIT PO DAILY 
-5. Albuterol Inhaler 2 PUFF IH Q4H:PRN shortness of breath 
-6. Pulmonary rehab
-Patient requires outpatient pulmonary rehab.
-7. PredniSONE 40 mg PO daily Duration: 2 Days Start: In am 
-RX *prednisone 10 mg see below tablet(s) by mouth daily Disp 
-#*20 Tablet Refills:*0
-8. PredniSONE 30 mg PO daily Duration: 2 Days Start: After 40 mg 
-tapered dose. 
-9. PredniSONE 20 mg PO daily Duration: 2  Days Start: After 30 
-mg tapered dose. 
-10. PredniSONE 10 mg PO daily Duration: 2  Days Start: After 20 
-mg tapered dose. 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-COPD 
-UTI 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, UTI {Urinary tract infectious disease}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___,
-.
-It was a pleasure caring for you at ___ 
-___. You were admitted with shortness of breath due 
-to an exacerbation of your COPD. We treated you with 
-azithromycin and prednisone and your breathing improved. You 
-should continue to use the oxygen at home while your breathing 
-continues to get better. We have arranged for you to attend 
-outpatient pulmonary rehab. 
-.
-You were found to have a urinary tract infection on the day of 
-discharge. You have a history of frequent UTIs and have 
-ciprofloxacin 250mg at home which you would prefer to take. When 
-you get home please take this medication twice daily for the 
-next 3 days as we discussed.  
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, exacerbation of your COPD {Acute exacerbation of chronic obstructive airways disease}, improved {Patient's condition improved}, urinary tract infection {Urinary tract infectious disease}, frequent UTIs {Recurrent urinary tract infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-codeine
- 
-Attending: ___
- 
-Chief Complaint:
-Right hip pain
- 
-Major Surgical or Invasive Procedure:
-Right total hip arthroplasty on ___
-
- 
-
-###RESPONSE: codeine {Allergy to codeine}, Right hip {Right hip region structure}, pain {Hip pain}, Right total hip arthroplasty {Total replacement of right hip joint}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ has been having right knee and hip pain for several 
-months.  The pain has progressively worsened.  She has had 
-cortisone injections, which did not provide significant relief 
-in her knee.  She has groin pain, thigh pain and buttock pain as 
-well as knee pain.  She does not use an assistive device.  She 
-has taken anti-inflammatory medications and had physical 
-therapy.
-
- 
-
-###RESPONSE: right knee {Structure of right knee region}, hip pain {Hip pain}, pain {Pain}, worsened {Increased pain}, cortisone injections {Injection of cortisone}, knee {Knee region structure}, groin pain {Inguinal pain}, thigh pain {Thigh pain}, buttock pain {Pain in buttock}, knee pain {Pain of knee region}, physical 
-therapy {Physical therapy procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. adjustment disorder
-2. atrial fibrillation (cardiologist - Dr. ___, 
-___
-3. anxiety and depression
-4. vitamin B12 deficiency
-5. breast cancer (T1N0M0 invasive lobular adenocarcinoma
-s/p RTX/implant/tamoxifen for ___ years)
-6. colonic polyps (___)
-7. constipation
-8. hypertension
-9. osteopenia
-10. seasonal affective disorder
-11. gastric bypass 01
-12. SBO s/p exploratory laparotomy and small bowel resection 
-(___)
-
- 
-
-###RESPONSE: adjustment disorder {Adjustment disorder}, atrial fibrillation {Atrial fibrillation}, anxiety {Anxiety}, depression {Depressive disorder}, vitamin B12 deficiency {Cobalamin deficiency}, breast cancer {Malignant neoplasm of breast}, lobular adenocarcinoma {Lobular carcinoma}, colonic polyps {Polyp of colon}, constipation {Constipation}, hypertension {Hypertensive disorder, systemic arterial}, osteopenia {Osteopenia}, seasonal affective disorder {Seasonal affective disorder}, gastric bypass {Bypass of stomach}, SBO {Small bowel obstruction}, exploratory laparotomy {Exploratory laparotomy}, small bowel resection {Small intestine excision}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother deceased from recurrent non-Hodgkin's lymphoma. Multiple 
-family members with ovarian and breast ca at early ages (mother 
-with ovarian ca in her ___, 2 aunts with breast ca)
- 
-
-###RESPONSE: deceased {Dead}, recurrent {Recurrent disease}, non-Hodgkin's lymphoma {Non-Hodgkin's lymphoma}, ovarian {Malignant tumor of ovary}, breast ca {Malignant neoplasm of breast}, ovarian ca {Malignant tumor of ovary}, breast ca {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Well appearing in no acute distress  
-Afebrile with stable vital signs  
-Pain well-controlled  
-Respiratory: CTAB  
-Cardiovascular: RRR  
-Gastrointestinal: NT/ND  
-Genitourinary: Voiding independently  
-Neurologic: Intact with no focal deficits  
-Psychiatric: Pleasant, A&O x3  
-Musculoskeletal Lower Extremity:  
-* Incision healing well with staples  
-* Scant serosanguinous drainage  
-* Thigh full but soft  
-* No calf tenderness  
-* ___ strength  
-* SILT, NVI distally  
-* Toes warm
-
- 
-
-###RESPONSE: Well appearing {Well cared for appearance}, distress {Distress}, Afebrile {Temperature normal}, stable vital signs {Normal vital signs}, Pain well-controlled {Demonstrates adequate pain control}, Respiratory {Examination of respiratory system}, CTAB {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, Gastrointestinal {Examination of digestive system}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Gen {General examination of patient}, Voiding independently {Normal micturition}, Neurologic {Neurological examination}, Intact {Normal sensation}, no focal deficits {Normal nervous system function}, O x3 {Oriented to person, time and place}, Musculoskeletal {Musculoskeletal system physical examination}, Lower Extremity {Lower limb structure}, Incision {Surgical incision wound}, healing well {Wound healing well}, staples {Closure by staple}, serosanguinous drainage {Serosanguineous discharge from wound}, Thigh {Thigh structure}, soft {Abdomen soft}, tenderness {Tenderness}, SILT {Light touch sensation present}, NVI distally {Normal peripheral neurovascular function}, Toes {Structure of all toes}, warm {Warm skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 05:58AM BLOOD WBC-12.0* RBC-2.48* Hgb-8.0* Hct-25.3* 
-MCV-102* MCH-32.3* MCHC-31.6* RDW-13.1 RDWSD-49.3* Plt ___
-___ 06:35AM BLOOD WBC-10.9* RBC-2.46* Hgb-7.9* Hct-25.1* 
-MCV-102* MCH-32.1* MCHC-31.5* RDW-13.2 RDWSD-49.2* Plt ___
-___ 05:48AM BLOOD WBC-9.8 RBC-2.68* Hgb-8.6* Hct-27.8* 
-MCV-104* MCH-32.1* MCHC-30.9* RDW-13.2 RDWSD-49.9* Plt ___
-___ 06:25AM BLOOD WBC-7.4 RBC-2.46* Hgb-8.0* Hct-25.5* 
-MCV-104* MCH-32.5* MCHC-31.4* RDW-13.2 RDWSD-49.7* Plt ___
-___ 05:48AM BLOOD WBC-7.7 RBC-2.94* Hgb-9.5* Hct-30.7* 
-MCV-104* MCH-32.3* MCHC-30.9* RDW-13.0 RDWSD-49.6* Plt ___
-___ 05:58AM BLOOD Plt ___
-___ 06:35AM BLOOD Plt ___
-___ 05:48AM BLOOD Plt ___
-___ 06:25AM BLOOD Plt ___
-___ 05:48AM BLOOD Plt ___
-___ 05:58AM BLOOD Glucose-90 UreaN-21* Creat-0.7 Na-138 
-K-3.7 Cl-101 HCO3-24 AnGap-17
-___ 06:35AM BLOOD Glucose-92 UreaN-22* Creat-0.7 Na-138 
-K-4.3 Cl-101 HCO3-26 AnGap-15
-___ 09:15AM BLOOD Glucose-111* UreaN-22* Creat-0.7 Na-135 
-K-4.4 Cl-99 HCO3-26 AnGap-14
-___ 06:25AM BLOOD Glucose-94 UreaN-23* Creat-0.9 Na-139 
-K-4.9 Cl-103 HCO3-26 AnGap-15
-___ 05:48AM BLOOD Glucose-107* UreaN-26* Creat-0.9 Na-134 
-K-5.0 Cl-99 HCO3-28 AnGap-12
-___ 09:15AM BLOOD CK-MB-2 cTropnT-<0.01
-___ 05:58AM BLOOD Calcium-8.3* Phos-2.6* Mg-1.7
-___ 06:35AM BLOOD Calcium-8.3* Phos-2.4* Mg-1.8
-___ 09:15AM BLOOD Calcium-8.5 Phos-2.7 Mg-2.0
-___ 06:25AM BLOOD Calcium-8.3* Phos-3.1 Mg-2.2
-___ 05:48AM BLOOD Calcium-8.3* Phos-4.5 Mg-1.7
-___ 06:35AM BLOOD TSH-0.57
-
-___ 10:20AM URINE Color-Yellow Appear-Hazy Sp ___
-___ 10:20AM URINE Blood-TR Nitrite-NEG Protein-30 
-Glucose-NEG Ketone-10 Bilirub-SM  Urobiln->12 pH-6.5 Leuks-SM 
-___ 10:20AM URINE RBC-3* WBC-9* Bacteri-FEW Yeast-NONE 
-Epi-12 TransE-<1
-___ 10:20AM URINE AmorphX-OCC
-___ 10:20AM URINE Mucous-RARE
-___ 10:20AM URINE
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the orthopedic surgery service and 
-was taken to the operating room for above described procedure. 
-Please see separately dictated operative report for details. The 
-surgery was uncomplicated and the patient tolerated the 
-procedure well. Patient received perioperative IV antibiotics.
-
-Postoperative course was remarkable for the following:
-Overnight on POD#0, the patient was given a 500 mL bolus for low 
-urine output.  She was unable to void and had to be straight 
-cath'ed x1.  After that, she was able to void independently 
-thereafter. On POD 3, patient became acutely delirious. EKG 
-demonstrated Afib with Rvr. Rate was controlled with metoprolol. 
-Medicine was consulted who recommended continuing the metoprolol 
-for rate control. CXR and KUB were obtained. U/A were obtained. 
-Imaging did not demonstrate acute findings other than 
-atelectasis. Troponins negative. On POD#4 she became agitated 
-and the patient's family was contacted to assist. On POD#5 
-patient was noted to have leukocytosis with WBC 12.0 and urinary 
-frequency with discomfort, u/a was consistent with infection, 
-she was started on Ciprofloxacin for 7 days. Upon discharge her 
-mental status was clear, alert, oriented, and cooperative. 
-
-Otherwise, pain was controlled with a combination of IV and oral 
-pain medications.  The patient received lovenox for DVT 
-prophylaxis starting on the morning of POD#1.  The surgical 
-dressing was changed and the Silverlon dressing was removed on 
-POD#2. The surgical incision was found to be clean and intact 
-without erythema or abnormal drainage. The patient was seen 
-daily by physical therapy. Labs were checked throughout the 
-hospital course and repleted accordingly. At the time of 
-discharge the patient was tolerating a regular diet and feeling 
-well.  The patient was afebrile with stable vital signs.  The 
-patient's hematocrit was acceptable and pain was adequately 
-controlled on an oral regimen. The operative extremity was 
-neurovascularly intact and the wound was benign.
-
-The patient's weight-bearing status is weight bearing as 
-tolerated on the operative extremity with posterior precautions. 
-Walker or two crutches at all times for 6 weeks.
- 
-Ms. ___ discharged to rehab in stable condition.
- 
-
-###RESPONSE: procedure {Procedure}, surgery {Surgical procedure}, IV antibiotics {Intravenous antibiotic therapy}, low 
-urine output {Decreased urine output}, unable to void {Retention of urine}, cath {Catheterization of urinary bladder}, able to void {Normal micturition}, delirious {Delirious}, EKG {Electrocardiographic procedure}, Afib with Rvr {Atrial fibrillation with rapid ventricular response}, CXR {Plain chest X-ray}, KUB {Radiography of kidney-ureter-bladder}, Imaging {Imaging}, atelectasis {Atelectasis}, Troponins {Troponin measurement}, negative {No abnormality detected}, agitated {Feeling agitated}, leukocytosis {Leukocytosis}, urinary 
-frequency {Increased frequency of urination}, discomfort {Discomfort}, infection {Infectious disease}, mental status {Neurological mental status determination}, clear {Normal state of mind}, alert {Mentally alert}, oriented {Orientated}, cooperative {Cooperative mental state}, pain was controlled {Pain control}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, DVT 
-prophylaxis {Prevention of deep vein thrombosis}, surgical 
-dressing was changed {Change of dressing}, dressing was removed {Removal of dressing}, surgical incision {Surgical incision wound}, clean and intact {Wound healing well}, erythema {Erythema}, drainage {Wound discharge}, physical therapy {Physical therapy assessment}, Labs {Laboratory test}, feeling 
-well {Well in self}, afebrile {Fever}, stable vital signs {Normal vital signs}, hematocrit was acceptable {Stable hematocrit}, pain was adequately 
-controlled {Demonstrates adequate pain control}, operative {Operative site}, extremity {Limb structure}, neurovascularly intact {Normal peripheral neurovascular function}, weight bearing {Weight-bearing}, operative {Operative site}, extremity {Limb structure}, precautions {Safety precautions}, Walker {Uses zimmer frame}, two crutches {Uses two crutches for walking}, stable condition {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. ALPRAZolam 0.5 mg PO BID:PRN anxiety 
-2. Anastrozole 1 mg PO DAILY 
-3. Citalopram 20 mg PO DAILY 
-4. Lisinopril 2.5 mg PO DAILY 
-5. Omeprazole 20 mg PO BID 
-6. Mirtazapine 15 mg PO QHS:PRN insomnia 
-
- 
-Discharge Medications:
-1.  Ciprofloxacin HCl 500 mg PO Q12H Duration: 7 Days  
-2.  Docusate Sodium 100 mg PO BID 
-3.  Enoxaparin Sodium 40 mg SC QD 
-4.  Metoprolol Tartrate 25 mg PO Q6H 
-Please increase dosage to 37.5mg q6H if HR > 110 consistently  
-5.  OxyCODONE--Acetaminophen (5mg-325mg) ___ TAB PO Q4H:PRN Pain 
-- Moderate  
-6.  Senna 8.6 mg PO BID  
-7.  ALPRAZolam 0.5 mg PO BID:PRN anxiety  
-8.  Anastrozole 1 mg PO DAILY  
-9.  Citalopram 20 mg PO DAILY  
-10.  Mirtazapine 15 mg PO QHS:PRN insomnia  
-11.  Omeprazole 20 mg PO BID  
-12. HELD- Lisinopril 2.5 mg PO DAILY  This medication was held. 
-Do not restart Lisinopril until SBP > 140
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-___ Diagnosis:
-Right total hip arthroplasty 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Right total hip arthroplasty {Total replacement of right hip joint}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. Please return to the emergency department or notify your 
-physician if you experience any of the following: severe pain 
-not relieved by medication, increased swelling, decreased 
-sensation, difficulty with movement, fevers greater than 101.5, 
-shaking chills, increasing redness or drainage from the incision 
-site, chest pain, shortness of breath or any other concerns.
- 
-2. Please follow up with your primary physician regarding this 
-admission and any new medications and refills. 
- 
-3. Resume your home medications unless otherwise instructed.
- 
-4. You have been given medications for pain control. Please do 
-not drive, operate heavy machinery, or drink alcohol while 
-taking these medications. As your pain decreases, take fewer 
-tablets and increase the time between doses. This medication can 
-cause constipation, so you should drink plenty of water daily 
-and take a stool softener (such as Colace) as needed to prevent 
-this side effect.  Call your surgeons office 3 days before you 
-are out of medication so that it can be refilled.  These 
-medications cannot be called into your pharmacy and must be 
-picked up in the clinic or mailed to your house.  Please allow 
-an extra 2 days if you would like your medication mailed to your 
-home.
- 
-5. You may not drive a car until cleared to do so by your 
-surgeon.
- 
-6. Please call your surgeon's office to schedule or confirm your 
-follow-up appointment.
- 
-7. SWELLING: Ice the operative joint 20 minutes at a time, 
-especially after activity or physical therapy. Do not place ice 
-directly on the skin. Please DO NOT take any non-steroidal 
-anti-inflammatory medications (NSAIDs such as Celebrex, 
-ibuprofen, Advil, Aleve, Motrin, naproxen etc) until cleared by 
-your physician.
- 
-8. ANTICOAGULATION: Please continue your Lovenox for four (4) 
-weeks to help prevent deep vein thrombosis (blood clots).  If 
-you were taking Aspirin prior to your surgery, please hold this 
-medication until you have completed your one-month course of 
-anticoagulation medication or unless cleared by your physician.  
-
- 
-9. WOUND CARE: Please keep your incision clean and dry. It is 
-okay to shower five days after surgery but no tub baths, 
-swimming, or submerging your incision until after your four (4) 
-week checkup. Please place a dry sterile dressing on the wound 
-each day if there is drainage, otherwise leave it open to air. 
-Check wound regularly for signs of infection such as redness or 
-thick yellow drainage. Staples will be removed by the visiting 
-nurse or rehab facility in two (2) weeks. 
- 
-10. ___ (once at home): Home ___, dressing changes as 
-instructed,  wound checks, and staple removal at two weeks after 
-surgery. 
- 
-11. ACTIVITY: Weight bearing as tolerated with walker or 2 
-crutches at all times for six weeks.  Posterior precautions. No 
-strenuous exercise or heavy lifting until follow up appointment. 
- Mobilize frequently. 
-
-Physical Therapy:
-WBAT RLE
-Posterior hip precautions x 3 months post-operatively
-Assistive device x 6 weeks post-op (i.e., 2 crutches, walker)
-Mobilize frequently
-
-Treatments Frequency:
-daily dressing changes as needed for drainage
-wound checks daily
-ice
-staple removal and replace with steri-strips on POD ___ by 
-___
- 
-
-###RESPONSE: severe pain {Severe pain}, medication, increased {Medication increased}, swelling {Swelling}, decreased 
-sensation {Abnormal sensation}, difficulty with movement {Difficulty moving}, fevers {Fever}, shaking {Tremor}, chills {Chill}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision 
-site {Surgical incision wound}, chest pain {Chest pain}, shortness of breath {Dyspnea}, primary physician {Primary care management}, pain control {Pain control}, pain decreases {Sensation of pain reduced}, constipation {Constipation}, drink plenty of water {Fluid intake encouragement}, take a stool softener {Administration of laxative}, prevent 
-this side effect {Prevention of constipation}, medication so that it can be refilled {Medication prefill education}, SWELLING {Swelling}, operative joint {Operative site}, physical therapy {Physical therapy procedure}, skin {Skin structure}, ANTICOAGULATION {Anticoagulant therapy}, prevent deep vein thrombosis {Prevention of deep vein thrombosis}, blood clots {Blood clot}, anticoagulation {Anticoagulant therapy}, WOUND CARE {Wound care}, place a dry sterile dressing {Application of dressing}, wound {Wound}, drainage {Wound discharge}, Check wound {Wound assessment}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, drainage {Wound discharge}, Staples will be removed {Removal of staples}, dressing changes {Change of dressing}, wound checks {Wound assessment}, staple removal {Removal of staples}, Weight bearing {Weight-bearing}, walker {Uses zimmer frame}, 2 
-crutches {Uses two crutches for walking}, precautions {Safety precautions}, WBAT {Weight-bearing gait training}, RLE {Structure of right lower limb}, precautions {Safety precautions}, 2 crutches {Uses two crutches for walking}, walker {Uses zimmer frame}, dressing changes {Change of dressing}, drainage {Wound discharge}, wound checks {Wound assessment}, staple removal {Removal of staples}, steri-strips {Application of adhesive skin closure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p Fall from bicycle, major blunt chest trauma
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Fall {Falls}, blunt chest trauma {Blunt injury of thorax}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ male helmeted bicyclist s/p fall from bicycle, flipping and 
-hitting back on pole. He was transported to ___ for further 
-care. 
-
- 
-
-###RESPONSE: fall {Falls}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Asthma
-Pneumonia
- 
-
-###RESPONSE: Asthma {Asthma}, Pneumonia {Pneumonia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:59AM   GLUCOSE-148* UREA N-14 CREAT-1.0 SODIUM-141 
-POTASSIUM-4.4 CHLORIDE-105 TOTAL CO2-25 ANION GAP-15
-___ 11:59AM   estGFR-Using this
-___ 11:59AM   WBC-7.3 RBC-5.57 HGB-14.5 HCT-43.3 MCV-78* 
-MCH-26.1* MCHC-33.6 RDW-13.3
-___ 11:59AM   NEUTS-60.3 ___ MONOS-3.5 EOS-2.3 
-BASOS-0.8
-___ 11:59AM   PLT COUNT-247
-
-CT Chest ___
-IMPRESSION: 
-  
-1. Numerous right-sided rib fractures, with fractures involving 
-multiple 
-sites within the ribs, placing the patient at risk for flail 
-chest. Associated moderate right hemothorax with pulmonary 
-contusion and small right pneumothorax with locules of air in 
-the right epicardial fat. 
-  
-2. Comminuted right scapular fracture. 
-
-Chest xray ___
-
-IMPRESSION: Newly apparent tiny right apical pneumothorax. 
-Blunting of the 
-right costophrenic sulcus consistent with a small effusion. 
-Increased density in the lower right chest consistent with 
-contusion probably unchanged. 
-Subsegmental atelectasis left base. Multiple rib fractures and 
-possible 
-fracture right scapula. 
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, right-sided {Bone structure of right rib}, rib fractures {Fracture of rib}, fractures involving 
-multiple 
-sites within the ribs {Fracture of multiple ribs}, flail 
-chest {Flail chest}, right {Right lung structure}, hemothorax {Hemothorax}, pulmonary 
-contusion {Contusion of lung}, pneumothorax {Pneumothorax}, right {Right lung structure}, Comminuted {Fracture, comminuted}, scapular fracture. {Fracture of scapula}, Chest xray {Plain chest X-ray}, right apical {Structure of apex of right lung}, pneumothorax {Pneumothorax}, right {Right lung structure}, costophrenic sulcus {Structure of costophrenic angle}, effusion {Pleural effusion}, Increased density {Density above reference range}, right chest {Right thorax structure}, contusion {Contusion}, atelectasis {Atelectasis}, left base {Structure of base of left lung}, Multiple rib fractures {Fracture of multiple ribs}, fracture right scapula {Fracture of scapula}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-He was admitted to the Trauma service for pain control and 
-pulmonary management related to his rib fractures. He was 
-initially placed on PCA and later changed over to oral 
-narcotics. Epidural analgesia was discussed with him for which 
-he declined. His oxygen saturations on room air were in the high 
-90's and he had little to no oxygen requirements.
-
-His right scapula fracture was managed non operatively and he 
-will follow up in Orthopedics clinic in 2 weeks.
-
-Adjunct pain therapy treatments were also implemented; around 
-the clock Tylenol, prn NSAID's and a Lidoderm patch were all 
-started. This regimen appeared to be effective as he was better 
-able to ambulate, use the incentive spirometer, cough and deep 
-breathe. A bowel regimen was also initiated.
-
-He was discharged to home with his wife on hospital day 4 with 
-instructions for follow up.
- 
-
-###RESPONSE: pain control {Pain control}, rib fractures {Fracture of multiple ribs}, PCA {Patient controlled analgesia}, oral 
-narcotics {Administration of drug or medicament via oral route}, Epidural analgesia {Epidural anesthesia}, oxygen saturations {Finding of oxygen saturation}, on room air {Breathing room air}, scapula fracture {Fracture of scapula}, follow up {Follow-up arranged}, pain {Pain}, therapy {Therapy}, able to ambulate {Able to walk}, cough and deep 
-breathe {Deep breathing and coughing exercises}, bowel {Intestinal structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Albuterol
- 
-Discharge Medications:
-1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day) as needed for pain.  
-2. Acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours).  
-3. Hydromorphone 4 mg Tablet Sig: ___ - 2 Tablet PO Q3H (every 
-3 hours) as needed for pain.
-Disp:*90 Tablet(s)* Refills:*0*
-4. Ibuprofen 600 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours): take with food.
-Disp:*120 Tablet(s)* Refills:*1*
-5. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-One (1) Adhesive Patch, Medicated Topical DAILY (Daily): Apply 
-to right chest wall region. Remove old patch first.
-Disp:*30 Adhesive Patch, Medicated(s)* Refills:*1*
-6. Senna 8.6 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime) as 
-needed for constipation.  
-7. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) 
-ML PO Q6H (every 6 hours) as needed for constipation.  
-8. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: 
-Two (2) Puffs Inhalation every six (6) hours as needed for 
-shortness of breath or wheezing.
-Disp:*1 * Refills:*1*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-s/p Fall from bicycle
-Right communicated scapula fracture
-Multiple right rib fractures (posterior & lateral)
-Right hemothorax
-Small right apical pneumothorax
- 
-Discharge Condition:
-Hemodynamically stable, tolerating a regular diet, pain 
-adequately controlled.
- 
-
-###RESPONSE: Fall {Falls}, Right {Bone structure of right scapula}, communicated {Fracture, comminuted}, Multiple right rib fractures {Fracture of multiple ribs}, Right {Right lung structure}, hemothorax {Hemothorax}, right apical {Structure of apex of right lung}, pneumothorax {Pneumothorax}, Hemodynamically stable {Hemodynamically stable}, tolerating {Tolerating diet}, regular diet {Normal diet}, pain 
-adequately controlled {Demonstrates adequate pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Return to the Emergency room if you develop any fevers, chills, 
-headaches, productive cough, shortness of breath, increased rib 
-pain not relieved with the medication prescribed, nausea, 
-vomiting, diarrhea and/or any other symptoms that are concerning 
-to you.
-
-It is important that you cough, deep breathe and use the 
-incentive spirometer every hour that you are awake in order to 
-minmize developing pneumonia which is commonly associated with 
-rib fractures.
-
-Take the pain medication as prescribed and continue the bowel 
-regimen while you are on narcotics in order to prevent 
-constipation.
- 
-
-###RESPONSE: fevers {Fever}, chills {Chill}, headaches {Headache}, productive cough {Productive cough}, shortness of breath {Dyspnea}, rib 
-pain {Rib pain}, nausea, 
-vomiting, diarrhea {Nausea, vomiting and diarrhea}, cough {Cough}, awake {Awake}, pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, pain medication {Administration of analgesic}, bowel {Intestinal structure}, narcotics {Narcotherapy}, constipation {Constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain, headache.
- 
-Major Surgical or Invasive Procedure:
-Stress MIBI.
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, Chest pain {Chest pain}, headache {Headache}, Stress {Electrocardiogram with exercise test}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ yof with hx of Stroke, DM II diet controlled, HTN, 
-Hypercholesterolemia, Cervical Radiculopathy who presents from 
-home chest pain. Patient reports she had an episdode of ___ 
-""chest pressure"" today while she was reading a magazine. The 
-episode lasted for about 45 minutes and was not relieved with 
-NTG given by EMS. +nausea but no vomiting. She denies SOB, 
-palpitations or radiating pain with this episode. She has had 2 
-similar episodes in the last two weeks. She has history of GERD 
-in the past and stopped her Protonix because she was feeling 
-better. She started the Protonix because she had similar 
-episodes of chest pain a few years ago. The only difference is 
-the her current episodes are more severe. She denies any recent 
-chest burning, nightime cough but she does have an occasional 
-sour taste in her mouth. She also reports an episode of 'shaking 
-chills' today along with a ___ frontal headache. Headache was 
-associated with some body weakness and patient was worred she 
-was having another stroke. EMS was called and she came to ___ ED. 
-She denies any recent fevers, sweats, cough, abdominal pain, 
-diarrhea, dysuria, urinary frequency or hematuria. While in the 
-ED, the patient was noted to have gait difficulty. No vision 
-complaints. Neurology was consulted and symptoms resolved on 
-their examination. CT Head was performed and was similar to 
-prior dated ___. The patient and her daughter report that she 
-gets right sided weakness occasionally as a result of her prior 
-CVA. Currently, she denies any weakness or numbness.  
-In the ED: Temp 98.3, BP 132/63, HR 102, RR 20, 100% NRB. She 
-was given ASA 325mg x 1 and NS 1 Liter bolus. Neurology was 
-consulted as above for transient right sided weakness. She was 
-admitted for ___.
- 
-
-###RESPONSE: Stroke {Cerebrovascular accident}, DM II diet controlled {Type 2 diabetes mellitus controlled by diet}, HTN {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, Cervical Radiculopathy {Cervical radiculopathy}, chest pain {Chest pain}, chest pressure {Tight chest}, nausea {Nausea}, vomiting {Vomiting}, SOB {Dyspnea}, palpitations {Palpitations}, radiating pain {Radiating pain}, GERD {Gastroesophageal reflux disease}, feeling 
-better {Patient's condition improved}, chest pain {Chest pain}, chest burning {Burning chest pain}, cough {Cough}, sour taste {Unpleasant taste in mouth}, mouth {Mouth region structure}, shaking {Tremor}, chills {Chill}, frontal headache {Frontal headache}, Headache {Headache}, weakness {Asthenia}, stroke {Cerebrovascular accident}, fevers {Fever}, sweats {Sweating}, cough {Cough}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, dysuria {Dysuria}, urinary frequency {Increased frequency of urination}, hematuria {Blood in urine}, gait difficulty {Abnormal gait}, No vision 
-complaints {Normal vision}, Neurology was consulted {Seen by neurologist}, resolved {Problem resolved}, CT Head {Computed tomography of head}, right sided weakness {Right hemiparesis}, CVA {Cerebrovascular accident}, weakness {Asthenia}, numbness {Numbness}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, NRB {Oxygen administration by mask}, Neurology was 
-consulted {Seen by neurologist}, right sided weakness {Right hemiparesis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CVA x 4 with residual mild right sided weakness  
-Diabetes Mellitus Type II, diet controlled  
-Hypertension  
-Hypercholesterolemia  
-Gastroesophageal Reflux Disease  
-Cervical radiculopathy  
-Diverticulitis
- 
-
-###RESPONSE: CVA {Cerebrovascular accident}, right sided weakness {Right hemiparesis}, Diabetes Mellitus Type II, diet controlled {Type 2 diabetes mellitus controlled by diet}, Hypertension {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, Gastroesophageal Reflux Disease {Gastroesophageal reflux disease}, Cervical radiculopathy {Cervical radiculopathy}, Diverticulitis {Diverticulitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-1. brother - died late ___ w/ CVA
-2. brother - died lung ca (smoker)
-No hx of MI in first degree relative
-Mother with HTN
- 
-
-###RESPONSE: died {Dead}, CVA {Cerebrovascular accident}, died {Dead}, lung ca {Malignant tumor of lung}, smoker {Smoker}, MI {Myocardial infarction}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: Temp 97.3, BP 108/61, HR 76, RR 20, 97% RA  
-GEN: Elderly in NAD, awake, alert  
-HEENT: EOMI, PERRL, sclera anicteric, conjunctivae clear, OP 
-moist and without lesion  
-NECK: Supple, no JVD  
-CV: Reg rate, normal S1, S2. No m/r/g.  
-CHEST: Resp were unlabored, no accessory muscle use. CTAB, no 
-crackles, wheezes or rhonchi.  
-ABD: Soft, NT, ND  
-EXT: No c/c/e  
-SKIN: No rash  
-Neuro: CN II-XII intact, ___ strenght right arm extension, ___ 
-strenght right leg extension, ___ strenght remaining 
-extremities, sensation intact, +brisk patellar reflex, other 
-reflexes normal, Gait unstable on right side on walking, no 
-pronator drift, no intention tremor, no ataxia  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, awake {Awake}, alert {Mentally alert}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, sclera anicteric {White sclera}, conjunctivae clear {Conjunctiva normal}, OP 
-moist {Moist oral mucosa}, lesion {Lesion}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, Reg rate {Pulse regular}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, CHEST {Thoracic structure}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, No c/c/e  {No abnormality detected}, SKIN {Examination of skin}, rash {Eruption of skin}, Neuro {Neurological examination}, CN II-XII {Normal central nervous system}, intact {Normal central nervous system}, strenght {Finding of power of skeletal muscle}, right arm {Structure of right upper limb}, extension {Abnormal extension}, strenght {Finding of power of skeletal muscle}, right leg {Structure of right lower limb}, extension {Abnormal extension}, strenght {Finding of power of skeletal muscle}, extremities {All extremities}, sensation intact {Normal sensation}, brisk patellar reflex {Knee reflex brisk}, reflexes normal {Normal reflex}, Gait unstable {Unsteady when walking}, right side {Structure of right half of body}, walking {Does walk}, pronator drift {Downward drift of outstretched supinated arm}, intention tremor {Intention tremor}, ataxia {Ataxia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 03:20PM   WBC-11.6* RBC-4.47 HGB-12.6 HCT-37.4 MCV-84 
-MCH-28.3 MCHC-33.8 RDW-14.6
-___ 03:20PM   NEUTS-91.7* LYMPHS-6.5* MONOS-0.7* EOS-0.8 
-BASOS-0.2
-___ 03:20PM   PLT COUNT-279
-___ 03:20PM   GLUCOSE-116* UREA N-16 CREAT-1.2* SODIUM-140 
-POTASSIUM-3.9 CHLORIDE-102 TOTAL CO2-28 ANION GAP-14
-___ 03:20PM   CK(CPK)-81
-___:20PM   CK-MB-NotDone
-___ 03:20PM   cTropnT-0.02*
-___ 03:20PM   ___ PTT-25.2 ___
-___ 08:40PM URINE  ___ BACTERIA-MOD YEAST-NONE 
-___ 08:40PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-TR BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-TR
-___ 08:40PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-.
-CT head ___:
-No intracranial hemorrhage or evidence of acute major vascular 
-territorial infarct. Chronic microvascular ischemic changes 
-reidentified in the periventricular white matter.
-.
-Stress MIBIL:
-Limited exercise tolerance. No anginal type symptoms or ischemic 
-ECG changes seen at workload achieved. Nuclear report sent 
-separately.
-1. Normal myocardial perfusion. 2. Calculated LVEF is 63%. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, PTT {Partial thromboplastin time, activated}, URINE {Urine culture}, AST {Aspartate aminotransferase measurement}, PROTEIN {Measurement of protein in urine}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Evaluation of urine specimen}, COLOR {Color finding}, intracranial hemorrhage {Intracranial hemorrhage}, vascular {Blood vessel structure}, infarct {Infarct}, Chronic {Chronic disease}, ischemic {Ischemia}, periventricular white matter {Structure of periventricular white matter}, Limited exercise tolerance {Impaired exercise tolerance}, anginal {Angina}, ischemic {Ischemia}, ECG changes {Finding present on electrocardiogram}, Normal myocardial perfusion {Myocardial perfusion normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ yof with hx of Stroke, DM II diet controlled, HTN, 
-Hypercholesterolemia, Cervical Radiculopathy who presents from 
-home with chest pain associated with shaking chills and 
-headache.  
-.  
-# Chest Pain: Chest pain was concerning for ACS as she felt 
-""chest pressure"" along with nausea and it lasted for 45 minutes. 
-Patient had negative cardiac enzymes x3 and serial ECG without 
-any changes. Patient was continued on her PPI for history of 
-GERD. Due to the concern with multiple risk factors and history, 
-patient had a stress MIBI that showed good HR of 137 (93% of 
-max) with product of ___, which does not suggest active 
-ischemia. However, her prognostic value was poor with 6:30 on a 
-Gervino protocol with ___ MTS. Patient did not have any 
-abnormalities on telemetry and is on tripple anti-platelet 
-therapy with aggrenox and plavix for her stroke that will 
-decrease her cardiovascular risk as well. Patient was continued 
-in her outpatient statin and ___. Will recommend starting 
-beta-blocker as outaptient; it was not started in house to 
-assess her neurologic status in the question of acute stroke and 
-severe headache.
-.  
-# Right Sided Weakness: Patient with prior history of CVA. 
-Patient had transient weakness today and was evaluated by Neuro 
-in the ED. CT Head was negative and symptoms have now resolved. 
-Patient and daughter report occasional right sided fatigue s/p 
-her prior CVA. She uses a can at baseline for ambulation. Due to 
-her prior strokes patient is in an atypical regimen with 
-aggrenox and plavix suggested by neurology. 
-.  
-# Headache: Patient had episode of Headache today along with her 
-chest pain and weakness. She has history of headaches similar to 
-this. Most likely etiology is her cervical spine disease. 
-Conservative measurements with ice-packs, soft collar and 
-tylenol were done.
-.  
-# Shaking chills: Patient with episode of shaking chills. 
-Afebrile since arrival but she does have a slightly elevated WBC 
-at 11.6. No signs of infection by history or exam. UA with Mod 
-bacteria but without pyuria. She was treated with a 3-day course 
-of ciprofloxacin to complete at home.
-.  
-# HTN: cont home Diovan; meeting ___-7 criteria while in 
-hospital. 
-.  
-# DM II: diet controlled. Patient was put in ISS with minimal 
-requirements and blood sugars 100-200 range.
-.  
-# Depression: cont home sertraline.  
-.  
-# FEN: Cardiac, diabetic diet.
-.  
-# Access: PIV.
-.  
-# PPx: heparin SC, bowel regimen.
-.  
-# Code: FULL CODE.
-.  
-# Dispo: Home with PCP follow up.  
-.  
-# Comm: With patient.
-
- 
-
-###RESPONSE: Stroke {Cerebrovascular accident}, DM II diet controlled {Type 2 diabetes mellitus controlled by diet}, HTN {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, Cervical Radiculopathy {Cervical radiculopathy}, chest pain {Chest pain}, shaking {Tremor}, chills {Chill}, headache {Headache}, Chest Pain {Chest pain}, Chest pain {Chest pain}, ACS {Acute coronary syndrome}, chest pressure {Tight chest}, nausea {Nausea}, negative cardiac enzymes {Cardiac enzymes within reference range}, ECG {Electrocardiographic procedure}, GERD {Gastroesophageal reflux disease}, stress {Electrocardiogram with exercise test}, HR {Finding of heart rate}, ischemia {Ischemia}, did not have any 
-abnormalities {No abnormality detected}, telemetry {Cardiac telemetry}, anti-platelet 
-therapy {Anticoagulant therapy}, stroke {Cerebrovascular accident}, decrease {Finding of decreased risk level}, cardiovascular {Cerebrovascular accident}, statin {Administration of prophylactic statin}, outaptient {Outpatient care management}, assess her neurologic status {Neurological examination}, stroke {Cerebrovascular accident}, headache {Headache}, Right Sided Weakness {Right hemiparesis}, CVA {Cerebrovascular accident}, weakness {Asthenia}, evaluated {Evaluation procedure}, Neuro {Neurology service}, CT Head {Computed tomography of head}, resolved {Problem resolved}, right sided {Structure of right half of body}, fatigue {Fatigue}, CVA {Cerebrovascular accident}, uses a can {Dependence on walking stick}, baseline {Baseline state}, strokes {Cerebrovascular accident}, regimen {Therapeutic regimen}, Headache {Headache}, Headache {Headache}, chest pain {Chest pain}, weakness {Asthenia}, headaches {Headache}, cervical spine disease {Disorder of cervical spine}, Conservative measurements {Conservative therapy}, ice {Application of ice}, collar {Application of cervical collar}, tylenol {Administration of analgesic}, Shaking {Tremor}, chills {Chill}, shaking {Tremor}, chills {Chill}, elevated WBC {White blood cell count outside reference range}, signs of infection {Monitoring for signs and symptoms of infection}, exam {Physical examination procedure}, UA {Urinalysis}, bacteria {Bacteriuria}, pyuria {Pyuria}, ciprofloxacin {Antibiotic therapy}, HTN {Hypertensive disorder, systemic arterial}, DM II {Diabetes mellitus type 2}, diet controlled {Type 2 diabetes mellitus controlled by diet}, ISS {Sliding scale insulin regime}, blood sugars {Glucose measurement, blood}, Depression {Depressive disorder}, FEN {Nutrition management}, Cardiac {Heart disease}, diabetic diet {Diabetic diet}, PIV {Peripheral intravenous catheter care}, PPx {Preventive procedure}, heparin SC {Subcutaneous injection of heparin}, bowel {Normal bowel habits}, regimen {Therapeutic regimen}, Dispo {Patient disposition}, PCP {Primary care management}, follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Plavix 75mg daily  
-Aggrenox 25mg-200mg cap BID  
-Folic Acid  
-Crestor 40mg qHS  
-Sertraline 25mg daily  
-Diovan 80mg BID  
-Calcium/Vit D  
-Protonix 40mg daily  
-Vit B12  
-Colace  
-Fish Oil
- 
-Discharge Medications:
-1. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. Dipyridamole-Aspirin 200-25 mg Cap, Multiphasic Release 12 hr 
-Sig: One (1) Cap PO BID (2 times a day).  
-3. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-4. Rosuvastatin 20 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-5. Valsartan 80 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-6. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO QID (4 times a day) as needed.  
-7. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Four (4) 
-Tablet PO DAILY (Daily).  
-8. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-9. Protonix 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day.  
-10. Cyanocobalamin 500 mcg Tablet Sig: 0.5 Tablet PO DAILY 
-(Daily).  
-11. Ciprofloxacin 250 mg Tablet Sig: One (1) Tablet PO Q12H 
-(every 12 hours) for 2 days.
-Disp:*4 Tablet(s)* Refills:*0*
-12. Sertraline 25 mg Tablet Sig: One (1) Tablet PO once a day.  
-13. Fish Oil 1,000 mg Capsule Sig: One (1) Capsule PO once a 
-day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Stable Coronary Artery Disease
-Cervicalgia
-.
-Secondary Diagnsis:
-CVA x 4 with residual mild right sided weakness  
-Diabetes Mellitus Type II, diet controlled  
-Hypertension  
-Hypercholesterolemia  
-Gastroesophageal Reflux Disease  
-
- 
-Discharge Condition:
-Stable, pain free, walking, tolerating diet.
-
- 
-
-###RESPONSE: Stable {Patient's condition stable}, Coronary Artery Disease {Coronary arteriosclerosis}, Cervicalgia {Neck pain}, CVA {Cerebrovascular accident}, mild {Symptom mild}, right sided weakness {Right hemiparesis}, Diabetes Mellitus Type II, diet controlled  {Type 2 diabetes mellitus controlled by diet}, Hypertension {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, Gastroesophageal Reflux Disease {Gastroesophageal reflux disease}, Stable {Patient's condition stable}, pain {Pain}, walking {Does walk}, tolerating diet {Tolerating diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were seen at ___ for chest pain. We were concern about 
-your heart and did some blood test, serial ECGs, heart monitor 
-(telemetry) and stress test that were all negative. This rules 
-you out as having an acute heart attack and puts you at low risk 
-from having one soon. We are sending you home with follow up 
-with your PCP.
-.
-You also have a headache and because of that you were seen by 
-the neurology stroke service who did not think you were having a 
-stroke. You had a CT scan that did not show any bleeding. Your 
-signs and symptoms are compatible with your cervical lessions 
-and we recommend conservative management with cold and pain 
-medication (Tylenol) as well as PCP follow up.
-.
-You were found to have a urinary tract infection and will need 
-to complete 3 days of antibiotics (ciprofloxacin). See attached 
-prescription.
-.
-Your medications were left unchanged.
-.
-If you notice any worsening in your weakness, new problems while 
-talking, facial droop, worsening of your chest pain or that it 
-last more than 15 minutes associated with sweating, bleeding or 
-anything else that concerns you please come back to the ER ASAP.
-.
-Please follow up as below.
- 
-
-###RESPONSE: chest pain {Chest pain}, heart {Heart structure}, blood test {Blood test}, ECG {Electrocardiographic procedure}, heart monitor {Cardiac monitoring}, telemetry {Cardiac telemetry}, stress test {Electrocardiogram with exercise test}, negative {No abnormality detected}, acute heart attack {Acute myocardial infarction}, follow up {Follow-up arranged}, PCP {Primary care management}, headache {Headache}, seen by 
-the neurology stroke service {Seen by stroke service}, stroke {Cerebrovascular accident}, CT scan {Computed tomography}, bleeding {Bleeding}, signs {Sign}, cervical {Bone structure of cervical vertebra}, lessions {Lesion}, conservative management {Conservative therapy}, cold {Cryoanalgesia}, pain 
-medication {Administration of analgesic}, PCP {Primary care management}, follow up {Follow-up arranged}, urinary tract infection {Urinary tract infectious disease}, antibiotics {Antibiotic therapy}, prescription {Prescription}, medications {Prescription of drug}, weakness {Asthenia}, problems {Problem}, talking {Speech problem}, facial {Face structure}, chest pain {Chest pain}, sweating {Sweating}, bleeding {Bleeding}, ER {Emergency treatment management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p Multiple gunshot wounds
- 
-Major Surgical or Invasive Procedure:
-___ EXPLORATORY LAPAROTOMY 
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, gunshot wounds {Gunshot wound}, EXPLORATORY LAPAROTOMY {Exploratory laparotomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old male who is s/p multiple gunshot wounds to abdomen 
-and left hand. He was transported from ___ 
-for further managemnt of his injuries.
- 
-
-###RESPONSE: gunshot wounds {Gunshot wound}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, left hand {Structure of left hand}, injuries {Traumatic injury}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
- Asthma, ?depression/ anxiety, ETOH use per family, h/o assault 
- 
-
-###RESPONSE: Asthma {Asthma}, depression {Depressive disorder}, anxiety {Anxiety}, ETOH {Finding relating to alcohol drinking behavior}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Upon presentation to ___:
-HR: 70 BP: 100/p Resp: bagged O(2)Sat: 100 Normal
- 
-Constitutional: intubated, sedated
-HEENT: Normocephalic, atraumatic, Pupils equal, round and
-reactive to light
-ETT in place
-Chest: Clear to auscultation
-Cardiovascular: Regular Rate and Rhythm, Normal first and
-second heart sounds
-Abdominal: Soft, Nondistended
-GU/Flank: No costovertebral angle tenderness
-Extr/Back: No cyanosis, clubbing or edema
-Skin: Warm and dry, GSW to L chest, LLQ x2, R flank, L hip,
-R back, L thigh x 2, L thumb
-Neuro: intubated, sedated
-Psych: intubated, sedated
-___: No petechiae
-
- 
-
-###RESPONSE: HR {Finding of heart rate}, BP {Blood pressure finding}, Resp {Examination of respiratory system}, bagged {Respiratory assist, manual}, intubated {Insertion of endotracheal tube}, sedated {Sedated}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Pupils equal, round and
-reactive to light {Pupils equal and reacting to light}, ETT in place {Endotracheal tube present}, Chest {Examination of respiratory system}, Clear to auscultation {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, Regular Rate and Rhythm {Normal heart rate}, Normal first and
-second heart sounds {Heart sounds normal}, Abd {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, GU {Examination of genitourinary system}, Flank {Flank structure}, tenderness {Tenderness}, Extr {Examination of limb}, Back {Structure of back of trunk}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, Skin {Examination of skin}, Warm {Warm skin}, dry {Xeroderma}, GSW {Gunshot wound}, L chest {Structure of left half of chest wall}, LLQ {Structure of left lower quadrant of abdomen}, flank {Flank structure}, hip {Left hip region structure}, back {Structure of back of trunk}, L thigh {Structure of left thigh}, L thumb {Structure of left thumb}, Neuro {Neurological examination}, intubated {Insertion of endotracheal tube}, sedated {Sedated}, Psych {Neurological mental status determination}, intubated {Insertion of endotracheal tube}, sedated {Sedated}, petechiae {Petechia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:20AM   GLUCOSE-111* UREA N-7 CREAT-0.7 SODIUM-143 
-POTASSIUM-3.0* CHLORIDE-109* TOTAL CO2-19* ANION GAP-18
-___ 09:20AM   CALCIUM-7.8* PHOSPHATE-3.3 MAGNESIUM-1.5*
-___ 09:20AM   WBC-6.2 RBC-3.94* HGB-12.3* HCT-34.3* MCV-87 
-MCH-31.2 MCHC-35.9* RDW-13.5
-___ 09:20AM   ___ PTT-25.3 ___
-___ 09:20AM   PLT COUNT-130*
-___ 07:13AM   GLUCOSE-88 LACTATE-3.2* K+-2.9* CL--109*
-
-IMAGING:  
-___: Femur AP: Known lucency in the left iliac bone. No 
-evidence of bullet fragments. The left femur shows normal 
-cortical borders, no evidence of cortical disruption suggesting 
-fracture. No soft tissue abnormalities.  
-___: CXR: no evidence of larger parenchymal abnormalities and  
-no pneumothorax. The abnormalities seen on the outside CT torso 
-from ___, 4:48 a.m., are not depicted on the chest 
-radiograph. Only the dorsal right 11th rib fracture is visible 
-on the edge-enhanced image.  
-___: AP chest and pelvis: A focal lucency within the left iliac 
-bone corresponds to a traumatic injury seen on the reference CT 
-torso examination from 4:48 a.m. No bullet fragments are 
-detected. A Foley catheter resides within the bladder, which is 
-opacified with contrast.  
-___: Hand: comminuted fracture at the head of the first 
-proximal phalanx is seen, with extension to the IP joint.  
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, GLUCOSE {Glucose measurement, blood}, CL {Chloride measurement, blood}, IMAGING {Imaging}, Femur {Bone structure of femur}, AP {Diagnostic radiography, anteroposterior}, left iliac bone {Bone structure of left ilium}, No 
-evidence {No abnormality detected}, left femur {Structure of left femur}, no evidence {No abnormality detected}, disruption {Disruption}, fracture {Fracture}, soft tissue {Structure of soft tissue of thigh}, abnormalities {No abnormality detected}, CXR {Plain chest X-ray}, no evidence {No abnormality detected}, abnormalities {No abnormality detected}, pneumothorax {Pneumothorax}, abnormalities {Imaging result abnormal}, torso {Trunk structure}, chest 
-radiograph {Plain chest X-ray}, right {Bone structure of right rib}, rib fracture {Fracture of rib}, AP chest {Plain x-ray of chest anteroposterior view}, pelvis {Plain X-ray of pelvis, anteroposterior view}, left iliac 
-bone {Bone structure of left ilium}, traumatic injury {Traumatic injury}, torso {Trunk structure}, Foley catheter {Urinary catheter in situ}, bladder {Urinary bladder structure}, Hand {Hand structure}, comminuted fracture {Fracture, comminuted}, head {Structure of head of phalanx}, proximal phalanx {Bone structure of proximal phalanx of hand}, IP joint {Interphalangeal joint structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-He was admitted to the Acute Care Surgery team was taken from 
-the ED to the OR for exploratory laparotomy. He was transferred 
-to the Trauma SICU postoperatively  for close monitoring. He 
-remained hemodynamically stable and continued to have palpable 
-lower extremity pulses. He was extubated without difficulty and  
-was alert and responsive. Hand surgery was consulted for the 
-left open thumb fracture for which he was fitted with a spica 
-cast. Ultimately he will follow up as an outpatient with Hand 
-Surgery to discuss operative repair. His pain was controlled 
-with IV narcotics initially. On the ___ postoperative day his 
-diet was advanced. His wounds were closely monitored for signs 
-of infection and they remained clean. His vital signs were 
-stable and his urine output was adequate; he was then 
-transferred out of the ICU to the floor on POD 1. 
-
-Once transferred to the floor he progressed slowly primarily 
-limited by pain. His narcotics required several adjustments. 
-Toradol was added to his regimen which was helpful. At time of 
-discharge his pain is well controlled with Oxycodone and 
-Baclofen both prn.
-
-He was seen by Social work due to the nature of his trauma and 
-also due to +blood alcohol level. He was provided with 
-information pertaining to reactions to trauma.
- 
-
-###RESPONSE: exploratory laparotomy {Exploratory laparotomy}, transferred 
-to the Trauma SICU {Patient transfer to intensive care unit}, postoperatively {Postoperative state}, monitoring {Monitoring response to treatment}, hemodynamically stable {Hemodynamically stable}, lower extremity pulses {Lower limb pulse present}, extubated {Removal of endotracheal tube}, alert {Mentally alert}, Hand surgery was consulted {Referral to hand surgery service}, left {Structure of left thumb}, thumb {Structure of left thumb}, fracture {Open fracture of hand}, fitted with a spica 
-cast {Application of thumb spica plaster cast}, Hand 
-Surgery {Referral to hand surgery service}, operative {Surgical procedure}, repair {Repair of finger}, pain was controlled {Pain control}, IV {Administration of drug or medicament via intravenous route}, narcotics {Narcotherapy}, postoperative {Postoperative state}, diet was advanced {Advance diet as tolerated}, wounds {Wound}, signs 
-of infection {Monitoring for signs and symptoms of infection}, remained clean {Wound healing well}, vital signs were 
-stable {Normal vital signs}, urine output {Finding of measures of urine output}, transferred out of the ICU {Discharge from intensive care service}, pain {Pain}, narcotics {Narcotherapy}, adjustments {Procedure related to management of drug administration}, regimen {Therapeutic regimen}, pain is well controlled {Demonstrates adequate pain control}, seen by Social work {Seen by social worker}, trauma {Traumatic injury}, blood alcohol level {Blood ethanol measurement}, trauma {Traumatic injury}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Denies
- 
-Discharge Medications:
-1. Acetaminophen 1000 mg PO TID 
-2. Baclofen 10 mg PO TID 
-RX *baclofen 10 mg 1 tablet(s) by mouth three times a day Disp 
-#*21 Tablet Refills:*0
-3. Docusate Sodium 100 mg PO BID 
-4. OxycoDONE (Immediate Release)  ___ mg PO Q3H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every ___ hours as 
-needed Disp #*60 Tablet Refills:*0
-5. Senna 1 TAB PO BID:PRN constipation 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-s/p Multiple Gunshot wounds to abdomen & left hand
-Injuires:
-Comminuted fracture of the left thumb proximal phalanx
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Gunshot wounds {Gunshot wound}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, left hand
-Injuires {Injury of left hand}, Comminuted fracture {Fracture, comminuted}, left thumb {Structure of left thumb}, proximal phalanx {Bone structure of proximal phalanx of hand}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hopstial after sustaining multiple 
-gunshot wounds to your adbominal region and your left hand. You 
-underwent an operation to explore your abomen for internal organ 
-injuries and none were identified. You did sustain an open 
-fracture of your left thumb and was placed in a special cast. 
-You will need to follow up with the Orthopedic hand surgeon in 
-the next couple of weeks to discuss possible surgery. You have 
-staples along the incision in your abdomen and these will be 
-reomoved inthe next ___ days when you return for your 
-appointment in the Acute Care Surgery clinic. 
-
-You are being discharged on medications to treat the pain from 
-your operation. These medications will make you drowsy and 
-impair your ability to drive a motor vehicle or operate 
-machinery safely. You MUST  refrain from such activities while 
-taking these medications. 
-
- 
-
- 
-
-Please call your doctor or return to the emergency room if you 
-have any of the following:
- 
-
- * You experience new chest pain, pressure, squeezing or 
- tightness.
- 
-* New or worsening cough or wheezing.
- 
-* If you are vomiting and cannot keep in fluids or your 
- medications.
- 
-* You are getting dehydrated due to continued vomiting, 
- diarrhea or other reasons. Signs of dehydration include dry 
- mouth, rapid heartbeat or feeling dizzy or faint when standing.
- 
-* You see blood or dark/black material when you vomit or have a 
- bowel movement.
- 
-
-* You have shaking chills, or a fever greater than 101.5 (F) 
- degrees or 38(C) degrees.
- 
-* Any serious change in your symptoms, or any new symptoms that 
- concern you. 
- 
-* Please resume all regular home medications and take any new 
-meds 
- as ordered.  
-
-Activity:
-No heavy lifting of items ___ pounds for 6 weeks. You may 
-resume moderate
-exercise at your discretion, no abdominal exercises.
-
-Wound Care:
-You may shower, no tub baths or swimming. 
-
-If there is clear drainage from your incisions, cover with 
-clean, dry gauze. 
-Please call the doctor if you have increased pain, swelling, 
-redness, or drainage from the incision sites.
-
- 
-
-###RESPONSE: gunshot wounds {Gunshot wound}, adbominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, left hand {Structure of left hand}, operation {Surgical procedure}, explore your abomen {Exploratory laparotomy}, internal organ 
-injuries {Internal injury of abdominal organ}, open 
-fracture {Open fracture of hand}, left thumb {Structure of left thumb}, cast {Application of thumb spica plaster cast}, Orthopedic hand surgeon {Seen by orthopedic surgeon}, surgery {Surgical procedure}, incision {Abdomen incision}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, medications {Prescription of drug}, pain {Pain}, operation {Surgical procedure}, medications {Administration of analgesic}, drowsy {Drowsy}, impair your ability to drive a motor vehicle or operate 
-machinery safely {Patient should not drive or operate machinery}, activities {Functional activity education}, while 
-taking these medications {Patient medication education}, call your doctor {Informing doctor}, return to the emergency {Emergency treatment education}, chest pain {Chest pain}, pressure {Tight chest}, squeezing {Squeezing chest pain}, tightness {Tight chest}, cough {Cough}, wheezing {Wheezing}, vomiting {Vomiting}, cannot keep in fluids or your 
- medications {Nausea and vomiting}, dehydrated {Dehydration}, vomiting {Vomiting}, diarrhea {Diarrhea}, Signs {Sign}, dehydration {Dehydration}, dry 
- mouth {Xerostomia}, rapid heartbeat {Tachycardia}, dizzy {Dizziness}, faint {Feeling faint}, standing {Orthostatic body position}, blood or dark/black material when you vomit {Vomit contains blood}, bowel movement {Hematochezia}, shaking {Tremor}, chills {Chill}, fever {Fever}, resume all regular home medications {Patient medication education}, lifting {Does lift}, moderate
-exercise {Physical activity target moderate exercise}, abdominal exercises {Abdominal exercises}, may shower {Wound treatment education}, drainage {Wound discharge}, incisions {Surgical incision wound}, cover with 
-clean, dry gauze {Application of dressing}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision sites {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Iodine; Iodine Containing / Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Abdominal pain and RLE claudication
- 
-Major Surgical or Invasive Procedure:
-Angiogram x 2, celiac and SMA angioplasty
-
- 
-
-###RESPONSE: Iodine; Iodine {Allergy to iodine compound}, Penicillins {Allergy to penicillin}, Abdominal pain {Abdominal pain}, RLE {Structure of right lower limb}, claudication {Intermittent claudication}, Angiogram {Angiography}, celiac {Angioplasty of celiac artery}, SMA angioplasty {Angioplasty of superior mesenteric artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with bilateral PVD presents with ___ abdominal pain
-which has become unbearable and worsening RLE claudication which
-has been controlled on oral pain medications.  He underwent an
-arteriogram in ___ that showed occluded SFA with runoff via
-the peroneal and ___, the AT was occluded.  Plans were made to
-bring him back for a Left Fem to AK-pop bypass, but he failed to
-keep his follow up appointments.  He now presents with worsening
-claudication in his right leg.  He can only walk a few steps now
-and then he gets pain in his calf and thigh.  Resting and
-percocet alleviate the pain.  This is much worse than it was a
-few months ago.  He does get pain in his left leg too, but his
-right leg is more severe.  He does not have rest pain.  He 
-denies
-fevers, chills, nausea, emesis, paresthesias in his feet, and
-weakness.  He has no lesions on his feet.  He quit smoking ___
-years ago but does have ___ cigs to calm his nerves.  His feet
-have never been cold or turned blue.
-
- 
-
-###RESPONSE: PVD {Peripheral vascular disease}, abdominal pain {Abdominal pain}, RLE {Structure of right lower limb}, claudication {Intermittent claudication}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, arteriogram {Angiography of artery}, SFA {Structure of superficial femoral artery}, peroneal {Structure of peroneal artery}, AT {Structure of anterior tibial artery}, Fem to AK-pop bypass {Femoral-popliteal artery bypass graft}, claudication {Intermittent claudication}, right leg {Structure of right lower leg}, walk {Does walk}, pain {Pain}, calf {Structure of calf of leg}, thigh {Structure of left thigh}, pain {Pain}, pain {Pain}, left leg {Structure of left lower limb}, right leg {Structure of right lower leg}, rest pain {Pain provoked by rest}, fevers {Fever}, chills {Chill}, nausea {Nausea}, emesis {Vomiting}, paresthesias {Paresthesia}, feet {Foot structure}, weakness {Weakness of foot}, lesions {Skin lesion}, feet {Foot structure}, quit smoking {Ex-smoker}, calm {Feeling calm}, feet {Foot structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. HTN
-2. CAD, s/p CABG ___
-3. Hyperlipidemia
-4. Carotid artery disease, s/p L CEA approximately ___
-5. Taxus drug-eluting stent and a 2.0mm MiniVision stent
-6. PTCA & stenting Cypher ___ 3, LMA into ostial LAD, ___
-7. S/p CVA x 2 in ___, R-sided weakness & expressive aphasia, 
-(now
-improved)
-8. s/p Fall / foot trauma ___, no surgery, wheelchair bound 6 
-months
-9. GERD
-10. Depression
-11. DJD
-12. Chronic kidney disease 
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, Hyperlipidemia {Hyperlipidemia}, Carotid artery disease {Disorder of carotid artery}, L {Structure of left carotid artery}, CEA {Carotid endarterectomy}, drug-eluting stent {Endovascular insertion of drug eluting stent}, stent {Placement of stent}, PTCA {Percutaneous transluminal coronary angioplasty}, stenting {Insertion of arterial stent}, LMA {Structure of left coronary artery main stem}, LAD {Structure of anterior descending branch of left coronary artery}, CVA {Cerebrovascular accident}, R-sided weakness {Right hemiparesis}, expressive aphasia {Expressive dysphasia}, improved {Patient's condition improved}, Fall {Falls}, foot {Foot structure}, trauma {Traumatic injury}, surgery {Surgical procedure}, wheelchair bound {Does mobilize using wheelchair}, GERD {Gastroesophageal reflux disease}, Depression {Depressive disorder}, DJD {Osteoarthritis}, Chronic kidney disease {Chronic kidney disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died at age ___ of unknown cause. Mother died in her ___ 
-of Influenza. 
- 
-
-###RESPONSE: died {Dead}, died {Dead}, Influenza {Influenza}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-At time of discharge:
-
-AVSS
-A&O X 3, NAD
-PERRL, EOMI
-RRR
-CTAB
-Abdomen soft, nondistended, mild generalized tenderness, no 
-rebound or guarding
-___ warm
-Pulses: b/l fem 2+, pop, DP and ___ all dopplerable
- 
-
-###RESPONSE: AVSS {Vital signs finding}, A {Mentally alert}, O X 3 {Oriented to person, time and place}, NAD {No abnormality detected}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, RRR {Normal heart rate}, CTAB {Normal breath sounds}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, mild {Symptom mild}, tenderness {Tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, warm {Warm skin}, Pulses {Pulse finding}, fem 2+ {Normal femoral pulse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:10AM BLOOD WBC-10.0# RBC-3.39* Hgb-9.8* Hct-29.8* 
-MCV-88 MCH-28.8 MCHC-32.8 RDW-18.2* Plt ___
-___ 06:50AM BLOOD Hct-32.6*
-___ 06:50AM BLOOD UreaN-27* Creat-2.2* K-3.4
-___ 07:10AM BLOOD Calcium-8.8 Phos-3.8 Mg-1.8
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Hct {Hematocrit determination}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, K {Blood potassium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted on ___ under the care of Dr. 
-___. He underwent ___ angiogram on ___ that showed occlusion 
-of the superficial femoral artery with
-reconstitution in the above-knee popliteal artery and 2-vessel 
-runoff to the foot.  Given these findings, the operation was 
-terminated at that point with a plan for surgical bypass at a 
-later point. The following day he underwent a mesenteric 
-angiogram via brachial approcah. He underwent balloon 
-angioplasty of iliac artery stenosis and balloon angioplasty of 
-SMA stenosis. Post-operatively he recovered well. He continued 
-to have generalized abdominal pain and a GI consult was 
-obtained. Since he had evidence of gastritis and duodenal ulcers 
-in ___ on EGD, and since he
-is unsure if he took PPI since then, the gastroenterologists 
-felt that remaining ulcers may also be contributing to the 
-abdominal pain. They recommended increasing PPI to 40 mg PO BID 
-for 2 weeks, avoiding NSAIDs and will consider repeat EGD as 
-outpatient if no improvement. He was discharged home on ___ 
-tolerating a regular diet but with similar abdominal complaints 
-as prior.
- 
-
-###RESPONSE: angiogram {Angiography}, occlusion {Complete obstruction}, superficial femoral artery {Structure of superficial femoral artery}, above-knee popliteal artery {Structure of supragenicular popliteal artery}, vessel {Blood vessel structure}, foot {Foot structure}, operation {Surgical procedure}, surgical bypass {Construction of shunt}, mesenteric 
-angiogram {Angiography of mesenteric artery}, balloon 
-angioplasty {Angioplasty of artery}, iliac artery stenosis {Iliac artery stenosis}, balloon angioplasty of 
-SMA {Percutaneous balloon angioplasty of superior mesenteric artery}, stenosis {Stenosis}, Post-operatively {Postoperative state}, generalized abdominal pain {Generalized abdominal pain}, gastritis {Gastritis}, duodenal ulcers {Ulcer of duodenum}, EGD {Esophagogastroduodenoscopy}, ulcers {Ulcer}, abdominal pain {Abdominal pain}, EGD {Esophagogastroduodenoscopy}, tolerating {Tolerating diet}, regular diet {Normal diet}, abdominal {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-amlodipine 10mg daily, clonidine 0.1mg bid, isosorbide 
-mononitrate 180mg daily, metoprolol XL 50mg daily, omeprazole 
-40mg daily, papaverine 150mg bid, simvastatin 40mg daily, 
-aspirin 325mg daily, plavix 75mg daily, niacin 1000mg daily, 
-benicar 40mg daily, clonazepam 0.5mg tid, zolpidem 5mg daily, 
-MVI  
- 
-Discharge Medications:
-1. Amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-
-2. Clonidine 0.1 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-3. Isosorbide Mononitrate 60 mg Tablet Sustained Release 24 hr 
-Sig: Three (3) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-
-4. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-5. Papaverine 150 mg Capsule, Sustained Release Sig: One (1) 
-Capsule, Sustained Release PO Q12H (every 12 hours).  
-6. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-7. Niacin 500 mg Capsule, Sustained Release Sig: Two (2) 
-Capsule, Sustained Release PO DAILY (Daily).  
-8. Clonazepam 0.5 mg Tablet Sig: One (1) Tablet PO TID (3 times 
-a day).  
-9. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-10. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Zolpidem 5 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). 
- 
-12. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO BID (2 times a day).  
-13. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).
-Disp:*60 Capsule(s)* Refills:*2*
-14. Percocet ___ mg Tablet Sig: ___ Tablets PO every ___ hours 
-as needed for pain.
-Disp:*80 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-RLE ischemia 
-Abdominal pain
-
- 
-Discharge Condition:
-Good
-
- 
-
-###RESPONSE: RLE {Structure of right lower limb}, Abdominal pain {Abdominal pain}, Good {Patient's condition satisfactory}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Call your doctor or go to the ER if you experience any of the 
-following: fever > 101.5, severe pain, bleeding from groin, or 
-any other concerning symptoms
- 
-
-###RESPONSE: Call your doctor {Informing doctor}, fever {Fever}, severe pain {Severe pain}, bleeding {Bleeding}, groin {Inguinal region structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Prednisone
- 
-Attending: ___.
- 
-Chief Complaint:
-Palpitations, diaphoresis
- 
-Major Surgical or Invasive Procedure:
-___: Biopsy of retroperitoneal mass by ___ under 
-fluoroscopic guidance  
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Prednisone {Allergy to prednisone}, Palpitations {Palpitations}, diaphoresis {Excessive sweating}, Biopsy of retroperitoneal mass by ___ under 
-fluoroscopic guidance {Biopsy of retroperitoneum using fluoroscopic guidance}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness: This is a ___ YO M CAD, chronic, 
-likely diastolic CHF who is representing to the ED after 
-presenting with diaphoresis, nausea, presyncope at rehab.  After 
-being recently discharged from ___, while at rehab, he was 
-sitting in his wheelchair when he developed diaphoresis at rest. 
- He did have a bowel movement about half hour prior to event.  
-Diaphoresis was associated with nausea and feeling of confusion. 
- Experienced chest palpitations.  Unclear if Mr ___ lost 
-consciousness; denies any loss of stool or urine.  Discomfort 
-lasted about 10 minutes and then resolved; has not recurred. 
-Most recently he was admitted to the hospital on ___ 
-after being pushed down the stairs; he also had fevers and 
-chills at that point and was found to be hypotensive and in 
-renal failure.  He was transferred to the MICU briefly for 
-management; his hypotension was fluid responsive, his renal 
-failure responded to fluids.  He was started on vancomycin and 
-levoquin for pneumonia and was ruled out for influenza.  
-.
-In the ED one set of cardiac enzymes were obtained.  UA was done 
-which was positive and urine cultures were sent.  Aspirin was 
-given.  Chest X-ray was obtained which showed improving 
-bibasilar infiltrate compared to prior images.  EKG showed new 
-afib, rate controlled, with old T wave inversions (I, aVL, V5, 
-V6).  Lower extremity dopplers obtained which were negative.  
-His vitals in the ED were 84 112/75, 16, 96% RA.
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, chronic {Chronic disease}, diastolic CHF {Heart failure with normal ejection fraction}, diaphoresis {Excessive sweating}, nausea {Nausea}, presyncope {Near syncope}, sitting {Sitting position}, diaphoresis {Excessive sweating}, bowel movement {Does defecate}, Diaphoresis {Excessive sweating}, nausea {Nausea}, confusion {Clouded consciousness}, chest {Thoracic structure}, palpitations {Palpitations}, lost 
-consciousness {Loss of consciousness}, loss of stool {Incontinence of feces}, urine {Urinary incontinence}, Discomfort {Discomfort}, resolved {Problem resolved}, fevers {Fever}, chills {Chill}, hypotensive {Low blood pressure}, renal failure {Renal failure syndrome}, transferred to the MICU {Patient transfer to intensive care unit}, hypotension {Low blood pressure}, fluid {Administration of fluid therapy}, renal 
-failure {Renal failure syndrome}, fluids {Administration of fluid therapy}, vancomycin {Antibiotic therapy}, pneumonia {Pneumonia}, influenza {Influenza}, cardiac enzymes {Cardiac enzymes/isoenzymes measurement}, UA {Urinalysis}, urine cultures {Urine culture}, Aspirin {Administration of aspirin}, Chest X-ray {Plain chest X-ray}, bibasilar {Structure of base of lung}, infiltrate {Infiltration}, EKG {Electrocardiographic procedure}, afib {Atrial fibrillation}, rate {Finding of heart rate}, T wave inversions {Inverted T wave}, I {Lead site V1}, aVL {aVL}, V5 {Lead site V5}, V6 {Lead site V6}, Lower extremity dopplers {Doppler ultrasonography of vascular structure of lower limb}, negative {No abnormality detected}, vitals {Vital signs finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1) HTN  
-2) DM - diet controlled, with neuropathy  
-3) CAD s/p MI ___ s/p CABG in ___ with multiple CHF  
-hospitalizations since then.  
-4) CHF  
-5) etoh abuse  
-6) Gout  
-7) CRI, baseline Cr 1.2; per patient ___ longterm NSAID use  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, DM - diet controlled {Type 2 diabetes mellitus controlled by diet}, neuropathy {Neuropathy}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, CABG {Coronary artery bypass grafting}, CHF {Congestive heart failure}, CHF {Congestive heart failure}, etoh abuse {Alcohol abuse}, Gout {Inflammatory disorder due to increased blood urate level}, CRI {Chronic renal insufficiency}, baseline {Baseline state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Significant for grandmother with CHF. 
- 
-
-###RESPONSE: CHF {Congestive heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-
-###RESPONSE: Physical Exam {Physical examination procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:  98.9, 121/77, 74, 29, 96% RA
-Gen: Sitting up in bed in NAD
-Card: Irregular rhythm, no extrasystolic HS
-Resp: lungs CTAB
-Abd: soft NT ND
-Ext: no ___ edema
-Neuro: no focal deficits
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, RA {Breathing room air}, Gen {General examination of patient}, Sitting up in bed {Fowler's position}, NAD {No abnormality detected}, Card {Cardiovascular physical examination}, Irregular rhythm {Irregular heart beat}, Resp {Examination of respiratory system}, CTAB {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, edema {Edema}, Neuro {Neurological examination}, no focal deficits {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Electrolytes:
-GLUCOSE-117* UREA N-18 CREAT-1.4* SODIUM-141 POTASSIUM-3.8 
-CHLORIDE-103 TOTAL CO2-25 ANION GAP-17
-.
-Urine analysis:
-URINE  BLOOD-LG NITRITE-NEG PROTEIN-30 GLUCOSE-NEG KETONE-TR 
-BILIRUBIN-SM UROBILNGN-8* PH-7.0 LEUK-TR
-___ BACTERIA-RARE YEAST-NONE EPI-0
-.
-CARDIAC ENZYMES:
-CK-MB-2 cTropnT-<0.01
-cTropnT-<0.01
-cTropnT < 0.01
-.
-CEA: < 1
-PSA 0.9
-___: pending
-.
-EKG: Atrial fibrillation. Left axis deviation may be due to left 
-anterior 
-fascicular block, although it is non-diagnostic. Anterior 
-myocardial  
-infarction of indeterminate age but it may be old. Anterolateral 
-lead 
-ST-T wave abnormalities are non-specific but cannot exclude 
-ischemia. 
-Clinical correlation is suggested. Since the previous tracing of 
-___ 
-right precordial lead T wave changes appear less prominent but 
-there may be no significant change. 
-.
-Abd/pelvis CT:
-IMPRESSION: 
-1. Large conglomerate retroperitoneal lymphadenopathy along with 
-bilateral 
-common and external iliac lymphadenopathy with mediastinal 
-lymphadenopathy and right hilar lymphadenopathy raise concern 
-for the lymphoma. 
-2. Bilateral ground-glass opacity, increased interstitial 
-markings in the 
-right lung and micronodular lesions bilaterally, also concerning 
-for 
-lymphangitic spread. 
-3. 4.7 cm lesion in the interpolar region of the right kidney 
-likely also 
-represents lymphoma. (please note that the pattern of lymph 
-adenopathy is 
-unusual for metastases from renal cell carcinoma) 
-4. Spleen is elongated, measuring 16.9 cm. 
-.
-ECHO: The left atrium is dilated. Left ventricular wall 
-thickness, cavity size and regional/global systolic function are 
-normal (LVEF >55%). There is no ventricular septal defect. Right 
-ventricular chamber size and free wall motion are normal. The 
-ascending aorta is mildly dilated. The aortic valve leaflets (3) 
-are mildly thickened but aortic stenosis is not present. No 
-aortic regurgitation is seen. The mitral valve appears 
-structurally normal with trivial mitral regurgitation. There is 
-no mitral valve prolapse. The estimated pulmonary artery 
-systolic pressure is normal. There is no pericardial effusion. 
-
-IMPRESSION: Normal regional and global biventricular systolic 
-function. No pathologic valvular abnormality seen.  
-.
-
- 
-
-###RESPONSE: Electrolytes {Electrolytes measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, Urine analysis {Urinalysis}, URINE  BLOOD {Urine blood test}, PROTEIN {Measurement of protein in urine}, GLUCOSE {Glucose measurement, blood}, KETONE {Urinalysis, acetone or ketone bodies measurement}, PH {pH measurement}, cTropnT {Troponin T cardiac measurement}, EKG {Electrocardiographic procedure}, Atrial fibrillation {Atrial fibrillation}, Left axis deviation {Left axis deviation}, left 
-anterior 
-fascicular block {Left anterior fascicular block}, myocardial  
-infarction {Myocardial infarction}, T wave abnormalities {Electrocardiographic T wave abnormal}, ischemia {Ischemia}, right {Structure of right side of heart}, T wave changes {Electrocardiographic T wave abnormal}, retroperitoneal lymphadenopathy {Retroperitoneal lymphadenopathy}, common {Iliac lymphadenopathy}, external iliac lymphadenopathy {External iliac lymphadenopathy}, mediastinal 
-lymphadenopathy {Mediastinal lymphadenopathy}, hilar lymphadenopathy {Hilar lymphadenopathy}, lymphoma {Malignant lymphoma}, ground-glass opacity {Ground glass lung opacity}, increased {Increased size}, right lung {Right lung structure}, lesions {Lesion}, lymphangitic spread {Lymphangitis carcinomatosa}, lesion {Lesion}, right kidney {Right kidney structure}, lymphoma {Malignant lymphoma}, lymph 
-adenopathy {Lymphadenopathy}, metastases {Metastatic malignant neoplasm to lung}, renal cell carcinoma {Renal cell carcinoma}, Spleen {Splenic structure}, ECHO {Echocardiography}, left atrium {Left atrial structure}, dilated {Dilatation}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, size {Normal size}, regional/global systolic function are 
-normal {Normal left ventricular systolic function and wall motion}, ventricular septal defect {Ventricular septal defect}, Right 
-ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, ascending aorta {Ascending aorta structure}, dilated {Dilatation}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve appears 
-structurally normal {Mitral valve normal}, trivial mitral regurgitation {Mild mitral valve regurgitation}, mitral valve prolapse {Mitral valve prolapse}, pulmonary artery {Pulmonary artery structure}, systolic pressure is normal {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, biventricular {Cardiac ventricular structure}, systolic 
-function {Normal left ventricular systolic function and wall motion}, No pathologic {No pathologic diagnosis}, valvular {Cardiac valve structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-1. Fevers/Neoplastic Process: Differential initially broad 
-encompassing hospital acquired pneumonia versus neoplastic 
-process.  A subacute neoplastic process is more likely given 
-several weeks-months of night sweats, malaise, and fevers with 
-finding of extensive retroperitoneal and mediastinal adenopathy 
-on CT.  Other possibly pertinent symptoms include note of 
-intermittent hematuria, intermittent abdominal discomfort.  
-Other laboratory findings of note: anemia, microscopic 
-hematuria, ESR > 100, CRP > upper limit of assay.  Preliminary 
-staining is suggestive of a carcinoma given findings of 
-organizing tubular structures seen on microscopy.  The type of 
-carcinoma is still under review but some stains are suggestive 
-of renal cell carcinoma.  CT suggests there is a renal nodule 
-that is less likely to be renal cell. At this point, we have 
-told Mr ___ that the culmination of our studies so far suggest 
-that he likely has an underlying carcinoma leading to his 
-constellation of symptoms, however this is not definitive, and 
-if it is a carcinoma, we don't yet have a finalized primary 
-source.  According to pathology, it should take an additional 
-week or so before the pathology report is finalized.  He was set 
-up for a primary care appointment with me on ___, and I emphasized the importance of follow-up.  
-.
-While he was in the hospital, we also evaluated other sources of 
-fever.  A chest x-ray revealed a multifocal pneumonia.  Given 
-his recent hospitalization, we treated this as a hospital 
-acquired pneumonia with an 8 day course of vancomycin and 
-cefepime and covered him with azithromycin for a 7 day course 
-for the possibility of atypicals.  His cough slowly improved 
-over the course of his hospitalization and his fevers trended 
-down.  He did not have any leukocytosis during the course of his 
-hospitalization.  At time of discharge, he was afebrile for > 48 
-hours and his antibiotics course was complete. 
-.
-2) Atrial fibrillation: Was found to be in new onset atrial 
-fibrillation in ED.  Unclear what precipitant of afib could be; 
-could be secondary to recent pneumonia/infection. Also has 
-significant mediastinal adenopathy; could represent infiltrative 
-or compressive process creating an irritant focus.  Had no RVR; 
-rates were 70 - 80.  CHADS score was +3.  Coumadin was started 
-with goal INR near 2.  Carvedilol was continued at dose of 12.5 
-mg BID.  He was discharged and set up with ___ 
-clinic. He was discharged with a ___ mg alternating dose 
-coumadin regimen.
-.
-3) Acute on Chronic renal failure: Creatinine was initially 
-elevated on presentation, however her electrolytes were 
-consistent with prerenal disease.  Following administration of 
-fluids, his creatinine resolved to below her baseline. 
-.
-4) Coronary artery disease:  Troponin levels were checked on 
-admission and were negative.  He was continued on his statin, 
-aspirin, beta blocker and Ace inhibitor.  His lisinopril was 
-held as this tended to precipitously decrease his blood pressure 
-< 80 systolic.  At time of discharge, his lisinopril continued 
-to be held.
-.
-5) Congestive heart failure: There was no evidence for fluid 
-overload; there were no rales on lung exam.  His JVP was not 
-elevated.  He has unilateral 1+ left lower extremity edema; he 
-was continued on lasix 80 mg daily.  
-.
-6) Left ankle pain: Differential is gout vs trauma from recent 
-fall.  Mild inflammatory changes seen along left foot (erythema, 
-decreased range of motion, mildly warm).  Started on colchicine 
-with improvement in symptoms.  Has crystal proven gout last year 
-after left ankle joint was tapped.  Was discharged with a 3 day 
-continued supply of colchicine.   
-.
-7) Dispo:  Was discharged to assisted living facility after 
-cleared by physical therapy.  Appointments were set up with 
-primary care and is being followed by ___ clinic.  
- 
-
-###RESPONSE: Fevers {Fever}, hospital acquired pneumonia {Nosocomial pneumonia}, night sweats {Night sweats}, malaise {Malaise}, fevers {Fever}, retroperitoneal {Retroperitoneal lymphadenopathy}, mediastinal adenopathy {Mediastinal lymphadenopathy}, CT {Computed tomography}, hematuria {Blood in urine}, abdominal discomfort {Abdominal discomfort}, laboratory {Laboratory test}, anemia {Anemia}, microscopic 
-hematuria {Microscopic hematuria}, ESR {Erythrocyte sedimentation rate above reference range}, CRP {C-reactive protein measurement}, carcinoma {Carcinoma}, microscopy {Microscopy}, carcinoma {Carcinoma}, renal cell carcinoma {Renal cell carcinoma}, CT {Computed tomography}, renal {Kidney structure}, renal {Kidney structure}, cell {Cell structure}, carcinoma {Carcinoma}, carcinoma {Carcinoma}, fever {Fever}, chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}, hospital 
-acquired pneumonia {Nosocomial pneumonia}, vancomycin {Antibiotic therapy}, atypicals {Atypical pneumonia}, cough {Cough}, improved {Patient's condition improved}, fevers {Fever}, leukocytosis {Leukocytosis}, afebrile {Fever}, antibiotics {Antibiotic therapy}, Atrial fibrillation {Atrial fibrillation}, atrial 
-fibrillation {Atrial fibrillation}, afib {Atrial fibrillation}, pneumonia {Pneumonia}, infection {Infectious disease}, mediastinal adenopathy {Mediastinal lymphadenopathy}, infiltrative {Infiltration}, compressive {Compression}, RVR {Atrial fibrillation with rapid ventricular response}, rates {Finding of heart rate}, regimen {Therapeutic regimen}, Acute on Chronic renal failure {Acute-on-chronic renal failure}, Creatinine was initially 
-elevated {Serum creatinine above reference range}, electrolytes {Finding of electrolyte levels}, disease {Disease}, administration of 
-fluids {Administration of fluid therapy}, creatinine {Creatinine measurement}, resolved {Problem resolved}, baseline {Baseline state}, Coronary artery disease {Coronary arteriosclerosis}, Troponin {Troponin measurement}, checked {Monitoring procedure}, negative {No abnormality detected}, aspirin {Administration of aspirin}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, decrease his blood pressure 
-< 80 systolic {Decreased systolic arterial pressure}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, Congestive heart failure {Congestive heart failure}, no evidence {No abnormality detected}, fluid 
-overload {Hypervolemia}, rales {Respiratory crackles}, lung exam {Examination of respiratory system}, JVP was not 
-elevated {Normal jugular venous pressure}, left lower extremity edema {Edema of left lower limb}, lasix {Diuretic therapy}, Left ankle {Structure of left ankle}, pain {Pain}, gout {Inflammatory disorder due to increased blood urate level}, trauma {Traumatic injury}, fall {Falls}, Mild inflammatory {Mild inflammation}, left foot {Structure of left foot}, erythema {Erythema}, warm {Warm skin}, improvement {Patient's condition improved}, gout {Inflammatory disorder due to increased blood urate level}, left {Left hip region structure}, ankle joint {Ankle joint structure}, tapped {Arthrocentesis}, Dispo {Patient disposition}, physical therapy {Physical therapy assessment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Aspirin 325 mg PO Daily   
-Citalopram 20mg PO daily  
-Carvedilol 12.5 mg PO BID   
-Omperazole 40mg PO daily  
-Simvastatin 80mg PO Daily 
-Clonzaepam 1mg PO TID  
-Trazodone 100mg PO QHS PRN   
-Colchicine 0.6mg PO Daily PRN Gout 
-Lisinopril 40mg PO Daily  
-Lasix 80mg PO daily 
-Ferrous Sulfate 325mg PO daily  
-NTG 0.3mg SL PRN  .
-MVI 1 Tab PO Daily  .
-Thiamine 100mg PO Daily .  
-Folate 1mg PO Daily  
-Acet 325mg PO Q6 PRN Pain . 
-Oxycodone 10 mg q6-8 hrs PRN .
-Lidoderm 5% adhesive patch topical 12 hrs on 12 hrs off
- 
-Discharge Medications:
-1. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-2. Citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-3. Carvedilol 12.5 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-4. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-5. Simvastatin 40 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-6. Clonazepam 1 mg Tablet Sig: One (1) Tablet PO TID (3 times a 
-day).  
-7. Trazodone 50 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime) 
-as needed for insomnia.  
-8. Furosemide 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-9. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-10. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Acetaminophen 325 mg Tablet Sig: One (1) Tablet PO Q6H 
-(every 6 hours) as needed for pain.  
-12. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-One (1) Adhesive Patch, Medicated Topical DAILY (Daily).  
-13. Warfarin 2.5 mg Tablet Sig: Two (2) Tablet PO once a day: 
-two tablets daily at 4PM or as directed by your physician or 
-clinic.
-Disp:*60 Tablet(s)* Refills:*2*
-14. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1)  
-Sublingual PRN as needed for chest pain.  
-15. Colchicine 0.6 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*3 Tablet(s)* Refills:*0*
-16. Oxycodone-Acetaminophen ___ mg Tablet Sig: One (1) Tablet 
-PO every ___ hours as needed for pain.
-Disp:*30 Tablet(s)* Refills:*0*
-17. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: 
-___ Puffs Inhalation Q4H (every 4 hours) as needed for shortness 
-of breath.
-Disp:*1 1* Refills:*0*
-18. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).  
-19. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed for constipation.  
-20. Maalox 200-200-20 mg/5 mL Suspension Sig: ___  PO PRN as 
-needed for pain.
-Disp:*1 1* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-1. New onset atrial fibrillation
-2. Urinary tract infection
-3. Coronary disease
-4. Congestive heart failure
-
- 
-Discharge Condition:
-Stable for rehab facility.  Saturating well on room air.
-
- 
-
-###RESPONSE: atrial fibrillation {Atrial fibrillation}, Urinary tract infection {Urinary tract infectious disease}, Coronary disease {Coronary arteriosclerosis}, Congestive heart failure {Congestive heart failure}, Stable {Patient's condition stable}, on room air {Breathing room air}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr ___,
-
-It was a pleasure caring for you while you were at ___ 
-___.  As you know, the result of some of our studies are 
-concerning for a cancer diagnosis, however we do not yet have 
-enough information to suggest what kind of cancer you may have.  
-In the coming weeks, these results should become clearer, and 
-this will help us to develop a plan.  You are not alone in this 
-challenge; there will be several doctors who ___ be 
-participating in your care.  The most important things for you 
-will be to keep your mind and body as healthy as you can so that 
-you can put your best foot forward.  You will be followed by me 
-in primary care so that I can coordinate all of your care in the 
-coming months.  Following up with all of your appointments is 
-one of your most important priorities.
-.
-I've explained some of the important points of your 
-hospitalization at ___ below:
-(1) When you came into the hospital, you had symptoms of fevers, 
-cough, and night sweats.  A lot of these symptoms could be 
-because of the possibility of cancer.  However, when we did a 
-chest x-ray, we found that you also had a pneumonia in your 
-lungs.  This could explain some of your symptoms.  We started 
-you on antibiotics for 8 days which led to improvement in your 
-cough and fevers.  
-(2) While you were hospitalized we found that your heart was 
-beating irregularly in a rhythm that we call atrial 
-fibrillation.  This can happen when you have an underlying 
-infection like pneumonia.  Sometimes this heart rhythm can lead 
-to formations of a clot in your heart which can increase your 
-risk of stroke.  To help treat this, we started you on a 
-medicine called coumadin, which helps to thin the blood.  This 
-medicine will require frequent monitoring of your labs and your 
-assisted living facility will help draw these.  It is important 
-that you take this medicine daily as directed to ensure that you 
-do not develop a clot.
-(3) While you were here you also developed pain in your left 
-foot that we felt was consistent with gout.  We started you on 
-colchicine which helped your pain and also increased your pain 
-medicine.  You will have enough colchicine for another three 
-days to continue to treat your gout.  
-.
-We made the following medication changes to your usual meds that 
-are summarized below:
-(1) You should take coumadin (the blood thinner) 5 mg every 
-___ and ___, and 2.5mg on ___, 
-___ and ___. This dose may be adjusted after we check 
-your blood. The ___ lab will be checking your 
-blood at your assisted living facility on ___. 
-From then on you will get labs checked every week so that your 
-dose can be adjusted appropriately.
-(2) You should stop taking lisinopril, a blood pressure medicine 
-that was decreasing your blood pressure too much.  You can 
-restart this as an outpatient as directed by your outpatient 
-team.
-(3) You should take colchicine 0.6 mg daily for another 3 days 
-after you leave the hospital.
-(4) You should take oxycodone 10 mg as needed every six hours 
-for pain.  
-(5) You can use your albuterol inhaler ___ puffs as needed for 
-wheezing and shortness of breath.
-(6) You can take maalox as needed for your stomach pain.
-.
-If you experience worsening fevers, diaphoresis, vomiting, 
-worsening cough, worsening blood in your urine, or any other 
-concerning symptoms, please let your primary care doctor know or 
-return to the emergency department.  
- 
-
-###RESPONSE: cancer {Malignant neoplasm}, cancer {Malignant neoplasm}, fevers {Fever}, cough {Cough}, night sweats {Night sweats}, cancer {Malignant neoplasm}, chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}, lungs {Lung structure}, antibiotics {Antibiotic therapy}, improvement {Patient's condition improved}, cough {Cough}, fevers {Fever}, heart was 
-beating irregularly {Irregular heart beat}, rhythm {Irregular heart beat}, atrial 
-fibrillation {Atrial fibrillation}, infection {Infectious disease}, pneumonia {Pneumonia}, this heart rhythm {Irregular heart beat}, clot {Blood clot}, heart {Heart structure}, increase your 
-risk of stroke {At increased risk of cerebrovascular accident}, coumadin {Administration of prophylactic anticoagulant}, thin the blood {Anticoagulant therapy}, monitoring {Monitoring response to treatment}, clot {Blood clot}, pain {Pain}, left 
-foot {Structure of left foot}, gout {Inflammatory disorder due to increased blood urate level}, pain {Pain}, pain 
-medicine {Administration of analgesic}, gout {Inflammatory disorder due to increased blood urate level}, medication changes {Change of medication}, blood thinner {Anticoagulant therapy}, check 
-your blood {Blood test}, checking your 
-blood {Blood test}, stop taking {Recommendation to stop treatment}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, blood pressure medicine {On treatment for hypertension}, decreasing your blood pressure {Finding of decreased blood pressure}, restart {Restart of medication}, pain {Pain}, wheezing {Wheezing}, shortness of breath {Dyspnea}, stomach pain {Stomach ache}, fevers {Fever}, diaphoresis {Excessive sweating}, vomiting {Vomiting}, cough {Cough}, blood in your urine {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___
- 
-Chief Complaint:
-BRBPR, LLQ pain
- 
-Major Surgical or Invasive Procedure:
-.
- 
-
-###RESPONSE: BRBPR {Hematochezia}, LLQ {Structure of left lower quadrant of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ yo F with h/o PAF on coumadin who presents with 
-BRBPR and LLQ pain X 3 days. Her symptoms began ___ night 
-when she began to experience BRBPR with minimal amounts of loose 
-stools. This was associated with crampy LLQ > RLQ pain. Denies 
-n/v, melena, fevers. + chills. These symptoms continued until 
-___ when the blood became less brisk with an increase in the 
-amount of loose stools. She attempted to keep well hydrated over 
-the weekend but began to feel increasingly lightheaded to the 
-point that she felt she may pass out if she stood up too 
-quickly. The pt has had BRBPR in the past ___ hemorrhoids but 
-reports those past episodes were not nearly as significant and 
-not accompanied by abdominal pain. She was recently started on a 
-baby ASA 1 week ago and also reports that her lasix dose was 
-increased 2 weeks ago. No recent antibiotics. Denies recent 
-change in diet, including increased ingestion of leafy, green 
-vegetables. She went to see her PCP today who noted her SBP to 
-be in the ___ (usual baseline 140s) and referred her to the ED 
-for further evaluation.  
-.  
-In the ED, pt AF, BP 97/49, HR 61. Rectal exam significant only 
-for small amounts of dried blood in the vault, NGL was negative. 
-Labs were significant for WBC 15.2, Hct 43.5, BUN 31, Cr 2.0, 
-lactate 1.4, and INR 17.1. A CT abd/pelvis was significant for 
-pancolitis. She was given 2 units FFP, 10 mg IV vitamin K, 
-protonix 40 IV X 1, levaquin 750 mg IV X 1, flagyl 500 mg IV X 
-1, and a total of 3 L IVFs. Repeat INR 2.6. She remained 
-hemodynamically stable and did not have any episodes of BRBPR in 
-the ED in spite of having several BMs. She was then admitted to 
-the ___ for further management.  
-.  
-ROS otherwise only positive for stable DOE. She is unable to 
-walk up a flight of stairs without becoming signicantly winded. 
-ROS otherwise negative.  
-.  
-
- 
-
-###RESPONSE: PAF {Paroxysmal atrial fibrillation}, BRBPR {Hematochezia}, LLQ {Structure of left lower quadrant of abdomen}, BRBPR {Hematochezia}, minimal {Symptom mild}, loose 
-stools {Loose stool}, crampy {Stomach cramps}, LLQ {Structure of left lower quadrant of abdomen}, RLQ {Structure of right lower quadrant of abdomen}, n/v {Nausea and vomiting}, melena {Melena}, fevers {Fever}, chills {Chill}, loose stools {Loose stool}, lightheaded {Lightheadedness}, BRBPR {Hematochezia}, hemorrhoids {Hemorrhoids}, abdominal pain {Abdominal pain}, ASA {Administration of aspirin}, lasix {Diuretic therapy}, increased {Increasing dosage of medication}, antibiotics {Antibiotic therapy}, baseline {Baseline state}, evaluation {Evaluation procedure}, AF {Atrial fibrillation}, Rectal exam {Rectal examination}, WBC {White blood cell count}, BUN {Blood urea nitrogen measurement}, lactate {Lactic acid measurement}, INR {Calculation of international normalized ratio}, CT abd/pelvis {Computed tomography of abdomen and pelvis}, IVFs {Administration of intravenous fluids}, INR {Calculation of international normalized ratio}, hemodynamically stable {Hemodynamically stable}, BRBPR {Hematochezia}, ROS {Review of systems}, DOE {Dyspnea on exertion}, unable to 
-walk up a flight of stairs without becoming signicantly {Deterioration in ability to walk up stairs}, winded {Winded}, ROS {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAF on coumadin  
-HTN (baseline BP 140/70s)  
-h/o CHF (EF 20% in ___, TTE in ___ with nl EF)  
-mod MR and TR  
-s/p PPM ___ syncope in ___, s/p dual chamber PPM replacement in 
-___  
-Melanoma s/p resection  
-Asthma  
-Depression  
-Breast cancer ___ years ago, s/p R lumpectomy and XRT, s/p L 
-lumpectomy in early ___ ___ yrs ago that was negative  
-Pancreatic lesion, reportedly extensively worked up ___ yrs ago 
-that was negative, stable lesion on serial CTs  
-Post granulomatous infection of liver and spleen  
-Seasonal allergies  
-Gout  
-
- 
-
-###RESPONSE: PAF {Paroxysmal atrial fibrillation}, HTN {Hypertensive disorder, systemic arterial}, baseline {Baseline state}, BP {Blood pressure finding}, CHF {Congestive heart failure}, TTE {Transthoracic echocardiography}, MR {Mitral valve regurgitation}, PPM {Permanent cardiac pacemaker}, syncope {Syncope}, chamber {Cardiac chamber structure}, PPM replacement {Replacement of permanent transvenous electrodes}, Melanoma {Malignant melanoma of skin}, resection {Excision}, Asthma {Asthma}, Depression {Depressive disorder}, Breast cancer {Malignant neoplasm of breast}, R lumpectomy {Lumpectomy of right breast}, XRT {X-ray beam therapy}, L 
-lumpectomy {Lumpectomy of left breast}, negative {No pathologic diagnosis}, Pancreatic {Pancreatic structure}, lesion {Lesion}, negative {No pathologic diagnosis}, stable {Patient's condition stable}, lesion {Lesion}, CTs {Computed tomography}, granulomatous infection {Infective granuloma}, liver {Liver structure}, spleen {Splenic structure}, Seasonal allergies {Seasonal allergy}, Gout {Inflammatory disorder due to increased blood urate level}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-father with colon CA 
- 
-
-###RESPONSE: colon CA {Neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: Temp: 98.9 BP: 145/45 HR: 64 RR: 22 O2sat 100% on 2L NC  
-GEN: pleasant, comfortable, NAD  
-HEENT: PERRL, EOMI, anicteric, dry MM, op without lesions  
-NECK: supple, no LAD, jvd flat  
-RESP: + bibasilar rales that clear with deeper breaths  
-CV: RR, II/VI holosystolic murmur radiating to apex  
-ABD: Soft, diffusely TTP especially over LLQ, + guarding, + 
-rebound, normoactive BS, no HSM  
-EXT: no c/c/e, warm, good pulses  
-SKIN: no rashes/no jaundice  
-NEURO: AAOx3  
-RECTAL: guaiac positive, dried blood in vault  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2sat {Oxygen saturation measurement}, NC {Normal head}, GEN {General examination of patient}, comfortable {Comfortable appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, anicteric {White sclera}, dry MM {Mucous membrane dryness}, op {Oropharyngeal structure}, lesions {Lesion}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, jvd flat {Normal jugular venous pressure}, RESP {Examination of respiratory system}, bibasilar {Structure of base of lung}, rales {Respiratory crackles}, clear {Normal breath sounds}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, murmur {Murmur}, apex {Structure of apex of heart}, ABD {Examination of abdomen}, Soft {Abdomen soft}, TTP {Tenderness}, LLQ {Structure of left lower quadrant of abdomen}, guarding {Abdominal guarding}, rebound {Rebound tenderness}, normoactive BS {Normal bowel sounds}, HSM {Hepatosplenomegaly}, EXT {Examination of limb}, no c/c/e {No abnormality detected}, warm {Warm skin}, good pulses {Normal pulse}, SKIN {Examination of skin}, rashes {Eruption of skin}, jaundice {Jaundice}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, CTA {Normal breath sounds}, guaiac {Guaiac test for occult blood in feces specimen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 04:35PM   GLUCOSE-95 UREA N-31* CREAT-2.0* SODIUM-136 
-POTASSIUM-3.9 CHLORIDE-100 TOTAL CO2-26 ANION GAP-14
-___ 04:35PM   CALCIUM-8.4 PHOSPHATE-3.8 MAGNESIUM-2.4
-___ 04:35PM   ALT(SGPT)-21 AST(SGOT)-35 LD(LDH)-370* 
-AMYLASE-71 TOT BILI-0.4 LIPASE-88*
-.
-___ 11:57PM   LACTATE-1.0
-___ 07:00PM   LACTATE-1.4
-.
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, AMYLASE {Amylase measurement}, TOT BILI {Bilirubin, total measurement}, LIPASE {Triacylglycerol lipase measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-# Bright red blood per rectum- Evidence of pancolitis on initial 
-CT, stool studies significant for c diff colitis.  Bleeding 
-stopped once INR was corrected.  GI was consulted and suggest a 
-colonoscopy in about 4 weeks, after colitis has had time to 
-improve.  Follow up scheduled with GI, ___ to check INR and hct 
-3 times per week.  
-.
-# C Difficile colitis: Diarrhea improved on Flagyl, planned 14 
-day course.
-.
-# Supratherapeutic INR: Coumadin restarted prior to discharge 
-without GI bleed.  She was discharged on approx ___ the dose of 
-coumadin she was on prior to admission.  ___ to check INR 3 
-times per week.  Nutritionist saw pt to eduated re: food 
-restrictions while on coumadin.
-.
-# Falls/imbalance- Patient had a fall while in the ___ ICU 
-overnight, and hit her head (likely on an open cabinet door 
-adjacent to the toilet), requiring 3 stitches for a laceration. 
-A CT head was obtained immediately after and showed no acute 
-hemorrhage. There had been no significant events on telemetry 
-and no indication of pacemaker malfunction. A CT spine was 
-obtained and the read showed no fracture, and her C-spine was 
-cleared. Approximately 12 hours later, a nurse observed the 
-patient to be extremely unsteady on her feet, somewhat 
-tremulous, and not as easily conversant as prior. A second CT 
-head was obtained and was negative for edema or new subdural. 
-The patient was observed overnight on fall precautions and there 
-were no further events, and her mental status was at baseline. 
-The attending radiologist later re-read the C-spine study and 
-notified the team that there was possible cervical cord 
-compression.
-.
-# Cervical Cord compression w/o radiculopathy: Possible C6-C7 
-cord compression based on CT cervical spine. No associated 
-neurologic deficits. Neurosurgery was consulted and recommended 
-myelogram for further assessment. The family and patient chose 
-not to have the CT myelogram done.  They stated that they would 
-never opt for surgery, and if that was the only recommendation 
-to come out of CT myelogram, they felt there was no use for the 
-study.  Neurosurgery team confirmed this was in fact the case.  
-Family is aware that if symptoms develop, falls increase from 
-weakness, or any other concerns for symptomatic cord 
-compression, and they should see PCP immediately to discuss CT 
-myelogram and possible decompressive surgery.
-.
-#CKD, stage III: Pt in ARF at admission, resolved to baseline 
-creatinine of 1.3
-.
-#Chronic systolic heart failure: Past EF 20% per family, however 
-recent echo in ___ with EF > 60%.  Pt was continued on 
-isosorbide, metoprolol, lasix.  Lisinopril was held as pt 
-noticed that she had a chronic cough that had resolved during 
-the hospitalization while off of Lisinopril.  Plan is to hold 
-off on restarting, note any cough symptoms at home, and follow 
-up with PCP ___ 2 weeks to discuss whether Lisinopril could in 
-fact be cause of cough.  Also will need to discuss whether 
-alternative ___ needed.  Digoxin was held at request of family.  
-No recent CHF exacerbations, most recent EF >60%, and pacer 
-interrogations show atrial fibrillation despite therapuetic 
-digoxin levels.  They asked to stop this because they were 
-concerned that it may be the cause of the patients chronic 
-diarrhea.  They are aware that they will need to follow up with 
-cardiologist Dr. ___ need to restart digoxin.
- 
-
-###RESPONSE: Bright red blood per rectum {Hematochezia}, CT {Computed tomography}, stool studies {Stool microscopy}, c diff colitis {Clostridium difficile colitis}, Bleeding {Bleeding}, INR {Calculation of international normalized ratio}, colonoscopy {Colonoscopy}, colitis {Colitis}, INR {Calculation of international normalized ratio}, C Difficile colitis {Clostridium difficile colitis}, Diarrhea {Diarrhea}, improved {Patient's condition improved}, INR {Calculation of international normalized ratio}, restarted {Restart of medication}, GI bleed {Gastrointestinal hemorrhage}, INR {Calculation of international normalized ratio}, food 
-restrictions {Restricting food intake}, Falls {Falls}, fall {Falls}, head {Head structure}, laceration {Laceration}, CT head {Computed tomography of head}, acute 
-hemorrhage {Acute hemorrhage}, telemetry {Electroencephalogram telemetry}, CT spine {Computed tomography of spine}, fracture {Fracture}, C-spine {Structure of cervical vertebral column}, unsteady on her feet {Unsteady when standing}, tremulous {Tremor}, CT 
-head {Computed tomography of head}, negative {No pathologic diagnosis}, edema {Edema}, fall {Falls}, precautions {Safety precautions}, baseline {Baseline state}, C-spine {Structure of cervical vertebral column}, cervical cord 
-compression {Compression of cervical spinal cord}, Cervical Cord compression {Compression of cervical spinal cord}, radiculopathy {Nerve root disorder}, C6-C7 {Structure of intervertebral foramen of sixth cervical vertebra}, cord compression {Compression of cervical spinal cord}, CT cervical spine {Computed tomography of cervical spine}, neurologic deficits {Neurological deficit}, myelogram {Myelogram}, CT myelogram {Computed tomography myelogram}, surgery {Surgical procedure}, CT myelogram {Computed tomography myelogram}, falls {Falls}, weakness {Asthenia}, cord 
-compression {Compression of cervical spinal cord}, CT 
-myelogram {Computed tomography myelogram}, surgery {Surgical procedure}, CKD, stage III {Chronic kidney disease stage 3}, ARF {Acute kidney injury}, baseline {Baseline state}, creatinine {Serum creatinine within reference range}, Chronic systolic heart failure {Chronic systolic heart failure}, echo {Echocardiography}, lasix {Diuretic therapy}, chronic cough {Chronic cough}, resolved {Problem resolved}, hold {Recommendation to stop drug treatment}, restarting {Restart of medication}, cough {Cough}, cough {Cough}, held {Recommendation to stop drug treatment}, CHF exacerbations {Exacerbation of congestive heart failure}, atrial fibrillation {Atrial fibrillation}, chronic 
-diarrhea {Chronic diarrhea}, restart {Restart of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-ASA 81 mg daily  
-Coumadin 4 mg daily  
-Zestril 10 mg daily  
-Lopressor 25 mg bid  
-Digoxin 125 mcg daily  
-Isosorbide dinitrate 20 mg bid  
-Lasix 40 mg qod, 20 mg qod  
-Singulair 10 mg daily  
-Prednisone 10 mg prn (for gout flares)  
-Allegra 60 mg bid  
-Advair 250/50 1 puff bid  
-Allopurinol ___ mg daily  
-Celexa 20 mg daily  
-Omeprazole 20 mg daily  
-Caltrate daily  
-.  
-
- 
-Discharge Medications:
-1. Metronidazole 500 mg Tablet Sig: One (1) Tablet PO TID (3 
-times a day) for 9 days.
-Disp:*27 Tablet(s)* Refills:*0*
-2. Allopurinol ___ mg Tablet Sig: 1.5 Tablets PO DAILY (Daily).  
-
-3. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-4. Warfarin 2 mg Tablet Sig: One (1) Tablet PO DAILY16 (Once 
-Daily at 16).
-Disp:*30 Tablet(s)* Refills:*0*
-5. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID 
-(2 times a day).  
-6. Isosorbide Dinitrate 20 mg Tablet Sig: One (1) Tablet PO 
-twice a day.  
-7. Lasix 40 mg Tablet Sig: One (1) Tablet PO every other day.  
-8. Lasix 20 mg Tablet Sig: One (1) Tablet PO every other day.  
-9. Montelukast 10 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-10. Fexofenadine 60 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-11. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig: 
-One (1) Disk with Device Inhalation BID (2 times a day).  
-12. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-13. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-14. DISCONTINUED MEDICATIONS
-STOP TAKING DIGOXIN AND LISINOPRIL UNTIL YOU SEE ___. ___.
-15. INR checks
-Please check INR and Hct 3 times per week for the next 2 weeks.
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-c difficile colitis
-acute renal failure (now resolved)
-
- 
-Discharge Condition:
-stable
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, c difficile colitis {Clostridium difficile colitis}, acute renal failure {Acute kidney injury}, resolved {Problem resolved}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call your PCP with shortness of breath, weight gain of 
-more than 2 pounds in one day, dizziness, blood in stool, or 
-other concerning symptoms.
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, weight gain {Weight gain}, dizziness {Dizziness}, blood in stool {Hematochezia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Erythromycin Base / Codeine / Ultram / Oxycodone / 
-Lipitor / Vicodin / Combivent / Latex / simvastatin
- 
-Attending: ___.
- 
-Chief Complaint:
-SOB, cough
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Erythromycin {Allergy to erythromycin}, Codeine {Allergy to codeine}, Ultram {Allergy to tramadol}, Lipitor {Allergy to atorvastatin}, Latex {Allergy to Hevea brasiliensis latex protein}, simvastatin {Allergy to simvastatin}, SOB {Dyspnea}, cough {Cough}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with history of COPD on home O2 at night, Pulmicort, 
-albuterol, history of fibromyalgia, hypertension, presenting 
-with two-day history of worsening shortness of breath and 
-wheezing. Symptoms started on ___ evening. Slight cough. No 
-fevers or chills. Does describe some body aches. No nausea or 
-vomiting or diarrhea. Went to ___'s office today where an x-ray 
-of the chest performed and showed no evidence of pneumonia. 
-Given her wheezing, just into the emergency department for 
-nebulizer treatments and steroid initiation.
-  
-In the ED, initial vital signs were 96.3 66 151/77 100% 2L NC. 
-Labs were notable for K of 3.1. Otherwise, no leukocytosis. CXR 
-was negative for pneumonia. Patient was given 60mg prednisone 
-and 750mg levofloxacin in addition to albuterol nebs. She was 
-also given 60 meq of potassium chloride. After several neb 
-treatments she was still notably tachypneic and wheezing. She 
-was admitted to the medicine service for management of COPD 
-exacerbation.
- 
-On the floor, pt complains of 3 days of increased SOB and 
-wheezing with feeling of body aches and sore throat. She has a 
-___ year old grandson who she takes care of and thinks she may 
-have caught a cold from him. Denies increased sputum production. 
-Cough is increased but nonproductive. No fevers or chills.
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, home O2 {Home oxygen therapy}, fibromyalgia {Fibromyalgia}, hypertension {Hypertensive disorder, systemic arterial}, worsening {Patient's condition worsened}, shortness of breath {Dyspnea}, wheezing {Wheezing}, cough {Cough}, No 
-fevers {Temperature normal}, chills {Chill}, body aches {Generalized aches and pains}, nausea {Nausea}, vomiting {Vomiting}, diarrhea {Diarrhea}, x-ray {Radiographic imaging procedure}, chest {Plain chest X-ray}, no evidence {No abnormality detected}, pneumonia {Pneumonia}, wheezing {Wheezing}, emergency {Emergency treatment management}, nebulizer treatments {Nebulizer therapy}, steroid {Steroid therapy}, vital signs {Vital signs finding}, 2L NC {Oxygen administration by nasal cannula}, Labs {Laboratory test}, K {Blood potassium measurement}, leukocytosis {Leukocytosis}, CXR {Plain chest X-ray}, negative {Standard chest X-ray normal}, pneumonia {Pneumonia}, prednisone {Steroid therapy}, levofloxacin {Antibiotic therapy}, nebs {Nebulizer therapy}, neb {Nebulizer therapy}, tachypneic {Tachypnea}, wheezing {Wheezing}, COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, increased {Patient's condition worsened}, SOB {Dyspnea}, wheezing {Wheezing}, body aches {Generalized aches and pains}, sore throat {Sore throat}, cold {Common cold}, increased {Patient's condition worsened}, sputum production {Sputum finding}, Cough {Cough}, increased {Patient's condition worsened}, nonproductive {Dry cough}, No fevers {Temperature normal}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--COPD
-- Depression  
-- Chronic pain syndrome/fibromyalgia  
-- Low back pain  
-- s/p tibial plateau fracture  
-- Hypertension  
-- Hypokalemia  
-- GERD  
-- Tobacco abuse  
-- Hyperlipidemia  
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, Depression {Depressive disorder}, Chronic pain syndrome {Chronic pain syndrome}, fibromyalgia {Fibromyalgia}, Low back pain {Low back pain}, tibial plateau fracture {Fracture of tibial plateau}, Hypertension {Hypertensive disorder, systemic arterial}, Hypokalemia {Hypokalemia}, GERD {Gastroesophageal reflux disease}, Tobacco abuse {Tobacco dependence syndrome}, Hyperlipidemia {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother died of emphysema, colon cancer. Father died in his ___ 
-of heart problems (bypass, valve). Sister with pancreatitic 
-cancer, sister with HIV and breast cancer, brother died at ___ of 
-tuberculosis, brother with drug abuse and bad kidneys.  
--sister: breast cancer
--sister: pancreatic cancer
--mother: gastric cancer
--grand father: gastric cancer
--Father: lung cancer, CAD
- 
- 
-
-###RESPONSE: died {Dead}, emphysema {Emphysema}, colon cancer {Malignant neoplasm of colon}, died {Dead}, heart problems {Heart disease}, bypass {Cardiac revascularization with bypass anastomosis}, valve {Cardiac valve structure}, pancreatitic 
-cancer {Malignant tumor of pancreas}, HIV {Human immunodeficiency virus infection}, breast cancer {Malignant neoplasm of breast}, died {Dead}, tuberculosis {Tuberculosis}, drug abuse {Drug abuse}, kidneys {Kidney disease}, breast cancer {Malignant neoplasm of breast}, pancreatic cancer {Malignant tumor of pancreas}, gastric cancer {Malignant tumor of stomach}, gastric cancer {Malignant tumor of stomach}, lung cancer {Malignant tumor of lung}, CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission exam:
-Vitals- 97.9, 147/74, 81, 18, 96% on 2L
-General- Pleasant middle aged ___ woman breathing 
-comfortably in full sentences. Alert, oriented, no acute 
-distress.  
-HEENT- Sclera anicteric, MMM, PERRL, EOMI, oropharynx clear  
-Neck- supple, JVP not elevated 
-Lungs- diffuse posterior wheezing with poor air movement at the 
-apices but good air movement at the bases. No crackles or 
-rhonchi.
-CV- Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen- soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU- no foley  
-Ext- warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-Neuro- CNs2-12 intact, motor function grossly normal
-
-Discharge exam:
-VS: 98.8, 120/77, 72, 18, 100% on 2L
-General- Pleasant middle aged ___ woman breathing 
-comfortably in full sentences. Alert, oriented, no acute 
-distress.  
-HEENT- Sclera anicteric, MMM, PERRL, EOMI, oropharynx clear  
-Neck- supple, JVP not elevated 
-Lungs- CTAB. No wheezes, crackles, or rhonchi.
-CV- Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen- soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU- no foley  
-Ext- warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-Neuro- CNs2-12 intact, motor function grossly normal  
- 
-
-###RESPONSE: Vitals {Vital signs finding}, 2L {Oxygen therapy}, General {General examination of patient}, middle aged {Middle-age}, breathing 
-comfortably {Breathing easily}, full sentences {Able to complete sentence in one breath}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, Lungs {Examination of respiratory system}, wheezing {Wheezing}, apices {Structure of apex of lung}, good air movement {Breath normal}, bases {Structure of base of lung}, crackles {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNs2-12 {Cranial nerve structure}, intact {No abnormality detected}, motor function grossly normal {Normal motor response to command}, VS {Vital signs finding}, 2L {Oxygen therapy}, General {General examination of patient}, middle aged {Middle-age}, breathing 
-comfortably {Breathing easily}, full sentences {Able to complete sentence in one breath}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, oropharynx clear {Pharynx normal}, Neck- supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, crackles {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 + S2 {Heart sounds normal}, murmurs {Heart murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen- soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Physical examination procedure}, foley {Urinary catheter in situ}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNs2-12 {Cranial nerve structure}, intact {No abnormality detected}, motor function grossly normal {Normal motor response to command}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs:
-
-___ 02:00PM BLOOD WBC-6.0 RBC-3.76* Hgb-11.7* Hct-35.5* 
-MCV-94 MCH-31.1 MCHC-33.0 RDW-14.7 Plt ___
-___ 02:00PM BLOOD Neuts-76.4* Lymphs-17.0* Monos-2.9 
-Eos-3.3 Baso-0.3
-___ 02:00PM BLOOD Glucose-147* UreaN-15 Creat-0.7 Na-141 
-K-3.1* Cl-102 HCO3-30 AnGap-12
-___ 07:00AM BLOOD Calcium-10.2 Phos-3.4 Mg-2.0
-
-Discharge labs:
-
-___ 07:10AM BLOOD WBC-8.9 RBC-3.94* Hgb-11.9* Hct-36.7 
-MCV-93 MCH-30.2 MCHC-32.4 RDW-14.4 Plt ___
-___ 07:10AM BLOOD Glucose-89 UreaN-18 Creat-0.8 Na-144 
-K-3.8 Cl-104 HCO3-28 AnGap-16
-___ 07:10AM BLOOD Calcium-9.9 Phos-3.1 Mg-2.2
-
-Pertinent micro:
-
-Blood cultures pending x2
-
-Pertinent imaging:
-
-CXR: In comparison with study of ___, there is little change and 
-no
-evidence of acute cardiopulmonary disease.  There is a streak of 
-fibrosis or
-atelectasis again in the left mid zone.  Otherwise, no 
-pneumonia, vascular
-congestion, or pleural effusion.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Blood cultures {Blood culture}, CXR {Plain chest X-ray}, study {Evaluation procedure}, no
-evidence {No abnormality detected}, disease {Disease}, fibrosis {Fibrosis}, atelectasis {Atelectasis}, left {Left lung structure}, mid zone {Structure of middle zone of lung}, pneumonia {Pneumonia}, vascular {Blood vessel structure}, congestion {Congestion}, pleural effusion {Pleural effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with history of COPD, HTN, depression, fibromyalgia with 
-recent hospitalization for COPD flare who presents with acute 
-SOB and wheezing on exam consistent with recurrent COPD flare.
-
-# COPD with acute exacerbation: She appeared euvolemic with no 
-suspected CHF, normal TTE in ___. Positive URI symptoms 
-likely triggered flare. Of note, pt was supposed to follow up 
-with pulmonology for PFTs but had to reschedule. She was started 
-on a prednisone taper and a 3 day course of levaquin. Her 
-symptoms improved dramatically. She was discharged on flovent 
-instead of budesonide. Her home COPD medications were otherwise 
-unchanged. 
-
-# Hypokalemia: Etiology likely secondary to diuretic and/or 
-frequent administration of albuterol. She normally takes 20meq 
-KCl daily at home. HCTZ was held, and K improved. Blood 
-pressures remained well controlled. Recommend uptitrating 
-lisinopril as needed. 
-
-Chronic issues:
-# Anemia: Hct at baseline. History of normal iron studies. 
-# HTN: held HCTZ and continued lisinopril as above.
-# Fibromyalgia: continued home gabapentin and ibuprofen
-# Depression: continued home zoloft. SW consult.
-# PACT patient: PACT aware of admission, following.
-
-Transitional issues:
-# HCTZ discontinued; can uptitrate lisinopril as needed.
-# Budesonide d/c'd and flovent started
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, HTN {Hypertensive disorder, systemic arterial}, depression {Depressive disorder}, fibromyalgia {Fibromyalgia}, COPD flare {Acute exacerbation of chronic obstructive airways disease}, SOB {Dyspnea}, wheezing {Wheezing}, exam {Physical examination procedure}, recurrent {Recurrent disease}, COPD flare {Acute exacerbation of chronic obstructive airways disease}, COPD {Chronic obstructive lung disease}, acute exacerbation {Acute exacerbation of chronic obstructive airways disease}, euvolemic {Normal blood volume}, CHF {Congestive heart failure}, normal {No abnormality detected}, TTE {Transthoracic echocardiography}, URI {Upper respiratory infection}, flare {Acute infective exacerbation of chronic obstructive airways disease}, PFTs {Measurement of respiratory function}, prednisone {Steroid therapy}, taper {Medication decreased}, improved {Patient's condition improved}, COPD {Chronic obstructive lung disease}, medications {Administration of drug or medicament}, Hypokalemia {Hypokalemia}, secondary {Medication side effects present}, diuretic {Diuretic therapy}, held {Recommendation to stop drug treatment}, K {Blood potassium measurement}, improved {Patient's condition improved}, Blood 
-pressures {Blood pressure monitoring}, well controlled {Disease condition determination, well controlled}, Anemia {Anemia}, Hct {Hematocrit determination}, baseline {Baseline state}, normal iron studies {Serum iron within reference range}, HTN {Hypertensive disorder, systemic arterial}, held {Recommendation to stop drug treatment}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, Fibromyalgia {Fibromyalgia}, Depression {Depressive disorder}, discontinued {Recommendation to stop drug treatment}, started {New medication added}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB 
-2. Gabapentin 800 mg PO TID 
-3. Gabapentin 400 mg PO HS 
-4. Hydrochlorothiazide 25 mg PO DAILY 
-hold for sbp <100 
-5. Ibuprofen 800 mg PO Q8H:PRN pain 
-6. Lisinopril 5 mg PO DAILY 
-7. Pravastatin 80 mg PO DAILY 
-8. Sertraline 200 mg PO DAILY 
-9. Montelukast Sodium 10 mg PO DAILY 
-10. Albuterol Inhaler 2 PUFF IH Q4H:PRN SOB, wheezing 
-11. Budesonide Nasal Inhaler *NF* 90 mcg Other BID 
-12. Tiotropium Bromide 1 CAP IH DAILY 
-
- 
-Discharge Medications:
-1. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB 
-2. Gabapentin 800 mg PO TID 
-3. Gabapentin 400 mg PO HS 
-4. Ibuprofen 800 mg PO Q8H:PRN pain 
-5. Lisinopril 5 mg PO DAILY 
-6. Montelukast Sodium 10 mg PO DAILY 
-7. Pravastatin 80 mg PO DAILY 
-8. Sertraline 200 mg PO DAILY 
-9. Tiotropium Bromide 1 CAP IH DAILY 
-10. Fluticasone Propionate 110mcg 2 PUFF IH BID 
-11. Albuterol Inhaler 2 PUFF IH Q4H:PRN SOB, wheezing 
-12. PredniSONE 60 mg PO  once a day Duration: 1  Days  
-13. PredniSONE 40 mg PO  once a day Duration: 3 Days  Start: 
-After 60 mg tapered dose. 
-14. PredniSONE 30 mg PO once a day Duration: 3 Days  Start: 
-After 40 mg tapered dose. 
-15. PredniSONE 20 mg PO  once a day Duration: 3 Days  Start: 
-After 30 mg tapered dose. 
-16. PredniSONE 10 mg PO once a day Duration: 3 Days  Start: 
-After 20 mg tapered dose. 
-17. Fluconazole 150 mg PO ONCE Duration: 1 Doses  
-RX *fluconazole 150 mg 1 tablet(s) by mouth once Disp #*2 Tablet 
-Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Chronic obstructive pulmonary disease
-Upper respiratory tract infection
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Chronic obstructive pulmonary disease {Chronic obstructive lung disease}, Upper respiratory tract infection {Upper respiratory infection}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear ___,
-
-___ were admitted to ___ for shortness of breath likely 
-related to an exacerbation of your COPD. ___ were started on 
-antibiotics and a prednisone taper with nebulizers to help ___ 
-breathe. Your symptoms improved notably, and we now feel ___ are 
-safe to leave the hospital.
-
-We made the following changes to your medications:
-START prednisone 10mg 3 tabs x3 days, 3x 3 days, 2 x 3 days , 1 
-x 3 days (this is waiting at your pharmacy)
-START fluconazole 125mg once if ___ begin having symptoms of 
-yeast infection 
-START flovent (this is waiting at your pharmacy)
-STOP HCTZ
-STOP budesonide
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, exacerbation of your COPD {Acute exacerbation of chronic obstructive airways disease}, started {New medication added}, antibiotics {Antibiotic therapy}, prednisone {Steroid therapy}, nebulizers {Nebulizer therapy}, improved {Patient's condition improved}, prednisone {Steroid therapy}, yeast {Yeast detected}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Hypotension, Fatigue/anemia  
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Hypotension {Low blood pressure}, Fatigue {Fatigue}, anemia {Anemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is an ___ year old ___ female who presents with one 
-month of progressive fatigue/weakness.  She has had significant 
-fatigue for the past 6 months, but this has become worse over 
-the last month, and she has been feeling dizzy everyday.  Her 
-daughter also notes that she looks paler than usual.  The 
-patient has mild DOE.  She has a known history of chronic anemia 
-with baseline HCT of ___ (in ___ of unclear etiology.  
-Per PCP records, she was evaluated at ___ several years ago 
-but no formal records of the results of that eval are known, 
-although the patient's daughter reports that ""no problem was 
-found"".  She presented to her PCP today for evaluation, where 
-immediate labs were sent and noted to have a Hct of 23.1 and 
-plts of 59 from a baseline of 134.  She was hypotensive in the 
-office, documented at 78/60, heart rate 93.  Her PCP called her 
-to come into the ___ ED due to the hypotension, as well as to 
-work up her anemia.  The patient denies fevers, chills, HA, 
-cough, chest pain, abdominal pain, N/V/D, vaginal bleeding, 
-dysuria, increased frequency, or rash.  She does note some 
-constipation, which has been a chronic issue, and her last bowel 
-movement was ___ years ago.  She has not had any episodes of 
-hematemesis, bloody or tarry stools.
-.  
-In the ED, initial VS were: T 100.4 HR 95 BP 119/63 RR 16 O2-sat 
-100% RA. The patient was given nothing in the ED.  Vitals on 
-transfer were T 99 HR 85 BP 106/60 RR19 O2-sat 98% RA.  
-.  
-On the floor, feels well but continues to feel fatigued.  
-.  
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats. Denies headache, sinus 
-tenderness, rhinorrhea or congestion. Denied cough, shortness of 
-breath. Denied chest pain or tightness, palpitations. Denied 
-nausea, vomiting, diarrhea, or abdominal pain. No recent change 
-in bowel or bladder habits. No dysuria. Denied arthralgias or 
-myalgias.
- 
-
-###RESPONSE: progressive {Patient's condition worsened}, fatigue {Fatigue}, weakness {Asthenia}, fatigue {Fatigue}, dizzy {Dizziness}, mild {Symptom mild}, DOE {Dyspnea on exertion}, chronic anemia {Chronic anemia}, baseline {Baseline state}, HCT {Hematocrit determination}, PCP {Primary care management}, evaluated {Evaluation procedure}, eval {Evaluation procedure}, problem {Problem}, PCP {Primary care management}, evaluation {Evaluation procedure}, labs {Laboratory test}, baseline {Baseline state}, hypotensive {Low blood pressure}, heart rate {Finding of heart rate}, PCP {Primary care management}, hypotension {Low blood pressure}, work up {Evaluation procedure}, anemia {Anemia}, fevers {Fever}, chills {Chill}, cough {Cough}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, N/V/D {Nausea, vomiting and diarrhea}, vaginal bleeding {Bleeding from vagina}, dysuria {Dysuria}, increased frequency {Increased frequency of urination}, rash {Eruption of skin}, constipation {Constipation}, chronic issue {Chronic disease}, hematemesis {Hematemesis}, bloody {Hematochezia}, tarry stools {Melena}, O2-sat {Oxygen saturation measurement}, Vitals {Vital signs finding}, O2-sat {Oxygen saturation measurement}, feels well {Well in self}, fatigued {Fatigue}, Review of systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, sinus 
-tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of 
-breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, abdominal pain {Abdominal pain}, change 
-in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-# chronic anemia of unclear etiology, previously eval at ___, 
-family does not recall any abnormalities  
-# chronic constipation  
-# stress urinary incontinence  
-# osteoporosis  
-# osteoarthritis  
-# heart murmur  
-# mild dementia  
-# hematuria  
-# macular degeneration  
-# depression not on medications  
-# hyperlipidemia  
-# varicose veins in legs
-
- 
-
-###RESPONSE: chronic anemia {Chronic anemia}, eval {Evaluation procedure}, chronic constipation {Chronic constipation}, stress urinary incontinence {Genuine stress incontinence}, osteoporosis {Osteoporosis}, osteoarthritis {Osteoarthritis}, heart murmur {Heart murmur}, dementia {Dementia}, hematuria {Blood in urine}, macular degeneration {Degenerative disorder of macula}, depression {Depressive disorder}, medications {Administration of drug or medicament}, hyperlipidemia {Hyperlipidemia}, varicose veins {Venous varices}, legs {Lower limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Patient's father died of stomach cancer prior to World War II.
- 
-
-###RESPONSE: died {Dead}, stomach cancer {Malignant tumor of stomach}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T 98.2, BP 138/82, HR 78, RR 16, O2 97% RA  
-General: Alert, oriented, no acute distress, pale  
-HEENT: Sclera anicteric, MMM, oropharynx clear, pale conjunctiva 
- 
-Neck: supple, JVP not elevated, no LAD  
-Lungs: Bibasilar crackles, L>R
-CV: Regular rate and rhythm, normal S1 + S2, ___ SEM loudest at 
-base
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly, guaiac 
-negative in ED  
-Pelvic: Performed in ED, per report, no uterus felt, no vaginal 
-bleeding seen  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro: CN II-XII intact
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, pale {Pale complexion}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, pale conjunctiva {Pale conjunctiva}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, SEM {Ejection murmur}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, guaiac {Guaiac test for occult blood in feces specimen}, negative {No pathologic diagnosis}, Pelvic {Manual pelvic examination}, uterus {Uterine structure}, vaginal 
-bleeding {Bleeding from vagina}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CN II-XII intact {Normal central nervous system}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:50PM   GLUCOSE-114* UREA N-26* CREAT-1.3* SODIUM-136 
-POTASSIUM-4.5 CHLORIDE-100 TOTAL CO2-28 ANION GAP-13
-___ 11:35AM   GLUCOSE-100
-___ 11:35AM   UREA N-20 CREAT-1.2* SODIUM-139 POTASSIUM-4.0 
-CHLORIDE-100 TOTAL CO2-28 ANION GAP-15
-___ 08:08AM BLOOD Glucose-93 UreaN-18 Creat-1.0 Na-136 
-K-4.0 Cl-102 HCO3-27 AnGap-11
-___ 08:08AM BLOOD Albumin-3.5 Calcium-8.4 Phos-3.5 Mg-2.0
-.
-Hematology:
-.
-___ 09:50PM   WBC-3.1* RBC-2.12* HGB-7.2* HCT-20.8* MCV-98 
-MCH-34.0* MCHC-34.7 RDW-16.7*
-___ 09:50PM   NEUTS-41* BANDS-1 LYMPHS-44* MONOS-12* EOS-0 
-BASOS-0 ATYPS-2* ___ MYELOS-0
-___ 09:50PM   HYPOCHROM-NORMAL ANISOCYT-1+ POIKILOCY-2+ 
-MACROCYT-1+ MICROCYT-NORMAL POLYCHROM-NORMAL OVALOCYT-2+
-___ 09:50PM   PLT SMR-VERY LOW PLT COUNT-52*
-___ 09:50PM   ___ PTT-28.1 ___
-___ 09:50PM   RET AUT-0.9*
-___ 10:49PM   D-DIMER-321
-___ 10:20PM   ___
-___ 11:35AM   WBC-4.0 RBC-2.25*# HGB-8.0* HCT-23.1* 
-MCV-102*# MCH-35.6*# MCHC-34.8 RDW-16.0*
-___ 11:35AM   PLT SMR-VERY LOW PLT COUNT-59*#
-___ 08:08AM BLOOD WBC-3.1* RBC-2.62* Hgb-8.7* Hct-24.3* 
-MCV-93 MCH-33.1* MCHC-35.7* RDW-17.4* Plt Ct-49*
-___ 08:08AM BLOOD Hypochr-1+ Anisocy-OCCASIONAL Poiklo-1+ 
-Macrocy-NORMAL Microcy-NORMAL Polychr-OCCASIONAL 
-Ovalocy-OCCASIONAL Tear ___
-___ 08:08AM BLOOD Plt Ct-49*
-___ 08:08AM BLOOD ___ PTT-28.8 ___
-.
-LFTs -
-.
-___ 09:50PM   LD(LDH)-158 CK(CPK)-34 TOT BILI-0.6 DIR 
-BILI-0.2 INDIR BIL-0.4
-___ 11:35AM   ALT(SGPT)-8 AST(SGOT)-15 ALK PHOS-69
-___ 11:35AM   TOT PROT-7.1 CALCIUM-8.9 CHOLEST-185
-___ 11:35AM   TRIGLYCER-69 HDL CHOL-76 CHOL/HDL-2.4 
-LDL(CALC)-95
-___ 08:08AM BLOOD ALT-7 AST-13 LD(LDH)-155 AlkPhos-65 
-TotBili-2.8*
-.
-___ 09:50PM   CK-MB-NotDone cTropnT-<0.01
-___ 09:50PM   TOT PROT-6.6 IRON-51
-___ 09:50PM   calTIBC-226* VIT ___ FOLATE-11.6 
-___ FERRITIN-447* TRF-174*
-___ 11:35AM   estGFR-Using this
-___ 11:35AM   TSH-1.3
-.
-ON DISCHARGE: ___ 09:10a   
-.
-139  102  18     
-------------< 97  gap 13
-3.9  28  1.0  
-.
-Ca: 8.8 Mg: 2.1 P: 3.2
-.
-    10.0           
-2.8 >--< 67  mcv 96
-    29.0
-.
-Urinalysis-
-.
-___ 05:40AM URINE Color-Straw Appear-Clear Sp ___
-___ 05:40AM URINE Blood-SM Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-NEG
-___ 05:40AM URINE ___ Bacteri-RARE Yeast-NONE 
-Epi-<1
-___ 05:40AM URINE Eos-NEGATIVE  
-___ 05:40AM URINE Hours-RANDOM UreaN-563 Creat-69 Na-72
-.
-MICROBIOLOGY:
-___: Blood Culture, Routine (Pending): x 2 
-___: URINE CULTURE - final - MIXED BACTERIAL FLORA ( >= 3 
-COLONY TYPES), CONSISTENT WITH SKIN AND/OR GENITAL 
-CONTAMINATION. 
-.
-IMAGING:
-.
-CXR (___): 
-Lung volumes are low resulting in vascular crowding. Minimally 
-increased interstitial markings, predominantly at the lung bases 
-may indicate an underlying interstitial abnormality. There is no 
-consolidation or pleural effusion. There is no pneumothorax. The 
-heart size is top normal. The aorta is tortuous and calcified. 
-There is no hilar or mediastinal enlargement. Pulmonary 
-vascularity is normal. Degenerative changes and ossification of 
-the anterior longitudinal ligament are noted in the spine. 
-IMPRESSIONS: No consolidation. No hilar enlargement. 
-.
-EKG (___): Normal sinus rhythm, left axis deviation, Right 
-bundle branch block with ? left anterior fascicular block. No 
-obvious ischemic changes.
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT {Platelet count}, LOW {Platelet count below reference range}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, D-DIMER {D-dimer assay}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PLT {Platelet count}, LOW {Platelet count below reference range}, PLT COUNT {Platelet count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NORMAL {Normal size}, NORMAL {Normal size}, PTT {Partial thromboplastin time, activated}, LFTs {Hepatic function panel}, LDH {Lactate dehydrogenase measurement}, CK(CPK {Creatine kinase measurement}, TOT BILI {Bilirubin, total measurement}, BILI {Bilirubin measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, ALK PHOS {Alkaline phosphatase measurement}, CALCIUM {Blood calcium measurement}, CHOLEST {Cholesterol measurement}, HDL {High density lipoprotein measurement}, HDL {High density lipoprotein measurement}, LDL(CALC) {Calculated low density lipoprotein cholesterol level}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, FOLATE {Whole blood folate within reference range}, TSH {Thyroid stimulating hormone measurement}, Urinalysis {Urinalysis}, URINE Color-Straw {Normal urine color}, Appear-Clear {Urine looks clear}, URINE Blood {Urine blood test}, Nitrite-NEG {Nitrite not detected in urine}, Protein-NEG {Urine protein not detected}, Glucose-NEG {Urine glucose not detected}, Ketone-NEG {Urine ketones not detected}, NEG {No abnormality detected}, Urobiln-NEG {Urine urobilinogen not detected}, pH {pH measurement}, Leuks-NEG {Urine leukocytes not detected}, URINE {Evaluation of urine specimen}, Bacteri {Bacteriuria}, Yeast {Urine microscopy for yeasts}, URINE {Evaluation of urine specimen}, NEGATIVE {No pathologic diagnosis}, URINE {Evaluation of urine specimen}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Blood Culture {Blood culture}, URINE CULTURE {Urine culture}, BACTERIAL {Bacterial infectious disease}, SKIN AND/OR GENITAL 
-CONTAMINATION. {Sample contaminated}, CXR {Plain chest X-ray}, Lung volumes {Finding of respiratory volume}, vascular crowding {Pulmonary hypertension}, lung bases {Structure of base of lung}, abnormality {Imaging result abnormal}, consolidation {Consolidation}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, heart {Heart structure}, size {Normal size}, normal {Normal size}, aorta {Aortic structure}, tortuous {Tortuosity}, calcified {Pathologic calcification, calcified structure}, hilar {Structure of hilum of lung}, mediastinal {Mediastinal structure}, enlargement {Enlargement}, Pulmonary {Lung structure}, normal {Normal size}, Degenerative changes {Cervical spondylosis}, anterior longitudinal ligament {Anterior longitudinal ligament structure}, spine {Structure of vertebral column}, consolidation {Consolidation}, hilar {Hilar lymphadenopathy}, enlargement {Enlargement}, EKG {Electrocardiographic procedure}, Normal sinus rhythm {Electrocardiogram: normal sinus rhythm}, left axis deviation {Left axis deviation}, Right 
-bundle branch block with ? left anterior fascicular block {Right bundle branch block AND left anterior fascicular block}, ischemic changes {Ischemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is an ___ year old female with chronic anemia who presents 
-with 1 month of fatigue and found to have worsening anemia, 
-thrombocytopenia, and ARF.  
-.  
-# Hypotension:  Pt presented to PCP ___ ___ with BP 78/60, but 
-BP has been stable and within normal limits since admission to 
-___.  Hypotension was potentially hypovolemic in nature, 
-although patient did not require fluids for resolution of low 
-BP.  The patient's orthostatics were negative during this 
-admission; an outpatient workup for orthostatic hypotension may 
-be worth considering, although the patient does not have a 
-history of falls and is otherwise asymptomatic.
-.
-# Anemia - Multiple possible causes, including aplastic anemia, 
-myelodysplastic syndrome, anemia of chronic disease, plasma cell 
-dyscrasias, blood loss, or hemolytic process.  Symptoms suggest 
-a relatively chronic process but HCT dropped from 23->21 in 12 
-hours on ___, suggesting a possibly accelerating process. 
-Possible slow GI bleed but less likely given guaiac negative and 
-constipation.  Hemolysis labs reportedly negative overnight, but 
-re-sent because could not find in system.  DIC very unlikely 
-given elevated fibrinogen, normal D-dimer, and normal coags.  
-Concern for TTP-HUS with anemia, thrombocytopenia, low grade 
-fever and ARF but no schistocytes seen on smear and again, no 
-evidence of hemolysis (elevated TBili on ___ likely 
-post-transfusional).  All cell lines down so possible marrow 
-process affecting production, especially with slight lymphocytic 
-predominance and atypicals on smear.  Previous Fe studies and 
-B12/folate normal.  Previous renal function normal and anemia is 
-normocytic, so anemia of chronic disease less likely.  SPEP 
-normal in ___, resent to r/o plasma cell dyscrasia.  No 
-chemotherapy, radiation exposure, or medications suggestive of 
-aplastic anemia.  MDS is ___ strong possibility given her age, 
-pancytopenia, low reticulocyte count.
-.
-Two peripheral IVs (18-gauge) were placed and 2 units PRBCs 
-given on ___, with an improvement in Hct to from 
-20.8->24.3->29.0 on ___.  Reticulocyte count was found to be 
-low at 0.9.  Iron studies did not suggest iron deficiency anemia 
-or B12/folate deficiency, although we will continue the 
-patient's outpatient iron supplementation regimen.  A peripheral 
-smear and SPEP/UPEP were sent and were pending at discharge.  
-Hematology-oncology saw the patient, agrees with our 
-differential of myelodysplastic syndrome vs. myelofibrosis and 
-recommended follow up in clinic for possible consideration of BM 
-biopsy which could provide definitive diagnosis, though the 
-extent that this would change management in this ___ year old 
-woman is unclear.
-.  
-# Thrombocytopenia: Similar concerns as above.  DIC and TTP were 
-thought to be unlikely in the absence of evidence for hemolysis. 
- There is a possible production problem as noted above. Could be 
-ITP but that is a diagnosis of exclusion, and less likely given 
-the patient's pancytopenia.   
-.  
-# ARF: Pt had a mild elevation in creatinine to 1.3 (baseline 
-1.0) on admission, which resolved with transfusion and 
-hydration.  Likely related to anemia and relative hypovolemia. 
-BUN/Cr<20, suggestive of mild prerenal process.  Receiving 2 
-units of blood which should be a good volume challenge.  
-Creatinine improved with transfusion to 1.0 on ___.
-.  
-# Fever: Low grade temp to 100.4 in triage. No clear localizing 
-source. Will hold on abx unless decompensates.  CXR was negative 
-for consolidation, exam does show some dry crackles most likely 
-due to atalectasis.  Urinalysis was negative in detail, and 
-urine and blood cultures remain pending.
-.  
-# Osteoporosis: Reports not taking her fosamax due to concerns 
-about not being able to sit up long enough.  Will hold for now.  
-
-.
- 
-
-###RESPONSE: chronic anemia {Chronic anemia}, fatigue {Fatigue}, worsening {Patient's condition worsened}, anemia {Anemia}, thrombocytopenia {Thrombocytopenic disorder}, ARF {Acute kidney injury}, Hypotension {Low blood pressure}, PCP {Primary care management}, stable {Stable blood pressure}, normal {Normal vital signs}, Hypotension {Low blood pressure}, hypovolemic {Hypovolemia}, fluids {Administration of fluid therapy}, resolution {Problem resolved}, low 
-BP {Low blood pressure}, orthostatics {Orthostatic hypotension}, negative {No pathologic diagnosis}, workup {Evaluation procedure}, orthostatic hypotension {Orthostatic hypotension}, falls {Falls}, asymptomatic {Asymptomatic}, Anemia {Anemia}, aplastic anemia {Aplastic anemia}, myelodysplastic syndrome {Myelodysplastic syndrome}, anemia of chronic disease {Anemia of chronic disorder}, plasma cell 
-dyscrasias {Plasma cell neoplasm}, blood loss {Hemorrhage}, chronic {Chronic disease}, HCT {Hematocrit determination}, GI bleed {Gastrointestinal hemorrhage}, guaiac {Guaiac test for occult blood in feces specimen}, negative {No pathologic diagnosis}, constipation {Constipation}, Hemolysis {Hemolysis}, labs {Laboratory test}, negative {No pathologic diagnosis}, DIC {Blood coagulation panel, disseminated intravascular coagulation}, elevated fibrinogen {Fibrinogen in blood above reference range}, normal coags {Coagulation/bleeding tests normal}, TTP {Thrombotic thrombocytopenic purpura}, HUS {Hemolytic uremic syndrome}, anemia {Anemia}, thrombocytopenia {Thrombocytopenic disorder}, low grade 
-fever {Low grade pyrexia}, ARF {Acute kidney injury}, no 
-evidence {No abnormality detected}, hemolysis {Hemolysis}, elevated TBili {Total bilirubin above reference range}, cell {Cell structure}, Fe studies {Iron kinetics study}, B12/folate {B12/folate level}, renal function normal {Normal renal function}, anemia is 
-normocytic {Normocytic anemia}, anemia of chronic disease {Anemia of chronic disorder}, SPEP 
-normal {Serum proteins within reference range}, plasma cell dyscrasia {Plasma cell neoplasm}, chemotherapy {Chemotherapy}, radiation {Radiation oncology AND/OR radiotherapy}, aplastic anemia {Aplastic anemia}, MDS {Myelodysplastic syndrome}, pancytopenia {Pancytopenia}, reticulocyte count {Reticulocyte count}, placed {Implantation procedure}, PRBCs 
-given {Transfusion of packed red blood cells}, improvement {Patient's condition improved}, Reticulocyte count {Reticulocyte count outside reference range}, studies {Evaluation procedure}, iron deficiency anemia {Iron deficiency anemia}, B12/folate deficiency {Combined B12 and folate deficiency anemia}, iron supplementation regimen {Iron supplement therapy}, SPEP {Serum protein electrophoresis}, UPEP {Urine protein electrophoresis}, myelodysplastic syndrome {Myelodysplastic syndrome}, myelofibrosis {Myelofibrosis}, BM 
-biopsy {Bone marrow sampling}, Thrombocytopenia {Thrombocytopenic disorder}, DIC {Disseminated intravascular coagulation}, TTP {Thrombotic thrombocytopenic purpura}, hemolysis {Hemolysis}, problem {Problem}, ITP {Chronic idiopathic thrombocytopenic purpura}, pancytopenia {Pancytopenia}, ARF {Acute kidney injury}, elevation in creatinine {Serum creatinine above reference range}, baseline {Baseline state}, resolved {Problem resolved}, transfusion {Transfusion}, hydration {Administration of fluid therapy}, anemia {Anemia}, relative hypovolemia {Relative hypovolemia}, BUN/Cr {Blood urea nitrogen/creatinine ratio}, mild {Symptom mild}, Creatinine {Creatinine measurement}, improved {Patient's condition improved}, transfusion {Transfusion}, Fever {Fever}, temp {Body temperature finding}, triage {Triage}, hold {Recommendation to stop drug treatment}, CXR {Plain chest X-ray}, negative {Standard chest X-ray normal}, consolidation {Consolidation}, exam {Evaluation procedure}, crackles {Respiratory crackles}, atalectasis {Atelectasis}, Urinalysis {Urinalysis}, negative {No pathologic diagnosis}, urine {Urine culture}, blood cultures {Blood culture}, Osteoporosis {Osteoporosis}, able to sit up {Able to sit up}, hold {Recommendation to stop drug treatment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Ferrous Sulfate 352mg PO daily  
-Fosamax 70mg PO qwk  
-Trospium 20mg PO BID  
-Calc/Vit. D 1000U PO daily
- 
-Discharge Medications:
-1. Fosamax 70 mg Tablet Sig: One (1) Tablet PO once a week.  
-2. Trospium 20 mg Tablet Sig: One (1) Tablet PO twice a day.  
-3. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO once a day.  
-4. Cholecalciferol (Vitamin D3) 1,000 unit Capsule Sig: One (1) 
-Capsule PO once a day. Capsule(s) 
-5. Outpatient Lab Work
-Please check a CBC on ___ and have the results faxed to Dr. 
-___ (FAX ___
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary:
-Anemia
-Pancytopenia
-Acute renal insufficiency
-Fever
-Hypotension
-
-Secondary:
-Osteoporosis
-Stress urinary incontinence
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent
-Level of Consciousness: Alert and interactive
-Activity Status: Ambulatory - Independent
-
- 
-
-###RESPONSE: Anemia {Anemia}, Pancytopenia {Pancytopenia}, Acute renal insufficiency {Acute renal insufficiency}, Fever {Fever}, Hypotension {Low blood pressure}, Osteoporosis {Osteoporosis}, Stress urinary incontinence {Genuine stress incontinence}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for weakness and fatigue and were found to 
-have a low red blood cell count (anemia).  You were given a 
-blood transfusion and your symptoms improved.  You were found to 
-have low platelets (thrombocytopenia) and white blood cell count 
-(leukopenia).  You were seen by the hematology-oncology team and 
-they felt the low cell lines may be due to a process of abnormal 
-blood cell proliferation or other cause of hindrance in the bone 
-marrow (myelodysplastic syndrome or myelofibrosis).  
-
-No changes were made to your medication regimen.  Please take 
-all of your home medications as prescribed.
- 
-
-###RESPONSE: weakness {Asthenia}, fatigue {Fatigue}, red blood cell count {Red blood cell count}, anemia {Anemia}, blood transfusion {Transfusion of blood product}, improved {Patient's condition improved}, low platelets {Thrombocytopenic disorder}, thrombocytopenia {Thrombocytopenic disorder}, white blood cell count {White blood cell count}, leukopenia {Leukopenia}, abnormal 
-blood cell proliferation {Proliferation of hematopoietic cell type}, bone 
-marrow {Bone marrow structure}, myelodysplastic syndrome {Myelodysplastic syndrome}, myelofibrosis {Myelofibrosis}, changes were made to your medication {Change of medication}, regimen {Therapeutic regimen}, medications {Administration of drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of breath
- 
-Major Surgical or Invasive Procedure:
-Left Thoracentesis- yield 1300mL
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Shortness of breath {Dyspnea}, Thoracentesis {Thoracentesis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old man with a history of carotid 
-artery stenosis, chronic renal insufficiency, coronary artery 
-disease, hyperlipidemia, and hypertension. He developed upper 
-back pain in ___ and presented to an outside hospital. An 
-EKG demonstrated nonspecific ST changes. Cardiac catheterization 
-demonstrated severe multivessel coronary artery disease. He was
-transferred to ___ for surgical revascularization. He 
-underwent coronary artery bypass grafting x 5 on ___ with 
-Dr. ___. His postoperative course was complicated by acute blood 
-loss anemia requiring transfusion of PRBCs. He also had 
-intermitted atrial fibrillation and was started on Amiodarone 
-and Coumadin. He was discharged to rehab on postoperative day 5. 
-He has remained deconditioned at rehab. He has noted shortness 
-of breath and serosanguinous sternal drainage. WBC at rehab 
-yesterday was 15.8 and he was started on empiric Keflex. He 
-presented today for wound evaluation. Prior to his visit he 
-underwent a chest x-ray which demonstrated an increase in 
-moderate to large left pleural effusion with compressive 
-atelectasis. There was also a mildly enlarged cardiomediastinal 
-silhouette suspicious for pericardial effusion. Discussed his 
-case with Dr. ___ who is covering for Dr. ___. Plan to admit
-for observation.
-
- 
-
-###RESPONSE: carotid 
-artery stenosis {Carotid artery stenosis}, chronic renal insufficiency {Chronic renal insufficiency}, coronary artery 
-disease {Coronary arteriosclerosis}, hyperlipidemia {Hyperlipidemia}, hypertension {Hypertensive disorder, systemic arterial}, upper 
-back pain {Thoracic back pain}, EKG {Electrocardiographic procedure}, ST changes {Electrocardiographic ST segment changes}, Cardiac catheterization {Cardiac catheterization}, coronary artery disease {Coronary arteriosclerosis}, surgical {Surgical procedure}, revascularization {Heart revascularization}, coronary artery bypass grafting x 5 {Coronary artery bypass grafts x 5}, postoperative course {Postoperative state}, acute blood 
-loss anemia {Acute posthemorrhagic anemia}, transfusion of PRBCs {Transfusion of packed red blood cells}, atrial fibrillation {Atrial fibrillation}, Coumadin {Anticoagulant therapy}, shortness 
-of breath {Dyspnea}, serosanguinous sternal drainage {Serosanguineous discharge from wound}, WBC {White blood cell count}, wound evaluation {Evaluation of wound healing progress}, chest x-ray {Plain chest X-ray}, pleural effusion {Pleural effusion}, compressive 
-atelectasis {Compression atelectasis}, enlarged {Enlargement}, pericardial effusion {Pericardial effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Carotid Artery Stenosis
-Chronic Renal Insufficiency (Cre 1.2-1.4)
-Coronary Artery Disease
-Hyperlipidemia
-Hypertension
-Macular Degeneration 
-Non-ST Elevation Myocardial Infarction, ___ w/RCA stent
-Osteoarthritis  
-
- 
-
-###RESPONSE: Carotid Artery Stenosis {Carotid artery stenosis}, Chronic Renal Insufficiency {Chronic renal insufficiency}, Coronary Artery Disease {Coronary arteriosclerosis}, Hyperlipidemia {Hyperlipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, Macular Degeneration {Degenerative disorder of macula}, Non-ST Elevation Myocardial Infarction {Acute non-ST segment elevation myocardial infarction}, RCA {Right coronary artery structure}, stent {Insertion of arterial stent}, Osteoarthritis {Osteoarthritis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history of early MI, arrhythmia, cardiomyopathies, or 
-sudden cardiac death; otherwise non-contributory.
- 
-
-###RESPONSE: MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, cardiomyopathies {Cardiomyopathy}, sudden cardiac death {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-HR: 78 SR.  BP: 137/80, right.  RR: 18.  O2 Sat: 97% RA
-Height: 66""  Weight: 172 lbs 
-
-General: Pleasant man, WDWN, lying in stretcher 
-Skin: Warm, dry, intact
-HEENT: PERRLA, EOMI, teeth in good repair 
-Neck: Supple, Full ROM 
-Chest: Diminished at bilateral bases, no crackles 
-Heart: Regular rate and rhythm, no murmur appreciated 
-Abdomen: Normal BS, soft, non-tender, non-distended 
-Extremities: Warm, well-perfused 
-Edema: 1+ edema bilaterally 
-Incision: ABD pad removed with scant serosanguinous drainage. 
-Wound well approximated without erythema. No click. 
-
- 
-
-###RESPONSE: HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 Sat {Oxygen saturation measurement}, RA {Breathing room air}, Height {Height / growth finding}, Weight {Weight finding}, General {General examination of patient}, WDWN {Well nourished}, lying {Lying in bed}, Skin {Examination of skin}, Warm {Warm skin}, dry {Xeroderma}, intact {Intact skin}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, teeth {Structure of dentition}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal range of cervical spine movement}, Chest {Examination of respiratory system}, bases {Structure of base of lung}, crackles {Respiratory crackles}, Heart {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, murmur {Murmur}, Abdomen {Examination of abdomen}, Normal BS {Normal bowel sounds}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}, Incision {Surgical incision wound}, ABD {Examination of abdomen}, removed {Removal}, serosanguinous drainage {Serosanguineous discharge from wound}, Wound {Wound}, well approximated {Wound healing well}, erythema {Erythema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Transthoracic Echocardiogram (focused) ___
-Due to suboptimal technical quality, a focal wall motion 
-abnormality cannot be fully excluded. Overall left ventricular 
-systolic function is normal (LVEF>55%). Right ventricular 
-chamber size and free wall motion are normal. The aortic valve 
-leaflets (3) appear structurally normal with good leaflet 
-excursion and no aortic stenosis or aortic regurgitation. 
-Trivial mitral regurgitation is seen. There is a 
-trivial/physiologic pericardial effusion. 
-
-IMPRESSION: Trivial pericardial effusion. Normal global 
-biventricular systolic function.  
-
-Chest CT ___
-1. Large left pleural effusion with volume loss in the left 
-lower lobe, 
-lingula. 
-2. Mild partially hemorrhagic pericardial effusion. 
-.
-
-___ 05:07AM BLOOD WBC-16.8* RBC-3.68* Hgb-10.8* Hct-33.9* 
-MCV-92 MCH-29.3 MCHC-31.9* RDW-15.1 RDWSD-50.4* Plt ___
-___ 04:25AM BLOOD WBC-21.3* RBC-3.51* Hgb-10.1* Hct-32.3* 
-MCV-92 MCH-28.8 MCHC-31.3* RDW-15.3 RDWSD-51.4* Plt ___
-___ 05:07AM BLOOD ___ PTT-31.8 ___
-___ 04:25AM BLOOD ___
-___ 04:35AM BLOOD ___
-___ 05:01PM BLOOD ___ PTT-30.4 ___
-___ 05:07AM BLOOD Glucose-99 UreaN-30* Creat-1.4* Na-138 
-K-4.4 Cl-96 HCO3-27 AnGap-19
-___ 04:35AM BLOOD Glucose-95 UreaN-26* Creat-1.3* Na-137 
-K-3.9 Cl-98 HCO3-24 AnGap-19
-___ 05:07AM BLOOD ALT-82* AST-125* AlkPhos-184* 
-Amylase-159* TotBili-3.0*
-___ 04:25AM BLOOD ALT-77* AST-113* LD(LDH)-441* 
-AlkPhos-182* Amylase-140* TotBili-3.2*
-___ 05:07AM BLOOD Phos-4.3 Mg-2.3
-___ 04:35AM BLOOD Calcium-7.9* Phos-4.4 Mg-2.6
- 
-
-###RESPONSE: Transthoracic Echocardiogram {Transthoracic echocardiography}, focal wall motion 
-abnormality {Left ventricular wall motion abnormality}, left ventricular 
-systolic function {Normal left ventricular systolic function and wall motion}, Right ventricular 
-chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve 
-leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral regurgitation {Mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, pericardial effusion {Pericardial effusion}, biventricular {Cardiac ventricular structure}, systolic function {Normal cardiac function}, pleural effusion {Pleural effusion}, volume loss {Lung volume test abnormal}, left 
-lower lobe {Structure of lower lobe of left lung}, lingula {Structure of lingula of left lung}, pericardial effusion {Pericardial effusion}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase level above reference range}, TotBili {Bilirubin, total measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-He was admitted on ___ for further evaluation. A chest CT 
-demonstrated a large left pleural effusion. An echocardiogram 
-revealed a trivial pericardial effusion.  Warfarin was held for 
-procedure.   He underwent left sided thoracentesis on ___ 
-for a yield of 1300cc of serosanguinous fluid.  Overall, the 
-patient tolerated the procedure well.  Warfarin was resumed for 
-post-op afib.  LFTs noted to be elevated- labs will be repeated 
-as an outpatient.  He is discharged home after clearing ___ on 
-hospital day 3.  He will follow-up as directed.  
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, chest CT {Computed tomography of chest}, pleural effusion {Pleural effusion}, echocardiogram {Echocardiography}, pericardial effusion {Pericardial effusion}, procedure {Procedure}, thoracentesis {Thoracentesis}, fluid {Effusion}, procedure {Procedure}, post-op {Postoperative state}, afib {Atrial fibrillation}, LFTs {Hepatic function panel}, elevated {Finding of increased blood pressure}, follow-up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. Atorvastatin 80 mg PO QPM 
-3. Amiodarone 400 mg PO BID 
-4. Docusate Sodium 100 mg PO BID 
-5. Furosemide 40 mg PO DAILY 
-___  MD to order daily dose PO DAILY16 afib 
-7. Metoprolol Tartrate 50 mg PO TID 
-8. OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain: 
-moderate/severe 
-9. Polyethylene Glycol 17 g PO DAILY 
-10. Potassium Chloride 20 mEq PO DAILY 
-11. Ranitidine 150 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Amiodarone 200 mg PO DAILY 
-RX *amiodarone 200 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*1 
-2.  Warfarin 2 mg PO DAILY16 afib 
-RX *warfarin 2 mg ___ tablet(s) by mouth daily Disp #*60 Tablet 
-Refills:*1 
-3.  Aspirin 81 mg PO DAILY 
-RX *aspirin [Aspir-Low] 81 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*1 
-4.  Atorvastatin 80 mg PO QPM 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth qpm Disp #*30 Tablet 
-Refills:*0 
-5.  Docusate Sodium 100 mg PO BID 
-RX *docusate sodium 100 mg 1 capsule(s) by mouth twice a day 
-Disp #*60 Capsule Refills:*1 
-6.  Furosemide 40 mg PO DAILY Duration: 10 Days 
-RX *furosemide 40 mg 1 tablet(s) by mouth daily Disp #*10 Tablet 
-Refills:*0 
-7.  Metoprolol Tartrate 50 mg PO TID 
-RX *metoprolol tartrate 50 mg 1 tablet(s) by mouth three times a 
-day Disp #*90 Tablet Refills:*1 
-8.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain: 
-moderate/severe 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every four (4) hours 
-Disp #*50 Tablet Refills:*0 
-9.  Polyethylene Glycol 17 g PO DAILY 
-RX *polyethylene glycol 3350 [Miralax] 17 gram 1 powder(s) by 
-mouth daily Disp #*10 Packet Refills:*0 
-10.  Potassium Chloride 20 mEq PO DAILY Duration: 10 Days 
-RX *potassium chloride 20 mEq 1 tablet(s) by mouth daily Disp 
-#*10 Tablet Refills:*0 
-11.  Ranitidine 150 mg PO DAILY 
-RX *ranitidine HCl 150 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*1 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Pleural Effusion
-
-Carotid Artery Stenosis
-Chronic Renal Insufficiency (Cre 1.2-1.4)
-Coronary Artery Disease
-Hyperlipidemia
-Hypertension
-Macular Degeneration 
-Non-ST Elevation Myocardial Infarction, ___ w/RCA stent
-Osteoarthritis  
-
- 
-Discharge Condition:
-Alert and oriented x3 non-focal 
-Ambulating, deconditioned
-Incisional pain managed with oxycodone
-Incisions: 
-Sternal - healing well, no erythema or drainage 
-Leg/left- healing well, no erythema or drainage
-Edema: trace bilateral pedal
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Pleural Effusion {Pleural effusion}, Carotid Artery Stenosis {Carotid artery stenosis}, Chronic Renal Insufficiency {Chronic renal insufficiency}, Coronary Artery Disease {Coronary arteriosclerosis}, Hyperlipidemia {Hyperlipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, Macular Degeneration {Degenerative disorder of macula}, Non-ST Elevation Myocardial Infarction {Acute non-ST segment elevation myocardial infarction}, RCA {Right coronary artery structure}, stent {Insertion of arterial stent}, Osteoarthritis {Osteoarthritis}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, Incisional {Surgical incision wound}, pain {Pain}, Incisions {Surgical incision wound}, Sternal {Structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Leg/left {Structure of left lower leg}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please shower daily including washing incisions gently with mild 
-soap, no baths or swimming until cleared by surgeon. Look at 
-your incisions daily for redness or drainage
-Please NO lotions, cream, powder, or ointments to incisions 
-Each morning you should weigh yourself and then in the evening 
-take your temperature, these should be written down on the chart 
-
-No driving for one month or while taking narcotics. Driving will 
-be discussed at follow up appointment with surgeon-when you will 
-be able to drive 
-No lifting more than 10 pounds for 10 weeks
-
-**Please call cardiac surgery office with any questions or 
-concerns ___. Answering service will contact on call 
-person during off hours**
- 
-
-###RESPONSE: shower {Able to shower self}, incisions {Surgical incision wound}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, incisions {Surgical incision wound}, while taking narcotics {Narcotics education}, No lifting {Functional activity education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-all seafood / ibuprofen / bees / acetaminophen
- 
-Attending: ___.
- 
-Chief Complaint:
-Groin pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: seafood {Allergy to seafood}, ibuprofen {Allergy to ibuprofen}, bees {Allergy to bee venom}, acetaminophen {Allergy to paracetamol}, Groin pain {Inguinal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-The patient is a ___ woman with a past medical history 
-significant for HTN, T2DM, seizure disorder, Hepatitis C, and 
-schizoaffective disorder who presents with 10 days of R groin 
-pain.
-
-At baseline, she uses a walker to ambulate and takes Oxycodone 
-for diabetic neuropathy, which she describes a ""burning"" 
-sensation in her BLE. She was in her usual state of health until 
-2 weeks ago when she slipped on a banana peel and ended up in a 
-splits position. 2 days later, she noted R groin pain. On ___, 
-she was admitted to ___ with acute urinary retention likely 
-___ Oxycodone/Benadryl use and UTI and RLQ abdominal pain. Her 
-Benadryl was temporarily D/C'ed, and she was treated with a 
-course of Macrobid. In terms of her RLQ abdominal pain, acute 
-processes were ruled-out via CT and U/S. She reports that her 
-pain, which she clarifies was always R groin and not RLQ, 
-slightly improved on D/C, but has gradually worsened since then. 
-She describes this pain as non-radiating, pulsating pain that is 
-constant; exacerbated with movement; and accompanied by shooting 
-pains down her RLE. She endorses fevers (Tm 100.4) and chills, 
-but denies N/V, abdominal pain, changes in her bowel habits, or 
-urinary symptoms.
-
-In the ED, her initial vitals were T 99.8 HR 96 BP 144/77 RR 18 
-SaO2 97% on RA. Her physical examination was notable for R 
-inguinal TTP. Her laboratory results were notable for Na 131; 
-ALT 51 AST 87 Alk Phos 199 Tbili 1.7 Alb 3.0; and WBC 8.1. She 
-underwent RUQ U/S which was unchanged. She received IV Morphine 
-17 MG for pain. 
-
-Currently, she continues to report R groin pain and is 
-requesting pain medications. Otherwise, she has no additional 
-complaints.    
-
-REVIEW OF SYSTEMS: Per HPI, otherwise negative in detail.
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, T2DM {Diabetes mellitus type 2}, seizure disorder {Seizure disorder}, Hepatitis C {Viral hepatitis type C}, schizoaffective disorder {Schizoaffective disorder}, R groin 
-pain {Right inguinal pain}, baseline {Baseline state}, uses a walker to ambulate {Does mobilize using walker}, diabetic neuropathy {Neuropathy due to diabetes mellitus}, burning"" 
-sensation {Burning sensation}, BLE {Lower limb structure}, R groin pain {Right inguinal pain}, acute urinary retention {Acute retention of urine}, UTI {Urinary tract infectious disease}, RLQ abdominal pain {Right lower quadrant pain}, RLQ abdominal pain {Right lower quadrant pain}, CT {Computed tomography}, U/S {Ultrasonography of abdomen}, pain {Pain}, R groin {Right inguinal region structure}, RLQ {Structure of right lower quadrant of abdomen}, improved {Patient's condition improved}, D/C {Discharged from hospital}, worsened {Increased pain}, pain {Pain}, radiating {Radiating pain}, pulsating pain {Throbbing pain}, constant {Constant pain}, shooting 
-pains {Shooting pain}, RLE {Structure of right lower limb}, fevers {Fever}, chills {Chill}, N/V {Nausea and vomiting}, abdominal pain {Abdominal pain}, changes in her bowel habits {Altered bowel function}, urinary symptoms {Urinary symptom change}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, physical examination {Physical examination procedure}, R 
-inguinal {Right inguinal region structure}, TTP {Tenderness}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, WBC {White blood cell count}, RUQ {Structure of right upper quadrant of abdomen}, U/S {Ultrasonography of abdomen}, pain {Pain}, R groin pain {Right inguinal pain}, requesting pain medications {Analgesics requested}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hypertension 
-Diabetes c/b neuropathy
-Seizure disorder
-Hepatitis C 
-Cirrhosis 
-Schizoaffective d/o
-Asthma
-Migraine headaches
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Diabetes c/b neuropathy {Neuropathy due to diabetes mellitus}, Seizure disorder {Seizure disorder}, Hepatitis C 
-Cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, Schizoaffective {Schizoaffective disorder}, Asthma {Asthma}, Migraine headaches {Migraine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother: HTN, DM, asthma
-Father: ___ disorder 
-Nephew, niece: ___
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, asthma {Asthma}, disorder {Disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
-Vitals: T 98.9 BP 129/75 HR 90 RR 17 SaO2 100% on RA
-General: Well-appearing, obese female lying comfortably in bed
-HEENT: Sclera anicteric, PERRLA, MMM, oropharynx clear  
-Neck: Supple, no JVD, no LAD
-Lungs: CTAB
-Heart: RRR, normal s1/2, no m/r/g  
-Abdomen: BS+, soft, NT/ND, no organomegaly  
-Back: No TTP, no CVA tenderness
-Ext: WWP, 2+ pulses, no edema
-Neuro: A&Ox3, CN II-XII intact
-R hip: TTP along inguinal region and lateral aspect, limited 
-passive and active ROM (compared to L), no erythema or warmth, 
-no masses
-
-On Discharge:
-VS: Tm 99.1 Tc 98.1 BP 125/59 (113-139/59-78) HR 108 (92-108) RR 
-18 SaO2 95% on RA
-I/O (8hrs) 600(PO)/BRP, (24hrs) 570(PO)/BRP, BM x1
-FSBG 107-201 
-General: Well-appearing, obese female lying comfortably in bed
-HEENT: Sclera anicteric, PERRLA, MMM, oropharynx clear  
-Neck: Supple, no JVD, no LAD
-Lungs: CTAB
-Heart: RRR, normal s1/2, no m/r/g  
-Abdomen: BS+, soft, NT/ND, no organomegaly  
-Back: No TTP, no CVA tenderness
-Ext: WWP, 2+ pulses, no edema
-Neuro: A&Ox3, CN II-XII intact
-R hip: TTP along inguinal region and lateral aspect, limited 
-passive and active ROM (compared to L), no erythema or warmth, 
-no masses
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Well-appearing {Well cared for appearance}, obese {Obese}, lying comfortably in bed {Lying in bed}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, PERRLA {Pupils equal, react to light and accommodation}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, normal s1 {Normal first heart sound, S>1<}, no m/r/g {Heart sounds normal}, Abdomen {Examination of abdomen}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, organomegaly {Abdominal organomegaly}, TTP {Tenderness}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, WWP {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema {Edema}, Neuro {Neurological examination}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, CN II-XII intact {Normal central nervous system}, R hip {Right hip region structure}, TTP {Tenderness}, inguinal region {Right inguinal region structure}, limited 
-passive and active ROM {Decreased range of hip movement}, erythema {Erythema}, warm {Warm skin}, masses {Mass}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, BM {Does defecate}, FSBG {Finding of blood glucose level}, General {General examination of patient}, Well-appearing {Well cared for appearance}, obese {Obese}, lying comfortably in bed {Lying in bed}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, PERRLA {Pupils equal, react to light and accommodation}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, normal s1 {Normal first heart sound, S>1<}, no m/r/g {Heart sounds normal}, Abdomen {Examination of abdomen}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, organomegaly {Abdominal organomegaly}, TTP {Tenderness}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema {Edema}, Neuro {Neurological examination}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, CN II-XII intact {Normal central nervous system}, R hip {Right hip region structure}, TTP {Tenderness}, inguinal region {Right inguinal region structure}, limited 
-passive and active ROM {Decreased range of hip movement}, erythema {Erythema}, warmth {Joint warm}, masses {Mass}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 08:20AM BLOOD WBC-8.1 RBC-3.35* Hgb-10.2* Hct-31.1* 
-MCV-93 MCH-30.6 MCHC-33.0 RDW-15.7* Plt ___
-___ 08:20AM BLOOD Neuts-73.3* ___ Monos-4.7 Eos-2.1 
-Baso-0.2
-___ 08:20AM BLOOD Plt ___
-___ 08:10AM BLOOD ___
-___ 08:20AM BLOOD Glucose-219* UreaN-4* Creat-0.5 Na-131* 
-K-3.8 Cl-96 HCO3-31 AnGap-8
-___ 08:20AM BLOOD ALT-51* AST-87* AlkPhos-199* TotBili-1.7*
-___ 08:20AM BLOOD Albumin-3.0* Calcium-8.2* Phos-2.5* 
-Mg-1.5*
-___ 08:36AM BLOOD Lactate-2.1*
-
-___ CXR:
-IMPRESSION: No acute intrathoracic process.
-
-___ RUQ U/S:
-IMPRESSION: 
-1. Nodular and coarsened liver compatible with cirrhosis without 
-focal lesions. 
-2. Splenomegaly. 
-3. No evidence of cholecystitis or choledocholithiasis.
-
-___ Hip XR:
-FINDINGS: Bony structures and joint spaces are essentially 
-within normal limits and symmetric bilaterally. No evidence of 
-fracture or dislocation. However, if there is strong clinical 
-concern for an occult fracture, cross-sectional imaging should 
-be obtained.
-
-___ MR-L spine:
-IMPRESSION: 
-Multilevel disc disease most notably at the L4-L5 level where 
-there is a right paracentral disc bulge with superimposed disc 
-extrusion extending superiorly into the right lateral recess.  
-This disc causes mass effect on the exiting right L4 nerve root 
-and traversing right L5 nerve root.
-
-___ MR-Hip (Prelim):
-IMPRESSION: 
-MR of the hip demonstrating extensive edema of multiple muscles 
-around the pelvic girdle, predominantly involving obturator 
-internus, externus, quadratus femoris and gluteus medius. This 
-is centered around the superior pubic ramus which demonstrates 
-mild bone edema but no fracture. Differentials for this 
-appearance include myositis, infection, lymphoma. Recommend 
-contrast enhanced MRI to further evaluate.
-
-___ MR-Hip with contrast:
-IMPRESSION: 
-The area of diffuse muscular and bone marrow edema enhances 
-avidly. The lack of any fluid collection or heterogenous 
-enhancement makes infection somewhat less likely, however 
-differential considerations also include tumor and 
-post-traumatic changes.   
-  
-Additional history was provided confirming recent trauma. Given 
-this additional information, post-traumatic change is the most 
-likely of the provided differentials. Follow-up with repeat MRI 
-in ___ weeks to ensure improvement/resolution is recommended. 
- 
-On Discharge:
-___ 07:00AM BLOOD WBC-6.8 RBC-3.29* Hgb-10.2* Hct-30.5* 
-MCV-93 MCH-31.1 MCHC-33.5 RDW-15.7* Plt ___
-___ 08:10AM BLOOD ESR-98*
-___ 07:00AM BLOOD Glucose-175* UreaN-5* Creat-0.6 Na-130* 
-K-3.5 Cl-96 HCO3-29 AnGap-9
-___ 08:10AM BLOOD ALT-47* AST-88* LD(LDH)-282* CK(CPK)-155 
-AlkPhos-200* TotBili-1.9*
-___ 07:00AM BLOOD Calcium-8.2* Phos-4.0 Mg-1.5*
-___ 08:10AM BLOOD CRP-50.2*
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, No acute intrathoracic process {No abnormality detected}, liver {Liver structure}, cirrhosis {Cirrhosis of liver}, lesions {Lesion}, Splenomegaly {Splenomegaly}, No evidence {No abnormality detected}, cholecystitis {Cholecystitis}, choledocholithiasis {Common bile duct calculus}, Bony structures {Bone structure of hip joint region}, joint spaces {Structure of articular space}, normal {No abnormality detected}, No evidence {No abnormality detected}, fracture {Fracture}, dislocation {Dislocation}, fracture {Fracture}, imaging {Imaging}, disc disease {Disorder of lumbar disc}, right {Structure of right lumbar region of back}, disc {Intervertebral disc structure of fourth lumbar vertebra}, bulge {Swelling}, d disc 
-extrusion {Displacement of lumbar intervertebral disc}, right {Structure of right lumbar region of back}, lateral recess {Structure of transverse process of lumbar vertebra}, disc {Intervertebral disc structure of fourth lumbar vertebra}, L4 nerve root {Structure of spinal nerve root L4}, right {Structure of right lumbar region of back}, L5 nerve root {Structure of spinal nerve root L5}, MR of the hip {Magnetic resonance imaging of hip}, edema {Edema of skeletal muscle}, muscles 
-around the pelvic {Skeletal muscle structure of pelvis}, obturator 
-internus {Internal obturator muscle structure}, externus {External obturator muscle structure}, quadratus femoris {Structure of quadratus femoris muscle}, gluteus medius {Structure of gluteus medius muscle}, superior pubic ramus {Structure of superior ramus of pubis}, mild {Symptom mild}, bone edema {Edema of bone marrow}, fracture {Fracture}, appearance {Edema of skeletal muscle}, myositis {Myositis}, infection {Infectious disease}, lymphoma {Malignant lymphoma}, contrast enhanced MRI {Magnetic resonance imaging with contrast}, muscular {Edema of skeletal muscle}, bone marrow edema {Edema of bone marrow}, fluid collection {Accumulation of fluid}, infection {Infectious disease}, tumor {Neoplasm}, traumatic {Traumatic injury}, trauma {Traumatic injury}, traumatic {Traumatic injury}, MRI {Magnetic resonance imaging}, ensure {Evaluation procedure}, improvement {Patient's condition improved}, resolution {Problem resolved}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, ESR {Finding of erythrocyte sedimentation rate}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-#R groin pain: The patient presented with R groin pain in the 
-setting of a fall. Her pain was likely ___ musculoskeletal 
-strain in the setting of trauma. However, given her low-grade 
-fevers and elevated inflammatory markers, septic joint was 
-considered. Her WBC was WNL, and her Hip-XR were unremarkable. 
-Her MR-Hip with and without contrast were consistent with 
-post-traumatic changes. Initially, there was concern for 
-lymphoma. However, her laboratory values were only notable for a 
-slightly elevated LDH (her baseline) and significantly elevated 
-ESR and CRP. She was given PO Oxycodone for pain in addition to 
-her home Sulindac, and she was discharged on a limited supply of 
-PO Oxycodone. ___ evaluated her and felt that she was safe to 
-return home with ___. Follow-up with repeat MRI in ___ weeks to 
-ensure improvement/resolution is recommended.
-
-#UTI: During her last admission, she was started on Macrobid for 
-a complicated UTI. She complicated her course prior to D/C.
-
-#HTN: Her home HCTZ was continued.
-
-#T2DM: Her home Metformin and NPH were continued, and she was 
-placed on ISS. Her home Glipizide was held and restarted on D/C. 
-For neuropathy, her home Gabapentin was continued.
-
-#Seizure disorder: Her home Phenytoin and Lamotrigine were 
-continued.
-
-#Schizoaffective disorder: Her home Abilify and Prazosin were 
-continued.
-
-#COPD: Her home Montelukast and nebs were continued.
-
-#Hyponatremia: She was admitted with Na 131, which is her 
-baseline and is likely ___ hypervolemia in the setting of liver 
-disease.
-
-#Chronic HCV/?Cirrhosis: She presented with ALT 51, AST 87, Alk 
-Phos 199, and Tbili 1.7, which is her baseline. Her U/S revealed 
-nodular liver and splenomegaly, unchanged from prior. Outpatient 
-follow-up with Liver Clinic was scheduled for ___.
-
-#Hypoalbuminemia: She was admitted with Alb 3.0, which is her 
-baseline and likely ___ liver disease. Per Nutrition, her Ensure 
-TID was continued.
-
-TRANSITIONAL ISSUES:
-1. She was treated with PO Oxycodone PRN and discharged on a 
-limited supply of PO Oxycodone.
-2. ___ evaluated her and felt that she was safe to return home 
-with ___.
-3. Follow-up with repeat MRI in ___ weeks to ensure 
-improvement/resolution is recommended.
-4. If her pain persists, please consider an outpatient Ortho 
-eval.
-5. Her urine and blood cultures will need to be followed-up.
- 
-
-###RESPONSE: R groin pain {Right inguinal pain}, R groin pain {Right inguinal pain}, fall {Falls}, pain {Right inguinal pain}, musculoskeletal 
-strain {Muscle strain}, trauma {Traumatic injury}, low-grade 
-fevers {Low grade pyrexia}, elevated {Elevation}, inflammatory {Inflammatory disorder}, markers {Laboratory test}, septic joint {Bacterial arthritis}, WBC {White blood cell count}, WNL {No abnormality detected}, Hip-XR {Radiography of hip}, unremarkable {No abnormality detected}, MR-Hip with {Magnetic resonance imaging of hip with contrast}, d without contrast {Magnetic resonance imaging without contrast}, traumatic {Traumatic injury}, lymphoma {Malignant lymphoma}, elevated LDH {Serum lactate dehydrogenase level above reference range}, baseline {Baseline state}, elevated 
-ESR {Erythrocyte sedimentation rate above reference range}, CRP {C-reactive protein above reference range}, pain {Pain}, Follow-up {Follow-up arranged}, MRI {Magnetic resonance imaging}, ensure {Evaluation procedure}, improvement {Patient's condition improved}, resolution {Problem resolved}, UTI {Urinary tract infectious disease}, UTI {Urinary tract infectious disease}, HTN {Hypertensive disorder, systemic arterial}, T2DM {Diabetes mellitus type 2}, ISS {Sliding scale insulin regime}, restarted {Restart of medication}, neuropathy {Neuropathy}, Seizure disorder {Seizure disorder}, Schizoaffective disorder {Schizoaffective disorder}, COPD {Chronic obstructive lung disease}, Hyponatremia {Hyponatremia}, baseline {Baseline state}, hypervolemia {Hypervolemia}, liver 
-disease {Disorder of liver}, Chronic HCV/?Cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, baseline {Baseline state}, U/S {Ultrasonography of abdomen}, nodular liver {Nodule of liver}, splenomegaly {Splenomegaly}, Outpatient 
-follow-up {Follow-up arranged}, Clinic {Outpatient care management}, Hypoalbuminemia {Hypoalbuminemia}, baseline {Baseline state}, liver disease {Disorder of liver}, Nutrition {Under care of dietitian}, Ensure {Administration of nutritional supplement}, Follow-up {Follow-up arranged}, MRI {Magnetic resonance imaging}, ensure {Evaluation procedure}, improvement {Patient's condition improved}, resolution {Problem resolved}, pain {Right inguinal pain}, urine {Urine culture}, blood cultures {Blood culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. TraMADOL (Ultram) 50 mg PO Q6H 
-2. Nitrofurantoin Monohyd (MacroBID) 100 mg PO Q12H 
-3. Zolpidem Tartrate 10 mg PO HS 
-4. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB 
-5. Aripiprazole 30 mg PO DAILY 
-6. Gabapentin 800 mg PO TID 
-7. Hydrochlorothiazide 25 mg PO DAILY 
-8. NPH 25 Units Breakfast
-NPH 20 Units Bedtime
-9. Ipratropium Bromide Neb 1 NEB IH Q6H:PRN SOB 
-10. Lidocaine Viscous 2% 20 mL PO QID:PRN thrush 
-11. Montelukast Sodium 10 mg PO DAILY 
-12. Multivitamins 1 TAB PO DAILY 
-13. Omeprazole 20 mg PO DAILY 
-14. Phenytoin Sodium Extended 200 mg PO BID 
-15. Sumatriptan Succinate 50 mg PO ONCE MR1 migraine 
-16. Tiotropium Bromide 1 CAP IH DAILY 
-17. Albuterol Inhaler 2 PUFF IH Q6H:PRN SOB 
-18. Fluticasone-Salmeterol Diskus (100/50) 1 INH IH BID 
-19. GlipiZIDE 5 mg PO BID 
-20. MetFORMIN (Glucophage) 1000 mg PO BID 
-21. Symbicort *NF* (budesonide-formoterol) 160-4.5 mcg/actuation 
-INHALATION 2 PUFFS BID 
-22. Prazosin 2 mg PO QAM 
-23. Prazosin 8 mg PO QPM 
-24. LaMOTrigine 100 mg PO QAM 
-25. LaMOTrigine 200 mg PO QHS 
-26. Sulindac 200 mg PO BID
- 
-Discharge Medications:
-1. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN SOB 
-2. Albuterol Inhaler 2 PUFF IH Q6H:PRN SOB 
-3. Aripiprazole 30 mg PO DAILY 
-4. Fluticasone-Salmeterol Diskus (100/50) 1 INH IH BID 
-5. Gabapentin 800 mg PO TID 
-6. Hydrochlorothiazide 25 mg PO DAILY 
-7. NPH 25 Units Breakfast
-NPH 20 Units Bedtime
-8. Ipratropium Bromide Neb 1 NEB IH Q6H:PRN SOB 
-9. LaMOTrigine 100 mg PO QAM 
-10. LaMOTrigine 200 mg PO QHS 
-11. MetFORMIN (Glucophage) 1000 mg PO BID 
-12. Montelukast Sodium 10 mg PO DAILY 
-13. Multivitamins 1 TAB PO DAILY 
-14. Omeprazole 20 mg PO DAILY 
-15. Phenytoin Sodium Extended 200 mg PO BID 
-16. Prazosin 2 mg PO QAM 
-17. Prazosin 8 mg PO QPM 
-18. Sulindac 200 mg PO BID 
-19. Tiotropium Bromide 1 CAP IH DAILY 
-20. Zolpidem Tartrate 5 mg PO HS:PRN insomnia 
-21. GlipiZIDE 5 mg PO BID 
-22. Lidocaine Viscous 2% 20 mL PO QID:PRN thrush 
-23. Symbicort *NF* (budesonide-formoterol) 160-4.5 mcg/actuation 
-INHALATION 2 PUFFS BID 
-24. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-do not drive while taking this medication 
-RX *oxycodone 5 mg 1 tablet(s) by mouth four times a day Disp 
-#*20 Tablet Refills:*0
-25. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium 100 mg 1 capsule(s) by mouth twice a day 
-Disp #*20 Capsule Refills:*0
-26. Senna 1 TAB PO BID:PRN constipation 
-RX *sennosides [senna] 8.6 mg 1 tablet by mouth twice a day Disp 
-#*20 Tablet Refills:*0
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Groin pain
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
- 
-
-###RESPONSE: With Service {Home health aide service management}, Groin pain {Inguinal pain}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you while you were hospitalized 
-at ___. You were admitted to the hospital with right groin 
-pain. Your pain was likely due to a muscle tear. You were 
-treated and discharged with oral pain medications. Physical 
-Therapy evaluated you and felt that you were safe to return home 
-with physical therapy.
-
-Please take care to follow-up with your Primary Care physician.
- 
-
-###RESPONSE: right groin 
-pain {Right inguinal pain}, pain {Right inguinal pain}, muscle tear {Rupture of muscle}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, physical therapy {Physical therapy procedure}, Primary Care {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___             Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Shellfish / Iodine / seasonal allergy / Dilaudid / novocaine
- 
-Attending: ___.
- 
-Chief Complaint:
-chemo
- 
-Major Surgical or Invasive Procedure:
-port placement
-
- 
-
-###RESPONSE: Shellfish {Allergy to shellfish}, Iodine {Allergy to iodine compound}, seasonal allergy {Seasonal allergy}, chemo {Chemotherapy}, port placement {Insertion of implantable venous access port}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ female with a history of
-marginal zone lymphoma in ___ with subsequent diagnosis of
-aggressive B cell lymphoma in ___.  She is s/p ISRT to her
-palate in ___ and surgical resection of left supraclavicular
-lymph node in ___ for marginal zone lymphoma.  She was found to
-have right leg edema with large mass in ___, and the biopsy
-confirmed mantle cell lymphoma, blastic variant.  She is s/p
-R-CHOP x 6 cycles in ___ and autologous transplant in ___. 
-PET/CT on ___ showed a new enlarged right inguinal lymph 
-node
-with FDG avidity compatible concerning for relapse.  Core biopsy
-of right inguinal lymph node on ___ was consistent with NHL;
-intermediate grade non-Hodgkin B-cell lymphoma. She appeared to
-have a single site of disease and it was reasonable to attempt
-radiation salvage as her systemic options were limited. This was
-completed on ___. Restaging in ___ consistent with 
-new
-PET avid periaortic node; bx consistent with relapsed aggressive
-B cell lymphoma. Patient presents for the second cycle of
-___.
-
-First cycle complicated by prolonged nausea, constipation and
-fatigue. 
-
- 
-
-###RESPONSE: marginal zone lymphoma {Marginal zone lymphoma}, B cell lymphoma {B-cell lymphoma}, p ISRT {Radiation therapy care}, palate {Palatal structure}, surgical {Surgical procedure}, left supraclavicular
-lymph node {Structure of left supraclavicular lymph node}, marginal zone lymphoma {Marginal zone lymphoma}, right leg edema {Edema of right lower leg}, mass {Mass}, biopsy {Biopsy}, mantle cell lymphoma {Mantle cell lymphoma}, R-CHOP {Rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy regimen}, autologous transplant {Autogenous transplantation}, PET/CT {Positron emission tomography}, enlarged {Localized enlarged lymph nodes}, inguinal lymph 
-node {Inguinal lymph node structure}, Core biopsy {Core needle biopsy}, inguinal lymph node {Inguinal lymph node structure}, NHL {Non-Hodgkin's lymphoma}, intermediate grade non-Hodgkin B-cell lymphoma {Intermediate grade B-cell lymphoma}, disease {Disease}, radiation {Radiation oncology AND/OR radiotherapy}, PET {Positron emission tomography}, periaortic node {Structure of aortic lymph node}, bx {Biopsy finding}, B cell lymphoma {B-cell lymphoma}, nausea {Nausea}, constipation {Constipation}, fatigue {Fatigue}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL/SURGICAL HISTORY:  
-(1) HTN.  
-(2) Hyperlipidemia.  
-(3) ___ esophagus  
-(4) Partial thyroidectomy for multinodular hyperplasia.  
-(5) Colonic hyperplastic polyps.  
-(6) Meniere's disease.  
-(7) Degenerative disease of the lumbar spine.  
-(8) Heterozygous for FXI deficiency by report
-(9) Atrial fibrillation, on oral anticoagulation with warfarin.  
-
-(10) Lymphoma, as below 
-
-DETAILED ONCOLOGIC HISTORY: 
-History of extranodal marginal zone lymphoma of the palate 
-managed with excision and radiation in ___. Nodal recurrence of 
-mardinal zone lymphoma ___ that was excised. ___ patient was noted to have right lower extremity edema and 
-right inguinal LAD. Excisional biopsy consistent with an 
-aggressive B cell lymphoma, blastoid mantle cell.  
-R-CHOP x 6 cycles in ___ and autologous transplant in ___.  
-PET/CT on ___ showed a new enlarged right inguinal lymph 
-node with FDG avidity compatible concerning for relapse.  Core 
-biopsy of right inguinal lymph node on ___ was consistent 
-with NHL; intermediate grade non-Hodgkin B-cell lymphoma. She 
-appeared to have a single site of disease and it was reasonable 
-to attempt radiation salvage as her systemic options were 
-limited. This was completed on ___. Restaging in ___ 
-consistent with new PET avid periaortic node; bx consistent with 
-relapsed aggresive B cell lymphoma.
-C1 R-BAC ___ 
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, esophagus {Esophageal structure}, thyroidectomy {Thyroidectomy}, multinodular hyperplasia {Multinodular hyperplasia}, Colonic {Colon structure}, hyperplastic polyps {Hyperplastic polyp}, Meniere's disease {Ménière's disease}, Degenerative disease of the lumbar spine.  {Lumbar spondylosis}, FXI deficiency {Factor XI deficiency}, Atrial fibrillation {Atrial fibrillation}, oral {Administration of drug or medicament via oral route}, anticoagulation {Anticoagulant therapy}, Lymphoma {Malignant lymphoma}, marginal zone lymphoma {Marginal zone lymphoma}, palate {Palatal structure}, excision {Excision}, radiation {Radiation oncology AND/OR radiotherapy}, mardinal zone lymphoma {Marginal zone lymphoma}, right lower extremity edema {Edema of right lower limb}, inguinal LAD {Inguinal lymphadenopathy}, Excisional biopsy {Excisional biopsy}, B cell lymphoma {B-cell lymphoma}, cell {Cell structure}, R-CHOP {Rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy regimen}, autologous transplant {Autogenous transplantation}, PET/CT {Positron emission tomography}, enlarged {Localized enlarged lymph nodes}, inguinal lymph 
-node {Inguinal lymph node structure}, Core 
-biopsy {Core needle biopsy}, inguinal lymph node {Inguinal lymph node structure}, NHL {Non-Hodgkin's lymphoma}, intermediate grade non-Hodgkin B-cell lymphoma {Intermediate grade B-cell lymphoma}, radiation {Radiation oncology AND/OR radiotherapy}, PET {Positron emission tomography}, B cell lymphoma {B-cell lymphoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Her father apparently had homozygous FXI deficiency, which 
-prompted testing in her (performed elsewhere). A niece was  
-diagnosed with a ""bad type of lymphoma.""  
-
- 
-
-###RESPONSE: FXI deficiency {Factor XI deficiency}, lymphoma {Malignant lymphoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: T 98.8 max, now 98.3 BP 126/70 HR 62 RR 18 O2 100%
-Gen: WDWN NAD A&O x4
-HEENT: oropharynx moist, no lesions
-nodes: no LAD
-CV: RRR no m/r/g, not irregular
-LS: CTA
-Abd: soft NT -HSM +BS, no masses palpated
-Extr: no edema
-Skin: no rash
-Neuro: nonfocal, PERRLA, EOMI, no nystagmus, rapid hand 
-movements
-and truncal gait appropriate, unsteady at baseline on tandem 
-gait
-Access: POC with ecchymosis, ozzing resolved
-
- 
-
-###RESPONSE: VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, Gen {General examination of patient}, WDWN {Well nourished}, NAD {No abnormality detected}, A {Mentally alert}, O {Orientated}, HEENT {Physical examination procedure}, oropharynx {Oropharyngeal structure}, lesions {Lesion}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, irregular {Irregular heart beat}, LS {Examination of respiratory system}, CTA {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, HSM {Hepatosplenomegaly}, +BS {Normal bowel sounds}, masses {Mass}, palpated {Palpation}, Extr {Examination of limb}, edema {Edema}, Skin {Examination of skin}, rash {Eruption of skin}, Neuro {Neurological examination}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, nystagmus {Nystagmus}, gait appropriate {Gait normal}, unsteady at baseline on tandem 
-gait {Tandem gait test - abnormal}, ecchymosis {Ecchymosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:11AM BLOOD WBC-2.6* RBC-2.26* Hgb-7.5* Hct-21.5* 
-MCV-95 MCH-33.3* MCHC-35.0 RDW-19.2* Plt ___
-___ 09:05AM BLOOD WBC-4.1 RBC-2.88* Hgb-9.0* Hct-27.3* 
-MCV-95 MCH-31.3 MCHC-33.0 RDW-18.2* Plt ___
-___ 12:11AM BLOOD Neuts-91.9* Lymphs-1.5* Monos-0.9* 
-Eos-5.5* Baso-0.2
-___ 09:05AM BLOOD Neuts-84* Bands-0 Lymphs-3* Monos-12* 
-Eos-0 Baso-1 ___ Myelos-0 NRBC-1*
-___ 12:11AM BLOOD Glucose-95 UreaN-16 Creat-0.7 Na-139 
-K-3.0* Cl-104 HCO3-27 AnGap-11
-___ 09:05AM BLOOD Glucose-103* UreaN-10 Creat-0.6 Na-140 
-K-3.9 Cl-105 HCO3-25 AnGap-14
-___ 12:11AM BLOOD Albumin-3.3* Calcium-7.7* Phos-4.7* 
-Mg-1.8
-___ 09:05AM BLOOD Albumin-4.0 Calcium-9.3 Phos-4.6* Mg-1.7 
-UricAcd-5.9*
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old female with multiply relapsed NHL
-admitted for cycle 2 of R-bendamustine cytarabine.
-
-# Lymphoma: -Rituxan 700mg IV (375mg/m2) D1
-           -Cytarabine 1540 IV (800mg/m2) D2-4
-           -Bendamustine 125mg IV (70mg/m2) D2-3
-           -Pred drops up until 48hrs after cytarabine completes
-          - IVF/antiemetics per protocol
-          - Neuro exams assessed prior to each dose of ara-c
-
-#Dyspnea: Resolved. may be combination of reactive airway flare 
-vs fluid
-overload vs URI. CXR shows some fluid, no signs of active
-infection. strict I/Os, diurese prn. resp swab PND.
-
-#Fever: non neutropenic, may be secondary to chemo vs URI. will
-send resp swab. b and u culture NTD, (u culture contaminate). 
-tylenol prn for relief.
-- fever resolved after 1 day
-
-# Nausea: supportive meds with dex, zofran pre chemo. add emend
-po D2-4. give script at d/c for zyprexa to prevent delayed n/v
-from last cycle. remind her to continue bowel regimen at d/c.
-
-# Prophylaxis: acyclovir. consider bactrim if will not be on
-coumadin.
-
-# Osteoarthritis: tramadol prn. tylenol prn for breakthrough.
-does not tolerate oxycodone-nausea. ___ evaluate, lifeline at 
-home and stable on feet. okay for safe discharge home.
-
-# Paroxysmal a fib: EKG overnight with fever on ___, rate 
-stable in
-70's, 80's. converted back with HR in 60's prior to discharge. 
-continue ___ go home with xarelto per primary 
-oncologist.
-
-# HTN: continue amlodipine with parameters
-
-# GERD: omeprazole daily
-
-# Hypothyroidism: continue synthroid daily
-
-# Hypercholestermia: hold during chemotherapy
-
-# DVT prophylaxis: restarted Lovenox after port placement, will 
-go home with xarelto
-# F/E/N: replace electrolytes prn. IVF as ordered.
-# Access: POC
-# code status Full
-# dispo: home, neulasta in clinic ___
-
- 
-
-###RESPONSE: NHL {Non-Hodgkin's lymphoma}, Lymphoma {Malignant lymphoma}, Neuro exams {Neurological examination}, Dyspnea {Dyspnea}, Resolved {Problem resolved}, reactive airway flare {Reactive airway disease}, fluid
-overload {Hypervolemia}, URI {Upper respiratory infection}, CXR {Plain chest X-ray}, fluid {Effusion}, active
-infection {Infectious disease}, diurese {Diuresis}, swab {Taking of swab}, Fever {Fever}, neutropenic {Neutropenia}, chemo {Chemotherapy}, URI {Upper respiratory infection}, swab {Taking of swab}, b {Blood culture}, u culture {Urine culture}, (u culture {Urine culture}, fever {Fever}, resolved {Problem resolved}, Nausea {Nausea}, chemo {Chemotherapy}, n/v {Nausea and vomiting}, bowel regimen {Bowel care}, Prophylaxis {Preventive procedure}, Osteoarthritis {Osteoarthritis}, nausea {Nausea}, feet {Foot structure}, Paroxysmal a fib {Paroxysmal atrial fibrillation}, EKG {Electrocardiographic procedure}, fever {Fever}, rate 
-stable {Pulse rate stable}, HTN {Hypertensive disorder, systemic arterial}, GERD {Gastroesophageal reflux disease}, Hypothyroidism {Hypothyroidism}, Hypercholestermia {Hypercholesterolemia}, chemotherapy {Chemotherapy}, DVT prophylaxis {Prevention of deep vein thrombosis}, restarted {Restart of medication}, port placement {Insertion of implantable venous access port}, IVF {Administration of intravenous fluids}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acetaminophen 650 mg PO Q6H:PRN pain 
-2. Acyclovir 400 mg PO Q8H 
-3. Amlodipine 2.5 mg PO DAILY 
-4. Fexofenadine 180 mg PO DAILY 
-5. Fluticasone Propionate NASAL ___ SPRY NU DAILY 
-6. FoLIC Acid 1 mg PO DAILY 
-7. Gabapentin 300 mg PO HS 
-8. Levothyroxine Sodium 50 mcg PO DAILY 
-9. Omeprazole 20 mg PO DAILY 
-10. Prochlorperazine 10 mg PO Q6H:PRN nausea 
-11. Sotalol 160 mg PO BID 
-12. Warfarin 2.5-5 mg PO ASDIR 
-13. Docusate Sodium 100 mg PO BID 
-14. Lorazepam 0.5-1 mg PO Q4H:PRN anxiety insomnia nausea 
-15. Polyethylene Glycol 17 g PO DAILY:PRN no bm in 24h 
-16. PrednisoLONE Acetate 1% Ophth. Susp. 2 DROP BOTH EYES QID 
-17. Senna 8.6 mg PO BID 
-18. TraMADOL (Ultram) 50 mg PO Q4H:PRN pain 
-19. Atorvastatin 20 mg PO QPM 
-20. Calcium 600 + D(3) (calcium carbonate-vitamin D3) 600 
-mg(1,500mg) -200 unit oral BID 
-21. Multivitamins 1 TAB PO DAILY 
-22. Vitamin D ___ UNIT PO DAILY 
-23. Ondansetron 8 mg PO Q8H:PRN nausea 
-
- 
-Discharge Medications:
-1. Acetaminophen 650 mg PO Q6H:PRN pain 
-2. Acyclovir 400 mg PO Q8H 
-3. Docusate Sodium 100 mg PO BID 
-4. Fexofenadine 180 mg PO DAILY 
-5. Fluticasone Propionate NASAL ___ SPRY NU DAILY 
-6. Gabapentin 300 mg PO HS 
-7. Levothyroxine Sodium 50 mcg PO DAILY 
-8. Lorazepam 0.5-1 mg PO Q4H:PRN anxiety insomnia nausea 
-9. Omeprazole 20 mg PO DAILY 
-10. Polyethylene Glycol 17 g PO DAILY:PRN no bm in 24h 
-11. PrednisoLONE Acetate 1% Ophth. Susp. 2 DROP BOTH EYES QID 
-12. Prochlorperazine 10 mg PO Q6H:PRN nausea 
-13. Senna 8.6 mg PO BID 
-14. Sotalol 160 mg PO BID 
-15. TraMADOL (Ultram) 50 mg PO Q4H:PRN pain 
-16. Vitamin D ___ UNIT PO DAILY 
-17. Calcium 600 + D(3) (calcium carbonate-vitamin D3) 600 
-mg(1,500mg) -200 unit oral BID 
-18. FoLIC Acid 1 mg PO DAILY 
-19. Multivitamins 1 TAB PO DAILY 
-20. Ondansetron 8 mg PO Q8H:PRN nausea 
-21. Rivaroxaban 20 mg PO DAILY 
-RX *rivaroxaban [Xarelto] 20 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*2
-22. OLANZapine 5 mg PO HS 
-RX *olanzapine 5 mg 1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0
-23. Allopurinol ___ mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-lymphoma
-reactive airway disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: lymphoma {Malignant lymphoma}, reactive airway disease {Reactive airway disease}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___,
-
-You were admitted to receive chemotherapy. You tolerated this 
-well however developed worsening shortness of breath and cough 
-overnight on ___. We did a workup which was most consistent 
-with your history of asthma flare with an upper respiratory 
-infection and fluid overload. Your symptoms improved with 
-nebulizer treatment and lasix.
-
-You will follow up tomorrow in clinic to receive your neulasta 
-injection and to follow up with your outpatient team. Please do 
-not hesitate to call in the meantime with any fevers, chills, 
-worsening cough, shortness of breath, or any other concerns.
- 
-
-###RESPONSE: chemotherapy {Chemotherapy}, shortness of breath {Dyspnea}, cough {Cough}, workup {Evaluation procedure}, asthma {Asthma}, upper respiratory 
-infection {Upper respiratory infection}, fluid overload {Hypervolemia}, improved {Patient's condition improved}, nebulizer treatment {Nebulizer therapy}, lasix {Diuretic therapy}, clinic {Outpatient care management}, injection {Injection}, fevers {Fever}, chills {Chill}, cough {Cough}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Ketorolac
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain and shortness of breath
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Chest pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year-old woman from nursing facility presents with shortness 
-of breath with substernal chest pain since the morning of 
-admission.  The patient had no relief from 3 sublingual 
-nitroglycerin tablets, but got relief after receiving morphine 
-in the emergency department.  The chest pain was non-radiating 
-and ___.  She currently only complains of mild discomfort of 
-the chest.
-
-She denies fevers or chills, but did have a cough for the last 2 
-weeks productive of yellow phlegm.  She is staying at the 
-nursing facility because she is very debilitated from lower 
-extremity weakness and poor balance.  She can walk short 
-distances with a walker.  Denies orthopnea or PND.
-
-She denies headache, neck pain, abdominal pain, nausea, 
-vomiting, dysuria.  She does have urinary incontinence, but no 
-stool incontinence.  She complains of constipation.  She 
-endorses arthritic joint pain everywhere.  She does not have 
-confusion.
- 
-
-###RESPONSE: shortness 
-of breath {Dyspnea}, substernal chest pain {Retrosternal pain}, relief after receiving morphine {Pain relieved by analgesic}, chest pain {Chest pain}, discomfort of 
-the chest {Chest discomfort}, fevers {Fever}, chills {Chill}, cough for the last 2 
-weeks productive {Productive cough}, lower 
-extremity weakness {Paresis of lower extremity}, poor balance {Poor balance}, walk short 
-distances with a walker {Does mobilize using walker}, orthopnea {Orthopnea}, headache {Headache}, neck pain {Pain radiating to neck}, abdominal pain {Abdominal pain}, nausea, 
-vomiting {Nausea and vomiting}, dysuria {Dysuria}, urinary incontinence {Urinary incontinence}, stool incontinence {Incontinence of feces}, constipation {Constipation}, joint pain {Joint pain}, confusion {Clouded consciousness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. CAD status post CABG in ___ with an EF of greater than 55% 
-2. Chronic Atrial fibrillation but recently in NSR, on 
-amiodarone but not on anti-coagulation
-3. Hypertension
-4. Diabetes mellitus type 2 
-5. Hypercholesterolemia
-6. Superficial spreading melanoma 
-7. Hip fracture with ORIF in ___
-8. Urinary tract infection 
-9. Thyroid disease
-10. Urinary incontinence
-11. Constipation
-12. Melanoma, locally metastatic with chemo ___
-13. Right humeral head fracture in ___
-14. s/p multiple falls 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, Chronic Atrial fibrillation {Chronic atrial fibrillation}, NSR {Normal sinus rhythm}, Hypertension {Hypertensive disorder, systemic arterial}, Diabetes mellitus type 2 {Diabetes mellitus type 2}, Hypercholesterolemia {Hypercholesterolemia}, Superficial spreading melanoma {Superficial spreading melanoma}, Hip fracture {Fracture of proximal end of femur}, ORIF {Open reduction of fracture with internal fixation}, Urinary tract infection {Urinary tract infectious disease}, Thyroid disease {Disorder of thyroid gland}, Urinary incontinence {Urinary incontinence}, Constipation {Constipation}, Melanoma {Malignant melanoma of skin}, metastatic {Metastatic malignant neoplasm}, chemo {Chemotherapy}, Right humeral head fracture {Closed fracture of capitellum of right humerus}, falls {Falls}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non contributory
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: 98.2 123/82 72 19 96% on 2L
-GEN: NAD, comfortable in bed, awake and alert
-HEENT: PERRL, EOMI, MMM, no oropharyngeal lesions
-NECK: Supple, JVP 7-8cm
-CHEST: CTAB
-CV: RRR, normal s1 and s2
-ABD: Soft, nontender, nondistended, bowel sounds present
-EXT: No lower extremity edema
-SKIN: No rash
-NEURO: CN ___ intact x mild decrease in hearing on right ear, 
-sensory intact throughout, strength ___ BUE/BLE, did not 
-ambulate patient, fluent speech
-PSYCH: Pleasant, calm
- 
-
-###RESPONSE: VS {Vital signs finding}, GEN {General examination of patient}, NAD {No abnormality detected}, awake {Awake}, alert {Mentally alert}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, lesions {Lesion}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, CHEST {Examination of respiratory system}, CTAB {Normal breath sounds}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal s1 {Normal first heart sound, S>1<}, ABD {Examination of abdomen}, Soft {Abdomen soft}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, EXT {Examination of limb}, edema {Edema}, SKIN {Examination of skin}, rash {Eruption of skin}, NEURO {Neurological examination}, decrease in hearing on right ear, {Hearing test right abnormality}, fluent speech {Finding of fluency of speech}, PSYCH {Initial psychiatric assessment}, calm {Feeling calm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___
-WBC-8.9 Hgb-12.7 Hct-38.5 MCV-88 Plt ___
-Neuts-72.2* ___ Monos-5.0 Eos-1.8 Baso-0.8
-
-___ PTT-28.4 ___
-
-Glucose-236* UreaN-36* Creat-1.1 Na-142 K-4.1 Cl-99 HCO3-32 
-AnGap-15
-
-CK(CPK)-62 cTropnT-0.06* proBNP-2636*
-
-URINE Color-Straw Appear-Clear Sp ___ Blood-NEG 
-Nitrite-NEG Protein-NEG Glucose-NEG Ketone-NEG Bilirub-NEG 
-Urobiln-NEG pH-5.0 Leuks-NEG
-
-CXR IMPRESSION: 
-Left lower lobe consolidation, possibly atelectasis but 
-infection 
-is not excluded. Small bilateral pleural effusions. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, URINE Color-Straw {Normal urine color}, Protein {Measurement of protein in urine}, Glucose {Glucose measurement, blood}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, CXR {Plain chest X-ray}, Left lower lobe consolidation {Lung consolidation}, atelectasis {Atelectasis}, infection {Infectious disease}, pleural effusion {Pleural effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year-old woman admitted with chest pain and shortness of 
-breath with evidence of possible PNA on CXR. The patient 
-received Vancomycin and Levaquin in the ED for possible 
-pneumonia and Lasix 10mg IV for possible congestive heart 
-failure. During her hospital course, her presentation was less 
-consistent with congestive heart failure, furthermore she does 
-not have a history of heart failure. She was ruled out for 
-cardiac ischemia or arrythmia. Her symptoms are thought to be 
-related to mild pneumonia versus bronchitis. Throughout her stay 
-her vital signs were stable and she never required supplemental 
-oxygen. We increased her long acting Isosorbide mononitrate to 
-60 mg daily for better blood pressure control. She will need to 
-finish a 7 day course of Levofloxacin. She was seen by 
-cardiology in consultation, who felt that her chest pain may be 
-cardiac, but they recommended medical management at present (in 
-the absence of elevated cardiac enzymes and EKG changes) with 
-potential additional diagnostics (e.g. stress test) to be 
-pursued as an outpatient. She will need follow up with 
-cardiology, and a new echocardiogram. Both of these should be 
-scheduled by the rehab facility, as we could not make these 
-appointments over the weekend.  
-
-Her daytime blood sugars were high on multiple occasions. She 
-may benefit from oral anti-diabetic regiment, which could be 
-considered as outpatient. All her other chronic medical problems 
-were stable, and required no change in her treatment plan.  
-
-During this hospitalization she expressed the wish to be 
-DNR/DNI.
- 
-
-###RESPONSE: chest pain {Chest pain}, shortness of 
-breath {Dyspnea}, PNA {Pneumonia}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, congestive heart 
-failure {Congestive heart failure}, congestive heart failure {Congestive heart failure}, heart failure {Heart failure}, cardiac ischemia {Myocardial ischemia}, arrythmia {Cardiac arrhythmia}, pneumonia {Pneumonia}, bronchitis {Bronchitis}, vital signs were stable {Normal vital signs}, consultation {Consultation}, chest pain {Chest pain}, cardiac {Heart disease}, elevated cardiac enzymes {Finding of cardiac enzyme levels}, EKG changes {Electrocardiogram abnormal}, stress test {Electrocardiogram with exercise test}, follow up with 
-cardiology {Follow-up cardiac assessment}, echocardiogram {Echocardiography}, blood sugars {Glucose measurement, blood}, oral {Administration of drug or medicament via oral route}, regiment {Therapeutic regimen}, problems {Problem}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Levothyroxine 50mcg daily
-Aspirin 325mg daily
-Cyanocobalamin 1000mcg injection qmonth
-Senna 8.6mg 2 tabs daily
-Plavix 75mg daily
-Lisinopril 5mg daily
-Digoxin 0.125mg daily
-Metoprolol ER 100mg BID
-Isosorbide mononitrate 30mg daily
-Lidoderm 5% patch to knee 9am, remove at 9pm
-Bumetanide 2mg qam, 1mg qpm
-Glimepiride 2mg daily
-Crestor 10mg daily
-Sliding scale insulin
-Albuterol/Atrovent nebs prn
- 
-Discharge Medications:
-1. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-2. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for 
-Nebulization Sig: One (1) Nebulization Inhalation Q6H (every 6 
-hours) as needed for Bronchospasm.  
-4. Ipratropium Bromide 0.02 % Solution Sig: One (1) Inhalation 
-Inhalation Q6H (every 6 hours) as needed for wheezing.  
-5. Senna 8.6 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-6. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-7. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) 
-Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for 
-Constipation.  
-8. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed for Pain: please give prior to ambulation for 
-left ankle pain.  
-9. Levothyroxine 50 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-10. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-11. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-12. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO BID (2 times a 
-day).  
-13. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-Two (2) Adhesive Patch, Medicated Topical DAILY (Daily): Apply 
-to one to right knee and one to left ankle at 9am, remove at 9pm 
-daily. 
-.  
-14. Rosuvastatin 5 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-15. Insulin Regular Human 100 unit/mL Solution Sig: as directed 
-per standard insulin sliding scale 1 to 12 Injection ASDIR (AS 
-DIRECTED).  
-16. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr 
-Sig: Two (2) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-17. Levofloxacin 250 mg Tablet Sig: Three (3) Tablet PO Q48H 
-(every 48 hours) for 4 days.  
-18. Polyethylene Glycol 3350 17 gram/dose Powder Sig: One (1) 
-pack PO DAILY (Daily) as needed for constipation.  
-19. Guaifenesin 100 mg/5 mL Syrup Sig: ___ MLs PO Q6H (every 6 
-hours) as needed for cough.  
-20. Benzonatate 100 mg Capsule Sig: One (1) Capsule PO TID (3 
-times a day) for 5 days.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Pneumonia
-Chest pain
-Secondary:
-Coronoray artery disease, Chronic Atrial fibrillation, 
-Hypertension, Diabetes mellitus type 2, Hypercholesterolemia, 
-Constipation
-
- 
-Discharge Condition:
-Pain free, oxygen saturation 96% on RA
-
- 
-
-###RESPONSE: Pneumonia {Pneumonia}, Chest pain {Chest pain}, Coronoray artery disease {Coronary arteriosclerosis}, Chronic Atrial fibrillation {Chronic atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, Diabetes mellitus type 2 {Diabetes mellitus type 2}, Hypercholesterolemia {Hypercholesterolemia}, Constipation {Constipation}, Pain free {No present pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with chest pain and cough. You are being 
-treated for mild lung infection and will need to continue taking 
-your antibiotic as prescribed. We evaluated you also for any 
-heart problem, however could not find any abnormality with your 
-heart. You will need a follow up appointment scheduled with your 
-cardiologist as an outaptient for ongoing managment of your 
-congestive heart failure.
-
-We increased your Isosorbid mononitrate to 60 mg daily
-you need to continue taking Levofloxacine for 4 more days (Q48H)
- 
- 
-
-###RESPONSE: chest pain {Chest pain}, cough {Cough}, lung infection {Infectious disease of lung}, antibiotic {Antibiotic therapy}, heart {Heart structure}, abnormality {No abnormality detected}, heart {Heart structure}, congestive heart failure {Congestive heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                       Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ___
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-fever, respiratory distress
- 
-Major Surgical or Invasive Procedure:
-Intubation ___
-Extubation ___ 
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, fever {Fever}, respiratory distress {Respiratory distress}, Intubation {Insertion of endotracheal tube}, Extubation {Removal of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ male with history of Alzheimer's,
-previously on hospice care (recently discharged), who presents
-with respiratory distress. Patient is nonverbal at baseline and
-significantly altered and unable to provide additional history.
-Today wife felt that he was increasingly sleepy and brought him
-here for evaluation. He had a fever last night. Seen by ___ visiting clinician on ___ for aspiration/pneumonia, 
-for
-which he received 10 day course of levofloxacin. Wife states he
-has not had a cough but he has been having noisy breathing. No
-vomiting or diarrhea. As he is nonverbal he has not been able to
-articulate any specific complaints.
-
-In the ED, patient minimally responsive on initial evaluation 
-and
-hypoxic to the mid ___ on room air. He had difficulty increasing
-oxygenation with nonrebreather and patient was too altered to
-tolerate BiPAP. Therefore he was intubated. Received 3L LR,
-vancomycin and cefepime in the ED. Chest x-ray suggestive of
-aspiration pneumonia. WBC elevated and Hct/Hgb suggested
-significant hemoconcentration.
-
-On my evaluation, patient was intubated and unable to 
-participate
-in history. He has previously had MOLST form with DNR/DNI
-completed ___. Per daughter, currently DNR/ok to intubate.
-
-In the ED, initial vitals: T100.8 HR139 BP145/94 RR20 SpO2 90%
-nrb  
-
-Exam:  
-General: Seated in bed, minimally responsive
-Head/eyes: Normocephalic/atraumatic. Pupils equal round and
-reactive to light.
-ENT/neck: Dry mucous membranes
-Chest/Resp: Tachypnea, poor air movement, rhonchorous
-Cardiovascular: Tachycardic, regular
-GI/abdominal: Soft, nondistended
-Musc/Extr/Back: No peripheral edema. 
-Skin: Warm and dry
-Psych: Poor mentation
-
-Labs:  Na 150  Cl 110  BUN34  Glu189  K4.0  Bicarb23  Cr1.2  
-AGap=17 
-Ca: 10.3 Mg: 2.7 P: 2.7
-ALT: 21 AP: 87 Tbili: 0.7 Alb: 3.8 
-AST: 15  Lip: 13     
-WBC 27.9  Hgb17.7/Hct 54.8 Plt326 
-Flu negative
-
-Imaging: 
-CXR ___: Lower lung opacities concerning for pneumonia versus
-the sequelae of aspiration. Possible pulmonary vascular
-congestion. 
-
-Consults: None 
-
-Interventions:  Intubation
-
-VS Prior to Transfer: T98.9 HR80 BP93/62 RR16 SpO296% Intubation 
-
-
-ROS: Positives as per HPI; otherwise negative.  
- 
-
-###RESPONSE: Alzheimer {Alzheimer's disease}, hospice care {Hospice care}, discharged {Discharge from hospice}, respiratory distress {Respiratory distress}, nonverbal {Does not speak}, baseline {Baseline state}, sleepy {Drowsy}, evaluation {Evaluation procedure}, fever {Fever}, aspiration {Aspiration pneumonia}, pneumonia {Pneumonia}, levofloxacin {Antibiotic therapy}, cough {Cough}, noisy breathing {Noisy respiration}, vomiting {Vomiting}, diarrhea {Diarrhea}, nonverbal {Does not speak}, evaluation {Evaluation procedure}, hypoxic {Hypoxia}, on room air {Breathing room air}, oxygenation with nonrebreather {Oxygen administration by mask}, BiPAP {Bilevel positive airway pressure titration}, intubated {Insertion of endotracheal tube}, vancomycin {Antibiotic therapy}, Chest x-ray {Plain chest X-ray}, aspiration pneumonia {Aspiration pneumonia}, WBC elevated {White blood cell count outside reference range}, Hct {Hematocrit determination}, Hgb {Measurement of total hemoglobin concentration}, evaluation {Evaluation procedure}, intubated {Insertion of endotracheal tube}, DNR {Not for resuscitation}, DNR {Not for resuscitation}, vitals {Vital signs finding}, nrb {Oxygen administration by mask}, General {General examination of patient}, Seated {Sitting position}, Head/eyes {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Pupils equal round and
-reactive to light {Pupils equal and reacting to light}, ENT/neck {Physical examination procedure}, Dry mucous membranes {Mucous membrane dryness}, Chest {Thoracic structure}, Resp {Examination of respiratory system}, Tachypnea {Tachypnea}, rhonchorous {Wheeze - rhonchi}, Cardiovascular {Cardiovascular physical examination}, Tachycardic {Tachycardia}, regular {Normal heart rate}, GI {Examination of digestive system}, abdominal {Examination of abdomen}, Soft {Abdomen soft}, nondistended {Normal abdominal contour}, Musc {Examination of muscle power}, Extr {Examination of limb}, peripheral edema {Peripheral edema}, Skin {Examination of skin}, Warm {Warm skin}, dry {Xeroderma}, Psych {Neurological mental status determination}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, WBC {White blood cell count}, Hct {Hematocrit determination}, Flu {Influenza}, Imaging {Imaging}, CXR {Plain chest X-ray}, Lower lung {Structure of lower lobe of lung}, opacities {Abnormally opaque structure}, pneumonia {Pneumonia}, sequelae {Sequelae of disorders}, aspiration {Aspiration pneumonia}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, Intubation {Insertion of endotracheal tube}, VS {Vital signs finding}, Intubation {Insertion of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Essential hypertension 
-Hypercholesteremia 
-Early onset Alzheimer's disease with behavioral disturbance 
-Aspiration pneumonia of both lower lobes 
-Slow transit constipation 
- 
-
-###RESPONSE: Essential hypertension {Essential hypertension}, Hypercholesteremia {Hypercholesterolemia}, Early onset Alzheimer's disease with behavioral disturbance {Early onset Alzheimer's disease with behavioral disturbance}, Aspiration pneumonia {Aspiration pneumonia}, lower lobes {Structure of lower lobe of lung}, Slow transit constipation {Slow transit constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM: 
-======================== 
-VS: Reviewed in Metavision, HR 78 BP 93/64, SpO2 96%, RR 15 
-GEN: Intubated, sedated 
-EYES: Pupils equal and nonreactive  
-HENNT: Intubated, trachea midline 
-CV: RRR, no m/r/g
-RESP:  Mechanical breath sounds 
-GI: Bowel sounds present 
-MSK: No gross deformity, warm extremities 
-SKIN: No rashes or skin breakdown  
-NEURO: Intubated and sedated 
-PSYCH: Unable to assess 
-
-DISCHARGE PHYSICAL EXAM:
-========================
-Not examined fully as he is CMO; appeared comfortable, without 
-labored or rapid respirations. No response to voice or touch. No 
-grimacing, restlessness, or obvious signs of distress.
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, GEN {General examination of patient}, Intubated {Insertion of endotracheal tube}, sedated {Sedated}, EYES {Ophthalmic examination and evaluation}, Pupils equal {Pupils equal}, NT {Abdominal tenderness}, Intubated {Insertion of endotracheal tube}, trachea {Tracheal structure}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, RESP {Examination of respiratory system}, GI {Examination of digestive system}, Bowel sounds present {Normal bowel sounds}, MSK {Musculoskeletal system physical examination}, deformity {Deformity}, warm {Warm skin}, SKIN {Examination of skin}, rashes {Eruption of skin}, skin breakdown {Broken skin}, NEURO {Neurological examination}, Intubated {Insertion of endotracheal tube}, sedated {Sedated}, PSYCH {Neurological mental status determination}, appeared comfortable {Comfortable appearance}, labored {Labored breathing}, rapid respirations {Tachypnea}, response to voice {Responds to voice}, touch {Finding of sensation of touch}, grimacing {Facial grimacing}, restlessness {Restlessness}, signs {Sign}, distress {Distress}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS: 
-===============
-___ 05:30PM BLOOD WBC-27.9* RBC-5.73 Hgb-17.7* Hct-54.8* 
-MCV-96 MCH-30.9 MCHC-32.3 RDW-13.5 RDWSD-47.8* Plt ___
-___ 05:30PM BLOOD Neuts-90.4* Lymphs-3.2* Monos-4.2* 
-Eos-0.0* Baso-0.4 Im ___ AbsNeut-25.18* AbsLymp-0.89* 
-AbsMono-1.18* AbsEos-0.00* AbsBaso-0.12*
-___ 05:59PM BLOOD ___ PTT-32.7 ___
-___ 05:30PM BLOOD Glucose-189* UreaN-34* Creat-1.2 Na-150* 
-K-4.0 Cl-110* HCO3-23 AnGap-17
-___ 05:30PM BLOOD ALT-21 AST-15 AlkPhos-87 TotBili-0.7
-___ 05:30PM BLOOD Lipase-13
-___ 05:30PM BLOOD Albumin-3.8 Calcium-10.3 Phos-2.7 Mg-2.7*
-___ 10:15AM BLOOD Triglyc-156*
-___ 06:37PM BLOOD Type-ART pO2-155* pCO2-29* pH-7.48* 
-calTCO2-22 Base XS-0
-___ 05:34PM BLOOD Lactate-2.3*
-
-LAST SET OF LABS BEFORE ___ MADE CMO (___):
-==============================================
-___ 11:53AM BLOOD WBC-8.7 RBC-3.71* Hgb-11.6* Hct-35.8* 
-MCV-97 MCH-31.3 MCHC-32.4 RDW-13.0 RDWSD-45.8 Plt ___
-___ 04:03AM BLOOD Glucose-85 UreaN-11 Creat-0.5 Na-141 
-K-4.2 Cl-111* HCO3-21* AnGap-9*
-___ 04:03AM BLOOD Calcium-8.3* Phos-3.7 Mg-2.3
-
-MICRO:
-======
-__________________________________________________________
-___ 7:24 pm SPUTUM      Source: Endotracheal. 
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      >25 PMNs and <10 epithelial cells/100X field. 
-      NO MICROORGANISMS SEEN. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      Commensal Respiratory Flora Absent. 
-      YEAST.    SPARSE GROWTH. 
-__________________________________________________________
-___ 8:00 am MRSA SCREEN      Source: Nasal swab. 
-
-                            **FINAL REPORT ___
-
-   MRSA SCREEN (Final ___:    No MRSA isolated. 
-__________________________________________________________
-___ 5:49 pm BLOOD CULTURE
-
-                            **FINAL REPORT ___
-
-   Blood Culture, Routine (Final ___:    NO GROWTH. 
-__________________________________________________________
-___ 5:30 pm BLOOD CULTURE
-
-                            **FINAL REPORT ___
-
-   Blood Culture, Routine (Final ___:    NO GROWTH. 
-
-IMAGING:
-========
-___ Imaging CHEST (PORTABLE AP) 
-1.  ET tube terminates 5.7 cm above the carina.  Consider slight 
-advancement for more optimal positioning.  OG tube positioned 
-appropriately. 
-2.  Lower lung opacities concerning for pneumonia versus the 
-sequelae of 
-aspiration.  Possible pulmonary vascular congestion. 
-
-___ Imaging CHEST (PORTABLE AP) 
-Lungs are low volume with bibasilar atelectasis.  Mild 
-interstitial edema is unchanged.  Support lines and tubes are 
-stable.  Cardiomediastinal silhouette is also unchanged.  Small 
-bilateral effusions left greater than right are unchanged.  No 
-pneumothorax is seen. 
-
-___-SPINE W/O CONTRAST 
-1. No evidence of acute fracture or malalignment. 
-2. Mild cervical spondylosis. 
-
-___ Imaging CT HEAD W/O CONTRAST 
-1. No evidence of an acute intracranial abnormality. 
-2. Severe parenchymal atrophy. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Administration of albumin}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Triglyc {Triglycerides measurement}, pH {pH measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, GRAM STAIN {Gram stain method}, cells {Cell structure}, RESPIRATORY CULTURE {Respiratory microbial culture}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, Nasal {Nasal structure}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, Imaging {Imaging}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, carina {Structure of carina of trachea}, for more optimal positioning {Checking position of endotracheal tube}, OG tube positioned {Checking position of nasogastric tube using X-ray}, Lower lung {Structure of lower lobe of lung}, opacities {Abnormally opaque structure}, pneumonia {Pneumonia}, sequelae {Sequelae of disorders}, aspiration {Aspiration pneumonia}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, Imaging {Imaging}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, Lungs {Lung structure}, low volume {Decreased size}, bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, Mild {Symptom mild}, interstitial edema {Edema}, Small {Symptom mild}, bilateral effusions {Bilateral pleural effusion}, left {Left pleura structure}, right {Right pleura structure}, pneumothorax {Pneumothorax}, SPINE {Computed tomography of spine}, W/O CONTRAST {Computed tomography without contrast}, No evidence {No abnormality detected}, fracture {Fracture}, malalignment {Misalignment}, Mild {Symptom mild}, cervical spondylosis {Cervical spondylosis}, Imaging {Imaging}, CT HEAD W/O CONTRAST {Computed tomography of head without contrast}, No evidence {No abnormality detected}, intracranial {Intracranial structure}, abnormality {No abnormality detected}, atrophy {Atrophy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient is ___ male with history of severe Alzheimer's, 
-previously on hospice who presented with respiratory failure 
-requiring urgent intubation. The patient's family was present 
-for goals of care discussion, and it was ultimately decided to 
-transition to comfort-focused care with hospice.
-
-ACUTE PROBLEMS:
-===============
-# Hypoxemic respiratory failure
-The patient was brought in from home with increasing somnolence, 
-cough, and labored breathing. He was hypoxemic to the ___ on 
-arrival to the emergency room. He was started on IV vancomycin 
-and cefepime. CXR suggested aspiration pneumonia. He was 
-intubated and transferred to the intensive care unit. The ICU 
-team discussed goals of care with the patient's family, who 
-decided that the patient would not want to be on a ventilator. 
-He was extubated and transferred to the general floor for 
-comfort care. Subsequent respiratory distress was management 
-with IV morphine gtt and then SL liquid morphine.
-
-# Hypovolemic hypernatremia
-Patient was given IV fluids with subsequent improvement.
-
-# Myoclonus
-# Encephalopathy
-Patient has dementia and is non-verbal at baseline, with acutely 
-worsened mental status in setting of infection. He was found to 
-have clonus of the extremities. Head CT and CT-spine were 
-unremarkable. There was low concern for seizures per neurology. 
-
-# Goals of care
-The patient was previously on hospice prior to this admission. 
-Due to respiratory failure, the family decided to change the 
-patient's code status to DNR/DNI, comfort care, with plan for 
-home hospice. The patient was maintained on oral morphine and 
-Ativan for comfort. 
-
-========================
-TRANSITIONAL ISSUES
-========================
-[ ] Patient is discharged to home hospice with scripts for 
-morphine and Ativan as needed for comfort.
-
-[x] The patient is safe to discharge today, and I spent [x] 
-<30min; [ ] >30min in discharge day management services.
-
-___, MD
-___
-Pager ___
- 
-
-###RESPONSE: Alzheimer {Alzheimer's disease}, hospice {Hospice care}, respiratory failure {Respiratory failure}, intubation {Insertion of endotracheal tube}, discussion {Discussion}, hospice {Hospice care}, Hypoxemic respiratory failure {Hypoxemic respiratory failure}, somnolence {Drowsy}, cough {Cough}, labored breathing {Labored breathing}, hypoxemic {Hypoxemia}, IV {Administration of drug or medicament via intravenous route}, vancomycin {Antibiotic therapy}, CXR {Plain chest X-ray}, aspiration pneumonia {Aspiration pneumonia}, intubated {Insertion of endotracheal tube}, transferred to the intensive care unit {Patient transfer to intensive care unit}, extubated {Removal of endotracheal tube}, comfort care {Comfort measures}, respiratory distress {Respiratory distress}, IV {Administration of drug or medicament via intravenous route}, SL {Administration of substance via sublingual route}, liquid {Liquid}, Hypovolemic {Hypovolemia}, hypernatremia {Hypernatremia}, given IV fluids {Administration of intravenous fluids}, improvement {Patient's condition improved}, Myoclonus {Myoclonus}, Encephalopathy {Disorder of brain}, dementia {Dementia}, non-verbal {Does not speak}, baseline {Baseline state}, worsened mental status {Altered mental status}, infection {Infectious disease}, clonus {Clonus}, extremities {Limb structure}, Head CT {Computed tomography of head}, CT-spine {Computed tomography of spine}, unremarkable {No abnormality detected}, seizures {Seizure}, hospice {Hospice care}, respiratory failure {Respiratory failure}, DNR {Not for resuscitation}, comfort care {Comfort measures}, home hospice {Referral to hospice at home service}, oral {Administration of drug or medicament via oral route}, hospice {Referral to hospice at home service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Torsemide 5 mg PO DAILY 
-2. Guaifenesin-CODEINE Phosphate ___ mL PO Q6H:PRN cough 
-3. Hyoscyamine 0.125 mg PO QID:PRN secretions 
-4. amLODIPine 10 mg PO DAILY 
-5. Pravastatin 20 mg PO QPM 
-6. Lisinopril 2.5 mg PO DAILY 
-7. Hydrochlorothiazide 25 mg PO DAILY 
-8. Donepezil 10 mg PO QHS 
-
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H:PRN Pain - Mild/Fever  
-2.  Atropine Sulfate 1% ___ DROP SL Q4H:PRN excess secretions  
-3.  Glycopyrrolate 0.1-0.2 mg IV Q4H:PRN excess secretions  
-4.  LORazepam Oral Solution 0.5 mg PO Q6H:PRN agitation, anxiety 
-
-RX *lorazepam 2 mg/mL 0.25 ml by mouth Once every six hours 
-Refills:*0 
-5.  Morphine Sulfate (Concentrated Oral Solution) 20 mg/mL ___ 
-mg SL Q2H:PRN respiratory distress, pain 
-RX *morphine concentrate 100 mg/5 mL (20 mg/mL) 0.75-1.0 ml by 
-mouth Once every two hours Refills:*0 
-6.  Scopolamine Patch 1 PTCH TD Q72H  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY:
--Aspiration pneumonia
--Acute hypoxemic respiratory failure 
-
- 
-Discharge Condition:
-Mental Status: Confused - always.
-Level of Consciousness: Lethargic and not arousable.
-Activity Status: Bedbound.
-
- 
-
-###RESPONSE: With Service {Referral to hospice at home service}, Aspiration pneumonia {Aspiration pneumonia}, Acute hypoxemic respiratory failure {Acute hypoxemic respiratory failure}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Lethargic {Lethargy}, Activity Status {Physical functional dependency}, Bedbound {Bed-ridden}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___ and ___,  
-
-It was a pleasure caring for you at ___ 
-___.  
-
-WHY WERE YOU IN THE HOSPITAL?  
-- You were admitted to the hospital for difficulty breathing.
-
-WHAT HAPPENED WHEN YOU WERE IN THE HOSPITAL? 
-- You had a breathing tube placed and were connected to a 
-ventilator for your difficulty breathing.
-- Your family decided to remove the breathing tube and focus on 
-making you comfortable.  
-- You were connected with hospice care and arrangements were 
-made for you to go home on hospice.
-
-WHAT SHOULD YOU DO AFTER YOU LEAVE THE HOSPITAL?  
-- Enjoy spending time with your family and loved ones.
- 
-Sincerely,  
-
-Your ___ Team
- 
-
-###RESPONSE: difficulty breathing {Difficulty breathing}, breathing tube placed {Insertion of endotracheal tube}, ventilator {Ventilator care}, difficulty breathing {Difficulty breathing}, remove the breathing tube {Removal of endotracheal tube}, hospice care {Hospice care}, hospice {Referral to hospice at home service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-dyspnea, wheezing
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: dyspnea {Dyspnea}, wheezing {Wheezing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ pMHx COPD, asthma, GERD, and metastatic
-carcinoma to the brain of unknown origin s/p resection and WBRT
-in ___ who presents with dyspnea/wheezing.   
-
-She states that she has had 2 weeks of progressive SOB which
-began with 1 week of URI-type symptoms. She states that she has
-had a new productive cough over the past week as well.  She is
-normally on 10 mg prednisone daily for her severe COPD, but 
-given
-her respiratory symptoms, she self-increased her daily 
-prednisone
-to 20 mg daily last week.  She has not had any fevers.  On day 
-of
-presentation, she states that she was at a barbeque outdoors 
-with
-significant pollen exposure (an environmental allergy for her)
-after which she became severely dyspneic.  She was brought by
-ambulance who noted that the patient was only able to speak 2
-word sentences at a timje.  
-
-Upon arrival to the ED, initial VS 99, 100, 160/90, 24, 94% on
-RA.  Her O2sats dropped to the upper ___ on RA while in the ED. 
-Initial labs showed wnl chemistries, WBC 10.2, Hgb 14.6.  CXR
-showed no focal consolidations.  The patient was given IV
-methylpred x 1, azithromycin, and duonebs prior to transfer to
-the floor.
-
-Upon arrival to the floor, the patient reports ongoing wheezing
-and no significant improvement of her respiratory symptoms after
-receiving IV methylpred in the ED. She states some abdominal 
-pain
-associated with cough.  She has no other acute medical
-complaints.
- 
-Review of Systems:  
-(+) per HPI  
-(-) fever, chills, night sweats, headache, vision changes,
-rhinorrhea, congestion, sore throat, chest pain, abdominal pain,
-nausea, vomiting, diarrhea, constipation, BRBPR, melena,
-hematochezia, dysuria, hematuria.  
- 
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, asthma {Asthma}, GERD {Gastroesophageal reflux disease}, metastatic
-carcinoma to the brain {Metastatic malignant neoplasm to brain}, resection {Excision}, dyspnea {Dyspnea}, wheezing {Wheezing}, SOB {Dyspnea}, URI {Upper respiratory infection}, productive cough {Productive cough}, COPD {Chronic obstructive lung disease}, respiratory {Respiratory function finding}, fevers {Fever}, environmental allergy {Environmental allergy}, dyspneic {Dyspnea}, only able to speak 2
-word sentences at a timje {Difficulty talking}, VS {Vital signs finding}, RA {Breathing room air}, RA {Breathing room air}, wnl {No abnormality detected}, WBC {White blood cell count}, Hgb {Measurement of total hemoglobin concentration}, CXR {Plain chest X-ray}, consolidations {Consolidation}, IV {Administration of drug or medicament via intravenous route}, wheezing {Wheezing}, improvement {Patient's condition improved}, respiratory symptoms {Respiratory function finding}, IV {Administration of drug or medicament via intravenous route}, abdominal 
-pain {Abdominal pain}, cough {Cough}, Review of Systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-(per chart, confirmed with pt):
-- Asthma since childhood and COPD (multiple asthma attacks, 
-previously seen by Dr. ___ ___ FEV1 71% 
-predicted, FEV/FVC 46%, now follows with Dr. ___ 
-- Bipolar disorder (history of delusions of parasitosis and 
-depression, on SSI, resultant rash from scratching)
-- Brain Metastases  (dx in ___ with headaches;, MRI showed 2.4 
-
-x 1.1 cm size mass in the intraaxial location with surrounding 
-edema, consistent with metastatic disease; s/p left occipital 
-craniotomy and excision of the tumor on ___ Path showed 
-metastatic poorly differentiated carcinoma with unclear etiology 
-
-for a primary; ___ whole brain XRT; ___hest 
-with new speculated RUL nodule and enlarged lymph node, 
-enlarging on PET CT on ___
-- knee pain
-- recommended many times to have EGD and ___, pt declines 
-- GERD 
-- Substance abuse (crack cocaine)
- 
-
-###RESPONSE: Asthma {Asthma}, childhood {Childhood}, COPD {Chronic obstructive lung disease}, asthma attacks {Exacerbation of asthma}, Bipolar disorder {Bipolar disorder}, delusions of parasitosis {Delusions of parasitosis}, depression {Depressive disorder}, rash {Eruption of skin}, Brain Metastases {Metastatic malignant neoplasm to brain}, headaches {Headache}, MRI {Magnetic resonance imaging of head}, mass {Mass}, edema {Edema}, metastatic disease {Metastatic malignant neoplasm}, left occipital {Left occipital lobe structure}, craniotomy {Craniotomy}, excision {Excision}, tumor {Neoplasm}, metastatic {Metastatic malignant neoplasm}, poorly differentiated carcinoma {Poorly differentiated carcinoma}, brain {Brain structure}, XRT {X-ray beam therapy}, RUL {Structure of upper lobe of right lung}, nodule {Nodule}, enlarged lymph node {Lymphadenopathy}, PET CT {Positron emission tomography}, knee pain {Pain of knee region}, EGD {Esophagogastroduodenoscopy}, GERD {Gastroesophageal reflux disease}, Substance abuse {Substance abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Aunt with lupus. Mother had lung cancer, sarcoid. Father with
-diabetes.  Brother hit by car.
- 
-
-###RESPONSE: lupus {Lupus erythematosus}, lung cancer {Malignant tumor of lung}, sarcoid {Sarcoidosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals- 98.9 PO 131 / 94 R ___
-GENERAL: well-appearing , appears comfortable, minimal increased 
-WOB with ambulation, able to speak in full sentences
-HEENT: MMM, NCAT, EOMI, anicteric sclera
-CARDIAC: Regular rhythm, normal rate, no murmurs/rubs/gallops. 
-No JVD.
-RESP: decreased air entry bilaterally, scattered wheeze 
-bilaterally, no accessory muscle 
-ABDOMEN:  soft, NTND, normoactive bowel sounds
-EXTREMITIES: wwp, no pitting edema of BLE
-SKIN: no rash or lesions
-NEUROLOGIC: AOx3, wnl gait, grossly nonfocal.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, GENERAL {General examination of patient}, WOB {Labored breathing}, able to speak {Able to speak}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, NC {Normal head}, EOMI {Normal ocular motility}, anicteric sclera {White sclera}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, JVD {Jugular venous engorgement}, RESP {Examination of respiratory system}, decreased air entry {Decreased breath sounds}, wheeze {Wheezing}, accessory muscle {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, ND {Swollen abdomen}, normoactive bowel sounds {Normal bowel sounds}, EXTREMITIES {Examination of limb}, wwp {Normal tissue perfusion}, edema {Edema}, BLE {Edema of bilateral lower legs}, SKIN {Examination of skin}, rash {Eruption of skin}, lesions {Lesion}, NEURO {Neurological examination}, GI {Examination of digestive system}, AOx3 {Oriented to person, time and place}, wnl {No abnormality detected}, gait {Gait normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission:
-___ 10:40PM BLOOD WBC-10.2*# RBC-4.92 Hgb-14.6 Hct-44.7 
-MCV-91 MCH-29.7 MCHC-32.7 RDW-14.8 RDWSD-49.6* Plt ___
-___ 10:40PM BLOOD Glucose-147* UreaN-14 Creat-0.8 Na-144 
-K-3.6 Cl-99 HCO3-31 AnGap-18
-
-Imaging/
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Studies:  
-___ CXR
-No acute cardiopulmonary process.
-
-Discharge:
-___ 06:35AM BLOOD WBC-11.8* RBC-4.81 Hgb-13.9 Hct-43.4 
-MCV-90 MCH-28.9 MCHC-32.0 RDW-14.9 RDWSD-49.5* Plt ___
-___ 06:35AM BLOOD Glucose-128* UreaN-18 Creat-0.7 Na-137 
-K-4.4 Cl-99 HCO3-26 AnGap-16
- 
-
-###RESPONSE: CXR {Plain chest X-ray}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ pMHx COPD, asthma, GERD, and metastatic 
-carcinoma to the brain of unknown origin s/p resection and WBRT 
-in ___ who presented with an acute COPD exacerbation. No 
-fevers, but cough, wheeze and dyspnea consistent with COPD 
-exacerbation, likely precipitated by pollen exposure. Improved 
-slowly. Completed a 5-day course of azithromycin and placed on a 
-slow prednisone taper to be continued as an outpatient.  
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, asthma {Asthma}, GERD {Gastroesophageal reflux disease}, metastatic 
-carcinoma to the brain {Metastatic malignant neoplasm to brain}, resection {Excision}, acute COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, fevers {Fever}, cough {Cough}, wheeze {Wheezing}, dyspnea {Dyspnea}, COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, Improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. ProAir HFA (albuterol sulfate) 90 mcg/actuation inhalation 
-Q4H:PRN 
-2. Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID 
-3. Montelukast 10 mg PO DAILY 
-4. Omeprazole 20 mg PO DAILY 
-5. Tiotropium Bromide 1 CAP IH DAILY 
-6. Aspirin 81 mg PO DAILY 
-7. Cetirizine 10 mg PO DAILY 
-8. Multivitamins 1 TAB PO DAILY 
-9. PredniSONE 20 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Pseudoephedrine 30 mg PO Q6H:PRN nasal congestion 
-RX *pseudoephedrine HCl [Nasal Decongestant (pseudoeph)] 30 mg 1 
-tablet(s) by mouth every six (6) hours Disp #*10 Tablet 
-Refills:*0 
-2.  Omeprazole 40 mg PO DAILY 
-RX *omeprazole 40 mg 1 capsule(s) by mouth daily Disp #*30 
-Capsule Refills:*0 
-3.  PredniSONE 50 mg PO DAILY 
-50 mg daily x 3 days, then decrease by 10 mg every 3 days until 
-taking 10 mg daily  
-Tapered dose - DOWN 
-RX *prednisone 10 mg 5 tablet(s) by mouth daily Disp #*60 Tablet 
-Refills:*0 
-4.  Aspirin 81 mg PO DAILY  
-5.  Cetirizine 10 mg PO DAILY  
-6.  Fluticasone-Salmeterol Diskus (500/50)  1 INH IH BID  
-7.  Montelukast 10 mg PO DAILY  
-8.  Multivitamins 1 TAB PO DAILY  
-9.  ProAir HFA (albuterol sulfate) 90 mcg/actuation inhalation 
-Q4H:PRN 
-RX *albuterol sulfate [ProAir HFA] 90 mcg 2 puffs INH every four 
-(4) hours Disp #*1 Inhaler Refills:*0 
-10.  Tiotropium Bromide 1 CAP ___ DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Asthma exacerbation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Asthma exacerbation {Exacerbation of asthma}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, 
-
-You were admitted to the hospital with an asthma exacerbation. 
-You were treated with steroids and breathing treatments and you 
-improved.
-
-Please try to avoid cigarettes as they make your breathing 
-worse.  
-
-Please continue to take the prednisone (steroids) taper as 
-directed. 
- 
-
-###RESPONSE: asthma exacerbation {Exacerbation of asthma}, steroids {Steroid therapy}, breathing treatments {Inhalation therapy procedure}, improved {Patient's condition improved}, steroids {Steroid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                        Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-aspirin
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest Pain
- 
-Major Surgical or Invasive Procedure:
-Cardiac Catheterization
-
- 
-
-###RESPONSE: aspirin {Allergy to aspirin}, Chest Pain {Chest pain}, Cardiac Catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ HTN, DM, HL, CAD and b/l hearing loss pw chest pain and 
-abnormal stress test. Patient reports exertional, substernal 
-chest pain for the last 3 days. Relieved with rest. Denies 
-radiation. Saw neurologist today for evaluation of memory loss, 
-but when he described chest pain was referred for outpatient 
-stress test. The stress test was abnormal and he was referred 
-for ___. Patient reports ongoing ___ substernal chest pain 
-without SOB on arrival to 
-the ED.  
-
-Patient takes Plavix for remote history of CAD. Denies ASA use.  
-
-Chest pain nonreproducible in the ED.  
-
-In the ED initial vitals were: 97.7 56 138/70 16 96% RA  
-- Labs were significant for WBC 3.7 Hct 40.6 Plt 141, Cr 0.8, 
-INR 0.9, Troponin <0.01  
-- Patient was given Nitroglycerin SL, Aspirin 325, and started 
-on a heparin gtt. His pain resolved after the SL nitro and 
-aspirin  
-Vitals prior to transfer were: 97.6 52 ___ 97% RA  
-On the floor, the patient is sleeping comfortably. He denies 
-chest pain, dyspnea, fevers, chills, night sweats, headache, 
-vision changes, rhinorrhea, congestion, sore throat, cough, 
-shortness of breath, chest pain, abdominal pain, nausea, 
-vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, 
-dysuria, hematuria.  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HL {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, b/l hearing loss {Bilateral hearing loss}, chest pain {Chest pain}, abnormal stress test {Cardiovascular stress test abnormal}, exertional {Chest pain on exertion}, substernal 
-chest pain {Retrosternal pain}, Relieved with rest {Pain relief by rest}, radiation {Radiating pain}, evaluation {Evaluation procedure}, memory loss {Amnesia}, chest pain {Chest pain}, stress test {Cardiovascular stress testing}, stress test was abnormal {Cardiovascular stress test abnormal}, substernal chest pain {Retrosternal pain}, SOB {Dyspnea}, CAD {Coronary arteriosclerosis}, ASA use {Administration of aspirin}, Chest pain {Chest pain}, RA {Breathing room air}, Labs {Laboratory test}, WBC {White blood cell count}, Hct {Hematocrit determination}, Plt {Platelet count}, Cr {Creatinine measurement}, INR {Calculation of international normalized ratio}, Troponin {Troponin measurement}, Aspirin {Administration of aspirin}, heparin {Heparin therapy}, pain {Chest pain}, resolved {Problem resolved}, aspirin {Administration of aspirin}, Vitals {Vital signs finding}, RA {Breathing room air}, sleeping {Asleep}, chest pain {Chest pain}, dyspnea {Dyspnea}, fevers {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, 
-vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HYPERTENSION  
-SEASONAL ALLERGIC RHINITIS  
-HARD OF HEARING  
-PROSTATE INTRAEPITHELIAL NEOPLASIA  
-HYPERLIPIDEMIA  
-GASTROESOPHAGEAL REFLUX  
-CORONARY ARTERY DISEASE  
-ERECTILE DYSFUNCTION  
-GOUT  
-AZOTEMIA  
-ADENOMA  
-VENTRICULAR ECTOPIC ACTIVITY  
- 
-
-###RESPONSE: HYPERTENSION {Hypertensive disorder, systemic arterial}, SEASONAL ALLERGIC RHINITIS {Seasonal allergic rhinitis}, HARD OF HEARING {Hearing loss}, PROSTATE INTRAEPITHELIAL NEOPLASIA {Prostatic intraepithelial neoplasia}, HYPERLIPIDEMIA {Hyperlipidemia}, GASTROESOPHAGEAL REFLUX {Gastroesophageal reflux disease}, CORONARY ARTERY DISEASE {Coronary arteriosclerosis}, ERECTILE DYSFUNCTION {Erectile dysfunction}, GOUT {Inflammatory disorder due to increased blood urate level}, AZOTEMIA {Azotemia}, ADENOMA {Adenoma}, VENTRICULAR ECTOPIC {Ventricular premature complex}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father: died in his ___ from iatrogenic injury, had some degree  
-
-of loss of right hand function several years prior to his death, 
- 
-Mother: no medical issues  
-Brother: died at ___ from cancer, not sure which type  
-Sister: is ___, has memory problems,  
-Son: healthy  
- 
-Physical ___:
-PHYSICAL EXAM ON ADMISSION:  
-Vitals - 97.9 152/92 56 18 99% RA  
-GENERAL: Lying comfortably, in NAD  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-patent nares, MMM, good dentition  
-NECK: nontender supple neck, no LAD, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles  
-ABDOMEN: nondistended, +BS, nontender in all quadrants, no 
-rebound/guarding, no hepatosplenomegaly  
-EXTREMITIES: moving all extremities well, no cyanosis, clubbing 
-or edema  
-PULSES: 2+ DP and radial pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes  
-
-PHYSICAL EXAM ON DISCHARGE:  
-Vitals - 98.0, 111-138/74-84, 52-59, rr18, 99% on RA
-GENERAL: Sleeping peacefull in bed, in NAD  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-patent nares, MMM, good dentition  
-NECK: nontender supple neck, no LAD, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles  
-ABDOMEN: nondistended, +BS, nontender in all quadrants, no 
-rebound/guarding, no hepatosplenomegaly  
-EXTREMITIES: moving all extremities well, no cyanosis, clubbing 
-or edema  
-PULSES: 2+ DP and radial pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes 
- 
-
-###RESPONSE: died {Dead}, injury {Traumatic or non-traumatic injury}, loss of right hand function {Difficulty performing hand functions}, death {Dead}, died {Dead}, cancer {Malignant neoplastic disease}, memory problems {Memory impairment}, Vitals {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, Lying {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, nares {Structure of anterior naris}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, nontender {Tenderness of neck}, supple neck {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1/S2 {Heart sounds normal}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, +BS {Normal bowel sounds}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, moving all extremities {Does move all four limbs}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, PULSES {Pulse finding}, 2+ DP {Dorsalis pulse present}, radial pulses {Radial pulse present}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}, Vitals {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, Sleeping {Asleep}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, nares {Structure of anterior naris}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, nontender {Tenderness of neck}, supple neck {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1/S2 {Heart sounds normal}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, +BS {Normal bowel sounds}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, moving all extremities {Does move all four limbs}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, PULSES {Pulse finding}, 2+ DP {Dorsalis pulse present}, radial pulses {Radial pulse present}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-LABS ON ADMISSION:
-
-___ 05:45PM BLOOD WBC-3.7* RBC-4.09* Hgb-14.0 Hct-40.6 
-MCV-100* MCH-34.3* MCHC-34.5 RDW-12.8 Plt ___
-___ 05:45PM BLOOD Neuts-61.6 ___ Monos-8.1 Eos-4.8* 
-Baso-0.5
-___ 05:45PM BLOOD ___ PTT-29.9 ___
-___ 05:45PM BLOOD Glucose-86 UreaN-26* Creat-0.8 Na-138 
-K-4.4 Cl-94* HCO3-26 AnGap-22*
-___ 02:00PM BLOOD ALT-30 AST-24 AlkPhos-44 Amylase-83 
-TotBili-0.7
-___ 07:50AM BLOOD CK-MB-5 cTropnT-<0.01
-___ 05:45PM BLOOD cTropnT-<0.01
-___ 07:50AM BLOOD CK-MB-5 cTropnT-<0.01
-___ 07:50AM BLOOD Calcium-9.3 Phos-3.1 Mg-2.0 Cholest-159
-___ 07:50AM BLOOD %HbA1c-7.2* eAG-160*
-___ 07:50AM BLOOD Triglyc-386* HDL-33 CHOL/HD-4.8 
-LDLcalc-49
-
-LABS ON DISCHARGE:
-
-___ 07:35AM BLOOD WBC-4.0 RBC-4.72 Hgb-15.7 Hct-47.6 
-MCV-101* MCH-33.4* MCHC-33.0 RDW-13.3 Plt ___
-___ 07:35AM BLOOD Plt ___
-___ 07:35AM BLOOD Glucose-128* UreaN-24* Creat-1.3* Na-140 
-K-4.9 Cl-103 HCO3-30 AnGap-12
-___ 09:15AM BLOOD ALT-36 AST-38 AlkPhos-54 TotBili-0.8
-___ 07:35AM BLOOD Calcium-9.6 Phos-3.2 Mg-2.1
-
-STUDIES:
-___ (outpatient) STRESS TEST
-INTERPRETATION: This ___ year old man with a history of HTN, gout 
-and 
-HL was referred to the lab for evalution of chest discomfort. 
-The 
-patient exercised for 11 minutes of ___ protocol and stopped 
-for 
-fatigue. The estimated peak MET capacity was 11.9 which 
-represents an 
-excellent functional capacity for his age. Near peak exercise, 
-the 
-patient noted a non-progressive right sided chest discomfort. 
-This 
-resolved with rest by minute 2 of recovery. At peak exercise, 
-there was 
-1-1.5 mm horizontal ST segment depression in the inferolateral 
-leads. 
-This became downsloping in recovery and resovled with rest by 
-minute 7. 
-the rhythm was sinus with rare isolated apbs during exercise and 
-
-frequent isolated vpbs in recovery. Resting HTN with an 
-appropriate 
-increase in systolic BP with exercise and slight blunting or HR 
-on beta 
-blocker therapy. 
-IMPRESSION: Ischemic EKG changes with atypical chest discomfort. 
-
-Nuclear report sent separately. 
-
-___ EKG
-Rate PR QRS QT/QTc P QRS T 
-56 0 92 420/413 0 -3 55 
-Sinus bradycardia. Baseline artifact. Initial deflections in 
-leads III and aVF likely preclude prior inferior wall myocardial 
-infarction, as reported on ___. No diagnostic interim 
-change. Ventricular ectopy is absent. 
-
-___ CARDIAC PERFUSION
-IMPRESSION: 
-1. Reversible, large, moderate severity perfusion defect 
-involving the LCx territory. 
-2. Normal left ventricular cavity size and systolic function. 
-Compared with the study of ___, the defect is new. 
-
-___ CXR
-FINDINGS:   
-The lungs remain clear. The cardiomediastinal silhouette is 
-within normal 
-limits. Atherosclerotic calcifications are noted at the aortic 
-arch. No acute osseous abnormalities identified. 
-IMPRESSION:  
-No acute cardiopulmonary process. 
-
-___ CARDIAC CATH
-Coronary angiography:  right dominant
-LMCA:  20% minor irregularities
-LAD:   The LAD was heavily calcified with diffuse disease.  
-There was a large diagonal branch with a 80-90% stenosis at its
-origin.   Three was a large second diagonal branch with an 
-60-70%
-stenosis at its origin.   There was an 80% stenosis in the mid
-LAD and diffusely 80-90% stenosis in the mid LAD.  The distal 
-LAD
-had minor lumen irregularities. 
-LCX:  The LCX was a small vessel with an occlusion of the OMB.
-RCA: The RCA was a large dominant vessel.  It had a 50% stenosis
-in the distal RCA.  There was diffuse 60-70% disease throughout
-the PLSA.  There was a 90% stenosis in RPL2 . There were right 
-to
-left collaterals to the OMB.
-ASSESSMENT
-1. Severe three vessel coronary artery disease
-
-___ CARDIAC ECHO
-The left atrium is normal in size. No atrial septal defect is 
-seen by 2D or color Doppler. The estimated right atrial pressure 
-is ___ mmHg. There is mild symmetric left ventricular 
-hypertrophy with normal cavity size and global systolic function 
-(LVEF>55%). Right ventricular chamber size and free wall motion 
-are normal. The ascending aorta is mildly dilated. The aortic 
-valve leaflets (3) are mildly thickened but aortic stenosis is 
-not present. No aortic regurgitation is seen. The mitral valve 
-leaflets are mildly thickened. Mild (1+) mitral regurgitation is 
-seen. The estimated pulmonary artery systolic pressure is 
-normal. There is no pericardial effusion. 
-IMPRESSION: Preserved biventricular systolic function. Mildly 
-dilated ascending aorta. Mild mitral regurgitation. Normal 
-pulmonary artery systolic pressure.
-Compared with the prior study (images unavailable for review) of 
-___, the findings are similar.  
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, Amylase {Amylase measurement}, TotBili {Bilirubin, total measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Cholest {Cholesterol measurement}, HbA1c {Hemoglobin A1c measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, LDLcalc {Calculated low density lipoprotein cholesterol level}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Plt {Platelet count}, Plt {Platelet count}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, STRESS TEST {Electrocardiogram with exercise test}, HTN {Hypertensive disorder, systemic arterial}, gout {Inflammatory disorder due to increased blood urate level}, HL {Hyperlipidemia}, evalution {Evaluation procedure}, chest discomfort {Chest discomfort}, exercised {Exercises}, fatigue {Fatigue}, MET {Electrocardiogram with exercise test}, exercise {Exercises}, progressive {Patient's condition worsened}, right sided {Right thorax structure}, chest discomfort {Chest discomfort}, resolved {Problem resolved}, exercise {Exercises}, ST segment depression {ST segment depression}, resovled with rest {Pain relief by rest}, rhythm was sinus {Sinus rhythm}, exercise {Exercises}, frequent isolated vpbs {Multiple premature ventricular complexes}, HTN {Hypertensive disorder, systemic arterial}, exercise {Exercises}, therapy {Therapy}, Ischemic EKG changes {Electrocardiographic myocardial ischemia}, atypical {Atypical chest pain}, chest discomfort {Chest discomfort}, EKG {Electrocardiographic procedure}, Rate {Finding of heart rate}, PR {Finding of electrocardiogram PR interval}, QRS {Finding of electrocardiogram QRS complex}, P {Finding of electrocardiogram P wave}, QRS {Finding of electrocardiogram QRS complex}, T {Finding of electrocardiogram T wave}, Sinus bradycardia {Sinus bradycardia}, Baseline {Baseline state}, artifact {Artifact}, leads III {Lead III}, aVF {aVF}, inferior wall {Structure of myocardium of diaphragmatic region}, Ventricular ectopy {Ventricular premature complex}, CARDIAC PERFUSION {Radionuclide myocardial perfusion study}, perfusion defect {Myocardial perfusion defect}, LCx {Structure of circumflex branch of left coronary artery}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, size {Normal size}, systolic function {Normal left ventricular systolic function and wall motion}, study {Evaluation procedure}, CXR {Plain chest X-ray}, lungs {Lung structure}, clear {No abnormality detected}, cardiomediastinal {Mediastinal structure}, normal {No abnormality detected}, Atherosclerotic {Atherosclerosis}, calcifications {Pathologic calcification, calcified structure}, aortic 
-arch {Aortic arch structure}, No acute {No abnormality detected}, osseous {Bone structure}, No acute {No abnormality detected}, CARDIAC CATH {Cardiac catheterization}, Coronary angiography {Angiography of coronary artery}, LMCA {Structure of left coronary artery main stem}, irregularities {Luminal irregularities of coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, calcified {Pathologic calcification, calcified structure}, diffuse disease {Diffuse disease of coronary artery}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, stenosis {Stenosis}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, stenosis {Stenosis}, stenosis {Stenosis}, mid
-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, stenosis {Stenosis}, mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, distal 
-LAD {Structure of distal portion of anterior descending branch of left coronary artery}, lumen irregularities {Luminal irregularities of coronary artery}, LCX {Structure of circumflex branch of left coronary artery}, LCX {Structure of circumflex branch of left coronary artery}, small vessel {Structure of small blood vessel (organ)}, occlusion {Complete obstruction}, OMB {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, RCA {Right coronary artery structure}, vessel {Blood vessel structure}, stenosis {Stenosis}, distal RCA {Structure of distal portion of right coronary artery}, diffuse 60-70% disease {Diffuse disease of coronary artery}, stenosis {Stenosis}, RPL2 {Structure of posterior lateral branch of right coronary artery}, right {Right coronary artery structure}, OMB {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, ASSESSMENT {Evaluation procedure}, three vessel coronary artery disease {Triple vessel disease of the heart}, CARDIAC ECHO {Echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, right atrial {Right atrial structure}, mild symmetric left ventricular 
-hypertrophy {Mild left ventricular hypertrophy}, normal cavity size {Normal size}, systolic function {Normal left ventricular systolic function and wall motion}, Right ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion 
-are normal {Normal ventricular wall motion}, ascending aorta is mildly dilated {Ascending aorta dilatation}, aortic 
-valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve 
-leaflets are mildly thickened {Thickened mitral leaflet}, Mild (1+) mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic pressure is 
-normal {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, biventricular {Cardiac ventricular structure}, systolic function {Normal left ventricular systolic function and wall motion}, dilated ascending aorta {Ascending aorta dilatation}, Mild mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic pressure {Normal systolic arterial pressure}, study {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ year old man with HTN, DM,HL, CAD and b/l hearing 
-loss presenting with new onset exertional angina abnormal stress 
-test who was found to have three vessel CAD.
-
-# Unstable Angina/CAD: Mr. ___ had been experiencing progressive 
-exertional, substernal chest pain and was sent for outpatient 
-studies by his neurologist. He had an abnormal stress test and 
-perfusion study showing a large reversible moderate severity 
-perfusion defect involving the Lcx territory, so he was sent to 
-the ER, where troponin was <0.01 and his EKG showed no ST 
-segment elevations. He was admitted and underwent a cardiac 
-catheterization that showed three vessel CAD.  He was then seen 
-by cardiac surgery for evaluation of cardiac ___ bypass graft 
-surgery.  This was scheduled for ___, after a 5 day 
-plavix wash-out period.  He was discharged with chlorhexidine 
-washes for ___ night and ___ morning, as well as 
-mupirocen nasal cream BID, and the time and place to present for 
-admission on ___ morning.  He was also set up for ___ as he 
-expressed concern about being able to complete his pre-op 
-regimen and take his medication as prescribed.  His Lisinopril 
-was held from discharge until after surgery as he had a mild 
-increase in creatinine.  His plavix was held.  His home atenoll 
-was converted to metoprolol and aspirin was started; these 
-medications were continued until surgery. His atorvastatin dose 
-was increased to 80mg daily, which was also continued.
-
-# Travel plasn:  A medical note was provided as he was no longer 
-able to travel as anticipated. 
-
-============================================
-TRANSITIONAL ISSUES
-============================================
-Mr ___ is a ___ year old man with HTN, DM,HLD and b/l hearing loss 
-presenting with new onset exertional angina who was found to 
-have 3 vessel CAD.
-- CAD: Seen by Cardiac surgery and planned for surgery on 
-___. Will need chlorhexidine wash ___ 
-morning before coming in. Will need to use Mupirocin cream ___ 
-tube in each nostril) twice a day between now and then.
-- Atenolol switched to metoprolol.
-- HbA1c 7.1%
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HL {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, b/l hearing 
-loss {Bilateral hearing loss}, exertional angina {Exercise-induced angina}, abnormal stress 
-test {Cardiovascular stress test abnormal}, three vessel CAD {Triple vessel disease of the heart}, Unstable Angina {Preinfarction syndrome}, CAD {Coronary arteriosclerosis}, progressive {Patient's condition worsened}, exertional {Chest pain on exertion}, substernal chest pain {Retrosternal pain}, studies {Evaluation procedure}, abnormal stress test {Cardiovascular stress test abnormal}, perfusion study {Radionuclide myocardial perfusion study}, perfusion defect {Myocardial perfusion defect}, Lcx {Structure of circumflex branch of left coronary artery}, troponin {Troponin measurement}, EKG {Electrocardiographic procedure}, ST 
-segment elevations {ST segment elevation}, cardiac 
-catheterization {Cardiac catheterization}, three vessel CAD {Triple vessel disease of the heart}, evaluation {Evaluation procedure}, cardiac {Heart structure}, bypass graft {Coronary artery bypass grafting}, surgery {Surgical procedure}, nasal {Administration of drug or medicament via nasal route}, after surgery {Postoperative state}, increase in creatinine {Serum creatinine above reference range}, plavix {Administration of prophylactic clopidogrel}, held {Recommendation to stop drug treatment}, converted {Change of medication}, aspirin {Administration of aspirin}, medications {Administration of drug or medicament}, surgery {Surgical procedure}, increased {Increasing dosage of medication}, Travel {Travel abroad}, travel {Travel abroad}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HLD {Hyperlipidemia}, b/l hearing loss {Bilateral hearing loss}, exertional angina {Exercise-induced angina}, 3 vessel CAD {Triple vessel disease of the heart}, CAD {Coronary arteriosclerosis}, surgery {Surgical procedure}, nostril {Structure of anterior naris}, HbA1c {Hemoglobin A1c measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Allopurinol ___ mg PO DAILY 
-2. Atenolol 25 mg PO DAILY 
-3. Atorvastatin 40 mg PO DAILY 
-4. celecoxib 200 mg oral PRN gout attack 
-5. Clopidogrel 75 mg PO DAILY 
-6. Lisinopril 20 mg PO DAILY 
-7. Colchicine 0.6 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Atorvastatin 80 mg PO DAILY 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*0
-2. Aspirin 81 mg PO DAILY 
-RX *aspirin 81 mg 1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0
-3. Nitroglycerin SL 0.4 mg SL PRN chest pain 
-RX *nitroglycerin [Nitrostat] 0.4 mg 1 tablet(s) sublingually 
-every 5 minutes x 3 tablets Disp #*12 Tablet Refills:*0
-4. Mupirocin Nasal Ointment 2% 1 Appl NU BID Duration: 5 Days 
-RX *mupirocin calcium [Bactroban Nasal] 2 % 0.5 (One half) tube 
-in each nostril twice a day Disp #*6 Tube Refills:*0
-5. Allopurinol ___ mg PO DAILY 
-6. Metoprolol Succinate XL 25 mg PO DAILY 
-This replaces atenolol 
-RX *metoprolol succinate 25 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*0
-7. Colchicine 0.6 mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Coronary Artery Disease
-
- 
-Discharge Condition:
-Mental Status: Confused - mildly, occasionally.  Oriented x3.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Coronary Artery Disease {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Oriented x3 {Oriented to person, time and place}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ due to 
-chest pain.  A cardiac catheterization revealed that you have 
-coronary artery disease in the main three vessels in your heart. 
- The recommended treatment is a coronary artery bypass graft 
-(CABG) surgery.  You were seen by the Cardiac Surgeons who plan 
-to perform the surgery on ___.
-
-Do not take plavix, NSAIDS (including celecoxib, ibuprofen), or 
-lisinopril until instructed to by your doctor after surgery. 
-Atenolol was also switched to metoprolol.  Continue to take your 
-other medications, including metoprolol and aspirin, as 
-prescribed.
-
-Please return to the hospital on ___ 6:00 AM as 
-instructed by the Cardiac Surgery team, and follow their 
-direction about soap scrubs and cream application in preparation 
-for surgery.  Nurses ___ visit your home to check on you 
-tomorrow. 
-
-It was a pleasure taking care of you.
-Sincerely,
-Your ___ Team
-
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac catheterization {Cardiac catheterization}, coronary artery disease {Coronary arteriosclerosis}, three vessels in your heart {Triple vessel disease of the heart}, coronary artery bypass graft {Coronary artery bypass grafting}, CABG {Coronary artery bypass grafting}, surgery {Surgical procedure}, surgery {Coronary artery bypass grafting}, Do not take {Patient medication education}, after surgery {Postoperative state}, switched {Change of medication}, medications {Patient medication education}, aspirin {Administration of aspirin}, preparation 
-for surgery {Preoperative education}, home {Home health aide service management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Shortness of breath.
- 
-Major Surgical or Invasive Procedure:
-Cardiac cath on ___ with DES to circumflex artery.
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, Shortness of breath {Dyspnea}, Cardiac cath {Cardiac catheterization}, circumflex artery {Structure of circumflex branch of left coronary artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ M with a history of PVD, AAA repair, s/p CEA, HTN who was 
-seen by his outpatient Cardiologist 5 days ago. Per report, he 
-had a stress echo (official results not available). Patient was 
-set up for outpatient cath next week, but in the interim was 
-admitted to ___ with pulmonary edema. He had acute shortness of 
-breath on night of ___ and called EMS.  
-.  
-Presented to OSH complaining of shortness of breath x 5 days, 
-that has been getting progressively worse. One day prior to 
-admission to OSH he was short of breath climbing the stairs in 
-his house. That evening, while watching TV he had sudden onset 
-SOB. No CP, no palpitations. No nausea or vomiting. Patient did 
-become diaphoretic.  
-.  
-EMS noted BP 225/94, HR 130s, tachypneic. He was started on 
-CPAP, nebs, nitro gtt, lasix. Patient was admitted to the CCU at 
-OSH. Required 5L O2 nasal cannula.  
-Troponins of 0.112 --> 0.224 --> 0.305. CK 67-->48. CKMB 2.0--> 
-2.6. Cardiac index 3.0 --> 5.4. Of note, patient has not been 
-taking his home medications (including monopril, librium, and 
-simvastatin) per MD from the ___. ___ reason for this is unclear. 
-The patient is being transferred to ___ for catheterization.  
-.  
-On review of systems, he denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, myalgias, joint pains, cough, hemoptysis, black 
-stools or red stools. He denies recent fevers, chills or rigors. 
-He endoreses exertional buttock and calf pain. All of the other 
-review of systems were negative.  
-.  
-Cardiac review of systems is notable for current absence of 
-chest pain, paroxysmal nocturnal dyspnea, orthopnea, ankle 
-edema, palpitations, syncope or presyncope.
- 
-
-###RESPONSE: PVD {Peripheral vascular disease}, AAA repair {Repair of aneurysm of abdominal aorta}, CEA {Carotid endarterectomy}, HTN {Hypertensive disorder, systemic arterial}, stress echo {Stress echocardiography}, cath {Cardiac catheterization}, pulmonary edema {Pulmonary edema}, shortness of 
-breath {Dyspnea}, EMS {Emergency treatment management}, shortness of breath {Dyspnea}, short of breath {Dyspnea}, SOB {Dyspnea}, CP {Chest pain}, palpitations {Palpitations}, nausea {Nausea}, vomiting {Vomiting}, diaphoretic {Excessive sweating}, BP {Blood pressure finding}, HR {Finding of heart rate}, tachypneic {Tachypnea}, on 
-CPAP {Dependence on continuous positive airway pressure ventilation}, lasix {Diuretic therapy}, O2 nasal cannula {Oxygen administration by nasal cannula}, Troponins {Troponin measurement}, Cardiac {Heart structure}, catheterization {Cardiac catheterization}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black 
-stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No abnormality detected}, Cardiac review of systems {Cardiovascular physical examination}, chest pain {Chest pain}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle 
-edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-___ M with a history of PVD, AAA repair, s/p CEA, HTN who was 
-seen by his outpatient Cardiologist 5 days ago. Per report, he 
-had a stress echo (official results not available). Patient was 
-set up for outpatient cath next week, but in the interim was 
-admitted to ___ with pulmonary edema. He had acute shortness of 
-breath on night of ___ and called EMS.  
-.  
-Presented to OSH complaining of shortness of breath x 5 days, 
-that has been getting progressively worse. One day prior to 
-admission to OSH he was short of breath climbing the stairs in 
-his house. That evening, while watching TV he had sudden onset 
-SOB. No CP, no palpitations. No nausea or vomiting. Patient did 
-become diaphoretic.  
-.  
-EMS noted BP 225/94, HR 130s, tachypneic. He was started on 
-CPAP, nebs, nitro gtt, lasix. Patient was admitted to the CCU at 
-OSH. Required 5L O2 nasal cannula.  
-Troponins of 0.112 --> 0.224 --> 0.305. CK 67-->48. CKMB 2.0--> 
-2.6. Cardiac index 3.0 --> 5.4. Of note, patient has not been 
-taking his home medications (including monopril, librium, and 
-simvastatin) per MD from the ___. ___ reason for this is unclear. 
-The patient is being transferred to ___ for catheterization.  
-.  
-On review of systems, he denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, myalgias, joint pains, cough, hemoptysis, black 
-stools or red stools. He denies recent fevers, chills or rigors. 
-He endoreses exertional buttock and calf pain. All of the other 
-review of systems were negative.  
-.  
-Cardiac review of systems is notable for current absence of 
-chest pain, paroxysmal nocturnal dyspnea, orthopnea, ankle 
-edema, palpitations, syncope or presyncope.
- 
-
-###RESPONSE: PVD {Peripheral vascular disease}, AAA repair {Repair of aneurysm of abdominal aorta}, CEA {Carotid endarterectomy}, HTN {Hypertensive disorder, systemic arterial}, stress echo {Stress echocardiography}, cath {Cardiac catheterization}, pulmonary edema {Pulmonary edema}, shortness of 
-breath {Dyspnea}, EMS {Emergency treatment management}, shortness of breath {Dyspnea}, short of breath {Dyspnea}, climbing the stairs {Difficulty walking up stairs}, SOB {Dyspnea}, CP {Chest pain}, palpitations {Palpitations}, nausea {Nausea}, vomiting {Vomiting}, diaphoretic {Excessive sweating}, BP {Blood pressure finding}, HR {Finding of heart rate}, tachypneic {Tachypnea}, on 
-CPAP {Dependence on continuous positive airway pressure ventilation}, lasix {Diuretic therapy}, O2 nasal cannula {Oxygen administration by nasal cannula}, Troponins {Troponin measurement}, Cardiac {Heart structure}, catheterization {Cardiac catheterization}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black 
-stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No abnormality detected}, Cardiac review of systems {Cardiovascular physical examination}, chest pain {Chest pain}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle 
-edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Nonecontributory.
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 09:05PM   WBC-7.9 RBC-3.98* HGB-12.6* HCT-38.3* MCV-96 
-MCH-31.7 MCHC-32.9 RDW-16.1*
-___ 09:05PM   PLT COUNT-176
-___ 09:05PM   GLUCOSE-117* UREA N-27* CREAT-1.0 SODIUM-140 
-POTASSIUM-4.0 CHLORIDE-104 TOTAL CO2-24 ANION GAP-16
-___ 09:05PM   MAGNESIUM-2.2
-___ 09:05PM   CK-MB-NotDone cTropnT-0.01
-___ 09:05PM   CK(CPK)-49
-.
-Cardiac cath:
-1. Selective coronary angiography of this left dominant system 
-revealed 
-three vessel coronary artery disease. The LMCA was calcified 
-with 
-minimal disease.  The LAD had moderate disease, an ostial 90% 
-stenosis 
-at the diagonal artery near the ostium.  The LCX had an 80% 
-stenosis at 
-the mid segment.  The RCA was non dominant with diffuse high 
-grade 
-disease. 
-2. Resting hemodynamics demonstrated elevated LV filling 
-pressures, 
-moderate pulmonary artery hypertension, and a low cardiac index 
-(1.9). 
-3. Stenting of mid LCX with Xience 3x8 
-  
-FINAL DIAGNOSIS:     
-1. Two vessel coronary artery disease. 
-2. Diastolic dysfunction. 
-3. Moderate pulmonary hypertension. 
-4. Stenting of LCX with drug eluting stent. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, coronary angiography {Angiography of coronary artery}, left {Catheterization of left heart}, three vessel coronary artery disease {Triple vessel disease of the heart}, LMCA {Structure of left coronary artery main stem}, calcified {Pathologic calcification, calcified structure}, minimal {Symptom mild}, disease {Disease}, LAD {Structure of anterior descending branch of left coronary artery}, disease {Disease}, ostial 90% 
-stenosis {Coronary ostium stenosis}, diagonal artery {Structure of diagonal branch of anterior descending branch of left coronary artery}, LCX {Structure of circumflex branch of left coronary artery}, mid segment {Structure of mid portion of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, diffuse high 
-grade 
-disease {Diffuse disease of coronary artery}, hemodynamics {Hemodynamic measurements}, elevated {Increased pressure}, LV {Left cardiac ventricular structure}, pressures {Pressure}, moderate pulmonary artery hypertension {Moderate pulmonary hypertension}, low cardiac index {Decreased cardiac index}, Stenting {Insertion of arterial stent}, mid LCX {Structure of mid portion of circumflex branch of left coronary artery}, Two vessel coronary artery disease {Double coronary vessel disease}, Diastolic dysfunction {Diastolic dysfunction}, Moderate pulmonary hypertension {Moderate pulmonary hypertension}, Stenting {Insertion of arterial stent}, LCX {Structure of circumflex branch of left coronary artery}, drug eluting stent {Endovascular insertion of drug eluting stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ M with a history of PVD, AAA repair, s/p CEA, HTN who 
-presented with acute SOB, likely flash pulmonary edema, but ? of 
-NSTEMI with elevated trops at ___.  
-.  
-# CORONARIES: Patient recently admitted to ___ for shortness of 
-breath and was found to have pulmonary edema with borderline 
-Troponing I. He denied any chest pain, diaphoresis, leg 
-swelling. He was discharged with cardiology follow up and now is 
-admitted for further work up and cath. He was chest pain free 
-overnight and in the cardiac cath was found to have ostial 90% 
-stenosis at the diagonal artery near the ostium.  The LCX had an 
-80% stenosis at the mid segment. Since he has RCA atrophied with 
-a dominant LCV it was stented with a 3x5 Cypher stent. Since the 
-ostial lession was very small Dr. ___ not to stent it. 
-He was re-started on lisinopril, metoprolol and his statin, 
-aspirin and plavix were continued.
-.  
-# PUMP: Patient had ECHO in ___ with normal cardiac function 
-and per report had another at ___. He was euvolemic throughout 
-the admission.   
-.  
-# RHYTHM: NSR throughout admission.  
-.  
-# Hypertension. Patient had hypertensive emergency with flash 
-pulm edema on presentation to ___. He was weaned quickly off 
-BIPAP and nitro gtt and has been stable for > 24 hrs. He 
-diuresed well and on admission was euvolemic. Per his report his 
-PCP at the ___ stopped his antihypertensive, fosinopril ___ 
-months ago. He is currently normotensive and was transfered on 
-captopril. We started metoprolol due to CAD and re-started 
-low-dose lisinopril instead of captopril.
-.  
-# Hyperlipidemia: recently stopped lipitor for ? myalgias. 
-Patient was discharged on pravastatin, since he rememebered 
-similar problems with simavastain.
-.  
-FEN: Cardiac diet.
-.
-ACCESS: PIV's.
-.
-PROPHYLAXIS:  
--DVT ppx with heparin SQ  
--Pain management with tylenol.
-.
-CODE: Full code.
-.
-DISPO: Home.
- 
-
-###RESPONSE: PVD {Peripheral vascular disease}, AAA repair {Repair of aneurysm of abdominal aorta}, CEA {Carotid endarterectomy}, HTN {Hypertensive disorder, systemic arterial}, SOB {Dyspnea}, flash pulmonary edema {Acute pulmonary edema}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, elevated trops {Troponin I above reference range}, shortness of 
-breath {Dyspnea}, pulmonary edema {Pulmonary edema}, Troponing {Troponin measurement}, chest pain {Chest pain}, diaphoresis {Excessive sweating}, leg 
-swelling {Leg swelling symptom}, cardiology {Cardiology service}, work up {Evaluation procedure}, cath {Cardiac catheterization}, chest pain {Chest pain}, cardiac cath {Cardiac catheterization}, ostial 90% 
-stenosis {Coronary ostium stenosis}, diagonal artery {Structure of diagonal branch of anterior descending branch of left coronary artery}, LCX {Structure of diagonal branch of anterior descending branch of left coronary artery}, mid segment {Structure of mid portion of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, atrophied {Atrophy}, stented {Placement of stent in coronary artery}, Cypher stent {Endovascular insertion of drug eluting stent}, lession {Lesion}, stent {Placement of stent}, aspirin {Administration of aspirin}, ECHO {Echocardiography}, normal cardiac function {Normal cardiac function}, euvolemic {Normal blood volume}, NSR {Normal sinus rhythm}, Hypertension {Hypertensive disorder, systemic arterial}, hypertensive emergency {Hypertensive emergency}, flash 
-pulm edema {Acute pulmonary edema}, weaned quickly off 
-BIPAP {Dual pressure spontaneous ventilation support weaning protocol}, stable {Patient's condition stable}, diuresed {Diuretic therapy}, euvolemic {Normal blood volume}, PCP {Primary care management}, antihypertensive {Antihypertensive therapy}, normotensive {Normal blood pressure}, CAD {Coronary arteriosclerosis}, re-started 
-low-dose lisinopril {Restart of medication}, Hyperlipidemia {Hyperlipidemia}, myalgias {Muscle pain}, problems {Problem}, Cardiac {Cardiac care}, diet {Dietary finding}, PROPHYLAXIS {Preventive procedure}, DVT {Deep venous thrombosis}, ppx {Administration of prophylactic anticoagulant}, heparin {Heparin therapy}, Pain management {Pain management}, tylenol {Administration of analgesic}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-ALENDRONATE - 70 mg po q ___  
-CHLORDIAZEPOXIDE HCL - 25 mg po daily PRN anxiety  
-FOSINOPRIL - 10 mg po qhs (STOPPED 2 Months prior)  
-SIMVASTATIN - 40 mg po qhs (STOPPED 2 Months prior)  
-MULTIVITAMIN po qd  
- 
-Discharge Medications:
-1. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*0*
-2. Pravastatin 40 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*30 Tablet(s)* Refills:*0*
-3. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).
-Disp:*30 Tablet(s)* Refills:*0*
-4. Aspirin 325 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO DAILY (Daily).
-Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
-5. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-6. Alendronate 70 mg Tablet Sig: One (1) Tablet PO QMON (every 
-___.  
-7. Atenolol 25 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*30 Tablet(s)* Refills:*0*
-8. Vitamin D 2,000 unit Capsule Sig: One (1) Capsule PO once a 
-day.
-Disp:*30 Capsule(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Coronary Artery Disease s/p cardiac cath with DES to circumflex 
-artery.
-
- 
-Discharge Condition:
-Stable, 
-
- 
-
-###RESPONSE: Coronary Artery Disease {Coronary arteriosclerosis}, cardiac cath {Cardiac catheterization}, DES {Endovascular insertion of drug eluting stent}, circumflex 
-artery {Structure of circumflex branch of left coronary artery}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were electively admitted at the ___ for cardiac cath after 
-your abnormal stress test. You had multiple-vessel disease and 
-had a drug diluting (Xience) stent placed to one of your heart 
-arteries (circumflex artery). You will need to be in aspirin and 
-plavix for a year and have close cardiology follow up (See 
-appointments below).
-.
-If you have chest pain, palpitations, shortness of breath, groin 
-pain, bleeding or anything else that cocerns you, please come to 
-our ER.
-.
-Your medications were left unchanged, but:
-* You were started on lisinopril (5 mg Daily) to protect your 
-heart and blood pressure control. If the ___ can provide you with 
-a similar ACE inhibitor would be ok to switch, but talk to your 
-PCP or Dr. ___ there first.
-* You were started on pravastatin, that is similar to Lipitor or 
-Crestor, but cause muscle pain less often. We will need to try 
-several medications to see which one you are able to tolerate, 
-but your cholesterol must be tightly controlled.
-* You were started on low-dose beta-blocker to protect your 
-heart. You are being discharge in low-dose atenolol.
-* You are being put on maintainance dose of Vitamin D to 
-decrease further your cardiovascular read.
-* You were started on Aspirin and Plavix. YOU MUST NOT STOP them 
-for any reason, unless specifically ordered by a physician. You 
-cannot run out of this medicaion. Feel free to call Dr. ___ 
-you have any problems filling it!
- 
-
-###RESPONSE: cardiac cath {Cardiac catheterization}, abnormal stress test {Cardiovascular stress test abnormal}, vessel disease {Coronary arteriosclerosis}, drug diluting (Xience) stent placed {Endovascular insertion of drug eluting stent}, heart 
-arteries {Coronary artery structure}, circumflex artery {Structure of circumflex branch of left coronary artery}, aspirin {Administration of aspirin}, cardiology {Cardiology service}, appointments {Follow-up arranged}, chest pain {Chest pain}, palpitations {Palpitations}, shortness of breath {Dyspnea}, groin 
-pain {Inguinal pain}, bleeding {Bleeding}, ER {Emergency treatment management}, to protect {Administration of prophylactic drug or medicament}, heart {Heart structure}, blood pressure {On treatment for hypertension}, talk {Discussion}, PCP {Primary care management}, muscle pain {Muscle pain}, protect {Administration of prophylactic drug or medicament}, heart {Heart structure}, cardiovascular read {Cardiovascular monitoring}, Aspirin {Administration of aspirin}, YOU MUST NOT STOP them {Recommendation to continue with drug treatment}, problems {Problem}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Wound erythema
- 
-Major Surgical or Invasive Procedure:
-___: Feeding tube placement
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Wound erythema {Wound erythema}, Feeding tube placement {Insertion of feeding tube into small intestine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with history of ETOH cirrhosis s/p combined liver &
-kidney transplant ___, ___ c/b biliary stricture and 
-chronic rejection now s/p re-transplant ___ with multiple
-re-admissions since then most recently for PNA (discharged
-___ who now presents with ___ erythema and
-purulent drainage c/f surgical site infection.  He first noticed
-the erythema and drainage yesterday, and denies fevers, chills,
-rigors, sweats, abdominal pain, nausea, SOB or change in bowel
-and bladder habits. On exam he has multiple well-healed surgical
-incisions excepting the medial RLQ oblique incision which has a 
-1
-cm draining superficial dehiscence in the middle of an otherwise
-well-healing scar. There is erythema the length of the incision
-and palpable induration. Purulent fluid is readily expressed,
-particularly from the medial pole of the wound. WBC is 9.5, Cr
-1.9 (last 1.6 on ___, LFTs are mildly elevated consistent with
-the last measured values on ___. 
-
- 
-
-###RESPONSE: ETOH cirrhosis {Alcoholic cirrhosis}, liver {Transplanted liver present}, kidney transplant {Transplanted kidney present}, biliary stricture {Biliary stricture}, chronic rejection {Chronic graft rejection}, transplant {Transplantation}, PNA {Pneumonia}, erythema {Erythema}, purulent drainage {Purulent discharge}, surgical site infection {Surgical site infection}, erythema {Erythema}, drainage {Discharge}, fevers {Fever}, chills {Chill}, rigors {Rigor}, sweats {Sweating}, abdominal pain {Abdominal pain}, nausea {Nausea}, SOB {Dyspnea}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, surgical
-incisions {Surgical incision wound}, RLQ {Structure of right lower quadrant of abdomen}, incision {Abdomen incision}, draining {Wound discharge}, dehiscence {Dehiscence}, healing scar {Healing scar}, erythema {Erythema}, incision {Surgical incision wound}, induration {Induration}, Purulent fluid {Purulent discharge}, wound {Wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-___ gunshot wounds in ___ status post exploratory
-laparotomy and colostomy.
-___ colostomy was reversed.  
-___, he had a history of small-bowel obstruction with
-multiple surgeries that retrieved most of his small bowel.  
-___, laparotomy again had multiple surgeries again for 
-small
-bowel obstruction.
-___, he had a right knee arthroscopy.
-___, diagnosis of cirrhosis and bleeding varices.  
-___, he had hepatorenal syndrome and liver failure and he
-had his combined liver and kidney transplant at ___.
-H/o cholangitis, multiple ERCP with plastic/metal stents.
-___ cystoscopy to remove a stent that was placed that was
-causing urosepsis (this resulted in a lawsuit against ___).  
-___, he underwent a lysis of adhesions at ___.
-___ cholangitis/ s/p ERCP and stent placement.
-___. Hepaticojejunostomy with Roux-en-Y.
-___  PTC and liver biopsy with chronic rejection.
-___ Orthotropic Deceased Donor Liver Transplant
-Hepatic encephalopathy
-Gout
-Depression
-Insomnia 
- 
-
-###RESPONSE: gunshot wounds {Gunshot wound}, exploratory
-laparotomy {Exploratory laparotomy}, colostomy {Colostomy}, colostomy {Colostomy}, small-bowel obstruction {Small bowel obstruction}, surgeries {Surgical procedure}, small bowel {Structure of small intestine}, laparotomy {Laparotomy}, surgeries {Surgical procedure}, small
-bowel obstruction {Small bowel obstruction}, knee arthroscopy {Arthroscopy of knee joint}, cirrhosis {Cirrhosis of liver}, bleeding varices {Bleeding varices}, hepatorenal syndrome {Hepatorenal syndrome}, liver failure {Hepatic failure}, liver {Transplanted liver present}, kidney transplant {Transplanted kidney present}, cholangitis {Cholangitis}, ERCP {Endoscopic retrograde cholangiopancreatography}, stents {Placement of stent}, cystoscopy {Transurethral cystoscopy}, stent {Removal of stent}, lysis of adhesions {Lysis of adhesions}, cholangitis {Cholangitis}, ERCP {Endoscopic retrograde cholangiopancreatography}, stent placement {Placement of stent}, liver biopsy {Biopsy of liver}, chronic rejection {Chronic rejection of liver transplant}, Orthotropic Deceased Donor Liver Transplant {Orthotopic transplantation of whole liver}, Hepatic encephalopathy {Hepatic encephalopathy}, Gout {Inflammatory disorder due to increased blood urate level}, Depression {Depressive disorder}, Insomnia {Insomnia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother - dementia (___)
-Father - diabetes/prostate cancer (___)
-2 Children, 3 Grandchildren all healthy
- 
-
-###RESPONSE: dementia {Dementia}, diabetes {Diabetes mellitus}, prostate cancer {Carcinoma of prostate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS:  97.3  83  123/81  14  100%RA
-GEN: NAD, well-nourished, appropriately groomed.
-NEURO: AOx3, CN II-XII grossly intact
-HEENT: Sclerae anicteric, trachea midline, no JVD
-CV: RRR no MRG, 2+ peripheral pulses bilaterally  
-RESP: CTAB no WRC, no respiratory distress
-GI: Extensive abdominal scarring from previous surgical
-incisions. Medial RLQ oblique incision with a 1 cm draining
-superficial dehiscence in the middle of an otherwise 
-well-healing
-scar. Erythema the length of the incision with palpable
-induration. Purulent fluid readily expressed, particularly from
-the medial pole of the wound. Abdomen otherwise soft, non-tender
-and non-distended. No rebound tenderness or guarding. Dull to
-percussion. Bowel sounds normoactive. Rectal exam deferred
-EXT: WWP no CCE
-
-LAB VALUES:
-
-Lactate: 5.5
-
-139  111  35 
--------------< 138 
-5.5  16  1.9   
-
-ALT: 57 AP: 231 Tbili: 2.2 Alb: 3.7 
-AST: 25 Lip: 19     
-
-9.5 ___ > 10.1 / 31.2 < 205 ___ 
- 
-N:83.1 L:9.0 M:6.7 E:0.2 Bas:0.2 ___: 0.8 Absneut: 7.88
-Abslymp: 0.85 Absmono: 0.64 Abseos: 0.02 Absbaso: 0.02  
-
-___: 12.2  PTT: 24.7  INR: 1.1  
-
-IMAGING/STUDIES:
-
-N/A
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, well-nourished {Well nourished}, NEURO {Neurological examination}, AOx3 {Oriented to person, time and place}, CN II {Optic nerve structure}, XII {Hypoglossal nerve structure}, grossly intact {Normal nervous system function}, HEENT {Physical examination procedure}, Sclerae anicteric {White sclera}, trachea {Tracheal structure}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, 2+ peripheral pulses {Peripheral pulses normal}, RESP {Examination of respiratory system}, CTAB {Normal breath sounds}, distress {Distress}, GI {Examination of digestive system}, abdominal scarring {Abdominal skin scar}, surgical
-incisions {Surgical incision wound}, RLQ {Structure of right lower quadrant of abdomen}, incision {Abdomen incision}, draining {Wound discharge}, dehiscence {Dehiscence}, healing
-scar {Healing scar}, Erythema {Erythema}, incision {Surgical incision wound}, induration {Induration}, Purulent fluid {Purulent discharge}, wound {Wound}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, percussion {Percussion}, Bowel sounds {Normal bowel sounds}, Rectal exam {Rectal examination}, EXT {Examination of limb}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:57AM BLOOD WBC-9.5# RBC-3.24* Hgb-10.1* Hct-31.2* 
-MCV-96 MCH-31.2 MCHC-32.4 RDW-17.0* RDWSD-58.5* Plt ___
-___ 03:55AM BLOOD WBC-5.3 RBC-2.87* Hgb-9.0* Hct-26.8* 
-MCV-93 MCH-31.4 MCHC-33.6 RDW-16.8* RDWSD-56.2* Plt ___
-___ 11:26AM BLOOD WBC-6.0# RBC-3.53* Hgb-10.9* Hct-33.4* 
-MCV-95 MCH-30.9 MCHC-32.6 RDW-18.7* RDWSD-63.1* Plt ___
-___ 11:57AM BLOOD Glucose-138* UreaN-35* Creat-1.9* Na-139 
-K-5.5* Cl-111* HCO3-16* AnGap-18
-___ 03:55AM BLOOD Glucose-101* UreaN-32* Creat-1.6* Na-137 
-K-5.1 Cl-110* HCO3-15* AnGap-17
-___ 04:40AM BLOOD Glucose-112* UreaN-33* Creat-1.7* Na-136 
-K-5.1 Cl-109* HCO3-15* AnGap-17
-___ 11:26AM BLOOD Glucose-111* UreaN-43* Creat-1.8*# Na-139 
-K-4.8 Cl-112* HCO3-17* AnGap-15
-___ 11:26AM BLOOD ALT-34 AST-13 AlkPhos-185* TotBili-1.7*
-___ 03:55AM BLOOD tacroFK-12.6
-___ 04:20AM BLOOD tacroFK-11.6
-___ 04:40AM BLOOD tacroFK-8.1
-
- 
- 
-___ 11:57 am BLOOD CULTURE
-
-   Blood Culture, Routine (Pending): 
-
- 
- 
-___ 12:25 pm SWAB
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      1+    (<1 per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      2+   ___ per 1000X FIELD):   GRAM POSITIVE ROD(S). 
-
-   WOUND CULTURE (Final ___: 
-      LACTOBACILLUS SPECIES.    MODERATE GROWTH. 
-      ENTEROCOCCUS SP..    SPARSE GROWTH. 
-      MIXED BACTERIAL FLORA. 
-         This culture contains mixed bacterial types (>=3) so an
-         abbreviated workup is performed. Any growth of 
-P.aeruginosa,
-         S.aureus and beta hemolytic streptococci will be 
-reported. IF
-         THESE BACTERIA ARE NOT REPORTED, THEY ARE NOT PRESENT 
-in this
-         culture. 
-         Work-up of organism(s) listed discontinued (excepted 
-screened
-         organisms) due to the presence of mixed bacterial flora 
-detected
-         after further incubation. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ENTEROCOCCUS SP.
-                             |   
-AMPICILLIN------------  =>32 R
-LINEZOLID-------------     2 S
-PENICILLIN G----------  =>64 R
-VANCOMYCIN------------  =>32 R
-
-   ANAEROBIC CULTURE (Final ___:    NO ANAEROBES ISOLATED. 
-
-
- 
- 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CULTURE {Blood culture}, Blood Culture {Blood culture}, GRAM STAIN {Gram stain method}, CULTURE {Microbial culture}, culture {Microbial culture}, culture {Microbial culture}, CULTURE {Microbial culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ PMH EtOH cirrhosis, s/p combo liver/kidney trx (___) 
-c/bbiliary strict and chronic rejection requiring 
-___, recently hospitalized for PNA, was 
-readmitted for incision wound infection. Wound was I&D'd in the 
-ED and he was admitted to transplant surgery where he was 
-started on broad spectrum antibiotics pending blood and 
-incision/wound cultures. The wound was packed with Iodiform. 
-
-Wound culture initially isolated 2+ GPRs. He was afebrile and 
-would improved. Final culture data was unable until after 
-patient discharged on Augmentin to complete a weeks course. 
-Wound measured 2cm x 1cm. Normal saline damp to dry dressings 
-were to be done bid. Blood cultures drawn were unfinalized, but 
-negative to date. Of note, after patient was discharged, his 
-wound culture was finalized as VRE. The plan was to switch to 
-Linezolid for 7 days. His outpatient coordinator was notified 
-and was to call in the Linezolid to pharmacy and call the 
-patient. 
-
-While in patient, nutrition recommended tube feeds for poor po 
-intake. A post pyloric feeding tube was placed and tube feeds 
-were started (Nepro). ___ provided teaching to the patient and 
-his wife on ___ and supplies were delivered to the patient. 
-
-Vital signs remained stable, LFTs improved some more. At time of 
-discharge to home, his immunosuppression was set as tacrolimus 
-3mg twice daily as his tacrolimus level was not back. Tacrolimus 
-level was inaccurately reported and it was felt that the level 
-reported was his roommate's and vice versa. So, his dose was 
-increased to 3.5mg twice daily for a presumed level of 6.9 which 
-was on the low side and was more consistent with the prior day 
-of 8.1. Also, fluconazole was renally dosed and decreased to 
-200mg daily to start ___. Next lab draw was set for ___. 
-
-___ services were arranged in addition to ___. He was 
-discharged to home appearing alert and in NAD. 
-
- 
-
-###RESPONSE: EtOH cirrhosis {Alcoholic cirrhosis}, liver {Transplanted liver present}, kidney {Transplanted kidney present}, PNA {Pneumonia}, incision wound infection {Postoperative wound infection}, Wound {Wound}, I&D {Incision AND drainage}, antibiotics {Antibiotic therapy}, incision/wound cultures {Wound microscopy, culture and sensitivities}, wound {Wound}, Wound culture {Wound microscopy, culture and sensitivities}, improved {Patient's condition improved}, culture {Microbial culture}, Wound {Wound}, Blood cultures {Blood culture}, wound culture {Wound microscopy, culture and sensitivities}, poor po 
-intake {Decrease in appetite}, post pyloric feeding {Insertion of feeding tube into small intestine}, teaching {Patient education}, Vital signs {Vital signs finding}, stable {Normal vital signs}, improved {Patient's condition improved}, immunosuppression {Immunosuppression}, alert {Mentally alert}, NAD {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. NPH 10 Units Breakfast
-Insulin SC Sliding Scale using HUM Insulin
-2. Sodium Bicarbonate 650 mg PO TID 
-3. Acetaminophen 650 mg PO Q8H:PRN Pain - Mild 
-4. Omeprazole 40 mg PO DAILY 
-5. PredniSONE 12.5 mg PO DAILY 
-6. Sulfameth/Trimethoprim DS 1 TAB PO 3X/WEEK (___) 
-7. Tacrolimus 3.5 mg PO Q12H 
-8. ValGANCIclovir 450 mg PO EVERY OTHER DAY 
-9. Allopurinol ___ mg PO DAILY 
-10. amLODIPine 10 mg PO DAILY 
-11. Cyanocobalamin 1000 mcg PO EVERY 4  WEEKS (___) 
-12. Docusate Sodium 100 mg PO BID 
-13. Escitalopram Oxalate 15 mg PO DAILY 
-14. Fluconazole 400 mg PO Q24H 
-15. Multivitamins 1 TAB PO DAILY 
-16. Mycophenolate Sodium ___ 720 mg PO BID 
-17. Senna 8.6 mg PO BID:PRN constipation 
-18. TraMADol 50 mg PO Q6H:PRN Pain - Moderate 
-19. TraZODone 25 mg PO QHS:PRN insomnia 
-
- 
-Discharge Medications:
-1.  Amoxicillin-Clavulanic Acid ___ mg PO Q12H 
-End date ___ 
-RX *amoxicillin-pot clavulanate 875 mg-125 mg 1 tablet(s) by 
-mouth twice a day Disp #*9 Tablet Refills:*0 
-2.  Fluconazole 200 mg PO Q24H  
-3.  NPH 10 Units Breakfast
-Insulin SC Sliding Scale using REG Insulin 
-4.  Omeprazole 20 mg PO DAILY  
-5.  PredniSONE 10 mg PO DAILY Duration: 7 Days 
-follow taper  
-6.  Sulfameth/Trimethoprim DS 1 TAB PO EVERY OTHER DAY  
-7.  Tacrolimus 3.5 mg PO Q12H  (changed to 3.5 twice daily from 
-3mg twice daily on ___ for level of 6.9
-8.  Acetaminophen 650 mg PO Q8H:PRN Pain - Mild 
-Maximum 6 of the 325 mg tablets daily  
-9.  Allopurinol ___ mg PO DAILY  
-10.  amLODIPine 10 mg PO DAILY  
-11.  Cyanocobalamin 1000 mcg PO EVERY 4  WEEKS (___)  
-12.  Docusate Sodium 100 mg PO BID 
-Hold for loose bowel movements or more than 2 bowel movements 
-daily  
-13.  Escitalopram Oxalate 15 mg PO DAILY  
-14.  Multivitamins 1 TAB PO DAILY  
-15.  Mycophenolate Sodium ___ 720 mg PO BID  
-16.  Senna 8.6 mg PO BID:PRN constipation 
-Hold for loose bowel movements or more than 2 bowel movements 
-daily  
-17.  Sodium Bicarbonate 650 mg PO TID  
-18.  TraMADol 50 mg PO Q4H:PRN Pain - Moderate  
-19.  TraZODone 25 mg PO HS:PRN insomnia  
-20.  ValGANCIclovir 450 mg PO EVERY OTHER DAY  
-21.Tube Feed Orders
-Tubefeeding: Nepro or Equivalent
- Full strength;  Goal rate: 50 ml/hr
- Residual Check: q4h Hold feeding for residual >= : 200 ml
-Flush w/ 50 ml water q6h
-Dispense 1 month supply;   Refill: 5
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Severe malnutrition (decreased grip strength)
-liver transplant
-transplant incision abscess
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Severe malnutrition {Nutritional marasmus}, liver transplant {Transplanted liver present}, transplant incision abscess {Postoperative wound abscess}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call the transplant clinic at ___ for fever > 
-101, chills, nausea, vomiting, diarrhea, constipation, inability 
-to tolerate food, fluids or medications, feeding tube clogs, 
-yellowing of skin or eyes, increased abdominal pain, incisional 
-redness, drainage or bleeding, dizziness or weakness, decreased 
-urine output or dark, cloudy urine, swelling of abdomen or 
-ankles, or any other concerning symptoms.
-
-You will have labwork drawn every ___ and ___ as 
-arranged by the transplant clinic, with results to the 
-transplant clinic (Fax ___ . CBC, Chem 10, AST, ALT, 
-Alk Phos, T Bili, Trough Tacro level. 
-
-**On the days you have your labs drawn, do not take your 
-Tacrolimus until your labs are drawn. Bring your Tacrolimus with 
-you so you may take your medication as soon as your labwork has 
-been drawn.
-
-Please note that the Fluconazole dose has been decreased to 
-200mg daily. 
-
-You have been prescribed an antibiotic (augmentin) for your 
-abdominal incision infection
-
-Follow your medication card, keep it updated with any dosage 
-changes, and always bring your card with you to any clinic or 
-hospital visits.
-
-You may shower. Allow the water to run over your incision and 
-pat area dry. No rubbing, no lotions or powder near the 
-incision. 
-
-Continue NS damp to dry dressing to the incision open area. 
-Monitor for increased redness, drainage, foul odor or other 
-concerns.
-Complete Augmentin course as prescribed.
-
-No tub baths or swimming
-No driving if taking narcotic pain medications
-
-Avoid direct sun exposure. Wear protective clothing and a hat, 
-and always wear sunscreen with SPF 30 or higher when you go 
-outdoors.
-
-Drink enough fluids to keep your urine light in color. 
-You have had a feeding tube placed and have started tube feeds 
-to help with nutrition. Please continue the tube feeds as 
-ordered in addition to flushes. Monitor for clogging of the tube 
-or any increase in diarrhea or blood sugars that are hard to 
-manage.
-
-Check your blood sugars and blood pressure at home. Report 
-consistently elevated values to the transplant clinic
-
-Do not increase, decrease, stop or start medications without 
-consultation with the transplant clinic at ___. There 
-are significant drug interactions with anti-rejection 
-medications which must be considered in medication management 
-following transplant
-
-Refer to transplant binder, and there is always someone on call 
-at the transplant clinic with any questions that may arise
-
- 
-
-###RESPONSE: clinic {Outpatient care management}, fever {Fever}, chills {Chill}, nausea {Nausea}, vomiting {Vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, fluids {Tolerating oral fluid}, feeding tube clogs {Blocked endotracheal tube}, yellowing of skin {Yellow skin}, eyes {Scleral icterus}, abdominal pain {Abdominal pain}, redness {Redness of skin over lesion}, drainage {Discharge}, bleeding {Bleeding}, dizziness {Dizziness}, weakness {Asthenia}, decreased 
-urine output {Decreased urine output}, cloudy urine {Cloudy urine}, swelling of abdomen {Swollen abdomen}, ankles {Ankle region structure}, CBC {Complete blood count}, antibiotic {Antibiotic therapy}, abdominal incision {Abdomen incision}, infection {Local infection of wound}, incision {Surgical incision wound}, incision {Surgical incision wound}, dressing {Application of dressing}, incision {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, odor {Wound odor}, taking narcotic pain medications {Narcotics education}, diarrhea {Diarrhea}, blood sugars {Glucose measurement, blood}, blood sugars {Glucose measurement, blood}, blood pressure {Blood pressure monitoring}, drug interactions {Drug interaction}, transplant {Transplantation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Fatigue, dyspnea on exertion and lightheadedness.
- 
-Major Surgical or Invasive Procedure:
-___ - aortic valve replacement, coronary artery bypass 
-grafts x2(LIMA>LAD,SVG>RCA) 
-___ - Left and right heart catheterization, coronary 
-angiogram left ventriculogram
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, Fatigue {Fatigue}, dyspnea on exertion {Dyspnea on exertion}, lightheadedness {Lightheadedness}, aortic valve replacement {Replacement of aortic valve}, coronary artery bypass 
-grafts {Coronary artery bypass grafting}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, RCA {Right coronary artery structure}, Left {Catheterization of left heart}, right heart catheterization {Catheterization of right heart}, coronary 
-angiogram {Angiography of coronary artery}, left ventriculogram {Left ventriculogram}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This ___ year old white male with known aortic stenosis is 
-followed with serial echocardiograms. Most recently these 
-revealed an aortic valve area of 0.7cm2, a bicuspid valve and 
-LVEF of 30%. She was referred for surgical evaluation after 
-recent new onset heart failure.
-
- 
-
-###RESPONSE: aortic stenosis {Aortic valve stenosis}, echocardiograms {Echocardiography}, aortic valve {Aortic valve structure}, surgical {Surgical procedure}, evaluation {Evaluation procedure}, heart failure {Heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hypertension
-Noninsulin dependent diabetes mellitus
-Aortic Stenosis/Aortic Insufficiency
-Mitral Regurgitation
-Gastroesophageal Reflux Disease
-degenerative joint disease
-tonsillectomy
-
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Noninsulin dependent diabetes mellitus {Diabetes mellitus type 2}, Aortic Stenosis {Aortic valve stenosis}, Aortic Insufficiency {Aortic valve regurgitation}, Mitral Regurgitation {Mitral valve regurgitation}, Gastroesophageal Reflux Disease {Gastroesophageal reflux disease}, degenerative joint disease {Osteoarthritis}, tonsillectomy {Tonsillectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother died of MI at ___; father died of CVA at ___
-
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}, died {Dead}, CVA {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission:
-
-Pulse:91 Resp: 20     O2 sat: 100% RA
-B/P  Right: 108/63   Left: 104/65
-Height: 68""   Weight: 175 lbs
-
-General:NAD; slow to process and answer questions
-Skin: Dry [x] intact [x]
-HEENT: PERRLA [x] EOMI [x]anicteric sclera;OP unremarkable;teeth
-in poor repair
-Neck:  Supple [x] Full ROM [x]no JVD
-Chest: Lungs clear bilaterally [x]
-Heart: RRR [x]  Irregular []  Murmur ___ SEm radiates throughout
-precordium to carotids
-Abdomen: Soft [x] non-distended [x] non-tender [x]  bowel sounds
-+ [x]
-no HSM/CVA tenderness
-Extremities: Warm [x], well-perfused [x]  Edema - none
-Varicosities: None [x]chronic mild venous stasis brawniness 
-above
-ankles bil.
-Neuro: Grossly intact;MAE ___ strengths;nonfocal exam; has mild
-cognitive deficits
-Pulses:
-Femoral      Right: 2+  Left: 2+
-DP           Right: NP  Left: NP
-___           Right: 1+  Left: 1+
-Radial       Right: 2+  Left: 2+
-
-Carotid: murmur radiates to both carotids
-
- 
-
-###RESPONSE: Pulse {Finding of pulse rate}, Resp {Examination of respiratory system}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, B/P {Blood pressure finding}, Right {Right upper arm structure}, Left {Left upper arm structure}, Height {Height / growth finding}, Weight {Weight finding}, General {General examination of patient}, NAD {No abnormality detected}, Skin {Examination of skin}, Dry {Xeroderma}, intact {Intact skin}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, anicteric sclera {White sclera}, unremarkable {No abnormality detected}, teeth {Structure of dentition}, repair {Surgical repair}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal movement of neck}, JVD {Jugular venous engorgement}, Chest {Examination of respiratory system}, Lungs {Examination of respiratory system}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, Irregular {Irregular heart beat}, Murmur {Murmur}, precordium {Structure of precordium}, carotids {Carotid artery structure}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, bowel sounds {Normal bowel sounds}, HSM {Hepatosplenomegaly}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Edema {Edema}, Varicosities {Venous varices}, chronic {Chronic disease}, mild {Symptom mild}, venous stasis {Venous stasis}, ankles {Ankle region structure}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, MAE {Does move all four limbs}, mild {Symptom mild}, cognitive deficits {Impaired cognition}, Femoral {Structure of femoral artery}, Right: 2 {Pulse present in right femoral artery}, Left: 2 {Pulse present in left femoral artery}, DP {Structure of dorsalis pedis artery}, Right: NP {Absence of pulse in right dorsalis pedis artery}, Left: NP {Absence of pulse in left dorsalis pedis artery}, Radial {Structure of radial artery}, Right {Structure of right radial artery}, 2+ {Normal radial pulse}, Left {Structure of left radial artery}, 2+ {Normal radial pulse}, Carotid {Carotid artery structure}, murmur {Murmur}, carotids {Carotid artery structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ ECHO
-PREBYPASS 
-No atrial septal defect is seen by 2D or color Doppler. There is 
-mild symmetric left ventricular hypertrophy. The left 
-ventricular cavity is moderately dilated. There is severe global 
-left ventricular hypokinesis (LVEF = ___ %). The right 
-ventricular cavity is mildly dilated with moderate impairment 
-with focal hypokinesis of the apical free wall. The ascending 
-aorta is moderately dilated. The descending thoracic aorta is 
-mildly dilated. There are simple atheroma in the descending 
-thoracic aorta. There are three aortic valve leaflets. The 
-aortic valve leaflets are moderately thickened. There is severe 
-aortic valve stenosis (valve area 0.8-1.0cm2). Moderate to 
-severe (3+) aortic regurgitation is seen. The mitral valve 
-leaflets are mildly thickened. Mild (1+) mitral regurgitation is 
-seen. 
-POSTBYPASS
-The patient is receiving dobutamine at 7ucg/kg/min.
-RV systolic function is improved. There is now mild RV 
-hypokinesis with minimal focality. LV systolic function is 
-marginally improved, LVEF ~25%. There is a well seated, well 
-fumctioning bioprosthesis in the aortic position. There is a 
-mild perivalvular leak. TR is now mild (1+). The remaining study 
-is otherwise unchanged from prebypass. 
- 
-___ 06:00AM BLOOD WBC-10.0 RBC-3.42* Hgb-8.7* Hct-26.8* 
-MCV-78* MCH-25.3* MCHC-32.4 RDW-16.0* Plt ___
-___ 07:00AM BLOOD WBC-16.0* RBC-3.71* Hgb-9.1* Hct-29.8* 
-MCV-80* MCH-24.6* MCHC-30.6* RDW-15.6* Plt ___
-___ 06:00AM BLOOD Glucose-166* UreaN-26* Creat-1.1 Na-139 
-K-3.5 Cl-98 HCO3-33* AnGap-12
-___ 06:45PM BLOOD UreaN-31* Creat-1.1 K-3.7
-___ 05:41PM BLOOD Type-ART pO2-72* pCO2-45 pH-7.37 
-calTCO2-27 Base XS-0
-___ 12:30PM BLOOD %HbA1c-7.6*
- 
-
-###RESPONSE: ECHO {Echocardiography}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, left 
-ventricular cavity is moderately dilated {Dilatation of left cardiac ventricle}, left ventricular {Left cardiac ventricular structure}, hypokinesis {Behavior showing reduced motor activity}, right 
-ventricular cavity is mildly dilated {Dilatation of right cardiac ventricle}, impairment {Impairment}, hypokinesis {Behavior showing reduced motor activity}, apical {Structure of apex of heart}, wall {Cardiac wall structure}, ascending 
-aorta {Ascending aorta structure}, dilated {Dilatation}, descending thoracic aorta {Structure of descending thoracic aorta}, dilated {Dilatation}, atheroma {Atheroma}, descending 
-thoracic aorta {Structure of descending thoracic aorta}, aortic valve leaflets {Structure of cardiac valve leaflet}, aortic valve leaflets {Structure of cardiac valve leaflet}, thickened {Increased thickness}, severe 
-aortic valve stenosis {Severe stenosis of aortic valve}, aortic regurgitation {Aortic valve regurgitation}, mitral valve 
-leaflets are mildly thickened {Thickened mitral leaflet}, Mild (1+) mitral regurgitation {Mild mitral valve regurgitation}, RV {Right cardiac ventricular structure}, improved {Patient's condition improved}, RV 
-hypokinesis {Hypokinetic right ventricular wall}, LV {Left cardiac ventricular structure}, improved {Patient's condition improved}, aortic {Aortic structure}, perivalvular leak {Prosthetic cardiac paravalvular leak}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, K {Blood potassium measurement}, pH {pH measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted to the ___ on ___ for a cardiac 
-catheterization in anticipation of his aortic valve surgery. His 
-cardiac catheterization revealed three vessel coronary artery 
-disease. Mr. ___ was worked-up in the usual preoperative 
-manner and was ready for surgery. 
-
-On ___ he was taken to the Operating Room where he 
-underwent coronary artery bypass grafting to two vessels and an 
-aortic valve replacement using a tissue prosthesis. (Please see 
-operative note for details.) He weaned from bypass on 
-Dobutamine,Propofol and Neosynephrine in stable condition. 
-Postoperatively he was taken to the intensive care unit for 
-monitoring. 
-
-Over the next ___ hours he had awoke neurologically intact and 
-was extubated. Pressors were weaned off and he remained stable. 
-Beta blockade and aspirin were resumed. On postoperative day 
-one, he was transferred to the step down unit for further 
-recovery. He was gently diuresed towards his preoperative 
-weight. The physical therapy service was consulted for 
-assistance with his postoperative strength and mobility. 
-Oxygenation remained low and a CXR revealed what appeared to be 
-a large left effusion. A left lung thoracentesis was performed 
-on ___ yielding 500 mL of serosanguinous fluid.  A repeat CXR 
-demonstrated an elevated left diaphragm with atelectasis and 
-resolution of the effusion.  His oxygenation improved and he 
-felt better.
-
-He was discharged to a rehabilitation facility for further 
-recovery prior to going home.  He will continue on diuretics for 
-a week as he remained above his preoperative weight.  
-Arrangements were made for follow up with his cardiology, 
-medical and surgical providers.
- 
-
-###RESPONSE: cardiac 
-catheterization {Cardiac catheterization}, aortic valve surgery {Aortic valve and adjacent structure operations}, cardiac catheterization {Cardiac catheterization}, three vessel coronary artery 
-disease {Triple vessel disease of the heart}, surgery {Surgical procedure}, coronary artery bypass grafting to two vessels {Coronary artery bypass grafts x 2}, aortic valve replacement {Replacement of aortic valve}, tissue {Body tissue structure}, operative {Surgical procedure}, stable condition {Patient's condition stable}, taken to the intensive care unit {Patient transfer to intensive care unit}, monitoring {Monitoring procedure}, neurologically intact {Normal nervous system function}, extubated {Removal of endotracheal tube}, Pressors {Hypotensive therapy}, stable {Patient's condition stable}, aspirin {Administration of aspirin}, postoperative {Postoperative state}, diuresed {Diuretic therapy}, weight {Weight finding}, physical therapy {Physical therapy assessment}, postoperative {Postoperative state}, CXR {Plain chest X-ray}, left {Left lung structure}, effusion {Pleural effusion}, left lung {Left lung structure}, thoracentesis {Thoracentesis}, CXR {Plain chest X-ray}, elevated {Elevation}, left diaphragm {Structure of left dome of diaphragm}, atelectasis {Atelectasis}, effusion {Pleural effusion}, improved {Patient's condition improved}, rehabilitation {Rehabilitation therapy}, diuretics {Diuretic therapy}, weight {Weight finding}, cardiology {Cardiology service}, surgical {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Furosemide 20mg daily, citalopram 20mg daily, glipizide 5mg 
-daily, metformin 1000mg daily, omeprazole 20mg daily, 
-simvastatin 80mg daily, diphenoxylate-atropine 25prn-prn  
-
- 
-Discharge Medications:
-1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO DAILY (Daily).  
-3. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-4. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every 
-4 hours) as needed for pain.  
-5. Oxycodone-Acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q4H (every 4 hours) as needed for pain.  
-6. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) 
-ML PO HS (at bedtime) as needed for constipation.  
-7. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal 
-DAILY (Daily) as needed for constipation.  
-8. Citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-9. Simvastatin 40 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-10. Ipratropium-Albuterol ___ mcg/Actuation Aerosol Sig: Two 
-(2) Puff Inhalation Q4H (every 4 hours).  
-11. Metformin 1,000 mg Tablet Sig: One (1) Tablet PO twice a 
-day.  
-12. Glipizide 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-13. Carvedilol 6.25 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-14. Lasix 40 mg Tablet Sig: One (1) Tablet PO once a day for 7 
-days.  
-15. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal 
-Sig: One (1) Tab Sust.Rel. Particle/Crystal PO once a day for 7 
-days.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
-coronary aretery disease
-s/p coronary artery bypass
-acute systolic heart failure
-Hypertension
-Non insulin dependent Diabetes Mellitus
-Aortic Stenosis/Aortic Insufficiency
-Mitral Regurgitation
-Gastroesophageal Reflux Disease
-degenerative joint disease
-
- 
-Discharge Condition:
-Good
-
- 
-
-###RESPONSE: coronary aretery disease {Coronary arteriosclerosis}, coronary artery bypass {Coronary artery bypass grafting}, acute systolic heart failure {Acute systolic heart failure}, Hypertension {Hypertensive disorder, systemic arterial}, Non insulin dependent Diabetes Mellitus {Diabetes mellitus type 2}, Aortic Stenosis {Aortic valve stenosis}, Aortic Insufficiency {Aortic valve regurgitation}, Mitral Regurgitation {Mitral valve regurgitation}, Gastroesophageal Reflux Disease {Gastroesophageal reflux disease}, degenerative joint disease {Osteoarthritis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Monitor wounds for signs of infection. These include redness, 
-drainage or increased pain.  
-Report any fever greater then 100.5. 
-Report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 
-week. 
-No lotions, creams or powders to incision. 
-Shower daily,gently pat the wound dry.
-No bathing or swimming for 1 month. 
-Take all medications as directed. 
-No driving for 1 month or while taking narcotics.. 
-.
- 
-
-###RESPONSE: Monitor {Monitoring for signs and symptoms of infection}, wounds {Wound}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, drainage {Wound discharge}, increased pain {Increased pain}, fever {Fever}, weight gain {Weight gain}, incision {Surgical incision wound}, wound {Wound}, medications {Patient medication education}, while taking narcotics {Narcotherapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-___
- 
-Major Surgical or Invasive Procedure:
-- Exploratory laparotomy, resection of hepatic flexure, and 
-right colostomy ___ (___)
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Exploratory laparotomy {Exploratory laparotomy}, resection {Excision}, hepatic flexure {Structure of right colic flexure}, colostomy {Colostomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ presenting to ___ as transferred from OSH s/p MVC. On 
-arrival the patient had AMS and could not provide any history. 
-Per EMS and OSH records the patient was driving a truck while 
-shooting up heroin and struck a tree. At OSH, underwent imaging 
-that showed non-displaced sacral fracture, L5 transverse process 
-fracture and abdominal free air. He was transferred to ___ for 
-trauma evaluation, and taken to the OR emergently for Ex-lap. 
-Postoperatively, he was transferred to the trauma ICU for close 
-monitoring.
- 
-
-###RESPONSE: AMS {Altered mental status}, imaging {Imaging}, non-displaced {Undisplaced fracture}, sacral fracture {Fracture of sacrum}, transverse process 
-fracture {Closed fracture lumbar vertebra, transverse process}, abdominal free air {Pneumoperitoneum}, Ex-lap {Exploratory laparotomy}, Postoperatively {Postoperative state}, monitoring {Monitoring procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-None
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission Physical Exam
-VS - T: 97.8 HR: 106 BP: 132/79 RR: 20 100% on PSV
-General: Intubated and sedated
-HEENT: PERRL, NCAT
-Neck: Ecchymosis over left neck, supple
-CV: Mild tachycardia, regular rhythm
-Lungs: CTAB
-Abdomen: Soft, colostomy pink without any output
-GU: Foley in place
-Ext: Warm, well perfused
-Neuro: Moving all extremities, localizes pain
-Skin: No rash
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, General {General examination of patient}, Intubated {Intubation}, sedated {Sedated}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, NC {Normal head}, Neck {Physical examination procedure}, Ecchymosis {Ecchymosis}, supple {Normal movement of neck}, CV {Cardiovascular physical examination}, tachycardia {Tachycardia}, regular rhythm {Normal sinus rhythm}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, colostomy {Colostomy present}, pink {Pink skin}, GU {Examination of genitourinary system}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Neuro {Neurological examination}, all extremities {All extremities}, pain {Pain}, Skin {Examination of skin}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:15PM   GLUCOSE-131* UREA N-27* CREAT-1.2 SODIUM-145 
-POTASSIUM-3.5 CHLORIDE-107 TOTAL CO2-24 ANION GAP-18
-___ 06:15PM   CALCIUM-8.1* PHOSPHATE-4.4 MAGNESIUM-1.5*
-___ 06:15PM   WBC-2.8*# RBC-3.11*# HGB-9.6*# HCT-30.0*# 
-MCV-97# MCH-30.9 MCHC-32.0 RDW-12.9 RDWSD-45.3
-___ 06:15PM   PLT SMR-LOW PLT COUNT-87*#
-___ 06:15PM   ___ PTT-43.4* ___
-___ 01:21PM   COMMENTS-GREEN TOP
-___ 01:21PM   LACTATE-2.9*
-___ 01:06PM URINE  HOURS-RANDOM
-___ 01:06PM URINE  UCG-NEGATIVE
-___ 01:06PM URINE  bnzodzpn-POS barbitrt-NEG opiates-POS 
-cocaine-POS amphetmn-POS oxycodn-NEG mthdone-NEG
-___ 01:06PM URINE  COLOR-Amber APPEAR-Clear SP ___
-___ 01:06PM URINE  BLOOD-LG NITRITE-NEG PROTEIN-100 
-GLUCOSE-NEG KETONE-40 BILIRUBIN-SM UROBILNGN-4* PH-6.5 LEUK-NEG
-___ 01:06PM URINE  RBC-126* WBC-3 BACTERIA-NONE YEAST-NONE 
-EPI-0
-___ 01:06PM URINE  HYALINE-19*
-___ 01:06PM URINE  CA OXAL-MOD
-___ 01:06PM URINE  MUCOUS-RARE
-___ 01:00PM   GLUCOSE-129* UREA N-27* CREAT-1.1 SODIUM-142 
-POTASSIUM-3.7 CHLORIDE-104 TOTAL CO2-20* ANION GAP-22*
-___ 01:00PM   estGFR-Using this
-___ 01:00PM   ALT(SGPT)-61* AST(SGOT)-81* CK(CPK)-918* ALK 
-PHOS-122 TOT BILI-1.2
-___ 01:00PM   LIPASE-13
-___ 01:00PM   ALBUMIN-4.2
-___ 01:00PM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG 
-bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
-___ 01:00PM   WBC-8.2 RBC-5.96 HGB-18.3* HCT-53.9* MCV-90 
-MCH-30.7 MCHC-34.0 RDW-12.7 RDWSD-41.2
-___ 01:00PM   NEUTS-84* BANDS-5 LYMPHS-7* MONOS-4* EOS-0 
-BASOS-0 ___ MYELOS-0 AbsNeut-7.30* AbsLymp-0.57* 
-AbsMono-0.33 AbsEos-0.00* AbsBaso-0.00*
-___ 01:00PM   HYPOCHROM-NORMAL ANISOCYT-NORMAL 
-POIKILOCY-NORMAL MACROCYT-NORMAL MICROCYT-NORMAL 
-POLYCHROM-NORMAL
-___ 01:00PM   PLT SMR-NORMAL PLT COUNT-207
-___ 01:00PM   ___ PTT-32.4 ___
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PLT {Platelet count}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}, URINE {Urinalysis}, URINE {Urinalysis}, UCG-NEGATIVE {Urine chorionic gonadotrophin measurement}, URINE {Urinalysis}, URINE {Urinalysis}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, GLUCOSE {Glucose measurement, urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Urinalysis}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, URINE {Urinalysis}, URINE {Urinalysis}, URINE {Urinalysis}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, PHOS {Phosphate, total measurement}, TOT BILI {Bilirubin, total measurement}, LIPASE {Triacylglycerol lipase measurement}, ALBUMIN {Albumin measurement}, ETHANOL {Blood ethanol measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT {Platelet count}, PLT COUNT {Platelet count}, PTT {Partial thromboplastin time, activated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ presenting to ___ as transferred from OSH s/p MVC. On 
-arrival the patient had AMS and could not provide any history. 
-Per EMS and OSH records the patient was driving a truck while 
-shooting up heroin and struck a tree. At OSH, underwent imaging 
-that showed non-displaced sacral fracture, L5 transverse process 
-fracture and abdominal free air secondary to an ascending colon 
-perforation. He was transferred to ___ for trauma evaluation, 
-and taken to the OR emergently for Ex-lap. Postoperatively, he 
-was transferred to the trauma ICU for close monitoring. His ICU 
-course is summarized below with transitional issues consistent 
-of  a) postoperative fevers, seconadry to a feculent peritonitis 
-and GNRs bacteremia treated with Zosyn. b) intermittent 
-agitation secondary to withdrawal symptims in setting of chronic 
-heroin use.  Per APS and psychiatry, he was started on methadone 
-10TID, Haldol 2.5 q2H prn for agitation, added a basal rate of 
-.05 to dPCA, in addition to resumed his home psychiatric meds. 
-The patient was extubated onPD#1,  advanced diet to clears, and 
-transferred to the surgical ward for further management. His 
-hospital course is summarized below
- 
-
-###RESPONSE: AMS {Altered mental status}, imaging {Imaging}, non-displaced {Undisplaced fracture}, sacral fracture {Fracture of sacrum}, transverse process 
-fracture {Closed fracture lumbar vertebra, transverse process}, abdominal free air {Pneumoperitoneum}, ascending colon 
-perforation {Traumatic perforation of ascending colon}, trauma {Traumatic injury}, evaluation {Evaluation procedure}, Ex-lap {Exploratory laparotomy}, Postoperatively {Postoperative state}, monitoring {Monitoring procedure}, postoperative fevers {Postoperative fever}, feculent peritonitis {Fecal peritonitis}, GNRs bacteremia {Bacteremia caused by Gram-negative bacteria}, agitation {Feeling agitated}, withdrawal symptims {Withdrawal symptom}, chronic 
-heroin use {Chronic drug abuse}, agitation {Feeling agitated}, extubated {Removal of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. BuPROPion Dose is Unknown  PO BID 
-2. Lorazepam Dose is Unknown  PO QHS 
-3. Gabapentin 300 mg PO TID 
-4. MethylPHENIDATE (Ritalin) 20 mg PO DAILY 
-5. QUEtiapine Fumarate 25 mg PO Frequency is Unknown 
-6. Venlafaxine XR 225 mg PO Frequency is Unknown 
-
- 
-Discharge Medications:
-1. Venlafaxine XR 225 mg PO DAILY 
-2. QUEtiapine Fumarate 25 mg PO QHS 
-3. Gabapentin 400 mg PO TID 
-4. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-___ will receive a 1 week supply. Please call the Surgery Clinic 
-to make an appointment for refills 
-5. MethylPHENIDATE (Ritalin) 20 mg PO DAILY 
-6. Morphine SR (MS ___ 60 mg PO Q12H 
-Taper:
-60mg BID x 3 days
-45mg BID x 3 days
-30mg BID x 3 days
-15mg BID x 3 days
-15mg QD x 3 days 
-7. Wheelchair
-Wheelchair
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Traumatic injury, colonic perforation, scapular fracture, sacral 
-fracture, L5 transverse process fracture
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Out of Bed with assistance to chair or 
-wheelchair.
-
- 
-
-###RESPONSE: Traumatic injury {Traumatic injury}, colonic perforation {Perforation of colon}, scapular fracture {Fracture of scapula}, sacral 
-fracture {Fracture of sacrum}, transverse process fracture {Closed fracture lumbar vertebra, transverse process}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Out of Bed with assistance {Difficulty getting off a bed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-___ were admitted to ___ and 
-underwent an exploratory laparotomy, resection of
-hepatic flexure, and right colostomy. ___ are recovering well 
-and are now ready for discharge. Please follow the instructions 
-below to continue your recovery:
-
-Monitoring Ostomy output/ Prevention of Dehydration:
-*Keep well hydrated.
-*Replace fluid loss from ostomy daily.
-*Avoid only drinking plain water. Include Gatorade and/or other 
-vitamin drinks to replace fluid.
-*Try to maintain ostomy output between 1000mL to 1500mL per day. 
-
-*If Ostomy output >1 liter, take 4mg of Imodium, repeat 2mg with 
-each episode of loose stool. Do not exceed 16mg/24 hours.
-
-OSTOMY DISCHARGE INSTRUCTIONS:
-
-Patient D/C instructions:
- 
-___ have a new colostomy. The most common complication from a 
-new colostomy placement is dehydration. The output from the 
-stoma is stool from the small intestine and the water content is 
-very high. The stool is no longer passing through the large 
-intestine which is where the water from the stool is reabsorbed 
-into the body and the stool becomes formed. ___ must measure 
-your colostomy output for the next few weeks. The output from 
-the stoma should not be more than 1200cc or less than 500cc. If 
-___ find that your output has become too much or too little, 
-please call the office for advice. The office nurse or nurse 
-practitioner can recommend medications to increase or slow the 
-colostomy output. Keep yourself well hydrated, if ___ notice 
-your colostomy output increasing, take in more electrolyte drink 
-such as Gatorade. Please monitor yourself for signs and symptoms 
-of dehydration including: dizziness (especially upon standing), 
-weakness, dry mouth, headache, or fatigue. If ___ notice these 
-symptoms please call the office or return to the emergency room 
-for evaluation if these symptoms are severe. ___ may eat a 
-regular diet with your new colostomy. However it is a good idea 
-to avoid fatty or spicy foods and follow diet suggestions made 
-to ___ by the ostomy nurses.
- 
-Please monitor the appearance of the ostomy and stoma and care 
-for it as instructed by the wound/ostomy nurses. ___ stoma 
-(intestine that protrudes outside of your abdomen) should be 
-beefy red or pink, it may ooze small amounts of blood at times 
-when touched and this should subside with time. The skin around 
-the ostomy site should be kept clean and intact. Monitor the 
-skin around the stoma for bulging or signs of infection listed 
-above. Please care for the ostomy as ___ have been instructed by 
-the wound/ostomy nurses. ___ will be able to make an appointment 
-with the ostomy nurse in the clinic 7 days after surgery. ___ 
-will have a visiting nurse at home for the next few weeks 
-helping to monitor your ostomy until ___ are comfortable caring 
-for it on your own. 
- 
- 
-Currently your colostomy is allowing the surgery in your large 
-intestine to heal, which does take some time. ___ will come back 
-to the hospital for reversal of this colostomy when decided by 
-Dr. ___ will follow-up in the clinic, and the 
-surgeon will decide when will be the best time for your second 
-surgery. Until this time there is healthy intestine that is 
-still functioning as it normally would and it will produce mucus 
-and some may leak or ___ may feel as though ___ need to have a 
-bowel movement and ___ may sit on the toilet and empty this 
-mucus, it is normal. 
- 
- 
-Rehab D/C instructions:
- 
-To the Rehab:
-Thank ___ for participating in the care of this patient.  This 
-patient has had multiple teaching sessions with both the 
-Wound/Ostomy nurses and with the staff nurses and should have a 
-good idea of how to care for their own ostomy.  They have also 
-been given several items that will assist them in their own 
-care, such as instruction sheets, ostomy supplies, and ostomy 
-output measuring tools.  However, we would like to stress a few 
-important points to assist ___ in the care of this patient.
-
-Bowel Function:  
-Ø  It is important to encourage the patient to monitor their 
-bowel function closely every day.  The patient should continue 
-to record their colostomy output (as much as physically 
-possible) and the amount of fluid they have taken in, just as 
-they were taught in the hospital.  A urinal or “hat” should be 
-used to record their ostomy output daily.  
-o   The patient has been taught to use a daily measurement chart 
-to record their I&O’s.  This chart should be continued to be 
-used at least until their follow-up appointment. If their ostomy 
-output is less than 500 ml or greater than 1200 ml of liquid 
-stool in a day, it is very important to call the doctor’s office 
-with this information. 
-o   Continue to reinforce to the patient that the major risk 
-with an colostomy is dehydration related to fluid loses. Daily 
-fluid intake is ___ glasses of fluids, including electrolyte 
-enhanced beverages.  In the hot weather, encourage them to take 
-in increased amounts of fluid and closely measure 
-their colostomy output.  
-o   Watch for signs and symptoms of dehydration including: dry 
-mouth or tongue, decrease in urination, urine darker in color, 
-dizzy when he/she stands, cramps in his/her abdomen or legs, 
-dizziness, increased thirst, or weakness. 
-Stoma Care:
-Ø  It is also important to monitor the appearance of the stoma. 
-The tissue of the stoma should be moist, pink or red in color. 
-o   If the stoma has color changes from pink / red to dark 
-purplish /blue in color, becomes swollen, or a large amount of 
-continuous bleeding into the pouch, and or at the Mucocutaneous 
-Junction (Stomal Incision). this is not normal. Call the 
-patient’s doctor’s office for assistance.  
- If ___ or the patient has any questions regarding the care of 
-the patient’s ostomy, please refer to the instructions provided 
-to the patient by the wound/ostomy nurses. 
-___ the patient develops the following bowel symptoms please call 
-the surgeon’s office or go to the nearest emergency room if 
-severe: increasing abdominal distension and cramps, nausea, 
-vomiting, inability to tolerate food or liquids, decrease 
-in ostomy output, or have no output from ostomy for ___ hours
-
-Please call the Acute Care Surgery Clinic if ___ develop fevers, 
-chills, nausea, vomiting, decreased or no ostomy output, or 
-other concerns. The phone number is ___.
-
- 
-
-###RESPONSE: exploratory laparotomy {Exploratory laparotomy}, resection {Excision}, hepatic flexure {Structure of right colic flexure}, colostomy {Colostomy}, ready for discharge {Ready for discharge}, loose stool {Loose stool}, colostomy {Colostomy}, colostomy {Colostomy}, placement {Implantation procedure}, dehydration {Dehydration}, stoma {Stoma}, stool {Stool finding}, small intestine {Structure of small intestine}, large 
-intestine {Structure of large intestine}, measure 
-your colostomy output {Monitoring of stoma output}, stoma {Stoma}, colostomy {Colostomy}, colostomy output increasing {High output stoma}, monitor yourself for signs and symptoms 
-of dehydration {Dehydration monitoring}, dizziness {Dizziness}, standing {Orthostatic body position}, weakness {Asthenia}, dry mouth {Xerostomia}, headache {Headache}, fatigue {Fatigue}, evaluation {Evaluation procedure}, regular diet {Normal diet}, colostomy {Colostomy}, stoma {Stoma}, stoma {Stoma}, intestine {Intestinal structure}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Monitor {Monitoring for signs and symptoms of infection}, skin {Examination of skin}, stoma {Stoma}, bulging {Bulging}, signs of infection {Monitoring for signs and symptoms of infection}, colostomy {Colostomy}, surgery {Surgical procedure}, large 
-intestine {Structure of large intestine}, colostomy {Colostomy}, intestine {Intestinal structure}, teaching {Patient education}, record their colostomy output {Monitoring of stoma output}, liquid 
-stool {Liquid stool}, colostomy {Colostomy}, dehydration {Dehydration}, measure 
-their colostomy output {Monitoring of stoma output}, signs {Sign}, dehydration {Dehydration}, dry 
-mouth {Xerostomia}, tongue {Tongue structure}, decrease in urination {Decreased urine output}, urine darker in color {Urine: dark/concentrated}, dizzy {Dizziness}, stands {Orthostatic body position}, cramps {Cramp}, abdomen {Stomach cramps}, legs {Cramp in lower limb}, dizziness {Dizziness}, increased thirst {Increased thirst}, weakness {Asthenia}, stoma {Stoma}, tissue {Body tissue structure}, stoma {Stoma}, stoma {Stoma}, swollen {Swelling}, bleeding {Bleeding}, Mucocutaneous 
-Junction {Structure of mucocutaneous junction}, Incision {Surgical incision wound}, abdominal distension {Swollen abdomen}, cramps {Cramp}, nausea, 
-vomiting {Nausea and vomiting}, inability to tolerate food or liquids {Nausea and vomiting}, fevers {Fever}, chills {Chill}, nausea, vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: UROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-ciprofloxacin
- 
-Attending: ___.
- 
-Chief Complaint:
-SCROTAL/PERINEAL ABSCESS
- 
-Major Surgical or Invasive Procedure:
-1. Exam under anesthesia.
-2. Debridement of scrotal and perineal abscess.
-
- 
-
-###RESPONSE: ciprofloxacin {Allergy to ciprofloxacin}, SCROTAL {Abscess of scrotum}, PERINEAL {Perineal structure}, ABSCESS {Abscess}, Exam under anesthesia {Physical examination under general anesthesia}, Debridement {Debridement}, scrotal {Abscess of scrotum}, perineal {Perineal structure}, abscess {Abscess}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ h/o afib on Coumadin, MI s/p stent, CHF (LVEF ___,
-HLD, HTN, solitary kidney (donated), Crohn's, BPH managed with
-chronic indwelling foley; transferred from ___ with 
-right
-scrotal abscess.  
-
-Patient presented to his see his urologist (___)
-at ___ yesterday for a poorly draining foley.  Following
-the catheter change, there was reportedly drainage of purulent
-material and as such he was transferred to their ED for further
-evaluation.  He was admitted to the medicine service there for
-treatment of his infection.  On admission, ___ 24, febrile to
-102. UA data not available in outside records, though started on
-ceftriaxone/flagyl for empiric treatment. 
-
-When found to have right scrotal fluctuance, there was an
-ultrasound performed that showed right scrotal abscess with
-concern for fluid and gas extending into the perineum.  Due to
-concern for Fournier's gangrene, he was transferred to ___ for
-further assessment.
- 
-
-###RESPONSE: afib {Atrial fibrillation}, MI {Myocardial infarction}, s/p stent {Placement of stent in coronary artery}, CHF {Congestive heart failure}, HLD {Hyperlipidemia}, HTN {Hypertensive disorder, systemic arterial}, Crohn's {Crohn's disease}, BPH {Benign prostatic hyperplasia}, foley {Catheterization of urinary bladder}, scrotal abscess {Abscess of scrotum}, see his urologist {Seen by urologist}, poorly draining foley {Decreased urine output}, catheter change {Replacement of indwelling catheter of urinary bladder}, drainage of purulent
-material {Purulent discharge}, evaluation {Evaluation procedure}, infection {Infectious disease}, febrile {Fever}, UA {Urinalysis}, scrotal {Scrotal structure}, fluctuance {Fluctuant}, ultrasound {Ultrasonography}, scrotal abscess {Abscess of scrotum}, perineum {Perineal structure}, Fournier's gangrene {Fournier's gangrene}, assessment {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Afib on coumadin                                                 
-
-MI s/p stent ___ ago
-HLD
-HTN
-Single kidney 
-Crohn's disease
-Anal fissure
-
-L donor nephrectomy
-Hernia repair  
- 
-
-###RESPONSE: Afib {Atrial fibrillation}, MI {Myocardial infarction}, s/p stent {Placement of stent in coronary artery}, HLD {Hyperlipidemia}, HTN {Hypertensive disorder, systemic arterial}, kidney {Kidney structure}, Crohn's disease {Crohn's disease}, Anal fissure {Anal fissure}, L {Left kidney structure}, donor nephrectomy {Donor nephrectomy}, Hernia repair {Hernia repair}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Son- DM and renal failure                          
- 
-
-###RESPONSE: DM {Diabetes mellitus}, renal failure {Renal failure syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-WdWn male, NAD, AVSS
-Interactive, cooperative
-Abdomen soft, Nt/Nd
-Perineal incision packed w/ ___ plain nugauze. Edges pink, 
-clean, w/out evidence infection, necrosis.
-Perineal ___ drain in place; ___ wick removed. Hemiscrotum 
-Incision c/d/i w/out evidence hematoma or infection
-Lower extremities w/out edema or pitting and no report of calf 
-pain
-Foley catheter in place; secured to medial thigh
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, WdWn {Well nourished}, NAD {No abnormality detected}, AVSS {Vital signs finding}, Interactive {Does communicate}, cooperative {Cooperative mental state}, soft {Abdomen soft}, Nt {Abdominal tenderness}, Nd {Swollen abdomen}, Perineal incision {Incision of perineum}, packed w/ ___ plain nugauze {Application of gauze swab}, infection {Local infection of wound}, necrosis {Necrosis}, Perineal {Perineal structure}, drain in place {Insertion of drain}, Incision {Incision}, hematoma {Hematoma}, infection {Infectious disease}, Lower extremities {Lower limb structure}, edema {Edema}, pitting {Pitting edema}, pain {Pain}, Foley {Catheterization of urinary bladder}, medial thigh {Structure of medial surface of thigh}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:10AM BLOOD WBC-12.3* RBC-3.33* Hgb-8.3* Hct-26.2* 
-MCV-79* MCH-24.9* MCHC-31.7* RDW-17.6* RDWSD-50.4* Plt ___
-___ 06:58AM BLOOD WBC-9.9 RBC-3.12* Hgb-8.0* Hct-25.0* 
-MCV-80* MCH-25.6* MCHC-32.0 RDW-18.0* RDWSD-53.3* Plt ___
-___ 06:30PM BLOOD WBC-12.7* RBC-3.34* Hgb-8.3*# Hct-27.0*# 
-MCV-81* MCH-24.9* MCHC-30.7* RDW-18.0* RDWSD-53.1* Plt ___
-___ 06:30PM BLOOD Neuts-74.2* Lymphs-15.5* Monos-6.7 
-Eos-3.0 Baso-0.2 Im ___ AbsNeut-9.45* AbsLymp-1.97 
-AbsMono-0.85* AbsEos-0.38 AbsBaso-0.03
-___ 07:10AM BLOOD Glucose-100 UreaN-12 Creat-1.0 Na-135 
-K-4.3 Cl-99 HCO3-29 AnGap-11
-___ 06:58AM BLOOD Glucose-75 UreaN-12 Creat-0.8 Na-136 
-K-4.0 Cl-105 HCO3-24 AnGap-11
-___ 06:30PM BLOOD Glucose-89 UreaN-15 Creat-0.8 Na-135 
-K-4.1 Cl-105 HCO3-25 AnGap-9
-___ 07:10AM BLOOD Phos-3.9 Mg-1.6
-___ 06:40PM BLOOD Lactate-0.8
-
-___ 05:18PM URINE Color-Straw Appear-Clear Sp ___
-___ 06:40PM URINE Color-Straw Appear-Clear Sp ___
-___ 05:18PM URINE Blood-NEG Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-MOD
-___ 06:40PM URINE Blood-TR Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.0 Leuks-LG
-___ 05:18PM URINE RBC-2 WBC-16* Bacteri-FEW Yeast-NONE 
-Epi-0
-___ 06:40PM URINE RBC-5* WBC-50* Bacteri-FEW Yeast-NONE 
-Epi-0
-
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-INPATIENT 
-___ URINE URINE CULTURE-FINAL INPATIENT 
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-INPATIENT 
-___ SWAB GRAM STAIN-FINAL; WOUND CULTURE-FINAL; 
-ANAEROBIC CULTURE-FINAL {BACTEROIDES FRAGILIS GROUP}; FUNGAL 
-CULTURE-PRELIMINARY EMERGENCY WARD 
-___ URINE URINE CULTURE-FINAL EMERGENCY WARD 
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-EMERGENCY WARD 
-___ BLOOD CULTURE Blood Culture, Routine-PENDING 
-EMERGENCY WARD 
-___ 10:30 pm SWAB      PERINEAL SWAB. 
-
-   GRAM STAIN (Final ___: 
-      4+   (>10 per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      NO MICROORGANISMS SEEN. 
-
-   WOUND CULTURE (Final ___:    NO GROWTH. 
-
-   ANAEROBIC CULTURE (Final ___: 
-      BACTEROIDES FRAGILIS GROUP.    SPARSE GROWTH. 
-         BETA LACTAMASE POSITIVE. 
-
-   FUNGAL CULTURE (Preliminary): 
-      NO FUNGUS ISOLATED. 
-      A swab is not the optimal specimen for recovery of 
-mycobacteria or
-      filamentous fungi.  A negative result should be 
-interpreted with
-      caution.  Whenever possible tissue biopsy or aspirated 
-fluid should
-      be submitted. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE Color-Straw {Normal urine color}, URINE Color-Straw {Normal urine color}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}, RBC {Red blood cell count}, WBC {White blood cell count}, CULTURE {Blood culture}, Blood Culture {Blood culture}, URINE {Urine culture}, URINE CULTURE {Urine culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, GRAM STAIN {Gram stain method}, WOUND {Wound}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, URINE {Urine culture}, URINE CULTURE {Urine culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, PERINEAL {Perineal structure}, GRAM STAIN {Gram stain method}, WOUND {Wound}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, FUNGUS ISOLATED {Sample fungus isolated}, tissue {Body tissue structure}, biopsy {Biopsy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This patient was admitted to the urology service following 
-debridement of scrotal and perineal abscess.  See operative 
-report for full details.  The patient tolerated the procedure 
-well and recovered in the PACU before transfer to the surgical 
-floor.  He was admitted on zosyn/clindamycin for antibiotic 
-therapy, with BID packing changes of anterior and posterior 
-perineal wounds.  On POD1, he was attempted to be narrowed to 
-unasyn, though spiked a fever to ___ and was again re-broadened 
-to zosyn/clindamycin.  On POD2, he was narrowed to Bactrim 
-empirically for better MRSA coverage and remained afebrile 
-through the time of discharge.
-
-With respect to anticoagulation, the patient was seen by the 
-cardiology service, and the decision was made to restart the 
-patient's ASA and Plavix immediately postoperatively, as he 
-remained on it to the time of surgery and experienced no 
-bleeding complications.  He did, however, remain off of his 
-Coumadin for the duration of his hospital stay, and was 
-instructed to restart at home dose 2d after discharge.
-
-His foley catheter remained in place for the duration of his 
-stay.  His diet was advanced as tolerated following surgery.  At 
-discharge, patient's pain was well controlled with oral pain 
-medications, tolerating regular diet, ambulating without 
-assistance, and voiding without difficulty. Incision at 
-discharge without erythema or hematoma.  He will follow-up with 
-his home urologist, ___ at ___, as 
-directed and complete a course of Bactrim.  He will also follow 
-up with general surgery for perineal ___ removal.   ___ was 
-set up to assist with packing changes and drain care.
-
- 
-
-###RESPONSE: debridement {Debridement}, scrotal {Abscess of scrotum}, perineal {Perineal structure}, abscess {Abscess}, operative {Surgical procedure}, procedure {Procedure}, PACU {Postanesthesia care}, surgical {Surgical procedure}, antibiotic 
-therapy {Antibiotic therapy}, packing changes {Change of dressing}, perineal {Perineal structure}, wounds {Wound}, fever {Fever}, MRSA {Methicillin resistant Staphylococcus aureus infection}, afebrile {Fever}, anticoagulation {Anticoagulant therapy}, cardiology service {Cardiology service}, surgery {Surgical procedure}, bleeding {Bleeding}, foley {Catheterization of urinary bladder}, diet {Dietary finding}, surgery {Surgical procedure}, pain was well controlled {Demonstrates adequate pain control}, oral {Administration of drug or medicament via oral route}, pain 
-medications {Administration of analgesic}, regular diet {Normal diet}, ambulating without 
-assistance {Independent walking}, voiding without difficulty {Normal micturition}, Incision {Incision}, erythema {Erythema}, hematoma {Hematoma}, follow-up {Follow-up status}, follow 
-up {Follow-up status}, surgery {Surgical procedure}, perineal {Perineal structure}, removal {Removal}, packing changes {Change of dressing}, drain care {Drainage tube care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Metoprolol Tartrate 25 mg PO BID 
-2. Simvastatin 80 mg PO QPM 
-3. Clopidogrel 75 mg PO DAILY 
-4. Aspirin 325 mg PO DAILY 
-5. Warfarin 5 mg PO DAILY16 
-6. Feosol (ferrous sulfate;<br>iron, carbonyl) 325 mg (65 mg 
-iron) oral BID 
-
- 
-Discharge Medications:
-1. Aspirin 325 mg PO DAILY 
-2. Clopidogrel 75 mg PO DAILY 
-3. Metoprolol Tartrate 25 mg PO BID 
-4. Simvastatin 80 mg PO QPM 
-5. Sulfameth/Trimethoprim DS 1 TAB PO BID 
-RX *sulfamethoxazole-trimethoprim [Bactrim DS] 800 mg-160 mg ONE 
-tablet(s) by mouth twice a day Disp #*20 Tablet Refills:*0
-6. Scopolamine Patch 1 PTCH TD ONCE Duration: 72 Hours 
-7. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN Pain  
-RX *oxycodone 5 mg ___ tablet(s) by mouth Q4hrs Disp #*35 Tablet 
-Refills:*0
-8. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium [Colace] 100 mg ONE capsule(s) by mouth 
-twice a day Disp #*60 Capsule Refills:*0
-9. Acetaminophen 650 mg PO TID 
-10. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN chest pain Duration: 3 
-Doses 
-ONE Tablet(s) sublingually as instructed for chest pain x three 
-PRN 
-11. Feosol (ferrous sulfate;<br>iron, carbonyl) 325 mg (65 mg 
-iron) oral BID 
-12. Warfarin 5 mg PO DAILY16 
-resume on ___.  
-13. MESALAMINE
-You may resume your mesalamine unless otherwise explicitly 
-advised.
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PREOPERATIVE DIAGNOSES:
-1. Scrotal abscess.
-2. Perineal abscess.
-
-POSTOPERATIVE DIAGNOSES:
-1. Scrotal abscess.
-2. Perineal abscess.
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Scrotal abscess {Abscess of scrotum}, Perineal {Perineal structure}, abscess {Abscess}, Scrotal abscess {Abscess of scrotum}, Perineal {Perineal structure}, abscess {Abscess}, Mental Status {Mental state finding}, Level of Consciousness {Finding of level of consciousness}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
--You will be discharged home with ___ services for wound care 
-and packing changes. 
-
--Please also reference the instructions provided by nursing on 
-Foley care/hygiene.  
-
-For your safety and the safety of others; PLEASE DO NOT drive, 
-operate dangerous machinery, or consume alcohol while taking 
-narcotic pain medications and while you have the 
-drain/foley/scrotal packing.
-
--Your FOLEY should be secured to the catheter secure on your 
-thigh at ALL times.
-
--Follow up with UROLOGY for wound check and post-op evaluation 
-as directed.  Surgery service will arrange outpatient follow-up 
-for the ___ drain removal. 
-
--ALWAYS call to inform, review and discuss any medication 
-changes and your post-operative course with your primary care 
-doctor.
-
--___ scrotum/phallus supported/elevated. Use a 
-jock-supporter/strap or jockey-type briefs or tight, 
-tighty-whities to facilitate this; Subsequently you may 
-transition to loose fitting briefs or boxer-briefs for 
-support--they should be cotton and/or breathable.
-
--Do NOT use penis for intercourse/sex until explicitly advised 
-by your urologist that is may be ok to do so.
-
--You may want to coordinate your showers with your ___ provider 
-and the planned dressing changes.
-
--You may shower, but do NOT bathe, swim or otherwise immerse 
-your incision.
-
--Tylenol should be your first line pain medication, a narcotic 
-pain medication has been prescribed for breakthough pain >4. 
-Replace Tylenol with narcotic pain medication. Max daily Tylenol 
-dose is from 3gm to 4gm depending on your kidney function, note 
-that narcotic pain medication also contains Tylenol 
-(acetaminophen)
-
--Colace has been prescribed to avoid post-surgical constipation 
-and constipation related to narcotic pain medication, 
-discontinue if loose stool or diarrhea develops. Colace is a 
-stool ""softener""- it is NOT a laxative
-
--Resume your home medications, except as noted.
-
--DO NOT RESUME medications like VIAGRA, LEVITRA or CIALIS.
-
--If you have fevers > 101.5 F, vomiting, or increased redness, 
-swelling, or discharge from your incision, call your doctor or 
-go to the nearest emergency room.
- 
-
-###RESPONSE: wound care {Wound care}, packing changes {Change of dressing}, instructions provided by nursing {Nursing care education, guidance, counseling}, Foley care/hygiene {Urinary catheter care education}, while taking 
-narcotic pain medications {Narcotics education}, foley {Catheterization of urinary bladder}, scrotal {Scrotal structure}, packing {Packing of wound}, FOLEY {Catheterization of urinary bladder}, thigh {Thigh structure}, Follow up {Follow-up status}, wound check {Wound assessment}, post-op {Postoperative state}, evaluation {Evaluation procedure}, Surgery service {Surgical follow-up}, outpatient follow-up  {Outpatient care management}, drain removal {Removal of drain}, medication 
-changes  {Change of medication}, post-operative course {Postoperative state}, scrotum {Scrotal structure}, phallus supported {Fitting of external prosthetic device on penis}, elevated {Elevation}, supporter {Support}, support {Support}, penis {Penile structure}, intercourse/sex until explicitly advised {Recommendation to limit sexual activity}, dressing changes {Change of dressing}, incision {Incision}, pain medication {Administration of analgesic}, pain medication {Administration of analgesic}, breakthough pain {Breakthrough pain}, pain medication {Administration of analgesic}, kidney {Kidney structure}, pain medication {Administration of analgesic}, post-surgical {Postoperative state}, constipation {Constipation}, constipation {Constipation}, pain medication {Administration of analgesic}, loose stool {Loose stool}, diarrhea {Diarrhea}, fever {Fever}, vomiting {Vomiting}, redness {Redness of skin over lesion}, swelling {Swelling}, incision {Incision}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Morphine / adhesive tape / Iodine-Iodine 
-Containing
- 
-Attending: ___
- 
-Chief Complaint:
-Headache
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Morphine {Allergy to morphine}, adhesive tape {Allergy to adhesive agent}, Iodine-Iodine {Allergy to iodine compound}, Headache {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ yo woman with PMHx sig. for CVA, CAD s/p 
-multiple PCIs, DM, and HTN who presented to ___ 
-___ for a severe headache, blurry vision, and concern 
-for increased gait instability.  Her headache started 4 AM this 
-morning, waking her up from sleep.  The headache starts in the 
-back and goes all over her head, described as a ""very bad"" pain, 
-rating ___.  Her headache is triggered wtih getting up, 
-relieved by sitting down.  Her headaches ia also associated with 
-nausea and dry heaves, no vomiting.  When she got out of bed, 
-she leaned forward, falling into the door.  She was lightheaded 
-and leaning to right and left.  Of note, pt had previously been 
-on coumadin for ___ years; this was discontinued 3 months ago.
-
-At OSH, she was hypertensive to sbp 200, which resolved on its 
-own.  She had a neg head CT scan and was transferred for neuro 
-eval and MRI. 
-
-In the ED, initial VS were: 98.4 76 146/99 18 95% RA.  Labs were 
-notable for ESR 16.  She had an LP.  MRI head showed ""No 
-evidence of acute infarct. Tiny DWI signal intensity at the 
-right frontal lobe (10:18) is likely T2 shinethrough. Chronic 
-microvascular ischemic changes seen in the paraventricular white 
-matter. no aneurysm or dissection seen. No evidence of 
-hemorrhage.""  The patient received percocet. Vitals prior to 
-transfer to the floor were:  98.4 76 146/99 18 95% RA.  
-
-Currently, she feels that her gait is back to baseline.
- 
-Review of Systems:  
-(+) Per HPI plus:  night sweats, rhinorrhea, postnasal drip 
-cough, chronic joint pains, residual weakness in L leg and arm 
-and tingling in L leg from stroke 
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies sinus tenderness, or congestion. Denies chest pain 
-or tightness, palpitations. Denies  shortness of breath Denies 
-nausea, vomiting, diarrhea, constipation,  or abdominal pain. No 
-dysuria, urinary frequency. Denies rashes. All other review of 
-systems negative.  
-
- 
-
-###RESPONSE: CVA {Cerebrovascular accident}, CAD {Coronary arteriosclerosis}, PCIs {Percutaneous coronary intervention}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, headache {Headache}, blurry vision {Blurring of visual image}, gait instability {Unsteady when walking}, headache {Headache}, headache {Headache}, head {Head structure}, pain {Pain}, headache {Headache}, sitting {Sitting position}, headaches {Headache}, nausea {Nausea}, dry heaves {Retching}, vomiting {Vomiting}, lightheaded {Lightheadedness}, hypertensive {Hypertensive disorder, systemic arterial}, resolved {Problem resolved}, head CT {Computed tomography of head}, MRI {Magnetic resonance imaging}, VS {Vital signs finding}, Labs {Laboratory test}, LP {Lumbar puncture}, MRI head {Magnetic resonance imaging of head}, acute infarct {Acute infarct}, right frontal lobe {Right frontal lobe structure}, microvascular {Structure of small blood vessel (organ)}, ischemic changes {Ischemia}, white 
-matter {Cerebral white matter structure}, aneurysm {Aneurysm}, dissection {Dissecting hemorrhage}, hemorrhage {Hemorrhage}, Vitals {Vital signs finding}, baseline {Baseline state}, Review of Systems {Review of systems}, night sweats {Night sweats}, rhinorrhea {Nasal discharge}, postnasal drip {Posterior rhinorrhea}, cough {Cough}, joint pains {Joint pain}, weakness {Asthenia}, L leg {Structure of left lower limb}, arm {Left upper arm structure}, tingling {Pins and needles}, L leg {Structure of left lower limb}, stroke {Cerebrovascular accident}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, sinus tenderness {Tenderness over frontal sinus}, congestion {Nasal congestion}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, shortness of breath {Dyspnea}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, dysuria {Dysuria}, urinary frequency {Increased frequency of urination}, rashes {Eruption of skin}, review of 
-systems {Review of systems}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CVA in ___, residual weakness in L leg and arm and tingling in 
-L leg
-CAD s/p multiple PCIs
-DM2
-HTN
-h/o breast cancer, s/p lumpectomy in ___
- 
-
-###RESPONSE: CVA {Cerebrovascular accident}, weakness {Asthenia}, L leg {Structure of left lower limb}, arm {Left upper arm structure}, tingling {Pins and needles}, L leg {Structure of left lower limb}, CAD {Coronary arteriosclerosis}, PCIs {Percutaneous coronary intervention}, DM2 {Diabetes mellitus type 2}, HTN {Hypertensive disorder, systemic arterial}, breast cancer {Malignant neoplasm of breast}, lumpectomy {Excision of mass}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Two sons have had CABG.
- 
-
-###RESPONSE: CABG {Coronary artery bypass grafting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals:  147/67, 70, 98RA
-Gen: NAD, AOX3  
-HEENT: PERRL, EOMI, MMM, sclera anicteric, not injected  
-Neck: no LAD, no JVD  
-Cardiovascular: RRR normal s1, s2, no murmurs appreciated  
-Respiratory: bibasilar crackles, no wheezing  
-Abd: normoactive bowel sounds, soft, non-tender, non distended 
-Extremities: No edema, 2+ DP pulses  
-Neurological: CN II-XII intact, normal attention, sensation 
-normal, babinski down-going bilaterally, MS ___ in BUEs and BLEs 
-though slightly weaker on LLE, ataxic gait leaning to both 
-sides, unable to perform Romberg as unstead with eyes open  
-Integument: Warm, moist, no rash or ulceration  
-Psychiatric: appropriate, pleasant, not anxious
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, AOX3 {Oriented to person, time and place}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, sclera anicteric {White sclera}, Neck {Physical examination procedure}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, normal s1, s2 {Heart sounds normal}, murmurs {Murmur}, Respiratory {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, wheezing {Wheezing}, Abd {Examination of abdomen}, normoactive bowel sounds {Normal bowel sounds}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, Extremities {Examination of limb}, edema {Edema}, DP {Structure of dorsalis pedis artery}, Neurologic {Neurological examination}, CN II-XII intact {Normal central nervous system}, sensation 
-normal {Normal sensation}, babinski down-going {Plantar reflex normal}, LLE {Structure of left lower limb}, ataxic gait {Ataxic gait}, Romberg {Romberg sign}, Integument {Examination of skin}, Warm {Warm skin}, rash {Eruption of skin}, ulceration {Ulcer}, anxious {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs:
-___ 08:24PM   WBC-8.6 RBC-4.09* HGB-13.6 HCT-38.8 MCV-95 
-MCH-33.2* MCHC-34.9 RDW-13.5
-___ 08:24PM   NEUTS-52.4 ___ MONOS-5.4 EOS-3.8 
-BASOS-1.3
-___ 08:24PM   GLUCOSE-89 UREA N-22* CREAT-1.3* SODIUM-141 
-POTASSIUM-3.9 CHLORIDE-103 TOTAL CO2-25 ANION GAP-17
-___ 08:24PM   ___ PTT-22.6 ___
-
-Discharge Labs
-___ 06:50AM BLOOD WBC-10.6 RBC-3.70* Hgb-12.2 Hct-35.9* 
-MCV-97 MCH-33.0* MCHC-34.1 RDW-14.0 Plt ___
-___ 07:14AM BLOOD ___ PTT-95.9* ___
-___ 08:24PM BLOOD ESR-16
-___ 06:50AM BLOOD Glucose-87 UreaN-27* Creat-1.5* Na-147* 
-K-4.1 Cl-113* HCO3-25 AnGap-13
-___ 06:50AM BLOOD Calcium-8.7 Phos-2.7 Mg-2.2
-___ 08:24PM BLOOD CRP-1.3
-
-___ 10:46AM URINE Color-Yellow Appear-Hazy Sp ___
-___ 10:46AM URINE Blood-SM Nitrite-NEG Protein-150 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-MOD
-___ 10:46AM URINE ___ Bacteri-MANY 
-Yeast-NONE ___
-
-MRI ___
-IMPRESSION:
-1. Punctate acute infarcts in the right hemisphere, which could 
-be along ACA/MCA and MCA/PCA watershed territories or be within 
-the MCA territory.
-2. Chronic infarct of the superior right frontal lobe, MCA 
-territory.
-3. Multifocal high-grade stenoses involving the right MCA M2 
-divisions. Other milder probably atherosclerotic disease as 
-described above.
-4. Findings compatible with underlying chronic small vessel 
-ischemic disease.
-
-CTA ___
-IMPRESSION: Mild stenoses of the superior and inferior M2 
-divisions of the right MCA, improved compared to recent MRA. 
-This could be due to improvement in vasospasm or technical 
-differences in evaluation of stable atherosclerotic 
-irregularity.
-
-Carotid Doppler ___
-Right ICA stenosis <40%.
-Left ICA stenosis 60-69%.
-
-Echocardiogram ___
-The left atrium is normal in size. No atrial septal defect or 
-patent foramen ovale is seen by 2D, color Doppler or saline 
-contrast with maneuvers. Left ventricular wall thickness, cavity 
-size and regional/global systolic function are normal (LVEF 
->55%). Tissue Doppler imaging suggests an increased left 
-ventricular filling pressure (PCWP>18mmHg). There is an abnormal 
-systolic flow contour at rest, but no left ventricular outflow 
-obstruction. There is no ventricular septal defect. Right 
-ventricular chamber size and free wall motion are normal. The 
-diameters of aorta at the sinus, ascending and arch levels are 
-normal. The aortic valve leaflets (3) are mildly thickened but 
-aortic stenosis is not present. No aortic regurgitation is seen. 
-The mitral valve leaflets are mildly thickened. The pulmonary 
-artery systolic pressure could not be determined. There is no 
-pericardial effusion. 
-IMPRESSION: No cardiac source of embolism seen. Normal global 
-and regional biventricular systolic function. Calcified aortic 
-and mitral valves without significant stenosis or regurgitation. 
-Negative bubble study. 
-
-EKG ___
-Sinus rhythm. Normal tracing. Compared to the previous tracing 
-of ___
-ventricular ectopy and left atrial abnormality are no longer 
-seen.
-___
-___ yo woman with PMHx sig. for CVA, CAD s/p multiple PCIs, DM, 
-and HTN who presented to ___ for a 
-severe headache, blurry vision, and concern for increased gait 
-instability.
-
-She was transferred to ___ for further neurologic evaluation 
-and MRI given concern for severe headache or neck pain ___ 
-radiating to bioccipital and bitemporal areas, with hypertension 
-to 200 mmHg and vomiting at ___. along with history of a 
-prior stroke, despite normal CT there. 
-
-MRI revealed punctate infarcts of the right hemisphere within 
-MCA or distal MCA watersheds. Therefore, Mrs. ___ was 
-admitted to Neurology for further workup.
-
-Headache improved and no new neurologic deficits were noted - 
-gait instability at baseline per patient. 
-
-CTA was reassuring with respect to intracranial MCA stenosis, 
-despite such on MRA. Carotid ultrasound revealed less than 40% R 
-internal carotid stenosis. There was no known history of atrial 
-fibrillation and echo demonstrated no thrombi or atrial septal 
-defect. 
-
-Headache may have related to underlying vasospasm, explaining 
-improved MCA territory stenosis from MRA to CTA. Headache may 
-have also related to uncontrolled hypertension. GIven that no 
-embolic source was found, this was seen as the most likely 
-explanation. Verapamil was started and initial heparin IV 
-therapy was stopped. On final assessment probable migraine with 
-vasospasm was thought most likely. Aspirin and simvastatin are 
-to continued. She is discharged for follow-up with Dr. ___ 
-in clinic. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, MRI {Magnetic resonance imaging of head}, acute infarcts {Acute infarct}, right hemisphere {Right cerebral hemisphere structure}, ACA {Structure of anterior cerebral artery}, MCA {Structure of middle cerebral artery}, MCA {Structure of middle cerebral artery}, PCA {Structure of posterior cerebral artery}, MCA {Structure of middle cerebral artery}, infarct {Infarct}, right frontal lobe {Right frontal lobe structure}, MCA {Structure of middle cerebral artery}, stenoses {Stenosis}, M2 
-divisions {Structure of middle cerebral artery M2 segment}, atherosclerotic disease {Atherosclerosis}, small vessel {Structure of small blood vessel (organ)}, ischemic disease {Ischemia}, CTA {Computed tomography angiography with contrast}, stenoses {Stenosis}, M2 
-divisions {Structure of middle cerebral artery M2 segment}, right MCA {Structure of right middle cerebral artery}, improved {Patient's condition improved}, MRA {Magnetic resonance angiography of vascular structure of head}, vasospasm {Vasospasm}, atherosclerotic {Atherosclerosis}, Carotid {Carotid artery structure}, Doppler {Doppler ultrasound}, ICA stenosis {Internal carotid artery stenosis}, ICA stenosis {Internal carotid artery stenosis}, Echocardiogram {Echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, atrial septal defect {Atrial septal defect}, patent foramen ovale {Patent foramen ovale}, color Doppler {Color Doppler ultrasound}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, size {Normal size}, regional/global systolic function are normal {Normal left ventricular systolic function and wall motion}, Tissue Doppler imaging {Doppler ultrasonography of heart tissue}, left 
-ventricular {Left cardiac ventricular structure}, left ventricular outflow 
-obstruction {Left ventricular outflow tract obstruction}, ventricular septal defect {Ventricular septal defect}, Right 
-ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Finding of right ventricular wall motion}, aorta at the sinus, {Structure of sinus of Valsalva}, arch {Aortic arch structure}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets {Structure of leaflet of mitral valve}, pulmonary 
-artery {Pulmonary artery structure}, pericardial effusion {Pericardial effusion}, embolism {Embolism}, Normal global 
-and regional biventricular systolic function {Normal left ventricular systolic function and wall motion}, Calcified {Pathologic calcification, calcified structure}, aortic {Aortic valve structure}, mitral valves {Mitral valve structure}, stenosis {Stenosis}, regurgitation {Mitral valve regurgitation}, EKG {Electrocardiographic procedure}, Sinus rhythm {Sinus rhythm}, ventricular ectopy {Ventricular premature complex}, left atrial abnormality {Left atrial abnormality}, CVA {Cerebrovascular accident}, CAD {Coronary arteriosclerosis}, PCIs {Percutaneous coronary intervention}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, headache {Headache}, blurry vision {Blurring of visual image}, gait 
-instability {Unsteady when walking}, neurologic evaluation {Neurological examination}, MRI {Magnetic resonance imaging}, headache {Headache}, neck pain {Neck pain}, radiating {Radiating pain}, bioccipital {Occipital region structure}, bitemporal {Structure of temporal region}, hypertension {Hypertensive disorder, systemic arterial}, vomiting {Vomiting}, stroke {Cerebrovascular accident}, MRI {Magnetic resonance imaging}, infarcts {Infarct}, right hemisphere {Right cerebral hemisphere structure}, MCA {Structure of middle cerebral artery}, MCA {Structure of middle cerebral artery}, watersheds {Watershed infarct}, Headache {Headache}, improved {Patient's condition improved}, neurologic deficits {Neurological deficit}, gait instability {Unsteady when walking}, CTA {Computed tomography angiography with contrast}, intracranial {Intracranial structure}, MCA {Structure of middle cerebral artery}, stenosis {Stenosis}, Carotid ultrasound {Ultrasonography of carotid artery}, carotid stenosis {Carotid artery stenosis}, atrial 
-fibrillation {Atrial fibrillation}, echo {Echocardiography}, thrombi {Thrombus}, atrial septal 
-defect {Atrial septal defect}, Headache {Headache}, vasospasm {Vasospasm}, improved {Patient's condition improved}, MCA {Structure of middle cerebral artery}, stenosis {Stenosis}, MRA {Magnetic resonance angiography of vascular structure of head}, CTA {Computed tomography angiography with contrast}, Headache {Headache}, hypertension {Hypertensive disorder, systemic arterial}, heparin IV 
-therapy {Heparin therapy}, migraine {Migraine}, vasospasm {Vasospasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Metformin 500 mg bid
-Isosorbide mono 20 mg daily
-Metoprolol 100 mg TID
-Simvastatin 40 mg daily
-Lisinopril 40 mg daily
-Furosemide 40 mg daily
-Caltrate 600 + D
-Asa 81 mg daily
- 
-Discharge Medications:
-1. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).
-Disp:*50 Tablet, Chewable(s)* Refills:*2*
-2. simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).
-Disp:*40 Tablet(s)* Refills:*2*
-3. verapamil 240 mg Cap,24 hr Sust Release Pellets Sig: One (1) 
-Cap,24 hr Sust Release Pellets PO once a day.
-Disp:*30 Cap,24 hr Sust Release Pellets(s)* Refills:*2*
-4. metoprolol tartrate 100 mg Tablet Sig: One (1) Tablet PO 
-three times a day.  
-5. sulfamethoxazole-trimethoprim 800-160 mg Tablet Sig: One (1) 
-Tablet PO BID (2 times a day) for 2 days.
-Disp:*4 Tablet(s)* Refills:*0*
-6. Lasix 40 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*30 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Acute:
--Punctate acute infarcts in the right hemisphere, which could be 
-along ACA/MCA and MCA/PCA watershed territories or be within the 
-MCA territory. 
--Vasospasm 
-  
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, acute infarcts {Acute infarct}, right hemisphere {Right cerebral hemisphere structure}, ACA {Structure of anterior cerebral artery}, MCA {Structure of middle cerebral artery}, MCA {Structure of middle cerebral artery}, PCA {Structure of posterior cerebral artery}, MCA {Structure of middle cerebral artery}, Vasospasm {Vasospasm}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital with unusual headache. Your 
-brain MRI showed a very small infarct in the frontal and 
-parietal areas; called ""watershed infarct"" that was likely due 
-to vasoconstriction. You will need to be on a medication called 
-verapamil to prevent further strokes.
- 
-
-###RESPONSE: headache {Headache}, brain MRI {Magnetic resonance imaging of brain}, infarct {Infarct}, frontal {Frontal region structure}, parietal areas {Parietal region structure}, watershed infarct {Watershed infarct}, strokes {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Patient admitted for weight reduction surgery.
- 
-Major Surgical or Invasive Procedure:
-Status Post Laparoscopic Gastric Band
-
- 
-
-###RESPONSE: surgery {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ has class III  morbid obesity with weight of 288.4 lbs
-as of ___ (his initial screen weight on ___ was 285.9
-lbs), height of 61 inches and BMI of 54.7. His previous weight
-loss efforts have included 7 months of Weight Watchers in ___
-losing 25 lbs that he maintained for 2 months and 5 months of
-Slim-Fast in ___ without any results. He has not taken
-prescription weight loss medications or used over-the-counter 
-appetite suppressants/herbal supplements. He does not remember
-his weight at age ___ or his lowest adult weight but he weighed
-232 lbs on ___ and 289 lbs on ___, his highest adult
-weight.
- 
-
-###RESPONSE: morbid obesity {Morbid obesity}, weight
-loss {Weight loss}, prescription {Prescription}, weight loss {Weight loss}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-hypothyroidism with h/o Graves'  
-disease s/p ablation, severe sleep disordered breathing with  
-recommendation for CPAP by recent sleep study, fatty liver by  
-ultrasound, hyperlipidemia, neurofibromatosis, testicular  
-torsion, colitis likely diverticular disease hospitalized x 2 
-and  
-lower back and knee pain  
-
- 
-
-###RESPONSE: hypothyroidism {Hypothyroidism}, Graves'  
-disease {Graves' disease}, ablation {Destructive procedure}, sleep study {Sleep studies}, fatty liver {Steatosis of liver}, ultrasound {Ultrasonography}, hyperlipidemia {Hyperlipidemia}, neurofibromatosis {Neurofibromatosis}, testicular  
-torsion {Torsion of testis}, colitis {Colitis}, diverticular disease {Diverticular disease}, lower back {Low back pain}, knee pain {Pain of knee region}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Family history is noted for mother living with heart
-disease, thyroid disease and obesity; grandparent deceased of
-heart disease.
- 
-
-###RESPONSE: heart
-disease {Heart disease}, thyroid disease {Disorder of thyroid gland}, obesity {Obesity}, heart disease {Heart disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-His blood pressure was 127/82, pulse 94, respirations 16 and O2
-saturation 94% on room air. On physical examination ___ 
-was
-casually dressed and in no distress. His skin was warm, dry, no
-rashes, + neurofibromas on face (small), trunk/abdomen medium
-size with ___ spots on abdomen (large at RMQ, smaller
-area LLQ); tattoos bilateral lower extremities with lesion right
-anterior mid-shin. Anicteric sclerae, conjunctiva clear, pupils
-were equal round and reactive to light, fundi difficult to
-visualize, mucous membranes were moist, tongue pink and
-oropharynx was without exudates or hyperemia. Trachea was in the
-midline and the neck was supple without adenopathy, thyromegaly
-or carotid bruits. Chest was symmetric and the lungs were clear
-to auscultation, no wheezes, air movement was fair to good.
-Cardiac exam was regular rate and rhythm, normal S1 and S2, no
-murmurs, rubs or gallops. The abdomen was obese but soft and
-non-tender, non-distended, + bowel sounds, no masses or hernias,
-there was small healed incision scar umbilicus. There was no
-spinal tenderness or flank pain. There was no edema of the lower
-extremities, no venous stasis or clubbing, perfusion was good.
-There was no evidence of joint swelling or inflammation of the
-joints. There were no focal neurological deficits and his gait
-was normal.  
- 
-
-###RESPONSE: blood pressure {Blood pressure finding}, pulse {Normal pulse}, O2
-sat {Oxygen saturation measurement}, on room air {Breathing room air}, physical examination {Physical examination procedure}, distress {Distress}, skin {Examination of skin}, warm {Warm skin}, rashes {Eruption of skin}, neurofibromas on face {Neurofibroma of face}, trunk {Trunk structure}, abdomen {Skin structure of anterior abdominal wall}, abdomen {Skin structure of anterior abdominal wall}, tattoos {Tattoo of skin}, lower extremities {Lower limb structure}, lesion {Lesion}, shin {Shin structure}, Anicteric {White sclera}, conjunctiva {Conjunctival structure}, pupils {Pupil finding}, mucous membranes were moist {Moist oral mucosa}, oropharynx {Oropharyngeal structure}, exudates {Exudate}, hyperemia {Hyperemia}, Trachea {Tracheal structure}, neck {Neck structure}, supple {Normal movement of neck}, adenopathy {Lymphadenopathy}, thyromegaly {Goiter}, carotid bruits {Carotid bruit}, Chest {Examination of respiratory system}, lungs were clear
-to auscultation {Normal breath sounds}, wheezes {Wheezing}, Cardiac {Cardiovascular physical examination}, regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, abdomen {Examination of abdomen}, obese {Obese}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds {Normal bowel sounds}, hernias {Herniated structure}, incision {Incision}, scar {Scar}, umbilicus {Umbilical structure}, tenderness {Tenderness}, pain {Pain}, edema {Edema}, lower
-extremities {Lower limb structure}, venous stasis {Venous stasis}, clubbing {Clubbing}, perfusion {Perfusion}, joint swelling {Joint swelling}, joints {Joint structure}, neurological deficits {Neurological deficit}, gait {Gait normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:36PM BLOOD Hct-43.9
-___ 07:05AM BLOOD WBC-6.0 RBC-4.53* Hgb-12.1* Hct-37.3* 
-MCV-82 MCH-26.7* MCHC-32.5 RDW-13.7 Plt ___
-___ 07:05AM BLOOD Plt ___
- 
-
-###RESPONSE: Hct {Hematocrit determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient admitted and underwent a laparoscopic gastric band. He 
-tolerated this procedure very well. Postoperative course was 
-complicated by urinary retention. Urology was consulted as 
-reinsertion of foley catheter was difficult. He will go home 
-with a foley catheter and appointment has been made for him with 
-urology to discontinue catheter in one week.
-
-Pain is well controlled on roxicet. Slowly progressed to 
-bariatric stage 3 with good tolerance. Discharge instructions 
-reviewed and discussed.
-
-Will follow up with Dr. ___ in 2 weeks.
- 
-
-###RESPONSE: laparoscopic gastric band. {Laparoscopic adjustable gastric banding}, procedure {Procedure}, urinary retention {Retention of urine}, foley {Catheterization of urinary bladder}, foley {Catheterization of urinary bladder}, Pain is well controlled {Demonstrates adequate pain control}, Discharge instructions {Final inpatient visit with instructions at discharge}, follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Levothyroxine 300 mcg daily for  
-hypothyroid; Citalopram 20 mg daily for depression (not taking); 
- 
-Simvastatin 40 mg daily for hyperlipidemia; Ibuprofen 800 mg  
-three times daily with meals as needed for back, knee pain;  
-Betamethasone 0.05% lotion to affected skin at bedtime;  
-multivitamins with minerals daily and vitamin D  
-
- 
-Discharge Medications:
-1. Levothyroxine 100 mcg Tablet Sig: Three (3) Tablet PO DAILY 
-(Daily).  
-2. Citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-3. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-4. Oxycodone-Acetaminophen ___ mg/5 mL Solution Sig: ___ MLs 
-PO Q4H (every 4 hours) as needed for pain.
-Disp:*500 ML(s)* Refills:*0*
-5. Colace 50 mg/5 mL Liquid Sig: Ten (10) ml PO twice a day as 
-needed for constipation.
-Disp:*500 ml* Refills:*0*
-6. Multivitamin     Tablet Sig: One (1) Tablet PO once a day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis: obesity
-
- 
-Discharge Condition:
-Mental Status:Clear and coherent
-Level of Consciousness:Alert and interactive
-Activity Status:Ambulatory - Independent
-
- 
-
-###RESPONSE: obesity {Obesity}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions: Please call your surgeon or return to 
-the emergency department if you develop a fever greater than 
-101.5, chest pain, shortness of breath, severe abdominal pain, 
-pain unrelieved by your pain medication, severe nausea or 
-vomiting, severe abdominal bloating, inability to eat or drink, 
-foul smelling or colorful drainage from your incisions, redness 
-or swelling around your incisions, or any other symptoms which 
-are concerning to you.
-
-Diet: Stay on Stage III diet until your follow up appointment. 
-Do not self advance
-diet, do not drink out of a straw or chew gum.
-
-Medication Instructions:
-Resume your home medications, CRUSH ALL PILLS.
-You will be starting some new medications:
-1.  You are being discharged on medications to treat the pain 
-from your operation. These medications will make you drowsy and 
-impair your ability to drive a motor vehicle or operate 
-machinery safely. You MUST refrain from such activities while 
-taking these medications.
-2. You should begin taking a chewable complete multivitamin with 
-minerals once a day. No gummy vitamins.
-3. You should take a stool softener, Colace, twice daily for 
-constipation as needed, or until you resume a normal bowel 
-pattern.
-4. You must not use NSAIDS (non-steroidal anti-inflammatory 
-drugs) Examples are Ibuprofen, Motrin, Aleve, Nuprin and 
-Naproxen. These agents will cause bleeding and ulcers in your 
-digestive system.
-
-Activity:
-No heavy lifting of items ___ pounds for 6 weeks. You may 
-resume moderate
-exercise at your discretion, no abdominal exercises.
-
-Wound Care:
-You may shower, no tub baths or swimming. 
-If there is clear drainage from your incisions, cover with 
-clean, dry gauze. 
-Your steri-strips will fall off on their own. Please remove any 
-remaining strips ___ days after surgery.
-Please call the doctor if you have increased pain, swelling, 
-redness, or drainage from the incision sites. 
-
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, fever {Fever}, chest pain {Chest pain}, shortness of breath {Dyspnea}, abdominal pain {Abdominal pain}, pain {Pain}, pain medication {Administration of analgesic}, nausea {Nausea}, vomiting {Vomiting}, abdominal bloating {Abdominal bloating}, drainage {Discharge}, incisions {Incision}, redness {Redness of skin over lesion}, swelling {Swelling}, incisions {Incision}, Diet {Dietary finding}, diet {Dietary finding}, diet {Dietary finding}, pain {Pain}, operation {Surgical procedure}, drowsy {Drowsy}, impair your ability to drive a motor vehicle or operate 
-machinery safely {Patient should not drive or operate machinery}, take a stool softener {Administration of laxative}, constipation {Constipation}, a normal bowel 
-pattern {Normal bowel habits}, bleeding {Bleeding}, ulcers {Ulcer}, digestive system {Structure of digestive system}, exercise {Exercises}, abdominal exercises {Abdominal exercises}, drainage {Discharge}, incisions {Incision}, cover with 
-clean, dry gauze {Application of dressing}, surgery {Surgical procedure}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision {Incision}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics) / Codeine / Azithromycin / 
-Tequin / Keflex / Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, Codeine {Allergy to codeine}, Azithromycin {Allergy to azithromycin}, Keflex {Allergy to cefalexin}, Penicillins {Allergy to penicillin}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o man with long hx of GERD who presented to the ED after 
-experiencing intermittant chest pain associated with dizziness 
-over the preceding two days.  He was unsure if this was GERD 
-associted pain or not, and felt recent initiation of SSRI may 
-have contributed, but symptoms persisted, so he called ___ at 
-the recommendation of an RN from his PCP's office.   He was 
-given ASA (4 baby asa) by EMS and he reported immediate relief 
-of his chest pain.  
-
-In the ED, found to have VSS.  ECG with ? old inferior infarct.  
-No ischemic changes.  Trop flat times two.  Had planned obs and 
-stress test, but not able to do on ___, so admitted. 
-
-ROS: at current: denies dizziness, sob, nausea, cp.  Denies 
-recent blood in stool or tarry stools.  All other systems 
-reviewed and negative. 
- 
-
-###RESPONSE: GERD {Gastroesophageal reflux disease}, chest pain {Chest pain}, dizziness {Dizziness}, GERD {Gastroesophageal reflux disease}, pain {Pain}, PCP {Primary care management}, relief {Feeling relief}, chest pain {Chest pain}, VSS {Vital signs finding}, ECG {Electrocardiographic procedure}, old inferior infarct {Old inferior myocardial infarction}, No ischemic changes {Electrocardiogram: no myocardial ischemia}, stress test {Electrocardiogram with exercise test}, dizziness {Dizziness}, sob {Dyspnea}, nausea {Nausea}, blood in stool {Hematochezia}, tarry stools {Melena}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN
-GERD
-HCL
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, GERD {Gastroesophageal reflux disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Cancer - lung and liver.  No hx. CAD in parents or siblings.
- 
-
-###RESPONSE: Cancer {Malignant neoplasm}, lung {Malignant tumor of lung}, liver {Malignant neoplasm of liver}, CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-AF and VSS. BP 156/98.  
-NAD
-Alert, oriented
-Independently ambulatory
-No JVD
-RRR no MRG
-CTA througout
-Soft, nt, nd, bs present
-No edema
-Distal pulses 2+
-No rash
- 
-
-###RESPONSE: AF {Atrial fibrillation}, VSS {Vital signs finding}, BP {Blood pressure finding}, NAD {No abnormality detected}, Alert {Mentally alert}, oriented {Orientated}, Independently ambulatory {Independent walking}, JVD {Jugular venous engorgement}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, CTA {Normal breath sounds}, Soft {Abdomen soft}, nt {Abdominal tenderness}, nd {Swollen abdomen}, bs present {Normal bowel sounds}, edema {Edema}, Distal pulses 2+ {Peripheral pulse present}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 03:00PM   PLT COUNT-197
-___ 03:00PM   NEUTS-64.3 ___ MONOS-9.4 EOS-1.6 
-BASOS-0.5
-___ 03:00PM   WBC-6.7 RBC-4.69 HGB-14.0 HCT-39.4* MCV-84 
-MCH-30.0 MCHC-35.6* RDW-13.6
-___ 03:00PM   D-DIMER-<150
-___ 03:00PM   cTropnT-<0.01
-___ 03:00PM   estGFR-Using this
-___ 03:00PM   GLUCOSE-92 UREA N-20 CREAT-0.9 SODIUM-142 
-POTASSIUM-3.5 CHLORIDE-103 TOTAL CO2-26 ANION GAP-17
-___ 09:15PM   cTropnT-<0.01
-
-ECG: NSR.  S1Q3T3 (old).  No acute ischemic changes.
-
-___ ___ M  ___  ___ 
- 
-Cardiology Report Stress Study Date of ___   
- 
-  
-EXERCISE RESULTS 
-
- 
-*** Not Signed Out *** 
-RESTING DATA 
-EKG:  SINUS, ERWP, NSSTTW   
-HEART RATE:  75 BLOOD PRESSURE:  144/70 
-  
-PROTOCOL GERVINO - TREADMILL 
-STAGE TIME SPEED ELEVATION HEART BLOOD RPP 
-  (MIN) (MPH) (%) RATE PRESSURE   
-1 ___ 1.0 5 82 148/74 ___ 
-2 ___ 1.6 6 79 150/70 ___ 
-3 ___ 2.2 7 86 156/60 ___ 2.8 8 94 156/60 ___ 
-  
-TOTAL EXERCISE TIME:  12 % MAX HRT RATE ACHIEVED:  66 
- 
-SYMPTOMS: NONE   
-ST DEPRESSION: NONE 
- 
-  
-INTERPRETATION: ___ yo man with h/o HTN and ECG with questionable 
-old 
-IMI was referred to evaluate an atypical chest discomfort and 
-lightheadedness. The patient completed 12 minutes of a Gervino 
-protocol 
-representing an average exercise tolerance for his age; ~ 6.2 
-METS. The 
-exercise test was stopped at the patient's request secondary to 
-fatigue. 
-No chest, back, neck or arm discomforts were reported. No 
-significant ST 
-segment changes were noted. The rhythm was sinus with rare 
-isolated APDs 
-and VPDs noted. In the absence of beta blocker therapy, the 
-heart rate 
-response to exercise was blunted. In addition, a blunted blood 
-pressure 
-response to exercise was noted. 
-  
-IMPRESSION: Average exercise tolerance. No anginal symptoms or 
-ischemic 
-ST segment changes. Blunted hemodynamic response to exercise 
-(see 
-above). 
- 
-
- 
-
-###RESPONSE: NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, cTropnT {Troponin T cardiac measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, ECG {Electrocardiographic procedure}, NSR {Normal sinus rhythm}, No acute ischemic {Electrocardiogram: no myocardial ischemia}, Cardiology {Cardiology service}, Stress Study {Electrocardiogram with exercise test}, EXERCISE {Electrocardiogram with exercise test}, EKG {Electrocardiographic procedure}, SINUS {Sinus rhythm}, HEART RATE {Finding of heart rate}, ELEVATION {Elevation}, HEART {Finding of heart rate}, PRESSURE {Blood pressure finding}, EXERCISE {Electrocardiogram with exercise test}, ST DEPRESSION {ST segment depression}, HTN {Hypertensive disorder, systemic arterial}, ECG {Electrocardiographic procedure}, old 
-IMI {Old inferior myocardial infarction}, chest discomfort {Chest discomfort}, lightheadedness {Lightheadedness}, exercise tolerance {Exercise tolerance finding}, exercise test {Electrocardiogram with exercise test}, fatigue {Fatigue}, chest {Thoracic structure}, back {Structure of back of trunk}, neck {Neck structure}, arm {Upper limb structure}, discomforts {Discomfort}, ST 
-segment changes {Electrocardiographic ST segment changes}, rhythm {Normal sinus rhythm}, sinus {Sinus rhythm}, therapy {Therapy}, heart rate {Finding of heart rate}, exercise {Electrocardiogram with exercise test}, blood 
-pressure {Blood pressure monitoring}, exercise {Electrocardiogram with exercise test}, exercise tolerance {Exercise tolerance finding}, anginal symptoms {Angina}, ischemic {Ischemia}, ST segment changes {Electrocardiographic ST segment changes}, hemodynamic {Hemodynamic monitoring}, exercise {Exercises}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Impression:
-
-Chest pain, intermittant, associated with lightheadeness, not 
-associated with activity, concerning for anginal pain; could be 
-due to gastritis or a side effect of new SSRI administration in 
-the past 10 days.  Fact that pt. reports that sysptoms 
-alleviated immediatley by the administration of asa by EMS 
-personnel unusual - no EMS documentation in pt. record.  I 
-remain concerned that this was more likely ntg administration 
-concurrently that may have resolved pain. 
-
-Stable and chronic issues include: HTN, HCL.
-
-Hospital course: 
-
-Troponin T negative times three.  Exercise stress test (non 
-imaging) was performed, result above.  Pt. had no symptoms of 
-chest pain or dizziness during this episode.  On further review, 
-pt. reported that chest pain and dizziness are most notable when 
-taking celexa - especially if he takes it on an empty stomach.  
-He also states that his chest pain is most consistent with his 
-acid reflux - and that this and dizziness are alleviated by 
-eating.  
-
-He endorses lonliness.  I have suggested that he continue to 
-take the SSRI, as the side effects of dizziness and GI upset 
-often resolve with continued administration of this medication.  
-He agrees with this. 
-
- 
-
-###RESPONSE: Chest pain {Chest pain}, lightheadeness {Lightheadedness}, anginal pain {Angina}, gastritis {Gastritis}, side effect {Medication side effects present}, resolved {Problem resolved}, pain {Pain}, Stable {Patient's condition stable}, chronic issues {Chronic disease}, HTN {Hypertensive disorder, systemic arterial}, Troponin T {Troponin T measurement}, Exercise stress test {Electrocardiogram with exercise test}, imaging {Imaging}, chest pain {Chest pain}, dizziness {Dizziness}, chest pain {Chest pain}, dizziness {Dizziness}, stomach {Stomach structure}, chest pain {Chest pain}, acid reflux {Acid reflux}, dizziness {Dizziness}, lonliness {Feeling lonely}, side effects {Medication side effects present}, dizziness {Dizziness}, GI upset {Gastrointestinal irritation}, administration of this medication {Administration of drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
- citalopram 
-10 mg Tablet 
-1 Tablet(s) by mouth once a day  ___
-New ___,
- ___ 30 Tablet 3 (Three) ___ Care)  
-  gemfibrozil 
-600 mg Tablet 
-1 Tablet(s) by mouth once a day (Prescribed by Other Provider; 
-Dose adjustment - no new Rx)  ___
-Recorded Only ___,
- ___        
-  hydrochlorothiazide 
-12.5 mg Capsule 
-1 Capsule(s) by mouth daily  ___
-Renewed ___,
- ___ 90 Capsule 3 (Three) ___ Care)  
-  omeprazole 
-40 mg Capsule, Delayed Release(E.C.) 
-1 Capsule(s) by mouth once a day (Prescribed by Other Provider: 
-___  ___
-Recorded Only ___,
- ___        
-  ranitidine HCl 
-150 mg Tablet 
-1 Tablet(s) by mouth at bedtime (Prescribed by Other Provider)  
-___
-Recorded Only ___,
- ___        
-  terazosin 
-2 mg Capsule 
-1 Capsule(s) by mouth at bedtime (Prescribed by Other Provider: 
-___  ___
-Recorded Only ___,
- ___        
-  * OTCs *             
-  acetaminophen [Tylenol Extra Strength] 
-500 mg Tablet 
-2 Tablet(s) by mouth q4hr as needed for pain (___)  ___
-Recorded Only ___,
- ___        
-  carboxymethylcellulose sodium [Lubricant Eye Drops] 
-0.5 % Drops 
-1 gtt ___ four times a day as needed for dry eyes (Prescribed by 
-Other Provider: ___  ___
-Recorded Only ___,
- ___        
-  cholecalciferol (vitamin D3) 
-1,000 unit Tablet 
-1 Tablet(s) by mouth once a day (___)  ___
-Recorded Only ___,
- ___        
-  glucosamine-chondroitin 
-500 mg-400 mg Capsule 
-3 Capsule(s) by mouth once a day (___)  ___
-Recorded Only ___,
- ___        
-  guar gum [Benefiber (guar gum)] 
-1 gram Tablet 
-1 Tablet(s) by mouth once a day (___)  ___
-Recorded Only ___,
- ___        
-  multivitamin-minerals-lutein [Centrum Silver] 
-Tablet 
-1 Tablet(s) by mouth once a day (___)  ___
-Recorded Only ___,
- ___        
-  saw ___ 
-500 mg Capsule 
-1 Capsule(s) by mouth once a day (___)  ___
-Recorded Only ___,
- ___        
-  ___ by Drug Class            
-
- 
-Discharge Medications:
-1. citalopram 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).  
-2. gemfibrozil 600 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-3. hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO 
-DAILY (Daily).  
-4. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-5. ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-6. terazosin 1 mg Capsule Sig: Two (2) Capsule PO HS (at 
-bedtime).  
-7. acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed for pain.  
-8. polyvinyl alcohol-povidone 1.4-0.6 % Dropperette Sig: ___ 
-Drops Ophthalmic PRN (as needed) as needed for dry eyes.  
-9. cholecalciferol (vitamin D3) 1,000 unit Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-10. multivitamin     Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Benefiber (guar gum)  Oral
-12. saw ___  Oral
-13. Centrum Silver  Oral
-14. hydrocortisone 1 % Cream Sig: One (1) application Topical 
-twice a day for 1 weeks: to rash.
-Disp:*1 tube* Refills:*0*
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-acid reflux
-dizziness (occasionally) likely related to side effect of celexa
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent
-
- 
-
-###RESPONSE: acid reflux {Acid reflux}, dizziness {Dizziness}, side effect {Medication side effects present}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-See below
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                        Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Seizures, confusion
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Seizures {Seizure}, confusion {Clouded consciousness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old ___ woman with a PMHx of 
-TIIDM, pituitary mass s/p resection ___, and hyperlipidemia who 
-presents as a direct admission to the EMU due to her history of 
-seizures, recent lapses in memory, and fatigue for better 
-characterization of her seizures and medication adjustment. She 
-is followed outpatient by Dr. ___. The HPI is 
-obtained from previous notes and from interview with patient 
-through an interpreter.
-
-In brief, Ms. ___ initially presented to the Access Neurology 
-clinic in ___ with five episodes of loss of 
-consciousness which were thought to be seizures. These episodes 
-were not well characterized, but per her son-in-law, occurred 
-while at work in a ___ restaurant, while she was sleeping at 
-home, and at ___, when she was found at the store with no 
-shoes and no recollection of how she got to the store. The 
-patient does not recall these episodes, but states that her 
-husband described the final two episodes as foaming at the mouth 
-and jerking of her hands. She was started initially by her PCP 
-on ___ 750 BID. 
-
-After self-discontinuing this medication due to GI side effects 
-attributed to it, she experienced one more episode in ___. She has not had any episodes with jerking of her 
-extremities or loss of awareness, such as the ___ 
-incident since re-starting her Keppra after this. She does 
-however complain of light-headedness, fatigue, and brief memory 
-lapses. She characterizes the memory lapses as being in a room 
-and forgetting why she is there, or holding an object in her 
-hands such as plates and forgetting why she is holding them and 
-what she is doing with them. This happens ___ times per day and 
-did not occur prior to her first seizure. She denies vertigo, 
-poor sleep, ___, jamais ___, paresthesias. However she does 
-endorse a rising sense of fear in her abdomen that is sometimes 
-associated with these episodes. 
-
-Routine EEG in ___ showed an electrographic seizure from 
-the right temporal region as well as periodic discharges. MRI 
-from ___ is reviewed in detail below, but in brief 
-showed no evidence of hemorrhage, edema, mass, mass effect and 
-showed a nonspecific right temporal superficial soft tissue 
-density which was previously noted on head CT. 
-
-Given these new episodes of memory lapse, continued seizure 
-activity on EEG despite levetiracetam, and possible toxicity 
-from levetiracetam resulting in fatigue and dizziness, Ms. ___ 
-is admitted for EEG monitoring and medication adjustment. 
-
-Her further is also notable for a history of a resection of 
-pituitary mass in ___. She reports having double vision prior 
-to discovery of the mass. It also appears that she received 
-radiation therapy post-operatively. It is unclear at this time 
-what evaluation or monitoring has been done from an 
-endocrinologic perspective since her arrival to the ___. 
-Furthermore, she has been incidentally found to have a right 
-frontotemporal nonspecific superficial soft tissue density on 
-imaging, the etiology of which is unclear but could be related 
-to her surgery. 
-
-On neuro ROS, she endorses having headache ___ times per week 
-with associated visual phenomenon of seeing ""shadows"" in her 
-vision. The headache is most prominent across the front of her 
-forehead and extends to her temples bilaterally. While she 
-endorses having had diplopia prior to her pituitary surgery, she 
-currently denies diplopia. She additionally denies dysarthria, 
-dysphagia, difficulties producing or comprehending speech.
-
-On general review of systems, the pt denies chest pain, SOB. She 
-endorses dry mouth.
- 
-
-###RESPONSE: TIIDM {Diabetes mellitus type 2}, pituitary mass {Mass of pituitary}, resection {Excision}, hyperlipidemia {Hyperlipidemia}, seizures {Seizure}, lapses in memory {Memory lapses}, fatigue {Fatigue}, seizures {Seizure}, medication adjustment {Change of medication}, loss of 
-consciousness {Loss of consciousness}, seizures {Seizure}, sleeping {Asleep}, mouth {Mouth region structure}, jerking {Spasmodic movement}, hands {Hand structure}, PCP {Primary care management}, GI side effects {Gastrointestinal tract drug side effect}, jerking {Spasmodic movement}, extremities {All extremities}, light-headedness {Lightheadedness}, fatigue {Fatigue}, memory 
-lapses {Memory lapses}, memory lapses {Memory lapses}, hands {Hand structure}, seizure {Seizure}, vertigo {Vertigo}, poor sleep {Difficulty sleeping}, paresthesias {Paresthesia}, fear {Fear}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, EEG {Electroencephalogram}, electrographic seizure {Electroencephalogram abnormality with seizure}, right temporal region {Right temporal lobe structure}, MRI {Magnetic resonance imaging}, no evidence {No abnormality detected}, hemorrhage {Hemorrhage}, edema {Edema}, mass {Mass of body structure}, right temporal {Right temporal lobe structure}, soft tissue {Structure of soft tissue}, density {Density outside reference range}, head CT {Computed tomography of head}, memory lapse {Memory lapses}, seizure {Seizure}, EEG {Electroencephalogram}, toxicity {Poisoning}, fatigue {Fatigue}, dizziness {Dizziness}, EEG monitoring {Continuous processed electroencephalogram}, medication adjustment {Review of medication}, resection of 
-pituitary mass {Operation on lesion of pituitary gland}, double vision {Diplopia}, mass {Mass of body structure}, radiation therapy {Radiation oncology AND/OR radiotherapy}, post-operatively {Postoperative state}, evaluation {Evaluation procedure}, monitoring {Monitoring procedure}, right 
-frontotemporal {Right temporal and frontal lobes (combined site)}, soft tissue {Structure of soft tissue}, density {Density outside reference range}, imaging {Imaging}, surgery {Surgical procedure}, ROS {Review of systems}, headache {Headache}, visual {Visual hallucinations}, vision {Visual disturbance}, headache is most prominent across the front of her 
-forehead {Frontal headache}, extends to her temples bilaterally {Temporal headache}, diplopia {Diplopia}, pituitary surgery {Operation on pituitary gland}, diplopia {Diplopia}, dysarthria {Dysarthria}, dysphagia {Dysphagia}, difficulties producing or comprehending speech {Difficulty comprehending speech}, general {General examination of patient}, review of systems {Review of systems}, chest pain {Chest pain}, SOB {Dyspnea}, dry mouth {Mucous membrane dryness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Diabetes Type II
-2. Pituitary Mass s/p resection in ___ in ___
-3. Vitamin D deficiency
-4. Hyperlipidemia
- 
-
-###RESPONSE: Diabetes Type II {Diabetes mellitus type 2}, Pituitary Mass {Mass of pituitary}, resection {Excision}, Vitamin D deficiency {Vitamin D deficiency}, Hyperlipidemia {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No known family history of seizure disorder. 
- 
-
-###RESPONSE: seizure disorder {Seizure disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ON ADMISSION
-===========
-Vitals: 98.3 119/78 58 18 94RA 
-General: awake, cooperative, NAD.
-HEENT: Dry mouth. NC/AT, no scleral icterus noted.
-Neck: supple, no nuchal rigidity
-Pulmonary: breathing comfortably on room air
-Cardiac: RRR
-Abdomen: soft, NT/ND
-Extremities: warm, well perfused
-Skin: no rashes or lesions noted
-
-Neurologic:
-
--Mental Status: Alert, oriented to self, hospital, and date. 
-Able
-to relate history through interpreter. Attentive, able to name
-___ backward without difficulty. Language appears to be fluent
-per interpreter. Able to follow both midline and appendicular
-commands. There was no evidence of apraxia or neglect.
-
--Cranial Nerves:
-II, III, IV, VI:  PERRL 3 to 2mm and brisk. EOMI. Left gaze
-fatigable nystagmus. Normal saccades. VFF to confrontation.
-V: Facial sensation intact to light touch.
-VII: No facial droop, facial musculature symmetric.
-VIII: Hearing intact to finger-rub bilaterally.
-IX, X: Palate elevates symmetrically.
-XI: ___ strength in trapezii and SCM bilaterally.
-XII: Tongue protrudes in midline.
-
--Motor: Normal bulk, tone throughout. No pronator drift
-bilaterally.
-No adventitious movements, such as tremor, noted. No asterixis
-noted.
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5   5
-R  5    ___   ___  5   5    5  5     5     5   5
-
--Sensory: No deficits to light touch. No extinction to DSS.
-
--Coordination: No intention tremor. No dysmetria on FNF
-
--Gait: Deferred
-
-ON DISCHARGE
-============
-Vitals: 97.6 115/77 65 16 94% RA
-General: awake, cooperative, NAD.
-HEENT: Dry mouth. NC/AT, no scleral icterus noted.
-Neck: supple, no nuchal rigidity
-Pulmonary: breathing comfortably on room air
-Cardiac: RRR
-Abdomen: soft, NT/ND
-Extremities: warm, well perfused
-Skin: no rashes or lesions noted
-
-Neurologic:
-
--Mental Status: Alert, oriented to self, hospital, and date. 
-Able to relate history through interpreter. Attentive, able to 
-name ___ backward without difficulty. Language appears to be 
-fluent per interpreter. Able to follow both midline and 
-appendicular commands. There was no evidence of apraxia or 
-neglect.
-
--Cranial Nerves:
-II, III, IV, VI:  PERRL 3 to 2mm and brisk. EOMI. No nystagmus. 
-Normal saccades. VFF to confrontation.
-V: Facial sensation intact to light touch.
-VII: No facial droop, facial musculature symmetric.
-VIII: Hearing intact to finger-rub bilaterally.
-IX, X: Palate elevates symmetrically.
-XI: ___ strength in trapezii and SCM bilaterally.
-XII: Tongue protrudes in midline.
-
--Motor: Normal bulk, tone throughout. Slight right sided 
-pronator drift.
-No adventitious movements, such as tremor, noted. No asterixis 
-noted.
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5   5
-R  5    ___   ___  5   5    5  5     5     5   5
-
--Sensory: No deficits to light touch. No extinction to DSS.
-
--Coordination: No intention tremor. No dysmetria on FNF.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, awake {Awake}, cooperative {Cooperative mental state}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Dry mouth {Mucous membrane dryness}, NC {Normal head}, scleral icterus {Scleral icterus}, Neck {Physical examination procedure}, supple {Normal movement of neck}, nuchal rigidity {Nuchal rigidity}, Pulm {Examination of respiratory system}, breathing comfortably {Breathing easily}, on room air {Breathing room air}, Cardiac {Cardiovascular physical examination}, RRR {Normal heart rate}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Extremities {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, oriented {Oriented to person}, Attentive {Well controlled integrated attention}, fluent {Does speak fluently}, no evidence {No abnormality detected}, apraxia {Apraxia}, neglect {Neglect of part of body}, PERRL {Pupils equal and reacting to light}, brisk {Brisk pupil movement}, EOMI {Normal ocular motility}, nystagmus {Nystagmus}, Normal saccades {Normal ocular motility}, VFF to confrontation {Normal visual field}, Facial {Face structure}, sensation intact to light touch {Light touch sensation present}, facial droop {Weakness of face muscles}, facial musculature symmetric {Facial symmetry}, Hearing intact {Hearing normal}, Palate elevates {Able to elevate soft palate}, trapezii {Structure of trapezius muscle}, SCM {Structure of sternocleidomastoid muscle}, Tongue protrudes {Able to protrude tongue}, Motor {Motor testing}, Normal bulk, tone {Normal tone in skeletal muscle}, pronator drift {Downward drift of outstretched supinated arm}, adventitious movements {Involuntary movement}, tremor {Tremor}, asterixis {Asterixis}, Sensory {Sensory testing}, No deficits to light touch {Normal light touch sensation}, intention tremor {Intention tremor}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}, Vitals {Vital signs finding}, General {General examination of patient}, awake {Awake}, cooperative {Cooperative mental state}, NAD {Distress}, HEENT {General examination of patient}, Dry mouth {Mucous membrane dryness}, scleral icterus {Scleral icterus}, supple {Normal movement of neck}, nuchal rigidity {Nuchal rigidity}, Pulmonary {Examination of respiratory system}, breathing comfortably on room air {Breathing room air}, Cardiac {Cardiovascular physical examination}, RRR {Normal heart rate}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, Extremities {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Skin lesion}, Neurologic {Neurological examination}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, oriented {Oriented to person}, Attentive {Well controlled integrated attention}, fluent {Does speak fluently}, per interpreter {Interpreter present}, no evidence {No abnormality detected}, apraxia {Apraxia}, neglect {Neglect of part of body}, Cranial Nerves {Examination of cranial nerve}, PERRL {Pupils equal and reacting to light}, brisk {Brisk pupil movement}, EOMI {Normal ocular motility}, nystagmus {Nystagmus}, Normal saccades {Normal ocular motility}, VFF to confrontation {Normal visual field}, Facial {Face structure}, sensation intact to light touch {Light touch sensation present}, facial droop {Weakness of face muscles}, facial musculature symmetric {Facial symmetry}, Hearing intact {Hearing normal}, Palate elevates {Able to elevate soft palate}, trapezii {Structure of trapezius muscle}, SCM {Structure of sternocleidomastoid muscle}, Tongue protrudes in midline {Able to protrude tongue fully}, Motor {Motor testing}, Normal bulk, tone {Normal tone in skeletal muscle}, right sided {Structure of right half of body}, pronator drift {Downward drift of outstretched supinated arm}, adventitious movements {Involuntary movement}, tremor {Tremor}, asterixis {Asterixis}, Sensory {Sensory testing}, No deficits to light touch {Normal light touch sensation}, intention tremor {Intention tremor}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:35AM BLOOD WBC-5.5 RBC-4.63 Hgb-13.6 Hct-40.5 MCV-88 
-MCH-29.4 MCHC-33.6 RDW-12.7 RDWSD-40.2 Plt ___
-___ 08:35AM BLOOD Glucose-311* UreaN-13 Creat-1.0 Na-140 
-K-3.7 Cl-98 HCO3-22 AnGap-20*
-___ 08:35AM BLOOD ALT-31 AST-25 LD(LDH)-179 AlkPhos-77 
-TotBili-0.7
-___ 08:35AM BLOOD Albumin-4.4 Calcium-9.2 Phos-3.8 Mg-2.2
-___ 08:35AM BLOOD FSH-4.8 LH-2.2 Prolact-2.9* TSH-1.0
-___ 12:01PM URINE Color-Straw Appear-Clear Sp ___
-___ 12:01PM URINE Blood-NEG Nitrite-NEG Protein-NEG 
-Glucose-1000* Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 
-Leuks-MOD*
-___ 12:01PM URINE RBC-1 WBC-19* Bacteri-NONE Yeast-NONE 
-Epi-1
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, URINE Color-Straw {Normal urine color}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ ___ speaking only woman with a past 
-medical history significant for a pituitary mass resected in 
-___ in ___ that she was told was benign; type 2 diabetes; 
-hyperlipidemia who started having episodes of memory lapses over 
-the last one to ___ years. For example, she would be performing 
-activity such as doing the dishes and then suddenly not remember 
-why she had dishes in her hands. She was evaluated by Dr. 
-___ in ___ ___ Department and an EEG was obtained on 
-___, which revealed one electrographic seizure with a 
-right temporal onset and without clear clinical correlate and 
-temporal intermittent rhythmic delta activity as well as 
-frequent left anterior temporal epileptiform discharges 
-occurring in 1 Hz periodic runs as well as intermittent focal 
-slowing of the left frontotemporal region indicative of focal 
-cerebral dysfunction. Her Keppra was continued at that time at 
-750 mg b.i.d. She has continued to have episodes of 
-forgetfulness and has subsequently been let go from her job. She 
-was admitted to the EMU for cvEEG in order to evaluate for any 
-evidence of subclinical seizures as well as her medication 
-optimization. In addition to her home dose of lamotrigine 1500 
-mg daily, she was started on lacosamide 50 mg twice daily, which 
-was subsequently increased to 150 mg twice daily, or 300 mg 
-daily dose. One seizure was detected at 1738 on ___ with ___ Hz 
-rhythmic discharges that rapidly lateralized over the left 
-temporal region with no obvious clinical correlate. This lasted 
-approximately 10 seconds. She also had frequent independent 
-right and left mesiotemporal epileptiform discharges admixed 
-with sharp bursts of rhythmic theta but no other seizures. 
-
-TRANSITIONAL ISSUES:
--Consider wean from Keppra, given her report of increased 
-fatigue since starting Keppra. 
--FSH, LH, TSH, and prolactin were all measured for further 
-evaluation of her endocrine status after resection of pituitary 
-mass. All levels were lower than reference ranges. 
- 
-
-###RESPONSE: pituitary mass {Mass of pituitary}, type 2 diabetes {Diabetes mellitus type 2}, hyperlipidemia {Hyperlipidemia}, memory lapses {Memory lapses}, evaluated {Evaluation procedure}, EEG {Electroencephalogram}, electrographic seizure {Electroencephalogram abnormality with seizure}, right temporal {Right temporal lobe structure}, temporal {Right temporal lobe structure}, intermittent rhythmic delta activity {Focal episodic delta activity}, left {Structure of left half of head}, temporal epileptiform discharges {Periodic lateralized epileptiform discharges}, left frontotemporal region {Left temporal and frontal lobes (combined site)}, evaluate {Evaluation procedure}, seizures {Seizure}, medication 
-optimization {Review of medication}, increased {Increasing dosage of medication}, seizure {Seizure}, left 
-temporal region {Left temporal lobe structure}, right {Right temporal lobe structure}, left mesiotemporal {Left temporal lobe structure}, epileptiform discharges {Periodic lateralized epileptiform discharges}, sharp bursts {Focal sharp waves}, seizures {Seizure}, fatigue {Fatigue}, FSH {Follicle stimulating hormone measurement}, LH {Luteinizing hormone measurement}, TSH {Thyroid stimulating hormone measurement}, evaluation {Evaluation procedure}, resection of pituitary 
-mass {Excision of lesion of pituitary gland}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. LevETIRAcetam 750 mg PO BID 
-2. Aspirin 81 mg PO DAILY 
-3. MetFORMIN XR (Glucophage XR) 500 mg PO DAILY 
-4. Simvastatin 20 mg PO QPM 
-5. Mirtazapine 15 mg PO QHS 
-6. Vitamin D ___ UNIT PO 1X/WEEK (___) 
-
- 
-Discharge Medications:
-1.  LACOSamide 100 mg PO BID 
-RX *lacosamide [Vimpat] 150 mg 1 tablet(s) by mouth twice a day 
-Disp #*60 Tablet Refills:*0 
-2.  Aspirin 81 mg PO DAILY  
-3.  LevETIRAcetam 750 mg PO BID  
-4.  MetFORMIN XR (Glucophage XR) 500 mg PO DAILY  
-5.  Mirtazapine 15 mg PO QHS  
-6.  Simvastatin 20 mg PO QPM  
-7.  Vitamin D ___ UNIT PO 1X/WEEK (___)  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Epilepsy.  Intractable temporal lobe epilepsy.
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Epilepsy {Epilepsy}, temporal lobe epilepsy {Temporal lobe epilepsy}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms ___,
-
-It was a pleasure taking care of you at ___ 
-___.
-
-You were in the hospital so we could monitor you for seizures. 
-We also wanted to see if your episodes of confusion were due to 
-seizures.
-
-You had one seizure while at ___. You did not have any 
-episodes of confusion. We added a new medication called 
-Lacosamide to help prevent seizures.
-
-When you leave the hospital, it will be very important to take 
-BOTH seizure medications. You will follow up with Dr ___ to 
-discuss possibly stopping your Keppra.
-
-Best wishes,
-Your ___ team
- 
-
-###RESPONSE: seizures {Seizure}, confusion {Clouded consciousness}, seizures {Seizure}, seizure {Seizure}, confusion {Clouded consciousness}, new medication {New medication commenced}, seizures {Seizure}, seizure {Seizure}, medications {Administration of drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p fall
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, fall {Falls}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ is transferred here for left-sided rib fractures, 8,9 and 
-10.
-No associated hemothorax or pneumothorax. On CT. He fell
-yesterday while in the shower. Reports he was getting out when 
-he
-slipped and he grabbed onto the shower curtain to slow his fall
-down. He landed on his left chest. He reports abdominal
-discomfort as well. Reports mild left elbow discomfort. He 
-denies
-head strike. He takes aspirin. His initial history of
-hypertension, hyperlipidemia. Sent here for trauma eval. His 
-pain
-is controlled currently received oxycodone Toradol the outside
-hospital.
-
- 
-
-###RESPONSE: left-sided {Bone structure of left rib}, rib fractures {Fracture of multiple ribs}, hemothorax {Hemothorax}, pneumothorax {Pneumothorax}, fell {Falls}, fall {Falls}, left chest {Structure of left half of chest wall}, abdominal
-discomfort {Abdominal discomfort}, mild {Symptom mild}, left elbow {Left elbow region structure}, discomfort {Discomfort}, head strike {Injury of head}, aspirin {Administration of aspirin}, hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, trauma {Traumatic injury}, eval {Evaluation procedure}, pain
-is controlled {Pain control}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission Physical:
-98.3 81 116/90 20 96% 2L NC
-General: comfortable, NAD on o2
-___: RRR, no chest wall deformities
-Pulm: clear bilaterally, adequate inspiratory effort, tender 
-left
-side
-abdomen: soft, NT
-Ext: no deformities or abrasions, moves all extremities not
-tender to palpation
-
-Discharge Physical:
-VS: 97.8, 121/73, 72, 18, 92 RA
-Gen: A&O x3, sitting up at edge of bed, NARD, speaking and 
-breathing comfortably
-CV: HRR
-Pulm: LS ctab. TTP over left rib cage
-Abd: Soft, NT/ND
-Ext: No edema
- 
-
-###RESPONSE: NC {Normal head}, General {General examination of patient}, comfortable {Comfortable appearance}, NAD {No abnormality detected}, o2 {Oxygen therapy}, RRR {Normal heart rate}, chest wall deformities {Deformity of chest wall}, Pulm {Examination of respiratory system}, clear {Normal breath sounds}, tender {Abdominal tenderness}, left
-side {Structure of left half of chest wall}, abdomen {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, deformities {Deformity}, abrasions {Abrasion}, all extremities {All extremities}, tender {Abdominal tenderness}, palpation {Palpation}, RA {Breathing room air}, O x3 {Oriented to person, time and place}, sitting {Sitting position}, NARD {Respiratory distress}, breathing comfortably {Breathing easily}, HRR {Normal heart rate}, Pulm {Examination of respiratory system}, ctab {Normal breath sounds}, TTP {Chest wall tenderness}, left {Structure of left half of chest wall}, rib cage {Thoracic cage structure}, Abd {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, Ext {Examination of limb}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 05:30AM BLOOD WBC-7.8 RBC-4.20* Hgb-12.7* Hct-37.8* 
-MCV-90 MCH-30.2 MCHC-33.6 RDW-13.2 RDWSD-43.2 Plt ___
-___ 03:02PM BLOOD WBC-10.3* RBC-4.49* Hgb-13.4* Hct-40.8 
-MCV-91 MCH-29.8 MCHC-32.8 RDW-13.2 RDWSD-43.8 Plt ___
-___ 05:30AM BLOOD Glucose-98 UreaN-12 Creat-1.0 Na-146 
-K-3.7 Cl-108 HCO3-23 AnGap-15
-___ 03:02PM BLOOD Glucose-102* UreaN-19 Creat-1.0 Na-145 
-K-3.8 Cl-109* HCO3-21* AnGap-15
-___ 05:30AM BLOOD Calcium-7.8* Phos-2.4* Mg-2.2
-
-Imaging: 
-CT C spine:
-1. No evidence of fracture or malalignment.
-2. Moderate cervical spondylosis.
-CT head
-Minimal subgaleal hematoma along the posterior vertex. 
-Otherwise,
-no evidence
-of an acute intracranial abnormality.
-CT A/P: 
-1. Acute lateral left eighth and ninth rib fractures are
-unchanged. No
-associated pleural effusion or pneumothorax visualized.
-2. No other acute traumatic abnormality in the abdomen or 
-pelvis.
-Normal
-spleen.
-3. Chronic appearing right diaphragmatic hernia containing a
-portion of the
-liver.
-4. Severe calcified coronary atherosclerosis.
-5. 2 cm right common iliac artery aneurysm.
-6. Diverticulosis without diverticulitis
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Plt {Platelet count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, No evidence {No abnormality detected}, fracture {Fracture}, malalignment {Misalignment}, cervical spondylosis {Cervical spondylosis}, CT head {Computed tomography of head}, subgaleal hematoma {Epicranial subaponeurotic hematoma}, vertex {Vertex structure}, no evidence {No abnormality detected}, intracranial {Intracranial structure}, abnormality {No abnormality detected}, CT A/P {Computed tomography of abdomen and pelvis}, left {Bone structure of left rib}, eighth {Bone structure of eighth rib}, ninth {Bone structure of ninth rib}, rib fractures {Fracture of two ribs}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, traumatic {Traumatic injury}, abnormality {No abnormality detected}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pelvis {Structure of pelvis}, Normal {No abnormality detected}, spleen {Splenic structure}, Chronic {Chronic disease}, right {Structure of right half of body}, diaphragmatic hernia {Diaphragmatic hernia}, liver {Liver structure}, calcified {Pathologic calcification, calcified structure}, coronary atherosclerosis {Atherosclerosis of coronary artery}, right common iliac artery aneurysm {Aneurysm of right common iliac artery}, Diverticulosis {Diverticulosis of colon}, diverticulitis {Diverticulitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ Y/o M with h/o HTN presents to the ED as a transfer from 
-___ with a left rib fracture s/p fall. The patient's lab 
-work was unremarkable.
-His CT Head showed a minimal subgaleal hematoma along the 
-posterior vertex
-but was otherwise unremarkable. His CT C-spine showed no 
-evidence of
-fracture or malalignment. The patient's CT chest was notable for 
-acute lateral
-left eighth and ninth rib fractures without an associated 
-pleural effusion or
-pneumothorax visualized. trauma surgery was consulted and will 
-admit for
-further pain management and monitoring in setting of multiple 
-rib fractures with
-hypoxia.
-
-By HD2, pain was well controlled. The patient was ambulating 
-independently in room and halls therefore ___ did not evaluate 
-him. Oxygen was successfully weaned off and the patient had an 
-oxygen saturation of 93-94% on room air at the time of 
-discharge. 
-During this hospitalization, the patient ambulated early and 
-frequently, was adherent with respiratory toilet and incentive 
-spirometry, and actively participated in the plan of care. The 
-patient received subcutaneous heparin and venodyne boots were 
-used during this stay.
-
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs. The patient was tolerating a regular 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled.  The patient was discharged home without services. 
-The patient received discharge teaching and follow-up 
-instructions with understanding verbalized and agreement with 
-the discharge plan.
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, left {Bone structure of left rib}, rib fracture {Fracture of rib}, fall {Falls}, lab 
-work {Laboratory test}, unremarkable {No abnormality detected}, CT Head {Computed tomography of head}, subgaleal hematoma {Epicranial subaponeurotic hematoma}, vertex {Vertex structure}, unremarkable {No abnormality detected}, CT C-spine {Computed tomography of cervical spine}, no 
-evidence {No abnormality detected}, fracture {Fracture}, malalignment {Misalignment}, CT chest {Computed tomography of chest}, left {Bone structure of left rib}, eighth {Bone structure of eighth rib}, ninth {Bone structure of ninth rib}, rib fractures {Fracture of two ribs}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, trauma {Traumatic injury}, pain management {Pain management}, monitoring {Monitoring procedure}, multiple 
-rib fractures {Fracture of multiple ribs}, hypoxia {Hypoxia}, pain was well controlled {Demonstrates adequate pain control}, ambulating 
-independently {Independent walking}, evaluate {Evaluation procedure}, oxygen saturation {Finding of oxygen saturation}, on room air {Breathing room air}, respiratory toilet {Airway toilet}, incentive 
-spirometry {Incentive spirometry}, subcutaneous heparin {Subcutaneous injection of heparin}, afebrile {Temperature normal}, stable vital signs {Normal vital signs}, tolerating a regular 
-diet {Tolerating normal diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}, follow-up {Follow-up encounter}, instructions {Education}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-none
- 
-Discharge Medications:
-1.  Acetaminophen 650 mg PO Q6H 
-RX *acetaminophen 325 mg 2 tablet(s) by mouth every six (6) 
-hours Disp #*30 Tablet Refills:*0 
-2.  Docusate Sodium 100 mg PO BID  
-3.  Ibuprofen 600 mg PO Q8H:PRN Pain - Mild 
-RX *ibuprofen 600 mg 1 tablet(s) by mouth every eight (8) hours 
-Disp #*20 Tablet Refills:*0 
-4.  Lidocaine 5% Patch 1 PTCH TD QAM L rib fx's  
-5.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone 5 mg 1 tablet(s) by mouth every four (4) hours 
-Disp #*10 Tablet Refills:*0 
-6.  Polyethylene Glycol 17 g PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Acute lateral left eighth and ninth rib fractures 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: left {Bone structure of left rib}, eighth {Bone structure of eighth rib}, ninth {Bone structure of ninth rib}, rib fractures {Fracture of two ribs}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-* Your injury caused 2 left sided rib fractures which can cause 
-severe pain and subsequently cause you to take shallow breaths 
-because of the pain.
- 
-* You should take your pain medication as directed to stay ahead 
-of the pain otherwise you won't be able to take deep breaths. If 
-the pain medication is too sedating take half the dose and 
-notify your physician.
- 
-* Pneumonia is a complication of rib fractures.  In order to 
-decrease your risk you must use your incentive spirometer 4 
-times every hour while awake.  This will help expand the small 
-airways in your lungs and assist in coughing up secretions that 
-pool in the lungs.
- 
-* You will be more comfortable if you use a cough pillow to hold 
-against your chest and guard your rib cage while coughing and 
-deep breathing.
- 
-* Symptomatic relief with ice packs or heating pads for short 
-periods may ease the pain.
- 
-* Narcotic pain medication can cause constipation therefore you 
-should take a stool softener twice daily and increase your fluid 
-and fiber intake if possible.
- 
-* Do NOT smoke
- 
-* If your doctor allows, non-steroidal ___ drugs 
-are very effective in controlling pain ( ie, Ibuprofen, Motrin, 
-Advil, Aleve, Naprosyn) but they have their own set of side 
-effects so make sure your doctor approves.
- 
-* Return to the Emergency Room right away for any acute 
-shortness of breath, increased pain or crackling sensation 
-around your ribs (crepitus).
-
- 
-
-###RESPONSE: injury {Traumatic or non-traumatic injury}, left sided {Bone structure of left rib}, rib fractures {Fracture of two ribs}, severe pain {Severe pain}, cause you to take shallow breaths {Respiratory health self management education}, pain {Pain}, pain medication {Administration of analgesic}, pain {Pain}, able to take deep breaths {Able to take deep breaths}, pain medication {Administration of analgesic}, notify {Informing doctor}, Pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, decrease your risk {Preventive procedure}, use your incentive spirometer {Incentive spirometry}, awake {Awake}, airways {Airway structure}, lungs {Lung structure}, in coughing up secretions {Encouragement of deep breathing and coughing exercises}, lungs {Lung structure}, comfortable {Comfortable appearance}, chest {Thoracic structure}, rib cage {Thoracic cage structure}, coughing and 
-deep breathing {Deep breathing and coughing exercises}, relief {Pain relief}, ice packs {Application of ice}, heating pads {Heat therapy}, pain {Pain}, Narcotic pain medication can cause {Narcotics education}, constipation {Constipation}, take a stool softener {Administration of laxative}, increase your fluid {Fluid intake encouragement}, fiber intake {High fiber diet education}, Do NOT smoke {Smoking cessation education}, non-steroidal ___ drugs {Non-steroidal anti-inflammatory agent therapy}, controlling pain {Pain control}, side 
-effects {Medication side effects present}, Return to the Emergency Room {Emergency treatment management}, shortness of breath {Dyspnea}, increased pain {Increased pain}, crackling {Respiratory crackles}, sensation {Sensation of movement}, ribs {Bone structure of rib}, crepitus {Bone crepitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Positive blood cultures 
- 
-Major Surgical or Invasive Procedure:
-___: ___ removal
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, Positive blood cultures {Organism isolated in blood by culture}, removal {Removal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-The patient is a ___ yo woman with ALL, now DAY ___ s/p 
-allogeneic stem cell transplant, who is admitted for evaluation 
-of a positive blood culture. pt was last admitted on ___ 
-with similar issues. she was noted to have coag -ve staph and 
-was started on 1g of vanco daily. her subsequently cultures came 
-back negative. she was discharged home with a course of vanco 
-which she finished ___. she was seen in clinic yesterday 
-without complaints of fever, chill or rigor. she did however 
-have surveillance cultures drawn from her line which today grew 
-GPC. she was called to come into the ed where she was noted to 
-be afebrile and hemodynamically stable. no clear source of 
-infection noted. line site appears intact. pt was started on 
-vancomycin and admitted for further care. 
- 
-
-###RESPONSE: ALL {Precursor cell lymphoblastic leukemia}, allogeneic stem cell transplant {Allogeneic peripheral blood stem cell transplant}, evaluation {Evaluation procedure}, positive blood culture {Organism isolated in blood by culture}, cultures {Microbial culture}, vanco {Antibiotic therapy}, seen in clinic {Seen in clinic}, fever {Fever}, chill {Chill}, rigor {Rigor}, surveillance cultures {Surveillance culture}, hemodynamically stable {Hemodynamically stable}, infection {Infectious disease}, intact {No abnormality detected}, vancomycin {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Acute lymphocytic leukemia
-The patient initially presented in ___ to an OSH with vague LUQ 
-discomfort. Initial abdominal imaging demonstrated gallstones. 
-In ___, she presented with chest pain radiating to her left 
-arm, shortness of breath, and weakness with WBC 123, Hct 19.6, 
-and Plt 23. Acute MI was ruled out. Abdominal US demonstrated 
-splenomegaly. She was transferred to ___ for further 
-evaluation and treatment of leukemia. She was started on 
-hydroxyurea and dexamethasone with allopurinol and bicarbonate 
-prophylaxis. Bone marrow biopsy and peripheral smear were 
-consistent with ALL with 9;22 translocation. Initial evaluation 
-with echocardiogram and LP were unremarkable. After two cycles 
-of Hyper CVAD, parts A and B, she underwent a matched unrelated 
-allogeneic stem cell transplantation wtih cyclophosphamide and 
-ATG conditioning on the XOMA trial on ___.
-
-ADDITIONAL MEDICAL HISTORY:  
-1. HTN  
-
- 
-
-###RESPONSE: Acute lymphocytic leukemia {Precursor cell lymphoblastic leukemia}, LUQ {Structure of left upper quadrant of abdomen}, discomfort {Discomfort}, abdominal imaging {Imaging of abdomen}, gallstones {Gallbladder calculus}, chest pain {Chest pain}, radiating to her left 
-arm {Pain radiating to left arm}, shortness of breath {Dyspnea}, weakness {Asthenia}, WBC {White blood cell count}, Hct {Hematocrit determination}, Acute MI {Acute myocardial infarction}, Abdominal US {Ultrasonography of abdomen}, splenomegaly {Splenomegaly}, evaluation {Evaluation procedure}, leukemia {Leukemia}, prophylaxis {Administration of prophylactic drug or medicament}, Bone marrow biopsy {Bone marrow sampling}, ALL {Precursor cell lymphoblastic leukemia}, evaluation {Evaluation procedure}, echocardiogram {Echocardiography}, LP {Lumbar puncture}, unremarkable {No abnormality detected}, matched {Major crossmatch}, unrelated {Unrelated}, allogeneic stem cell transplantation {Allogeneic peripheral blood stem cell transplant}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mom - HTN, hypercholesterolemia
-Dad - MI at ___ y.o., deceased at ___ y.o. from cardiac disease
-Sister - healthy
-___ any oncologic history, including leukemias or lymphomas.
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, hypercholesterolemia {Hypercholesterolemia}, MI {Myocardial infarction}, deceased {Dead}, cardiac disease {Heart disease}, leukemias {Leukemia}, lymphomas {Malignant lymphoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: 96.9, 82, 154/76, 16, 99% on ra  
-GEN: NAD, A&Ox3  
-HEENT: Clear OP, MMM.  
-NECK: Supple, No LAD, No JVD. Bilateral new lines  
-CV: RR, NL rate. NL S1, S2.  
-LUNGS: CTA, BS ___, No W/R/C  
-ABD: Soft, NT, ND. NL BS. No HSM  
-EXT: No edema. 2+ DP pulses ___  
-SKIN: No lesions  
-NEURO: A&Ox3. Appropriate. CN ___ intact.  
-
- 
-
-###RESPONSE: VITALS {Vital signs finding}, ra {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, HEENT {Physical examination procedure}, Clear OP {Pharynx normal}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, NL rate {Normal heart rate}, S2 {Normal second heart sound, S>2<}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, NL BS {Normal bowel sounds}, HSM {Hepatosplenomegaly}, EXT {Examination of limb}, edema {Edema}, 2+ DP pulses {All pulses present in bilateral lower limbs}, SKIN {Examination of skin}, lesions {Lesion}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, CN {Cranial nerve structure}, intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:05AM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 
-LEUK-NEG
-___ 12:40AM   WBC-8.1 RBC-2.77* HGB-8.7* HCT-25.1* MCV-91 
-MCH-31.3 MCHC-34.5 RDW-18.3*
-___ 12:40AM   ALBUMIN-4.2 CALCIUM-9.4 MAGNESIUM-2.2
-___ 12:40AM   LIPASE-32
-___ 12:40AM   ALT(SGPT)-27 AST(SGOT)-65* ALK PHOS-121* TOT 
-BILI-0.3
-___ 12:40AM   GLUCOSE-98 UREA N-40* CREAT-1.9* SODIUM-134 
-POTASSIUM-6.3* CHLORIDE-105 TOTAL CO2-17* ANION GAP-18
-___ 05:50AM   GLUCOSE-79 UREA N-36* CREAT-1.9* SODIUM-134 
-POTASSIUM-4.6 CHLORIDE-104 TOTAL CO2-19* ANION GAP-16
-___ 05:50AM   ALBUMIN-4.1 CALCIUM-9.7 MAGNESIUM-2.0
-___ 05:50AM   WBC-7.5 RBC-2.76* HGB-8.7* HCT-24.6* MCV-89 
-MCH-31.6 MCHC-35.4* RDW-18.1*
-
-___ 1:50 pm BLOOD CULTURE     Site: ___
-Blood Culture, Routine (Preliminary): 
-STAPHYLOCOCCUS, COAGULASE NEGATIVE.    ISOLATED FROM ONE SET 
-ONLY. 
-SENSITIVITIES PERFORMED ON REQUEST.. 
-
-Blood cx ___ and ___ NGTD
-
-___ CATHETER TIP-IV Source: tunneled catheter. WOUND 
-CULTURE: No significant growth. 
-
-___ 09:00AM BLOOD Cyclspr-171
-
-___
-TTE: The left atrium is normal in size. No atrial septal defect 
-is seen by 2D or color Doppler. Left ventricular wall thickness, 
-cavity size and regional/global systolic function are normal 
-(LVEF 70%). There is no ventricular septal defect. Right 
-ventricular chamber size and free wall motion are normal. The 
-aortic valve leaflets (3) appear structurally normal with good 
-leaflet excursion and no aortic regurgitation. No masses or 
-vegetations are seen on the aortic valve. The mitral valve 
-appears structurally normal with trivial mitral regurgitation. 
-There is no mitral valve prolapse. No mass or vegetation is seen 
-on the mitral valve. The estimated pulmonary artery systolic 
-pressure is normal. No vegetation/mass is seen on the pulmonic 
-valve. There is no pericardial effusion. 
-Compared with the findings of the prior study (images reviewed) 
-of ___, the findings are similar.
-
-IMPRESSION: no obvious vegetations
-
- 
-
-###RESPONSE: PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT 
-BILI {Bilirubin, total measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, CULTURE {Blood culture}, Blood Culture {Blood culture}, SENSITIVITIES {Antimicrobial susceptibility test}, Blood cx {Blood culture}, CULTURE {Microbial culture}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, regional/global systolic function are normal {Normal left ventricular systolic function and wall motion}, ventricular septal defect {Ventricular septal defect}, Right 
-ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve {Aortic valve structure}, leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic regurgitation {Aortic valve regurgitation}, mass {Mass}, vegetations {Vegetation}, aortic valve {Aortic valve structure}, mitral valve 
-appears structurally normal {Mitral valve normal}, mitral regurgitation {Mitral valve regurgitation}, mitral valve prolapse {Mitral valve prolapse}, mass {Mass}, vegetation {Vegetation}, mitral valve {Mitral valve structure}, pulmonary artery {Pulmonary artery structure}, systolic 
-pressure is normal {Normal systolic arterial pressure}, vegetation {Vegetation}, mass {Mass}, pulmonic 
-valve {Pulmonary valve structure}, pericardial effusion {Pericardial effusion}, vegetations {Vegetation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ woman DAY ___ s/p MUD allo SCT for ALL, recent admission 
-for coag negative staph positive blood cultures for which she 
-was completed a course of vancomycin now with repeat coag 
-negative staph positive blood cultures on surveillance cultures. 
-  
-1. Coagulase negative Staph bacteremia: Patient has had repeat 
-positive blood cultures but has been asymptomatic without 
-fevers. The most likely source is her ___ catheter which was 
-removed on ___. Repeat blood cultures were drawn and are no 
-growth to date. She was started on and discharged on a course of 
-vancomycin 1g IV q 48 hours. Level will be checked in clinic 
-prior to dose administration. If ___ remain negative, she 
-will obtain PICC line as outpatient. TTE was done which did not 
-show any eveidence of endocarditis and no vegetations.  
-
-2. Renal dysfunction: Patient has had fluctuating renal function 
-and has been seen by renal who recommended stopping her calcium 
-channel blocker. renal function during hospital stay at recent 
-baseline and improved slightly with IV fluids. She is planned to 
-receive IVF as outpt when she receives her vanco. 
-
-3. Anemia: HCT slightly decreased fom baseline. She was ordered 
-for transfusion if 1 unit PRBC at follow up on ___ in clinic.   
-
-
-4. Nausea: Continued on Prednisone 2.5 mg PO daily for ? GVH.  
-
-5. ALL s/p allo BMT: Cyclosporine level checked and was 171. 
-Continued on home doses. Continued on Acyclovir, Fluconazole.   
-  
-6. Hypertension: Patient hypertensive with SBP 150s-170s, HR 
-___ during admission. Metoprolol titrated up from 37.5 PO 
-BID to 50 PO BID. ___ require further titration as outpatient. 
- 
-
- 
-
-###RESPONSE: MUD {Allogeneic unrelated bone marrow transplant}, allo SCT {Allogeneic peripheral blood stem cell transplant}, ALL {Precursor cell lymphoblastic leukemia}, positive blood cultures {Organism isolated in blood by culture}, vancomycin {Antibiotic therapy}, positive blood cultures {Organism isolated in blood by culture}, surveillance cultures {Surveillance culture}, bacteremia {Bacteremia}, positive blood cultures {Organism isolated in blood by culture}, asymptomatic {Asymptomatic}, fevers {Fever}, catheter which was 
-removed {Removal of catheter}, blood cultures {Blood culture}, vancomycin {Antibiotic therapy}, IV {Administration of drug or medicament via intravenous route}, clinic {Outpatient care management}, obtain PICC line {Insertion of peripherally inserted central catheter}, TTE {Transthoracic echocardiography}, endocarditis {Endocarditis}, vegetations {Vegetation}, Renal dysfunction {Renal impairment}, renal function {Finding of renal function}, renal function {Finding of renal function}, baseline {Baseline state}, improved {Patient's condition improved}, IV fluids {Administration of intravenous fluids}, IVF {Administration of intravenous fluids}, outpt {Outpatient care management}, vanco {Antibiotic therapy}, Anemia {Anemia}, HCT slightly decreased {Hematocrit below reference range}, baseline {Baseline state}, transfusion if 1 unit PRBC {Transfusion of packed red blood cells}, follow up {Follow-up arranged}, clinic {Outpatient care management}, Nausea {Nausea}, ALL {Precursor cell lymphoblastic leukemia}, allo BMT {Allogeneic bone marrow transplantation}, Hypertension {Hypertensive disorder, systemic arterial}, hypertensive {Hypertensive disorder, systemic arterial}, HR {Finding of heart rate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Famotidine 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-Prednisone 2.5 mg PO DAILY (Daily).  
-Lorazepam 1 mg Tablet Sig: ___ Tablets PO every six (6) hours as 
-needed.  
-Metoprolol Tartrate 25 mg Tablet Sig: 1.5 Tablets PO BID (2 
-times a day).  
-Ursodiol 300 mg Capsule Sig: One (1) Capsule PO BID (2 times a 
-day).  
-Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day) as needed.  
-Multivitamin Capsule Sig: One (1) Capsule PO once a day.  
-Senna 8.6 mg Tablet Sig: One (1) Tablet PO twice a day as needed 
-for constipation.  
-Cyclosporine Modified 25 mg Capsule Sig: Four (4) Capsule PO qam 
-at 10am.  
-Cyclosporine 25 mg Capsule Sig: Five (5) Capsule PO QPM  
-(once a day (in the evening)): Please take at 10pm.  
-Fluconazole 200 mg Tablet Sig: One (1) Tablet PO Q24H (every  
-24 hours).  
-
- 
-Discharge Medications:
-1. Ursodiol 300 mg Capsule Sig: One (1) Capsule PO BID (2 times 
-a day).  
-2. Cyclosporine Modified 25 mg Capsule Sig: Four (4) Capsule PO 
-qam.  
-3. Neoral 25 mg Capsule Sig: Five (5) Capsule PO qpm.  
-4. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed.  
-5. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-6. Lorazepam 1 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours) as needed.  
-7. Famotidine 20 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 
-hours).  
-8. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-9. Prednisone 2.5 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-10. Metoprolol Tartrate 25 mg Tablet Sig: Two (2) Tablet PO 
-twice a day.
-Disp:*120 Tablet(s)* Refills:*2*
-11. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day) as needed.  
-12. Fluconazole 200 mg Tablet Sig: One (1) Tablet PO Q24H (every 
-24 hours).  
-13. Acyclovir 200 mg Capsule Sig: One (1) Capsule PO twice a 
-day.  
-14. Vancomycin in Normal Saline 1 gram/250 mL Solution Sig: One 
-(1) gram Intravenous q48 hours.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis
-1. Bacteremia
-2. ALL s/p allo SCT
-Secondary Diagnosis
-1. HTN
-
- 
-Discharge Condition:
-Hemodynamically stable, afebrile, repeat blood cultures negative 
-to date
-
- 
-
-###RESPONSE: Bacteremia {Bacteremia}, ALL {Precursor cell lymphoblastic leukemia}, allo SCT {Allogeneic peripheral blood stem cell transplant}, HTN {Hypertensive disorder, systemic arterial}, Hemodynamically stable {Hemodynamically stable}, blood cultures {Blood culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital because you had a positive 
-blood culture.  This may have been an infection from your 
-___ line which was removed while you were in the hospital. 
-To treat this infection, we started you on an antibiotic called 
-Vancomycin which will need to be continued. You will receive 
-this Antibiotic in clinic on ___ and ___. At 
-that time, if your repeat cultures have been negative, we will 
-most likely place a PICC line so you can get this antibiotic at 
-home. You will also need to have the vanocmycin level drawn in 
-clinic. In clinic, you will also receive blood for low blood 
-counts as well as IV fluids if you are dehydrated. We also did 
-an ultrasound of your heart to look for a source of your 
-infections but this report was not available yet at the time of 
-discharge. 
-
-We made the following changes to your medications. 
-1. We added Vancomycin 1 gram IV every 48 hours which you will 
-receive in clinic. 
-2. We increased your Metoprolol to 50mg twice a day
-
-Please call your primary oncologist or the heme/onc or ___ 
-fellow on call if you develop fever >100.4, chills, nausea, 
-vomiting or are unable to take in enough food or liquid. 
-
- 
-
-###RESPONSE: positive 
-blood culture {Organism isolated in blood by culture}, infection {Infectious disease}, line which was removed {Removal of catheter}, infection {Infectious disease}, antibiotic {Antibiotic therapy}, Vancomycin {Antibiotic therapy}, Antibiotic {Antibiotic therapy}, clinic {Outpatient care management}, cultures {Microbial culture}, place a PICC line {Insertion of peripherally inserted central catheter}, antibiotic {Antibiotic therapy}, vanocmycin level {Vancomycin measurement}, clinic {Outpatient care management}, clinic {Outpatient care management}, receive blood {Transfusion of blood product}, low blood 
-counts {Red blood cell count below reference range}, IV fluids {Administration of intravenous fluids}, dehydrated {Dehydration}, ultrasound of your heart {Echocardiography}, infections {Infectious disease}, changes to your medications {Change of medication}, Vancomycin {Antibiotic therapy}, IV {Administration of drug or medicament via intravenous route}, clinic {Outpatient care management}, call {Informing doctor}, fever {Fever}, chills {Chill}, nausea, 
-vomiting {Nausea and vomiting}, unable to take in enough food {Eating problem}, liquid {Problem with drinking fluid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Nausea, vomiting, abdominal pain
- 
-Major Surgical or Invasive Procedure:
-Femoral line
-Dialysis
-
- 
-
-###RESPONSE: Nausea, vomiting {Nausea and vomiting}, abdominal pain {Abdominal pain}, Dialysis {Dialysis procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year-old man very well known to ___ physicians with 
-frequent admissions for gastroparesis, malignant hypertension, 
-hyperglycemia, recently discharged on ___ and now presents 
-with nausea, vomitting, and abdominal pain which are typical 
-features of the gastroparetic syndrome. He states that his pain 
-began at 0300 on day of admission and was associated with nausea 
-and vomiting. Was uncontrolled by home medications. He pain is 
-now rated at ___. When questioned about his clonidine patch, he 
-states that he removed it on ___ due to low blood pressure. 
-In ED, vitals: T 100.2, SBP in the 180s, HR 116. He was given 
-labetalol in the ED. Initially had lactate level of 2.6 which 
-decreased to 1.8 prior to admission. Blood cultures were drawn 
-and nephrology has been made aware of his prescence.
- 
-
-###RESPONSE: gastroparesis {Gastroparesis}, malignant hypertension {Malignant hypertension}, hyperglycemia {Hyperglycemia}, nausea {Nausea}, vomitting {Vomiting}, abdominal pain {Abdominal pain}, gastroparetic syndrome {Gastroparesis}, pain {Abdominal pain}, nausea 
-and vomiting {Nausea and vomiting}, pain {Pain}, low blood pressure {Low blood pressure}, vitals {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, lactate level {Lactic acid measurement}, Blood cultures {Blood culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-# Diabetes Mellitus Type I  
-- Gastroparesis with chronic hospitalizations  
-- ESRD on HD since ___  
-- Autonomic dysfunction, frequent HTN emergency & orthostatic  
-hypotension  
-- Peripheral neuropathy  
-# Coronary artery disease  
-- STEMI ___ in setting of cocaine, s/p BMS to LAD  
-# Aortic valve endocarditis (___) and ___  
-- In the context of coag neg staph bacteremia ___ and  
-___ and positive intravenous catheter tip ___ had 
- 
-his HD catheter changed over a wire. known MRSE bacteremia for  
-which he completed a course of vancomycin for possible  
-endocarditis on ___.  
-MSSA Bacteremia: had an episode of MSSA endocardititis on ___ 
-admission, treated w/ nafcillin (___nded on  
-# Hypertension  
-# History of line sepsis with coag negative staph and priors  
-with klebsiella and enterobacteremia  
-# Esophageal ulceration: H pylori neg, active esophagitis seen  
-on EGD ___, h/o ___ tear  
-# History of substance abuse (cocaine, marijuana, alcohol)  
-# History of thrombosed AV fistula in LUE ___, gore-tex in  
-place  
-# Fungemia completed caspofungin IV on ___  
-# GI bleed associated with hypotension-colonscopy showed  
-friable and inflammed ascending and transverse colon,suggestive  
-
-either of ischemia or infection ___  
-
- 
-
-###RESPONSE: Diabetes Mellitus Type I {Diabetes mellitus type 1}, Gastroparesis {Gastroparesis}, ESRD on HD {End stage renal failure on dialysis}, HTN emergency {Hypertensive emergency}, orthostatic  
-hypotension {Orthostatic hypotension}, Peripheral neuropathy {Peripheral nerve disease}, Coronary artery disease {Coronary arteriosclerosis}, STEMI {Acute ST segment elevation myocardial infarction}, LAD {Structure of anterior descending branch of left coronary artery}, Aortic valve {Aortic valve structure}, endocarditis {Endocarditis}, bacteremia {Bacteremia}, bacteremia {Bacteremia}, endocarditis {Endocarditis}, MSSA {Infection caused by methicillin susceptible Staphylococcus aureus}, Bacteremia {Bacteremia}, MSSA {Infection caused by methicillin susceptible Staphylococcus aureus}, endocardititis {Endocarditis}, Hypertension {Hypertensive disorder, systemic arterial}, line sepsis {Line sepsis associated with dialysis catheter}, Esophageal ulceration {Ulcer of esophagus}, esophagitis {Esophagitis}, EGD {Esophagogastroduodenoscopy}, substance abuse {Substance abuse}, cocaine {Cocaine abuse}, marijuana {Marijuana user}, alcohol {Alcohol abuse}, thrombosed AV fistula {Arteriovenous fistula thrombosis}, LUE {Structure of left upper limb}, Fungemia {Fungemia}, GI bleed {Gastrointestinal hemorrhage}, hypotension {Low blood pressure}, colonscopy {Colonoscopy}, ascending {Ascending colon structure}, transverse colon {Transverse colon structure}, ischemia {Ischemia}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father deceased of ESRD and DM. Mother aged ___ with 
-hypertension. Two sisters, one with diabetes. Six brothers, one 
-with diabetes. There is no family history of premature coronary 
-artery disease or sudden death. 
- 
-
-###RESPONSE: deceased {Dead}, ESRD {End-stage renal disease}, DM {Diabetes mellitus}, hypertension {Hypertensive disorder, systemic arterial}, diabetes {Diabetes mellitus}, diabetes {Diabetes mellitus}, coronary 
-artery disease {Coronary arteriosclerosis}, sudden death {Dead - sudden death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: 98.2 ___ 28 98% RA
-GEN: Appears uncomfortable and is writhing in bed
-HEENT: Proptosis, EOMI, PERRL
-PULM: Sparse crackles bibasilar at posterior fields
-CARD: Tachycardic, nl S1, nl S2, III/VI SEM heard best at LUSB
-ABD: BS+, tender, mildly distended, tympanitic
-EXT: No lower extremity edema, femoral CVC
-NEURO: AOx3, Non-Focal
- 
-
-###RESPONSE: VITALS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, HEENT {Physical examination procedure}, Proptosis {Exophthalmos}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, PULM {Examination of respiratory system}, crackles {Respiratory crackles}, bibasilar {Structure of base of lung}, CARD {Cardiovascular physical examination}, Tachycardic {Tachycardia}, nl S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, III {Third heart sound}, SEM {Ejection murmur}, LUSB {Structure of upper parasternal region}, ABD {Examination of abdomen}, BS+ {Normal bowel sounds}, tender {Abdominal tenderness}, distended {Swollen abdomen}, tympanitic {Abdomen tympanitic}, edema {Edema}, femoral {Structure of femoral artery}, CV {Cardiovascular physical examination}, NEURO {Neurological examination}, AOx3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ CXR AP CHEST: 
-Bilateral pulmonary vascular congestion is mild. There is no 
-pleural effusion. No definite evidence of pneumonia is 
-identified. Mild cardiomegaly is unchanged.
-IMPRESSION: Mild pulmonary vascular congestion.
-<br>
-___ Blood cultures x 2 showed no growth to date at 
-discharge.
- 
-
-###RESPONSE: CXR {Plain chest X-ray}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, pleural effusion {Pleural effusion}, pneumonia {Pneumonia}, cardiomegaly {Cardiomegaly}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, Blood cultures {Blood culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-## Gastroparesis:
-Nausea, vomiting, and abdominal pain all likely related to 
-extensive history of gastroparesis. Has inpatient regimen that 
-usually works for him. And during the hospitalization he was 
-initially NPO and was receiving Dilaudid ___ mg IV Q4H PRN pain, 
-Lorazepam ___ mg IV Q4H PRN nausea, metoclopramide 10 mg PO QID, 
-ondansetron 4 mg IV Q8H PRN nausea. After several days of 
-limited PO intake, the patient was able to eat and keep solid 
-food down reliably and was discharged with improved 
-symptomatology.
-<br>
-## Labile Blood Pressure:
-In emergency department, BP was 180s systolic and responded to 
-labetalol. Originally 190 systolic on transfer to floor. He was 
-stabilized s/p application of clonidine patch at admission and 
-blood pressures remained stable throughout the rest of the 
-admission. He was discharged on a clonidine patch 0.3 mg/24 hr 
-(change every ___, and labetalol dose of 200 mg PO BID.
-<br>
-## Fever:
-Low grade fever in ED. Afebrile through remainder of 
-hospitalization. At discharge his blood cultures drawn on 
-___ showed no growth. 
-<br>
-## Type 1 DM, Uncontrolled with Complications:
-Patient was put on home regimen of glargine 4 U at bedtime or 2 
-U if NPO. He was monitored using fingersticks QID with regular 
-insulin sliding scale. He triggered need for SSI only once 
-during his stay.
-<br>
-## ESRD, Anemia of Chronic Kidney Disease:
-Nephrology was made aware of patient admission and they followed 
-and dialyzed ___ as per his normal HD schedule ___.
-<br>
-## ? of Opioid addiction: 
-Could explain abdominal complaints and likely confounds the 
-gastroparesis picture. Clonidine should help with abdominal 
-cramping related to opiate withdrawal if this is the case. 
-Although this has been addressed at prior hospitalizations by 
-means of pain service consults, the patient has failed to 
-follow-up as an outpatient. He was discharged on a limited 
-supply of oral dilaudid.
-<br>
-## CAD s/p MI:
-No acute issues during this hospitalization. We continued 
-patient's home doses of simvastatin 40 mg daily, aspirin 325mg 
-daily and plavix 75mg daily.
-<br>
-## Chronic diastolic heart failure with EF 45%:
-Appeared stable during this admission.
-<br>
-Overall, patient was stable upon discharge.
-
- 
-
-###RESPONSE: Gastroparesis {Gastroparesis}, Nausea, vomiting {Nausea and vomiting}, abdominal pain {Abdominal pain}, gastroparesis {Gastroparesis}, NPO {Nil by mouth}, pain {Pain}, nausea {Nausea}, nausea {Nausea}, able to eat {Able to eat}, improved {Patient's condition improved}, BP {Blood pressure finding}, blood pressures remained stable {Stable blood pressure}, Low grade fever {Low grade pyrexia}, Afebrile {Fever}, blood cultures  {Blood culture}, NPO {Nil by mouth}, insulin sliding scale {Sliding scale insulin regime}, SSI {Sliding scale insulin regime}, HD {Hemodialysis}, Opioid addiction {Opioid abuse}, gastroparesis {Gastroparesis}, abdominal 
-cramping {Stomach cramps}, opiate withdrawal {Opioid withdrawal syndrome}, stable {Patient's condition stable}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-2. Clonidine 0.3 mg/24 hr Patch Weekly Sig: One (1) Patch Weekly 
-Transdermal QSAT (every ___.  
-3. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-4. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO QHD (each 
-hemodialysis).  
-5. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).  
-6. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-7. Labetalol 200 mg Tablet Sig: One (1) Tablet PO TID (3 times a 
-day).  
-8. Hydromorphone 2 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 
-hours): For ___, please take every 4 hours. On ___, please 
-take every 6 hours. On ___, please take every 8 hours. On ___ 
-and ___, please take every 12 hours.  Disp:*20 Tablet(s)* 
-Refills:*0*
-9. Metoclopramide 10 mg Tablet Sig: One (1) Tablet PO four times 
-a day. Disp:*120 Tablet(s)* Refills:*2*
-10. Lanthanum 500 mg Tablet, Chewable Sig: Two (2) Tablet, 
-Chewable PO TID W/MEALS (3 TIMES A DAY WITH MEALS).  
-11. Ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO Q8H (every 8 hours) as needed for nausea. 
-Disp:*30 Tablet, Rapid Dissolve(s)* Refills:*0*
-12. Cefazolin 10 gram Recon Soln Sig: One (1) Recon Soln 
-Injection QSAT (every ___ for 1 weeks.  
-13. Cefazolin 10 gram Recon Soln Sig: One (1) Recon Soln 
-Injection QHD (each hemodialysis) for 1 weeks.  
-14. Insulin Regular Human 100 unit/mL Cartridge Sig: Twelve (12) 
-units Injection once a day: Please continue your previous 
-outpatient insulin regimen.
- 
-Discharge Medications:
-1. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-2. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO QHD (each 
-hemodialysis).  
-4. Labetalol 200 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-5. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-6. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).  
-7. Metoclopramide 10 mg Tablet Sig: One (1) Tablet PO QIDACHS (4 
-times a day (before meals and at bedtime)).  
-8. Lanthanum 500 mg Tablet, Chewable Sig: Two (2) Tablet, 
-Chewable PO TID W/MEALS (3 TIMES A DAY WITH MEALS).  
-9. Clonidine 0.3 mg/24 hr Patch Weekly Sig: One (1) Patch Weekly 
-Transdermal QWED (every ___.  
-10. Ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO q8hrs:prn.  
-11. Lantus 100 unit/mL Solution Sig: Four (4) units Subcutaneous 
-qpm.  
-12. Dilaudid 2 mg Tablet Sig: One (1) Tablet PO q4hrs:prn as 
-needed for pain: do not take while driving. 
-only take as instructed.
-Disp:*10 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-gastroparesis. 
-hypertension
-diabetes
-autonomic dysfunction
-coronary artery disease
-end stage renal disease
-
- 
-Discharge Condition:
-abdominal pain improved. able to tolerate a normal diet
-
- 
-
-###RESPONSE: gastroparesis {Gastroparesis}, hypertension {Hypertensive disorder, systemic arterial}, diabetes {Diabetes mellitus}, coronary artery disease {Coronary arteriosclerosis}, end stage renal disease {End-stage renal disease}, abdominal pain {Abdominal pain}, improved {Patient's condition improved}, normal diet {Normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for abdominal pain due to your gastroparesis. 
-Your pain improved with pain medication, anti nausea medications 
-and bowel rest. You were able to tolerate a normal diet. 
-.
-Please continue to take your medications as prescribed.
-. 
-Please seek medical attention if you have worsening abdominal 
-pain and are not able to tolerate your diet or if you have other 
-worrisome medical symptoms.
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, gastroparesis {Gastroparesis}, pain improved {Sensation of pain reduced}, pain medication {Administration of analgesic}, nausea {Nausea}, bowel rest {Nil by mouth}, normal diet {Normal diet}, worsening {Increased pain}, abdominal 
-pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics) / Lasix / fried clams
- 
-Attending: ___.
- 
-Chief Complaint:
-LUE numbness, tingling
-
- 
-Major Surgical or Invasive Procedure:
-Banding left upper arm AV graft
- 
-
-###RESPONSE: LUE {Structure of left upper limb}, numbness, tingling {Numbness and tingling sensation of skin}, Banding {Banding of arteriovenous fistula}, left upper arm {Left upper arm structure}, AV graft {Arteriovenous graft}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ F ESRD on HD, s/p left upper arm AV graft in late ___, 
-presents to ED with pain in her left hand distal to her fistula. 
-Pt reports pain happens while she undergoes HD. Today it was 
-also associated with numbness and tingling. She has experienced 
-similar pain after HD before and is being considered for 
-banding. 
-
- 
-
-###RESPONSE: ESRD {End-stage renal disease}, HD {Hemodialysis}, left upper arm {Left upper arm structure}, AV graft {Arteriovenous graft}, pain {Pain in scrotum}, left hand {Structure of left hand}, pain {Pain}, HD {Hemodialysis}, numbness and tingling {Numbness and tingling sensation of skin}, pain {Pain}, HD {Hemodialysis}, banding {Banding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1) ESRD secondary to hypertensive nephropathy, started HD ___  
-
-2) Renal artery stenosis s/p bilateral renal artery stents  
-3) HTN  
-4) HLD  
-5) Hypothyroidism 
-
-PSH: left AV graft placement ___, b/l renal artery stents  
-
- 
-
-###RESPONSE: ESRD secondary to hypertensive nephropathy {End stage renal disease due to hypertension}, HD {Hemodialysis}, Renal artery stenosis {Renal artery stenosis}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, Hypothyroidism {Hypothyroidism}, AV graft placement {Arteriovenous fistulization}, renal artery stents {Insertion of stent into arteriovenous fistula}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history of kidney disease. Mother with HTN.
- 
-
-###RESPONSE: kidney disease {Kidney disease}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On discharge:
-
-Vitals- 
-
-GEN: A&O, NAD
-HEENT: No scleral icterus, mucus membranes moist
-CV: RRR, No M/G/R
-PULM: Clear to auscultation b/l, No W/R/R
-ABD: Soft, nondistended, nontender, no rebound or guarding,
-normoactive bowel sounds, no palpable masses
-Ext: LUE w/o edema, palpable thrill in graft and distal radial 
-pulse, extremity slightly cooler than RUE (unchanged), Nail beds 
-slightly cyanotic compared to RUE (unchanged), capillary refill 
-slightly slower than RUE (unchanged)
- No ___ edema, ___ warm and well perfused
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, GEN {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, mucus membranes moist {Moist oral mucosa}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, M {Heart murmur}, G {Gallop rhythm}, R {Pericardial friction rub}, PULM {Examination of respiratory system}, Clear to auscultation b/l {Normal breath sounds}, W {Wheezing}, R {Respiratory crackles}, R {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, normoactive bowel sounds {Normal bowel sounds}, Ext {Examination of limb}, LUE {Structure of left upper limb}, edema {Edema}, thrill {Thrill}, graft {Arteriovenous graft}, radial {Structure of radial artery}, pulse {Normal pulse}, extremity {Limb structure}, RUE {Structure of right upper limb}, RUE {Structure of right upper limb}, capillary refill {Capillary refill}, RUE {Structure of right upper limb}, edema {Edema}, warm {Warm skin}, well perfused {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 04:25PM   PLT COUNT-182
-___ 04:25PM   NEUTS-82.0* LYMPHS-9.9* MONOS-3.3 EOS-3.6 
-BASOS-1.2
-___ 04:25PM   WBC-10.9 RBC-3.73*# HGB-11.5* HCT-37.2# 
-MCV-100* MCH-30.7 MCHC-30.9* RDW-15.7*
-___ 04:25PM   CALCIUM-9.5 PHOSPHATE-3.5 MAGNESIUM-2.0
-___ 04:25PM   estGFR-Using this
-___ 04:25PM   GLUCOSE-103* UREA N-25* CREAT-2.6* SODIUM-140 
-POTASSIUM-4.3 CHLORIDE-99 TOTAL CO2-29 ANION GAP-16
- 
-
-###RESPONSE: NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, CALCIUM {Blood calcium measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mrs. ___ was admitted to the ___ Surgery service on 
-___ for banding of her left upper arm AV graft. There were 
-no complications and the patient tolerated the procedure well. 
-After the procedure there was a palpable radial pulse and thrill 
-over the graft. The patient reported resolution of her pain and 
-tingling symptoms that she had prior to the procedure. On the 
-morning of POD 1, she noticed a ""heavy feeling"" and coolness of 
-her left middle finger. There was no pain or tenderness. After 
-examination it was determined that she can go home with close 
-follow up within one week to determine if the graft needs to be 
-compeltely ligated or not and to call if her symptoms return and 
-get worse. She was discharged back to her skilled nursing 
-facility after a session of HD in the morning of POD 1 and when 
-she was feeling well and tolerating regular diet.
-Her asprin and plavix were restarted on POD 1.
-
- 
-
-###RESPONSE: banding {Banding}, left upper arm {Left upper arm structure}, AV graft {Arteriovenous graft}, procedure {Procedure}, procedure {Procedure}, palpable radial pulse {Radial pulse present}, thrill {Thrill}, graft {Arteriovenous graft}, pain {Pain}, tingling {Pins and needles}, procedure {Procedure}, heavy feeling {Heavy feeling}, coolness {Cool skin}, left middle finger {Structure of left middle finger}, pain {Pain}, tenderness {Tenderness}, graft {Structure of transplant}, HD {Hemodialysis}, regular diet {Normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-aricept 5 HS, mirtazapine 7.5 HS, levothyroxine 50', calcitriol 
-0.25', captopril 12.5''', amlodipine 5', simvastatin 10', plavix 
-75', asa 81', oxycodone 2.5 Q6H PRN, colace 100'', Vit D3 800', 
-Vit B12 1000'   
-
- 
-Discharge Medications:
-1. levothyroxine 50 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. captopril 12.5 mg Tablet Sig: One (1) Tablet PO TID (3 times 
-a day).  
-3. amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-4. simvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-5. donepezil 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 
- 
-6. mirtazapine 15 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime).  
-
-7. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-8. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed for pain: no more than 2000mg per day.  
-9. oxycodone 5 mg Tablet Sig: 0.5 Tablet PO every ___ hours as 
-needed for pain.
-Disp:*20 Tablet(s)* Refills:*0*
-10. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO once a day.  
-11. Plavix 75 mg Tablet Sig: One (1) Tablet PO once a day.  
-12. calcitriol 0.25 mcg Capsule Sig: One (1) Capsule PO once a 
-day.  
-13. Vitamin D-3 400 unit Tablet Sig: Two (2) Tablet PO once a 
-day.  
-14. Vitamin B-12 1,000 mcg Tablet Sig: One (1) Tablet PO once a 
-day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-steal syndrome 
-esrd on hemodialysis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, steal syndrome {Arterial steal syndrome}, esrd on hemodialysis {End stage renal failure on dialysis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital for banding of your left arm 
-fistula because it was causing you some discomfort. Please call 
-Dr. ___ office ___ if you have any of the 
-warning signs listed. ___, ___ may be 
-contacted
-Resume your usual hemodialysis schedule via the tunnelled 
-dialysis line 
-****
-___  ___ will be resumed
-
- 
-
-###RESPONSE: banding {Banding}, left arm {Left upper arm structure}, fistula {Arteriovenous fistula}, discomfort {Discomfort}, signs {Sign}, hemodialysis {Hemodialysis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-tramadol / Compazine
- 
-Attending: ___
- 
-Chief Complaint:
-Trauma
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: tramadol {Allergy to tramadol}, Compazine {Allergy to prochlorperazine}, Trauma {Traumatic injury}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ yo M w/ h/o Hep C and IVDU who presented to 
-the ED with multiple blast injuries in the face and chest.  Of 
-note, patient reports that he was blown off by the lid of a 
-highly pressurized natural gas tank in his pickup truck and 
-sustained multiple injuries from the blast, including the R side 
-of his
-face, rib cage, and L leg.  He denies loss of consciousness at 
-the scene, but reports severe R-sided chest pain and blurry 
-vision in the right eye, as well as numbness in the posterior 
-aspect of the arm around the elbow.  
-
- 
-
-###RESPONSE: Hep C {Viral hepatitis type C}, IVDU {Intravenous drug user}, blast injuries {Blast injury}, face {Injury of face}, chest {Chest injury}, multiple injuries {Multiple injuries}, R side 
-of his
-face {Structure of right half of face}, rib cage {Thoracic cage structure}, L leg {Structure of left lower limb}, loss of consciousness {Loss of consciousness}, R-sided chest pain {Right sided chest pain}, blurry 
-vision {Blurring of visual image}, right eye {Right eye structure}, numbness {Numbness}, posterior 
-aspect of the arm {Structure of posterior surface of upper arm}, elbow {Right elbow region structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hep C 
-Overactive bladder 
-
-Past surgical History: 
-Splenectomy (in his ___ 
-Hernia repair ___ years old)
- 
-
-###RESPONSE: Hep C {Viral hepatitis type C}, Overactive bladder {Overactive bladder}, Splenectomy {Splenectomy}, Hernia repair {Hernia repair}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Physical exam on Admission:
-BP 155/108  HR 76   RR 20   O2 sat 95% on RA 
-GEN: Alert, awake, lying uncomfortably in pain.
-HEENT: Multiple small lacerations on the R side of the face 
-around the eye.  Full ROM in the neck. No C spine tenderness. 
-PULM: Pain to palpation of R chest wall.  Inspiratory effort 
-limited by pain.
-ABD: Soft, NTND.  No signs of laceration, hematoma, or trauma in 
-the abdomen.    
-MSK: No paraspinal tenderness. 2-3 cm laceration in the L 
-anterior shin. Full ROM in L ankle. Tenderness in the posterior 
-R arm with diffuse patchy ecchymosis. 
-
-Physical exam on Discharge:
-97.3, BP 119/78  HR 63   RR 18   O2 sat 98% on RA 
-GEN: Alert and oriented x3
-HEENT: Multiple small lacerations on the R side of the face 
-around the eye.  Full ROM in the neck. No C spine tenderness. 
-Cardio: RRR
-PULM: Pain to palpation of R chest wall.  Clear bilateral air 
-entry
-ABD: Soft, NTND.  No signs of laceration, hematoma, or trauma is 
-the abdomen.    
-Extremities: WWP, CCE
- 
-
-###RESPONSE: BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, GEN {General examination of patient}, Alert {Mentally alert}, awake {Awake}, lying {Lying in bed}, pain {Pain}, HEENT {Physical examination procedure}, small lacerations on the R side of the face {Superficial laceration of face}, Full ROM {Normal movement of neck}, neck {Neck structure}, tenderness {Tenderness}, PULM {Examination of respiratory system}, Pain {Pain}, palpation {Palpation}, R chest wall {Structure of right half of chest wall}, pain {Pain}, ABD {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, laceration {Laceration}, hematoma {Hematoma}, trauma in 
-the abdomen {Injury of abdomen}, MSK {Musculoskeletal system physical examination}, paraspinal {Structure of paravertebral region}, tenderness {Tenderness}, laceration in the L 
-anterior shin {Laceration of shin}, Full ROM {Range of joint movement normal}, L ankle {Structure of left ankle}, Tenderness {Tenderness}, posterior 
-R arm {Structure of soft tissue of right upper arm}, ecchymosis {Ecchymosis}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, GEN {General examination of patient}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, small lacerations on the R side of the face {Superficial laceration of face}, Full ROM {Normal movement of neck}, neck {Neck structure}, C spine tenderness {Cervical spine tender}, Cardio {Cardiovascular physical examination}, RRR {Normal heart rate}, PULM {Examination of respiratory system}, Pain to palpation {Chest wall tenderness}, R chest wall {Structure of right half of chest wall}, Clear bilateral air 
-entry {Normal breath sounds}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NTND {Abdominal tenderness}, laceration {Laceration}, hematoma {Hematoma}, trauma is 
-the abdomen {Injury of abdomen}, Extremities {Examination of limb}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Imaging Results: 
-___ HEAD W/O CONTRAST 
-IMPRESSION:  No acute hemorrhage or acute fracture.  Right 
-periorbital soft tissue swelling 
-with numerous superficial radiodense foci likely representing 
-foreign bodies 
-versus skin debris.  Please correlate clinically. 
-
-___ CT CHEST/ABD/PELVIS W/  
-IMPRESSION: 
-1. Right-sided rib fractures involving the eighth and ninth ribs 
-which appear comminuted displaced as well as fractured right 
-tenth rib at the  costovertebral junction.  Associated tiny 
-right pneumothorax, right hemothorax 
-and soft tissue gas in the right posterior chest wall. 
-2. Scarring and nodular pleural thickening in the right lung 
-with associated  volume loss likely reflect chronic insult, 
-please correlate clinically. 
-3. Subtle peribronchovascular ground-glass opacities in the 
-right lower lobe  may reflect trace aspiration or bronchiolitis. 
-
-4. Moderate emphysema. 
-
-___ CT C-SPINE W/O CONTRAST
-IMPRESSION: 
- 1. No fracture or malalignment within the cervical spine. 
-2. Aerosolized fluid within the upper esophagus which appears 
-patulous, may predispose to aspiration. 
-
-___ CHEST (PA & LAT)
-IMPRESSION:  Known tiny right pneumothorax is not conspicuous on 
-radiograph. 
-  
-
-___ CT ORBITS, SELLA & IAC 
-IMPRESSION: 
-1. The right globe is intact without evidence of hemorrhage or 
-retained  foreign body. 
-2. Soft tissue swelling involving the right periorbital region. 
-3. Multiple punctate hyperdense foci along the skin and 
-subcutaneous tissues  overlying the right cheek, right 
-periorbital region and right nasal bone, likely retained foreign 
-bodies. 
-
-___ CHEST (PORTABLE AP) 
-IMPRESSION:  Compared to the examination from 1 day prior, there 
-is likely an unchanged tiny right apical pneumothorax.  
-Loculated right-sided lateral pleural effusion appears slightly 
-increased.  Streaky opacities at the right lung base are likely 
-atelectatic.  No new consolidation is seen there is no 
-left-sided effusion pneumothorax.  Cardiomediastinal silhouette 
-is unchanged. 
-
-___ CHEST (PA & LAT) 
-IMPRESSION:  Comparison to ___.  The appearance of 
-the right loculated pleural 
-effusion is stable.  However, on today's image, no pneumothorax 
-is appreciated.  Areas of scarring throughout the right lung are 
-unchanged.  No change in appearance of the normal cardiac 
-silhouette and of the normal left lung. 
-
-Laboratory Results:
-
-___ 10:30AM BLOOD WBC-12.1* RBC-4.72 Hgb-14.9 Hct-43.6 
-MCV-92 MCH-31.6 MCHC-34.2 RDW-14.8 RDWSD-50.0* Plt ___
-___ 07:30PM BLOOD WBC-11.7* RBC-4.24* Hgb-13.1* Hct-39.0* 
-MCV-92 MCH-30.9 MCHC-33.6 RDW-14.9 RDWSD-50.0* Plt ___
-___ 06:20PM BLOOD WBC-20.0* RBC-4.69 Hgb-14.8 Hct-43.8 
-MCV-93 MCH-31.6 MCHC-33.8 RDW-14.6 RDWSD-50.1* Plt ___
-___ 06:20PM BLOOD Neuts-54.3 ___ Monos-6.4 Eos-2.1 
-Baso-0.6 Im ___ AbsNeut-10.84* AbsLymp-7.11* AbsMono-1.29* 
-AbsEos-0.43 AbsBaso-0.13*
-___ 10:30AM BLOOD Plt ___
-___ 07:30PM BLOOD Plt ___
-___ 06:20PM BLOOD Plt Smr-HIGH* Plt ___
-___ 06:20PM BLOOD ___ PTT-26.8 ___
-___ 10:30AM BLOOD Glucose-99 UreaN-9 Creat-0.8 Na-138 K-4.8 
-Cl-98 HCO3-27 AnGap-13
-___ 07:30PM BLOOD Glucose-88 UreaN-8 Creat-0.8 Na-138 K-4.5 
-Cl-100 HCO3-27 AnGap-11
-___ 06:20PM BLOOD Glucose-96 UreaN-13 Creat-1.2 Na-143 
-K-4.8 Cl-101 HCO3-29 AnGap-13
-___ 06:20PM BLOOD ALT-34 AST-57* CK(CPK)-247 AlkPhos-102 
-TotBili-0.2
-___ 10:30AM BLOOD Calcium-9.4 Phos-3.4 Mg-2.1
-___ 07:30PM BLOOD Calcium-8.6 Phos-3.8 Mg-1.9
-___ 06:20PM BLOOD Albumin-4.1
- 
-
-###RESPONSE: HEAD {Imaging of head}, AST {Aspartate aminotransferase measurement}, acute hemorrhage {Acute hemorrhage}, fracture {Fracture}, Right 
-periorbital soft tissue swelling {Periorbital edema of right eye}, foreign bodies {Foreign body}, Right-sided {Bone structure of right rib}, rib fractures {Bone structure of right rib}, eighth {Bone structure of eighth rib}, ninth ribs {Bone structure of ninth rib}, comminuted displaced {Fracture, closed, comminuted, with displacement}, right {Bone structure of right rib}, tenth rib {Bone structure of tenth rib}, costovertebral junction {Costovertebral joint structure}, pneumothorax {Pneumothorax}, right {Right pleura structure}, hemothorax {Hemothorax}, soft tissue {Structure of soft tissue}, right posterior chest wall. {Structure of right half of posterior chest wall}, Scarring {Pleural scarring}, nodular {Nodule of lung}, pleural thickening {Thickening of pleura}, right lung {Right lung structure}, chronic {Chronic disease}, ground-glass opacities {Ground glass lung opacity}, right lower lobe {Structure of lower lobe of right lung}, aspiration {Aspiration pneumonia}, bronchiolitis {Bronchiolitis}, emphysema {Emphysema}, AST {Aspartate aminotransferase measurement}, fracture {Fracture}, malalignment {Misalignment}, cervical spine {Structure of cervical vertebral column}, fluid {Accumulation of fluid}, upper esophagus {Cervical esophagus structure}, aspiration {Aspiration pneumonia}, CHEST (PA & LAT {Plain chest X-ray}, pneumothorax {Pneumothorax}, radiograph {Plain chest X-ray}, SELLA {Computed tomography of pituitary fossa}, IAC {Structure of internal acoustic meatus of temporal bone}, right globe {Structure of right orbit proper}, intact {No abnormality detected}, hemorrhage {Hemorrhage}, retained  foreign body {Retained foreign body}, Soft tissue swelling {Soft tissue swelling}, right periorbital region {Structure of periorbital region of left eye}, skin and 
-subcutaneous tissues {Skin and/or subcutaneous tissue structure}, right cheek {Structure of skin of right cheek}, right nasal bone {Bone tissue structure of nasal bone}, retained foreign 
-bodies {Retained foreign body}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, right apical {Structure of apex of right lung}, pneumothorax {Pneumothorax}, right-sided {Right pleura structure}, pleural effusion {Pleural effusion}, opacities {Abnormally opaque structure}, right lung base {Structure of base of right lung}, atelectatic {Atelectasis}, consolidation {Consolidation}, left-sided {Left pleura structure}, effusion {Pleural effusion}, pneumothorax {Pneumothorax}, Cardiomediastinal {Mediastinal structure}, CHEST (PA & LAT {Plain chest X-ray}, right {Right pleura structure}, loculated pleural 
-effusion {Loculated pleural effusion}, stable {Patient's condition stable}, pneumothorax {Pneumothorax}, scarring {Pleural scarring}, right lung {Right lung structure}, normal {Normal size}, cardiac {Heart structure}, normal {Normal size}, left lung {Left lung structure}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CK(CPK {Creatine kinase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to Emergency Department on ___. The 
-trauma general surgery team evaluated the patient and performed 
-a primary and a secondary survey. He was found to have rib 
-fractures and periorbital swelling. Ophthalmology evaluated the 
-patient and recommended  - Dedicated CT orbits will better 
-characterize superficial shrapnel burden however there is no 
-clinical evidence of intraocular FB or clinically significant 
-intraorbital FB- Artificial tears to right eye QID, more as 
-needed for irritation - GenTeal gel QHS to right eye  - can 
-apply erythromycin ophthalmic ointment to lids if irritated- 
-Follow up in ophthalmology clinic 2 weeks, sooner PRN. The 
-recommendations were following. The patient was then admitted to 
-the Acute Care Surgery Unit for further management of the 
-overall injuries. 
-
-During the hospital course review of systems had as follow:
-
-Neuro: The patient was alert and oriented throughout 
-hospitalization and pain was well controlled.
-
-CV: The patient remained stable from a cardiovascular 
-standpoint; vital signs were routinely monitored.
-Pulmonary: The patient remained stable from a pulmonary 
-standpoint; vital signs were routinely monitored. Good pulmonary 
-toilet, early ambulation and incentive spirometry were 
-encouraged throughout hospitalization. 
-
-GI/GU/FEN: The patient was tolerating a regular diet. Patient's 
-intake and output were closely monitored
-
-ID: The patient's fever curves were closely watched for signs of 
-infection, of which there were none.
-
-HEME: The patient's blood counts were closely watched for signs 
-of bleeding, of which there were none.
-
-Prophylaxis: The patient received subcutaneous heparin and ___ 
-dyne boots were used during this stay and was encouraged to get 
-up and ambulate as early as possible.
-
-At the time of discharge, the patient was doing well, afebrile 
-and hemodynamically stable.  The patient was tolerating a diet, 
-ambulating, voiding without assistance, and pain was well 
-controlled.  The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
- 
-
-###RESPONSE: rib 
-fractures {Fracture of multiple ribs}, periorbital swelling {Periorbital edema}, CT orbits {Computed tomography of orbit}, right eye {Right eye structure}, right eye {Right eye structure}, Neuro {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, pain was well controlled {Demonstrates adequate pain control}, CV {Cardiovascular physical examination}, stable {Patient's condition stable}, cardiovascular {Cardiovascular physical examination}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Pulmonary {Examination of respiratory system}, stable {Patient's condition stable}, pulmonary {Respiratory assessment}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, pulmonary 
-toilet {Airway toilet}, incentive spirometry {Incentive spirometry}, GI {Gastrointestinal investigation}, GU {Examination of genitourinary system}, tolerating a regular diet {Tolerating normal diet}, intake and output {Measuring intake and output}, monitored {Monitoring procedure}, fever {Fever}, watched for signs of 
-infection {Monitoring for signs and symptoms of infection}, HEME {Hematology test}, blood counts {Blood test}, signs {Sign}, bleeding {Bleeding}, Prophylaxis {Preventive procedure}, subcutaneous heparin {Subcutaneous injection of heparin}, ambulate {Ambulation training}, afebrile {Temperature normal}, hemodynamically stable {Hemodynamically stable}, tolerating a diet {Tolerating diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Methadone per patient 102 mg
- 
-Discharge Medications:
-1.  Acetaminophen ___ mg PO Q6H:PRN Pain - Mild  
-2.  Artificial Tears ___ DROP BOTH EYES Q6H dryness  
-3.  Erythromycin 0.5% Ophth Oint 0.5 in RIGHT EYE QID 
-RX *erythromycin 5 mg/gram (0.5 %) 0.5 (One half) on lid every 
-four (4) hours Disp #*3.5 Gram Gram Refills:*0 
-4.  OxyCODONE (Immediate Release) 5 mg PO Q6H:PRN Pain - Severe 
-RX *oxycodone 5 mg 1 tablet(s) by mouth every six (6) hours Disp 
-#*10 Tablet Refills:*0 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Right sided ___ ribs fractures 
-Right ___ swelling 
-Left shin laceration
-Right pneumothorax and hemothorax
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Right sided {Bone structure of right rib}, ribs fractures {Fracture of multiple ribs}, Right {Structure of right orbital region}, swelling {Orbital swelling}, Left {Structure of shin of left lower leg}, shin laceration {Laceration of shin}, Right pneumothorax {Right pneumothorax}, hemothorax {Hemothorax}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ falling a trauma. You were found to 
-have rib fractures and ___ swelling. You have recovered 
-well and are now ready for discharge. 
-
-* Your injury caused right sided ___ rib fractures which 
-can cause severe pain and subsequently cause you to take shallow 
-breaths because of the pain.
- 
-* You should take your pain medication as directed to stay ahead 
-of the pain otherwise you won't be able to take deep breaths. If 
-the pain medication is too sedating take half the dose and 
-notify your physician.
- 
-* Pneumonia is a complication of rib fractures.  In order to 
-decrease your risk you must use your incentive spirometer 4 
-times every hour while awake.  This will help expand the small 
-airways in your lungs and assist in coughing up secretions that 
-pool in the lungs.
- 
-* You will be more comfortable if you use a cough pillow to hold 
-against your chest and guard your rib cage while coughing and 
-deep breathing.
- 
-* Symptomatic relief with ice packs or heating pads for short 
-periods may ease the pain.
- 
-* Narcotic pain medication can cause constipation therefore you 
-should take a stool softener twice daily and increase your fluid 
-and fiber intake if possible.
- 
-* Do NOT smoke
- 
-* If your doctor allows, non-steroidal ___ drugs 
-are very effective in controlling pain ( ie, Ibuprofen, Motrin, 
-Advil, Aleve, Naprosyn) but they have their own set of side 
-effects so make sure your doctor approves.
- 
-* Return to the Emergency Room right away for any acute 
-shortness of breath, increased pain or crackling sensation 
-around your ribs (crepitus).
-
-You were also found to have a right sided ___ swelling. 
-If you have any worsening symptoms or change in vision please 
-return to your closest emergency department.
-
- 
-
-###RESPONSE: trauma {Traumatic injury}, rib fractures {Fracture of multiple ribs}, swelling {Swelling}, ready for discharge {Ready for discharge}, injury {Traumatic injury}, right sided {Bone structure of right rib}, rib fractures {Fracture of multiple ribs}, severe pain {Severe pain}, pain {Pain}, pain medication {Administration of analgesic}, pain {Pain}, able to take deep breaths {Able to take deep breaths}, pain medication {Administration of analgesic}, Pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, use your incentive spirometer {Incentive spirometry}, airways {Airway structure}, lungs {Lung structure}, coughing up secretions {Encouragement of deep breathing and coughing exercises}, lungs {Lung structure}, chest {Thoracic structure}, rib cage {Thoracic cage structure}, coughing and 
-deep breathing {Deep breathing and coughing exercises}, relief {Pain relief}, ice packs {Application of ice}, heating pads {Heat therapy}, pain {Pain}, constipation {Constipation}, take a stool softener {Administration of laxative}, increase your fluid {Fluid intake encouragement}, fiber intake {High fiber diet education}, Do NOT smoke {Smoking cessation education}, controlling pain {Pain control}, shortness of breath {Dyspnea}, increased pain {Increased pain}, crackling sensation {Subcutaneous emphysema}, ribs {Bone structure of rib}, crepitus {Bone crepitus}, right sided {Structure of right orbital region}, swelling {Periorbital edema}, change in vision {Visual disturbance}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Ace Inhibitors
- 
-Attending: ___.
- 
-Chief Complaint:
-tongue swelling
- 
-Major Surgical or Invasive Procedure:
-Intubation
-
- 
-
-###RESPONSE: Ace Inhibitors {Allergy to acetylcholinesterase inhibitor}, tongue swelling {Tongue swelling}, Intubation {Intubation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo male with history of ESRD s/p living unrelated kidney 
-transplant in ___ presented to the ER in the middle of the 
-night with tongue swelling. Per report, the pt noted he woke up 
-from his sleep at 3 Am and felt that his mouth had been forced 
-open.  
-In the ER he was statting 93% on RA and could barely speak. He 
-received 125 mg IV solumedrol, 50 mg IV benadryl, 20 mg IV 
-pepcid and 0.3 cc of 1:1000 epinephrine sc, but his symptoms 
-only got worse. He was thought to have angioedema and 
-fiberoptically intubated by anesthesia.  
-.  
-Upon arrival to the floor the pt was intubated and sedated. 
-Additional history obtained from his mother who lives with him. 
-She did not know his medication list, but stated this had never 
-happened to the pt before and she did not think there had been 
-any recent medication changes. Only notable thing was that pt 
-ate ""hot sauce"" last night which was different for him.  
-.
-Medications brought in by family following admission, includes 
-(recently added) benazepril.  
- 
-
-###RESPONSE: ESRD {End-stage renal disease}, kidney 
-transplant {Transplant of kidney}, tongue swelling {Tongue swelling}, mouth {Mouth region structure}, RA {Breathing room air}, angioedema {Angioedema}, intubated {Intubation}, anesthesia {Under anesthesia}, sedated {Sedated}, medication changes {Change of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN  
-ESRD s/p living unrelated kidney transplant in ___  
-sleep apnea on CPAP  
-DM2  
-H./o colon cancer s/p right colectomy by Dr. ___ ___. 
-No chemotherapy.  
-History of bilateral lower extremity edema.  
-s/p L AV fistula  
-hypercholesterolemia  
-admission for ___ cellulitis ion ___  
-h/o GIB  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, ESRD {End-stage renal disease}, kidney transplant {Transplant of kidney}, sleep apnea {Sleep apnea}, on CPAP {Dependence on continuous positive airway pressure ventilation}, DM2 {Diabetes mellitus type 2}, colon cancer {Malignant neoplasm of colon}, right colectomy {Right colectomy}, chemotherapy {Chemotherapy}, bilateral lower extremity edema {Edema of bilateral lower limbs}, AV fistula {Arteriovenous fistula}, hypercholesterolemia {Hypercholesterolemia}, cellulitis {Cellulitis}, GIB {Gastrointestinal hemorrhage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-unknown
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: T: 06.9 HR: 71 BP: 120/79 RR: 14 O2 Sat: 100% on vent  
-AC: 600x14 FIO2 1 PEEP 5  
-GEN: intubated, moving around, couging  
-HEENT: intubated, edematous tongue  
-Neck: supple  
-Cardio: RRR, nl S1 S2, no m/r/g  
-Pulm: CTAB ant, no w/r/r,no stridor  
-Abd: soft, NT, ND, + BS  
-Ext: no edema, 2+ DP pulses  
-Neuro: sedated, moving around, grimacing and coughing, moving 
-upper and lower ext; PERRL  
-Skin: no rashes or hives  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, GEN {General examination of patient}, couging {Cough}, HEENT {Physical examination procedure}, edema {Edema}, Neck {Physical examination procedure}, supple {Normal movement of neck}, Cardio {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Pulm {Examination of respiratory system}, CTAB {Normal breath sounds}, no w/r/r {Normal breath sounds}, stridor {Stridor}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, + BS {Normal bowel sounds}, Ext {Examination of limb}, edema {Edema}, 2+ DP pulses {All pulses present in bilateral lower limbs}, Neuro {Neurological examination}, sedated {Sedated}, coughing {Cough}, upper {Examination of lower limb}, lower ext {Lower limb structure}, PERRL {Pupils equal and reacting to light}, Skin {Examination of skin}, rashes {Eruption of skin}, hives {Wheal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:15AM BLOOD WBC-4.9 RBC-3.86* Hgb-13.3* Hct-39.0* 
-MCV-101* MCH-34.3* MCHC-34.0 RDW-14.9 Plt Ct-58*
-___ 06:14AM BLOOD WBC-7.1# RBC-4.06* Hgb-14.0 Hct-40.2 
-MCV-99* MCH-34.4* MCHC-34.8 RDW-15.4 Plt Ct-67*
-___ 12:27AM BLOOD WBC-3.4* RBC-4.20* Hgb-14.9 Hct-41.9 
-MCV-100* MCH-35.4* MCHC-35.5* RDW-14.6 Plt Ct-64*
-___ 05:04AM BLOOD WBC-3.6* RBC-4.07* Hgb-14.4 Hct-41.0 
-MCV-101* MCH-35.4* MCHC-35.1* RDW-14.7 Plt Ct-78*
-___ 06:15AM BLOOD Glucose-223* UreaN-48* Creat-2.2* Na-141 
-K-3.5 Cl-101 HCO3-29 AnGap-15
-___ 06:14AM BLOOD Glucose-267* UreaN-38* Creat-2.0* Na-143 
-K-4.3 Cl-102 HCO3-29 AnGap-16
-___ 12:27AM BLOOD Glucose-268* UreaN-35* Creat-1.9* Na-139 
-K-4.1 Cl-103 HCO3-24 AnGap-16
-___ 06:15AM BLOOD tacroFK-10.4
-___ 08:55AM BLOOD Type-ART FiO2-100 pO2-443* pCO2-40 
-pH-7.43 calTCO2-27 Base XS-2 AADO2-252 REQ O2-48 
-Intubat-INTUBATED
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-# Angioedema: Initially unclear precipitant for angioedema, 
-however, after family brought in meds following admission, an 
-ACE inhibitor was among them (had not previously been known to 
-be on ACE) and most likely due to this. No family or personal 
-history of angioedema.  No rash or hypotension.  IV steroids 
-(with transition to PO taper) started along with benadryl and 
-pepcid.  He was extubated easily on ___ following resolution 
-of the swelling.  ACE inhibitor was added to his allergy list.  
-He was discharged on a prednisone taper.
-
-# ESRD s/p txplnt in ___: Pt with unrelated living donor 
-txplnt.  Azathioprine and prograf were continued.  The renal 
-transplant team followed him during admission.
-  
-# HTN: Rrestarted home regimen with exception of ACE inhibitor.
- 
-# DM: SSI and qid ___. 
-
-# Sleep apnea: not using CPAP regularly at home.
-
- 
-
-###RESPONSE: Angioedema {Angioedema}, angioedema {Angioedema}, angioedema {Angioedema}, rash {Eruption of skin}, hypotension {Low blood pressure}, steroids {Steroid therapy}, extubated {Removal of endotracheal tube}, swelling {Swelling}, allergy {Allergic disposition}, ESRD {End-stage renal disease}, txplnt {Transplant of kidney}, renal 
-transplant {Transplant of kidney}, HTN {Hypertensive disorder, systemic arterial}, regimen {Therapeutic regimen}, DM {Diabetes mellitus}, SSI {Sliding scale insulin regime}, Sleep apnea {Sleep apnea}, CPAP {Continuous positive airway pressure ventilation treatment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-(meds brought in by family)
-Benazepril-HCTZ 1 tablet PO QD  
-Bactrim SS PO QD  
-Vitamin D 1.25 MG PO QD  
-HCTZ 25 mg PO QD  
-Azathioprine 100 mg PO QD  
-Prograf 3 mg PO BID (vs. 1 mg PO BID - unclear)
-Amlodipine 10 mg PO QD  
-Carvedilol 25 mg PO BID  
-Lipitor 80 mg PO QD  
-Aspirin 81 mg PO QD  
-
- 
-Discharge Medications:
-1. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-3. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-4. Carvedilol 25 mg Tablet Sig: One (1) Tablet PO twice a day.  
-5. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day.  
-6. Azathioprine 100 mg Tablet Sig: One (1) Tablet PO once a day. 
- 
-7. Tacrolimus 1 mg Capsule Sig: One (1) Capsule PO Q12H (every 
-12 hours).  
-8. Amlodipine 10 mg Tablet Sig: One (1) Tablet PO once a day.  
-9. Hydrochlorothiazide 25 mg Tablet Sig: One (1) Tablet PO once 
-a day.  
-10. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-12. Prednisone 10 mg Tablet Sig: as below Tablet PO Daily () for 
-3 days: Take 3 tablets for one day (30mg), followed by 2 tablets 
-for one day (20mg) and 1 tablet for one day (10mg).
-Disp:*6 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary:
-Angioedema likely secondary to ACE-I
-Secondary:
-ESRD s/p living transplant on chronic immunosupression
-Type II Diabetes
-Hypertension
-
- 
-Discharge Condition:
-Stable with decreased tongue swelling
-
- 
-
-###RESPONSE: Angioedema {Angioedema}, ESRD {End-stage renal disease}, transplant {Transplant of kidney}, immunosupression {Immunosuppression}, Type II Diabetes {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, Stable {Patient's condition stable}, tongue swelling {Tongue swelling}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital with a likely allergic 
-reaction to a medication you were taking, benzapril.
-
-While you were in the hospital, you required intubation to help 
-you breath because of your swollen tongue.  We treated you with 
-steroids and your tongue swelling improved.
-
-If you develop any shortness of breath, chest pain, swelling, 
-rash or any other concerning symptoms, you should call your 
-doctor or come to the emergency room.
- 
-
-###RESPONSE: allergic 
-reaction {Allergic reaction}, intubation {Intubation}, swollen tongue {Tongue swelling}, steroids {Steroid therapy}, tongue swelling {Tongue swelling}, improved {Patient's condition improved}, shortness of breath {Dyspnea}, chest pain {Chest pain}, swelling {Swelling}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-codeine
- 
-Attending: ___.
- 
-Chief Complaint:
-Transaminitis
- 
-Major Surgical or Invasive Procedure:
-Diagnostic LHC ___
-LHC w/ LAD PCI ___
-
- 
-
-###RESPONSE: codeine {Allergy to codeine}, Transaminitis {Aspartate transaminase level above reference range}, LHC {Catheterization of left heart}, LHC {Catheterization of left heart}, LAD {Structure of anterior descending branch of left coronary artery}, PCI {Percutaneous coronary intervention}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ female
-with history of alcoholic cirrhosis decompensated by grade I
-varices and two recent hospitalizations for hepatic
-encephalopathy, alcohol use disorder in remission, and
-non-obstructive coronary artery disease referred directly from
-___ clinic for incidental cholestatic injury, rising MELD
-and imminent transplant candidacy in that regard, and serial lab
-monitoring.
-
-Patient was first hospitalized from ___ for hepatic
-encephalopathy secondary to lactulose non-adherence and
-pan-sensitive E. coli UTI. She incidentally developed acute on
-chronic anemia, prompting endoscopy, which revealed one cord of
-grade I varices and portal hypertensive gastropathy without
-stigmata of bleeding. She was likewise hospitalized from ___
-for hepatic encephalopathy secondary to dehydration. Her
-mentation promptly resolved with hydration and was discharged on
-rifaximin. 
-
-She explains, ""I felt really good [after discharge]"" for an
-estimated 1.5 to 2 weeks, when ""things [then] went downhill,""
-meaning ""no energy"" and jaundice. She is not sleeping well due 
-to
-intense pruritus and is napping during the day. Her daughter
-adds, ""It doesn't take much to get her exhausted [now]...like 
-one
-errand."" She endorses anorexia and dysgeusia in recent days, and
-estimates a 5-pound weight loss since last hospitalization. She
-has not been confused and is taking her lactulose, noting ___
-bowel movements some days and ___ on others. She has vague,
-occasional ""crampy"" abdominal pain, which is not particularly
-bothersome.
-
-She recently completed a course of amoxicillin for a dental
-procedure, but denies other new medications or over-the-counter
-protein supplements or vitamins. Her colestipol was recently
-intensified, but she thinks her fatigue and jaundice pre-dated
-this. She continues to abstain from alcohol. Her routine
-surveillance labs on ___ revealed worsening hyperbilirubinemia
-(i.e., total bilirubin 11 to 23.4, then 21.7 today), prompting
-expedited follow-up today. She underwent MRCP and was then
-admitted directly for serial lab monitoring. 
-
- 
-
-###RESPONSE: alcoholic cirrhosis {Alcoholic cirrhosis}, varices {Esophageal varices}, hepatic
-encephalopathy {Hepatic encephalopathy}, alcohol use {Current drinker of alcohol}, disorder in remission {Disorder in remission}, coronary artery disease {Coronary arteriosclerosis}, cholestatic injury {Injury of biliary tree}, monitoring {Monitoring procedure}, hepatic
-encephalopathy {Hepatic encephalopathy}, E. coli UTI {Urinary tract infection caused by Escherichia coli}, chronic anemia {Chronic anemia}, endoscopy {Endoscopy}, varices {Esophageal varices}, portal hypertensive gastropathy {Portal hypertensive gastropathy}, bleeding {Bleeding}, hepatic encephalopathy {Hepatic encephalopathy}, dehydration {Dehydration}, resolved {Problem resolved}, hydration {Administration of fluid therapy}, felt really good {Patient feels well}, jaundice {Jaundice}, sleeping {Asleep}, pruritus {Itching of skin}, anorexia {Loss of appetite}, dysgeusia {Taste sense altered}, weight loss {Weight loss}, confused {Clouded consciousness}, crampy {Stomach cramps}, abdominal pain {Abdominal pain}, dental
-procedure {Dental surgical procedure}, fatigue {Fatigue}, jaundice {Jaundice}, abstain from alcohol {Does abstain from drinking}, hyperbilirubinemia {Hyperbilirubinemia}, total bilirubin {Bilirubin, total measurement}, MRCP {Magnetic resonance cholangiopancreatography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Alcoholic Cirrhosis c/b ascites, esophageal varices
-Colonic adenoma 
-Essential hypertension
-Melanocytic nevus
-Low back pain
-GERD
-Anemia 
-Cholecystectomy
-
- 
-
-###RESPONSE: Alcoholic Cirrhosis {Alcoholic cirrhosis}, ascites {Ascites}, esophageal varices {Esophageal varices}, Colonic {Colon structure}, adenoma {Adenoma}, Essential hypertension {Essential hypertension}, Melanocytic nevus {Pigmented nevus}, Low back pain {Low back pain}, GERD {Gastroesophageal reflux disease}, Anemia {Anemia}, Cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother: ___ kidney disease, deceased
-Father: ___, deceased
-Brother: CAD with stent
- 
-
-###RESPONSE: kidney disease {Kidney disease}, deceased {Dead}, deceased {Dead}, CAD {Coronary arteriosclerosis}, stent {Insertion of arterial stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:
-VITALS: T 98.3, HR 78, BP 133/71. RR 17, O2 100% RA  
-GENERAL: no apparent distress, jaundiced, thin 
-HEENT: temporal wasting, scleral icterus, oropharynx clear, 
-moist
-mucous membranes  
-NECK: supple, JVP 8 cm, no cervical lymphadenopathy 
-HEART: RRR, S1/S2, III/VI systolic murmur heard across the
-precordium
-PULM: unlabored, CTAB  
-ABDOMEN: surgical scar, soft, minor distention, non-tender,
-palpable liver edge 
-EXTREMITIES: warm, well perfused, without edema, intrinsic hand
-muscle wasting 
-NERUO: no asterxis, non-focal
-SKIN: no rash or lesion
-
-DISCHARGE EXAM:
-VITALS: T 98.4 BP 115/55 HR 78 RR 18  O2 Sat 99% on RA
-Wt: 141.1 lb/61 kg  
-GENERAL: NAD, months backward w 1 error.
-HEENT: AT/NC, anicteric sclera, MMM
-CV: RRR, S1/S2, no murmurs, gallops, or rubs
-PULM: CTAB, no wheezes, rales, rhonchi, breathing comfortably
-without use of accessory muscles
-GI: abdomen soft, moderately distended, without fluid
-wave, nontender in all quadrants, no rebound/guarding
-EXTREMITIES: no cyanosis, clubbing, or edema
-NEURO: Alert, moving all 4 extremities with purpose, face
-symmetric
-DERM: Warm and well perfused, mildly jaundiced (stable this
-admission), no excoriations or lesions, no rashes
-
- 
-
-###RESPONSE: T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, distress {Distress}, jaundiced {Jaundice}, HEENT {Physical examination procedure}, temporal {Structure of temporal region}, scleral icterus {Scleral icterus}, oropharynx clear {Pharynx normal}, moist
-mucous membranes {Moist oral mucosa}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, cervical lymphadenopathy {Cervical lymphadenopathy}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, precordium {Structure of precordium}, PULM {Examination of respiratory system}, unlabored {Breathing easily}, CTAB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, surgical scar {Surgical scar}, soft {Abdomen soft}, distention {Swollen abdomen}, ,
-palpable liver edge {Liver edge palpable}, EXTREMITIES {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, hand {Hand structure}, muscle wasting {Muscle atrophy}, NERUO {Neurological examination}, asterxis {Asterixis}, SKIN {Examination of skin}, rash {Eruption of skin}, lesion {Skin lesion}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 Sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, anicteric sclera {White sclera}, MMM {Moist oral mucosa}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, GI {Examination of digestive system}, abdomen soft {Abdomen soft}, distended {Swollen abdomen}, fluid {Effusion}, tender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face
-symmetric {Facial symmetry}, DERM {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, jaundiced {Jaundice}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 01:50PM   GLUCOSE-113*
-___ 01:50PM   UREA N-32* CREAT-1.2* SODIUM-131* 
-POTASSIUM-5.2 CHLORIDE-95* TOTAL CO2-21* ANION GAP-15
-___ 01:50PM   ALT(SGPT)-36 AST(SGOT)-83* ALK PHOS-178* TOT 
-BILI-21.7*
-___ 01:50PM   ALBUMIN-3.7
-___ 01:50PM   HBsAg-NEG HAV Ab-NEG
-___ 01:50PM   ASA-NEG ACETMNPHN-NEG
-___ 01:50PM   WBC-5.8 RBC-2.96* HGB-9.0* HCT-25.4* MCV-86 
-MCH-30.4 MCHC-35.4 RDW-27.5* RDWSD-84.0*
-___ 01:50PM   NEUTS-75.2* LYMPHS-13.8* MONOS-9.3 EOS-0.9* 
-BASOS-0.3 IM ___ AbsNeut-4.34 AbsLymp-0.80* AbsMono-0.54 
-AbsEos-0.05 AbsBaso-0.02
-___ 01:50PM   PLT COUNT-129*
-___ 01:50PM   ___
-___ 10:32AM   CREAT-1.3* SODIUM-129*
-___ 10:32AM   estGFR-Using this
-___ 10:32AM   ALT(SGPT)-31 AST(SGOT)-72* ALK PHOS-158* TOT 
-BILI-23.4*
-___ 10:32AM   ALBUMIN-3.6
-___ 10:32AM   ___
-
-DISCHARGE LABS:
-=================
-___ 07:50AM BLOOD WBC-4.5 RBC-2.46* Hgb-7.6* Hct-22.0* 
-MCV-89 MCH-30.9 MCHC-34.5 RDW-24.3* RDWSD-78.9* Plt Ct-65*
-___ 07:50AM BLOOD ___ PTT-35.5 ___
-___ 07:50AM BLOOD Glucose-136* UreaN-38* Creat-1.2* Na-132* 
-K-4.4 Cl-99 HCO3-20* AnGap-13
-___ 07:50AM BLOOD ALT-65* AST-139* AlkPhos-279* 
-TotBili-11.5*
-___ 07:50AM BLOOD Calcium-8.3* Phos-2.9 Mg-2.___ yo F with hx alcoholic cirrhosis c/b grade I varices, 
-malnutrition, and two recent hospitalizations for hepatic 
-encephalopathy referred directly from ___ clinic with 
-elevated bilirubin for expedited liver transplant work-up found 
-to have non-obstructive CAD in LAD, and on ___ had rotational 
-athrectomy and 2 drug-eluting stents placed, and resolving 
-transaminitis.
-
-ACUTE ISSUES
-#) Alcoholic cirrhosis, Child B/MELD ___ on admission, 26 on 
-___
-Patient initially presented from clinic with worsening 
-cholestasis of uncertain etiology. MRCP was negative for 
-cholangitis among other obstructive pathologies and infectious 
-work up has been negative. She recently had 3 teeth extracted, 
-so transient bacteremia may have contributed. No new medications 
-other than amoxicillin for dental prophylaxis and recent 
-intensification of colestipol. Now that patient is on aspirin 
-and Plavix, further evaluation of liver transplant will not 
-occur for 3 mo. 
-*Volume: She was hypervolemic, with increasing ascites based on 
-visual exam and weights. Continued Lasix and spironolactone as 
-tolerated by kidney.
-She received albumin. 
-*Infection: patient had ascites, but no fever, leukocytosis; 
-paracentesis was not performed as no strong clinical indication, 
-and currently on dual antiplatelet therapy
-*Bleeding: history of grade I varices. There was concern for 
-hemorrhage and CBC and coagulation parameters were at or above
-baseline.
-*Coagulopathy: INR 1.6; Platelets 65, up from 61 ___.
-*Encephalopathy: history of hepatic encephalopathy, though was
-entirely appropriate and oriented here. She was continued on 
-lactulose and rifaximin. 
-*Nutrition: nutrition evaluation for history of malnutrition.
-previously Started on Zinc Sulfate. She continued her home 
-dicyclomine. Her home ___ was held. 
-
-#) Coronary artery disease, non-obstructive: by CT coronary
-(CAD-RADS ___. Unremarkable nuclear exercise tolerance test. 
-Grade II diastolic dysfunction without focal wall motion 
-abnormality. Diagnostic
-catheterization ___ showed severe proximal LAD stenosis (80%) 
-and mild LCx disease. Per Cardiology recommendation and 
-agreement of Liver transplant
-team, was started on Plavix and aspirin. On ___, she underwent 
-rotational athrectomy and had 2 drug eluting stents placed ___ 
-for a single vessel mid-LAD epicardial CAD. This procedure will 
-temporarily preclude her status 
-for liver transplant due the necessity of Plavix for the next 3
-months. EF 73%n (___). She was started on atorvastatin. 
-
-___
-Cr increased from 0.9-1.0 baseline to 1.2. Given severe 
-cirrhosis, hepatorenal disease was considered. She received 25 g 
-albumin x1 with improvement. 
-
-#Anemia
-Hgb stable. No evidence of acute bleeding
-
-#Hyponatremia
-Improving on discharge. Likely hypervolemic hyponatremia in 
-context of
-decompensated cirrhosis.
-
-CHRONIC ISSUES:
-===============
-#GERD: pantoprazole changed to omeprazole 40 mg daily because of 
-better side effect profile with dual antiplatelet therapy 
-
-TRANSTIONAL ISSUES
-==================
-[] Pt will require 3mo aspirin+plavix following ___ cardiac 
-cath with placement of two drug-eluting stents in LAD.
-[] Please check labs on ___. 
-[] Will f/u ___ with Liver and ___ with Cards.
-
-CODE: Full
-CONTACT: Health care proxy chosen: Yes 
-Name of health care proxy: ___ 
-___: daughter 
-Phone number: ___ 
-___ on date: ___ 
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, ALBUMIN {Albumin measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, ALBUMIN {Albumin measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, alcoholic cirrhosis {Alcoholic cirrhosis}, varices {Esophageal varices}, malnutrition {Nutritional disorder}, hepatic 
-encephalopathy {Hepatic encephalopathy}, elevated bilirubin {Bilirubin level above reference range}, liver transplant {Transplantation of liver}, work-up {Evaluation procedure}, CAD {Coronary arteriosclerosis}, LAD {Structure of anterior descending branch of left coronary artery}, rotational 
-athrectomy {Atherectomy by rotary cutter}, drug-eluting stents placed {Endovascular insertion of drug eluting stent}, transaminitis {Aspartate transaminase level above reference range}, Alcoholic cirrhosis {Alcoholic cirrhosis}, cholestasis {Cholestasis}, MRCP {Magnetic resonance cholangiopancreatography}, cholangitis {Cholangitis}, infectious {Infectious disease}, work up {Evaluation procedure}, teeth extracted {Tooth extraction}, bacteremia {Bacteremia}, prophylaxis {Preventive procedure}, aspirin {Administration of aspirin}, evaluation {Evaluation procedure}, liver transplant {Transplantation of liver}, hypervolemic {Hypervolemia}, ascites {Ascites}, visual exam {Inspection}, weights {Weight finding}, kidney {Kidney structure}, received albumin {Administration of albumin}, Infection {Infectious disease}, ascites {Ascites}, fever {Fever}, leukocytosis {Leukocytosis}, paracentesis {Abdominal paracentesis}, antiplatelet therapy {Platelet aggregation inhibitor therapy}, Bleeding {Bleeding}, varices {Esophageal varices}, hemorrhage {Hemorrhage}, CBC {Complete blood count}, coagulation {Blood coagulation panel}, baseline {Baseline state}, Coagulopathy {Blood coagulation disorder}, Platelets {Finding of platelet count}, Encephalopathy {Disorder of brain}, hepatic encephalopathy {Hepatic encephalopathy}, oriented {Orientated}, Nutrition {Nutritional finding}, nutrition {Nutritional finding}, evaluation {Evaluation procedure}, malnutrition {Nutritional disorder}, Coronary artery disease {Coronary arteriosclerosis}, CT coronary {Computed tomography angiography of coronary artery with contrast}, CAD {Coronary arteriosclerosis}, RADS {Reactive airway disease}, exercise tolerance test {Exercise tolerance test}, diastolic dysfunction {Diastolic dysfunction}, focal wall motion 
-abnormality {Left ventricular wall motion abnormality}, catheterization {Cardiac catheterization}, proximal LAD stenosis {Stenosis of proximal portion of anterior descending branch of left coronary artery}, LCx {Structure of circumflex branch of left coronary artery}, disease {Disease}, Cardiology {Cardiology service}, Liver transplant {Transplantation of liver}, aspirin {Administration of aspirin}, rotational athrectomy {Atherectomy by rotary cutter}, drug eluting stents placed {Endovascular insertion of drug eluting stent}, single vessel {Single coronary vessel disease}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, CAD {Coronary arteriosclerosis}, liver transplant {Transplantation of liver}, hepatorenal disease {Hepatorenal syndrome}, albumin {Administration of albumin}, improvement {Patient's condition improved}, Anemia {Anemia}, Hgb {Measurement of total hemoglobin concentration}, stable {Patient's condition stable}, acute bleeding {Acute hemorrhage}, Hyponatremia {Hyponatremia}, hypervolemic {Hypervolemia}, hyponatremia {Hyponatremia}, decompensated cirrhosis {Decompensated cirrhosis of liver}, GERD {Gastroesophageal reflux disease}, antiplatelet therapy {Platelet aggregation inhibitor therapy}, aspirin {Administration of aspirin}, cardiac 
-cath {Cardiac catheterization}, placement {Implantation procedure}, drug-eluting stents {Endovascular insertion of drug eluting stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Ondansetron 4 mg PO DAILY:PRN nausea 
-2. Lactulose 30 mL PO TID 
-3. DICYCLOMine 10 mg PO BID:PRN abdominal pain 
-4. colestipol 4 mg oral BID 
-5. DiphenhydrAMINE 25 mg PO QHS 
-6. Ferrous Sulfate 325 mg PO DAILY 
-7. Furosemide 20 mg PO DAILY 
-8. Spironolactone 25 mg PO BID 
-9. Multivitamins 1 TAB PO DAILY 
-10. Omeprazole 20 mg PO DAILY 
-11. Rifaximin 550 mg PO BID 
-12. Viactiv (calcium-vitamin D3-vitamin K) 500-500-40 
-mg-unit-mcg oral DAILY 
-
- 
-Discharge Medications:
-1.  Aspirin 81 mg PO DAILY 
-RX *aspirin [Adult Aspirin Regimen] 81 mg 1 tablet(s) by mouth 
-daily Disp #*30 Tablet Refills:*0 
-2.  Atorvastatin 40 mg PO QPM 
-RX *atorvastatin 40 mg 1 tablet(s) by mouth Nightly Disp #*30 
-Tablet Refills:*0 
-3.  Clopidogrel 75 mg PO DAILY 
-RX *clopidogrel 75 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*0 
-4.  HydrOXYzine 25 mg PO QHS:PRN itching, sleeping 
-RX *hydroxyzine HCl 25 mg 1 tab by mouth at bedtime Disp #*30 
-Tablet Refills:*0 
-5.  Zinc Sulfate 220 mg PO DAILY 
-RX *zinc sulfate 220 mg (50 mg zinc) 1 capsule(s) by mouth daily 
-Disp #*30 Capsule Refills:*0 
-6.  DICYCLOMine 10 mg PO BID:PRN abdominal pain  
-7.  DiphenhydrAMINE 25 mg PO QHS  
-8.  Ferrous Sulfate 325 mg PO DAILY  
-9.  Furosemide 20 mg PO DAILY  
-10.  Lactulose 30 mL PO TID  
-11.  Multivitamins 1 TAB PO DAILY  
-12.  Omeprazole 20 mg PO DAILY  
-13.  Ondansetron 4 mg PO DAILY:PRN nausea  
-14.  Rifaximin 550 mg PO BID  
-15.  Spironolactone 25 mg PO BID  
-16.  Viactiv (calcium-vitamin D3-vitamin K) 500-500-40 
-mg-unit-mcg oral DAILY  
-17. HELD- colestipol 4 mg oral BID  This medication was held. Do 
-not restart colestipol until cleared by your doctors. 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Cirrhosis with portal hypertension
-Decompensated liver failure with ascites, jaundice and 
-coagulopathy
-Coronary artery disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Cirrhosis {Cirrhosis of liver}, portal hypertension {Portal hypertension}, liver failure {Hepatic failure}, ascites {Ascites}, jaundice {Jaundice}, coagulopathy {Blood coagulation disorder}, Coronary artery disease {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-You were admitted to ___ with abnormal liver tests. We think 
-this may have been related to your recent dental surgery. Your 
-numbers improved without intervention. While here, you had a 
-catheterization of your heart which showed one of your heart 
-vessels was partially blocked. You had two stents put in to keep 
-it open. Your liver tests were improving and you continued to be 
-well on discharge. Please get your labs drawn before your 
-appointment with Dr. ___ see him ___. It was a pleasure 
-being involved in your care. 
-
-Wishing you the best, 
-
-Your ___ Team 
- 
-
-###RESPONSE: abnormal liver tests {Liver function tests outside reference range}, dental surgery {Dental surgical procedure}, improved {Patient's condition improved}, catheterization of your heart {Cardiac catheterization}, heart 
-vessels {Coronary artery structure}, stents {Insertion of arterial stent}, liver tests {Hepatic function panel}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Iodine Containing Agents Classifier / Spironolactone / Asacol
- 
-Attending: ___
- 
-Chief Complaint:
-Fevers, tremors, chills. 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Iodine {Allergy to iodine compound}, Spironolactone {Allergy to spironolactone}, Fevers {Fever}, tremors {Tremor}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-patient is a ___ man with history of atrial fibrillation 
-on coumadin and ulcerative colitis s/p recent admission for 
-lower GIB (on prednisone taper) who presents from home with 
-fevers and chills.
-.
-On initial evaluation in the ED, his vitals were T 101, HR 84, 
-BP 146/112, RR 16, sat 96% ___. Labs notable for white count of 
-1.3 (69% polys, 14% lymphs, no bands) - down from recent 1.3 - 
-with hct 33 (stable at baseline), lactate 3.0, normal LFTs, INR 
-2.4 (on coumadin). Creatinine was 1.3 (at baseline). CXR showed 
-no acute cardiopulmonary process. UA was normal. Blood and urine 
-cultures were drawn and patient given vancomycin 1g and Zosyn in 
-addition to 500 mg Tylenol. GI was contacted in the ED and 
-advised admit to medicine, can consult if needed. Patient was 
-then admitted for further work-up.
-.
-Of note, patient was recently admitted ___ for diarrhea 
-that was felt to be secondary to UC. Patient underwent 
-colonoscopy on ___ that showed luminal narrowing at the sigmoid 
-with mild colitis; biopsies showed active colitis with no 
-evidence of malignancy. He was started on prednisone 40 mg daily 
-and asacol 800 mg tid with marked improvement in his symptoms. 
-Infectious GI workup was negative; biopsy for CMV was negative. 
-Patient was discharged with a slow prednisone taper and 
-increased dose of Asacol to 1600 mg tid. Omeprazole was also 
-added during that admission. Hydrochlorothiazide, lisinopril, 
-and colchicine were all stopped. 
- 
-
-###RESPONSE: atrial fibrillation {Atrial fibrillation}, ulcerative colitis {Ulcerative colitis}, lower GIB {Lower gastrointestinal hemorrhage}, fevers {Fever}, chills {Chill}, evaluation {Evaluation procedure}, vitals {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, sat {Finding of oxygen saturation}, Labs {Laboratory test}, lactate {Lactic acid measurement}, normal LFTs {Liver function tests within reference range}, CXR {Plain chest X-ray}, UA {Urinalysis}, normal {No abnormality detected}, urine 
-cultures {Urine culture}, diarrhea {Diarrhea}, UC {Ulcerative colitis}, colonoscopy {Colonoscopy}, narrowing {Narrowing}, sigmoid {Sigmoid colon structure}, colitis {Colitis}, biopsies {Biopsy}, colitis {Colitis}, no 
-evidence of malignancy {No evidence of malignant neoplasm}, Infectious GI {Infection of gastrointestinal tract}, biopsy {Biopsy}, CMV {Cytomegalovirus infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Atrial fibrillation
-2. Hypertension 
-3. Peripheral vascular disease
-4. Chronic renal insufficiency: Baseline Cr=1.3-1.6
-5. Impaired fasting glucose 
-6. Chronic lower extremity edema 
-7. h/o prostate cancer
-8. Hyperlipidemia 
-9. Gout
-10. Erectile dysfunction
-11. OSA 
-12. History of melanoma
-13. Restless leg syndrome
-14. Osteoarthritis
-15. h/o tremor
- 
-
-###RESPONSE: Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, Peripheral vascular disease {Peripheral vascular disease}, Chronic renal insufficiency {Chronic renal insufficiency}, Impaired fasting glucose {Impaired fasting glycemia}, Chronic {Chronic edema}, lower extremity edema {Edema of lower extremity}, prostate cancer {Carcinoma of prostate}, Hyperlipidemia {Hyperlipidemia}, Gout {Inflammatory disorder due to increased blood urate level}, Erectile dysfunction {Erectile dysfunction}, OSA {Obstructive sleep apnea syndrome}, melanoma {Malignant melanoma of skin}, Restless leg syndrome {Restless legs}, Osteoarthritis {Osteoarthritis}, tremor {Tremor}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Brother - died of stomach cancer.  
-Father - ___ Disease 
-Mother - ___ Disease.
- 
-
-###RESPONSE: died {Dead}, stomach cancer {Malignant tumor of stomach}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: 97 86 110/70 18 97RA
-General: Pleasant, laughing, elderly man in NAD
-HEENT: MMM
-Neck: Supple
-Lungs: CTAB, no WRR
-Heart: RRR, no RMG, no JVD
-Abdomen: Soft, NTND, +BS
-Extremities: No edema 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, laughing {Laughing}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, WRR {Finding of rate of respiration}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, no RMG {Heart sounds normal}, JVD {Jugular venous engorgement}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, +BS {Normal bowel sounds}, Extremities {Examination of limb}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:55AM BLOOD WBC-1.3*# RBC-3.64* Hgb-10.7* Hct-33.0* 
-MCV-91 MCH-29.4 MCHC-32.4 RDW-15.0 Plt ___
-___ 08:55AM BLOOD Neuts-69.4 Lymphs-14.8* Monos-4.2 
-Eos-10.9* Baso-0.8
-___ 08:55AM BLOOD ___ PTT-33.7 ___
-___ 08:55AM BLOOD Glucose-234* UreaN-35* Creat-1.3* Na-137 
-K-4.2 Cl-99 HCO3-26 AnGap-16
-___ 08:55AM BLOOD ALT-39 AST-25 LD(LDH)-225 AlkPhos-70 
-Amylase-31 TotBili-0.4
-___ 06:50AM BLOOD Calcium-7.9* Phos-1.9* Mg-1.6
-___ 11:15AM BLOOD %HbA1c-7.2* eAG-160*
-___ 09:05AM BLOOD Lactate-3.0* K-4.1
-___ 08:05PM BLOOD Lactate-3.5*
-___ 10:05AM BLOOD Lactate-2.5*
-___ 07:15AM BLOOD Lactate-1.8
-
-___   Radiology ABDOMEN (SUPINE & ERECT  There are 
-multiple segments of dilated small bowel. Air is seen within the
-colon. No ___ colon identified. No pathologically dilated 
-bowel. Findings
-concerning for small-bowel obstruction, however. Surgical clips 
-are
-identified in the pelvis.  
-   
-___   Radiology CHEST (PA & LAT)  PA AND LATERAL CHEST 
-RADIOGRAPHS: The cardiomediastinal silhouette is stable.
-There is stable mild hilar prominence. The lungs are well 
-expanded and clear.
-The pleural surfaces are smooth without pleural effusions or 
-pneumothorax.
-IMPRESSION: No acute cardiopulmonary abnormality.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, K {Blood potassium measurement}, ABDOMEN {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, small bowel {Structure of small intestine}, colon {Colon structure}, colon {Colon structure}, dilated 
-bowel {Dilatation of intestine}, small-bowel obstruction {Small bowel obstruction}, pelvis {Structure of pelvis}, CHEST (PA & LAT) {Diagnostic radiography of chest, combined posteroanterior and lateral}, PA AND LATERAL CHEST 
-RADIOGRAPHS {Diagnostic radiography of chest, combined posteroanterior and lateral}, stable {Patient's condition stable}, stable {Patient's condition stable}, hilar {Structure of hilum of lung}, lungs {Lung structure}, pleural surfaces {Pleural membrane structure}, pleural effusions {Pleural effusion}, pneumothorax {Pneumothorax}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-ASSESSMENT AND PLAN: ___ man with recent diagnosis of 
-ulcerative colitis presenting with fevers and rigors.
-.
-# Fevers, chills, near neutropenia. Patient initially with ___ 
-SIRS criteria positive with leukopenia and fever, however no 
-clear source for infection as pt without symptoms. Suspected GI 
-source as a possible cause, possibly a superimposed infectious 
-colitis on top of patient's ulcerative colitis. Emperic 
-vancomycin and zosyn was started given the patient was 
-borderline neutrapenic (ANC of 897 initially), however abx were 
-dc'd as pts neutropenia improved with cessation of asacol and pt 
-was without abd pain or focal sxs to suggest a source. Urine and 
-stool cxs were negative, blood cxs still pending on discharge 
-and will need to be followed up on dc.
-.
-# Neutropenia. Probably secondary to Asacol. Resolved after 
-DC'ing asachol. 
-.
-# Ulcerative colitis. Continued prednidone, pt dc'd on 35 mg q 
-day with instructions to decrease to 30 mg in one week and 
-continue until told to stop by GI. DC'd mesalamine. Continued 
-omeprazole for gastric protection.  He was also dc'd on humalog 
-sliding scale given elevated sugars while in house.  He will 
-receive teaching by ___ and can be weaned off insulin as an 
-outpt as prednisone is weaned.
-.
-# Atrial fibrillation. Patient with CHADs score of 2. Continued 
-coumadin while inpt, however held on discharged for 
-supratherapeutic INR.  He will f/u in ___ clinic two 
-days post discharge.
-
-# Hypertension. Held Lasix in the setting of acute infection. 
-Was restarted on ___ home dose, may need to be uptitrated in the 
-outpt setting.
-.
-# Gout. During his previous admission, patient suffered an acute 
-flare of gout in his left finger and bilateral toes. His 
-symptoms improved with prednisone. No sx of gout this admission. 
-Continued febuxostat.
-
-# CKD baseline creatinine 1.1-1.3 probably HTN induced. Remained 
-at baseline.
- 
-
-###RESPONSE: ulcerative colitis {Ulcerative colitis}, fevers {Fever}, rigors {Rigor}, Fevers {Fever}, chills {Chill}, neutropenia {Neutropenia}, SIRS {Systemic inflammatory response syndrome}, leukopenia {Leukopenia}, fever {Fever}, infectious 
-colitis {Infectious colitis}, ulcerative colitis {Ulcerative colitis}, neutrapenic {Neutropenia}, neutropenia {Neutropenia}, improved {Patient's condition improved}, abd pain {Abdominal pain}, Urine {Urine culture}, Neutropenia {Neutropenia}, Ulcerative colitis {Ulcerative colitis}, sliding scale {Sliding scale insulin regime}, elevated sugars {Glucose level above reference range}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, acute infection {Acute infectious disease}, Gout {Inflammatory disorder due to increased blood urate level}, acute 
-flare of gout {Acute gout}, left finger {Structure of all fingers of left hand}, toes {Structure of all toes}, improved {Patient's condition improved}, gout {Inflammatory disorder due to increased blood urate level}, CKD {Chronic kidney disease}, creatinine {Serum creatinine within reference range}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-- atenolol 25 mg daily
-- febuxostat 80 mg daily
-- clobetasol 0.05% ointment topical daily prn
-- furosemide 40 mg daily
-- omeprazole 40 mg daily
-- warfarin 2.5-5.0 mg daily as directed
-- lovastatin 40 mg daily at bedtime
-- prednisone taper (current dose should be 10 mg daily)
-- mesalamine 1600 mg tid 
- 
-Discharge Medications:
-1. Lovastatin 40 mg Tablet Sig: One (1) Tablet PO once a day.  
-2. Prednisone 10 mg Tablet Sig: 3.5 Tablets PO DAILY (Daily): 
-decrease your dose to 30 mg/day in 7 days, continue at that dose 
-until you are told to change/stop by your doctor.
-Disp:*30 Tablet(s)* Refills:*2*
-3. Atenolol 25 mg Tablet Sig: One (1) Tablet PO once a day.  
-4. Lasix 40 mg Tablet Sig: ___ Tablet PO once a day.  
-5. Febuxostat 40 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 
- 
-6. Clobetasol 0.05 % Ointment Sig: One (1)  Topical once a day.  
-
-7. Omeprazole 40 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-8. Insulin Lispro 100 unit/mL Solution Sig: One (1)  
-Subcutaneous ASDIR (AS DIRECTED): per sliding scale  until your 
-doctor tells you to stop.
-Disp:*100 units* Refills:*2*
-9. Outpatient Lab Work
-Please go to coagulation clinic on ___ to have your INR 
-checked
-10. Lancets     Misc Sig: One (1)  Miscellaneous four times a 
-day.
-Disp:*120 * Refills:*2*
-11. Syringe (Disposable)     Syringe Sig: One (1) 0.5 cc syringe 
-Miscellaneous four times a day: 0.5 cc syringe.
-Disp:*120 syringes* Refills:*2*
-12. test strip  Sig: One (1) strip  four times a day: Please 
-provide 120 test strips, 2 refills.
-Disp:*120 * Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-1) Fever
-2) Ulcerative colitis 
-3) Diarrhea 
-4) Neutropenia
-5) Steroid-induced hyperglycemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Fever {Fever}, Ulcerative colitis {Ulcerative colitis}, Diarrhea {Diarrhea}, Neutropenia {Neutropenia}, Steroid-induced hyperglycemia {Steroid-induced hyperglycemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-It was a pleasure to take care of you here at ___. You were 
-admitted for fevers and chills. Fortunately a complete 
-infectious work up was negative. You remained without a fever. 
-You were started on antiobiotics but these were discontinued as 
-you continued to improve and had no source of infection. Your 
-fevers and chills were thought to be most likely secondary to a 
-viral syndrome or your ulcerative colitis. 
-.
-We have made the following changes to your medications: 
--STOP taking mesalamine as it lowered your white cell count
--CONTINUE taking prednisone.  You should continue taking 35 mg 
-for 7 days, then decrease your dose by 5 mg and continue taking 
-30 mg until your doctor tells you to stop.
--STOP taking warfarin until you are told to start by 
-anticoagulation clinc (you should have your INR drawn on ___
--decrease your furosemide (lasix) to 20 daily
--start taking insulin per sliding scale instructions four times 
-a day
-.
-Please call your doctor or return to the hospital if your 
-symptoms worsen or if you develop new symptoms including chest 
-pain or shortness of breath. 
- 
-
-###RESPONSE: fevers {Fever}, chills {Chill}, infectious {Infectious disease}, fever {Fever}, antiobiotics {Antibiotic therapy}, infection {Infectious disease}, fevers {Fever}, chills {Chill}, viral syndrome {Nonspecific syndrome suggestive of viral illness}, ulcerative colitis {Ulcerative colitis}, changes to your medications {Change of medication}, cell count {Cell count}, lasix {Diuretic therapy}, sliding scale {Sliding scale insulin regime}, chest 
-pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Fragmin / levofloxacin
- 
-Attending: ___.
- 
-Chief Complaint:
-fever, cough, pleuritic pain
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Fragmin {Allergy to dalteparin}, levofloxacin {Allergy to levofloxacin}, fever {Fever}, cough {Cough}, pleuritic pain {Pleuritic pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ history of HIV (""Good CD4 count"", VL 
-undetecable) who presents with 2 days of fevers, shourtness of 
-beath, yellow productive cough, pleuritic chest pain on his 
-right side. He reports fever of 104 on ___ and then onset of 
-cough productive of yellow/greenish sputum, shortness of breath 
-and pleuritic chest pain.  Decrease appetite with poor po 
-intake. No recent travel outside the the country; no sick 
-contact; no unprotected sexual intercourse. 
-
-In the ED, initial vitals were: 101 96 126/63 22 96% RA 
-- Labs were significant for WBC 24k with left shift.  Chem 10 
-remarkable for Na 131, BUN/Cr ___.  Flu negative. CXR 
-revealed multifocal pneumonia. Patient received vancomycin and 
-levofloxacin, albuterol/ipratropium nebs and admitted for 
-further care. 
-
-On the floor, the patient is complaining of ongoing right sided 
-pleuritic chest pain. He is comfortable on room air. 
-
-Of note, Mr. ___ endorses a history of previous pneumonias that 
-have required hospitalization but never intubation. He has been 
-treated with levofloxavin several times but recently noted the 
-developement of a rash. 
-
-REVIEW OF SYSTEMS:
-(+) Per HPI  
-(-) Denies headache, sinus tenderness, rhinorrhea or congestion. 
- Denies nausea, vomiting, diarrhea, constipation or abdominal 
-pain. No recent change in bowel or bladder habits. No dysuria. 
-Denies arthralgias or myalgias. 
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, Good {Patient's condition satisfactory}, VL {Viral load}, undetecable {No abnormality detected}, fevers {Fever}, shourtness of 
-beath {Dyspnea}, yellow productive cough {Productive cough-yellow sputum}, pleuritic chest pain {Pleuritic pain}, right {Skin structure of right half of chest}, fever {Fever}, cough productive of yellow {Productive cough-yellow sputum}, greenish sputum {Productive cough -green sputum}, shortness of breath {Dyspnea}, pleuritic chest pain {Pleuritic pain}, Decrease appetite {Decrease in appetite}, poor po 
-intake {Inadequate oral food intake for physiological needs}, travel outside the the country {Travel abroad}, unprotected sexual intercourse {Unprotected sexual intercourse}, vitals {Vital signs finding}, RA {Breathing room air}, WBC {White blood cell count}, left shift {Left shifted white blood cells}, Flu {Influenza}, negative {No abnormality detected}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, vancomycin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, right sided {Right pleura structure}, pleuritic chest pain {Pleuritic pain}, on room air {Breathing room air}, pneumonias {Pneumonia}, intubation {Insertion of endotracheal tube}, levofloxavin {Antibiotic therapy}, rash {Eruption of skin}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal 
-pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- HIV with undetectable viral load and CD4 of 395 as of ___.
-- Depression
-- HSV
-- recurrent pneumonias
-- Positive PPD s/p INH therapy
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, undetectable {No abnormality detected}, viral load {Viral load}, Depression {Depressive disorder}, recurrent pneumonias {Recurrent pneumonia}, Positive PPD {Mantoux: positive}, INH therapy {Tuberculosis management program}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history of allergies to medications. Otherwise 
-non-contributory
- 
-
-###RESPONSE: allergies to medications {Non-allergic hypersensitivity to drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-=============================
-Vitals: 98.1  168/75  76  97%RA
-General: Alert, oriented, no acute distress
-HEENT: Sclera anicteric, dry mucous mebranes, no tonsilla 
-exudates
-Neck: Supple, JVP not elevated, no LAD
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs
-Lungs: Unlabored breathing, rhonchi left lower and right lower 
-lobes with positive egophony, no wheezing 
-Abdomen: Soft, non-tender, non-distended
-Ext: Warm, well perfused
-Skin: no rashes
-
-DISCHARGE PHYSICAL EXAM: 
-============================
-Vitals: 98.7 ___ 66-70 18 97RA ___ 
-IO - MN: 895/500
-General: Alert, oriented, no acute distress, speaking in full 
-sentences
-HEENT: Sclera anicteric, dry mucous mebranes, no tonsilla 
-exudates
-Neck: Supple, JVP not elevated, no LAD
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs
-Lungs: Unlabored breathing, rhonchi left lower and right lower 
-lobes with positive egophony, no wheezing 
-Abdomen: Soft, non-tender, non-distended
-Ext: Warm, well perfused
-Skin: No rashes complete resolution of pruritic erythematous 
-papules over arms, neck and legs. 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous mebranes {Mucous membrane dryness}, tonsilla 
-exudates {Exudate on tonsils}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, Lungs {Examination of respiratory system}, labored breathing {Labored breathing}, rhonchi {Wheeze - rhonchi}, left lower {Structure of lower lobe of left lung}, right lower 
-lobes {Structure of lower lobe of right lung}, egophony {Egophony}, wheezing {Wheezing}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, IO {Measuring intake and output}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous mebranes {Mucous membrane dryness}, tonsilla 
-exudates {Exudate on tonsils}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, Lungs {Examination of respiratory system}, labored breathing {Labored breathing}, rhonchi {Wheeze - rhonchi}, left lower {Structure of lower lobe of left lung}, right lower 
-lobes {Structure of lower lobe of right lung}, egophony {Egophony}, wheezing {Wheezing}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, resolution {Problem resolved}, pruritic {Pruritic disorder of skin}, erythema {Erythema}, papules {Papule of skin}, arms {Upper limb structure}, neck {Neck structure}, legs {Lower limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS: 
-======================
-___ 08:45PM BLOOD WBC-24.8*# RBC-4.50* Hgb-13.7* Hct-39.1* 
-MCV-87 MCH-30.4 MCHC-34.9 RDW-13.7 Plt ___
-___ 08:45PM BLOOD Neuts-83.5* Lymphs-11.1* Monos-4.7 
-Eos-0.6 Baso-0.1
-___ 08:45PM BLOOD Glucose-133* UreaN-19 Creat-0.9 Na-131* 
-K-4.2 Cl-96 HCO3-21* AnGap-18
-___ 05:10AM BLOOD Calcium-8.5 Phos-2.5* Mg-1.7
-___ 08:52PM BLOOD Lactate-1.6
-
-IMAGING: 
-======================
-CXR ___: Multifocal  pneumonia,  right  greater  than  left.
-
-MICRO: 
-======================
-__________________________________________________________
-___ 5:27 am SPUTUM      Source: Expectorated. 
-
-   GRAM STAIN (Final ___: 
-      <10 PMNs and >10 epithelial cells/100X field. 
-      Gram stain indicates extensive contamination with upper 
-respiratory
-      secretions. Bacterial culture results are invalid. 
-      PLEASE SUBMIT ANOTHER SPECIMEN. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      TEST CANCELLED, PATIENT CREDITED. 
-
-   LEGIONELLA CULTURE (Preliminary): 
-__________________________________________________________
-___ 4:57 am URINE      Source: ___. 
-
-                            **FINAL REPORT ___
-
-   Legionella Urinary Antigen  (Final ___: 
-      NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN. 
-           (Reference Range-Negative). 
-      Performed by Immunochromogenic assay. 
-      A negative result does not rule out infection due to other 
-L.
-      pneumophila serogroups or other Legionella species. 
-Furthermore, in
-      infected patients the excretion of antigen in urine ___ 
-vary. 
-__________________________________________________________
-___ 8:45 pm BLOOD CULTURE
-
-   Blood Culture, Routine (Pending): 
-__________________________________________________________
-___ 9:34 pm BLOOD CULTURE
-
-   Blood Culture, Routine (Pending): 
-
-DISCHARGE LABS: 
-======================
-___ 05:50AM BLOOD WBC-7.6# RBC-3.70* Hgb-11.2* Hct-33.1* 
-MCV-89 MCH-30.2 MCHC-33.8 RDW-13.7 Plt ___
-___ 05:50AM BLOOD Neuts-62.4 ___ Monos-5.9 Eos-1.0 
-Baso-0.3
-___ 05:50AM BLOOD ___ PTT-28.1 ___
-___ 05:50AM BLOOD Glucose-91 UreaN-11 Creat-0.5 Na-139 
-K-3.9 Cl-107 HCO3-22 AnGap-14
-___ 05:50AM BLOOD ALT-20 AST-23 LD(LDH)-129 AlkPhos-69 
-TotBili-0.2
-___ 05:50AM BLOOD Calcium-8.2* Phos-2.7 Mg-1.___ history of HIV (CD4 395, VL undetecable) who presents with 2 
-days of fevers, shortness of beath, yellow productive cough, 
-pleuritic chest pain with CXR showing multifocal pneumonia. 
-
-# Multifocal Community Acquired Pneumonia: Most likely from 
-non-opportunistic organisms such as strep pneumonia or 
-atypicals. Per patient he has been very compliant with his HIV 
-med and last CD4 count was 395 and VL undetectable therefore 
-making opportunistic infection such as PCP less likely. He is 
-currently hemodynamically stable with normal lactate and normal. 
-Creatinine suggesting good organ perfusion. He recieved 
-levofloxacin and subsequently developed a rash, which has also 
-been documented before so we will transition to alternate 
-antibiotic regimen for CAP.
-- Will treat for 8 day course of Augmentin + Azithromycin
-- Urine strep Ag pending at time of discharge.
-
-# Rash: Resolved. Mr. ___ developed a pruritic rash over arms, 
-neck and leg after administration of vancomycin and levofloxacin 
-in the ED. He improved with benadryl. He has a previous history 
-of rash documented at ___ that occurred after 
-administration of levofloxacin and fragmin. He tolerated 
-levofloxacin subsequently without rash so this medication was 
-continued at that time. The recurrence of this rash with 
-levofloxacin is concerning for a true allergy. As such we will 
-avoid this medication and transition to alternate treatment as 
-above.
-- levofloxacin allergy recorded at ___ and ___ 
-___
-
-# Hyponatremia: Sodium 131 on admission. This has been seen on 
-prior hospitalization. Likely hypovolemic hyponatremia as 
-improved with aggressive IV fluids. Sodium on discharge 136.
-# HIV: continue Stribild
-# Depression: continue Zoloft
-
-TRANSITIONAL:
-- complete 8 day course of augmentin and azithromycin
-- Per previous records, CT scan in ___ showed RUL nodule that 
-was most likely infectious in etiology. It was recommended that 
-followup CT be obtained when infectious symptoms had resolved.
-
-# CODE STATUS: Full Code 
-# CONTACT: Landlord ___ 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, IMAGING {Imaging}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, right {Right lung structure}, left {Left pleura structure}, SPUTUM {Microbial culture of sputum}, Expectorated {Does expectorate}, GRAM STAIN {Gram stain method}, cells {Cell structure}, Gram stain {Gram stain method}, upper 
-respiratory {Upper respiratory tract structure}, Bacterial culture {Bacterial culture}, RESPIRATORY {Structure of respiratory system}, CULTURE {Microbial culture}, LEGIONELLA {Legionella infection}, CULTURE {Microbial culture}, URINE {Evaluation of urine specimen}, Legionella {Legionella antigen assay}, Urinary {Evaluation of urine specimen}, NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN {Legionella pneumophila serogroup 1 antigen not detected}, Negative {No abnormality detected}, negative {No abnormality detected}, infection {Infectious disease}, urine {Evaluation of urine specimen}, CULTURE {Blood culture}, Blood Culture {Blood culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, HIV {Human immunodeficiency virus infection}, fevers {Fever}, shortness of beath {Dyspnea}, yellow productive cough {Productive cough-yellow sputum}, pleuritic chest pain {Pleuritic pain}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, Community Acquired Pneumonia {Community acquired pneumonia}, pneumonia {Pneumonia}, atypicals {Atypical pneumonia}, very compliant {Drug compliance good}, HIV {Human immunodeficiency virus infection}, med {Administration of drug or medicament}, VL {Viral load}, undetectable {No abnormality detected}, infection {Infectious disease}, PCP {Primary care management}, stable {Patient's condition stable}, normal {No abnormality detected}, lactate {Lactic acid measurement}, normal {No abnormality detected}, Creatinine {Creatinine measurement}, good organ perfusion {Normal organ or tissue vascular perfusion}, levofloxacin {Antibiotic therapy}, rash {Eruption of skin}, antibiotic {Antibiotic therapy}, regimen {Therapeutic regimen}, CAP {Community acquired pneumonia}, Urine {Evaluation of urine specimen}, Rash {Eruption of skin}, Resolved {Problem resolved}, pruritic rash {Pruritic rash}, arms {Upper limb structure}, neck {Cervical region back structure}, leg {Lower limb structure}, vancomycin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, improved {Patient's condition improved}, rash {Eruption of skin}, levofloxacin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, rash {Eruption of skin}, medication {Antibiotic therapy}, recurrence {Recurrent disease}, rash {Eruption of skin}, levofloxacin {Allergy to levofloxacin}, allergy {Allergic disposition}, medication {Antibiotic therapy}, levofloxacin allergy {Allergy to levofloxacin}, Hyponatremia {Hyponatremia}, hypovolemic {Hypovolemia}, hyponatremia {Hyponatremia}, improved {Patient's condition improved}, IV fluids {Administration of intravenous fluids}, HIV {Human immunodeficiency virus infection}, Depression {Depressive disorder}, augmentin {Antibiotic therapy}, azithromycin {Antibiotic therapy}, CT scan {Computed tomography of abdomen}, RUL {Structure of upper lobe of right lung}, nodule {Nodule of lung}, infectious {Infectious disease}, infectious {Infectious disease}, resolved {Problem resolved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Stribild 1 TAB PO DAILY 
-2. Sertraline 25 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Sertraline 25 mg PO DAILY 
-2. Stribild 1 TAB PO DAILY 
-3. Acetaminophen 1000 mg PO Q8H:PRN pain 
-RX *acetaminophen 500 mg 2 tablet(s) by mouth every 8 hours Disp 
-#*30 Tablet Refills:*0
-4. Amoxicillin-Clavulanic Acid ___ mg PO Q12H 
-RX *amoxicillin-pot clavulanate 875 mg-125 mg 1 tablet(s) by 
-mouth every 12 hours Disp #*13 Tablet Refills:*0
-5. Azithromycin 250 mg PO Q24H Duration: 4 Doses 
-RX *azithromycin 250 mg 1 tablet(s) by mouth daily Disp #*4 
-Tablet Refills:*0
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY: Community Acquired Pneumonia
-SECONDARY: HIV (well controlled), Depression
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Community Acquired Pneumonia {Community acquired pneumonia}, HIV {Human immunodeficiency virus infection}, well controlled {Disease condition determination, well controlled}, Depression {Depressive disorder}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-It was a pleasure meeting and taking care of you. You were 
-admitted with fever, cough and shortness of breath. You were 
-found to have a pneumonia on a chest radiograph. You were 
-initially treated with an antibiotic called levofloxacin, but 
-developed a rash to this medication. We believe you are allergic 
-to this medication as you have had a rash with it before. 
-Instead of this medication, you should take medications called 
-augmentin (a seven day course) and azithromycin (a four day 
-course) to complete 8 total days of antibiotics. You should also 
-followup with Dr. ___ as an outpatient. 
-
-We wish you the best, 
-
-Your ___ team  
- 
-
-###RESPONSE: fever {Fever}, cough {Cough}, shortness of breath {Dyspnea}, pneumonia {Pneumonia}, chest radiograph {Plain chest X-ray}, antibiotic {Antibiotic therapy}, rash {Eruption of skin}, medication {Antibiotic therapy}, allergic 
-to this medication {Allergy to levofloxacin}, rash {Eruption of skin}, antibiotics {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                        Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-syncopal episode with LOC, 2nd degree AV Block
-chronic atrial fibrillation with slow ventricular rate
- 
-Major Surgical or Invasive Procedure:
-insertion of single chamber pacemaker
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, syncopal {Syncope}, LOC {Loss of consciousness}, AV Block {Atrioventricular block}, chronic atrial fibrillation {Chronic atrial fibrillation}, slow ventricular rate {Bradycardia}, insertion of single chamber pacemaker {Insertion of single chamber cardiac pacemaker pulse generator}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ old male with a PMH significant for afib on 
-warfarin, HTN, hyperlipidemia and insulin dependent DM who 
-presented to the ED ___ after a fall with LOC. He awoke and 
-went to the bathroom, on his way back to the bed he
-blacked out and awoke on the floor. His wife heard the fall and 
-found him awake and alert on the floor. He does not remember 
-falling. He denies any lightheadedness, dizziness, 
-nausea,flushing, palpitations, or sudden weakness prior to the 
-fall. His wife did not note any jerking of his extremities and 
-there was no bowel or bladder incontinence, and he was not 
-confused
-immediately afterwards. He has never had any past episodes of 
-loss of consciousness. He normally walks for exercise and does 
-not note any chest pain, SOB, or lightheadedness with walking 1 
-mile. He reports remote transient episodes of lightheadedness 
-but no syncope and was thereafter diagnosed with atrial 
-fibrillation and started on Coumadin after that.
-
- 
-
-###RESPONSE: afib {Atrial fibrillation}, on 
-warfarin {Warfarin therapy}, HTN {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, insulin dependent DM {Diabetes mellitus type 1}, fall {Falls}, LOC {Loss of consciousness}, blacked out {Syncope}, fall {Falls}, awake {Awake}, alert {Mentally alert}, lightheadedness {Lightheadedness}, dizziness {Dizziness}, nausea {Nausea}, flushing {Flushing}, palpitations {Palpitations}, weakness {Asthenia}, fall {Falls}, jerking {Spasmodic movement}, extremities {All extremities}, bowel {Incontinence of feces}, bladder incontinence {Urinary incontinence}, not 
-confused {Not confused}, loss of consciousness {Loss of consciousness}, exercise {Exercises}, chest pain {Chest pain}, SOB {Dyspnea}, lightheadedness {Lightheadedness}, lightheadedness {Lightheadedness}, syncope {Syncope}, atrial 
-fibrillation {Atrial fibrillation}, Coumadin {Anticoagulant therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Diabetes: ___, his hemoglobin A1c was 7.8. Follows with 
-___.  
-2. Hypercholesterolemia: ___ total cholesterol of 173, HDL 
-46, LDL 114, triglycerides 63.  
-3. Hypertension:  
-4. Atrial fibrillation: dx ___. He underwent Holter monitor and 
-a stress test. On coumadin.  
-5. Erectile dysfunction: takes Viagra prn - has not taken this 
-in over one month  
-6. Cervical spondylosis  
- 
-
-###RESPONSE: Diabetes {Diabetes mellitus}, hemoglobin {Hemoglobin finding}, Hypercholesterolemia {Hypercholesterolemia}, LDL {Low density lipoprotein cholesterol measurement}, Hypertension {Hypertensive disorder, systemic arterial}, Atrial fibrillation {Atrial fibrillation}, stress test {Electrocardiogram with exercise test}, coumadin {Anticoagulant therapy}, Erectile dysfunction {Erectile dysfunction}, Cervical spondylosis {Cervical spondylosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father with alcoholism and DM. Mother is healthy at  
-age ___. Grandfather with diabetes in his ___.  
- 
-
-###RESPONSE: alcoholism {Alcoholism}, DM {Diabetes mellitus}, diabetes {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission ___:
-*Pertinent exam findings:
-VS: 97.6  158/90  59  18  98% RA
-Gen: A&OX3, NAD
-Neuro: Grossly intact. Swelling and erythema around L eye. 
-Neck/JVD: JVP normal
-CV: RR, nl S1, S2. No murmurs. 
-Chest: CTAB
-ABD: soft NT, ND
-Extr: No edema. WWP
-
-On Discharge:
-VS T 98.3 HR 56 RR 20 BP 116/65 98% RA
-Gen: A&Ox3, NAD
-Neuro: Grossly intact, no focal deficits, thoughts linear. 
-Improved edema and erythema about the left orbit. Steri-strips 
-intact. Moves all extremities w/o difficulty. L arm in sling.
-CV: RRR, S1, S2, no m/r/g
-Chest: CTAB
-ABD: soft, NT, obese +BS
-Extr: Mild effusion noted about left knee, small 1 cm abrasion, 
-cutaneous skin loss, no erythema or excess warmth, no drainage. 
-+DP b/l
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, A {Mentally alert}, OX3 {Oriented to person, time and place}, NAD {No abnormality detected}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, Swelling {Swelling of structure of eye}, erythema {Erythema}, L eye {Left eye structure}, JVD {Jugular venous engorgement}, JVP normal {Normal jugular venous pressure}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, nl S1, S2 {Heart sounds normal}, murmurs {Heart murmur}, Chest {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Extr {Examination of limb}, edema {Edema}, WWP {Normal tissue perfusion}, VS {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, BP {Blood pressure finding}, RA {Breathing room air}, Gen {General examination of patient}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, no focal deficits {Normal nervous system function}, Improved {Patient's condition improved}, edema {Edema}, erythema {Erythema}, left orbit {Structure of left orbital region}, Steri-strips 
-intact {Application of adhesive skin closure}, Moves all extremities {Does move all four limbs}, L arm {Left upper arm structure}, in sling {Application of sling}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S1, S2 {Heart sounds normal}, no m/r/g {Heart sounds normal}, Chest {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, obese {Obese abdomen}, +BS {Normal bowel sounds}, Extr {Examination of limb}, Mild {Symptom mild}, effusion {Effusion of joint of left knee}, left knee {Structure of left knee region}, abrasion {Dermabrasion}, cutaneous skin {Skin structure}, erythema {Erythema}, warmth {Joint warm}, drainage {Wound discharge}, +DP b/l {Dorsalis pulse present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 05:35AM BLOOD WBC-6.6 RBC-5.32 Hgb-11.7* Hct-38.1* 
-MCV-72* MCH-22.0* MCHC-30.7* RDW-16.5* RDWSD-41.8 Plt ___
-___ 12:00PM BLOOD WBC-7.8 RBC-5.67 Hgb-12.5* Hct-41.1 
-MCV-73* MCH-22.0* MCHC-30.4* RDW-16.8* RDWSD-42.5 Plt ___
-___ 12:00PM BLOOD Neuts-75.7* Lymphs-15.3* Monos-7.3 
-Eos-0.8* Baso-0.5 Im ___ AbsNeut-5.91 AbsLymp-1.19* 
-AbsMono-0.57 AbsEos-0.06 AbsBaso-0.04
-___ 05:35AM BLOOD Plt ___
-___ 05:35AM BLOOD ___
-___ 12:00PM BLOOD ___ PTT-40.6* ___
-___ 05:35AM BLOOD Glucose-219* UreaN-19 Creat-0.9 Na-138 
-K-4.3 Cl-104 HCO3-26 AnGap-12
-___ 12:00PM BLOOD Glucose-255* UreaN-14 Creat-0.9 Na-134 
-K-4.5 Cl-98 HCO3-25 AnGap-16
-___ 05:35AM BLOOD ALT-12 AST-17 LD(LDH)-170 AlkPhos-76 
-TotBili-0.5
-___ 05:35AM BLOOD Albumin-3.6 Calcium-8.4 Phos-3.6 Mg-2.0
-
-DISCHARGE LABS:
-
-ECHO ___:
-The left atrial volume index is moderately increased. No left 
-atrial mass/thrombus seen (best excluded by transesophageal 
-echocardiography). Mild symmetric left ventricular hypertrophy 
-with normal cavity size, and regional/global systolic function 
-(biplane LVEF = 66 %). There is no left ventricular outflow 
-obstruction at rest or with Valsalva. There is no ventricular 
-septal defect. Right ventricular chamber size and free wall 
-motion are normal. Right ventricular chamber size is normal with 
-normal free wall contractility. The ascending aorta and aortic 
-arch are mildly dilated. The aortic valve leaflets (3) appear 
-structurally normal with good leaflet excursion and no aortic 
-stenosis or aortic regurgitation. The mitral valve leaflets are 
-structurally normal. No mitral regurgitation is seen. Trivial 
-mitral regurgitation is seen. The pulmonary artery systolic 
-pressure could not be determined. There is an anterior space 
-which most likely represents a prominent fat pad. 
-
- IMPRESSION: Mild symmetric left ventricular hypertrophy with 
-preserved regional and global biventricular systolic function. 
-Mildly dilated ascending aorta. Left atrial dilation. No 
-structural cardiac cause of syncope identified. 
- These findings are c/w hypertensive heart.
-
- CLINICAL IMPLICATIONS: 
- The patient has a mildly dilated ascending aorta. Based on ___ 
-ACCF/AHA Thoracic Aortic Guidelines, a follow-up echocardiogram 
-is suggested in ___ years
-
-CXR PA & LATERAL ___:
-COMPARISON:  Chest radiograph ___, CT trachea ___ 
-  
-FINDINGS:  
-  
-Low lung volumes are present.  Heart size appears mildly 
-enlarged.  
-Mediastinal and hilar contours are grossly unchanged.  Crowding 
-of 
-bronchovascular structures is present without overt pulmonary 
-edema.  Patchy opacities in the lung bases may reflect areas of 
-atelectasis, though infection is difficult to exclude in the 
-correct clinical setting.  No pleural effusion or pneumothorax 
-is present.  Mild multilevel degenerative changes are noted in 
-the thoracic spine. 
-  
-IMPRESSION:  
-  
-Low lung volumes with patchy bibasilar airspace opacities most 
-likely 
-reflective of atelectasis.  Infection cannot be excluded in the 
-correct 
-clinical setting. 
-
-KNEE XRAY (3 views) ___:
-COMPARISON:  ___ left knee radiographs 
-  
-FINDINGS:  
-  
-No acute fracture or dislocation is identified.  Mild 
-tricompartmental 
-degenerative changes with osteophytic spurring are demonstrated, 
-most 
-pronounced in the patellofemoral and lateral compartments of the 
-knee.  A 
-moderate size joint effusion is present.  Vascular 
-calcifications are seen 
-diffusely.  No concerning lytic or sclerotic osseous 
-abnormalities is 
-identified.  There are no radiopaque foreign bodies. 
-  
-IMPRESSION:  
-  
-No acute fracture or dislocation.  Moderate size joint effusion. 
-
-  
-
-CT HEAD w/o CONTRAST ___:
-FINDINGS:  
-  
-There is no evidence of acute infarction, hemorrhage, edema, or 
-mass.  There is mild prominence of the ventricles and sulci 
-suggestive of involutional changes. Scattered subcortical and 
-periventricular white matter hypodensities are nonspecific, 
-however likely represent the sequela of chronic small vessel 
-ischemic disease. 
-  
-There is soft tissue swelling overlying the left orbit, but the 
-globe appears intact.  No retrobulbar hematoma is seen.  There 
-is no evidence of fracture. There is partial opacification of 
-the right mastoid air cells suggestive of mild ongoing 
-inflammation.  The visualized portion of the paranasal 
-sinuses,left mastoid air cells, and middle ear cavities are 
-clear. 
-  
-IMPRESSION:  
-  
-Left periorbital soft tissue swelling without fracture.  No 
-acute intracranial process. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, left atrial {Left atrial structure}, volume {Cardiac chamber structure}, left 
-atrial {Left atrial structure}, mass {Mass}, thrombus {Thrombus}, transesophageal 
-echocardiography {Transesophageal echocardiography}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, left ventricular outflow 
-obstruction {Left ventricular outflow tract obstruction}, Valsalva {Structure of left sinus of Valsalva}, ventricular 
-septal defect {Ventricular septal defect}, Right ventricular chamber {Right cardiac ventricular structure}, wall 
-motion are normal {Normal ventricular wall motion}, Right ventricular chamber {Right cardiac ventricular structure}, size is normal {Normal size}, wall {Cardiac wall structure}, ascending aorta {Ascending aorta structure}, aortic 
-arch {Aortic arch structure}, dilated {Dilatation}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic 
-stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets {Structure of leaflet of mitral valve}, structurally normal {Mitral valve normal}, mitral regurgitation {Mitral valve regurgitation}, Trivial 
-mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, fat pad {Structure of normal fat pad}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, preserved regional and global biventricular systolic function {Normal cardiac function}, dilated ascending aorta {Ascending aorta dilatation}, Left atrial dilation {Left atrial dilatation}, cardiac {Heart structure}, syncope {Syncope}, hypertensive heart {Hypertensive heart disease}, dilated ascending aorta {Ascending aorta dilatation}, Thoracic Aortic {Thoracic aorta structure}, follow-up {Follow-up consultation}, echocardiogram {Echocardiography}, Chest radiograph {Plain chest X-ray}, trachea {Tracheal structure}, lung volumes {Finding of respiratory volume}, Heart {Heart structure}, enlarged {Enlargement}, Mediastinal {Mediastinal structure}, hilar {Structure of hilum of lung}, pulmonary 
-edema {Pulmonary edema}, opacities {Abnormally opaque structure}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, infection {Infectious disease}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, Mild {Symptom mild}, degenerative changes {Degeneration of intervertebral disc}, thoracic spine {Structure of thoracic vertebral column}, lung volumes {Finding of respiratory volume}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, Infection {Infectious disease}, left knee {Structure of left knee region}, radiographs {Plain radiography}, fracture {Fracture}, dislocation {Dislocation}, Mild {Symptom mild}, degenerative changes {Degenerative abnormality}, osteophytic {Osteophyte}, patellofemoral {Structure of left patellofemoral joint}, lateral compartments of the 
-knee {Structure of lateral compartment of knee}, joint effusion {Effusion of joint of left knee}, Vascular 
-calcifications {Vascular calcification}, lytic {Lysis}, sclerotic {Sclerosis}, osseous {Bone structure}, abnormalities {No abnormality detected}, foreign bodies {Foreign body}, fracture {Fracture}, dislocation {Dislocation}, joint effusion {Effusion of joint of left knee}, no evidence {No abnormality detected}, infarction {Infarct}, hemorrhage {Hemorrhage}, edema {Edema}, mass {Mass}, mild {Symptom mild}, ventricles {Brain ventricle structure}, sulci {Structure of sulcus of brain}, involutional changes {Involution}, periventricular white matter {Structure of periventricular white matter}, chronic {Chronic disease}, small vessel {Structure of small blood vessel (organ)}, ischemic disease {Ischemia}, soft tissue swelling {Soft tissue swelling}, left orbit {Structure of left orbit proper}, globe {Structure of eye proper}, intact {No abnormality detected}, retrobulbar hematoma {Retrobulbar hematoma}, no evidence {No abnormality detected}, fracture {Fracture}, right {Structure of right mastoid bone}, mastoid air cells {Structure of mastoid cell}, mild {Symptom mild}, inflammation {Mild inflammation}, paranasal 
-sinuses {Nasal sinus structure}, left {Structure of left mastoid bone}, mastoid air cells {Structure of mastoid cell}, middle ear cavities {Middle ear structure}, are 
-clear {No abnormality detected}, Left periorbital {Structure of periorbital region of left eye}, soft tissue swelling {Soft tissue swelling}, fracture {Fracture}, intracranial {Intracranial structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The ___ hospital course was remarkable in relation to his 
-slow atrial fibrillation and second degree AV Block. He had 
-multiple pauses on telemetry 20 seconds or more and was 
-recommended for pacemaker insertion. He initially declined  the 
-procedure but after further consideration and discussion with 
-Dr. ___ the risks therein, proceeded with implantation. 
- He remained therapeutic with his Coumadin and will continue to 
-be followed with his PCP at discharge. He was placed on IV 
-antibiotics and will transition to PO antibiotics at discharge. 
-He had multiple studies and exams performed while here and his 
-CT was negative for acute changes. His left eye remained stable 
-and swelling and ecchymosis was gradually and noticeably 
-improving.  He continued to complain of left knee pain. He 
-reported hitting the tibial tuberosity which remained tender to 
-palpation but without erythema or excess warmth.  Knee xrays 
-showed only chronic changes in relation to osteoarthritis 
-(tri-compartmental and prominent about the patello-femoral 
-compartment).  He has baseline numbness of his bilateral hands 
-related to his canal narrowing as seen on MRI in ___.  
-Surgery was discussed but he has foregone this for now, 
-preferring to wait and observe for worsening symptoms. He was 
-counseled to reconsider this decision and to avoid delay of any 
-worsening symptoms, increasing numbness, strength and 
-coordination. Physical Therapy was consulted and felt continued 
-home therapy was appropriate to help with falls prevention, gait 
-training, conditioning and safety, especially in light of his 
-weight bearing restrictions on the left upper extremity 
-following his pacemaker. 
-
-His device was interrogated on the day of discharge and a CXR 
-was completed confirming proper placement of the device and 
-leads. He was seen by Physical Therapy given his recent syncopal 
-episode and underlying musculoskeletal symptoms and deemed 
-appropriate for discharge on ___.  He will follow up with 
-Device Clinic in one week, has been recommended to have his INR 
-checked on ___ which is followed through the ___ 
-___ clinic, and continue follow up with his PCP, ___. 
-___.  Additionally, given his chronic atrial fibrillation he has 
-been recommended to have follow up with ___ Cardiology as 
-well, for a first available appointment. This has been requested 
-through Care Connections to the Cardiology team and he will be 
-contacted with an appointment at home when known.
- 
-
-###RESPONSE: atrial fibrillation {Atrial fibrillation}, AV Block {Atrioventricular block}, telemetry {Cardiac telemetry}, pacemaker insertion {Implantation of cardiac pacemaker}, procedure {Surgical procedure}, discussion {Discussion}, Coumadin {Anticoagulant therapy}, PCP {Primary care management}, IV 
-antibiotics {Intravenous antibiotic therapy}, PO antibiotics {Oral antibiotic therapy}, exams {Physical examination procedure}, CT {Computed tomography}, left eye {Left eye structure}, stable {Patient's condition stable}, swelling {Swelling of structure of eye}, ecchymosis {Ecchymosis}, left knee {Structure of left knee region}, pain {Pain of knee region}, tibial tuberosity {Structure of tibial tuberosity}, tender to 
-palpation {Tenderness}, erythema {Erythema}, warmth {Joint warm}, Knee xrays {Radiologic examination of knee}, chronic {Chronic disease}, osteoarthritis {Osteoarthritis}, patello-femoral 
-compartment {Structure of patellofemoral joint}, baseline {Baseline state}, numbness {Numbness of hand}, hands {Hand structure}, canal {Spinal canal structure}, narrowing {Narrowing}, MRI {Magnetic resonance imaging}, Surgery {Surgical procedure}, numbness {Numbness}, coordination {Finding related to coordination / incoordination}, Physical Therapy {Physical therapy assessment}, therapy {Therapy}, falls prevention {Fall prevention}, gait 
-training {Gait training procedure}, weight bearing {Weight-bearing}, left upper extremity {Structure of left upper limb}, pacemaker {Implantation of cardiac pacemaker}, CXR {Plain chest X-ray}, placement of the device {Implantation of cardiac pacemaker}, Physical Therapy {Physical therapy assessment}, syncopal {Syncope}, musculoskeletal {Musculoskeletal system physical examination}, Clinic {Outpatient care management}, clinic {Outpatient care management}, PCP {Primary care management}, chronic atrial fibrillation {Chronic atrial fibrillation}, Cardiology {Cardiology service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Quinapril 40 mg PO DAILY 
-2. Timolol Maleate 0.5% 1 DROP BOTH EYES BID 
-3. MetFORMIN (Glucophage) 1000 mg PO DAILY 
-4. Warfarin 2 mg PO 1X/WEEK (___) 
-5. Simvastatin 40 mg PO QPM 
-6. liraglutide 1.2 mg subcutaneous DAILY 
-7. 70/30 24 Units Breakfast
-70/30 24 Units Bedtime
-8. Tamsulosin 0.8 mg PO QHS 
-9. Alphagan P (brimonidine) 0.1 % ophthalmic 1 drop both eyes 
-twice daily  
-10. Warfarin 5 mg PO 6X/WEEK (___) 
-
- 
-Discharge Medications:
-1.  Cephalexin 500 mg PO Q8H Duration: 3 Days 
-Take all of this medication as prescribed  
-2.  70/30 24 Units Breakfast
-70/30 24 Units Bedtime
-Insulin SC Sliding Scale using HUM Insulin 
-3.  Simvastatin 80 mg PO QPM  
-4.  Alphagan P (brimonidine) 0.1 % ophthalmic 1 drop both eyes 
-twice daily   
-5.  liraglutide 1.2 mg subcutaneous DAILY  
-6.  MetFORMIN (Glucophage) 1000 mg PO DAILY 
-Resume ___  
-7.  Quinapril 40 mg PO DAILY  
-8.  Tamsulosin 0.8 mg PO QHS  
-9.  Timolol Maleate 0.5% 1 DROP BOTH EYES BID  
-10.  Warfarin 5 mg PO 6X/WEEK (___)  
-11.  Warfarin 2 mg PO 1X/WEEK (___)  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-syncope with loss of consciousness
-atrial fibrillation with slow ventricular response
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, syncope {Syncope}, loss of consciousness {Loss of consciousness}, atrial fibrillation {Atrial fibrillation}, slow ventricular response {Slow ventricular response}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital following a visit to the ED 
-after a syncopal episode with a loss of consciousness. You were 
-monitored on telemetry and were found to have a slow atrial 
-fibrillation rate response with multiple pauses and referred for 
-pacemaker implant as this could result in complete heart block. 
-A single chamber pacemaker was placed on ___.  You were 
-continued on all of your current medications, including your 
-Coumadin. You will need to follow up in Device Clinic in one 
-week (appt. information noted below). You were placed on IV 
-antibiotics while here and will continue oral antibiotics for 
-three days to prevent surgical site infection. It is important 
-to take all of this medication as prescribed. Your Coumadin 
-should continue to be followed as per your chronic schedule. You 
-will need to follow up with your PCP as well within 30 days 
-(appointment information included below). Your next INR should 
-be drawn as per the ___ clinic, we are 
-recommending a draw on ___.  Your INR at discharge on 
-___ was 1.9 and you will take your chronic dosing which is 5 mg 
-for 6 days a week with 2 mg on ___.  
-
-You had hit your head during your syncopal episode as well as 
-your eye and sustained an injury to your left orbit but no 
-fracture or hematoma.  You had resultant bruising from this 
-injury but remained otherwise stable.  A CT of your head was 
-performed and there was no internal hemorrhage. (results of CT 
-are below). Additionally you complained of left knee pain and 
-radiographs were done which showed no acute fracture. You do 
-have chronic osteoarthritis most pronounced about the knee cap 
-(patello-femoral area) which is chronic. You were seen by 
-Physical Therapy for evaluation prior to discharge to home. You 
-should follow up with your PCP and obtain referral to an 
-orthopedic physician for further workup and care for your 
-osteoarthritis of the knee. We recommend the use of ice, 20 
-minutes at a time per hour up to 5 times daily, along with 
-Tylenol for pain.
-
-You were seen by Physical Therapy and evaluated for safe 
-discharge to home. Based upon their recommendations, they are 
-recommending home physical therapy to work on gait training, use 
-of assistive device (cane) and strengthening and falls 
-prevention. Services have been requested on your behalf prior to 
-your discharge from the hospital from ___ Services.
-
-  You also reported continuing numbness of bilateral hands and 
-reported you had prior to admission and an MRI was performed in 
-___ which was reviewed showing cervical spondylosis and 
-canal narrowing and have not pursued surgical consultation. It 
-is recommended that you continue follow up with your PCP and 
-obtain surgical referral if your decision changes in that regard 
-or if your symptoms worsen. This is critical as your MRI does 
-canal narrowing.
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, syncopal {Syncope}, loss of consciousness {Loss of consciousness}, monitored {Monitoring procedure}, telemetry {Cardiac telemetry}, atrial 
-fibrillation {Atrial fibrillation}, pacemaker implant {Implantation of cardiac pacemaker}, complete heart block {Complete atrioventricular block}, single chamber pacemaker was placed {Insertion of single chamber cardiac pacemaker pulse generator}, medications {Prescription of drug}, Coumadin {Anticoagulant therapy}, Clinic {Outpatient care management}, IV 
-antibiotics {Intravenous antibiotic therapy}, oral antibiotics {Oral antibiotic therapy}, surgical site infection {Surgical site infection}, take all of this medication {Patient medication education}, Coumadin {Anticoagulant therapy}, PCP {Primary care management}, t INR should 
-be drawn {Monitoring of international normalized ratio}, will take your chronic dosing {Patient medication education}, syncopal {Syncope}, eye {Structure of eye proper}, injury {Traumatic or non-traumatic injury}, left orbit {Structure of left orbital region}, fracture {Fracture}, hematoma {Hematoma}, bruising {Contusion}, injury {Traumatic or non-traumatic injury}, stable {Patient's condition stable}, CT of your head {Computed tomography of head}, internal hemorrhage {Intracranial hemorrhage}, CT {Computed tomography of head}, left knee {Structure of left knee region}, pain {Pain of knee region}, radiographs {Plain radiography}, fracture {Fracture}, chronic osteoarthritis {Chronic osteoarthritis}, knee cap {Bone structure of patella}, patello-femoral {Structure of patellofemoral joint}, chronic {Chronic disease}, Physical Therapy for evaluation {Physical therapy assessment}, PCP {Primary care management}, referral to an 
-orthopedic physician {Referral to orthopedic service}, workup {Evaluation procedure}, osteoarthritis of the knee {Osteoarthritis of knee}, ice {Application of ice}, pain {Pain of knee region}, Physical Therapy and evaluated {Physical therapy assessment}, physical therapy {Physical therapy education}, gait training {Gait training procedure}, use 
-of assistive device (cane) {Use of cane education}, strengthening {Provision of advice about muscle strengthening exercise}, falls 
-prevention {Education about fall prevention}, numbness of bilateral hands {Numbness of hand}, MRI {Magnetic resonance imaging of head}, cervical spondylosis {Cervical spondylosis}, canal {Spinal canal structure}, narrowing {Narrowing}, surgical {Surgical procedure}, consultation {Consultation}, PCP {Primary care management}, surgical {Surgical procedure}, referral {Patient referral}, MRI {Magnetic resonance imaging}, canal {Spinal canal structure}, narrowing {Narrowing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___           Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: OBSTETRICS/GYNECOLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-elevated blood pressures with a headache and visual changes on 
-postpartum day 9.
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: elevated blood pressures {Finding of increased blood pressure}, headache {Headache}, visual changes {Visual disturbance}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ yo Gravida 1 Para ___ s/p low 
-transverse c-section ___ for non-reassuring fetal heart 
-tracing after induction of labor for elevated BPs. She presented 
-to the ED with headache and visual changes. She reported that 
-she had intermittent elevated BPs at the end of her pregnancy, 
-but never required any antihypertensive medications. She had no 
-laboratory abnormalities. Her postop/postpartum course was 
-benign. She noticed a headache starting approx 4 days prior to 
-presentantion, with intermittent periods of more intense pain 
-located in the occipital region with occasional pulsations. It 
-was always responsive to extra-strength tylenol and motrin. She 
-attributed headache to fatigue and recent surgery until today 
-when she noticed floaters in her left visual field that lasted 
-for approx 10 mins. She called her ob who asked her to come to 
-the ED.
-
- 
-
-###RESPONSE: Gravida 1 {Primigravida}, Para {Parity finding}, low 
-transverse c-section {Emergency lower segment cesarean section}, fetal heart 
-tracing {Finding of fetal heart rate}, induction of labor {Induction of labor}, elevated BPs {Finding of increased blood pressure}, headache {Headache}, visual changes {Visual disturbance}, elevated BPs {Finding of increased blood pressure}, pregnancy {Pregnancy}, headache {Headache}, pain {Pain}, occipital region {Occipital region structure}, headache {Headache}, fatigue {Fatigue}, surgery {Surgical procedure}, floaters in her left visual field {Floaters in visual field}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-ObHx: LTCS x 1 as above, ___ ___
-MedHx: Hiatal hernia
-SurgHx: LTCS
-
- 
-
-###RESPONSE: Hiatal hernia {Hiatal hernia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-In ED:
-BP  173/78 --> 10mg IV hydralazine --> 137/64
-O2 sat 100% RA
-
-Caucasian woman in NAD, breastfeeding on approach
-RRR, nl S1/S2
-CTAB
-Abd soft, nondistended. Mild tenderness to palpation. Incision
-clean, dry, intact with steri strips.
-Ext no edema/tenderness
-
- 
-
-###RESPONSE: BP {Blood pressure finding}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, NAD {No abnormality detected}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, CTAB {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, tenderness {Tenderness}, palpation {Palpation}, Incision {Surgical incision wound}, clean, dry, intact {Wound healing well}, edema {Edema}, tenderness {Tenderness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 01:15PM URINE  BLOOD-MOD NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 
-LEUK-NEG
-___ 12:08PM   ALT(SGPT)-25 AST(SGOT)-23 LD(LDH)-267* 
-CK(CPK)-63 ALK PHOS-104 TOT BILI-0.3
-___ 12:08PM   WBC-6.6# RBC-3.72* HGB-11.7* HCT-34.1* MCV-92 
-MCH-31.4 MCHC-34.3 RDW-12.9
- 
-
-###RESPONSE: PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT BILI {Bilirubin, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Upon arrival to the ED, Ms ___ vital signs were 
-T 98.4  HR 64  BP 158/89  RR 14  O2 100%RA. She received a bolus 
-of 4g of magnesium and 10mg of IV hydralazine. She then reported 
-no visual changes and a very mild headache and denied RUQ pain. 
-Abdominal/incisional pain well controlled with Tylenol and 
-Motrin. No other associated symptoms. A head CT showed no 
-intracranial process. Her U/A was negative for protein, mod 
-blood, rare bacteria. Her pre-Eclampsia labs were negative 
-except Uric Acid which was 5.9. 
-
-She was readmitted to Labor and Delivery and continued on a 
-magnesium drip for 12 hours given concern for Pre-eclampsia. Her 
-blood pressures were well controlled in the 120s/70s without 
-additional antihypertensives. Repeat Pre-eclampsia labs were 
-negative and she was transferred to the postpartum floor after 
-12 hours of Magnesium. She was monitored for an additional day 
-on the postpartum floor to ensure that her blood pressures were 
-well controlled and that she remained free of pre-eclampsia 
-symtoms.
-
-She was discharged home on hospital day 2 with no 
-antihypertensive medications and a plan for close blood pressure 
-monitoring and an outpatient.
-
- 
-
-###RESPONSE: vital signs {Vital signs finding}, visual changes {Visual disturbance}, headache {Headache}, RUQ pain {Right upper quadrant pain}, pain well controlled {Demonstrates adequate pain control}, head CT {Computed tomography of head}, intracranial {Intracranial structure}, pre-Eclampsia {Pre-eclampsia}, Pre-eclampsia {Pre-eclampsia}, blood pressures {Finding of increased blood pressure}, Pre-eclampsia {Pre-eclampsia}, blood pressures {Finding of increased blood pressure}, pre-eclampsia {Pre-eclampsia}, blood pressure 
-monitoring {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Tylenol, Motrin
- 
-Discharge Medications:
-Tylenol, Motrin
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Postpartum Preeclampsia
-
- 
-Discharge Condition:
-Mental Status:Clear and coherent
-Level of Consciousness:Alert and interactive
-Activity Status:Ambulatory - Independent
-
- 
-
-###RESPONSE: Postpartum Preeclampsia {Pre-eclampsia in puerperium}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Call for blood pressures >150 (top number) or >100 (bottom 
-number)
-Call for Headaches, visual changes or right sided upper 
-abdominal pain
-Call with any questions
- 
-
-###RESPONSE: blood pressures {Finding of increased blood pressure}, Headaches {Headache}, visual changes {Visual disturbance}, right sided upper 
-abdominal pain {Right upper quadrant pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___
- 
-___ Complaint:
-shortness of breath
- 
-Major Surgical or Invasive Procedure:
-Pulmonary vein isolation abaltion
-
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, Pulmonary vein {Structure of vein of pulmonary circulation}, abaltion {Destructive procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ male with a history of DM, HL, CM, CAD 
-s/p PCIs and atrial fibrillation. In ___ he was 
-referred back to the ___ cath lab because of symptoms of 
-shortness of breath and congestive heart failure. Cardiac 
-catheterization on ___ did not reveal any significant  
-obstructive CAD. RVEDP was noted at 33 mmHG with a mean wedge of 
- 
-32 mmHG. There was severe pulmonary artery hypertension. He was  
-
-diuresed at that time. Stress testing in ___ had 
-revealed a predominantly fixed inferior apical defect with an 
-LVEF of 46% and somewhat dilated LV chamber.  
-
-The patient presented for Afib ablation today. Patient underwent 
-PVI with additional lines and failed cardioversion. He was given 
-1mg ibutilide and developed QT prolongation to 800ms which 
-transitioned to vfib. He was shocked and rhythm became sinus and 
-then slow afib. He was admitted to the CCU for close monitoring. 
- 
-
-On review of systems, he denies SOB, CP, ___ pain, 
-numbness/tingling, lightheadedness. Reports had been in USOH 
-prior to this elective procedure.  
-
- 
-
-###RESPONSE: DM {Diabetes mellitus}, HL {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, PCIs {Percutaneous coronary intervention}, atrial fibrillation {Atrial fibrillation}, shortness of breath {Dyspnea}, congestive heart failure {Congestive heart failure}, Cardiac 
-catheterization {Cardiac catheterization}, CAD {Coronary arteriosclerosis}, pulmonary artery hypertension {Pulmonary hypertensive arterial disease}, diuresed {Diuretic therapy}, Stress {Electrocardiogram with exercise test}, inferior {Structure of myocardium of diaphragmatic region}, apical {Structure of apex of heart}, dilated LV chamber {Dilatation of left cardiac ventricle}, Afib {Atrial fibrillation}, ablation {Destructive procedure}, cardioversion {Cardioversion}, QT prolongation {Prolonged QT interval}, vfib {Ventricular fibrillation}, rhythm became sinus {Sinus rhythm}, afib {Atrial fibrillation}, monitoring {Monitoring procedure}, review of systems {Review of systems}, SOB {Dyspnea}, CP {Chest pain}, pain {Pain}, numbness/tingling {Numbness and tingling sensation of skin}, lightheadedness {Lightheadedness}, procedure {Procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CAD, s/p LAD stenting and diagonal PTCA/stenting to LAD and D1  
-Hyperlipidemia  
-Diabetes  
-Cardiomyopathy  
-? GERD  
-Removal of colon polyps  
-___- Surgical repair of an AV fistula in the left posterior  
-thigh/buttock  
-Atrial fibrillation (now chronic), s/p multiple prior  
-cardioversions  
-___- Right hip replacement  
-Arthritis of spine  
-Congestive heart failure  
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, LAD stenting {Stent in anterior descending branch of left coronary artery}, PTCA {Percutaneous transluminal coronary angioplasty}, stenting {Insertion of arterial stent}, LAD {Structure of anterior descending branch of left coronary artery}, Hyperlipidemia {Hyperlipidemia}, Diabetes {Diabetes mellitus}, Cardiomyopathy {Cardiomyopathy}, GERD {Gastroesophageal reflux disease}, Removal of colon polyps {Colonic polypectomy}, Surgical repair of an AV fistula {Repair of arteriovenous fistula}, left {Structure of left thigh}, posterior {Structure of posterior surface of thigh}, thigh {Thigh structure}, buttock {Structure of left buttock}, Atrial fibrillation {Atrial fibrillation}, chronic {Chronic atrial fibrillation}, cardioversions {Cardioversion}, Right hip replacement {Prosthetic arthroplasty of right hip}, Arthritis of spine {Arthritis of spine}, Congestive heart failure {Congestive heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-(-) FHx CAD 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-GENERAL: Middle aged man, flat in bed. NAD  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.  
-
-NECK: Unable to appreciate JVP, thick neck.  
-CARDIAC: Irregularly irregular, no MRG. Nl S1, S2.  
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB, no crackles, 
-wheezes or rhonchi.  
-ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not 
-enlarged by palpation. No abdominial bruits.  
-EXTREMITIES: B/l femoral vein sheaths in place. No palpable 
-hematoma. Sl ooze. Sensation intact distally.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES:  
-Right: DP 2+ ___ 2+  
-Left: DP 2+ ___ 2+  
-
- 
-
-###RESPONSE: GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, neck {Neck structure}, CARDIAC {Cardiovascular physical examination}, Irregularly irregular {Heart irregularly irregular}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, EXTREMITIES {Examination of limb}, B/l femoral vein sheaths {Bilateral femoral canals}, hematoma {Hematoma}, Sensation intact {Normal sensation}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Right: DP 2+ {Normal pulse in right dorsalis pedis artery}, Left: DP 2+ {Normal pulse in left dorsalis pedis artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-labs-
-
-___ 07:05AM BLOOD WBC-11.1* RBC-5.12 Hgb-14.6 Hct-41.4 
-MCV-81* MCH-28.6 MCHC-35.3* RDW-16.0* Plt ___
-___ 03:19PM BLOOD WBC-12.7* RBC-4.45* Hgb-12.5* Hct-35.6* 
-MCV-80* MCH-28.1 MCHC-35.1* RDW-16.2* Plt ___
-___ 09:42PM BLOOD Hct-39.2*
-___ 03:51AM BLOOD Hct-35.9*
-___ 07:05AM BLOOD Neuts-73.0* Lymphs-17.9* Monos-4.8 
-Eos-3.5 Baso-0.8
-___ 07:05AM BLOOD ___
-___ 03:51AM BLOOD ___
-___ 07:05AM BLOOD Glucose-231* UreaN-50* Creat-1.4* Na-130* 
-K-6.6* Cl-87* HCO3-33* AnGap-17
-___ 03:51AM BLOOD Glucose-254* UreaN-36* Creat-1.1 Na-129* 
-K-3.7 Cl-91* HCO3-31 AnGap-11
-___ 03:19PM BLOOD Calcium-8.5 Phos-3.6 Mg-2.0
-___ 03:51AM BLOOD Calcium-8.2* Phos-2.6* Mg-1.___ yo m with CAD and chronic afib admitted for cardioversion. 
-
-# Atrial fibrillation: (see HPI for more details) Went for PVI 
-with ablation, was unsuccessful. He was given 1mg ibutilide and 
-developed QT prolongation to 800ms which transitioned to vfib. 
-He was shocked and rhythm became sinus and then slow afib. At 
-discharge he was still in slow afib. He was started on amio 
-400mg BID x 1 week, 400mg Qday x 1 week, then 200mg. Also on CCB 
-and dig home doses. Restarted on coumadin at discharge, but 
-subtheraputic. Was started on lovenox bridge with 60mg BID. Will 
-have INR checked in 2 days. Plan for out pt f/u with MRI to 
-evaluate pulmonary veins and then out pt cardioversion with Dr. 
-___. Will also have follow up with his regular 
-cardiologist and PCP. 
-
-# Coronary artery disease: Had known CAD, s/p PCI x ___, cath 
-in ___ revealed no flow limiting disease. Was stable during 
-admission.   
--Continue ASA, statin, BB, ACEI  
--Cardiac diet  
-
-# chronic systolic HF: Last EF based on MR was 45% with mildly 
-increased cavity size and mild global hypokinesis. Was stable 
-during admission. Continued on home lasix, metazolone, 
-spironolactone.  
-  
-# Hypotension: Pt has HTN at baseline. Post-procedure SBPs in 
-___. Given one 500cc bolus of NS. HR in 60-70s at time. Pulsus 
-10mmHg. Asymptomatic. Potentially vagal rxn. Hcts were stable 
-and blood pressure improved before discharge, home meds were 
-restarted.
-
-# DM- was on sliding scale insulin, was restarted on Lantus, but 
-the dose was increased to 24units in the morning. Glyburide was 
-stopped due to possiblly causing arrythmias.  Instead he was 
-started on Metformin 500mg BID.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Hct {Hematocrit determination}, Hct {Hematocrit determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CAD {Coronary arteriosclerosis}, chronic {Chronic disease}, cardioversion {Cardioversion}, Atrial fibrillation {Atrial fibrillation}, ablation {Destructive procedure}, QT prolongation {Prolonged QT interval}, vfib {Ventricular fibrillation}, rhythm became sinus {Normal sinus rhythm}, afib {Atrial fibrillation}, afib {Atrial fibrillation}, Restarted {Restart of medication}, coumadin {Anticoagulant therapy}, INR {Calculation of international normalized ratio}, MRI {Magnetic resonance imaging}, pulmonary veins {Structure of vein of pulmonary circulation}, cardioversion {Cardioversion}, PCP {Primary care management}, disease {Disease}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, cath {Cardiac catheterization}, disease {Disease}, stable {Patient's condition stable}, Cardiac diet {Postoperative progressive diet}, chronic {Chronic disease}, cavity {Structure of cavity of left cardiac ventricle}, mild global hypokinesis {Mild hypokinesis of cardiac wall}, stable {Patient's condition stable}, lasix {Diuretic therapy}, Hypotension {Low blood pressure}, HTN {Hypertensive disorder, systemic arterial}, baseline {Baseline state}, procedure {Procedure}, Asymptomatic {Asymptomatic}, Hct {Hematocrit determination}, stable {Patient's condition stable}, improved {Patient's condition improved}, restarted {Restart of medication}, DM {Diabetes mellitus}, sliding scale insulin {Sliding scale insulin regime}, restarted {Restart of medication}, arrythmias {Cardiac arrhythmia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Carvedilol 12.5mg twice a day  
-Digoxin .125mg daily every afternoon  
-Diltiazem 120mg daily every morning  
-Furosemide 80mg daily  
-Glyburide 5mg two tablets twice a day  
-Lantus insulin 20 units every morning  
-Lisinopril daily (unknown dosing)  
-Metolazone 2.5mg daily  
-KCL daily (unknown dosing)  
-Spironolactone 25mg daily every morning  
-Coumadin 4mg alternating with 5mg, last dose ___  
-Vitamin C 500mg daily  
-Aspirin 325mg daily  
-Vitamin B complex one daily  
-MVI  
-
- 
-Discharge Medications:
-1. Enoxaparin 60 mg/0.6 mL Syringe Sig: One (1)  Subcutaneous 
-BID (2 times a day) for 7 days: take until instructed to stop by 
-your INR clnic.
-Disp:*14 syninges* Refills:*1*
-2. Amiodarone 200 mg Tablet Sig: Two (2) Tablet PO BID (2 times 
-a day): 2 pills twice a day for 7 days, then two pills once a 
-day for 3 weeks, then continue on one pill once a week.
-Disp:*70 Tablet(s)* Refills:*2*
-3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every 
-4 hours) as needed for fever, pain.  
-4. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-5. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-6. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).  
-7. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-8. B-Complex with Vitamin C     Tablet Sig: One (1) Cap PO DAILY 
-(Daily).  
-9. Carvedilol 12.5 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day). Tablet(s) 
-10. Ascorbic Acid ___ mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Spironolactone 25 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-12. Insulin Glargine 100 unit/mL Solution Sig: ___ (24) 
-units Subcutaneous once a day: in the morning.  
-13. Diltiazem HCl 120 mg Capsule, Sustained Release Sig: One (1) 
-Capsule, Sustained Release PO DAILY (Daily).  
-14. Furosemide 80 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-15. Coumadin 2 mg Tablet Sig: Two (2) Tablet PO once a day: 
-alternate 2 pills with 2.5 pills.
-Disp:*75 Tablet(s)* Refills:*2*
-16. Metolazone 2.5 mg Tablet Sig: One (1) Tablet PO once a day.  
-
-17. Outpatient Lab Work
-please check on ___ INR, 
-please fax result to PCP,
-goal INR ___. Metformin 500 mg Tablet Sig: One (1) Tablet PO twice a day.
-Disp:*60 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Atrial fibrillation, s/p ablation
-CAD, s/p LAD stent and diagonal PTCA/stenting
-Diabetes
-GERD
-Cardiomyopathy
-Congestive heart failure, systolic, chronic
-
- 
-Discharge Condition:
-Hemodynamically stable, afebrile
-
- 
-
-###RESPONSE: Atrial fibrillation {Atrial fibrillation}, ablation {Destructive procedure}, CAD {Coronary arteriosclerosis}, LAD stent {Stent in anterior descending branch of left coronary artery}, PTCA {Percutaneous transluminal coronary angioplasty}, stenting {Insertion of arterial stent}, Diabetes {Diabetes mellitus}, GERD {Gastroesophageal reflux disease}, Cardiomyopathy {Cardiomyopathy}, Congestive heart failure, systolic, chronic {Chronic systolic heart failure}, Hemodynamically stable {Hemodynamically stable}, afebrile {Temperature normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ for a cardioversion. You had the 
-cardioversion, but the cardiologist was not able to albate the 
-cause of your a fib. Your heart rate became more irregular 
-during the procedure and you had to be shocked. You were started 
-on a medication called amiodarone for your afib and you will see 
-Dr. ___ in one ___ weeks to have a cardioversion after 
-your MRI. You will have a cardiac MRI to evaluate your heart's 
-blood vessels, call ___ to schedule.
-
-If you have chest pain, shortnes of breath, groin pain or 
-swelling or other concerning symptoms please seek medical 
-attention. 
-
-Please follow activiy, wound, and medication guidelines as 
-discussed.
-
-Your new medication amiodarone will be 400mg twice a day for a 
-week (starting on ___, then 400mg once a day until your 
-appointment with ___ in 1 month. Then he will adjust the 
-dose. 
-
-Your insulin was increased to 24units in the morning and your 
-glyburide was changed to metformin.
-
-You are also being sent home on a heart monitor, please follow 
-the instructions provided.
-
-You were started on Lovenox injections to thin your blood as 
-your coumadin levele are increased. Please take Coumadin as 
-ordered and get INR on ___ with ___ further 
-Coumadin dose. Take your lovenox until instructed to stop.
- 
-
-###RESPONSE: cardioversion {Cardioversion}, cardioversion {Cardioversion}, a fib {Atrial fibrillation}, heart rate {Finding of heart rate}, irregular {Irregular heart beat}, procedure {Procedure}, medication {Administration of drug or medicament}, afib {Atrial fibrillation}, cardioversion {Cardioversion}, MRI {Magnetic resonance imaging}, cardiac MRI {Magnetic resonance imaging of heart}, heart {Heart structure}, blood vessels {Blood vessel structure}, chest pain {Chest pain}, shortnes of breath {Dyspnea}, groin pain {Inguinal pain}, swelling {Swelling}, seek medical 
-attention {Recommendation to seek attention}, activiy {Functional activity education}, wound {Wound}, medication {Patient medication education}, medication {Patient medication education}, heart monitor {Cardiac monitoring}, instructions {Recommendation to}, injections {Injection}, coumadin {Anticoagulant therapy}, Coumadin {Anticoagulant therapy}, INR {Calculation of international normalized ratio}, Coumadin {Anticoagulant therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-___ CABG x2(LIMA-LAD,SVG-OM) 
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}, CABG x2 {Coronary artery bypass grafts x 2}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old man with hyperlipidemia and GERD/hiatal hernia 
-reports about one year of feeling fatigued/low energy. He has 
-also experienced intermittent episodes of chest burning that is 
-felt across the entire chest, occurring   with exertion, 
-resolving with rest. These episodes are unpredictable and do not
-consistently occur, happening about ___ times per month. He also 
-feels slightly more short of breath with exercise as compared to 
-prior years. A stress echo in ___ showed possible ischemia 
-involving the distal inferoseptum and possibly distal inferior 
-wall. He has been treated with imdur, aspirin and a statin and 
-is now being referred for coronary angiography.
-
- 
-
-###RESPONSE: hyperlipidemia {Hyperlipidemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, fatigued {Fatigue}, chest burning {Burning chest pain}, chest {Thoracic structure}, exertion {Chest pain on exertion}, short of breath with exercise {Dyspnea on exertion}, stress echo {Stress echocardiography}, ischemia {Ischemia}, inferior 
-wall {Structure of myocardium of diaphragmatic region}, aspirin {Administration of aspirin}, coronary angiography {Angiography of coronary artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Hypercholesterolemia
-2. GERD, hiatal hernia
-3. H. Pylori s/p treatment
-4. Asthma as a child
-5. Insomnia
-6. Prior bone fractures
-
- 
-
-###RESPONSE: Hypercholesterolemia {Hypercholesterolemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, H. Pylori {Infection caused by Helicobacter pylori}, Asthma {Asthma}, Insomnia {Insomnia}, fractures {Fracture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Half-brother has had PCI in his ___, s/p AVR and CABG in his 
-___. Grandfather was thought to have had a heart attack in his 
-___.
-
- 
-
-###RESPONSE: PCI {Percutaneous coronary intervention}, AVR {Replacement of aortic valve}, CABG {Coronary artery bypass grafting}, heart attack {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Discharge PE:
-Physical Exam
-
-Pulse:73 Resp:20  O2 sat:93/RA
-B/P: 101/65
-Height:6'1""     Weight:95.3 kg preop, 99.1kg postop
-
-General:NAD
-Skin: Dry [x] intact [x]
-HEENT: PERRLA [x] EOMI [x]
-Neck:  Supple [x] Full ROM [x]
-Chest: Lungs clear bilaterally [x]
-Sternum: stable, healing well, C/D/I
-Heart: RRR [x]  Irregular []  Murmur [] grade ______
-Abdomen: Soft [x] non-distended [x] non-tender [x]  bowel sounds 
-+
-[x]
-Extremities: Warm [x], well-perfused [x]  Edema: 1+BLE [x], LLE 
-healing well
-Varicosities: None [x]
-Neuro: Grossly intact [x]
-Pulses:
-DP           Right: 2+   Left:2+
-___           Right: 2+   Left:2+
-Radial       Right: 2+   Left:2+
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Resp {Examination of respiratory system}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, Skin {Examination of skin}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal range of cervical spine movement}, Chest {Examination of respiratory system}, Lungs {Examination of respiratory system}, Sternum {Bone structure of sternum}, stable {Patient's condition stable}, healing well {Wound healing well}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, Irregular {Irregular heart beat}, Murmur {Murmur}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, bowel sounds 
-+ {Normal bowel sounds}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Edema {Edema}, BLE {Edema of bilateral lower legs}, LLE {Structure of left lower limb}, healing well {Wound healing well}, Varicosities {Venous varices}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, DP {Structure of dorsalis pedis artery}, Radial {Structure of radial artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ ECHO
-PRE BYPASS The left atrium is dilated. No spontaneous echo 
-contrast or thrombus is seen in the body of the left atrium/left 
-atrial appendage or the body of the right atrium/right atrial 
-appendage. No atrial septal defect is seen by 2D or color 
-Doppler. Regional left ventricular wall motion is normal. 
-Overall left ventricular systolic function is normal (LVEF>55%). 
-The right ventricle displays normal free wall contractility. The 
-aortic root is mildly dilated at the sinus level. The ascending 
-aorta is mildly dilated. There are simple atheroma in the aortic 
-arch. The descending thoracic aorta is mildly dilated. There are 
-simple atheroma in the descending thoracic aorta. The aortic 
-valve leaflets (3) are mildly thickened but aortic stenosis is 
-not present. Trace aortic regurgitation is seen. The mitral 
-valve leaflets are mildly thickened. Mild (1+) mitral 
-regurgitation is seen. There is no pericardial effusion. Dr. 
-___ was notified in person of the results in the 
-operating room at the time of the study. 
-
-POST BYPASS There is normal biventricular systolic function. 
-Valvular function is unchanged from the pre-bypass exam. The 
-thoracic aorta is intact after decannulation
-
-CXR ___:
-IMPRESSION:   
-As compared to the previous radiograph, there is unchanged 
-evidence of minimal bilateral atelectatic changes at the lung 
-bases. No new parenchymal opacities. The lateral radiograph 
-reveals a minimal right pleural effusion.  No other relevant 
-change.  Normal alignment of sternal wires. Unchanged position 
-of the right internal jugular vein catheter. 
-
-LABS:
-___ 04:14AM BLOOD WBC-7.1 RBC-3.86* Hgb-11.8* Hct-36.0* 
-MCV-93 MCH-30.6 MCHC-32.8 RDW-11.9 Plt ___
-___ 03:35AM BLOOD WBC-9.3 RBC-4.12* Hgb-12.7* Hct-38.6* 
-MCV-94 MCH-30.7 MCHC-32.8 RDW-12.2 Plt ___
-___ 02:20AM BLOOD ___ PTT-25.5 ___
-___ 04:14AM BLOOD Glucose-104* UreaN-14 Creat-0.9 Na-137 
-K-4.6 Cl-101 HCO3-32 AnGap-9
-___ 03:35AM BLOOD Glucose-110* UreaN-15 Creat-1.0 Na-138 
-K-4.1 Cl-102 HCO3-32 AnGap-8
-___ 03:35AM BLOOD Mg-2.1
- 
-
-###RESPONSE: ECHO {Echocardiography}, BYPASS {Construction of shunt}, left atrium {Left atrial structure}, dilated {Dilatation}, echo {Echocardiography}, thrombus {Thrombus}, left atrium {Left atrial structure}, left 
-atrial appendage {Entire left auricular appendage}, right atrium {Right atrial structure}, right atrial 
-appendage {Structure of right auricular appendage}, atrial septal defect {Atrial septal defect}, color 
-Doppler {Color Doppler ultrasound}, left ventricular {Left cardiac ventricular structure}, wall {Cardiac wall structure}, left ventricular systolic function is normal {Normal left ventricular systolic function and wall motion}, right ventricle {Right cardiac ventricular structure}, wall {Cardiac wall structure}, aortic root is mildly dilated {Aortic root dilatation}, sinus {Structure of sinus of Valsalva}, ascending 
-aorta {Ascending aorta structure}, dilated {Dilatation}, atheroma {Atheroma}, aortic 
-arch {Aortic arch structure}, descending thoracic aorta {Structure of descending thoracic aorta}, dilated {Dilatation}, atheroma {Atheroma}, descending thoracic aorta {Structure of descending thoracic aorta}, aortic 
-valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral 
-valve leaflets are mildly thickened {Thickened mitral leaflet}, Mild (1+) mitral 
-regurgitation {Mild mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, BYPASS {Construction of shunt}, biventricular {Cardiac ventricular structure}, Valvular {Structure of heart valve tissue}, bypass {Construction of shunt}, exam {Physical examination procedure}, thoracic aorta {Thoracic aorta structure}, decannulation {Vascular cannula removal}, radiograph {Plain radiography}, atelectatic {Atelectasis}, lung 
-bases {Structure of base of lung}, opacities {Abnormally opaque structure}, radiograph {Plain radiography}, right {Structure of right pleural cavity}, pleural effusion {Pleural effusion}, sternal {Bone structure of sternum}, Unchanged position {Intravenous catheter in situ}, right internal jugular vein {Structure of right internal jugular vein}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted to the ___ on ___ for surgical 
-management of his coronary artery disease. He was taken to the 
-operating room on the same day where he underwent coronary 
-artery bypass grafting to two vessels. Please see the operative 
-note for details. Postoperatively he was taken to the intensive 
-care unit for monitoring. Over the next several hours, he awoke 
-neurologically intact and was extubated. On postoperative day 
-one, he was transferred to the step down unit for further 
-recovery. His epicardial wires and chest tubes were removed per 
-protocol. He was gently diuresed towards his preoperative 
-weight. The physical therapy service was consulted for 
-assistance in his postoperative strength and recovery. He 
-continued to make steady progress and was discharged home on 
-postoperative day four.
- 
-
-###RESPONSE: coronary artery disease {Coronary arteriosclerosis}, coronary 
-artery bypass grafting to two vessels {Coronary artery bypass grafts x 2}, operative {Surgical procedure}, was taken to the intensive 
-care unit {Patient transfer to intensive care unit}, monitoring {Monitoring response to treatment}, neurologically intact {Normal nervous system function}, extubated {Removal of endotracheal tube}, chest tubes were removed {Intercostal drain removal}, diuresed {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. ClonazePAM 1 mg PO DAILY 
-2. Isosorbide Mononitrate (Extended Release) 60 mg PO BID 
-3. Lansoprazole Oral Disintegrating Tab 15 mg PO DAILY 
-4. Lorazepam 1 mg PO DAILY 
-5. Simvastatin 40 mg PO DAILY 
-6. Aspirin 325 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Aspirin EC 81 mg PO DAILY 
-2. Lansoprazole Oral Disintegrating Tab 15 mg PO DAILY 
-3. Simvastatin 40 mg PO DAILY 
-4. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice 
-a day Disp #*60 Capsule Refills:*0
-5. HYDROmorphone (Dilaudid) ___ mg PO Q3H:PRN pain 
-RX *hydromorphone [Dilaudid] 2 mg ___ tablet(s) by mouth every 3 
-hours as needed Disp #*50 Tablet Refills:*0
-6. Lorazepam 1 mg PO DAILY 
-7. Furosemide 20 mg PO DAILY Duration: 7 Days 
-RX *furosemide 20 mg 1 tablet(s) by mouth daily Disp #*7 Tablet 
-Refills:*0
-8. Metoprolol Tartrate 12.5 mg PO BID 
-RX *metoprolol tartrate 25 mg 0.5 (One half) tablet(s) by mouth 
-twice a day Disp #*30 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-1. Hypercholesterolemia
-2. GERD, hiatal hernia
-3. H. Pylori s/p treatment
-4. Asthma as a child
-5. Insomnia
-6. Prior bone fractures
-
- 
-Discharge Condition:
-Alert and oriented x3 nonfocal 
-Ambulating with steady gait
-Incisional pain managed with oral analgesics
-Incisions: 
-Sternal - healing well, no erythema or drainage 
-Leg Right/Left - healing well, no erythema or drainage. Edema 1+
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Hypercholesterolemia {Hypercholesterolemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, H. Pylori {Infection caused by Helicobacter pylori}, Asthma {Asthma}, Insomnia {Insomnia}, fractures {Fracture}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, steady gait {Gait normal}, Incisional {Surgical incision wound}, pain {Wound pain}, oral analgesics {Administration of analgesic}, Incisions {Surgical incision wound}, Sternal {Wound of structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Leg Right {Structure of right lower limb}, Left {Structure of left lower limb}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1) Please shower daily including washing incisions gently with 
-mild soap, no baths or swimming until cleared by surgeon. Look 
-at your incisions daily for redness or drainage.
-2) Please NO lotions, cream, powder, or ointments to incisions. 
-3) Each morning you should weigh yourself and then in the 
-evening take your temperature, these should be written down on 
-the chart provided.
-4) No driving for approximately one month and while taking 
-narcotics. Driving will be discussed at follow up appointment 
-with surgeon when you will likely be cleared to drive. 
-5) No lifting more than 10 pounds for 10 weeks
-6) Please call with any questions or concerns ___
-
-*Females: Please wear bra to reduce pulling on incision, avoid 
-rubbing on lower edge
-**Please call cardiac surgery office with any questions or 
-concerns ___. Answering service will contact on call 
-person during off hours**
-
- 
-
-###RESPONSE: incisions {Surgical incision wound}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, incisions {Surgical incision wound}, incision {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-wound dehiscence
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, wound dehiscence {Wound dehiscence}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ M s/p splenectomy readmitted for wound dehiscence
- 
-
-###RESPONSE: splenectomy {Splenectomy}, wound dehiscence {Wound dehiscence}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-DM 
-HTN
- 
-
-###RESPONSE: DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-sister with ITP 
- 
-
-###RESPONSE: ITP {Chronic idiopathic thrombocytopenic purpura}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Gen: NAD
-Abd: S/NT/ND, wound dehiscence at laterally edge of wound with 
-dehiscence of anterior but not posterior sheath, no erythema, no 
-signs of infection
-Ext: WNL
-
- 
-
-###RESPONSE: Gen {General examination of patient}, NAD {No abnormality detected}, Abd {Examination of abdomen}, NT {Abdominal tenderness}, ND {Swollen abdomen}, wound dehiscence {Wound dehiscence}, wound {Gunshot wound}, dehiscence {Dehiscence}, erythema {Erythema}, Ext {Examination of limb}, WNL {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 04:00PM   WBC-19.8* RBC-3.60* HGB-10.1* HCT-32.4* 
-MCV-90 MCH-28.1 MCHC-31.2 RDW-15.8*
-___ 04:00PM   PLT COUNT-359
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted, and a vac dressing was placed on the 
-wound. VAC therapy was continued with good results, but the 
-patient was kept in house until the first scheduled change of 
-the VAC dressing. This was performed without difficulty and the 
-patient is now discharged home with ___ for VAC changes. 
- 
-
-###RESPONSE: wound {Wound}, VAC therapy {Vacuum assisted skin closure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-lasix 80am/40pm, metformin 500''', humalog ssi, NPH 56/50, 
-dexamethasone 8'', claritin prn  
-
- 
-Discharge Medications:
-1. Metformin 500 mg Tablet Sig: One (1) Tablet PO TID (3 times a 
-day).  
-2. Furosemide 40 mg Tablet Sig: Two (2) Tablet PO QAM (once a 
-day (in the morning)).  
-3. Furosemide 40 mg Tablet Sig: One (1) Tablet PO QPM (once a 
-day (in the evening)).  
-4. Ascorbic Acid ___ mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-5. Acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed.  
-6. Dexamethasone 4 mg Tablet Sig: Two (2) Tablet PO Q12H (every 
-12 hours).  
-7. Medication
-Please resume all other home medications as before.
-
- 
-
-###RESPONSE: lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-wound dehiscence
-
- 
-Discharge Condition:
-Good
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, wound dehiscence {Wound dehiscence}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for placement of a VAC dressing on your wound. 
-Please call Dr. ___ or return to the E.R. for any of 
-the following:
-*new nausea/vomiting
-*inability to eat
-*fever > 101.4
-*chest pain
-*shortness of breath
-*inability to have bowel movements or pass gas
-*new redness around wound
-*any other questions or concerns
- 
-
-###RESPONSE: placement {Application of dressing}, wound {Wound}, nausea/vomiting {Nausea and vomiting}, fever {Fever}, chest pain {Chest pain}, shortness of breath {Dyspnea}, inability to have bowel movements {Does not defecate}, pass gas {Unable to break wind}, redness {Redness of skin over lesion}, wound {Wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea 
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with PMH of AVR + single vessel CABG (___), pAF s/p 
-cardioversion, on sotalol, HTN, HLD p/w 1 day of worsening 
-dyspnea in the setting of gradual worsening over the past few 
-weeks. Her symptoms started around ___ and were associated 
-with diaphoresis, nausea, and pallor. She denied any chest 
-pain/pressure.  She presented to ___ where her EKG showed 
-sinus rhythm and she was given ASA 300mg rectally.  Her initial 
-TropT was elevated at 0.15.  She had a CXR which showed 
-pulmonary vascular congestion without frank pulmonary edema.  
-Her lungs were noted to have diffuse wheezes which were felt to 
-be most likely ___ pulmonary edema.  She was placed on BiPAP for 
-increased work of breathing and was transferred to ___ for 
-further management and potential ICU level of care.
-
-On arrival to the ___ ED, her EKG was unchanged from her prior 
-one at ___.  Her labs were notable for a WBC of 17 and Cr 
-rising from 1.3 to 1.4.  Her CKMB was normal at 6, and her 
-initial Troponin was 0.21 which declined to 0.16.  She was 
-initially on CPAP due to increased work of breathing with her 
-two VBGs being 7.37/48 and 7.4/42.  ___ was weaned to 5LNC 
-after being given 20mg of IV lasix.  She made 700cc of UOP over 
-the next 6 hours but developed increased WOB and was re-trialed 
-on BiPAP.  She was redosed with 20mg of IV lasix.  She was 
-hemodynamically stable throughout.  She is transferred to the 
-CCU for further management.     
-
-REVIEW OF SYSTEMS:  
-Cardiac review of systems is notable for absence of chest pain, 
-dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, 
-ankle edema, palpitations, syncope or presyncope.  
-
-Denies any prior history of stroke, TIA, deep venous thrombosis, 
-pulmonary embolism, bleeding at the time of surgery, myalgias, 
-joint pains, cough, hemoptysis, black stools or red stools. 
-Denies recent fevers, chills or rigors. 
-Denies exertional buttock or calf pain. All of the other review 
-of systems were negative.  
- 
-
-###RESPONSE: AVR {Replacement of aortic valve}, single vessel {Single coronary vessel disease}, CABG {Coronary artery bypass grafting}, pAF {Paroxysmal atrial fibrillation}, cardioversion {Cardioversion}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, dyspnea {Dyspnea}, diaphoresis {Excessive sweating}, nausea {Nausea}, pallor {Pallor of skin of face}, chest 
-pain {Chest pain}, pressure {Tight chest}, EKG {Electrocardiographic procedure}, sinus rhythm {Sinus rhythm}, TropT was elevated {Troponin I above reference range}, CXR {Plain chest X-ray}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, pulmonary edema {Pulmonary edema}, lungs {Lung structure}, wheezes {Wheezing}, pulmonary edema {Pulmonary edema}, BiPAP {Bilevel positive airway pressure titration}, EKG {Electrocardiographic procedure}, WBC {White blood cell count}, Troponin {Troponin measurement}, on CPAP {Dependence on continuous positive airway pressure ventilation}, IV {Administration of drug or medicament via intravenous route}, lasix {Diuretic therapy}, BiPAP {Bilevel positive airway pressure titration}, IV {Administration of drug or medicament via intravenous route}, lasix {Diuretic therapy}, hemodynamically stable {Hemodynamically stable}, REVIEW OF SYSTEMS {Review of systems}, Cardiac {Heart disease}, review of systems {Review of systems}, chest pain {Chest pain}, dyspnea on exertion {Dyspnea on exertion}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, buttock {Pain in buttock}, calf pain {Pain in calf}, review 
-of systems {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-(+) HTN (+) HLD (-) DM
-b/l cataracts s/p surgery
-s/p cholecystectomy, hysterectomy
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, DM {Diabetes mellitus}, cataracts {Cataract}, cholecystectomy {Cholecystectomy}, hysterectomy {Hysterectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died of suspected MI @ ___. Mother died @ ___.
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:
-Gen: Elderly woman with increased work of breathing, saturating 
-well on BiPAP
-HEENT: NCAT EOMI MMM 
-NECK: +JVP to mid neck
-CV: S1/S2, RRR ___ systolic murmur heard best at ___ IS MCL with 
-radiation to axilla
-LUNGS: expiratory wheezing, bibasilar crackles
-ABD: +BS soft NT/ND
-EXT: no c/c/e
-PULSES: 2+ pulses b/l
-SKIN: warm and dry
-NEURO: AAOx1-2
-
-DISCHARGE EXAM:
-Gen: No spontaneous respirations or chest wall movement noted
-HEENT: Pupils fixed and dilated. Absent corneal reflexes.
-CV: No heart sound appreciable on auscultation.
-Lungs: No breath sounds on auscultation.
-
-Patient pronounced dead at 16:51PM on ___.
- 
-
-###RESPONSE: Gen {General examination of patient}, BiPAP {Bilevel positive airway pressure titration}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, neck {Neck structure}, CV {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, RRR {Normal heart rate}, murmur {Murmur}, axilla {Axillary region structure}, LUNGS {Examination of respiratory system}, wheezing {Wheezing}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, BS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, PULSES {Normal pulse}, 2+ pulses {Peripheral pulses normal}, SKIN {Examination of skin}, warm {Warm skin}, dry {Xeroderma}, NEURO {Neurological examination}, Gen {General examination of patient}, spontaneous respirations {Spontaneous respiration}, chest wall {Chest wall structure}, Pupils fixed {Fixed dilatation of pupil}, dilated {Dilated pupil}, Absent corneal reflexes {Corneal reflex absent}, CV {Cardiovascular physical examination}, No heart sound {Heart sound inaudible}, auscultation {Auscultation}, Lungs {Lung structure}, No breath sounds {Absent breath sounds}, auscultation {Auscultation}, Patient pronounced dead {Patient status determination, deceased}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 04:10AM BLOOD WBC-17.5* RBC-3.91* Hgb-12.8 Hct-35.6* 
-MCV-91 MCH-32.6* MCHC-35.8* RDW-13.6 Plt ___
-___ 04:10AM BLOOD Neuts-84.5* Lymphs-8.2* Monos-6.4 Eos-0.7 
-Baso-0.2
-___ 04:29AM BLOOD ___ PTT-25.0 ___
-___ 04:29AM BLOOD Glucose-125* UreaN-38* Creat-1.3* Na-141 
-K-4.9 Cl-104 HCO3-22 AnGap-20
-___ 04:29AM BLOOD CK-MB-6
-___ 04:29AM BLOOD cTropnT-0.21*
-___ 04:29AM BLOOD Calcium-9.7 Phos-4.0 Mg-2.0
-___ 04:38AM BLOOD ___ pO2-48* pCO2-48* pH-7.37 
-calTCO2-29 Base XS-1
-___ 04:38AM BLOOD O2 Sat-81
-
-PERTINENT LABS:
-___ 09:07AM BLOOD WBC-16.4* RBC-3.91* Hgb-12.0 Hct-37.5 
-MCV-96 MCH-30.8 MCHC-32.0 RDW-14.2 Plt ___
-___ 09:07AM BLOOD ___ PTT-21.2* ___
-___ 09:07AM BLOOD Glucose-120* UreaN-128* Creat-5.0*# 
-Na-139 K-6.1* Cl-104 HCO3-17* AnGap-24*
-___ 11:40AM BLOOD cTropnT-0.16* ___
-___ 09:07AM BLOOD Calcium-8.6 Phos-11.4*# Mg-2.4
-___ 11:40PM BLOOD Lactate-2.2*
-___ 03:30PM BLOOD Lactate-1.9
-
-DISCHARGE LABS:   NONE, PATIENT MADE CMO AND EXPIRED
-
-MICRO:
-___ BLOOD CULTURE:  PENDING
-___ URINE CULTURE:   NO GROWTH.
-
-IMAGING: 
-___  ECG
-Normal sinus rhythm. Left ventricular hypertrophy. 
-Intraventricular 
-conduction delay. No previous tracing available for comparison.  
-
-
-___  CHEST (PORTABLE AP)
-FINDINGS:  The patient is rotated to the left. The patient is 
-status post median sternotomy. There is moderate pulmonary 
-edema. More confluent opacity at the right lung base may relate 
-to vascular congestion however a consolidation due to pneumonia 
-is not excluded. No large pleural effusion is seen. There is no 
-evidence of pneumothorax. The cardiac silhouette is enlarged. 
-The aorta is calcified and tortuous. 
-
-___  Portable TTE 
-Conclusions   
-The left atrium is mildly dilated. No atrial septal defect is 
-seen by 2D or color Doppler. There is mild symmetric left 
-ventricular hypertrophy with normal cavity size and 
-regional/global systolic function (LVEF>55%). Diastolic function 
-could not be assessed. There is a mild resting left ventricular 
-outflow tract obstruction. The right ventricular free wall is 
-hypertrophied. The right ventricular cavity is mildly dilated 
-with mild global free wall hypokinesis. A bioprosthetic aortic 
-valve prosthesis is present. The transaortic gradient is higher 
-than expected for this type of prosthesis. A paravalvular aortic 
-valve leak is probably present. Mild (1+) aortic regurgitation 
-is seen. The mitral valve leaflets are mildly thickened. There 
-is mild functional mitral stenosis (mean gradient 7 mmHg) due to 
-mitral annular calcification. Mild (1+) mitral regurgitation is 
-seen. [Due to acoustic shadowing, the severity of mitral 
-regurgitation may be significantly UNDERestimated.] The 
-tricuspid valve leaflets are mildly thickened. Moderate [2+] 
-tricuspid regurgitation is seen. The tricuspid regurgitation jet 
-is eccentric and may be underestimated. [Due to acoustic 
-shadowing, the severity of tricuspid regurgitation may be 
-significantly UNDERestimated.] There is moderate pulmonary 
-artery systolic hypertension. There is no pericardial effusion. 
-
-IMPRESSION: Mild symmetric left ventricular hypertrophy with 
-near-hyperdynamic left ventricular systolic function. The right 
-ventricle is dilated and hypokinetic with moderate tricuspid 
-regurgitation and moderate pulmonary hypertension. Bioprosthetic 
-AVR with high gradients - likely a combination of a relatively 
-small valve and hyperdynamic function. The leaflets as seen on 
-images #21 and #22 seem to move well although there is 
-significant calcification seen at ___ o'clock on the short axis 
-views. It is not clear if this is outside the valve or not. At 
-least mild mitral regurgitation. Mild calcific mitral stenosis. 
-Biatrial dilation.   
-
-___  CHEST (PORTABLE AP)
-IMPRESSION:  Interval worsening of pulmonary edema, without 
-effusions. 
-
-___  BILAT LOWER EXT VEINS
-IMPRESSION: No evidence of deep venous thrombosis in the right 
-or left lower extremity veins. 
-
-___  ECG
-Sinus rhythm. Prolonged Q-T interval. Left ventricular 
-hypertrophy. No major change from the previous tracing. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, ECG {Electrocardiographic procedure}, Normal sinus rhythm {Normal sinus rhythm}, Left ventricular hypertrophy {Left ventricular hypertrophy}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, median sternotomy {Median sternotomy}, pulmonary 
-edema {Pulmonary edema}, opacity {Abnormally opaque structure}, right lung base {Structure of base of right lung}, vascular {Blood vessel structure}, congestion {Congestion}, consolidation {Consolidation}, pneumonia {Pneumonia}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, cardiac {Heart structure}, enlarged {Enlargement}, aorta {Aortic structure}, calcified {Pathologic calcification, calcified structure}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, dilated {Dilatation}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, mild symmetric left 
-ventricular hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, left ventricular 
-outflow tract obstruction {Left ventricular outflow tract obstruction}, right ventricular {Right cardiac ventricular structure}, wall {Cardiac wall structure}, right ventricular cavity is mildly dilated {Dilatation of right cardiac ventricle}, wall {Cardiac wall structure}, hypokinesis {Behavior showing reduced motor activity}, aortic 
-valve {Aortic valve structure}, aortic 
-valve leak {Aortic valve regurgitation}, Mild (1+) aortic regurgitation {Mild mitral valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, mild functional mitral stenosis {Mild mitral valve stenosis}, mitral annular calcification {Mitral valve annular calcification}, Mild (1+) mitral regurgitation {Mild mitral valve regurgitation}, mitral 
-regurgitation {Mitral valve regurgitation}, tricuspid valve leaflets are mildly thickened {Tricuspid leaflet thickened}, Moderate [2+] 
-tricuspid regurgitation {Moderate tricuspid valve regurgitation}, tricuspid regurgitation {Tricuspid valve regurgitation}, tricuspid regurgitation {Tricuspid valve regurgitation}, pulmonary 
-artery systolic hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, right 
-ventricle is dilated {Dilatation of right cardiac ventricle}, hypokinetic {Hypokinetic right ventricular wall}, moderate tricuspid 
-regurgitation {Moderate tricuspid valve regurgitation}, moderate pulmonary hypertension {Moderate pulmonary hypertension}, Bioprosthetic 
-AVR {Repair of aortic valve with tissue graft}, leaflets {Structure of cardiac valve leaflet}, calcification {Pathologic calcification, calcified structure}, mild mitral regurgitation {Mild mitral valve regurgitation}, Mild calcific mitral stenosis {Mild mitral valve regurgitation}, Biatrial dilation {Atrial dilatation}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, pulmonary edema {Pulmonary edema}, effusions {Pleural effusion}, LOWER EXT VEINS {Structure of vein of lower limb}, deep venous thrombosis {Deep venous thrombosis}, right {Structure of vein of right lower limb}, left lower extremity veins {Structure of vein of left lower limb}, ECG {Electrocardiographic procedure}, Sinus rhythm {Sinus rhythm}, Prolonged Q-T interval {Prolonged QT interval}, Left ventricular 
-hypertrophy {Left ventricular hypertrophy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ y/o F w/ hx of AVR, CABG in ___, PAF on sotalol, HTN, HLD w/ 
-recent echo showing preserved ejection fraction with acute on 
-subacute worsening dyspnea in the setting of leukocytosis and 
-CXR findings c/w PNA, found to have volume overload on exam with 
-increased work of breathing initially requiring BiPAP but later 
-made comfort care only after unsuccessful attempts at diuresis 
-and development of acute renal failure.
-
-ACTIVE ISSUES:
-#ACUTE DECOMPENSATED DIASTOLIC HEART FAILURE: LVEF >55%, mild 
-symmetric LVH, MAC, +MR. ___ consistent with heart 
-failure exacerbation in the setting of PNA. She initially 
-responded to IV lasix boluses but quickly developed acute renal 
-failure and persistent oxygen requirement. PE was considered in 
-the differential given +D-dimer and increased WOB but LENIs were 
-negative for DVT and symptomatology was not consistent. Patient 
-and family was approached regarding elective intubation and 
-right heart cath but declined as this was felt to be too 
-invasive. After a meeting with the patient and her family 
-(including HCP), patient was made DNR/DNI. Medical team and 
-family agreed to try high dose IV Lasix and if this was 
-unsuccessful, patient would be made comfort care only. 
-Unfortunately, high dose IV diuresis was unsuccessful and 
-patient was made comfort care only on ___. Palliative care was 
-consulted to assist with comfort measures. Patient expired on 
-___ at 16:51PM with family at bedside.
-
-#PNA: Patient presented with leukocytosis characterized by a 
-left shift. This in combination with her CXR which was 
-suggestive of a RLL opacification, was concerning for PNA. This 
-PNA also likely contributed if not caused her CHF exacerbation. 
-She was treated with CTX and azithromycin. Antibiotics were 
-withdrawn once patient was made comfort care only.
-
-CHRONIC ISSUES:
-#Atrial fibrillation: Patient remained in atrial fibrillation 
-throughout admission. She was continued on her home sotalol on 
-admission but this was withdrawn once patient was made CMO.
-
-#HTN: Normotensive on admission. Home BP meds were held on 
-admission especially in the setting of diuresis. 
-
-#HLD: Stable, she was continued on her home pravastatin which 
-was discontinued once she was made CMO.
-
-TRANSITIONAL ISSUES:
-NONE
- 
-
-###RESPONSE: AVR {Replacement of aortic valve}, CABG {Coronary artery bypass grafting}, PAF {Paroxysmal atrial fibrillation}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, echo {Echocardiography}, dyspnea {Dyspnea}, leukocytosis {Leukocytosis}, CXR {Plain chest X-ray}, PNA {Pneumonia}, volume overload {Hypervolemia}, BiPAP {Bilevel positive airway pressure titration}, comfort care {Comfort measures}, diuresis {Diuresis}, acute renal failure {Acute kidney injury}, DECOMPENSATED DIASTOLIC HEART FAILURE {Decompensated cardiac failure}, mild 
-symmetric LVH {Mild left ventricular hypertrophy}, MAC {Mitral valve annular calcification}, MR {Mitral valve regurgitation}, heart 
-failure {Heart failure}, PNA {Pneumonia}, IV {Administration of drug or medicament via intravenous route}, lasix {Diuretic therapy}, acute renal 
-failure {Acute kidney injury}, PE {Pulmonary embolism}, DVT {Deep venous thrombosis}, intubation {Intubation}, right heart cath {Catheterization of right heart}, DNR {Not for resuscitation}, IV {Administration of drug or medicament via intravenous route}, comfort care {Comfort measures}, IV {Administration of drug or medicament via intravenous route}, diuresis {Diuresis}, comfort care {Comfort measures}, Palliative care {Palliative care}, comfort measures {Comfort measures}, PNA {Pneumonia}, leukocytosis {Leukocytosis}, left shift {Left shifted white blood cells}, CXR {Plain chest X-ray}, RLL {Structure of lower lobe of right lung}, opacification {Abnormally opaque structure}, PNA {Pneumonia}, PNA {Pneumonia}, CHF exacerbation {Exacerbation of congestive heart failure}, Antibiotics {Antibiotic therapy}, comfort care {Comfort measures}, Atrial fibrillation {Atrial fibrillation}, atrial fibrillation {Atrial fibrillation}, HTN {Hypertensive disorder, systemic arterial}, Normotensive {Normal blood pressure}, diuresis {Diuresis}, HLD {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Acetaminophen 650 mg PO Q8H:PRN pain 
-2. ALPRAZolam 0.5 mg PO QHS insomnia 
-3. Losartan Potassium 25 mg PO DAILY 
-4. Potassium Chloride 20 mEq PO DAILY 
-5. Pravastatin 40 mg PO QPM 
-6. Sotalol 80 mg PO BID 
-7. Triamterene-HCTZ (37.5/25) 1 CAP PO DAILY 
-8. Ipratropium-Albuterol Neb 1 NEB NEB Q6H:PRN wheezing 
-
- 
-Discharge Medications:
-PATIENT EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Expired
- 
-Discharge Diagnosis:
-PATIENT EXPIRED
- 
-Discharge Condition:
-PATIENT EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-PATIENT EXPIRED
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-confusion, abnormal labs
-
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, confusion {Clouded consciousness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ w/pmh chronic mild hypoNa likely ___ SIADH, 
-HTN, COPD and chronic etoh use disorder who presents with 
-confusion in the setting of worsening hypoNa. 
-
-History obtained from patient as well as her son and daughter 
-who were at bedside. Patient has a long history of chronic 
-asymptomatic hyponatremia (Na 130-132) thought to be due to 
-SIADH and chronic tea and toast potomania (""nibbles"" and drinks 
-about 2 gallons of wine a week). Na was as low as 129 in ___ 
-due to increased ETOH intake and very poor PO intake. After PCP 
-counseling and change in her diet (more salty soups), Na was 
-improved to low 130s. Per daughter in law, patient has been 
-increasing her ETOH intake recently with very little PO intake. 
-Family has noted increased confusion and forgetfulness over the 
-past 2 weeks. Denied any speech slurring, weakness, numbness, 
-recent falls.
-
-Patient was taken to urgent care today for above sxs and noted 
-to have Na 125 from baseline around 130. She was sent to ___ 
-ED for further eval. Of note yesterday patient was also taken to 
-___ UC yesterday for a rash on her face. She was given Keflex 
-and prednisone for possible shingles. She reports the rash was 
-initially itchy but never painful. Currently it feels well and 
-does not bother her. 
-
-In the ED, initial VS were: 98.9 88 123/54 16 96% RA 
-  
- ED physical exam was recorded as:
-Awake and alert but forgetful at times, moving all ext, CN 
-II-XII
-CTAB, RRR and abd NTND soft
-Ext wwp, 2+ pulses
-No signs of trauma
-rash on right side of face
-
-ED labs were notable for: 
-Na 125
-WBC 10.6
-H/H 10.8/32.1
-Urine sodium 42, Uosm 241
-
-Imaging showed:
-CXR:   
-No acute cardiopulmonary process seen. 
-
-Transfer VS were: 90 126/62 18 97% RA 
- 
- When seen on the floor, she is alert and oriented times 3. She 
-is not sure why she is in the hospital. She denies any pain 
-anywhere, dysuria, abd pain, n/v, diarrhea, fever, chills. 
-Reports chronic cough. Requesting sleep aid and nicotine patch.
-  
-REVIEW OF SYSTEMS: 
- A ten point ROS was conducted and was negative except as above 
-in the HPI.
-
- 
-
-###RESPONSE: chronic {Chronic disease}, hypoNa {Hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, chronic etoh use disorder {Persistent alcohol abuse}, confusion {Clouded consciousness}, worsening {Patient's condition worsened}, hypoNa {Hyponatremia}, chronic {Chronic disease}, asymptomatic {Asymptomatic}, hyponatremia {Hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, chronic {Chronic disease}, potomania {Hypo-osmolality and or hyponatremia}, drinks {Current drinker of alcohol}, increased ETOH intake {Problem drinker}, poor PO intake {Decrease in appetite}, counseling {Counseling}, diet {Dietary regime}, improved {Patient's condition improved}, ETOH {Alcohol abuse}, confusion {Clouded consciousness}, forgetfulness {Forgetful}, slurring {Slurred speech}, weakness {Asthenia}, numbness {Numbness}, falls {Falls}, baseline {Baseline state}, eval {Evaluation procedure}, rash on her face {Eruption of skin of face}, shingles {Herpes zoster}, rash {Eruption of skin}, itchy {Itching}, painful {Pain}, feels well {Well in self}, Awake {Awake}, alert {Mentally alert}, forgetful {Forgetful}, CN 
-II-XII {Examination of cranial nerve}, CTAB {Normal breath sounds}, RRR {Normal heart rate}, NTND {Abdominal tenderness}, soft {Abdomen soft}, 2+ pulses {Peripheral pulses normal}, signs {Sign}, trauma {Traumatic injury}, rash {Eruption of skin}, right side of face {Structure of right half of face}, labs {Laboratory test}, CXR {Plain chest X-ray}, No acute {No abnormality detected}, alert {Mentally alert}, oriented times 3 {Oriented to person, time and place}, pain {Pain}, dysuria {Dysuria}, abd pain {Abdominal pain}, diarrhea {Diarrhea}, fever {Fever}, chills {Chill}, chronic cough {Chronic cough}, REVIEW OF SYSTEMS {Review of systems}, ROS {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Purpura [D69.2] 
-Alcohol dependence [F10.20] 
-Emphysematous COPD [J43.9] 
-Tobacco dependence [F17.200] 
-HYPERTENSION - ESSENTIAL, UNSPEC [I10] 
-Lisinopril
-H/O solitary pulmonary nodule [___] 
-Hyponatremia [___.1] c/w SIADH
-RLL consolidation of chest CT -resolved. ( ___
-B12 deficiency, borderline [E53.8] 
-Asymptomatic PVD (peripheral vascular disease) [___.9] 
-SCREENING FOR COLON CANCER [___.11] 
-LICHEN SCLEROSUS ET ATROPHICUS 
-
- 
-
-###RESPONSE: Purpura {Purpuric disorder}, Alcohol dependence {Alcohol dependence}, Emphysematous COPD {Pulmonary emphysema}, Tobacco dependence {Tobacco dependence syndrome}, HYPERTENSION - ESSENTIAL {Essential hypertension}, solitary pulmonary nodule {Solitary nodule of lung}, Hyponatremia {Hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, RLL {Structure of lower lobe of right lung}, consolidation {Lung consolidation}, chest CT {Computed tomography of chest}, resolved {Problem resolved}, Asymptomatic {Asymptomatic}, PVD (peripheral vascular disease {Peripheral vascular disease}, SCREENING FOR COLON CANCER {Screening for malignant neoplasm of colon}, LICHEN SCLEROSUS {Lichen sclerosus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission: 
-Gen: NAD, A&O x3, lying in bed
-Eyes: EOMI, sclerae anicteric  
-HEENT: MMM, OP clear. Erythematous patch on right facial and 
-cervical area, with no tenderness to palpation, no induration. 
-Small dry crusted areas on the overlying skin.
-Cardiovasc: RRR, no MRG, full pulses, no edema  
-Resp: normal effort, no accessory muscle use, lungs CTA ___.
-GI: soft, NT, ND, BS+
-MSK: No significant kyphosis. No palpable synovitis.
-Skin: No visible rash. No jaundice.
-Neuro: AAOx3. No facial droop.
-Psych: Full range of affect
-
-On Discharge:
-VS: 97.8 134/59 66 18 91% RA
-GEN: Well appearing in NAD, sitting up in bed
-HEENT/Neck: Anicteric sclera, MMM, OP clear, neck supple.  
-HEART: RRR no m/r/g
-LUNGS: CTAB no wheezes, rales, or crackles.  Symmetric expansion
-ABD: soft NT/ND +BS no rebound or guarding, dry cough throughout
-exam, which patient states is her ""smoker's cough.""
-EXT: warm well perfused, no pitting edema
-NEURO: alert and oriented x3.  Fluent speech.  CN II-XII intact. 
-
-No focal deficits on strength testing.
- 
-
-###RESPONSE: Gen {General examination of patient}, NAD {No abnormality detected}, O x3 {Oriented to person, time and place}, lying in bed {Lying in bed}, EOMI {Normal ocular motility}, sclerae anicteric {White sclera}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, Erythematous {Erythema}, facial and 
-cervical {Face and/or neck structure}, tenderness {Tenderness}, palpation {Palpation}, induration {Induration of skin}, crusted areas {Crust on skin}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, pulses {Normal pulse}, edema {Edema}, Resp {Examination of respiratory system}, normal effort {Visible respiratory effort}, accessory muscle {Accessory skeletal muscle}, lungs {Lung structure}, CTA {Normal breath sounds}, GI {Examination of digestive system}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, MSK {Musculoskeletal system physical examination}, kyphosis {Kyphosis deformity of spine}, palpable {Palpation}, synovitis {Synovitis}, Skin {Examination of skin}, rash {Eruption of skin}, jaundice {Jaundice}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, facial droop {Weakness of face muscles}, Psych {Psychological assessment}, affect {Mood finding}, GEN {General examination of patient}, Well appearing {Well cared for appearance}, NAD {Distress}, HEENT {Physical examination procedure}, Neck {Physical examination procedure}, Anicteric sclera {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, neck supple {Normal movement of neck}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, crackles {Respiratory crackles}, Symmetric expansion {Chest expansion normal}, ABD {Examination of abdomen}, soft {Abdomen soft}, +BS {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, dry cough {Dry cough}, exam {Examination of abdomen}, smoker's cough {Smokers' cough}, EXT {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, pitting edema {Pitting edema}, NEURO {Neurological examination}, alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Fluent speech {Finding of fluency of speech}, CN II-XII intact {Normal central nervous system}, No focal deficits {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-___ 05:20PM URINE  OSMOLAL-241
-___ 05:20PM URINE  HOURS-RANDOM CREAT-29 SODIUM-42
-___ 01:40PM   GLUCOSE-106* UREA N-14 CREAT-0.7 SODIUM-125* 
-POTASSIUM-4.7 CHLORIDE-89* TOTAL CO2-26 ANION GAP-15
-___ 01:40PM   CALCIUM-9.6 PHOSPHATE-3.8 MAGNESIUM-1.8
-___ 01:40PM   OSMOLAL-283
-___ 01:40PM   WBC-10.6* RBC-3.47* HGB-10.8* HCT-32.1* 
-MCV-93 MCH-31.1 MCHC-33.6 RDW-14.2 RDWSD-48.2*
-___ 01:40PM   NEUTS-74.4* LYMPHS-14.6* MONOS-9.4 EOS-0.4* 
-BASOS-0.4 IM ___ AbsNeut-7.90* AbsLymp-1.55 AbsMono-1.00* 
-AbsEos-0.04 AbsBaso-0.04
-___ 01:40PM   PLT COUNT-300
-
-CXR: No acute cardiopulmonary process seen.
-
-CT chest (___):
-1.  4 mm noncalcified pulmonary nodule is stable since ___.  
-Followup per ___ recommendations.
-2.  COPD.
-
-On Discharge:
-___ 06:50AM BLOOD WBC-5.7 RBC-3.14* Hgb-9.8* Hct-30.0* 
-MCV-96 MCH-31.2 MCHC-32.7 RDW-14.4 RDWSD-49.9* Plt ___
-___ 07:15AM BLOOD Glucose-91 UreaN-12 Creat-0.6 Na-129* 
-K-4.0 Cl-93* HCO3-26 AnGap-14
-___ 07:15AM BLOOD Mg-1.6
-___ 06:20AM BLOOD VitB12-548 Folate-2.9
-___ 01:40PM BLOOD Osmolal-283
-___ 06:20AM BLOOD TSH-2.9
- 
-
-###RESPONSE: URINE  OSMOLAL {Osmolality measurement, urine}, URINE {Evaluation of urine specimen}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, GLUCOSE {Glucose measurement, urine}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, PLT COUNT {Platelet count}, CXR {Plain chest X-ray}, No acute {No abnormality detected}, pulmonary nodule {Nodule of lung}, stable {Symptom not changed}, COPD {Chronic obstructive lung disease}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient is a ___ year old woman with history of mild chronic 
-hypoNa attributed to SIADH, HTN, COPD and etoh use disorder who 
-presents with confusion and worsening hypoNa. 
-
-#Acute metabolic encephalopathy:
-#Hyponatremia:
-Patient's confusion and forgetfulness is likely due to acute on 
-chronic hyponatremia ___ poor solute intake (""tea and toast"", or 
-""wine and toast"") as well as possible mild SIADH (elevated UNa 
-and UOsm). It is unclear why she would have SIADH, no 
-intrapulmonary process on CXR.  She has a lung nodule which has 
-been stable on serial imaging. DDx also includes toxic metabolic 
-encephalopathy from chronic alcohol use vs alcohol withdrawal 
-(although currently not exhibiting any signs). Unlikely to be 
-infection (given clear CXR and UA), head trauma (no recent 
-history of head strike) medication side effects (not on any 
-culprit meds).  Na improved to recent baseline with free water 
-restriction and salt tabs.  She was encouraged to increase her 
-solute intake.  TSH, B12, folate wnl. B1 pending on discharge.
-
-Given her encephalopathy, ___ and OT were consulted and found 
-significant deficits concerning for her safety.  Her MMSE was 
-___ suggestive of mild-moderate cognitive impairment.  Her 
-family echoed these concerns about safety at home and she is now 
-discharged to rehab. She should have cognitive neurology follow 
-up as an outpatient. 
-
-#Facial Rash: 
-Mild cellulitis vs dermatitis with faint erythema, induration.  
-Does not appear to be shingles given lack of a dermatomal 
-distribution and no vescicular lesions.  In the outpatient 
-setting was given Keflex and steroid.  Her Keflex should be 
-continued through ___ to complete a ___TOH use disorder
-#Fall safety risk: 
-Per daughter in law, patient has longstanding history of ETOH 
-use disorder (about 2 gallons a wine per week), with prior 
-history of falls (twice last year). She was able to ambulate 
-independently at home, however now needs help with paying bills. 
-Family is concerned about patient's ability to take care of 
-herself at home and have entertained the possibility of 
-placement.  See above for evaluation.  She did not trigger on 
-CIWA
-
-#HTN: Continued Lisinopril 40 mg PO and amLODIPine 10 mg PO 
-DAILY 
-
-Chronic issues: COPD stable
-- Continued ASA
-- Continued vitamin B12 and D
-
-# Code status: DNR/DNI (confirmed with pt/family)
-
-Transitional:
-- Patient will need to be scheduled for follow up with cognitive 
-neurology
-- Continue Keflex through ___
-
- 
-
-###RESPONSE: chronic 
-hypoNa {Chronic hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, etoh use disorder {Alcohol abuse}, confusion {Clouded consciousness}, hypoNa {Hyponatremia}, Hyponatremia {Hyponatremia}, confusion {Clouded consciousness}, forgetfulness {Forgetful}, chronic hyponatremia {Chronic hyponatremia}, mild {Symptom mild}, SIADH {Syndrome of inappropriate vasopressin secretion}, SIADH {Syndrome of inappropriate vasopressin secretion}, CXR {Plain chest X-ray}, lung nodule {Nodule of lung}, stable {Symptom not changed}, imaging {Imaging}, toxic metabolic 
-encephalopathy {Toxic metabolic encephalopathy}, chronic alcohol use {Persistent alcohol abuse}, alcohol withdrawal {Alcohol withdrawal syndrome}, signs {Sign}, infection {Infectious disease}, clear {No abnormality detected}, CXR {Plain chest X-ray}, head trauma {Injury of head}, head strike {Injury of head}, medication side effects {Medication side effects present}, improved {Patient's condition improved}, baseline {Baseline state}, water 
-restriction {Fluid restriction}, TSH {Thyroid stimulating hormone measurement}, B12 {B12/folate level}, encephalopathy {Disorder of brain}, concerning for her safety {Safeguarding concern}, MMSE {Assessment using mini-mental state examination}, moderate cognitive impairment {Moderate cognitive impairment}, concerns about safety {Safeguarding concern}, neurology follow 
-up {Follow-up neurological assessment}, Facial Rash {Eruption of skin of face}, Mild {Symptom mild}, cellulitis {Cellulitis}, dermatitis {Inflammatory dermatosis}, erythema {Erythema}, induration {Induration}, shingles {Herpes zoster}, vescicular lesions {Vesicular eruption}, steroid {Steroid therapy}, TOH use disorder {Alcohol abuse}, Fall safety risk {At increased risk for falls}, ETOH 
-use disorder {Alcohol abuse}, falls {Falls}, able to ambulate {Able to walk}, evaluation {Evaluation procedure}, HTN {Hypertensive disorder, systemic arterial}, Chronic issues {Chronic disease}, COPD {Chronic obstructive lung disease}, stable {Patient condition unchanged}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Lisinopril 40 mg PO DAILY 
-2. amLODIPine 10 mg PO DAILY 
-3. Vitamin D 1000 UNIT PO DAILY 
-4. Cyanocobalamin 1000 mcg PO 3X/WEEK (___) 
-5. Aspirin 81 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Cephalexin 500 mg PO Q6H  
-2.  Docusate Sodium 100 mg PO BID 
-do not take if you are having loose stools  
-3.  FoLIC Acid 1 mg PO DAILY  
-4.  Multivitamins 1 TAB PO DAILY  
-5.  Nicotine Patch 7 mg TD DAILY  
-6.  Polyethylene Glycol 17 g PO DAILY:PRN constipation  
-7.  Senna 8.6 mg PO BID:PRN constipation  
-8.  Sodium Chloride 1 gm PO BID  
-9.  Thiamine 100 mg PO DAILY  
-10.  TraZODone 25 mg PO QHS:PRN insomnia  
-11.  amLODIPine 10 mg PO DAILY  
-12.  Aspirin 81 mg PO DAILY  
-13.  Cyanocobalamin 1000 mcg PO 3X/WEEK (___)  
-14.  Lisinopril 40 mg PO DAILY  
-15.  Vitamin D 1000 UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Acute metabolic encephalopathy
-Hyponatremia, SIADH
-Mild cognitive impairment
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: metabolic encephalopathy {Metabolic encephalopathy}, Hyponatremia {Hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, Mild cognitive impairment {Mild neurocognitive disorder}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Patient admitted with increased confusion at home and worsened 
-hyponatremia.  Improved with fluid restriction.  Found to have 
-cognitive impairment and safety concerns at home.  Rehab 
-recommended as well as follow up with a neurologist.  Please 
-encourage alcohol cessation, encourage salt intake, and water 
-restriction to 1.5-2L per day
- 
-
-###RESPONSE: confusion {Clouded consciousness}, hyponatremia {Hyponatremia}, Improved {Patient's condition improved}, fluid restriction {Fluid restriction}, cognitive impairment {Impaired cognition}, safety concerns {Safeguarding concern}, follow up {Follow-up arranged}, alcohol {Current drinker of alcohol}, water 
-restriction {Fluid restriction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-morphine / Dilaudid
- 
-Attending: ___.
- 
-Chief Complaint:
-L distal femur nonunion 
- 
-Major Surgical or Invasive Procedure:
-L distal femur nonunion ORIF with plate ___, ___
-
- 
-
-###RESPONSE: morphine {Allergy to morphine}, L distal femur {Bone structure of distal left femur}, L distal femur {Bone structure of distal left femur}, nonunion {Nonunion of fracture}, ORIF {Open reduction of fracture of femur with internal fixation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a follow-up visit for ___ chief complaint is
-left distal femur fracture history ___ is here today for
-follow-up with regards to his distal femur fracture he recently
-had a CT scan and is here today to discuss the findings.
-
-Past medical history no changes since we last saw him.
-
-Review of systems no fevers or chills.
-
- 
-
-###RESPONSE: distal femur fracture {Fracture of distal end of femur}, distal femur fracture {Fracture of distal end of femur}, CT scan {Computed tomography of left lower limb}, Review of systems {Review of systems}, fevers {Fever}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On discharge 
-
-General: well-appearing, breathing comfortably
-CV: pink and well perfused
-Abd: soft, non-tender, non-distended
-
-LLE: Incision well approximated. Dressing clean and dry. Fires 
-FHL, ___, TA, GCS. SILT ___ n distributions. Toes WWP 
-distally.
-
- 
-
-###RESPONSE: General {General examination of patient}, well-appearing {Well cared for appearance}, breathing comfortably {Breathing easily}, CV {Cardiovascular physical examination}, well perfused {Normal tissue perfusion}, Abd {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, LLE {Structure of left lower limb}, Incision {Surgical incision wound}, Dressing {Application of dressing}, SILT {Light touch sensation present}, Toes {Structure of all toes}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:30AM BLOOD WBC-15.4* RBC-3.41* Hgb-9.8* Hct-30.6* 
-MCV-90 MCH-28.7 MCHC-32.0 RDW-13.5 RDWSD-44.4 Plt ___
-___ 06:30AM BLOOD Glucose-322* UreaN-11 Creat-1.0 Na-134* 
-K-4.0 Cl-96 HCO3-24 AnGap-14
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient is well known to the service and has been undergoing 
-evaluation for left distal femur. He presented from home on 
-___ for scheduled left distal femur nonunion ORIF, which 
-the patient tolerated well. For full details of the procedure 
-please see the separately dictated operative report.
-
-After the procedure the patient was taken from the OR to the 
-PACU, but was hypotensive requiring temporary pressors while in 
-the PACU. He was weaned off pressors prior to arrival on floor 
-(POD0) and SBP remained at 100 with HR around 100. Home 
-Metoprolol was held given hypotensive on POD1 with SBP to ___. 
-He was treated with IVF and pressures normalized. Additionally, 
-___ Diabetes service was consulted for newly found 
-hyperglycemia.
-
-He was initially given IV fluids and IV pain medications, but 
-progressed to a regular diet and oral medications on POD1. The 
-patient was given ___ antibiotics per routine. He is 
-on Apixaban at home and was switched to Enoxaparin ___. He 
-was restarted on home Apixaban on POD1. The patient's other home 
-medications were also continued throughout this hospitalization. 
-His intraoperative cultures did not grow any bacteria. The 
-___ hospital course was otherwise unremarkable.
-
-At the time of discharge the patient's pain was well controlled 
-with oral medications, incisions were clean/dry/intact, and the 
-patient was voiding/moving bowels spontaneously. The patient is 
-weight bearing as tolerated in left lower extremity, and will be 
-discharged on home Apixaban for DVT prophylaxis. The patient 
-will follow up with Dr. ___ routine. A thorough 
-discussion was had with the patient regarding the diagnosis and 
-expected post-discharge course including reasons to call the 
-office or return to the hospital, and all questions were 
-answered. The patient was also given written instructions 
-concerning precautionary instructions and the appropriate 
-follow-up care. The patient expressed readiness for discharge.
-
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, left distal femur {Bone structure of distal left femur}, left distal femur {Bone structure of distal left femur}, nonunion {Nonunion of fracture}, ORIF {Open reduction of fracture of femur with internal fixation}, procedure {Surgical procedure}, procedure {Surgical procedure}, PACU {Postanesthesia care}, hypotensive {Low blood pressure}, pressors {Hypotensive therapy}, PACU {Postanesthesia care}, pressors {Hypotensive therapy}, hypotensive {Hypotensive therapy}, IVF {Administration of intravenous fluids}, pressures normalized {Normal blood pressure}, Diabetes service was consulted {Referral to diabetes service}, hyperglycemia {Hyperglycemia}, given IV fluids {Administration of intravenous fluids}, pain medications {Administration of analgesic}, regular diet {Normal diet}, oral medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, cultures {Microbial culture}, unremarkable {No abnormality detected}, pain was well controlled {Demonstrates adequate pain control}, oral medications {Administration of drug or medicament via oral route}, incisions {Surgical incision wound}, clean/dry/intact {Wound healing well}, voiding {Micturition finding}, moving bowels {Finding of defecation}, weight bearing {Weight-bearing}, left lower extremity {Structure of left lower limb}, DVT prophylaxis {Prevention of deep vein thrombosis}, follow up {Follow-up arranged}, discussion {Discussion}, instructions {Education}, instructions {Education}, follow-up care {Postoperative procedure education}, readiness for discharge {Ready for discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Apixaban 5 mg PO BID  
-Atorvastatin 40 mg PO QPM  
-Digoxin 0.125 mg PO DAILY  
-Gabapentin 300 mg PO TID  
-Metoprolol Succinate XL 100 mg PO DAILY Please HOLD for SBP < 
-100 or HR < 
-Pantoprazole 40 mg PO Q12H  
-
- 
-Discharge Medications:
-1.  Acetaminophen 650 mg PO Q6H  
-2.  Bisacodyl 10 mg PO/PR DAILY:PRN Constipation  
-3.  Calcium Carbonate 500 mg PO BID  
-4.  Cepacol (Sore Throat Lozenge) 1 LOZ PO Q2H:PRN Cough/Sore 
-Throat  
-5.  Docusate Sodium 100 mg PO BID  
-6.  Milk of Magnesia 30 ml PO BID:PRN Constipation  
-7.  Multivitamins 1 TAB PO DAILY  
-8.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every four (4) hours 
-PRN Disp #*50 Tablet Refills:*0 
-9.  Senna 8.6 mg PO BID  
-10.  Vitamin D 400 UNIT PO DAILY  
-11.  Apixaban 5 mg PO BID  
-12.  Atorvastatin 40 mg PO QPM  
-13.  Digoxin 0.125 mg PO DAILY  
-14.  Gabapentin 300 mg PO TID  
-15.  Metoprolol Succinate XL 100 mg PO DAILY 
-Please HOLD for SBP < 100 or HR < 55.  
-16.  Pantoprazole 40 mg PO Q12H  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-L distal femur nonunion 
-
- 
-Discharge Condition:
-AVSS
-NAD
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
-LLE: Incision well approximated. Dressing clean and dry. Fires 
-FHL, ___, TA, GCS. SILT ___ n distributions. Toes WWP 
-distally.
-
- 
-
-###RESPONSE: nonunion {Nonunion of fracture}, AVSS {Normal vital signs}, NAD {No abnormality detected}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - requires assistance or aid {Finding of walking aid use}, LLE {Structure of left lower limb}, Incision {Surgical incision wound}, well approximated {Wound healing well}, Dressing {Application of dressing}, SILT {Light touch sensation present}, Toes {Structure of all toes}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-INSTRUCTIONS AFTER ORTHOPAEDIC SURGERY:
-- You were in the hospital for orthopedic surgery. It is normal 
-to feel tired or ""washed out"" after surgery, and this feeling 
-should improve over the first few days to week. 
-- Resume your regular activities as tolerated, but please follow 
-your weight bearing precautions strictly at all times.
-
-ACTIVITY AND WEIGHT BEARING:
-- Weight bearing as tolerated in left lower extremity 
-
-MEDICATIONS:
-- Please take all medications as prescribed by your physicians 
-at discharge.
-- Continue all home medications unless specifically instructed 
-to stop by your surgeon.
-- Do not drink alcohol, drive a motor vehicle, or operate 
-machinery while taking narcotic pain relievers.
-- Narcotic pain relievers can cause constipation, so you should 
-drink eight 8oz glasses of water daily and take a stool softener 
-(colace) to prevent this side effect.
-
-PAIN MEDICATIONS INSTRUCTIONS:
-1)  Take Tylenol ___ every 6 hours around the clock.
-2)  Add your prescribed narcotics as needed for increased pain. 
-Start weaning the narcotic medication once you get home. 
-
-This is an example on how to wean down:
-Take 1 tablet every 3 hours as needed x 1 day,
-then 1 tablet every 4 hours as needed x 1 day,
-then 1 tablet every 6 hours as needed x 1 day,
-then 1 tablet every 8 hours as needed x 2 days, 
-then 1 tablet every 12 hours as needed x 1 day,
-then 1 tablet every before bedtime as needed x 1 day.  
-Then continue with Tylenol for pain.
-
-3)  Do not stop the Tylenol until you are off of the narcotic 
-medication. 
-
-ANTICOAGULATION:
-- Please continue taking your home Eliquis
-
-WOUND CARE:
-- Your incision is covered with a dry dressing. Please change 
-the dressing daily. If there is no drainage, you may leave your 
-incision open to the air. If you are continuing to have 
-drainage, you may place a dry dressing over the incision as 
-needed.
-- You may shower. No baths or swimming for at least 4 weeks.
-- Any stitches or staples that need to be removed will be taken 
-out at your 2-week follow up appointment.
-
-THIS PATIENT IS EXPECTED TO REQUIRE <30 DAYS OF REHAB
-Physical Therapy:
-Activity:   Activity:  Activity as tolerated
- Right lower extremity:  Full weight bearing
- Left lower extremity:  Full weight bearing
-Encourage turn, cough and deep breathe q2h when awake
-
-Treatments Frequency:
-Any staples or superficial sutures you have are to remain in 
-place for at least 2 weeks postoperatively.  Incision may be 
-left open to air unless actively draining.  If draining, you may 
-apply a gauze dressing secured with paper tape.  You may shower 
-and allow water to run over the wound, but please refrain from 
-bathing for at least 4 weeks postoperatively.
-
-Call your surgeon's office with any questions.  
- 
-
-###RESPONSE: INSTRUCTIONS {Education}, SURGERY {Surgical procedure}, surgery {Surgical procedure}, tired {Tired}, washed out {Exhaustion}, after surgery {Postoperative state}, weight bearing {Weight-bearing}, precautions {Safety precautions}, Weight bearing {Weight-bearing}, left lower extremity {Structure of left lower limb}, Do not drink alcohol {Education about alcohol consumption}, pain relievers {Administration of analgesic}, pain relievers {Administration of analgesic}, constipation {Constipation}, take a stool softener {Administration of laxative}, Add your prescribed narcotics as needed {Narcotics education}, increased pain {Increased pain}, Start weaning the narcotic medication once you get home {Narcotics education}, pain {Pain}, Do not stop the Tylenol until you are off of the narcotic 
-medication {Narcotics education}, incision {Surgical incision wound}, dressing {Application of dressing}, change 
-the dressing {Change of dressing}, drainage {Discharge}, incision {Surgical incision wound}, drainage {Discharge}, dressing {Application of dressing}, incision {Surgical incision wound}, Activity as tolerated {Education about increasing activity tolerance}, Right lower extremity {Structure of right lower limb}, Full weight bearing {Full weight-bearing gait training}, Left lower extremity {Structure of left lower limb}, Full weight bearing {Full weight-bearing gait training}, cough and deep breathe {Deep breathing and coughing exercises}, awake {Awake}, Incision {Surgical incision wound}, draining {Wound discharge}, draining {Wound discharge}, apply a gauze dressing {Application of dressing}, wound {Wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Amoxicillin
- 
-Attending: ___.
- 
-Chief Complaint:
-COPD exacerbation
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Amoxicillin {Allergy to amoxicillin}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ w/ COPD p/w shortness of breath. Her symptoms started ___ 
-when she felt congested and had a little cough and bad chills. 
-Then with progressive SOB, cough, yellow sputum, subjective 
-fever. She reports being febrile to 99 at home. Today at ___ O2 
-sat 92% and was sent in after 2 nebs. Feels as though a 
-bronchial infection is occurring, but not pneumonia (she has had 
-both in the past). This is similar to her prior COPD 
-exacerbations, of which she has ___ per year, however this is 
-her first hospitalization for COPD exacerbation. No sick 
-contacts. 
-
-In the ED, initial VS were 98.3 102 114/71 20 94%. Labs were 
-remarkable for UA with 45 WBCs/few bacteria, K 3.6, Cr 0.6, mWBC 
-8.4, HCT 41. CXR showed evidence of COPD and L apical nodule. 
-Received albuterol/ipratropium nebs, 50mg prednisone, 500mg 
-azithromycin and was transferred to medicine for further 
-management. Transfer VS were 99.0 95 ___ 94% RA.
-
-On arrival to the floor, patient reports that she is no longer 
-experiencing fever and chills. Not currently SOB although she 
-feels some chest tightness.  She has a slight sore throat 
-although this is improved from this AM. Patient is very 
-friendly, speaking in full sentences, not on supplemental 
-oxygen.
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, shortness of breath {Dyspnea}, cough {Cough}, chills {Chill}, SOB {Dyspnea}, cough {Cough}, yellow sputum {Yellow sputum}, fever {Fever}, febrile {Fever}, O2 
-sat {Oxygen saturation measurement}, bronchial infection {Infectious disorder of bronchus}, pneumonia {Pneumonia}, COPD 
-exacerbations {Acute exacerbation of chronic obstructive airways disease}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, VS {Vital signs finding}, UA {Urinalysis}, CXR {Plain chest X-ray}, COPD {Chronic obstructive lung disease}, L apical {Structure of apex of left lung}, nodule {Nodule of lung}, VS {Vital signs finding}, RA {Breathing room air}, fever {Fever}, chills {Chill}, SOB {Dyspnea}, chest tightness {Tight chest}, sore throat {Sore throat}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-COPD
-MI
-Positive PPD
-Hyperlipidemia 
-Arthritis in bilateral hands 
-Coronary artery disease s/p angioplasty with stent 
-Bronchiectasis
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, MI {Myocardial infarction}, Positive PPD {Mantoux: positive}, Hyperlipidemia {Hyperlipidemia}, Arthritis in bilateral hands {Arthritis of finger of bilateral hand}, Coronary artery disease {Coronary arteriosclerosis}, angioplasty {Angioplasty of blood vessel}, stent {Insertion of arterial stent}, Bronchiectasis {Bronchiectasis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father:  Cancer 
-___ Grandmother:  ___ - Type II
- 
-
-###RESPONSE: Cancer {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM
-VS - 98.5  119/66  97  22  92% RA
-General: Patient is sitting comfortably in bed, friendly and 
-alert, no acute distress
-HEENT: MMM
-Neck: Supple, non-tender, no lymphadenopathy appreciated  
-CV: Clear s1 and s2, irregular rhythm, no murmurs
-Lungs: Lungs with decreased breath sounds bilaterally, regular 
-respiratory rate and effort
-Abdomen: Soft, non distended, nontender, bowel sounds present
-GU: Deferred 
-Ext: Warn and well perfused, no edema
-Neuro: Patient with tremor of hands and head
-Skin: No rashes 
-
-DISCHARGE PHYSICAL EXAM 
-VS - 97.9  118/79  91  18  98% RA
-General: Patient is sitting comfortably in bed, friendly and 
-alert, no acute distress
-HEENT: MMM
-Neck: Supple, non-tender, no lymphadenopathy appreciated  
-CV: Regular rate and rhythm, clear s1 and s2, no murmurs
-Lungs: Lungs with decreased breath sounds bilaterally, regular 
-respiratory rate and effort, prolonged expiratory phase 
-Abdomen: Soft, non distended, nontender, bowel sounds present
-GU: Deferred 
-Ext: Warn and well perfused, no edema
-Neuro: Patient with tremor of b/l hands and head
-Skin: No rashes 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, sitting {Sitting position}, alert {Mentally alert}, distress {Distress}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, non-tender {Abdominal tenderness}, lymphadenopathy {Lymphadenopathy}, CV {Cardiovascular physical examination}, Clear {Normal breath sounds}, s1 and s2 {Heart sounds normal}, irregular rhythm {Irregular heart beat}, murmurs {Murmur}, Lungs {Examination of respiratory system}, Lungs {Examination of respiratory system}, decreased breath sounds {Decreased breath sounds}, regular 
-respiratory rate {Respiratory rate normal}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, nontender {Abdominal tenderness}, bowel sounds present {Normal bowel sounds}, GU {Examination of genitourinary system}, Ext {Examination of limb}, well perfused {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, tremor {Tremor}, hands {Hand structure}, head {Head structure}, Skin {Examination of skin}, rashes {Eruption of skin}, PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, sitting {Sitting position}, alert {Mentally alert}, distress {Distress}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, non-tender {Abdominal tenderness}, lymphadenopathy {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, s1 and s2 {Heart sounds normal}, murmurs {Murmur}, Lungs {Examination of respiratory system}, Lungs {Examination of respiratory system}, decreased breath sounds {Decreased breath sounds}, regular 
-respiratory rate {Respiratory rate normal}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, nontender {Abdominal tenderness}, bowel sounds present {Normal bowel sounds}, GU {Examination of genitourinary system}, Ext {Examination of limb}, well perfused {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, tremor {Tremor}, hands {Hand structure}, head {Head structure}, Skin {Examination of skin}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 02:36PM BLOOD WBC-8.4 RBC-4.53 Hgb-13.9 Hct-41.0 MCV-91 
-MCH-30.7 MCHC-33.9 RDW-12.2 Plt ___
-___ 02:36PM BLOOD Neuts-79.1* Lymphs-11.3* Monos-7.5 
-Eos-1.4 Baso-0.7
-___ 02:36PM BLOOD Plt ___
-___ 02:36PM BLOOD Glucose-159* UreaN-17 Creat-0.6 Na-142 
-K-3.6 Cl-100 HCO3-32 AnGap-14
-
-IMAGING:
-CXR ___
-PA and lateral views of the chest.  The lungs are hyperinflated. 
- There is asymmetric left apical pulmonary opacity worrisome for 
-underlying nodule.  Surgical chain sutures seen in the right mid 
-lung.  There is also subtle increased opacity projecting over 
-the right breast shadow, anteriorly on the lateral view.  The 
-cardiomediastinal silhouette is within normal limits.  No acute 
-osseous abnormality is identified. 
-  
-IMPRESSION:   
-Findings compatible with COPD.  Subtle asymmetric right basilar 
-opacity potentially in the middle lobe which could represent 
-atelectasis or scarring however infection cannot be totally 
-excluded. 
-  
-Findings worrisome for left apical pulmonary nodule for which 
-dedicated nonurgent chest CT is suggested.  
-
-DISCHARGE LABS:
-___ 07:55AM BLOOD WBC-8.2 RBC-4.80 Hgb-14.7 Hct-43.1 MCV-90 
-MCH-30.6 MCHC-34.1 RDW-12.2 Plt ___
-___ 07:55AM BLOOD Plt ___
-___ 07:55AM BLOOD Glucose-113* UreaN-14 Creat-0.6 Na-144 
-K-4.0 Cl-101 HCO3-30 AnGap-17
-
-MICROBIOLOGY:
-___ URINE CULTURES: no growth (final)
-___ BLOOD CULTURES: no growth (final)
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CXR {Plain chest X-ray}, lungs {Lung structure}, hyperinflated {Chest over-expanded}, left apical pulmonary {Structure of apex of left lung}, opacity {Abnormally opaque structure}, nodule {Nodule}, lung {Lung structure}, opacity {Abnormally opaque structure}, right breast {Right breast structure}, shadow {Shadow}, lateral {Diagnostic radiography of chest, lateral}, osseous {Bone structure}, COPD {Chronic obstructive lung disease}, right basilar {Structure of base of right lung}, opacity {Abnormally opaque structure}, middle lobe {Structure of middle lobe of right lung}, atelectasis {Atelectasis}, scarring {Healing scar}, infection {Infectious disease}, left apical {Structure of apex of left lung}, pulmonary nodule {Nodule of lung}, chest CT {Computed tomography of chest}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old woman with a history of COPD, bronchiectasis, CAD 
-s/p MI with stent, among other medical issues who presented with 
-shortness of breath and increased cough and sputum production 
-consistent with her prior COPD flares.
-
-ACTIVE DIAGNOSES:
-
-# COPD exacerbation: Patient presented with symptoms similar to 
-her prior COPD exacerbations. Cannot exclude infectious etiology 
-however white count non-elevated, CXR consistent w/COPD. 
-Throughout the admission the patient has not needed supplemental 
-O2. She was treated with steroids, azithromycin, and PRN nebs. 
-Azithromycin was transitioned to doxycycline prior to discharge. 
-She remained stable with no worsening of symptoms. At time of 
-discharge, she is able to ambulate safely with a O2 sat in mid 
-90's. As her symptoms were not progressing and she was 
-saturating well on room air, we discharged her to follow-up with 
-PCP for further care. Of note, she asked us to provide her with 
-home nebulizer machine. We did not feel that was necessary. We 
-provided her with prescription for MDI plus spacer and urged her 
-to speak with her PCP if she believes she would benefit from 
-home nebulizer machine. 
-
-# Nausea: Patient complained of some morning nausea, with no 
-clear etiology. She noted that she would feel better after 
-eating or having her morning coffee. She received IV zofran PRN 
-for the nausea. No emesis on this admission. It had resolved by 
-time of discharge.
-
-CHRONIC DIAGNOSES: 
-
-# CAD: Her home medications of metoprolol succinate and aspirin 
-162 daily were continued continued on this stay. She did not 
-have any chest pain or symptoms suggestive of cardiac origin for 
-her shortness of breath or nausea.
-
-# Lung nodule: Patient has known lung nodules which have been 
-documented on prior CT scan. Nodule found incidentally on CXR, 
-and per report of location seems that it may be consistent with 
-location of previously known nodules. We recommended that this 
-be followed up on an outpatient basis. Radiology recommended a 
-non-urgent CT, however they may not have been aware that pt 
-already has known lung lesions being followed by serial CTs. As 
-above, patient has a significant smoking history.
-
-# Tremor: Pt with resting tremor in b/l hands and head, she has 
-not noticed it before. Husband has noticed and says it is not 
-new. Patient was surprised when it was brought up, however it 
-may be exacerbated by nebs and not as prominent at baseline. 
-Most likely essential tremor, however we recommend outpatient 
-follow-up by PCP for further evaluation.  
-
-TRANSITIONAL ISSUES:
-
-# We recommend continued outpatient follow-up of lung lesions
-
-# Tremor is likely benign, however may need to be evaluated 
-further
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, bronchiectasis {Bronchiectasis}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, stent {Insertion of arterial stent}, shortness of breath {Dyspnea}, cough {Cough}, sputum production {Productive cough}, COPD {Chronic obstructive lung disease}, COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, COPD exacerbations {Acute exacerbation of chronic obstructive airways disease}, infectious {Infectious disease}, CXR {Plain chest X-ray}, COPD {Chronic obstructive lung disease}, stable {Patient's condition stable}, able to ambulate {Able to walk}, O2 sat {Oxygen saturation measurement}, on room air {Breathing room air}, nebulizer {Nebulizer therapy}, nebulizer {Nebulizer therapy}, Nausea {Nausea}, IV {Administration of drug or medicament via intravenous route}, nausea {Nausea}, emesis {Vomiting}, CAD {Coronary arteriosclerosis}, medications {Prescription of drug}, chest pain {Chest pain}, cardiac {Heart structure}, shortness of breath {Dyspnea}, nausea {Nausea}, Lung nodule {Nodule of lung}, lung nodules {Nodule of lung}, CT scan {Computed tomography}, Nodule {Nodule}, CXR {Plain chest X-ray}, nodules {Nodule}, followed up on an outpatient basis {Outpatient care management}, CT {Computed tomography}, lung lesions {Lesion of lung}, CTs {Computed tomography}, smoking {Smoker}, Tremor {Tremor}, resting tremor {Resting tremor}, hands {Hand structure}, head {Head structure}, essential tremor {Essential tremor}, outpatient 
-follow-up {Outpatient care management}, evaluation {Evaluation procedure}, outpatient follow-up {Outpatient care management}, lung lesions {Lesion of lung}, Tremor {Tremor}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Lansoprazole Oral Disintegrating Tab 30 mg PO DAILY 
-2. Lorazepam 1 mg PO HS:PRN Insomnia 
-3. ipratropium-albuterol ___ mcg/actuation Inhalation 4 times 
-daily PRN SOB/wheezing 
-4. Metoprolol Succinate XL 25 mg PO DAILY 
-5. Atorvastatin 40 mg PO DAILY 
-6. Symbicort (budesonide-formoterol) 160-4.5 mcg/actuation 
-Inhalation 2 puffs twice daily 
-7. Aspirin 162 mg PO DAILY 
-8. Nitroglycerin SL 0.3 mg SL PRN chest pain 
-
- 
-Discharge Medications:
-1. PredniSONE 40 mg PO DAILY Duration: 3 Days 
-RX *prednisone 20 mg 2 tablet(s) by mouth once a day Disp #*6 
-Tablet Refills:*0
-2. Aspirin 162 mg PO DAILY 
-3. Atorvastatin 40 mg PO DAILY 
-4. Lansoprazole Oral Disintegrating Tab 30 mg PO DAILY 
-5. Lorazepam 1 mg PO HS:PRN Insomnia 
-6. Metoprolol Succinate XL 25 mg PO DAILY 
-7. ipratropium-albuterol ___ mcg/actuation Inhalation 4 times 
-daily PRN SOB/wheezing 
-8. Nitroglycerin SL 0.3 mg SL PRN chest pain 
-9. Symbicort (budesonide-formoterol) 160-4.5 mcg/actuation 
-Inhalation 2 puffs twice daily 
-10. Doxycycline Hyclate 100 mg PO Q12H Duration: 3 Days 
-RX *doxycycline hyclate 100 mg 1 capsule(s) by mouth every 
-twelve (12) hours Disp #*6 Capsule Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-COPD exacerbation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: COPD exacerbation {Acute exacerbation of chronic obstructive airways disease}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you at ___. You were admitted 
-to the hospital for evaluation and management of your COPD 
-exacerbation, after you presented to your Primary Care Physician 
-with increased shortness of breath and productive cough.  While 
-here, you were given antibiotics, steroids, and nebulizer 
-treatments and monitored overnight. You have not needed any 
-supplemental oxygen, and are walking around without significant 
-shortness of breath. 
-
-As your oxygen levels have been adequate and your symptoms have 
-not worsened, you are being discharged to continue your recovery 
-at home. We are discharging you with 3 days of antibiotics and 
-steroids to continue at home. 
-
-Thank you for allowing us to participate in your care.
- 
-
-###RESPONSE: COPD 
-exacerbation {Acute exacerbation of chronic obstructive airways disease}, shortness of breath {Dyspnea}, productive cough {Productive cough}, antibiotics {Antibiotic therapy}, steroids {Steroid therapy}, nebulizer 
-treatments {Nebulizer therapy}, shortness of breath {Dyspnea}, antibiotics {Antibiotic therapy}, steroids {Steroid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ h/o HCV cirrhosis s/p OLT ___ who presents with chest 
-discomfort and ___. Patient states that yesterday (___) he 
-developed sharp pleuritic type chest pain that was worse with 
-deep inspiration. He has never had pain like this before. Pain 
-did not travel. It persisted for at least one day and prompted 
-him to present to outside hospital. There an EKG was negative 
-for acute ischemia and initial troponin was reported as 
-indeterminate near his baseline. Due to elevated creatinine, 
-patient was unable to undergo CTA and was transferred here. 
-Patient with history of liver transplant ___ years ago and 
-infected hardware in the left knee that has been removed several 
-months ago while he waits for a new knee repair. Currently 
-anticoagulated with Coumadin for history of PE and atrial 
-fibrillation. Patient states he does not remember what his prior 
-PE felt like. In the ED his CP resolved. On arrival to the floor 
-he complained only of right Knee pain for which he receives high 
-doses of narcotics at his rehab. He reports pain is ___ 
-currently compared to ___ yesterday, but he will not beable to 
-sleep with this level of pain.  
-
-In the ED, initial vitals were:  
-98.2 67 123/68 19 99% 2L Nasal Cannula  
-- Labs were significant for  
-CBC  
-5.5 9.7 199  
-28.6  
-N:70.5 L:22.1 M:7.1 E:0 Bas:0.___.0 PTT: 37.1 INR: 3.4  
-Trop-T: 0.13  
-Chem 7  
-131 94 72  
-------------<125  
-4.4 26 2.2  
-ALT: 25 AP: 129 Tbili: 0.8 Alb: 3.0  
-AST: 12  
-- Imaging revealed  
-OSH CXR was without consolidation  
-ECG was Afib with RBBB stable from ___  
- 
--The patient was given  
-0.5 mg IV dilaudid x 1  
-Vitals prior to transfer were:  
-97.8 66 136/68 18 98% RA  
-Upon arrival to the floor,  
-T 97.8 BP 92/50 p 61 R 18 98% On RA  
-
-REVIEW OF SYSTEMS:  
-(+) Per HPI Of not he has not urinated in 12 hours  
-(-) Chest paint resolved in ED Denies fever, chills, night 
-sweats, recent weight loss or gain. Denies headache, sinus 
-tenderness, rhinorrhea or congestion. Denies cough, shortness of 
-breath. Denies chest pain or tightness, palpitations. Denies 
-nausea, vomiting, diarrhea, constipation or abdominal pain. No 
-recent change in bowel habits. No dysuria. 
- 
-
-###RESPONSE: HCV cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, OLT {Orthotopic transplantation of whole liver}, chest 
-discomfort {Chest discomfort}, sharp {Sharp pain}, pleuritic {Pleuritic pain}, chest pain {Chest pain}, worse {Increased pain}, pain {Pain}, Pain 
-did not travel {Radiating chest pain}, EKG {Electrocardiographic procedure}, acute ischemia {Acute myocardial ischemia}, troponin {Troponin measurement}, baseline {Baseline state}, elevated creatinine {Serum creatinine above reference range}, CTA {Computed tomography angiography with contrast}, liver transplant {Transplantation of liver}, left knee {Structure of left knee region}, removed {Removal}, knee repair {Arthroplasty of knee}, anticoagulated with Coumadin {Anticoagulant therapy}, PE {Pulmonary embolism}, atrial 
-fibrillation {Atrial fibrillation}, PE {Pulmonary embolism}, resolved {Problem resolved}, right Knee {Structure of right knee region}, narcotics {Narcotherapy}, pain {Pain}, pain {Pain}, vitals {Vital signs finding}, Nasal Cannula {Oxygen administration by nasal cannula}, Labs {Laboratory test}, CBC {Complete blood count}, INR {Calculation of international normalized ratio}, Trop {Troponin measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, Imaging {Imaging}, CXR {Plain chest X-ray}, consolidation {Consolidation}, ECG {Electrocardiographic procedure}, Afib {Atrial fibrillation}, RBBB {Electrocardiographic right bundle branch block}, stable {Patient's condition stable}, IV {Intravenous therapy}, RA {Breathing room air}, RA {Breathing room air}, REVIEW OF SYSTEMS {Review of systems}, urinated {Micturition finding}, Chest paint {Chest pain}, resolved {Problem resolved}, fever {Fever}, chills {Chill}, night 
-sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus 
-tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, Denies cough {Does not cough}, shortness of 
-breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel habits {Altered bowel function}, dysuria {Dysuria}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Hep C Cirrhosis s/p transplant at ___ on ___  
--- Discharged from ___, presented to ___ 8 weeks post op for  
-prolonged hosp stay complicated by encephalopathy (due to  
-cyclosporine and tacrolimus), transient ischemic attack,  
-neutropenia, thrombocytopenia, mild acute rejection, acute  
-kidney injury, hypertension (cyclosporine related), recurrent c.
-difficile infection, and lower extremity edema  
--- ___: portal vein thrombus with found incidental PE. U/S  
-of ___ negative for DVT. No anticoag at that time d/t bleeding  
-risk.  
--- ___: Pt admitted to OSH with left ___ DV (fem-pop).  
-Preceded by episode of imobility from hospitalization for  
-pneumonia. Pt started on coumadin since this time with INR goal 
-___.  
--- ___: left DVT in the setting of seemingly on  
-therapeutic anticoagulation with coumadin  
--- BM suppression posttransplant: ___ BM Aspirate dyspoiesis 
-with myeloid and erythroid lineages along with megakaryocytic 
-hyperplasia  
--- Posttransplant skin cancer: scalp lesion/squamous cell  
-carcinoma, R distal dorsal arm/squamous cell carcinoma, L  
-chest/basal cell carcinoma (s/p MOHs)  
--- pseudogout, knee aspiration, s/p steroid injection  
--- ___ edema, started lasix ___  
-2. H/O Esophageal varices, PVT prior to transplant: Most recent 
-BI records with ___ EGD without varicies  
-3. AVNRT s/p ablation in ___  
-4. Atrial fibrillation: failed CV immed post-tx, on coumadin  
-5. Melanoma status post excision in 1980s  
-6. Septic meningitis in ___  
-7. Osteoarthritis in the knees status post arthroscopy and left 
-knee replacement c/b septic joint on abx in ___.  
-8. Aphthous stomatitis  
-9. Asthma  
-10. GERD  
-11. High tibial osteotomy  
-12. s/p bilaterally cataract extraction  
-13. s/p Appendectomy  
-14. C. diff several times (4x) in ___ prior to transplant  
-15. History of CMV viremia.  
-16. History of acute rejection of a liver transplant.  
- 
-
-###RESPONSE: Hep C Cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, transplant {Transplantation of liver}, post op {Postoperative state}, encephalopathy {Disorder of brain}, transient ischemic attack {Transient ischemic attack}, neutropenia {Neutropenia}, thrombocytopenia {Thrombocytopenic disorder}, mild acute rejection {Acute rejection of liver transplant}, acute  
-kidney injury {Acute kidney injury}, hypertension {Hypertensive disorder, systemic arterial}, recurrent c.
-difficile infection {Recurrent infection caused by Clostridioides difficile}, lower extremity edema {Edema of lower extremity}, portal vein thrombus {Portal vein thrombosis}, PE {Pulmonary embolism}, S {Ultrasonography}, negative {No pathologic diagnosis}, DVT {Deep venous thrombosis}, bleeding  
-risk {At increased risk of hemorrhage}, imobility {Musculoskeletal immobility}, pneumonia {Pneumonia}, INR {Calculation of international normalized ratio}, DVT {Deep venous thrombosis}, anticoagulation {Anticoagulant therapy}, BM suppression {Myelosuppression}, BM Aspirate {Bone marrow aspiration procedure}, dyspoiesis {Dyserythropoiesis}, megakaryocytic 
-hyperplasia {Megakaryocytic hyperplasia of bone marrow}, skin cancer {Malignant neoplasm of skin}, scalp lesion {Lesion of scalp}, squamous cell  
-carcinoma {Squamous cell carcinoma}, R {Right upper arm structure}, dorsal arm {Structure of posterior surface of upper arm}, squamous cell carcinoma {Squamous cell carcinoma of skin}, L  
-chest {Structure of left half of chest wall}, basal cell carcinoma {Basal cell carcinoma}, MOHs {Mohs surgery}, pseudogout {Chondrocalcinosis due to pyrophosphate crystals}, knee aspiration {Aspiration of knee joint}, steroid injection {Injection of steroid}, edema {Edema}, lasix {Diuretic therapy}, Esophageal varices {Esophageal varices}, PVT {Portal vein thrombosis}, transplant {Transplantation}, EGD {Esophagogastroduodenoscopy}, varicies {Venous varices}, AVNRT {Re-entrant atrioventricular node tachycardia}, ablation {Destructive procedure}, Atrial fibrillation {Atrial fibrillation}, failed CV {Heart failure}, Melanoma {Malignant melanoma of skin}, excision {Excision of melanoma}, Septic meningitis {Infective meningitis}, Osteoarthritis in the knees {Osteoarthritis of knee}, arthroscopy {Arthroscopy of knee joint}, left 
-knee replacement {Total replacement of left knee joint}, septic joint {Arthritis of knee}, Aphthous stomatitis {Aphthous ulcer of mouth}, Asthma {Asthma}, GERD {Gastroesophageal reflux disease}, tibial osteotomy {Osteotomy of tibia}, bilaterally cataract extraction {Extraction of cataract of bilateral eyes}, Appendectomy {Excision of appendix}, transplant {Transplant of kidney}, CMV viremia {Cytomegalovirus viremia}, acute rejection of a liver transplant {Acute rejection of liver transplant}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-The patient's father had bilateral lower extremity amputations 
-but had no clots prior to the surgery. There is no history of 
-VTE in the family. There is no history of miscarriages in the 
-family either. 
-
- 
-
-###RESPONSE: bilateral lower extremity amputations {Amputation of bilateral lower limbs}, clots {Blood clot}, surgery {Surgical procedure}, VTE {Thromboembolism of vein}, miscarriages {Miscarriage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:  
-================
-Vitals: T 97.8 BP 92/50 p 61 R 18 98% On RA  
-General: Alert, oriented, mildly distraught regarding right knee 
-pain  
-HEENT: Sclera anicteric, dry oropharynx, EOMI  
-Neck: Supple  
-CV: Regular rate and rhythm, ___ SEM at apex  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-Abdomen: obese, soft,  
-Ext: Cool, pitting edema to sacrum bilaterally, R knee non ttp 
-but tender to flexion/extension and varous/valgus stress  
-Neuro: A+Ox3 ___ motor exam limited ___ pain  
-
-DISCHARGE EXAM:
-================
-Vitals: T 97.5, HR 81, BP 179/95, RR 22, SaO2 99% RA
-General: Alert, oriented, NAD, chronically ill-appearing 
-HEENT: Sclera anicteric, oropharynx wnl, MMM, EOMI  
-Neck: Supple, no JVD 
-CV: Irregular rhythm, normal rate, no murmurs
-Lungs: Limited exam, clear to auscultation anteriorly
-Abdomen: +BS, obese, soft, nontender, nondistended  
-Ext: WWP, ___ pitting edema bilaterally, compression dressings 
-in place. L knee in brace.
-Neuro: Oriented to self, place, and year (not day or month), no 
-asterixis, ___ motor exam limited ___ pain, sensation to light 
-touch intact
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, right knee {Structure of right knee region}, pain {Pain}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, oropharynx {Oropharyngeal structure}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, SEM {Ejection murmur}, apex {Structure of apex of heart}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdomen {Examination of abdomen}, obese {Obese abdomen}, soft {Abdomen soft}, Ext {Examination of limb}, Cool {Cool skin}, edema {Edema}, sacrum {Structure of sacral vertebral column}, R knee {Structure of right knee region}, ttp {Tenderness}, tender {Abdominal tenderness}, flexion {Flexion test}, extension {Abnormal extension}, varous/valgus stress {Adduction test of knee}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, motor exam {Motor testing}, pain {Pain}, Vitals {Vital signs finding}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, NAD {No abnormality detected}, ill-appearing {Looks ill}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, oropharynx {Oropharyngeal structure}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, Irregular rhythm {Irregular heart beat}, normal rate {Normal heart rate}, murmurs {Heart murmur}, Lungs {Examination of respiratory system}, exam {Lung finding}, clear to auscultation {Normal breath sounds}, Abdomen {Examination of abdomen}, +BS {Normal bowel sounds}, obese {Obese abdomen}, soft {Abdomen soft}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, pitting edema {Pitting edema}, L knee {Structure of left knee region}, Neuro {Neurological examination}, Oriented to self, place, and year {Oriented to person, time and place}, asterixis {Asterixis}, motor exam {Motor testing}, pain {Pain}, sensation to light 
-touch intact {Light touch sensation present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-================
-___ 12:20AM BLOOD WBC-5.5 RBC-3.23* Hgb-9.7* Hct-28.6* 
-MCV-89 MCH-30.2 MCHC-34.1 RDW-16.3* Plt ___
-___ 12:20AM BLOOD Neuts-70.5* ___ Monos-7.1 Eos-0 
-Baso-0.2
-___ 12:20AM BLOOD ___ PTT-37.1* ___
-___ 12:20AM BLOOD Plt ___
-___ 12:20AM BLOOD Glucose-125* UreaN-72* Creat-2.2* Na-131* 
-K-4.4 Cl-94* HCO3-26 AnGap-15
-___ 12:20AM BLOOD ALT-25 AST-12 AlkPhos-129 TotBili-0.8
-___ 12:20AM BLOOD CK-MB-1 cTropnT-0.13*
-___ 05:40AM BLOOD CK-MB-1 cTropnT-0.14*
-___ 09:45AM BLOOD CK-MB-2 cTropnT-0.15*
-___ 12:20AM BLOOD Albumin-3.0*
-___ 05:40AM BLOOD Albumin-3.0* Calcium-9.1 Phos-4.1 Mg-1.6
-___ 05:40AM BLOOD Osmolal-300
-___ 05:40AM BLOOD Cyclspr-80*
-___ 02:46PM URINE Color-LtAmb Appear-SlHazy Sp ___
-___ 02:46PM URINE Blood-NEG Nitrite-NEG Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-2* pH-5.5 Leuks-NEG
-___ 02:46PM URINE RBC-2 WBC-1 Bacteri-FEW Yeast-NONE Epi-0
-___ 02:46PM URINE CastHy-8*
-___ 02:46PM URINE Mucous-OCC
-___ 02:46PM URINE Hours-RANDOM Creat-139 Na-15 K-63 Cl-<10
-___ 02:46PM URINE Osmolal-369
-
-OTHER PERTINENT LABS:
-======================
-___ 05:45AM BLOOD Cyclspr-157
-___ 08:00AM BLOOD Cyclspr-114
-___ 05:35AM BLOOD Cyclspr-140
-___ 08:55AM BLOOD Cyclspr-339
-___ 04:47AM BLOOD Cyclspr-77*
-___ 05:40AM BLOOD Cyclspr-86*
-___ 05:24AM BLOOD Cyclspr-81*
-___ 06:40AM BLOOD Cyclspr-82*
-
-DISCHARGE LABS:
-================
-___ 05:40AM BLOOD WBC-4.5 RBC-3.08* Hgb-9.1* Hct-27.4* 
-MCV-89 MCH-29.5 MCHC-33.1 RDW-15.6* Plt ___
-___ 05:40AM BLOOD ___ PTT-36.1 ___
-___ 05:40AM BLOOD Glucose-121* UreaN-57* Creat-2.1* Na-130* 
-K-4.3 Cl-91* HCO3-33* AnGap-10
-___ 05:40AM BLOOD ALT-12 AST-9 AlkPhos-133* TotBili-0.8
-___ 05:40AM BLOOD Calcium-9.7 Phos-3.9 Mg-1.7
-
-MICROBIOLOGY:
-==============
-___ 11:48 pm URINE      Source: Catheter. 
-
-**FINAL REPORT ___
-
-URINE CULTURE (Final ___: 
-PROTEUS MIRABILIS.    >100,000 ORGANISMS/ML.. 
-PRESUMPTIVE IDENTIFICATION. 
-
-SENSITIVITIES: MIC expressed in MCG/ML
-                      
-_________________________________________________________
-                             PROTEUS MIRABILIS
-                             |   
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--     8 S
-CEFAZOLIN-------------    16 R
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------   =>4 R
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----  =>16 R
-
-___ 2:46 pm URINE      Source: Catheter. 
-
-URINE CULTURE (Final ___:    NO GROWTH. 
-Blood Culture, Routine (Final ___:    NO GROWTH. 
-
-IMAGING:
-=========
-TTE (___):
-The left atrium is elongated. The right atrium is moderately 
-dilated. No atrial septal defect is seen by 2D or color Doppler. 
-There is mild symmetric left ventricular hypertrophy with normal 
-cavity size and regional/global systolic function (LVEF>55%). 
-There is no ventricular septal defect. Right ventricular chamber 
-size and free wall motion are normal. The diameters of aorta at 
-the sinus, ascending and arch levels are normal. The aortic 
-valve leaflets (3) are mildly thickened but aortic stenosis is 
-not present. Mild (1+) aortic regurgitation is seen. The mitral 
-valve leaflets are mildly thickened. Mild (1+) mitral 
-regurgitation is seen. The tricuspid valve leaflets are mildly 
-thickened. There is mild pulmonary artery systolic hypertension. 
-There is a small pericardial effusion. There are no 
-echocardiographic signs of tamponade. 
-Compared with the prior study (images reviewed) of ___, 
-the degree of MR seen has decreased. AS is not appreciated.  
-
-CXR (___):
-There is a right-sided PICC line terminating in the mid SVC.  
-Patient rotation contributes to exaggeration of the cardiac 
-size, which is likely normal. Segmental atelectasis is noted, 
-particular in the right lung, although there does appear to be 
-new pulmonary edema superimposed on this. There may be small 
-tiny effusions. There is no pneumothorax. 
-
-Renal U/S (___):
-IMPRESSION:  
-1. No evidence of hydronephrosis. 
-2. Extremely limited Doppler evaluation due to technically 
-limited study, 
-demonstrating both kidneys to be vascularized.  No further 
-Dopp;er analysis could be obtained. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Albumin {Albumin measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Nitrite {Nitrite measurement}, Protein {Measurement of protein in urine}, Glucose {Glucose measurement, urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE {Urinalysis}, RBC {Red blood cell count}, WBC {White blood cell count}, Bacteri {Bacteriuria}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, URINE {Urinalysis}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE {Urine culture}, URINE CULTURE {Urine culture}, SENSITIVITIES {Antimicrobial susceptibility test}, URINE {Urine culture}, URINE CULTURE {Urine culture}, Blood Culture {Blood culture}, left atrium is elongated {Left atrial enlargement}, right atrium is moderately 
-dilated {Right atrial dilatation}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal 
-cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, ventricular septal defect {Ventricular septal defect}, Right ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Normal ventricular wall motion}, aorta at 
-the sinus {Structure of sinus of Valsalva}, ascending {Ascending aorta structure}, arch {Aortic arch structure}, normal {Normal appearance}, aortic 
-valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Mild (1+) aortic regurgitation {Mild mitral valve regurgitation}, mitral 
-valve leaflets are mildly thickened {Thickened mitral leaflet}, Mild (1+) mitral 
-regurgitation {Mild mitral valve regurgitation}, tricuspid valve leaflets {Structure of leaflet of tricuspid valve}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, echocardiographic {Echocardiography}, signs {Sign}, tamponade {Cardiac tamponade}, MR {Mitral valve regurgitation}, PICC line {Peripherally inserted central venous catheter in situ}, SVC {Superior vena cava structure}, cardiac {Heart structure}, normal {Normal appearance}, atelectasis {Atelectasis}, right lung {Right lung structure}, pulmonary edema {Pulmonary edema}, effusions {Pleural effusion}, pneumothorax {Pneumothorax}, No evidence {No abnormality detected}, hydronephrosis {Hydronephrosis}, evaluation {Evaluation procedure}, both kidneys {Both kidneys}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ gentleman with HCV cirrhosis ___ years 
-s/p OLD and h/o DVT and PE (on Coumadin) who was transferred 
-from an OSH with chest pain, which resolved on admission, but 
-found to have supratherapeutic INR and ___.
-
-# Acute on chronic kidney disease:  Cr up to 2.2 on admission 
-from baseline of 1.4-1.5.  Cr rose to 2.7 after albumin/IVF 
-boluses.  Muddy brown casts were seen on urine sediment.  Per 
-renal, multiple hypotensive episodes and bradycardia likely 
-resulted in ATN.  Patient's creatinine slowly improved after 
-starting diuretics.  Cr on discharge was 2.1.  Kidney function 
-is expected to recover with time.
-
-# Anasarca:  Patient was grossly anasarcic after being volume 
-resuscitated with albumin for hypotension.  TTE was largely 
-unchanged.  Patient was diuresed with 40-80 mg IV Lasix/day and 
-his edema improved.  He was discharged on torsemide 40 mg po 
-daily.
-
-# Hepatitis C cirrhosis s/p OLT:  Transplanted in ___, on 
-cyclosporine 75 mg q12h.  MMF was stopped in clinic in 
-___ and LFTs remained normal.  HCV VL 342,000 IU/mL on 
-___.  Last biopsy was performed at previous admission 
-revealed Grade ___ inflammation, no acute cellular rejection, no 
-steatosis or ballooning, and stage ___ fibrosis.   Atovaquone 
-was continued for prophylaxis.  Cyclosporine was decreased to 50 
-mg q12h and levels were monitored.
-
-# Supratherapeutic INR:  Patient's Coumadin was held on 
-admission for supratherapeutic INR.  He received vitamin K for 
-INR 5.2 and INR then became subtherapeutic.  Warfarin was 
-restarted with a heparin gtt until INR became therapeutic.  INR 
-became supratherapeutic again and Coumadin dose was adjusted.  
-INR on discharge was 3.6.  He was discharged on Coumadin 1 mg 
-daily.
-
-# Hypertension:  Patient was initially hypotensive and losartan 
-and diuretics were held.  He received an albumin bolus with 
-improvement in his blood pressure.  He then became hypertensive 
-during the latter part of his hospitalization (SBP up to 
-170/180s).  Losartan continued to be held given ___.  Patient 
-was started on amlodipine 5 mg daily, which can be uptitrated as 
-needed.
-
-# Prior left knee infection s/p hardware removal in ___:  
-Patient has chronic pain related to his previous knee 
-infection/hardware removal.  He also has shallow venous stasis 
-ulcers on bilateral lower extremities.  Patient's orthopedic 
-surgeon plans to replace his knee hardware once his ulcers have 
-healed and his leg swelling has resolved.  Patient's pain was 
-well-controlled on home Oxycontin and po Dilaudid.  He became 
-confused after receiving IV Dilaudid, so this was avoided.   
-
-# Catheter-associated UTI:  Initial urine culture was negative.  
-Repeat urine culture after catheter was placed grew >100,000 
-Klebsiella sensitive to ceftriaxone.  Foley was exchanged and 
-patient completed a 7 day course of ceftriaxone.  Foley was 
-removed prior to discharge.
-
-# Chest Pain:  Patient had chest pain at OSH, which resolved on 
-admission here.  No ischemic changes on EKG and three sets of 
-cardiac enzymes were negative.  Considered PE, especially given 
-h/o prior PE, but patient had been therapeutic on Coumadin.  CTA 
-was deferred given ___.
-
-# Atrial fibrillation/pauses:  Not on agents for rate or rhythm 
-control.  During last admission (___), patient was 
-bradycardic at night with ___ second pauses seen on telemetry. 
- Patient continued to have pauses with HR ___, though rates 
-improved to ___ without intervention.  It is unclear if these 
-pauses are contributing to hypotensive episodes.  Patient is 
-followed by Dr. ___ have further outpatient EP 
-evaluation if warranted. 
- 
-# Hyponatremia:  Na persistently low (as low as 130s), which is 
-chronic per review of prior discharge summaries.  Hyponatremia 
-neither responded to nor worsened with albumin or diuretics.
-
-TRANSITIONAL ISSUES:
-=====================
-[ ] Please check labs (CBC, CMP, LFTs, cyclosporine level, INR, 
-and PTT) on ___. Send labs to the ___ at ___ 
-___.
-[ ] INR 3.6 on discharge. Please hold Coumadin on ___. 
-Restart Coumadin at 1 mg daily on ___. Recheck INR on 
-___. Goal INR 2.0-3.0
-[ ] Patient was started on torsemide 40 mg daily for leg edema. 
-This should be decreased/discontinued if kidney function 
-worsens.
-[ ] Losartan held given ___. Amlodipine 5 mg daily started for 
-hypertension. Uptitrate to 10 mg daily as needed for blood 
-pressure.
-[ ] Cyclosporine dose decreased from 75 mg q12h to 50 mg q12h.
-[ ] Patient is followed by Dr. ___. Consider further 
-evaluation of bradycardia/pauses if indicated (note: bradycardia 
-improved, pauses persisted)
-[ ] Patient will have follow-up scheduled with orthopedics and 
-neurology (for pre-op clearance, per ortho). Ortho plans to 
-replace his left knee after venous stasis ulcers have healed and 
-after lower extremity swelling has resolved.
-[ ] PICC kept in place given need for frequent lab draws. 
-# Code: Full (confirmed) 
-# Emergency contact/HCP: ___ (wife) ___
- 
-
-###RESPONSE: HCV cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, OLD {Orthotopic liver transplant}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, chest pain {Chest pain}, resolved {Problem resolved}, INR {Calculation of international normalized ratio}, Acute on chronic kidney disease {Acute-on-chronic renal failure}, Cr {Finding of creatinine level}, baseline {Baseline state}, Cr {Finding of creatinine level}, albumin {Administration of albumin}, IVF {Administration of intravenous fluids}, casts {Cast}, hypotensive episodes {Hypotensive episode}, bradycardia {Bradycardia}, ATN {Acute tubular necrosis}, creatinine {Creatinine measurement}, improved {Patient's condition improved}, diuretics {Diuretic therapy},  Cr {Finding of creatinine level}, Kidney function {Renal function monitoring}, Anasarca {Anasarca}, anasarcic {Anasarca}, resuscitated {Resuscitation}, albumin {Administration of albumin}, hypotension {Low blood pressure}, TTE {Transthoracic echocardiography}, diuresed {Diuretic therapy}, edema {Edema}, improved {Patient's condition improved}, Hepatitis C cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, OLT {Orthotopic transplantation of whole liver}, Transplanted {Transplantation of liver}, LFTs {Hepatic function panel}, HCV {Viral hepatitis type C}, VL {Viral load}, biopsy {Biopsy}, inflammation {Inflammatory disorder}, acute cellular rejection {Acute cellular graft rejection}, steatosis {Steatosis}, fibrosis {Fibrosis}, prophylaxis {Preventive procedure}, monitored {Monitoring procedure}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, Warfarin {Warfarin therapy}, restarted {Restart of medication}, heparin {Heparin therapy}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, Hypertension {Hypertensive disorder, systemic arterial}, hypotensive {Low blood pressure}, diuretics {Diuretic therapy}, albumin {Administration of albumin}, improvement {Patient's condition improved}, blood pressure {Blood pressure finding}, hypertensive {Hypertensive disorder, systemic arterial}, SBP {Increased systolic arterial pressure}, left knee {Structure of left knee region}, infection {Infectious disease}, hardware removal {Removal of device}, chronic pain {Chronic pain}, knee {Structure of left knee region}, infection {Infectious disease}, hardware removal {Removal of device}, venous stasis 
-ulcers on bilateral lower extremities {Venous ulcer of lower limb}, knee {Structure of left knee region}, ulcers {Ulcer}, leg swelling {Leg swelling symptom}, resolved {Problem resolved}, pain was 
-well-controlled {Demonstrates adequate pain control}, confused {Clouded consciousness}, IV {Intravenous therapy}, Catheter-associated UTI {Urinary tract infection associated with catheter}, urine culture was negative {Urine culture - no growth}, urine culture {Urine culture}, catheter was placed {Catheterization}, Foley {Catheterization of urinary bladder}, exchanged {Replacement procedure}, Foley was 
-removed {Removal of urinary bladder catheter}, Chest Pain {Chest pain}, chest pain {Chest pain}, resolved {Problem resolved}, No ischemic changes {Electrocardiogram: no myocardial ischemia}, EKG {Electrocardiographic procedure}, cardiac enzymes were negative {Cardiac enzymes within reference range}, PE {Pulmonary embolism}, PE {Pulmonary embolism}, CTA {Computed tomography angiography with contrast}, Atrial fibrillation {Atrial fibrillation}, rate {Finding of heart rate}, rhythm {Normal sinus rhythm}, bradycardic {Bradycardia}, pauses {Heart block}, telemetry {Cardiac telemetry}, pauses {Heart block}, HR {Finding of heart rate}, rates {Finding of heart rate}, improved {Patient's condition improved}, hypotensive episodes {Hypotensive episode}, EP {Cardiac electrophysiology}, evaluation {Evaluation procedure}, Hyponatremia {Hyponatremia}, chronic {Chronic disease}, Hyponatremia {Hyponatremia}, worsened {Patient's condition worsened}, albumin {Administration of albumin}, diuretics {Diuretic therapy}, CBC {Complete blood count}, LFTs {Hepatic function panel}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, hold {Recommendation to stop drug treatment}, Restart {Restart of medication}, INR {Calculation of international normalized ratio}, INR {Calculation of international normalized ratio}, leg edema {Edema of lower leg}, discontinued {Recommendation to stop drug treatment}, kidney function 
-worsens {Decreased renal function}, hypertension {Hypertensive disorder, systemic arterial}, evaluation {Evaluation procedure}, bradycardia {Bradycardia}, pauses {Heart block}, bradycardia {Bradycardia}, improved {Patient's condition improved}, pauses {Heart block}, follow-up {Follow-up arranged}, left knee {Structure of left knee region}, venous stasis ulcers {Venous ulcer of lower limb}, lower extremity swelling {Swelling of lower limb}, resolved {Problem resolved}, PICC {Peripherally inserted central venous catheter in situ}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acetaminophen 650 mg PO Q6H:PRN pain 
-2. Atovaquone Suspension 1500 mg PO DAILY 
-3. Bisacodyl ___AILY:PRN constipation 
-4. CycloSPORINE (Neoral) MODIFIED 75 mg PO Q12H 
-5. Fluoxetine 20 mg PO DAILY 
-6. Gabapentin 200 mg PO TID 
-7. HYDROmorphone (Dilaudid) 4 mg PO Q6H:PRN pain 
-8. Losartan Potassium 25 mg PO DAILY 
-9. Omeprazole 40 mg PO BID 
-10. Ranitidine 75 mg PO BID:PRN heartburn 
-11. Senna 17.2 mg PO QHS 
-12. Vitamin D ___ UNIT PO DAILY 
-13. Warfarin 2.5 mg PO DAILY16 
-14. Lactulose 30 mL PO TID 
-15. Ondansetron 4 mg PO Q8H:PRN nausea 
-16. Acidophilus (L.acidoph & 
-___ acidophilus) 175 mg oral 
-BID  
-17. Ferrous Sulfate 325 mg PO DAILY 
-18. Polyethylene Glycol 17 g PO EVERY OTHER DAY 
-19. OxyCODONE SR (OxyconTIN) 10 mg PO Q12H 
-20. Furosemide 40 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Acetaminophen 650 mg PO Q6H:PRN pain 
-2. Atovaquone Suspension 1500 mg PO DAILY 
-3. Bisacodyl ___AILY:PRN constipation 
-4. CycloSPORINE (Neoral) MODIFIED 50 mg PO Q12H 
-5. Ferrous Sulfate 325 mg PO DAILY 
-6. Fluoxetine 20 mg PO DAILY 
-7. HYDROmorphone (Dilaudid) 4 mg PO Q6H:PRN pain 
-RX *hydromorphone 4 mg 1 tablet(s) by mouth q6h prn Disp #*10 
-Tablet Refills:*0
-8. Lactulose 30 mL PO QID 
-9. Omeprazole 40 mg PO BID 
-10. Ondansetron 4 mg PO Q8H:PRN nausea 
-11. Polyethylene Glycol 17 g PO EVERY OTHER DAY 
-12. Ranitidine 75 mg PO BID:PRN heartburn 
-13. Senna 17.2 mg PO QHS 
-14. Vitamin D ___ UNIT PO DAILY 
-15. Warfarin 1 mg PO DAILY16 
-16. Amlodipine 5 mg PO DAILY 
-17. Torsemide 40 mg PO DAILY 
-18. Lidocaine 5% Patch 1 PTCH TD QAM 
-19. Acidophilus (L.acidoph & 
-___ acidophilus) 175 mg oral 
-BID  
-20. OxyCONTIN (oxyCODONE) 10 mg oral Q12H 
-RX *oxycodone [OxyContin] 10 mg 1 tablet(s) by mouth every 
-twelve (12) hours Disp #*10 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:
-===================
-Acute on chronic kidney disease
-
-SECONDARY DIAGNOSES:
-=====================
-Hypertension
-Catheter-associated urinary tract infection
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Out of Bed with assistance to chair or 
-wheelchair.
-
- 
-
-###RESPONSE: Acute on chronic kidney disease {Acute-on-chronic renal failure}, Hypertension {Hypertensive disorder, systemic arterial}, Catheter-associated urinary tract infection {Urinary tract infection associated with catheter}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Out of Bed with assistance {Difficulty getting off a bed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure caring for you during your stay at ___.  You 
-were admitted because your kidney function was abnormal.  This 
-was likely due to damage to your kidneys from intermittently 
-having low blood pressure.  Your kidney function slowly 
-recovered and will hopefully continue to improve.  You were 
-given medications to remove fluid from your legs.  After your 
-leg swelling resolves and your leg ulcers heal, the orthopedic 
-surgeons will replace your knee.  Your blood pressure became 
-high, so you were started on a new medication to help with this.
-
-It is very important that you continue to take your medications 
-as prescribed and keep your follow-up appointments.
-
-We wish you good health!
-
-Sincerely,
-Your ___ Team
- 
-
-###RESPONSE: kidney function {Renal function monitoring}, damage {Damage}, kidneys {Kidney structure}, low blood pressure {Low blood pressure}, kidney function {Renal function monitoring}, medications {Patient medication education}, legs {Lower limb structure}, leg swelling {Leg swelling symptom}, resolves {Problem resolved}, leg ulcers {Ulcer of lower extremity}, replace your knee {Arthroplasty of knee}, blood pressure became 
-high {Hypertensive disorder, systemic arterial}, new medication {New medication commenced}, take your medications 
-as prescribed {Patient medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-needs heparin bridge
- 
-Major Surgical or Invasive Procedure:
-___ right premolar extraction
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, right {Structure of right half of lower jaw region}, premolar {Structure of premolar tooth}, extraction {Tooth extraction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ ___ lady with AFib, MV 
-stenosis s/p mechanical MV replacement ___ on Warfarin (INR 
-goal 2.5-3.5), severe tricuspid regurgitation, chronic 
-right-sided heart failure (EF 50%), with congestive hepatopathy 
-and ascites, severe pulmonary hypertension, and CAD s/p CABG 
-___ who has had ongoing tooth pain and requires a dental 
-procedure so she is admitted for Heparin bridge in anticipation 
-of the procedure.
-
-She has been having tooth pain for weeks.  Pain is located in 
-right pre-molar. She denies fevers and has not been on any 
-antibiotics.  She went to the dentist as an outpatient who 
-stated that she will need dental extraction (right pre-molar 
-tooth) but was unable to perform this in the setting of 
-mechanical valve.  She told this with her HCA PCP ___ 
-___ who discussed with her Cardiologist (___) who 
-recommended IV heparin bridging prior to dental procedure.  She 
-is a direct admit to the Medicine floor.
- 
-On arrival to the floor, she feels at her baseline with pain of 
-right pre-molar tooth.
-
-Review of sytems:  
-Denies fever, chills, night sweats, headache, vision changes, 
-rhinorrhea, congestion, sore throat, cough, chest pain, 
-abdominal pain, nausea, vomiting, diarrhea, constipation, BRBPR, 
-melena, hematochezia, dysuria, hematuria.  
- 
-
-###RESPONSE: AFib {Atrial fibrillation}, MV 
-stenosis {Mitral valve stenosis}, mechanical MV replacement {Mechanical prosthetic mitral valve replacement}, severe tricuspid regurgitation {Severe tricuspid valve regurgitation}, chronic 
-right-sided heart failure {Chronic right-sided heart failure}, hepatopathy {Disorder of liver}, ascites {Ascites}, severe pulmonary hypertension {Severe pulmonary hypertension}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, tooth pain {Toothache}, dental 
-procedure {Dental surgical procedure}, procedure {Procedure}, tooth {Structure of dentition}, pain {Pain}, Pain {Pain}, right {Structure of right half of lower jaw region}, pre-molar {Structure of premolar tooth}, fevers {Fever}, antibiotics {Antibiotic therapy}, dental extraction {Tooth extraction}, right {Structure of right half of lower jaw region}, pre-molar 
-tooth {Structure of premolar tooth}, dental procedure {Dental surgical procedure}, pain {Pain}, right {Structure of right half of lower jaw region}, pre-molar tooth {Structure of premolar tooth}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, cough {Cough}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. CARDIAC RISK FACTORS: 
-      Diabetes
-2. CARDIAC HISTORY:  
-   1.) Severe right heart failure: As of ___, 
-well-compensated NYHA ___, secondary to rheumatic fever as a 
-child. Complicated by congestive hepatopathy and cirrhosis.
-   2.) Severe pulmonary hypertension
-   3.) ""Wide open,"" severe tricuspid regurgitation since MVR 
-___.
-Status post-mitral valve
-   4.) Mechanical mitral valve repair ___ (and ___ per Pt) for 
-
-mitral stenosis (from rheumatic fever), on warfarin chronically
-   5.) Preserved EF
-   6.) CAD s/p CABG ___
-   7.) Atrial fibrillation, on warfarin. Bilaterally enlarged 
-atria.
--CABG: ___
--PERCUTANEOUS CORONARY INTERVENTIONS:  
--PACING/ICD:  
-OTHER PAST MEDICAL HISTORY:  
-1. Crystal-proven gout. 
-2. Osteoarthritis of the knees.
-3.  Osteoarthritis of the hands.
-4.  Right rotator tendinopathy, resolved.
-5.  Cirrhosis, secondary to chronic passive liver congestion: 
-with ascites
-6.  Diabetes mellitus: Insulin-dependent, type II, complicated 
-by neuropathy
-7.  Anxiety
-8.  Varicose veins (extensive).
-9.  GERD
-
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, CARDIAC {Heart structure}, right heart failure {Right ventricular failure}, rheumatic fever {Rheumatic fever}, hepatopathy {Disorder of liver}, cirrhosis {Cirrhosis of liver}, Severe pulmonary hypertension {Severe pulmonary hypertension}, severe tricuspid regurgitation {Severe tricuspid valve regurgitation}, MVR {Replacement of mitral valve}, mitral valve {Mitral valve structure}, Mechanical mitral valve repair {Mechanical prosthetic mitral valve replacement}, mitral stenosis {Mitral valve stenosis}, rheumatic fever {Rheumatic fever}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, Atrial fibrillation {Atrial fibrillation}, Bilaterally enlarged 
-atria {Bilateral enlargement of atria}, CABG {Coronary artery bypass grafting}, PERCUTANEOUS CORONARY INTERVENTIONS {Percutaneous coronary intervention}, gout {Inflammatory disorder due to increased blood urate level}, Osteoarthritis of the knees {Osteoarthritis of knee}, Osteoarthritis of the hands {Degenerative joint disease of hand}, Right rotator tendinopathy {Tendinitis of right rotator cuff}, Cirrhosis {Cirrhosis of liver}, liver congestion {Cardiac cirrhosis}, ascites {Ascites}, Diabetes mellitus {Diabetes mellitus type 2}, neuropathy {Neuropathy}, Anxiety {Anxiety}, Varicose veins {Venous varices}, GERD {Gastroesophageal reflux disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No family history of early MI, arrhythmia, cardiomyopathies, or 
-sudden cardiac death; otherwise non-contributory.  
- 
-
-###RESPONSE: MI {Myocardial infarction}, arrhythmia {Cardiac arrhythmia}, cardiomyopathies {Cardiomyopathy}, sudden cardiac death {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM
-Vitals - 98.2, 135/77, 68, 98%RA
-General- Alert, oriented, no acute distress  
-HEENT- Sclera anicteric, dentures of lower teeth on, pain of 
-right pre-molar, no erythema/exudate appreciated  
-Neck- supple, JVP not elevated, no LAD  
-Lungs- Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi  
-CV- Irregular, diastolic murmur RUSB
-Abdomen- soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU- no foley  
-___- significant vericose veins b/l ___, 2+ pulses, no clubbing, 
-cyanosis or edema
-Neuro- CNs2-12 intact, motor function grossly normal  
-
-DISCHARGE EXAM
-Vitals - 97.___.2 129/54(120s-130s/50s), 70, 98%RA
-GEN - Alert, oriented, no acute distress  
-HEENT - Right lower pre molar extracted, sutures observed, no 
-active signs of bleeding. Pain well controlled. No 
-erythema/exudate appreciated, no jaw pain, no difficulty 
-opening/closing mouth  
-NECK - supple, JVP elevated 5cm, no LAD  
-LUNGS - Clear to auscultation bilaterally, no wheezes, or 
-crackles  
-CV - Irregular, diastolic murmur RUSB/LSB
-ABD - unchanged. soft, non-tender, non-distended, bowel sounds 
-present, no rebound tenderness or guarding, no organomegaly  
-GU- no foley  
-___ - unchanged. significant vericose veins b/l ___, 2+ pulses, 
-no clubbing, cyanosis or edema
-Neuro- CNs2-12 intact, motor function grossly normal. lucid.  
-ambulating on own.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, teeth {Structure of dentition}, pain {Pain}, right {Structure of right half of lower jaw region}, pre-molar {Structure of premolar tooth}, erythema {Erythema}, exudate {Exudate}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Irregular {Irregular heart beat}, murmur {Murmur}, Abdomen- soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, vericose veins {Venous varices}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNs2-12 intact {Normal nervous system function}, motor function grossly normal {Normal motor response to command}, Vitals {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Right lower {Structure of right half of lower jaw region}, signs {Sign}, bleeding {Bleeding}, Pain well controlled {Demonstrates adequate pain control}, erythema {Erythema}, exudate {Exudate}, pain {Pain}, closing mouth {Difficulty closing mouth}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, Irregular {Irregular heart beat}, murmur {Murmur}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds 
-present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, vericose veins {Venous varices}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNs2-12 intact {Normal nervous system function}, motor function grossly normal {Normal motor response to command}, lucid {Lucid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 10:02PM BLOOD WBC-7.0 RBC-3.57* Hgb-11.4* Hct-33.4* 
-MCV-94# MCH-31.9 MCHC-34.0 RDW-14.8 Plt ___
-___ 11:47AM BLOOD ___
-___ 06:00AM BLOOD Glucose-153* UreaN-50* Creat-1.5* Na-133 
-K-4.2 Cl-91* HCO3-33* AnGap-13
-___ 06:00AM BLOOD Calcium-9.7 Phos-3.4 Mg-2.3
-
-DISCHARGE LABS
-___ 07:15AM BLOOD WBC-6.7 RBC-3.78* Hgb-12.0 Hct-34.8* 
-MCV-92 MCH-31.7 MCHC-34.4 RDW-14.6 Plt ___
-___ 07:15AM BLOOD ___ PTT-91.1* ___
-___ 06:48AM BLOOD Glucose-138* UreaN-46* Creat-1.4* Na-132* 
-K-4.4 Cl-88* HCO3-32 AnGap-16
-___ 06:48AM BLOOD Calcium-9.8 Phos-4.2 Mg-2.4
-
-INR TREND
-___ 11:47AM BLOOD ___
-___ 06:00AM BLOOD ___ PTT-150* ___
-___ 07:00AM BLOOD ___ PTT-61.8* ___
-___ 06:00AM BLOOD ___ PTT-58.5* ___
-___ 12:43AM BLOOD ___ PTT-77.4* ___
-___ 06:48AM BLOOD ___ PTT-90.5* ___
-___ 07:15AM BLOOD ___ PTT-91.1* ___
-
-___ (PANOREX FOR DENTAL) - unread
-
-Pathology ReportTissue: Tooth # 28.Procedure Date of ___
-Report not finalized.
-Assigned Pathologist ___.
-Please contact the pathology department, ___ ___
-PATHOLOGY # ___
-Tooth # 28.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Tooth {Structure of dentition}, Tooth {Structure of dentition}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Sra. ___ is a ___ ___ lady with AFib, MV 
-stenosis s/p mechanical MV replacement ___ on Warfarin (INR 
-goal 2.5-3.5), severe tricuspid regurgitation, chronic 
-right-sided heart failure (EF 50%), with congestive hepatopathy 
-and ascites, severe pulmonary hypertension, and CAD s/p CABG 
-___ who had ongoing tooth pain as an outpatient.  She was 
-directly admitted to Medicine for Heparin bridge while her INR 
-was allowed to drift downwards in order to undergo tooth 
-extraction.  She underwent uncomplicated single extraction of 
-tooth #28 on ___ and then remained in house on a Heparin drip 
-until her INR was therapeutic again, and then she was discharged 
-home.
-
-## DENTAL INFECTION & PAIN: resolved s/p extraction.
-No signs or symptoms of severe infection.  OMFS performed 
-uncomplicated single extraction of tooth #28 on ___, with 
-pre-operative Unasyn.  No bleeding complications.  The procedure 
-was done in the OR but only under local anesthesia.  Sutures 
-will dissolve.  She will follow up with her dentist or OMFS, as 
-she prefers.
-
-## MECHANICAL MV REPLACEMENT: on Warfarin, goal INR 2.5-3.5.
-As soon as she was directly admitted to the Medicine floor, she 
-was placed on Heparin gtt and her Warfarin was held.  She was 
-therapeutic for the duration of her admission, except for 
-stopping the drip 6 hrs pre-procedure.  It was able to be 
-re-started immediately post-operatively, and she was restarted 
-on her Warfarin post-operatively as well.  Heparin gtt was 
-stopped and she was discharged when her INR was >2.5.  Home 
-Warfarin dose was not changed; she will f/u tomorrow at ___ 
-___ clinic for INR check.
-- 5mg given ___ mg given ___ (INR in am = 1.9)
-- 7.5 mg give ___ (INR in am = 2.3)
-- Discharged ___ (INR in am = 3.0), please take 5 mg at home
-
-## CHF: stable issue, euvolemic.
-Her tricuspid regurgitation is severe and moderate pulmonary 
-hypertension; she was euvolemic on exam.  She was continued on 
-her home meds (torsemide, metoprolol, hctz, spironolactone).
-
-## HYPONa: asymptomatic, stable.
-Na 133 on admission.  Euvolemic on exam. Baseline Na appears to 
-be 133-140.  She remains on HCTZ, Torsemide, Spironolactone 
-which could be contributing.  Na was stable at 132 on the day of 
-discharge.
-
-## DM 2: stable.
-She was continued on her home Lantus 60mg QHS.  She initially 
-declined the proposed sliding scale (she felt that she would 
-drop too low since she was NPO for the procedure) and was 
-subsequently hyperglycemic in the 200's-300's.  When her family 
-brought in her home sliding scale, it was entered and she 
-complied, with much better blood glucose control.  She did not 
-have any hypoglycemia during this admission.
-
-## GOUT/OA: stable.
-She was continued on Febuxostat and low-dose Prednisone.
-
-## TRANSITIONAL ISSUES
-Emergency Contact:   ______
-Studies/labs pending at discharge:  
---Panorex was viewed/interpreted by ___ so no Radiology read 
-pending
---Extracted tooth pathology
- 
-
-###RESPONSE: AFib {Atrial fibrillation}, MV 
-stenosis {Mitral valve stenosis}, mechanical MV replacement {Mechanical prosthetic mitral valve replacement}, severe tricuspid regurgitation {Severe tricuspid valve regurgitation}, chronic 
-right-sided heart failure {Chronic right-sided heart failure}, congestive hepatopathy {Cardiac cirrhosis}, ascites {Ascites}, severe pulmonary hypertension {Severe pulmonary hypertension}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, tooth pain {Toothache}, tooth 
-extraction {Tooth extraction}, single extraction of 
-tooth {Extraction of single tooth}, DENTAL INFECTION {Infection of tooth}, PAIN {Pain}, extraction {Tooth extraction}, signs {Sign}, infection {Infectious disease}, single extraction of tooth {Extraction of single tooth}, bleeding {Bleeding}, procedure {Procedure}, under local anesthesia {Under local anesthesia}, MECHANICAL MV REPLACEMENT {Mechanical prosthetic mitral valve replacement}, CHF {Congestive heart failure}, stable {Patient's condition stable}, tricuspid regurgitation {Tricuspid valve regurgitation}, moderate pulmonary 
-hypertension {Moderate pulmonary hypertension}, HYPONa {Hyponatremia}, asymptomatic {Asymptomatic}, Baseline {Baseline state}, DM 2 {Diabetes mellitus type 2}, stable {Patient's condition stable}, procedure {Procedure}, blood glucose {Glucose measurement, blood}, hypoglycemia {Hypoglycemia}, GOUT {Inflammatory disorder due to increased blood urate level}, OA {Osteoarthritis}, stable {Patient's condition stable}, Extracted tooth {Tooth extraction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Febuxostat 80 mg PO DAILY 
-2. Gabapentin 600 mg PO TID 
-3. Hydrochlorothiazide 12.5 mg PO DAILY  
-4. Metoprolol Succinate XL 25 mg PO DAILY  
-5. Potassium Chloride 10 mEq PO BID  
-6. PredniSONE 5 mg PO DAILY 
-7. Spironolactone 50 mg PO DAILY  
-8. Torsemide 150 mg PO DAILY 
-9. Warfarin ___ mg PO DAILY (AS DIRECTED BY ___ 
-___ CLINIC) 
-10. Glargine 60 Units Bedtime
-Insulin SC Sliding Scale using HUMALOG Insulin
- 
-Discharge Medications:
-1. Febuxostat 80 mg PO DAILY 
-2. Gabapentin 600 mg PO TID 
-3. Hydrochlorothiazide 12.5 mg PO DAILY  
-4. Metoprolol Succinate XL 25 mg PO DAILY  
-5. Potassium Chloride 10 mEq PO BID  
-6. PredniSONE 5 mg PO DAILY 
-7. Spironolactone 50 mg PO DAILY  
-8. Torsemide 150 mg PO DAILY 
-9. Warfarin ___ mg PO DAILY (AS DIRECTED BY ___ 
-___ CLINIC) 
-10. Glargine 60 Units Bedtime
-Insulin SC Sliding Scale using HUMALOG Insulin
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY:
-- Tooth extraction
-- INR maintenance and Heparin Bridge
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Tooth extraction {Tooth extraction}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear. Ms. ___,
-
-Thank you for choosing ___.  You were 
-admitted for extraction of your right premolar tooth and 
-management of your Warfarin/INR during this procedure.  Your 
-Home INR(International Normalized Ratio) goal is 2.5 - 3.5 given 
-your mechanical mitral valve.  Your Warfarin was stopped the day 
-before the procedure, and Heparin was started to maintain 
-anticoagulation.  The oral and maxillofacial surgeons (___) 
-performed the extraction in an operating room while Heparin was 
-off.  The operation was successful and there was minimal 
-bleeding.  Sutures were left in the location of the former 
-tooth, and these sutures will dissolve on their own.  The ___ 
-team suggests you follow up with them, or your home Dentist.  
-The ___ phone number is ___ if you wish to follow up 
-with them.
-
-After the procedure your Heparin was continued and Warfarin was 
-restarted to reach your INR goal of 2.5.  On the day of 
-discharge your INR = 3.0. 
-
-POST PROCEDURE RECOMMENDATIONS:
-- Pain control with Tylenol
-- Soft diet
-- Maintain meticulous oral hygiene
-- Rinse your mouth with Over the counter product called 
-""Peridex"" twice/day
-- No straws, vigorous rinsing, spitting
-
-MEDICATIONS:
-WARFARIN:
-- 5mg given ___ mg given ___ (INR in am = 1.9)
-- 7.5 mg give ___ (INR in am = 2.3)
-- Discharged ___ (INR in am = 3.0), please take 5 mg at home
-
-Continue other medications normally
- 
-
-###RESPONSE: extraction {Extraction}, premolar tooth {Structure of premolar tooth}, procedure {Procedure}, mechanical mitral valve {Metal mitral valve prosthesis in situ}, procedure {Procedure}, anticoagulation {Anticoagulant therapy}, extraction {Extraction}, bleeding {Bleeding}, tooth {Structure of dentition}, procedure {Procedure}, Pain control {Pain control}, Soft diet {Soft diet}, oral hygiene {Mouth care}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___
- 
-Chief Complaint:
-Change in mental status and fever
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Change in mental status {Altered mental status}, fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo M with recent diagnosis of gastric CA s/p total 
-gastrectomy of the Roux-en-Y reconstruction and feeding 
-jejunostomy with known anastamosis site ulcer and h/o aspiration 
-admitted with change in mental status and fever. Patient has 
-been feeling poorly since he was discharged home from the 
-hospital about 3 weeks ago. The patient has been following up 
-closely with his PCP who added ___ fentanyl patch and zofran to 
-help with pain and nausea. The patient went home and had 2 very 
-good days. On the third day he was a bit out of it but stable 
-and then on the fourth day he fell out of his chair and was 
-disoriented. He presented to the ED ___ and was treated for a 
-change in MS felt likely ___ oversedation with opiates. A CXR 
-was sent which showed atelectasis but no infiltrate. He was 
-taken off the oxycodone and fentanyl patch and sent home. 
- On the day of admission his wife noted his temp to be 102 and 
-thought his MS had not improved very much so she called his pcp. 
-In office temp was 96, patient was noted to have increased cough 
-and sputum.  His PCP sent him here for workup of mental status 
-change and fever. 
- On presentation he did not complain of pain just a diffuse 
-malaise. He reports a cough and wretching with nausea that is 
-responsive to zofran. He does not report SOB, chest pain, 
-abdominal pain, or calf pain. He reports feeling hot off and on 
-at homebut normally temp runs ___ except for the one at ___ 
-yesterday. He reports feeling a bit dehydrated but not dizzy or 
-light-headed. N one at home is sick and he has not traveled 
-anywhere recently.
-
- 
-
-###RESPONSE: gastric CA {Malignant tumor of stomach}, total 
-gastrectomy {Total gastrectomy}, Roux-en-Y reconstruction {Total gastrectomy and anastomosis of esophagus to transposed jejunum}, feeding 
-jejunostomy {Feeding enterostomy of jejunum}, anastamosis site ulcer {Ulcer of anastomosis}, aspiration {Pulmonary aspiration}, change in mental status {Altered mental status}, fever {Fever}, pain {Pain}, nausea {Nausea}, stable {Patient's condition stable}, disoriented {Disorientated}, MS {Altered mental status}, CXR {Plain chest X-ray}, atelectasis {Atelectasis}, infiltrate {Infiltration}, temp {Body temperature finding}, MS {Altered mental status}, improved {Patient's condition improved}, temp {Body temperature finding}, cough {Cough}, sputum {Sputum finding}, workup {Evaluation procedure}, mental status {Neurological mental status determination}, fever {Fever}, pain {Pain}, malaise {Malaise}, cough {Cough}, nausea {Nausea}, SOB {Dyspnea}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, calf pain {Pain in calf}, temp {Body temperature finding}, dehydrated {Dehydration}, dizzy {Dizziness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Per OMR:
-HTN
-Osteoarthritis of L knee and R shoulder - s/p TKR ___
-Tonsillectomy
-Appendectomy 
-Bilateral cataract excision.
- 
-
-###RESPONSE: Osteoarthritis of L knee {Osteoarthritis of left knee joint}, R shoulder {Osteoarthritis of joint of right shoulder region}, TKR {Total knee replacement}, Tonsillectomy {Tonsillectomy}, Appendectomy {Excision of appendix}, Bilateral cataract excision {Extraction of cataract of bilateral eyes}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Family history is notable for a son who died of lung cancer.
- 
-
-###RESPONSE: died {Dead}, lung cancer {Malignant tumor of lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: t 95.6 BP 141/61 HR 80 RR 16 O2sat 95% RA
-GEN: Cachectic elderly M in NAD
-HEENT: NC/AT No scleral icterus. MMM
-NECK: No JVD. No LAD
-LUNGS: Crackles ___ way up
-HEART: RRR S1/S2 No M/R/G
-ABD: Incision site without erythema, dehiscence, or discharge. 
-Well-healed. Feeding tube in place with dressing 
-clean/dry/intact and just replaced today by PCP. +BS. NT/ND. NO 
-HSM 
-EXTREM: No cyanosis, clubbing, edema
-NEURO: Alert. Oriented X 3. CN ___ in tact. 
-
- 
-
-###RESPONSE: VITALS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2sat {Oxygen saturation measurement}, RA {Breathing room air}, GEN {General examination of patient}, Cachectic {Cachexia}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, scleral icterus {Scleral icterus}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Crackles {Respiratory crackles}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, No M/R/G {Heart sounds normal}, ABD {Examination of abdomen}, Incision site {Surgical incision wound}, erythema {Erythema}, dehiscence {Dehiscence}, Well-healed {Wound healed}, +BS {Normal bowel sounds}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, EXTREM {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, NEURO {Neurological examination}, Alert {Mentally alert}, Oriented X 3 {Oriented to person, time and place}, CN {Cranial nerve structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:30PM   WBC-13.0* RBC-3.72* HGB-11.2* HCT-33.8* 
-MCV-91 MCH-30.2 MCHC-33.2 RDW-15.5
-___ 12:30PM   NEUTS-87.0* LYMPHS-6.2* MONOS-6.5 EOS-0.3 
-BASOS-0.1
-___ 12:30PM   PLT COUNT-268
-___ 12:30PM   UREA N-17 CREAT-0.7 SODIUM-135 POTASSIUM-4.4 
-CHLORIDE-93* TOTAL CO2-33* ANION GAP-13
-___ 03:35PM   ___ PTT-32.4 ___
-___ 03:35PM   ALBUMIN-3.4 CALCIUM-9.0 PHOSPHATE-3.2 
-MAGNESIUM-1.9
-___ 03:35PM   ALT(SGPT)-18 AST(SGOT)-19 LD(LDH)-166 ALK 
-PHOS-71 TOT BILI-0.___XR: Pneumonia in the superior segment of the left lower lobe. 
-Results 
-communicated with Dr. ___ at 2:20 p.m. 
-
-CT HEAD: No acute intracranial abnormality.
-
-Assessment/Plan:
-___ yo M with recent diagnosis of gastric CA s/p total 
-gastrectomy of the Roux-en-Y reconstruction and feeding 
-jejunostomy admitted with fever and inc cough productive of 
-yellow sputum ___ PNA.
-.
-#. PNA: Patient with likely aspiration PNA. Clindmycin 300mg Q8H 
-and then switched to levofloxacin which would cover both the PNA 
-and the UTI. Blood cultures were pending at time of discharge 
-and will be followed up by Dr. ___.
-.
-#. UTI: Urine culture showed E.Coli. Sensitivities are pending 
-at time of discharge. He will be treated with Levofloxacin for 5 
-days with your last dose on ___.
-.
-#. Aspiration: Speech and swallow saw him and said nectar thick 
-liquids and pureed foods are ok but no medications PO. Refused 
-video swallow to eval for silent aspiration as cause of PNA. 
-Will go home on nectar thick liquids and pureed foods and have 
-repeat swallow exam as outpatient when can tolerate barium.
-.
-#. Pain: Controlled with tylenol standing, fentanyl patch, and 
-dilaudid PRN for pain while in house. 
-.
-#.Nausea: Exacerbated by constipation and increased rate of tube 
-feedings. Responds well to Zofran and compazine. Will go home 
-with scripts for this. Tube feeding goal rate was decreased to 
-70mL/hour to help him tolerate this and still get sufficient 
-caloric intake daily.
-.
-#. Anemia: Patient was noted to have a low hematocrit. Iron 
-studies suggest anemia of chronic disease. Patient will follow 
-up with his pcp regarding treatment and monitoring of this.
-.
-#. HTN: Patient had HTN while admitted. Started on previous dose 
-of metoprolol 12.5mg BID with good effect. Will continue as 
-outpatient.
-.
-#. FEN:Nutrtion recommened replete with fiber at 70mL/hour for 
-24hours daily. He will follow up for further recommendations 
-with the nutrition clinic at ___ as an outpatient. 
-.
-#. Prophylaxis: SC Heparin and PNeumoboots
-.
-#. Communication: With patient and dtr
-.
-#. Dispo: Full Code .
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TOT BILI {Bilirubin, total measurement}, Pneumonia {Pneumonia}, left lower lobe {Structure of lower lobe of left lung}, intracranial {Intracranial structure}, abnormality {No abnormality detected}, gastric CA {Malignant tumor of stomach}, total 
-gastrectomy {Total gastrectomy}, Roux-en-Y reconstruction {Total gastrectomy and anastomosis of esophagus to transposed jejunum}, feeding 
-jejunostomy {Feeding enterostomy of jejunum}, fever {Fever}, cough productive of 
-yellow sputum {Productive cough-yellow sputum}, PNA {Pneumonia}, PNA {Pneumonia}, aspiration PNA {Aspiration pneumonia}, PNA {Pneumonia}, UTI {Urinary tract infectious disease}, Blood cultures {Blood culture}, UTI {Urinary tract infectious disease}, Urine culture {Urine culture}, E.Coli {Infection caused by Escherichia coli}, Sensitivities {Antimicrobial susceptibility test}, Aspiration {Aspiration}, nectar thick 
-liquids {Dietary liquid consistency - nectar thick liquid}, video swallow {Videofluoroscopy swallow}, aspiration {Pulmonary aspiration}, PNA {Pneumonia}, nectar thick liquids {Dietary liquid consistency - nectar thick liquid}, swallow exam {Fiberoptic endoscopic evaluation of swallowing}, Pain {Pain}, pain {Pain}, Nausea {Nausea}, constipation {Constipation}, tube 
-feedings {Tube feeding of patient}, Tube feeding {Tube feeding of patient}, Anemia {Anemia}, low hematocrit {Hematocrit below reference range}, anemia of chronic disease {Anemia of chronic disorder}, HTN {Hypertensive disorder, systemic arterial}, HTN {Hypertensive disorder, systemic arterial}, FEN {Nutrition management}, Prophylaxis {Preventive procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Alternagel 1 tsp QID
-Dilaudid-5 1 mg Q6H PRN
-Atenolol 25mg PGT daily
-Zofran 4mg Q6H
-Lorazepam 0.5mg Per NG BID
-
- 
-Discharge Medications:
-1. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2 
-times a day): Please take through the feeding tube.
-Disp:*30 Tablet(s)* Refills:*2*
-2. Hydromorphone 2 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours) as needed for pain: Please take through the feeding tube.
-Disp:*30 Tablet(s)* Refills:*0*
-3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q 8H 
-(Every 8 Hours): Please take through the feeding tube.  
-4. Lidocaine HCl 4 % Solution Sig: ___ MLs Mucous membrane Q6H 
-(every 6 hours).
-Disp:*500 mL* Refills:*2*
-5. Fentanyl 12 mcg/hr Patch 72 hr Sig: One (1) Patch 72 hr 
-Transdermal Q72H (every 72 hours).
-Disp:*5 Patch 72 hr(s)* Refills:*2*
-6. Lactulose 10 gram/15 mL Syrup Sig: Sixty (60) ML PO Q4H 
-(every 4 hours): Please do not take if you are having diarrhea.
-___ mL* Refills:*2*
-7. Polyethylene Glycol 3350 100 % Powder Sig: Seventeen (17) g 
-PO DAILY (Daily) as needed: Please do not take if you are having 
-diarrhea.
-Disp:*500 grams* Refills:*0*
-8. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime) as needed for for sleep.  
-9. Prochlorperazine Edisylate 5 mg/5 mL Syrup Sig: Ten (10) mg 
-PO every six (6) hours as needed for nausea.
-Disp:*60 ml* Refills:*1*
-10. Benzonatate 100 mg Capsule Sig: One (1) Capsule PO TID (3 
-times a day) as needed for cough.  
-11. Ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO Q8H (every 8 hours) as needed for nausea.  
-12. Jevity Plus     Liquid Sig: Seventy (70) ml/hr PO once a 
-day: Please increase tube feedings to 70mL/hour continuously for 
-24hours daily.
-Disp:*30 cans* Refills:*2*
-13. Levofloxacin 750 mg Tablet Sig: One (1) Tablet PO Q24H 
-(every 24 hours): Last dose on ___.
-Disp:*5 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Aspiration PNA
-Constipation
-
- 
-Discharge Condition:
-The patient was afebrile, normotensive, not tachycaric, and 
-having normal bowel movements when he was discharged.
-
- 
-
-###RESPONSE: Aspiration PNA {Aspiration pneumonia}, Constipation {Constipation}, afebrile {Fever}, normotensive {Normal blood pressure}, tachycaric {Tachycardia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You have been admitted with pneumonia. you have been treated 
-with antibiotics for this infection. You should continue the 
-antibiotics at home as outlined below.
- You have also had constipation leading to nausea while you were 
-here. You should go home on stool softeners and laxatives as 
-outlined below. For the nausea you should take the anti-nausea 
-medicines you have at home.
- You were also started on a low dose patch for your pain. You 
-should continue this patch and take dilaudid for breakthrough 
-pain only.
- You have been given a swallowing evaluation that shows that you 
-are stil having a little bit of difficult swallowing. You should 
-only eat nectar thick liquids and soft solids. Pills should be 
-taken through your feeding tube. 
- You had high blood pressures while you were hospitalized. You 
-were re-started on your metoprolol and your blood pressures were 
-more controlled. You should continue this as an outpatient.
-
-Medication changes:
-CHANGE Fentanyl Patch 25mg every 72 hours to Fentanyl Patch 
-12.5mg every 72 hours
-START: Clindamycin 300mg through feeding tube every 6 hours. 
-Last dose on ___
-START: Compazine 5mg through feeding tube every 6 hours as 
-needed for nausea
-START: Lactulose 60mL through feeding tube four times daily
-START: Polyethylene glycol 17g through feeding tube daily.
-START: Benzonatate 100mg through feeding tube every 8 hours as 
-needed for cough.
-START: Metoprolol 12.5mg via the feeding tube 2 times daily.
-
-You should call your PCP or come back to the ED if you have 
-fevers, shortness of breath, chest pain, severe abdominal pain, 
-severe nausea/vomiting, bright red blood in your stools or 
-tarry-looking stools. 
- 
-
-###RESPONSE: pneumonia {Pneumonia}, treated 
-with antibiotics {Antibiotic therapy}, antibiotics {Antibiotic therapy}, constipation {Constipation}, nausea {Nausea}, stool softeners {Administration of laxative}, nausea {Nausea}, pain {Pain}, breakthrough 
-pain {Breakthrough pain}, nectar thick liquids {Dietary liquid consistency - nectar thick liquid}, high blood pressures {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Lipitor / Simvastatin / Megestrol
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal distension
- 
-Major Surgical or Invasive Procedure:
-Paracentesis
-
- 
-
-###RESPONSE: Lipitor {Allergy to atorvastatin}, Simvastatin {Allergy to simvastatin}, Megestrol {Allergy to megestrol}, abdominal distension {Swollen abdomen}, Paracentesis {Centesis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old man with h/o gastric ca, s/p 
-gastrectomy in ___, s/p 4 cycles ECX, cycle 1 CapOx in ___, 
-now with diffuse omental caking and malignant ascites, who is 
-being admitted with worsening abdominal distension, with plan 
-for ___ guided paracentesis.  
-  
-The patient had a therapeutic paracentesis last week with some 
-improvement in abdominal fullness. However, he has noted 
-increasing abdominal fullness over the past few days, associated 
-with abdominal pain typically in the evenings. He was seen in 
-the ED yesterday and discharged home with plan for ___ 
-paracentesis today. Otherwise, the patient is feeling ok. His 
-wife notes that he has had increasing nausea, not relieved with 
-Zofran, but Ativan helped yesterday. He also has mild shortness 
-of breath with exertion, but is still able to make it up 3 
-flights of stairs to their apartment.
-    
-ROS: No fevers, chills, chest pain, cough, headache, dysuria. No 
-BM in a week, not taking in much PO; on TPN at home.
- 
-
-###RESPONSE: gastric ca {Malignant tumor of stomach}, gastrectomy {Excision of stomach structure}, omental {Omentum structure}, malignant ascites {Malignant ascites}, abdominal distension {Swollen abdomen}, paracentesis {Centesis}, paracentesis {Centesis}, abdominal fullness {Abdominal distension symptom}, abdominal fullness {Abdominal distension symptom}, abdominal pain {Abdominal pain}, paracentesis {Centesis}, nausea {Nausea}, mild {Symptom mild}, shortness 
-of breath with exertion {Dyspnea on exertion}, fevers {Fever}, chills {Chill}, chest pain {Chest pain}, cough {Cough}, headache {Headache}, dysuria {Dysuria}, on TPN {Total parenteral nutrition}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- p/w dysphagia  
-- EGD demonstrated a mass in the cardia of the stomach and  
-biopsy was consistent with poorly differentiated adenocarcinoma  
-
-with focal signet ring features.  
-- by EUS, he was staged as T3 with no evidence of invasion into 
-the thoracic aorta pericardium or pleura  
-- PET CT scan demonstrated a focus of avidity in the region of a 
-gastroesophageal junction, likely corresponding to the known 
-carcinoma and no evidence of distant metastatic disease was 
-identified.  
-- ___, underwent total gastrectomy - Pathology from that 
-procedure revealed a 6 x 6 x 1.5cm adenocarcinoma, diffuse type, 
-poorly differentiated with invasion into the serosa/visceral 
-peritoneum.  
-- ___ lymph nodes were positive out of 18 examined lymph nodes. 
-The proximal margin was involved by invasive carcinoma and he 
-did have lymphatic invasion.  
-- diagnosed with stage IIIC gastric cancer.  
-- Started on ___ with adjuvant ECX - received 4 cycles - 
-last treatment given on ___.  
-- Metastatic disease noted in ___ and C1D1 
-Oxaliplatin/capecitabine started on ___
-  
-Other 
-###RESPONSE: dysphagia {Dysphagia}, EGD {Esophagogastroduodenoscopy}, mass {Mass}, cardia {Cardia structure}, stomach {Stomach structure}, biopsy {Biopsy}, adenocarcinoma {Adenocarcinoma}, no evidence of invasion {No tumor invasion}, thoracic aorta {Thoracic aorta structure}, pericardium {Pericardial structure}, pleura {Pleural membrane structure}, PET {Positron emission tomography}, CT scan {Computed tomography of abdomen}, gastroesophageal junction {Cardioesophageal junction structure}, carcinoma {Carcinoma}, metastatic disease {Metastatic malignant neoplasm}, total gastrectomy {Total gastrectomy}, procedure {Procedure}, adenocarcinoma, diffuse type {Carcinoma, diffuse type}, serosa {Serous membrane structure}, lymph nodes {Structure of lymph node}, lymph nodes {Structure of lymph node}, carcinoma {Carcinoma}, lymphatic {Structure of lymphatic vessel}, gastric cancer {Malignant tumor of stomach}, Metastatic disease {Metastatic malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:  
-HLD  
-Chronic pruritis, unknown etiology  
-Tonsillectomy and Adenoidectomy  
-Hydrocele repair  
-Ex-lap ___  
-Open chole  
-Meniscus surgery in ___  
-Cataract surgery in ___  
-Removal of a large colonic polyp on ___
- 
-
-###RESPONSE: HLD {Hyperlipidemia}, Chronic {Chronic disease}, Tonsillectomy and Adenoidectomy {Tonsillectomy and adenoidectomy}, Hydrocele repair {Repair of hydrocele}, Meniscus surgery {Operation on meniscus of the knee}, Cataract surgery {Cataract surgery}, Removal {Removal}, colonic polyp {Polyp of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-His mother died at age ___ from a brain hemorrhage and then had a 
-kidney removed. Father had high blood pressure and died at ___ of 
-a stroke. Sister had cancer and died at ___. A sister had a 
-stroke and died at ___. He has another sister with no medical 
-problems and a brother had early stage lung cancer who is alive 
-at age ___.  
- 
-
-###RESPONSE: died {Dead}, brain {Brain structure}, hemorrhage {Hemorrhage}, kidney {Kidney structure}, high blood pressure {Hypertensive disorder, systemic arterial}, died {Dead}, stroke {Cerebrovascular accident}, cancer {Malignant neoplasm}, died {Dead}, stroke {Cerebrovascular accident}, died {Dead}, problems {Problem}, lung cancer {Malignant tumor of lung}, alive {Alive}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM:
-VS: T 96.5 BP 118/78 HR 95 RR 18 O2sat 97%RA 
-GEN: AOx3, NAD, cachectic appearing  
-HEENT: MMM. no LAD. no JVD. neck supple. 
-Cards: RR S1/S2 normal. no murmurs/gallops/rubs.  
-Pulm: No dullness to percussion, CTAB no crackles or wheezes  
-Abd: BS+, soft, diffusely tender in abdomen, mildly distended 
-with +fluid wave, no rebound/guarding, no HSM 
-Extremities: wwp, no edema. DPs, PTs 2+.  
-Neuro: AOx3, no focal deficits 
-  
-DISCHARGE EXAM:
-Less fullness on abdominal exam, otherwise unchanged
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GEN {General examination of patient}, AOx3 {Oriented to person, time and place}, NAD {No abnormality detected}, cachectic {Cachexia}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, supple {Normal movement of neck}, RR {Finding of rate of respiration}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, Pulm {Examination of respiratory system}, dullness to percussion {Dullness to percussion over Traube's space}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, Abd {Examination of abdomen}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, tender {Abdominal tenderness}, distended {Swollen abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, HSM {Hepatosplenomegaly}, Extremities {Examination of limb}, wwp {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, no focal deficits {Normal nervous system function}, abdominal exam {Examination of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 09:45AM BLOOD WBC-13.7* RBC-3.91* Hgb-11.6* Hct-33.1* 
-MCV-85 MCH-29.7 MCHC-35.1* RDW-15.2 Plt ___
-___ 09:45AM BLOOD Neuts-82.3* Lymphs-9.7* Monos-6.0 Eos-1.8 
-Baso-0.3
-___ 09:45AM BLOOD ___ PTT-25.7 ___
-___ 09:45AM BLOOD Glucose-177* UreaN-30* Creat-0.7 Na-132* 
-K-5.7* Cl-100 HCO3-24 AnGap-14
-___ 01:09PM BLOOD K-4.4
-  
-STUDIES:
-___ U/S guided paracentesis:
-1. Small volume ascites.  
-2. Given the patient's pressure symptoms, 1.1 liters of fluid 
-was drained via a right flank approach.  
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, K {Blood potassium measurement}, U/S guided paracentesis {Puncture and aspiration of abdomen using ultrasonographic guidance}, ascites {Ascites}, fluid 
-was drained {Drainage of abdomen}, flank {Flank structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ year old man with h/o gastric ca, s/p 
-gastrectomy in ___, s/p 4 cycles ECX, cycle 1 CapOx in ___, 
-now with diffuse omental caking and malignant ascites, admitted 
-for U/S-guided therapeutic paracentesis for abdominal 
-distension.  
-    
-#. Abdominal distension: Initially thought to be due to 
-increasing ascites. However, only 1L removed from paracentesis 
-with little improvement in symptoms. Abdominal fullness likely 
-also related to constipation, as the patient did not have a 
-bowel movement for almost 10 days prior to admission. He was 
-given a dose of Lactulose, as well as an enema, and had a 
-successful bowel movement prior to discharge. He was started on 
-Lactulose, Colace, and Senna.
- 
-
- 
-
-###RESPONSE: gastric ca {Malignant tumor of stomach}, gastrectomy {Excision of stomach structure}, omental {Omentum structure}, malignant ascites {Malignant ascites}, U/S-guided therapeutic paracentesis {Puncture and aspiration of abdomen using ultrasonographic guidance}, abdominal 
-distension {Swollen abdomen}, Abdominal distension {Swollen abdomen}, ascites {Ascites}, paracentesis {Centesis}, Abdominal fullness {Abdominal distension symptom}, constipation {Constipation}, did not have a 
-bowel movement {Constipation}, enema {Giving patient an enema}, bowel movement {Does defecate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Vitamin B12 1000mcg IM qmonth  
-Lidocaine-Prilocaine cream for port access  
-Lorazepam 0.5mg PO q6h prn  
-Zofran 8mg PO q8h prn  
-Oxycontin 10mg PO BID
-Oxycodone ___ PO q4-6h prn  
-Maalox ___ PO prn  
-Terbinafine 1% cream BID to rash  
-Lidoderm TD daily
- 
-Discharge Medications:
-1. lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours) as needed for nausea, anxiety.
-Disp:*30 Tablet(s)* Refills:*0*
-2. lactulose 10 gram/15 mL Solution Sig: Fifteen (15) mL PO 
-three times a day as needed for constipation.
-Disp:*500 mL* Refills:*0*
-3. prochlorperazine maleate 10 mg Tablet Sig: One (1) Tablet PO 
-every six (6) hours as needed for nausea.
-Disp:*30 Tablet(s)* Refills:*0*
-4. insulin regular human 100 unit/mL Solution Sig: sliding scale 
- Injection four times a day: ___ 151-200: 2units
-___ 201-250: 4units
-___ 251-300: 6units
-___ 301-350: 8units
-___ 351-400: 10units.  
-5. oxycodone 10 mg Tablet Extended Release 12 hr Sig: One (1) 
-Tablet Extended Release 12 hr PO Q12H (every 12 hours).  
-6. oxycodone 5 mg/5 mL Solution Sig: ___ mg PO Q6H (every 6 
-hours) as needed for pain.  
-7. alum-mag hydroxide-simeth 200-200-20 mg/5 mL Suspension Sig: 
-Fifteen (15) ML PO QID (4 times a day) as needed for 
-indigestion.  
-8. terbinafine 1 % Cream Sig: One (1) Appl Topical BID (2 times 
-a day).  
-9. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-10. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed for constipation.  
-11. lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-One (1) Adhesive Patch, Medicated Topical DAILY (Daily).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis: Malignant ascites, constipation, nausea
-Secondary Diagnosis: Gastric cancer
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Malignant ascites {Malignant ascites}, constipation {Constipation}, nausea {Nausea}, Gastric cancer {Malignant tumor of stomach}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-  
-You were admitted to the hospital for a therapeutic 
-paracentesis. You had a liter of fluid removed by the 
-radiologists. You were also found to be constipated - you should 
-take stool softeners and Lactulose as needed for constipation.
-  
-The following changes were made to your medications:
-#. START Lactulose as needed for constipation
-#. START Compazine as needed for nausea
-  
-It was a pleasure meeting you and taking part in your care.
- 
-
-###RESPONSE: paracentesis {Centesis}, fluid removed {Drainage of abdomen}, constipated {Constipation}, take stool softeners {Administration of laxative}, constipation {Constipation}, constipation {Constipation}, nausea {Nausea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: NEUROSURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-latex
- 
-Attending: ___
- 
-Chief Complaint:
-Traumatic brain injury
-
- 
-Major Surgical or Invasive Procedure:
-___ - Left craniectomy and right EVD placement 
-___ - Right chest tube placement
-___ - Left chest tube placement
-___ - Right EVD removal
-___ - Right EVD placement
-___ - Tracheostomy
-___ - PEG tube placement
-___ - Intermaxillary fixation
-___ - Removal of chest tubes
-___ - Right EVD replacement
-___ - Left cranioplasty
-___ - Right EVD removal
-
- 
-
-###RESPONSE: latex {Allergy to Hevea brasiliensis latex protein}, Traumatic brain injury {Traumatic brain injury}, Left {Structure of left half of head}, craniectomy {Craniectomy}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, placement {Implantation procedure}, Right {Right thorax structure}, chest tube placement {Insertion of pleural tube drain}, Left {Left thorax structure}, chest tube placement {Insertion of pleural tube drain}, Right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, removal {Removal}, Right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, placement {Implantation procedure}, Tracheostomy {Exteriorization of trachea}, PEG tube placement {Percutaneous endoscopic insertion of gastrostomy tube}, Intermaxillary fixation {Intermaxillary fixation of mandible and maxilla}, Removal of chest tubes {Intercostal drain removal}, Right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, replacement {Replacement procedure}, Left {Structure of left half of head}, cranioplasty {Repair of bone of skull}, Right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, removal {Removal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ is a ___ year old male who presented to the 
-Emergency Department on ___ as a transfer from an outside 
-facility status post fall approximately 25 feet from a 
-scaffolding. CT of the head at the outside facility revealed 
-multiple areas of acute extra-axial, subarachnoid, 
-intraparenchymal, and intraventricular hemorrhage with cerebral 
-compression as well as multiple skull and facial fractures. 
-Patient was transferred to ___ 
-for further evaluation and management.  
- 
-
-###RESPONSE: fall {Falls}, CT {Computed tomography}, head {Head structure}, extra-axial {Cerebral hemorrhage}, subarachnoid {Subarachnoid intracranial hemorrhage}, intraparenchymal {Intraparenchymal hemorrhage of brain}, intraventricular hemorrhage {Ventricular hemorrhage}, cerebral 
-compression {Compression of brain}, multiple skull {Multiple fractures of skull}, facial fractures {Fracture of multiple bones of face}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- asthma
-- opioid abuse
- 
-
-###RESPONSE: asthma {Asthma}, opioid abuse {Opioid abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
--------------
-General:
-
-___ Coma Scale At The Scene: 4
-
-___ Coma Scale Upon Neurosurgical Evaluation: 6T
-
-Airway: [x]Intubated [ ]Not intubated
-
-Eye Opening: 
-[x]1 Does not open eyes
-
-Verbal:
-[x]1 Makes no sounds
-
-Motor:
-___ Flexion/withdrawal to painful stimuli 
-
-
-###RESPONSE: General {General examination of patient}, Coma Scale At The Scene: 4 {Glasgow coma scale, 4}, Neuro {Neurological examination}, Airway {Airway structure}, Intubated {Intubation}, intubated {Intubation}, Eye Opening: {Finding of response to visual stimuli}, open eyes {Finding of response to visual stimuli}, Flexion {Flexion test}, withdrawal {Withdrawn}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-
-General: Well nourished male. Intubated, sedated, unresponsive.
-Head, Eyes, Ears, Nose Throat: Open left temporal skull fracture 
-without obvious brain matter visible, however there is 
-disruption of the galea. 
-Extremities: Warm and well perfused.
-
-Neurologic:
-
-Mental Status: Intubated, sedated, unresponsive.
-Orientation: Unable to assess, patient intubated, sedated, 
-unresponsive.
-Language: Unable to assess, patient intubated, sedated, 
-unresponsive.
-
-If Intubated:
-[ ]Cough [ ]Gag [x]Over breathing the ventilator
-
-Cranial Nerves:
-I: Not tested.
-II: Right pupil 3mm and minimally reactive to light. Left pupil 
-5mm and nonreactive to light.
-III, IV, VI: Unable to assess, patient intubated, sedated, 
-unresponsive.
-V, VII: Unable to assess, patient intubated, sedated, 
-unresponsive.
-VIII: Unable to assess, patient intubated, sedated, 
-unresponsive.
-IX, X: Unable to assess, patient intubated, sedated, 
-unresponsive.
-XI: Unable to assess, patient intubated, sedated, unresponsive.
-XII: Unable to assess, patient intubated, sedated, unresponsive.
-
-Motor: Off sedation. Right upper extremity withdraws to noxious. 
-Minimal to no movement of the right lower extremity. Moves left 
-upper and lower extremities spontaneously.
-
-On Discharge:
--------------
-General:
-
-Vital Signs: T 99.4F, HR 99, BP 143/63, RR 17, O2Sat 99% 
-tracheostomy mask
-
-Exam:
-
-Opens Eyes: [ ]Spontaneous [x]To voice - Right eye opens, left
-does not [ ]To noxious
-Orientation: [ ]Person [ ]Place [ ]Time [x]None
-Follows Commands: [ ]Simple [ ]Complex [x]None
-Pupils: Right pupil round, reactive to light. Left pupil round,
-nonreactive to light.
-
-Motor: Right upper extremity briskly withdraws to noxious. Right
-lower extremity moves spontaneously, briskly withdraws to
-noxious. Left upper and lower extremities move spontaneously and
-purposefully, grossly full strength.
-
-Surgical Incision: 
-[x]Clean, dry, intact 
-[x]Sutures 
-[x]Staples
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, General {General examination of patient}, Well nourished {Well nourished}, Intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, Head {Head structure}, Eyes {Structure of eye proper}, Ears {Ear structure}, Nose {Nasal structure}, Throat {Structure of anterior portion of neck}, skull fracture {Fracture of skull}, brain {Brain structure}, disruption {Disruption}, galea {Structure of galea aponeurotica}, Extremities {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Mental Status {Neurological mental status determination}, Intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, Orientation {Finding related to orientation}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, Cough {Cough}, II {Optic nerve structure}, Right pupil {Structure of pupil of right eye}, reactive to light {Finding of pupil reaction to light}, Left pupil {Structure of pupil of left eye}, nonreactive to light {Finding of pupil reaction to light}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, V {Trigeminal nerve structure}, VII {Facial nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, VIII {Vestibulocochlear nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, IX {Glossopharyngeal nerve structure}, X {Vagus nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, XI {Accessory nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, XII {Hypoglossal nerve structure}, intubated {Intubation}, sedated {Sedated}, unresponsive {Unresponsive}, Motor {Motor testing}, sedation {Administration of sedative}, Right upper extremity {Structure of right upper limb}, withdraws to noxious {Responds to pain}, right lower extremity {Structure of right lower limb}, Moves {Does move}, left 
-upper {Structure of left upper limb}, lower extremities {Lower limb structure}, Vital Signs {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2Sat {Oxygen saturation measurement}, tracheostomy {Exteriorization of trachea}, Eyes {Ophthalmic examination and evaluation}, Right eye {Right eye structure}, left {Left eye structure}, Orientation {Finding related to orientation}, Place {Oriented to place}, Time {Oriented to time}, Pupils {Pupil finding}, Right {Structure of pupil of right eye}, pupil round {Pupil round}, reactive to light {Finding of pupil reaction to light}, Left {Structure of pupil of left eye}, pupil round {Pupil round}, nonreactive to light {Finding of pupil reaction to light}, Motor {Motor testing}, Right upper extremity {Structure of right upper limb}, withdraws to noxious {Responds to pain}, Right
-lower extremity {Structure of right lower limb}, moves {Does move}, withdraws to
-noxious {Responds to pain}, Left upper {Structure of left upper limb}, move {Does move}, Surgical Incision {Surgical incision wound}, Clean, dry, intact {Wound healing well}, Sutures {Removal of suture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Please see OMR for relevant laboratory and imaging results.
-
- 
-
-###RESPONSE: imaging {Imaging}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old male with a traumatic brain injury. Patient's 
-injuries included multiple areas of acute extra-axial, 
-subarachnoid, intraparenchymal, and intraventricular hemorrhage 
-with cerebral compression, multiple skull and facial fractures, 
-left clavicular fracture, multiple rib fractures, pulmonary 
-contusion, and hemothorax.
-
-#Traumatic Brain Injury
-Patient was taken to the operating room on ___ for a left 
-craniectomy and right EVD placement. Please see operative report 
-by Dr. ___ further details. Patient was transferred 
-back to the Trauma Intensive Care Unit. The patient's neurologic 
-exam waxed and waned throughout his hospitalization. Patient had 
-a progressive return of spontaneous movement on the left side 
-without significant progression on the right. Right EVD placed 
-in the operating room was subsequently removed on ___. CT 
-of the head on ___ showed external hydrocephalus, and the 
-right EVD was replaced. CT of the head on ___ showed 
-improvement in the patient's external hydrocephalus. Patient 
-returned to the operating room on ___ for a left 
-cranioplasty. Please see operative report by Dr. ___ 
-further details. A subgaleal drain was left in place and 
-subsequently removed on postoperative day two. The right EVD was 
-raised over the course of several days after the left 
-cranioplasty, intracranial pressures remained within expected 
-limits. The right EVD was clamped on ___, and the patient's 
-intracranial pressures remained stable. CT of the head on 
-___ was stable and the right EVD was removed. The patient 
-was started on sodium tablets during this hospitalization for 
-management of sodium, which continue to be weaned as tolerated. 
-The patient was transferred to the floor on ___. On 
-___ the patient's neurologic exam was stable. He was 
-afebrile with stable vital signs, tolerating activity with 
-assistance, tolerating his continuous tube feedings, voiding 
-without difficulty, and his pain was well controlled on enteral 
-pain medications. Patient was discharged to ___ 
-___ on ___ in stable condition.
-
-#Multiple Skull and Facial Fractures
-Plastic Surgery was consulted, and the patient underwent 
-intermaxillary fixation.
-
-#Left Clavicular Fracture
-Left clavicular fracture was nonoperable.
-
-#Respiratory
-Patient had progressive hypoxia on admission and had bilateral 
-chest tubes placed on ___. All chest tubes were 
-subsequently removed. Patient underwent tracheostomy on ___ 
-due to prolonged intubation and was subsequently weaned to a 
-tracheostomy mask. The patient had multiple bronchoscopies 
-during this hospitalization and was treated for a ventilator 
-associated pneumonia with cefepime and vancomycin. The patient 
-was noted to be tachypneic to the high ___ and low ___. A CTA of 
-the chest showed no evidence of pulmonary embolism. A chest 
-x-ray was ordered, which showed bilateral pulmonary effusions, 
-which were stable compared to prior imaging. The patient's 
-respiratory status continued to improve throughout his 
-hospitalization.
-
-#Nutrition
-Patient underwent PEG tube placement on ___ due to 
-prolonged intubation. Nutrition was consulted for tube feeding 
-recommendations. The patient tolerated advancement of his 
-continuous tube feedings to goal. 
-
-#Right Upper Extremity Thomboses
-Patient was found to have a nonocclusive right brachial, basilic 
-thrombus as well as an occlusive right cephalic thrombus. 
-Vascular Surgery consulted for question of a superior vena cava 
-filter, however they recommended conservative treatment. 
-
-#Loose Stools
-Patient had an increase in diarrhea during this hospitalization 
-and was diagnosed with Clostridium difficile colitis. A rectal 
-tube was placed. Vancomycin was started and patient completed 
-the course on ___. Repeat stool sample was negative for 
-Clostridium difficile on ___. Patient continued to have 
-loose stools. Nutrition was consulted and recommended adding 
-banana flakes.
-
-#Buttock Rash
-Antifungal cream was started for a rash on the patient's 
-buttocks.
-
-#Elevated Phosphorus
-Nutrition was consulted and recommended adding Tums for elevated 
-phosphorus. 
-
-#Anemia
-Patient's hemoglobin and hematocrit were monitored closely. They 
-were both low, but remained stable. 
-
-#Elevated PTT
-The patient's PTT was consistently elevated and subcutaneous 
-heparin was held. 
-
-#Disposition
-Physical Therapy and Occupational Therapy were both consulted, 
-and both recommended discharge to rehabilitation.
- 
-
-###RESPONSE: traumatic brain injury {Traumatic brain injury}, injuries {Traumatic or non-traumatic injury}, extra-axial {Cerebral hemorrhage}, subarachnoid {Subarachnoid intracranial hemorrhage}, intraparenchymal {Intraparenchymal hemorrhage of brain}, intraventricular hemorrhage {Ventricular hemorrhage}, cerebral compression {Compression of brain}, multiple skull {Multiple fractures of skull}, facial fractures {Fracture of multiple bones of face}, left clavicular {Bone structure of left clavicle}, fracture {Fracture}, multiple rib fractures {Fracture of multiple ribs}, pulmonary 
-contusion {Contusion of lung}, hemothorax {Hemothorax}, Traumatic Brain Injury {Traumatic brain injury}, left {Structure of left half of head}, craniectomy {Craniectomy}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, placement {Implantation procedure}, Trauma {Traumatic injury}, neurologic 
-exam {Neurological examination}, left {Structure of left half of body}, right {Structure of right half of body}, Right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, placed {Implantation procedure}, removed {Removal}, CT {Computed tomography}, head {Head structure}, external hydrocephalus {External hydrocephalus}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, replaced {Replacement procedure}, CT {Computed tomography}, head {Head structure}, improvement {Patient's condition improved}, external hydrocephalus {External hydrocephalus}, left {Structure of left half of head}, cranioplasty {Repair of bone of skull}, removed {Removal}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, left {Structure of left half of head}, cranioplasty {Repair of bone of skull}, intracranial pressures {Finding of intracranial pressure}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, clamped {Application of clamp}, intracranial pressures {Finding of intracranial pressure}, stable {Patient's condition stable}, CT {Computed tomography}, head {Head structure}, stable {Patient's condition stable}, right {Right cerebral hemisphere structure}, EVD {External drainage procedure from ventricle of brain}, removed {Removal}, neurologic exam {Neurological examination}, stable {Normal vital signs}, afebrile {Fever}, stable vital signs {Normal vital signs}, activity {Finding of functional performance and activity}, tube feedings {Tube feeding of patient}, voiding 
-without difficulty {Normal micturition}, pain was well controlled {Demonstrates adequate pain control}, pain medications {Administration of analgesic}, stable condition {Patient's condition stable}, Multiple Skull {Multiple fractures of skull}, Facial Fractures {Fracture of multiple bones of face}, intermaxillary fixation {Intermaxillary fixation of mandible and maxilla}, Left Clavicular {Bone structure of left clavicle}, Fracture {Fracture}, Left clavicular {Bone structure of left clavicle}, fracture {Fracture}, Respiratory {Examination of respiratory system}, hypoxia {Hypoxia}, chest tubes placed {Insertion of pleural tube drain}, chest tubes {Insertion of pleural tube drain}, removed {Removal}, tracheostomy {Exteriorization of trachea}, intubation {Intubation}, tracheostomy {Exteriorization of trachea}, bronchoscopies {Bronchoscopy}, ventilator 
-associated pneumonia {Ventilator-acquired pneumonia}, tachypneic {Tachypnea}, CTA {Computed tomography angiography with contrast}, chest {Plain chest X-ray}, no evidence {No abnormality detected}, pulmonary embolism {Pulmonary embolism}, chest 
-x-ray {Plain chest X-ray}, bilateral pulmonary {Both lungs}, effusions {Pleural effusion}, stable {Patient's condition stable}, imaging {Imaging}, respiratory {Structure of respiratory system}, Nutrition {Nutritional finding}, PEG tube placement {Percutaneous endoscopic insertion of gastrostomy tube}, intubation {Intubation}, Nutrition {Nutritional finding}, tube feeding {Tube feeding of patient}, tube feedings {Tube feeding of patient}, Right Upper Extremity {Structure of right upper limb}, Thomboses {Thrombus}, nonocclusive {Partial obstruction}, right brachial {Structure of right brachial vein}, basilic {Structure of basilic vein}, thrombus {Thrombus}, occlusive {Complete obstruction}, right cephalic {Structure of right cephalic vein}, thrombus {Thrombus}, Vascular Surgery {Vascular surgery procedure}, superior vena cava {Superior vena cava structure}, Loose Stools {Loose stool}, diarrhea {Diarrhea}, Clostridium difficile colitis {Clostridium difficile colitis}, rectal 
-tube was placed {Insertion of tube into rectum}, stool sample {Collection of stool specimen}, loose stools {Loose stool}, Nutrition {Nutritional finding}, Buttock {Buttock structure}, Rash {Eruption of skin}, rash {Eruption of skin}, buttocks {Buttock structure}, Elevated Phosphorus {Increased phosphorus diet}, Nutrition {Nutritional finding}, elevated 
-phosphorus {Increased phosphorus diet}, Anemia {Anemia}, hemoglobin {Hemoglobin finding}, hematocrit {Hematocrit determination}, stable {Patient's condition stable}, Elevated PTT {Partial thromboplastin time increased}, PTT was consistently elevated {Partial thromboplastin time increased}, heparin {Heparin therapy}, Physical Therapy {Physical therapy procedure}, Occupational Therapy {Occupational therapy}, rehabilitation {Rehabilitation therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-This Preadmission Medication List may be inaccurate and requires 
-further investigation.
-1. buprenorphine-naloxone (8mg-2mg) one tablet sublingual twice 
-daily 
- 
-Discharge Medications:
-1. Acetaminophen (Liquid) 325-650 mg PO Q6H:PRN Pain - Mild 
-Please do not take more than 3000mg in 24 hours.  
-2. Calcium Carbonate 500 mg PO QID  
-3. Famotidine 20 mg PO BID  
-4. Ketoconazole 2%  1 Appl TP BID Duration: 28 Doses  
-5. Labetalol 200 mg PO BID 
-Hold for HR < 55 or SBP < 90.  
-6. OxyCODONE (Immediate Release) ___ mg PO Q6H:PRN Pain - 
-Moderate  
-7. Ramelteon 8 mg PO QHS 
-Should be given 30 minutes before bedtime.  
-8. Sarna Lotion 1 Appl TP QID:PRN Dry skin  
-9. Sodium Chloride 1 gm PO BID 
-Goal normonatremia, wean as tolerated.  
-10. Tamsulosin 0.4 mg PO QHS  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-- traumatic brain injury with multiple areas of acute 
-extra-axial, subarachnoid, intraparenchymal, and 
-intraventricular hemorrhage with cerebral compression
-- multiple skull and facial fractures
-- external hydrocephalus 
-- left clavicular fracture
-- multiple rib fractures
-- pulmonary contusion
-- hemothorax
-- nonocclusive right brachial, basilic thrombus
-- occlusive right cephalic thrombus
-- Clostridium difficile colitis 
-
- 
-Discharge Condition:
-Mental Status: Confused, always.
-Level of Consciousness: Lethargic, but arousable.
-Activity Status: Out of bed with assistance to chair or 
-wheelchair.
-
- 
-
-###RESPONSE: traumatic brain injury {Traumatic brain injury}, extra-axial {Cerebral hemorrhage}, subarachnoid {Subarachnoid intracranial hemorrhage}, intraparenchymal {Intraparenchymal hemorrhage of brain}, intraventricular hemorrhage {Ventricular hemorrhage}, cerebral compression {Compression of brain}, multiple skull {Multiple fractures of skull}, facial fractures {Fracture of multiple bones of face}, external hydrocephalus {External hydrocephalus}, left clavicular {Fracture of multiple bones of face}, fracture {Fracture}, multiple rib fractures {Fracture of multiple ribs}, pulmonary contusion {Contusion of lung}, hemothorax {Hemothorax}, nonocclusive {Partial obstruction}, right brachial {Structure of right brachial vein}, basilic {Structure of basilic vein}, thrombus {Thrombus}, occlusive {Complete obstruction}, right cephalic {Structure of right cephalic vein}, thrombus {Thrombus}, Clostridium difficile colitis {Clostridium difficile colitis}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Lethargic {Lethargy}, Activity Status {Physical functional dependency}, Out of bed with assistance {Difficulty getting off a bed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Surgery:
-• You underwent a surgery called a craniectomy. A portion of 
-your skull was removed to allow your brain to swell. 
-• You also underwent surgery to have your skull bone (or an 
-artificial bone) placed back on. 
-• Please keep your sutures and staples along your incision dry 
-until they are removed.
-• It is best to keep your incision open to air but it is ok to 
-cover it when outside. 
-• Call your surgeon if there are any signs of infection like 
-fever, redness, or drainage. 
-
-Activity:
-• We recommend that you avoid heavy lifting, running, climbing, 
-or other strenuous exercise until your follow-up appointment.
-• You make take leisurely walks and slowly increase your 
-activity at your own pace once you are symptom free at rest. 
-___ try to do too much all at once.
-• No driving while taking any narcotic or sedating medication. 
-• If you experienced a seizure while admitted, you are NOT 
-allowed to drive by law. 
-• No contact sports until cleared by your neurosurgeon. You 
-should avoid contact sports for six months. 
-
-Medications:
-• Please do NOT take any blood thinning medication (aspirin, 
-Coumadin, ibuprofen, Plavix) until cleared by the neurosurgeon. 
-• You may use acetaminophen (Tylenol) for minor discomfort if 
-you are not otherwise restricted from taking this medication.
-
-What You ___ Experience:
-• You may have difficulty paying attention, concentrating, and 
-remembering new information.
-• Emotional and/or behavioral difficulties are common. 
-• Feeling more tired and restlessness, irritability, and mood 
-swings are also common.
-• You may also experience some postoperative swelling around 
-your face and eyes. This is normal after surgery and most 
-noticeable on the second and third day of surgery. You may apply 
-ice or a cool or warm washcloth to your eyes to help with the 
-swelling. The swelling will be its worst in the morning after 
-laying flat from sleeping but should decrease when up. 
-• You may experience soreness with chewing. This is normal from 
-the surgery and will improve with time. Softer foods may be 
-easier during this time. 
-• Constipation is common. Be sure to drink plenty of fluids and 
-eat a high fiber diet. If you are taking narcotics (prescription 
-pain medications), try an over the counter stool softener.
-
-Headaches:
-• Headache is one of the most common symptoms after a traumatic 
-brain injury. 
-• Most headaches are not dangerous but you should call your 
-doctor if the headache gets worse, if you have increased 
-sleepiness, if you develop arm or leg weakness, and/or if you 
-have nausea or vomiting with a headache. 
-• Mild pain medications may be helpful with these headaches but 
-avoid taking pain medications on a daily basis unless prescribed 
-by your doctor. 
-• There are other things that can be done to help with your 
-headaches, including avoiding caffeine, getting enough sleep, 
-daily exercise, relaxation/meditation, massage, acupuncture, and 
-ice or heat packs. 
-
-More Information About Traumatic Brain Injuries:
-• You were given information about headaches after a traumatic 
-brain injury and the impact that a traumatic brain injury can 
-have on your family.
-• If you would like to read more about other topics such as 
-fatigue, balance, cognitive problems, sleeping, seizures, 
-driving, emotional problems, depression, sexuality after a 
-traumatic brain injury, and/or return to school or work, please 
-ask our staff for this information or visit 
-___.
-
-When To Call Your Doctor At ___:
-• Severe pain, redness, swelling, or drainage from the incision 
-site. 
-• Fever greater than 101.5 degrees Fahrenheit
-• Nausea and/or vomiting
-• Extreme sleepiness and not being able to stay awake
-• Severe headaches not relieved by pain relievers
-• Seizures
-• Any new problems with your vision or ability to speak
-• Weakness or changes in sensation in your face, arms, or legs
-
-Call ___ And Go To The Nearest Emergency Department If You 
-Experience Any Of The Following:
-• Sudden numbness or weakness in the face, arms, or legs
-• Sudden confusion or trouble speaking or understanding
-• Sudden trouble walking, dizziness, or loss of balance or 
-coordination
-• Sudden severe headaches with no known reason
- 
-
-###RESPONSE: Surgery {Surgical procedure}, surgery {Surgical procedure}, craniectomy {Craniectomy}, skull {Bone structure of cranium}, removed {Removal}, brain {Brain structure}, swell {Swelling}, surgery {Surgical procedure}, skull {Bone structure of cranium}, sutures {Removal of suture}, incision {Incision}, removed {Removal of dressing}, incision {Incision}, signs of infection {Monitoring for signs and symptoms of infection}, fever {Fever}, redness {Redness of skin over lesion}, drainage {Discharge}, lifting {Does lift}, running {Does run}, climbing {Does climb}, strenuous exercise {Physical activity target strenuous exercise}, walks {Does walk}, activity {Functional activity education}, seizure {Seizure}, tired {Tired}, restlessness {Restlessness}, irritability {Feeling irritable}, mood 
-swings {Mood swings}, swelling {Swelling}, face {Face structure}, eyes {Structure of eye proper}, after surgery {Postoperative state}, surgery {Surgical procedure}, eyes {Structure of eye proper}, swelling {Swelling}, swelling {Swelling}, sleeping {Asleep}, soreness {Soreness}, surgery {Surgical procedure}, Constipation {Constipation}, high fiber diet {High residue diet}, narcotics {Narcotherapy}, pain medications {Administration of analgesic}, stool softener {Administration of laxative}, Headache {Headache}, traumatic 
-brain injury {Traumatic brain injury}, headaches {Headache}, headache {Headache}, sleepiness {Drowsy}, arm {Monoparesis - arm}, leg weakness {Monoparesis of lower limb}, nausea {Nausea}, vomiting {Vomiting}, headache {Headache}, Mild {Symptom mild}, pain medications {Administration of analgesic}, headaches {Headache}, pain medications {Administration of analgesic}, headaches {Headache}, exercise {Exercises}, relaxation {Relaxation training therapy}, meditation {Transcendental meditation therapy}, massage {Massage physiotherapy}, acupuncture {Acupuncture}, ice {Cold pack treatment}, heat packs {Thermotherapy with hot packs}, headaches {Headache}, traumatic 
-brain injury {Traumatic brain injury}, traumatic brain injury {Traumatic brain injury}, fatigue {Fatigue}, cognitive problems {Impaired cognition}, sleeping {Asleep}, seizures {Seizure}, emotional problems {Emotional problems}, depression {Depressive disorder}, sexuality {Finding related to sexual state}, traumatic brain injury {Traumatic brain injury}, Severe pain {Severe pain}, redness {Redness of skin over lesion}, swelling {Swelling}, drainage {Discharge}, incision 
-site {Surgical incision wound}, Fever {Fever}, Nausea {Nausea}, vomiting {Vomiting}, sleepiness {Drowsy}, awake {Awake}, headaches {Headache}, pain relievers {Administration of analgesic}, Seizures {Seizure}, problems with your vision {Abnormal vision}, ability to speak {Difficulty using language}, Weakness {Asthenia}, changes in sensation {Altered sensation of skin}, face {Face structure}, arms {Upper limb structure}, legs {Lower limb structure}, numbness {Numbness}, weakness {Asthenia}, face {Face structure}, arms {Upper limb structure}, legs {Lower limb structure}, confusion {Clouded consciousness}, walking {Does walk}, dizziness {Dizziness}, loss of balance {Unable to balance}, coordination {Finding related to coordination / incoordination}, headaches {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Gatifloxacin / Penicillins / Ciprofloxacin / Bactrim
- 
-Attending: ___.
- 
-Chief Complaint:
-Nausea and vomiting
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Gatifloxacin {Allergy to fluoroquinolone}, Penicillins {Allergy to penicillin}, Ciprofloxacin {Allergy to ciprofloxacin}, Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Nausea and vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with a history of diabetes (thought to be type I) and 
-chronic ___ erythema who presents with nausea vomiting without 
-abdominal pain for the past day. Pateint reports she began 
-vomiting this am and in total has had 4 episodes of non bloody 
-vomiting in addition to loose stools and dysuria. She denies 
-associated chest pain, fevers, chills or shortness of breath. 
-She has not been able to tolerate oral intake at home. She 
-additionally notes an associated HA with photophobia starting 
-this am. Of note the patient also has a history of frequent 
-UTIs. She has been checking blood sugars at home and states they 
-have been in the 150s throughout the day.  
-Initial VS in the ED:97.2 79 ___ 93% Exam notable for 
-bilateral ___ edema and eryhtema with chronic skin changes 
-consistent with venous stasis. Labs notable for BG of 455, AG of 
-16 and trop negative x 2. VBG was 7.42/34/70. UA showed ketones 
-of 10 in addition to > 182 WBC, 17 RBC, moderate bacteria and 
-moderate nitrites. Head CT was negative for acute process. 
-Patient was given vanco for cellulitis, ctx for UTI. She was 
-started on IVF (received 3 L total). She was given 8 units IB 
-insulin and BG fell to 25. She was therefore given D50 with 
-increase to 417. In terms of blood pressure control she was 
-given her home losartan 50 mg with improvment in BP to systolics 
-of 160. VS prior to transfer: 77 167/62 16 99%.  
-
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, erythema {Erythema}, nausea vomiting {Nausea and vomiting}, abdominal pain {Abdominal pain}, vomiting {Vomiting}, bloody 
-vomiting {Hematemesis}, loose stools {Loose stool}, dysuria {Dysuria}, chest pain {Chest pain}, fevers {Fever}, chills {Chill}, shortness of breath {Dyspnea}, able to tolerate oral intake {Tolerating oral fluid}, HA {Headache}, photophobia {Photophobia}, frequent 
-UTIs {Recurrent urinary tract infection}, blood sugars {Glucose measurement, blood}, VS {Vital signs finding}, Exam {Physical examination procedure}, edema {Edema}, eryhtema {Erythema}, skin changes {Skin appearance abnormal}, venous stasis {Venous stasis}, Labs {Laboratory test}, UA {Urinalysis}, moderate bacteria {Bacteriuria}, Head CT {Computed tomography of head}, cellulitis {Cellulitis}, UTI {Urinary tract infectious disease}, IVF {Administration of intravenous fluids}, VS {Vital signs finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. DM2: insulin-dependent may be Type 1  
--followed by ___  
--c/b recurrent ulcers, urosepsis  
--Charcot deformity  
-2. s/p amputation of L ___ & ___ toe  
-3. chronic ulcer of R pretibia  
-4. hx of MRSA foot ___  
-5. HTN  
-6. PVD  
-7. hypercholesterolemia  
-8. Anemia, ? ACD, baseline low ___  
-9. Hematemesis in ___ thought to be ___ small ___, 
-EGD ulcer in GE junction  
-
- 
-
-###RESPONSE: DM2 {Diabetes mellitus type 2}, Type 1 {Diabetes mellitus type 1}, ulcers {Ulcer}, urosepsis {Sepsis due to urinary tract infection}, Charcot deformity {Charcot's arthropathy}, amputation of L ___ & ___ toe {Amputated toe of left foot}, chronic ulcer of R pretibia {Chronic ulcer of skin of lower leg}, MRSA {Methicillin resistant Staphylococcus aureus infection}, foot {Structure of left foot}, HTN {Hypertensive disorder, systemic arterial}, PVD {Peripheral vascular disease}, hypercholesterolemia {Hypercholesterolemia}, Anemia {Anemia}, Hematemesis {Hematemesis}, EGD ulcer {Gastrointestinal ulcer}, GE junction {Cardioesophageal junction structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother had DM2, died of diabetes related coma  
-Father has DM2, still alive  
-Several family members on paternal side with DM2  
-No FH of CAD, MI, or cancer.
- 
-
-###RESPONSE: DM2 {Diabetes mellitus type 2}, died {Dead}, diabetes related coma {Coma due to diabetes mellitus}, DM2 {Diabetes mellitus type 2}, alive {Alive}, DM2 {Diabetes mellitus type 2}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, cancer {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission 
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:  
-Vitals: T: 98.2 BP: 191/110 P: 89 R:20 O2: 96% RA  
-General: Alert, oriented, appears mildly uncomfortable  
-HEENT: Sclera anicteric, dry mucous membranes, oropharynx clear  
-
-Neck: supple, JVP not elevated, no LAD  
-Lungs: Clear to auscultation bilaterally  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding  
-Ext: Warm, erythma of the shins bilaterally, bilateral peeling 
-scaling, several toes amputated.  
-Neuro: CN II-XII, strength ___, sensation in tact to light touch 
- 
-
-Discharge Physical Exam:
-T 97.6 BP 170/65 (150-194/65-91) HR 86 RR 20 O2 sat 98% FSG @ 
-0600 160 (61-267)
-GEN: Alert, oriented, no acute distress  
-HEENT: NCAT MMM EOMI sclera anicteric, OP clear, poor dentition  
-
-NECK: supple, no JVD, no LAD  
-PULM: Good aeration, CTAB no wheezes, rales, ronchi  
-CV: RRR normal S1/S2, no mrg  
-ABD: soft obese NT ND normoactive bowel sounds, no r/g, no 
-suprapubic tenderness, no CVA tenderness  
-EXT: Erythema in lower extremities bilaterally with peeling 
-skin, no purulent drainage. Left toes amputated. No edema, 
-thready DP pulses.
-NEURO: CNs2-12 intact, motor function grossly normal, sensation 
-grossly intact 
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, P {Finding of pulse rate}, R {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous membranes {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, erythma {Erythema}, shins {Shin structure}, peeling {Peeling of skin}, scaling {Scaly skin}, toes amputated {Amputation of toe}, Neuro {Neurological examination}, CN II-XII {Normal central nervous system}, sensation in tact to light touch {Normal sensation}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, GEN {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, NCAT {Normal head}, MMM {Moist oral mucosa}, EOMI {Normal ocular motility}, sclera anicteric {White sclera}, OP clear {Pharynx normal}, poor dentition {Impaired dentition}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1/S2 {Heart sounds normal}, no mrg {Heart sounds normal}, ABD {Examination of abdomen}, soft {Abdomen soft}, obese {Obese}, NT {Abdominal tenderness}, ND {Normal abdominal contour}, normoactive bowel sounds {Normal bowel sounds}, suprapubic tenderness {Suprapubic pain}, CVA tenderness {Renal angle tenderness}, EXT {Examination of limb}, Erythema {Erythema}, lower extremities {Lower limb structure}, peeling 
-skin {Peeling of skin}, purulent drainage {Purulent discharge from wound}, Left toes amputated {Amputated toe of left foot}, edema {Edema}, DP pulses {Dorsalis pulse present}, NEURO {Neurological examination}, CNs2-12 intact {Normal nervous system function}, motor function grossly normal {Normal motor response to command}, sensation 
-grossly intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission:
-___ 06:00PM BLOOD WBC-10.3 RBC-4.99# Hgb-15.5# Hct-47.3# 
-MCV-95 MCH-31.1 MCHC-32.9 RDW-13.6 Plt ___
-___ 06:00PM BLOOD Neuts-91.0* Lymphs-5.9* Monos-2.6 Eos-0.1 
-Baso-0.4
-___ 06:00PM BLOOD ___ PTT-22.7* ___
-___ 06:00PM BLOOD Glucose-445* UreaN-31* Creat-1.4* Na-136 
-K-4.9 Cl-99 HCO3-20* AnGap-22*
-___ 06:00PM BLOOD ALT-12 AST-25 AlkPhos-113* TotBili-0.6
-___ 06:00PM BLOOD Albumin-4.2
-___ 10:52PM BLOOD Osmolal-313*
-___ 06:14PM BLOOD pO2-70* pCO2-34* pH-7.42 calTCO2-23 Base 
-XS--1 Comment-GREEN TOP
-___ 06:14PM BLOOD Lactate-3.2*
-
-Discharge:
-___ 07:55AM BLOOD WBC-7.7# RBC-4.17* Hgb-12.8 Hct-39.6 
-MCV-95 MCH-30.7 MCHC-32.3 RDW-13.7 Plt ___
-___ 07:55AM BLOOD ___ PTT-26.7 ___
-___ 07:55AM BLOOD Glucose-168* UreaN-24* Creat-1.3* Na-138 
-K-4.7 Cl-107 HCO3-22 AnGap-14
-___ 07:55AM BLOOD Calcium-7.8* Phos-3.0 Mg-2.0
-___ 11:44AM BLOOD Lactate-2.4*
-___ 11:44AM BLOOD ___ pO2-90 pCO2-54* pH-7.27* 
-calTCO2-26 Base XS--2 Comment-GREEN TOP
-___ 10:52PM BLOOD CK-MB-5 cTropnT-<0.01
-___ 06:00PM BLOOD cTropnT-<0.01
-
-Microbiology:
-___ and ___ Blood Cultures: Pending
-___ Urine Culture: Negative
-___ Urinalysis: Large leukocytes, positive nitrite, >182 WBC, 
-17 RBC, moderate bacteria
-
-Imaging:
-___ CCR: Limited, with mild cardiomegaly and no definite signs 
-of 
-pneumonia or overt CHF. 
-___ CT Head: No acute intracranial process.  Sinus disease in 
-the right 
-sphenoid sinus. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, pH {pH measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Blood Cultures {Blood culture}, Urine Culture {Urine culture}, Urinalysis {Urinalysis}, Large leukocytes {Leukocytes in urine}, positive nitrite {Nitrite detected in urine}, moderate bacteria {Bacteriuria}, cardiomegaly {Cardiomegaly}, pneumonia {Pneumonia}, CHF {Congestive heart failure}, CT Head {Computed tomography of head}, intracranial {Intracranial structure}, Sinus disease {Disorder of nasal sinus}, right 
-sphenoid sinus {Right sphenoid sinus structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Brief Course:
-___ yo female with hx of likely type I diabetes presents with 
-nausea and vomiting, found to have elevated blood glucose to 455 
-and anion gap in the setting of UTI. Patient's blood sugars were 
-controlled and her anion gap resolved with subcutaneous insulin 
-and IV fluids. She was treated for her UTI with IV ceftriaxone 
-and discharged on oral cefuroxime.
- 
-Active Issues:
-# DKA: Patient presented with elevated blood glucose, increased 
-anion gap, and ketones in urine reflective of some degree of 
-DKA. UTI is most likely precipitant. Patient recieved 8 units of 
-IV insulin and was transitioned to subcutaneous insulin regimen 
-which was taylored per ___ recommendations. Her electrolytes 
-were monitored and repleated as necessary and her anion gap 
-closed. She received IV fluids and was able to tolerated po. 
-Patient's blood glucose stabilized and she was discharged on her 
-home insulin regimen.
- 
-# Hypertensive emergency: Patient presented with elevated blood 
-pressures to 200 systolic. She had a headache on admission 
-concerning for some level of end organ ischemia, which resolved 
-with blood pressure control. Patient maintained good urine 
-output with stable creatinine. Head CT negative. Trop negative x 
-2, EKG without evidence of ischemic changes. Patient was 
-continued on her home antihypertensive medication and required 2 
-prn doses of 12.5 mg captopril.
-  
-# UTI: Patient with grossly positive UA and leukocytosis, 
-although urine culture was negative. Patient has history of UTI 
-with culture growing pan sensitive proteus and ecoli. She was 
-initially treated with IV ceftriaxone then transitioned to oral 
-cefuroxime for total 10 day course, given her multiple 
-medication allergies and history of frequent UTIs.
-
-# Lower extremity erythema: Per patient lower extremity edema 
-currently at baseline. No obvious signs of cellulitis. Likely 
-combination of venous stasis dermatitis and arterial 
-insufficiency. Patient will fo home with ___ for wound care and 
-dressing changes.
-  
-Inactive Issue: 
-# CKD: Creatinine was below baseline (1.5-1.8). 
-
-Transitional Issues:
-1. Code Status: FULL
-2. Communication: Patient
-3. Medication changes: 
--START Cefuroxime for UTI
-4. Follow up: PCP
-5. Pending studies: Blood cultures
- 
-
-###RESPONSE: type I diabetes {Diabetes mellitus type 1}, nausea and vomiting {Nausea and vomiting}, elevated blood glucose {Glucose level above reference range}, UTI {Urinary tract infectious disease}, blood sugars {Glucose measurement, blood}, subcutaneous insulin {Subcutaneous injection of insulin}, IV fluids {Administration of intravenous fluids}, UTI {Urinary tract infectious disease}, DKA {Ketoacidosis due to diabetes mellitus}, elevated blood glucose {Glucose level above reference range}, increased 
-anion gap {Increased anion gap}, ketones in urine {Ketonuria}, DKA {Ketoacidosis due to diabetes mellitus}, UTI {Urinary tract infectious disease}, subcutaneous insulin {Subcutaneous injection of insulin}, regimen {Therapeutic regimen}, electrolytes 
-were monitored {Electrolyte monitoring}, anion gap 
-closed {Reduced anion gap}, IV fluids {Administration of intravenous fluids}, able to tolerated po {Tolerating oral fluid}, blood glucose stabilized {Blood glucose within reference range}, insulin regimen {Insulin regime}, Hypertensive emergency {Hypertensive emergency}, elevated blood 
-pressures {Finding of increased blood pressure}, headache {Headache}, ischemia {Ischemia}, urine 
-output {Finding of measures of urine output}, stable creatinine {Creatinine clearance-glomerular filtration within reference range}, Head CT {Computed tomography of head}, Trop {Troponin measurement}, EKG {Electrocardiographic procedure}, without evidence of ischemic changes {Electrocardiogram: no myocardial ischemia}, antihypertensive medication {Antihypertensive therapy}, UTI {Urinary tract infectious disease}, UA {Urinalysis}, leukocytosis {Leukocytosis}, urine culture was negative {Urine culture - no growth}, UTI {Urinary tract infectious disease}, culture {Microbial culture}, medication allergies {Allergy to drug}, frequent UTIs {Recurrent urinary tract infection}, Lower extremity {Lower limb structure}, erythema {Erythema}, lower extremity edema {Edema of lower extremity}, cellulitis {Cellulitis}, venous stasis dermatitis {Stasis dermatitis of lower limb due to chronic peripheral venous hypertension}, arterial 
-insufficiency {Arterial insufficiency}, wound care {Wound care}, dressing changes {Change of dressing}, CKD {Chronic kidney disease}, Creatinine was below baseline {Creatine kinase below reference range}, UTI {Urinary tract infectious disease}, Blood cultures {Blood culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Preadmissions medications listed are incomplete and require 
-futher investigation.  Information was obtained from 
-PatientwebOMR.
-1. Vitamin D 50,000 UNIT PO MONTHLY 
-2. Nortriptyline 150 mg PO HS 
-3. Rosuvastatin Calcium 20 mg PO DAILY 
-4. Losartan Potassium 50 mg PO DAILY 
-5. Pantoprazole 40 mg PO Q24H 
-6. Hydrochlorothiazide 25 mg PO DAILY 
-7. Detemir 70 Units Bedtime
-
- 
-Discharge Medications:
-1. Hydrochlorothiazide 25 mg PO DAILY 
-2. Losartan Potassium 50 mg PO DAILY 
-3. Nortriptyline 150 mg PO HS 
-4. Pantoprazole 40 mg PO Q24H 
-5. Rosuvastatin Calcium 20 mg PO DAILY 
-6. Vitamin D 50,000 UNIT PO MONTHLY 
-7. cefUROXime axetil *NF* 500 mg Oral BID Duration: 8 Days 
-RX *cefuroxime axetil 500 mg 1 tablet(s) by mouth twice a day 
-Disp #*16 Tablet Refills:*0
-8. Detemir 70 Units Bedtime
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:  Diabetic ketoacidosis
-          UTI
-          Dehydration
-          CKD
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Diabetic ketoacidosis {Ketoacidosis due to diabetes mellitus}, UTI {Urinary tract infectious disease}, Dehydration {Dehydration}, CKD {Chronic kidney disease}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you at ___. You were admitted 
-for nausea and vomiting, and your blood sugars were found to be 
-very high and you were in DKA. We were able to control your 
-blood sugar level with insulin and your nausea and vomiting 
-improved.
-
-You were also suspected to have a urinary tract infection which 
-we treating with antibiotics.
-
-Please make the following changes to your medications:
-START Cefuroxime for your UTI
- 
-
-###RESPONSE: nausea and vomiting {Nausea and vomiting}, blood sugars {Glucose measurement, blood}, DKA {Ketoacidosis due to diabetes mellitus}, nausea and vomiting {Nausea and vomiting}, improved {Patient's condition improved}, urinary tract infection {Urinary tract infectious disease}, antibiotics {Antibiotic therapy}, UTI {Urinary tract infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Enbrel / Methotrexate / Ampicillin
- 
-Attending: ___
- 
-Chief Complaint:
-chest and arm pain
- 
-Major Surgical or Invasive Procedure:
-___ CABG x6(LIMA-LAD,SVG-OM2-D2-D1,SVG-OM1,SVG-PDA)
-
- 
-
-###RESPONSE: Methotrexate {Allergy to methotrexate}, Ampicillin {Allergy to ampicillin}, chest {Chest pain}, arm pain {Pain in upper limb}, CABG {Coronary artery bypass grafting}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, OM2 {Structure of second obtuse marginal branch of circumflex branch of left coronary artery}, D2 {Structure of second diagonal branch of anterior descending branch of left coronary artery}, D1 {Structure of first diagonal branch of anterior descending branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, PDA {Structure of posterior descending coronary artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old female who presented to ___ yesterday 
-with substernal chest pain radiating to her left arm that woke 
-her from sleep. She reports these symptoms have been occurring 
-intermittently over the last one month. At
-___ she ruled out for MI per enzymes. Stress test 
-showed small LV apex ischemia and mild inferior wall basal 
-hypokinesis, EF 57%. She was transferred to ___ for cardiac 
-catheterization and further evaluation. She was found to have 
-three vessel disease upon cardiac catheterization and is now
-being referred to cardiac surgery for revascularization. 
-
- 
-
-###RESPONSE: substernal chest pain {Retrosternal pain}, radiating to her left arm {Pain radiating to left arm}, MI {Myocardial infarction}, Stress test {Electrocardiogram with exercise test}, LV apex {Structure of apex of left ventricle}, ischemia {Ischemia}, inferior wall {Structure of myocardium of inferior surface of left ventricle}, hypokinesis {Behavior showing reduced motor activity}, cardiac 
-catheterization {Cardiac catheterization}, evaluation {Evaluation procedure}, three vessel disease {Triple vessel disease of the heart}, cardiac catheterization {Cardiac catheterization}, revascularization {Heart revascularization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hypertension
-Dyslipidemia
-Tobacco abuse (currently smoking 1 PPD)
-Peripheral artery disease
-Hypothyroid
-Anxiety
-Depression
-Osteoporosis
-Rheumatoid arthritis
-Psoriasis
-Lupus (remote)
-C-diff (___)
-Past Surgical History:
-Choleysectomy
-Bilateral Cataract
-
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Tobacco abuse {Tobacco dependence syndrome}, smoking {Smoker}, Peripheral artery disease {Peripheral arterial disease}, Hypothyroid {Hypothyroidism}, Anxiety
-Depression {Mixed anxiety and depressive disorder}, Osteoporosis {Osteoporosis}, Rheumatoid arthritis {Rheumatoid arthritis}, Psoriasis {Psoriasis}, Lupus {Lupus erythematosus}, Choleysectomy {Cholecystectomy}, Bilateral Cataract {Bilateral cataracts}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Premature coronary artery disease- non contributory
-
- 
-
-###RESPONSE: coronary artery disease {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Pulse:67 Resp:18  O2 sat:99/RA
-B/P  Right:158/103    Left:155/88
-Height:5'5""     Weight:64.3 kgs
-
-General: NAD
-Skin: Dry [x] intact [x]
-HEENT: PERRLA [x] EOMI []
-Neck:  Supple [x] Full ROM [x] MMM
-Chest: Lungs clear bilaterally [x]
-Heart: RRR [x]  Irregular []  Murmur -none
-Abdomen: Soft [x] non-distended [x] non-tender [x] +BS [x]
-Extremities: Warm x[], well-perfused [x]  Edema none
- rash bilat upper and lower legs, red/dry/puritic w/ecoriated
-ankles and feet
-Varicosities: None [x]
-Neuro: Grossly intact [x] A&O x3, MAE, nonfocal exam
-Pulses:
-Femoral      Right: 2+ Left: 2+
-DP           Right: dop  Left: dop
-___           Right: dop  Left: dop
-Radial       Right: cath  Left: 2+
-
-Carotid Bruit  none
-
- 
-
-###RESPONSE: Pulse {Finding of pulse rate}, Resp {Examination of respiratory system}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, B/P {Blood pressure finding}, Right {Right upper arm structure}, Left {Left upper arm structure}, Weight {Weight finding}, General {General examination of patient}, NAD {No abnormality detected}, Skin {Examination of skin}, Dry {Xeroderma}, intact {Intact skin}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal range of cervical spine movement}, MMM {Moist oral mucosa}, Chest {Examination of respiratory system}, Lungs {Examination of respiratory system}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, Irregular {Irregular heart beat}, Murmur {Heart murmur}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, +BS {Normal bowel sounds}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Edema {Edema}, rash {Eruption of skin}, upper {Upper limb structure}, lower legs {Lower limb structure}, dry {Xeroderma}, puritic {Pruritic disorder of skin}, ecoriated {Excoriation of skin}, ankles {Ankle region structure}, feet {Foot structure}, Varicosities {Venous varices}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, A {Mentally alert}, O x3 {Oriented to person, time and place}, MAE {Does move all four limbs}, Femoral {Structure of femoral artery}, DP {Structure of dorsalis pedis artery}, Radial {Structure of radial artery}, Right {Structure of right radial artery}, cath {Cardiac catheterization}, Left: 2 {Normal radial pulse}, Carotid Bruit {Carotid bruit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ECHO ___
-Prebypass:
-The left atrium is normal in size. No thrombus is seen in the 
-left atrial appendage. There is mild symmetric left ventricular 
-hypertrophy. There is mild global left ventricular systolic 
-dysfunction with estimated Ejection Fraction 50-55%. Right 
-ventricular chamber size and free wall motion are normal. There 
-are simple atheroma in the ascending aorta. There are complex 
-(>4mm) atheroma in the aortic arch, maximum dimension 0.8 cm. 
-There are simple atheroma in the descending thoracic aorta. The 
-aortic valve leaflets (3) appear structurally normal with good 
-leaflet excursion and no aortic stenosis or aortic 
-regurgitation. The mitral valve appears structurally normal with 
-trivial mitral regurgitation. There is no pericardial effusion. 
-Dr. ___ was notified in person of the results on 
-___ at 1400. 
-Postbypass:
-The patient is AV paced on epinephrine, phenylephrine, 
-norepinephrine & vasopressin infusions. There is moderate mitral 
-regurgitation. There is mild tricuspid regurgitation. The 
-remaining valves are unchanged. Biventricular function is 
-maintained on multiple agents. There is biatrial enlargement and 
-bowing of the interatrial septum L->R. The aorta is intact.
-Prior to chest closure, biventricular function remains intact on 
-only norepinephrine & vasopressin infusions. The tricuspid 
-regurgitation is trace to mild. The mitral regurgitation is now 
-mild to moderate.  
-
-___ 04:44AM BLOOD WBC-9.5 RBC-2.90* Hgb-8.8* Hct-25.3* 
-MCV-87 MCH-30.4 MCHC-34.7 RDW-13.2 Plt ___
-___ 04:29AM BLOOD WBC-10.6 RBC-2.97* Hgb-8.8* Hct-26.1* 
-MCV-88 MCH-29.7 MCHC-33.8 RDW-13.2 Plt ___
-___ 02:53PM BLOOD WBC-11.4* RBC-3.35* Hgb-9.8* Hct-29.4* 
-MCV-88 MCH-29.3 MCHC-33.4 RDW-13.2 Plt ___
-___ 04:44AM BLOOD Glucose-88 UreaN-16 Creat-0.7 Na-130* 
-K-4.2 Cl-95* HCO3-25 AnGap-14
-___ 04:29AM BLOOD Glucose-90 UreaN-14 Creat-0.6 Na-126* 
-K-4.6 Cl-95* HCO3-27 AnGap-9
-___ 02:53PM BLOOD Glucose-121* UreaN-10 Creat-0.6 Na-127* 
-K-4.4 Cl-94* HCO3-25 AnGap-12
-___ 10:58AM BLOOD Glucose-102* Na-129* K-3.9 Cl-96
- 
-
-###RESPONSE: ECHO {Echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, thrombus {Thrombus}, left atrial appendage {Structure of left auricular appendage}, mild symmetric left ventricular 
-hypertrophy {Mild left ventricular hypertrophy}, left ventricular systolic 
-dysfunction {Left ventricular systolic dysfunction}, Right 
-ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, atheroma {Atheroma}, ascending aorta {Ascending aorta structure}, atheroma {Atheroma}, aortic arch {Aortic arch structure}, atheroma {Atheroma}, descending thoracic aorta {Structure of descending thoracic aorta}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, aortic 
-regurgitation {Aortic valve regurgitation}, mitral valve appears structurally normal {Mitral valve normal}, trivial mitral regurgitation {Mild mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, moderate mitral 
-regurgitation {Moderate mitral valve regurgitation}, mild tricuspid regurgitation {Mild tricuspid valve regurgitation}, Biventricular {Cardiac ventricular structure}, biatrial {Atrial structure}, enlargement {Enlargement}, interatrial septum {Interatrial septum structure}, aorta {Aortic structure}, chest {Thoracic structure}, closure {Reparative closure}, biventricular {Cardiac ventricular structure}, infusions {Infusion}, tricuspid 
-regurgitation is trace to mild {Mild tricuspid valve regurgitation}, mitral regurgitation is now 
-mild {Mild mitral valve regurgitation}, moderate {Moderate mitral valve regurgitation}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the hospital and brought to the 
-operating room on ___ where the patient underwent urgent 
-coronary artery bypass graft times six.  Left internal mammary 
-artery to left anterior descending artery and saphenous vein 
-grafts to posterior descending artery, obtuse marginal 1 and 2, 
-and diagonal 1 and 2, and Endoscopic harvesting of the long 
-saphenous vein.  See operative note for full deatils. Overall 
-the patient tolerated the procedure well and post-operatively 
-was transferred to the CVICU in stable condition for recovery 
-and invasive monitoring. Post-operative day one found the 
-patient extubated, alert and oriented and breathing comfortably. 
-Initially she had no underlying rhythm and remained DDD paced. 
-The electrophysiology service was consulted.  Lopressor was 
-initiated once the patient regained her rhythm and she was 
-tolerating beta blockers with a rate in the 80's.  The patient 
-was neurologically intact and hemodynamically stable on no 
-inotropic or vasopressor support. She was gently diuresed toward 
-the preoperative weight.  The patient was transferred to the 
-telemetry floor for further recovery.  Mediastinal chest tubes 
-were removed and the pleural chest tube stayed in an additional 
-day due to an air leak.  After the pleural chest tube was on 
-waterseal for greater than ___ hours with a small stable 
-left pneumothorax, pleural chest tube was pulled. Follow up 
-chest radiograph showed small stable left pneumothorax. Pacing 
-wires were discontinued without complication on post-operative 
-day four. The patient was evaluated by the physical therapy 
-service for assistance with strength and mobility.  By the time 
-of discharge on post-operative day six the patient was 
-ambulating freely, the wound was healing and pain was controlled 
-with oral analgesics.  The patient was discharged to ___ 
-Rehab in good condition with appropriate follow up instructions.
- 
-
-###RESPONSE: coronary artery bypass graft {Coronary artery bypass grafting}, Left internal mammary 
-artery {Structure of left internal thoracic artery}, left anterior descending artery {Structure of anterior descending branch of left coronary artery}, saphenous vein 
-grafts {Arterial bypass using vein graft}, posterior descending artery {Structure of posterior descending branch of right coronary artery}, obtuse marginal 1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, 2 {Structure of second obtuse marginal branch of circumflex branch of left coronary artery}, diagonal 1 {Structure of first diagonal branch of anterior descending branch of left coronary artery}, 2 {Structure of second diagonal branch of anterior descending branch of left coronary artery}, long 
-saphenous vein {Great saphenous vein structure}, stable condition {Patient's condition stable}, Post-operative {Postoperative state}, extubated {Removal of endotracheal tube}, alert {Mentally alert}, oriented {Oriented to person}, breathing comfortably {Breathing easily}, neurologically intact {Normal nervous system function}, hemodynamically stable {Hemodynamically stable}, vasopressor support {Vasopressor therapy}, diuresed {Diuretic therapy}, telemetry {Cardiac telemetry}, Mediastinal chest tubes 
-were removed {Removal of tube from mediastinum}, left pneumothorax {Left pneumothorax}, pleural chest tube was pulled {Intercostal drain removal}, chest radiograph {Plain chest X-ray}, left pneumothorax {Left pneumothorax}, ambulating {Fully mobile}, wound was healing {Wound healing well}, pain was controlled 
-with oral analgesics {Demonstrates adequate pain control}, instructions {Education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Preadmission medications listed are correct and complete.  
-Information was obtained from webOMR.
-1. Atenolol 150 mg PO DAILY 
-2. Enalapril Maleate 20 mg PO BID 
-3. Hydrochlorothiazide 25 mg PO DAILY 
-4. Levothyroxine Sodium 100 mcg PO DAILY 
-5. Rosuvastatin Calcium 20 mg PO DAILY 
-6. Diazepam 5 mg PO Q12H:PRN anxiety 
-7. Carbamazepine 400 mg PO DAILY 
-8. Nortriptyline 200 mg PO HS 
-9. Aspirin 81 mg PO DAILY 
-10. Calcium Carbonate 500 mg PO QID:PRN reflux 
-11. Fluocinonide 0.05% Cream 1 Appl TP BID:PRN prn 
-
- 
-Discharge Medications:
-1. Albuterol-Ipratropium ___ PUFF IH Q6H 
-2. Aspirin 81 mg PO DAILY 
-3. Carbamazepine 400 mg PO DAILY 
-4. Enalapril Maleate 10 mg PO BID 
-Hold for sbp<100 
-5. Levothyroxine Sodium 100 mcg PO DAILY 
-6. Nortriptyline 200 mg PO HS 
-7. Rosuvastatin Calcium 20 mg PO DAILY 
-8. Clopidogrel 75 mg PO DAILY 
-poor grafts 
-9. Fluticasone Propionate 110mcg 2 PUFF IH BID 
-10. Metoprolol Tartrate 12.5 mg PO BID 
-Hold for HR < 55 or SBP < 90 and call medical provider. 
-11. Ranitidine 150 mg PO BID 
-12. TraMADOL (Ultram) 50 mg PO Q6H:PRN pain 
-RX *tramadol 50 mg one tablet(s) by mouth every six hours Disp 
-#*40 Tablet Refills:*0
-13. Calcium Carbonate 500 mg PO QID:PRN reflux 
-14. Fluocinonide 0.05% Cream 1 Appl TP BID:PRN prn 
-15. Insulin SC 
-      Sliding Scale
-
-Fingerstick QACHS
-Insulin SC Sliding Scale using REG Insulin
-16. Diazepam 5 mg PO Q12H:PRN anxiety 
-17. Furosemide 40 mg PO DAILY Duration: 1 Weeks 
-18. Potassium Chloride 40 mEq PO DAILY Duration: 1 Weeks 
-Hold for K >4.5 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-coronary artery disease, Hypertension, Dyslipidemia, 
-Tobacco(currently 1 PPD), Peripheral artery disease, 
-Hypothyroid, Anxiety, Depression, Osteoporosis,  
-Rheumatoid arthritis, Psoriasis, Lupus(remote), ___, 
-Choleysectomy, Bilateral Cataract  
-
- 
-Discharge Condition:
-Alert and oriented x3 nonfocal 
-Ambulating with steady gait 
-Incisional pain managed with Ultram
-Incisions: 
-Sternal - healing well, no erythema or drainage 
-Leg Left - healing well, no erythema or drainage. 
-Trace Edema bilaterally
- 
-
- 
-
-###RESPONSE: coronary artery disease {Coronary arteriosclerosis}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Tobacco {Tobacco dependence syndrome}, Peripheral artery disease {Peripheral arterial disease}, Hypothyroid {Hypothyroidism}, Osteoporosis {Osteoporosis}, Rheumatoid arthritis {Rheumatoid arthritis}, Psoriasis {Psoriasis}, Lupus {Lupus erythematosus}, Choleysectomy {Cholecystectomy}, Bilateral Cataract {Bilateral cataracts}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, steady gait {Gait normal}, Incisional {Surgical incision wound}, pain {Pain}, Incisions {Surgical incision wound}, Sternal {Wound of structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Wound discharge}, Leg Left {Structure of left lower leg}, healing well {Wound healing well}, erythema {Erythema}, drainage {Wound discharge}, Edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please shower daily including washing incisions gently with mild 
-soap, no baths or swimming until cleared by surgeon. Look at 
-your incisions daily for redness or drainage
-Please NO lotions, cream, powder, or ointments to incisions 
-Each morning you should weigh yourself and then in the evening 
-take your temperature, these should be written down on the chart 
-
-No driving for approximately one month and while taking 
-narcotics, will be discussed at follow up appointment with 
-surgeon when you will be able to drive 
-No lifting more than 10 pounds for 10 weeks
-Please call with any questions or concerns ___
-Females: Please wear bra to reduce pulling on incision, avoid 
-rubbing on lower edge
-**Please call cardiac surgery office with any questions or 
-concerns ___. Answering service will contact on call 
-person during off hours**
-
- 
-
-###RESPONSE: incisions {Surgical incision wound}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incisions {Surgical incision wound}, incision {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Abdominal pain
- 
-Major Surgical or Invasive Procedure:
-ERCP: single stone in CBD removed + sphincterotomy.
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, Abdominal pain {Abdominal pain}, ERCP {Endoscopic retrograde cholangiopancreatography}, stone in CBD {Common bile duct calculus}, removed + sphincterotomy {Endoscopic sphincterotomy of sphincter of Oddi and removal of calculus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-HPI:This is a ___ yo male who was transfered from ___ today where he was admitted on  ___ for abdominal
-discomfort, vomiting and substernal chest pain. The patient has 
-a
-history of ischemic cardiomyopathy (EF:20%), Coronary artery
-disease and atrial fibrillation. He spiked a fever on the day of
-admission, blood cultures were obtained and  yielded 
-pansensitive
-E.coli. Repeated liver funtion tests showed an increase of total
-bilirubin (2.7 > 5.4) LFT's ( AST 52>343, ALT 33> 269). A RUQ
-ultrasound  didn't yield any evicence of gallstones, no intra or
-extrahepatic dilation. HIDA scan was performed on ___ and
-showed non-opacification of the gallbladder, consitant with 
-acute
-cholecystitis. He was transferred to the ___ today for further
-evaluation and treatment.
- 
-
-###RESPONSE: abdominal
-discomfort {Abdominal discomfort}, vomiting {Vomiting}, substernal chest pain {Retrosternal pain}, ischemic cardiomyopathy {Generalized ischemic myocardial dysfunction}, Coronary artery
-disease {Coronary arteriosclerosis}, atrial fibrillation {Atrial fibrillation}, fever {Fever}, blood cultures {Blood culture}, liver funtion tests {Hepatic function panel}, total
-bilirubin {Bilirubin, total measurement}, RUQ {Structure of right upper quadrant of abdomen}, ultrasound {Ultrasonography of abdomen}, gallstones {Gallbladder calculus}, intra {Intrahepatic biliary tract structure}, dilation {Dilatation}, HIDA scan {Radionuclide imaging of liver and/or biliary tract using radioactive isotope}, gallbladder {Gallbladder structure}, acute
-cholecystitis {Acute cholecystitis}, evaluation {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Cardiomyopathy with EF of 20%, Atrial fibrillation,
-hypertension, hyperlipidemia, h/o ventricular tachycardia, 
-status
-post ICD placement, CAD, compensated congested heart failure,
-status post aortobi-iliac stent graft placement in ___, h/o
-renal lesion, presumed cacinoma, treated conservatively in the
-past, h/o prostate cancer
- 
-
-###RESPONSE: Cardiomyopathy {Cardiomyopathy}, Atrial fibrillation {Atrial fibrillation}, hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, ventricular tachycardia {Ventricular tachycardia}, ICD placement {Automatic defibrillator procedure}, CAD {Coronary arteriosclerosis}, congested heart failure {Congestive heart failure}, stent graft placement {Insertion of arterial stent}, renal {Kidney structure}, lesion {Lesion}, cacinoma {Carcinoma}, prostate cancer {Carcinoma of prostate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: 97.2 HR 81 BP 94/68 RR 18 Sat 100% RA 
-General: awake and alert
-HEENT: no cervical or supraclavicular adenopathy noted, 
-Skin:dry
-CV: regular rhythm, II/VI SEM
-Lungs: CTA bilaterally
-Abdomen: soft, +BS, non-tender, no rebound/guarding
-Extremities: warm,no edema
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, awake {Awake}, alert {Mentally alert}, HEENT {Physical examination procedure}, cervical {Cervical lymphadenopathy}, supraclavicular adenopathy {Supraclavicular lymphadenopathy}, Skin {Examination of skin}, dry {Xeroderma}, CV {Cardiovascular physical examination}, regular rhythm {Normal sinus rhythm}, SEM {Ejection murmur}, Lungs {Examination of respiratory system}, CTA {Normal breath sounds}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, +BS {Normal bowel sounds}, non-tender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Extremities {Examination of limb}, warm {Warm skin}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 04:40AM BLOOD WBC-6.2 RBC-4.20* Hgb-13.1* Hct-40.3 
-MCV-96 MCH-31.2 MCHC-32.5 RDW-13.7 Plt ___
-___ 06:35AM BLOOD ___ PTT-34.3 ___
-___ 06:50AM BLOOD Glucose-124* UreaN-35* Creat-1.6* Na-137 
-K-4.1 Cl-98 HCO3-27 AnGap-16
-___ 06:50AM BLOOD ALT-47* AST-23 AlkPhos-271* TotBili-2.7*
-___ 06:50AM BLOOD Calcium-9.3 Phos-3.7 Mg-2.5
-
-ERCP ___
-Impression: Cannulation of the biliary duct was successful and 
-deep with a sphincterotome using a free-hand technique. 
-Periampullary diverticulum. 
-A single 1 cm round stone that was causing partial obstruction 
-was seen at the middle third of the common bile duct.  A 
-successful biliary sphincterotomy was performed in the 12 
-o'clock position using a sphincterotome over an existing 
-guidewire.  A biliary balloon sphincteroplasty was performed. A 
-12mm balloon was introduced for dilation successfully.  The 
-stone was extracted successfully using a balloon catheter. 
-Occlusion cholangiogram revealed no residual filling defects. 
-The cystic duct was dilated and widely patent. Partial 
-pancreatogram was normal.   
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, ERCP {Endoscopic retrograde cholangiopancreatography}, Cannulation {Cannulation}, biliary duct {Bile duct structure}, Periampullary diverticulum {Diverticulum of peri-ampullary tissue of hepatopancreatic ampulla}, stone {Calculus}, partial obstruction {Partial obstruction}, common bile duct {Common bile duct structure}, biliary sphincterotomy {Endoscopic incision of sphincter of Oddi}, dilation {Dilatation}, stone was extracted {Extraction of calculus of biliary tract}, Occlusion {Complete obstruction}, cholangiogram {Cholangiogram}, filling defects {Filling defect}, cystic duct {Cystic duct structure}, dilated {Dilatation}, pancreatogram {Pancreatic contrast procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the General Surgical Service for 
-evaluation and treatment. On ___ the patient underwent ERCP 
-and were able to extract a CBD stone and performed a 
-sphincterotomy and sphincteroplasty which went well without 
-complication (reader referred to the Operative Note for 
-details). The patient arrived on the floor NPO, on IV fluids and 
-antibiotics. The patient was hemodynamically stable.
-
-Neuro: The patient did not have any complaints of pain on 
-arrival to the floor.
-
-CV: The patient remained stable from a cardiovascular 
-standpoint; vital signs were routinely monitored.
-
-Pulmonary: The patient remained stable from a pulmonary 
-standpoint; vital signs were routinely monitored. Good pulmonary 
-toilet, early ambulation and incentive spirrometry were 
-encouraged throughout hospitalization.
-
-GI/GU/FEN: Post-operatively, the patient was made NPO with IV 
-fluids. Diet was advanced when appropriate, which was well 
-tolerated. Patient's intake and output were closely monitored, 
-and IV fluid was adjusted when necessary. 
-
-ID: The patient's white blood count and fever curves were 
-closely watched for signs of infection. He did have a urine 
-culture that showed enterococcus ___. ID was curbsided 
-and they did not recommend antibiotics for treatment. Repeat UA 
-x 2 was negative. They suspect that it is colinization of the 
-UT. He was also on Zosyn for the ERCP. 
-
-Endocrine: The patient's blood sugar was monitored throughout 
-his stay.
-
-Hematology: The patient's complete blood count was examined 
-routinely; no transfusions were required.
-
-Prophylaxis: The patient received subcutaneous heparin and 
-venodyne boots were used during this stay; was encouraged to get 
-up and ambulate as early as possible.
-
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs. The patient was tolerating a regular 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled. The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
-
- 
-
-###RESPONSE: General Surgical Service {Admission to surgical department}, evaluation {Evaluation procedure}, ERCP {Endoscopic retrograde cholangiopancreatography}, CBD {Common bile duct structure}, stone {Extraction of calculus of biliary tract}, sphincterotomy {Endoscopic incision of sphincter of Oddi}, Operative {Surgical procedure}, NPO {Nil by mouth}, IV fluid {Administration of intravenous fluids}, antibiotics {Antibiotic therapy}, hemodynamically stable {Hemodynamically stable}, Neuro {Neurological examination}, pain {Pain}, CV {Cardiovascular physical examination}, stable {Patient's condition stable}, cardiovascular {Cardiovascular physical examination}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Pulmonary {Examination of respiratory system}, stable {Patient's condition stable}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, pulmonary 
-toilet {Airway toilet}, incentive spirrometry {Incentive spirometry}, GI {Examination of digestive system}, GU {Examination of genitourinary system}, NPO {Nil by mouth}, IV 
-fluids {Administration of intravenous fluids}, Diet {Dietary finding}, intake and output {Measuring intake and output}, IV fluid {Administration of intravenous fluids}, white blood count {White blood cell count}, fever {Fever}, signs of infection {Monitoring for signs and symptoms of infection}, urine 
-culture {Urine culture}, antibiotics {Antibiotic therapy}, UA {Urinalysis}, UT {Structure of urinary tract proper}, ERCP {Endoscopic retrograde cholangiopancreatography}, blood sugar {Glucose measurement, blood}, complete blood count {Complete blood count}, transfusions {Transfusion}, Prophylaxis {Preventive procedure}, afebrile {Fever}, stable vital signs {Normal vital signs}, regular 
-diet {Normal diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}, follow-up {Follow-up arranged}, instructions {Patient education}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-(updated per documented OSH record ___
-Coumadin 4mg PO daily (on hold)
-Coreg 12.5mg po BID
-Amiodarone 200mg PO BID
-Trazodone 50 mg po QHS
-Nitro-patch 0.4mg/Hr TD overnight only
-Lasix 80 mg po dialy
-Spironolactone 12.5mg PO daily
-Digoxin 0.125 po daily
-Zocor 20mg PO QHS
-Colace 100mg PO BID
-Milk of Magnesia prn
-Zofran prn
-Morphine 2 to 4 mg q3h prn
-
- 
-Discharge Medications:
-1. Carvedilol 12.5 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-2. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-3. Simvastatin 10 mg Tablet Sig: Two (2) Tablet PO HS (at 
-bedtime).  
-4. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-5. Furosemide 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-6. Spironolactone 25 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 
- 
-7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-8. Trazodone 50 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) 
-as needed for insomnia.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Choledocholithiasis
-
- 
-Discharge Condition:
-Mental Status:Clear and coherent
-Level of Consciousness:Alert and interactive
-Activity Status:Ambulatory - Independent
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Choledocholithiasis {Gallbladder and bile duct calculi}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call your doctor or nurse practitioner or return to the 
-Emergency Department for any of the following:
-
-*You experience new chest pain, pressure, squeezing or 
-tightness.
-*New or worsening cough, shortness of breath, or wheeze.
-*If you are vomiting and cannot keep down fluids or your 
-medications.
-*You are getting dehydrated due to continued vomiting, diarrhea, 
-or other reasons. Signs of dehydration include dry mouth, rapid 
-heartbeat, or feeling dizzy or faint when standing.
-*You see blood or dark/black material when you vomit or have a 
-bowel movement.
-*You experience burning when you urinate, have blood in your 
-urine, or experience a discharge.
-*Your pain is not improving within ___ hours or is not gone 
-within 24 hours. Call or return immediately if your pain is 
-getting worse or changes location or moving to your chest or 
-back.
-*You have shaking chills, or fever greater than 101.5 degrees 
-Fahrenheit or 38 degrees Celsius.
-*Any change in your symptoms, or any new symptoms that concern 
-you.
-
-Please resume all regular home medications , unless specifically 
-advised not to take a particular medication. Also, please take 
-any new medications as prescribed.
-
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids. Avoid lifting 
-weights greater than ___ lbs until you follow-up with your 
-surgeon, who will instruct you further regarding activity 
-restrictions.
-
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-
-Please follow-up with your surgeon and Primary Care Provider 
-(PCP) as advised.
-
- 
-
-###RESPONSE: chest pain {Chest pain}, pressure {Tight chest}, squeezing {Squeezing chest pain}, tightness {Tight chest}, cough {Cough}, shortness of breath {Dyspnea}, wheeze {Wheezing}, vomiting {Vomiting}, medications {Medication education}, dehydrated {Dehydration}, vomiting {Vomiting}, diarrhea {Diarrhea}, Signs {Sign}, dehydration {Dehydration}, dry mouth {Xerostomia}, rapid 
-heartbeat {Tachycardia}, dizzy {Dizziness}, faint {Feeling faint}, standing {Orthostatic body position}, blood or dark/black material when you vomit {Vomit contains blood}, bowel movement {Hematochezia}, burning {Burning sensation}, urinate {Micturition finding}, blood in your 
-urine {Blood in urine}, discharge {Discharge}, pain {Pain}, pain {Pain}, chest {Thoracic structure}, back {Structure of back of trunk}, shaking {Tremor}, chills {Chill}, fever {Fever}, medications {Medication education}, medication {Medication education}, medications {Medication education}, Avoid lifting 
-weights {Functional activity education}, follow-up {Follow-up arranged}, activity 
-restrictions {Functional activity education}, while taking pain 
-medications {Patient medication education}, follow-up {Follow-up arranged}, PCP {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-ulcerative colitis
- 
-Major Surgical or Invasive Procedure:
-___ ileostomy takedown
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, ulcerative colitis {Ulcerative colitis}, ileostomy takedown {Closure of ileostomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-A ___ man who previously underwent
-abdominal colectomy, laparoscopic proctectomy, and diverting
-loop ileostomy, J pouch on ___.  The pouch study was normal. 
- Risks
-and benefits included, but not limited to, infection,
-bleeding, leak, need for more procedures were discussed.  The
-patient understood and agreed.
- 
-
-###RESPONSE: colectomy {Excision of colon}, laparoscopic {Laparoscopic procedure}, proctectomy {Resection of rectum}, loop ileostomy {Creation of loop ileostomy}, J pouch {J pouch}, normal {No abnormality detected}, infection {Infectious disease}, bleeding {Bleeding}, leak {Anastomosis, leaking}, procedures {Procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH:
-Ulcerative Colitis
-
-PSH:
-Lap colectomy w/ end ileostomy (___)
- 
-
-###RESPONSE: Ulcerative Colitis {Ulcerative colitis}, Lap colectomy w/ end ileostomy {Laparoscopic total colectomy and ileostomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-M: CAD, HLD
-Maternal GM: RA
-DM in father's side of family
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, HLD {Hyperlipidemia}, RA {Rheumatoid arthritis}, DM {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-NAD
-CV: RRR
-Resp: nl breathing effort
-GI: inc c/d/i, ND, NT, soft
- 
-
-###RESPONSE: NAD {No abnormality detected}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Resp {Examination of respiratory system}, nl breathing {Normal respiratory function}, GI {Examination of digestive system}, ND {Swollen abdomen}, NT {Abdominal tenderness}, soft {Abdomen soft}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course Template:  
-Mr ___ presented to ___ holding at ___ on ___ for 
-a ileostomy takedown. He tolerated the procedure well without 
-complications (Please see operative note for further details). 
-After a brief and uneventful stay in the PACU, the patient was 
-transferred to the floor for further post-operative management.  
-
-On ___, the patient was discharged to home. At discharge, 
-he was tolerating a regular diet, passing flatus, stooling, 
-voiding, and ambulating independently. He will follow-up in the 
-clinic in ___ weeks. This information was communicated to the 
-patient directly prior to discharge.  
-Include in Brief Hospital Course for Every Patient and check of 
-boxes that apply:  
-Post-Surgical Complications During Inpatient Admission:  
-[x] None  
-Social Issues Causing a Delay in Discharge:  
-[x] No social factors contributing in delay of discharge.  
-
- 
-
-###RESPONSE: ileostomy takedown {Closure of ileostomy}, procedure {Surgical procedure}, operative {Surgical procedure}, PACU {Postanesthesia care}, post-operative management {Postoperative care}, regular diet {Normal diet}, passing flatus {Passing flatus}, stooling {Able to defecate}, voiding {Normal micturition}, ambulating independently {Independent walking}, follow-up {Follow-up arranged}, clinic {Outpatient care management}, Post-Surgical Complications {Postoperative complication}, social factors {Social factor}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-None
- 
-Discharge Medications:
-1. Acetaminophen 1000 mg PO Q8H:PRN pain 
-do not take more than 3000mg of Tylenol or drink alcohol  
-RX *acetaminophen 500 mg 2 tablet(s) by mouth every eight (8) 
-hours Disp #*50 Tablet Refills:*0
-2. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-do not drink alcohol or drive a car while taking 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every four (4) hours 
-Disp #*30 Tablet Refills:*0
-3. Tamsulosin 0.4 mg PO QHS 
-please take for 5 more days at home 
-RX *tamsulosin 0.4 mg 1 capsule(s) by mouth at bedtime Disp #*5 
-Capsule Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Ileostomy Takedown
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Ileostomy Takedown {Closure of ileostomy}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital after an ileostomy takedown. 
-You have recovered from this procedure well and you are now 
-ready to return home. You have tolerated a regular diet, passing 
- 
-gas and your pain is controlled with pain medications by mouth. 
-You may return home to finish your recovery.  
- 
-Please monitor your bowel function closely. You may or may not 
-have had a bowel movement prior to your discharge which is 
-acceptable, however it is important that you have a bowel 
-movement in the next ___ days. After anesthesia it is not 
-uncommon for patient’s to have some decrease in bowel function 
-but your should not have prolonged constipation. Some loose 
-stool and passing of small amounts of dark, old appearing blood 
-are expected however, if you notice that you are passing bright 
-red blood with bowel your please seek medical attention. If you 
-are passing loose stool without improvement please call the 
-office or go to the emergency room if the symptoms are severe. 
-If you are taking narcotic pain medications there is a risk that 
-you will have some constipation. Please take an over the counter 
-stool softener such as Colace, and if the symptoms does not 
-improve call the office. It is also not uncommon after an 
-ileostomy takedown to have frequent loose stools until you are 
-taking more regular food however this should improve.  
-The muscles of the sphincters have not been used in quite some 
-time and you may experience urgency or small amounts of 
-incontinence however this should improve. If you do not show 
-improvement in these symptoms within ___ days please call the 
-office for advice. Occasionally, patients will need to take a 
-medication to slow their bowel movements as their bodies adjust 
-to the new normal without an ileostomy, you should consult with 
-our office for advice. If you have any of the following symptoms 
-please call the office for advice or go to the emergency room if 
- 
-severe: increasing abdominal distension, increasing abdominal 
-pain, nausea, vomiting, inability to tolerate food or liquids, 
-prolonged loose stool, or constipation.  
- 
-You have a small wound where the old ileostomy once was. This 
-should be covered with a dry sterile gauze dressing. The wound 
-no longer requires packing with gauze packing strip. Please  
-monitor the incision for signs and symptoms of infection 
-including: increasing redness at the incision, opening of the 
-incision, increased pain at the incision line, draining of 
-white/green/yellow/foul smelling drainage, or if you develop a 
-fever. Please call the office if you develop these symptoms or 
-go to the emergency room if the symptoms are severe. You may  
-shower, let the warm water run over the wound line and pat the 
-area dry with a towel, do not rub. Please apply a new gauze 
-dressing after showering.  
- 
-No heavy lifting for at least 6 weeks after surgery unless 
-instructed otherwise by your surgical team. You may gradually 
-increase your activity as tolerated but clear heavy exercise 
-with your surgical team.
- 
-You will be prescribed a small amount of the pain medication 
-oxycodone. Please take this medication exactly as prescribed. 
-You may take Tylenol as recommended for pain. Please do not take 
-more than 3000mg of Tylenol daily. Do not drink alcohol while 
-taking narcotic pain medication or Tylenol. Please do not drive 
-a car while taking narcotic pain medication.  
- 
-Thank you for allowing us to participate in your care! Our hope 
-is that you will have a quick return to your life and usual 
-activities. Good luck! 
- 
-
- 
-
-###RESPONSE: ileostomy takedown {Closure of ileostomy}, recovered from this procedure well {Good recovery following surgery}, ready to return {Ready for discharge}, regular diet {Normal diet}, passing 
- 
-gas {Passing flatus}, pain {Pain}, pain medications {Administration of analgesic}, by mouth {Administration of drug or medicament via oral route}, monitor your bowel function {Monitoring bowel motility}, bowel movement {Able to defecate}, bowel 
-movement {Able to defecate}, anesthesia {Administration of anesthesia}, decrease in bowel function {Altered bowel function}, constipation {Constipation}, loose 
-stool {Loose stool}, dark {Dark stools}, old appearing blood {Melena}, bright 
-red blood {Hematochezia}, bowel {Intestinal structure}, seek medical attention {Recommendation to seek attention}, loose stool {Loose stool}, improvement {Patient's condition improved}, emergency {Emergency treatment}, taking narcotic pain medications {Narcotics education}, constipation {Constipation}, take an over the counter 
-stool softener {Administration of laxative}, ileostomy takedown {Closure of ileostomy}, loose stools {Loose stool}, e regular food {Normal diet}, muscles of the sphincters {Structure of sphincter ani muscle}, urgency {Urgent desire for stool}, small {Symptom mild}, incontinence {Incontinence of feces}, improvement {Patient's condition improved}, medication {Administration of drug or medicament}, bowel movements {Altered bowel function}, ileostomy {Ileostomy - stoma}, emergency {Emergency treatment}, abdominal distension {Swollen abdomen}, abdominal 
-pain {Abdominal pain}, nausea, vomiting {Nausea and vomiting}, inability to tolerate food or liquids {Nausea and vomiting}, loose stool {Loose stool}, constipation {Constipation}, wound {Wound}, ileostomy {Ileostomy operation}, sterile gauze dressing {Application of dressing, sterile}, wound {Wound}, packing {Packing of wound}, packing {Packing of wound}, 
-monitor {Monitoring for signs and symptoms of infection}, incision {Surgical incision wound}, signs {Sign}, infection {Local infection of wound}, redness {Redness of skin over lesion}, incision {Surgical incision wound}, incision {Surgical incision wound}, increased pain {Increased pain}, incision {Surgical incision wound}, draining {Wound discharge}, drainage {Wound discharge}, fever {Fever}, emergency {Emergency treatment}, shower {Functional activity education}, wound {Wound}, dressing {Application of dressing}, No heavy lifting {Functional activity education}, after surgery {Postoperative state}, activity as tolerated {Education about increasing activity tolerance}, t clear heavy exercise {Functional activity education}, Please take this medication exactly as prescribed {Patient medication education}, pain {Pain}, do not take {Patient medication education}, Do not drink alcohol {Education about alcohol consumption}, while 
-taking narcotic pain medication {Narcotics education}, Please do not drive 
-a car {Patient medication education}, while taking narcotic pain medication {Narcotics education}, activities {Finding of functional performance and activity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___            ___ No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: UROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Metastatic colon cancer to left ureter
- 
-Major Surgical or Invasive Procedure:
-Left nephroureterectomy
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Metastatic colon cancer {Metastatic carcinoma to colon}, left ureter {Metastatic malignant neoplasm to ureter}, Left {Left kidney structure}, nephroureterectomy {Nephroureterectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Dear Doctors:
-
-I had the pleasure of seeing our mutual patient, Ms. ___, today at the ___ in
-followup.  I performed cystoscopy on her today after a urine
-cytology demonstrated malignant cells consistent with colon
-cancer.  I had previously counseled her and seen her regarding
-her positive PET scan, which demonstrated a potential tumor in
-the left ureter.  However, she has a history of a completely
-obstructed left upper tract.  Therefore, I did not expect to see
-a positive urine cytology if she was indeed completely 
-obstructed
-and the only disease was in her ureter.  I, therefore, brought
-her back for a cystoscopy to evaluate her bladder to make sure
-that there were no additional tumors in her bladder.
-
-I performed flexible cystoscopy today, which is dictated
-separately.  It turns out that she does have a tumor in her
-bladder, near her left ureteral orifice.  This was pedunculated
-in nature, and had appearance similar to transitional cell
-carcinoma, although I could not make a diagnosis visually.  I 
-did
-take a small biopsy of it for histologic diagnosis and 
-cauterized
-the biopsy defect.
-
-This is a surprising finding, but it is a good thing that we
-evaluated the bladder, for we were planning left
-nephroureterectomy, and this would have been an unexpected
-finding.  Depending on what the histology shows, this will have
-different implications for her prognosis and for the future
-treatment plan.
-
-For example, if this is colon cancer, then a left
-nephroureterectomy with a larger bladder cuff, encompassing this
-tumor could be a reasonable treatment, as there is no other
-obvious site of disease.  If this is TCC, then this is a
-different story and I would not be able to fully explain her
-elevated CEA.  She would likely still need removal of this
-bladder tumor as well as left kidney and ureter, but her
-prognosis would likely be different, and we would have to look
-for other sites of disease.  I will bring her back in two weeks
-for a revisit and discussion of the biopsy results, and we will
-have a conversation then about what this implies and what we can
-do for her going forward.  Dr. ___ was present in clinic
-today, so I did show him the results of the cystoscopy visually,
-and we are in agreement in regards to the plan going forward.
-
-Thank you very much again for allowing me to participate in her
-care, and please feel free to contact me with any questions or
-concerns that you may have.
-
-Sincerely,
-
-___ MD, ___
- 
-
-###RESPONSE: cystoscopy {Transurethral cystoscopy}, urine
-cytology {Urine cytology}, malignant cells {Tumor cells, malignant}, colon
-cancer {Malignant neoplasm of colon}, PET scan {Positron emission tomography}, tumor {Tumor finding}, left ureter {Structure of left ureter}, obstructed {Obstruction}, upper tract {Structure of upper urinary system}, positive {Detected by cytology}, urine cytology {Urine cytology}, obstructed {Obstruction}, disease {Disease}, ureter {Ureteric structure}, cystoscopy {Transurethral cystoscopy}, bladder {Urinary bladder structure}, tumors in her bladder {Neoplasm of bladder}, flexible cystoscopy {Flexible cystoscopy}, tumor in her
-bladder {Neoplasm of bladder}, left ureteral orifice {Structure of left ureteral orifice}, transitional cell
-carcinoma {Transitional cell carcinoma}, biopsy {Biopsy}, biopsy {Biopsy}, bladder {Urinary bladder structure}, left {Left kidney structure}, nephroureterectomy {Nephroureterectomy}, colon cancer {Malignant neoplasm of colon}, left {Left kidney structure}, nephroureterectomy {Nephroureterectomy}, TCC {Transitional cell carcinoma of bladder}, elevated CEA {Carcinoembryonic antigen above reference range}, removal {Removal}, bladder tumor {Neoplasm of bladder}, left kidney {Laceration of left kidney}, ureter {Ureteric structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Stage I (pT1 pN0 cM0) sigmoid colon adenocarcinoma in ___  
-- Stage IIA (pT3 pN0 cM0) rectosigmoid colon adenoCA ___  
-intact IHC for MLH1, MSH2, MSH6, and PMS2; microsatellite stable 
-(MSS) by PCR; KRAS wild-type, BRAF wild-type  
--obesity  
--asthma  
-- HTN  
-- lipomatosis  
-- depression  
-SurgHx:  
-___ surgical history, in addition to the two colectomies, by 
-her report includes a cesarean section and possible bilateral 
-salpingo-oophorectomies. She also states that she underwent a 
-benign breast biopsy in the 1980s. I could find no record of the 
-pelvic surgery or any breast surgery by operative note or 
-pathology.  
- 
-
-###RESPONSE: sigmoid colon adenocarcinoma {Adenocarcinoma of sigmoid colon}, rectosigmoid colon {Rectosigmoid structure}, adenoCA {Malignant adenomatous neoplasm}, obesity {Obesity}, asthma {Asthma}, HTN {Hypertensive disorder, systemic arterial}, lipomatosis {Lipomatosis}, depression {Depressive disorder}, colectomies {Excision of colon}, cesarean section {Cesarean section}, bilateral 
-salpingo-oophorectomies {Excision of bilateral fallopian tubes and ovaries}, breast biopsy {Biopsy of breast}, pelvic {Structure of pelvis}, surgery {Surgical procedure}, breast {Breast structure}, surgery {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-___ family history is significant for her father who had a 
-laryngeal cancer, but was a heavy smoker. She has two children 
-who are well. There are no other family members with colon 
-cancer, sarcoma or any other malignancy that she was aware of. 
- 
-
-###RESPONSE: laryngeal cancer {Malignant tumor of larynx}, smoker {Smoker}, colon 
-cancer {Malignant neoplasm of colon}, sarcoma {Sarcoma}, malignancy {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-NAD
-WWP
-No respiratory distress
-Abdomen S, appropriately TTP, ND, incision c/d/i with staples
-No focal deficits
- 
-
-###RESPONSE: NAD {No abnormality detected}, WWP {Normal tissue perfusion}, distress {Distress}, Abdomen {Examination of abdomen}, TTP {Tenderness}, ND {Swollen abdomen}, incision {Surgical incision wound}, No focal deficits {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:10AM BLOOD WBC-4.7 RBC-2.78* Hgb-8.3* Hct-24.8* 
-MCV-89 MCH-29.8 MCHC-33.4 RDW-13.0 Plt ___
-___ 07:10AM BLOOD Glucose-88 UreaN-11 Creat-1.5* Na-138 
-K-4.6 Cl-100 HCO3-29 AnGap-14
-___ 07:10AM BLOOD Calcium-8.8 Phos-5.0*# Mg-2.1
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient was admitted to Urology after undergoing laparoscopic 
-left nephrectomy, open distal ureterectomy, transurethral 
-resection of bladder cuff, retroperitoneal lymph node 
-dissection. The surgery was complicated by an iatrogenic 
-incision into the vagina, which was repaired. Please see 
-dictated operative note for details.
-The patient received perioperative antibiotic prophylaxis. The 
-patient was transferred to the floor from the PACU in stable 
-condition. On POD0-1, pain was well controlled on PCA, hydrated 
-for urine output >30cc/hour, and provided with pneumoboots and 
-incentive spirometry for prophylaxis. On POD1, the patient 
-ambulated, restarted on home medications, basic metabolic panel 
-and complete blood count were checked. The patient was a little 
-nauseated for the first couple days post-operatively and she was 
-kept on sips. A KUB was performed, which did not show any 
-evidence of an ileus. The patient was started on anti-emetics 
-and an aggressive bowel regimen. She started to have bowel 
-movements on POD4 and her diet was slowly advanced. She was also 
-transitioned from a PCA to oral analgesics. On POD6, JP 
-creatinine was sent and showed no evidence of a urine leak. Her 
-JP was subsequently removed. The patient was discharged in 
-stable condition, eating well, ambulating independently, and 
-with pain control on oral analgesics. On exam, incision was 
-clean, dry, and intact, with no evidence of hematoma collection 
-or infection. The patient will go home with a foley catheter for 
-another ___ weeks and she will follow-up in clinic for a void 
-trial.
-
- 
-
-###RESPONSE: laparoscopic {Laparoscopic procedure}, left nephrectomy {Excision of left kidney}, ureterectomy {Ureter excision}, transurethral 
-resection of bladder {Transurethral bladder excision}, retroperitoneal lymph node 
-dissection {Excision of retroperitoneal lymph node group}, incision {Surgical incision wound}, vagina {Vaginal structure}, repaired {Surgical repair}, antibiotic prophylaxis {Administration of prophylactic antibiotic}, stable 
-condition {Patient's condition stable}, pain was well controlled {Demonstrates adequate pain control}, PCA {Patient controlled analgesia}, incentive spirometry {Incentive spirometry}, prophylaxis {Preventive procedure}, ambulated {Ambulation training}, restarted {Restart of medication}, complete blood count {Complete blood count}, nauseated {Nausea}, post-operatively {Postoperative state}, KUB {Radiography of kidney-ureter-bladder}, ileus {Intestinal obstruction co-occurrent and due to decreased peristalsis}, bowel regimen {Bowel care}, bowel 
-movements {Does defecate}, PCA {Patient controlled analgesia}, oral analgesics {Administration of analgesic}, creatinine {Creatinine measurement}, no evidence {No abnormality detected}, urine leak {Urinary incontinence}, stable condition {Patient's condition stable}, ambulating independently {Independent walking}, pain control on oral analgesics {Demonstrates adequate pain control with oral analgesics}, incision {Surgical incision wound}, clean, dry, and intact {Wound healing well}, no evidence {No abnormality detected}, hematoma {Hematoma}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Ipratropium-Albuterol Inhalation Spray 2 INH IH Q6H:PRN 
-wheezing, SOB 
-2. Diltiazem Extended-Release 120 mg PO DAILY 
-3. Docusate Sodium 100 mg PO BID 
-4. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-5. Multivitamins 1 TAB PO DAILY 
-6. Acetaminophen w/Codeine 1 TAB PO Q4H:PRN pain 
-7. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-8. Ciprofloxacin HCl 500 mg PO Q12H 
-9. albuterol sulfate 90 mcg/actuation inhalation BID wheezing, 
-SOB 
-10. Vitamin D 50,000 UNIT PO DAILY 
-
- 
-Discharge Medications:
-1. Diltiazem Extended-Release 120 mg PO DAILY 
-2. Docusate Sodium 100 mg PO BID 
-3. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-4. Acetaminophen 1000 mg PO Q6H 
-5. Enoxaparin Sodium 30 mg SC Q24H 
-Start: Today - ___, First Dose: Next Routine Administration 
-Time 
-6. OxycoDONE (Immediate Release)  2.5 mg PO Q4H:PRN pain 
-7. albuterol sulfate 90 mcg/actuation inhalation BID wheezing, 
-SOB 
-8. Ipratropium-Albuterol Inhalation Spray 2 INH IH Q6H:PRN 
-wheezing, SOB 
-9. Multivitamins 1 TAB PO DAILY 
-10. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-11. Vitamin D 50,000 UNIT PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Metastatic colon cancer
-
- 
-Discharge Condition:
-Alert and oriented
-Ambulating
-Stable
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Metastatic colon cancer {Metastatic carcinoma to colon}, Alert {Mentally alert}, oriented {Orientated}, Ambulating {Fully mobile}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
--Please also refer to the provided written instructions on 
-post-operative care, instructions and expectations made 
-available from Dr. ___.
-
--Resume your pre-admission/home medications except as noted. 
-ALWAYS call to inform, review and discuss any medication changes 
-and your post-operative course with your primary care doctor.
-
--___ reduce the strain/pressure on your abdomen and incision 
-sites; remember to “log roll” onto your side and then use your 
-hands to push yourself upright while taking advantage of the 
-momentum of putting your legs/feet to the ground.
-
---There may be bandage strips called “steristrips” which have 
-been applied to reinforce wound closure.  Allow these bandage 
-strips to fall off on their own over time but PLEASE REMOVE ANY 
-REMAINING GAUZE DRESSINGS WITHIN 2 DAYS OF DISCHARGE. You may 
-get the steristrips wet.
-
--Please AVOID aspirin or aspirin containing products and 
-supplements that may have “blood-thinning” effects (like Fish 
-Oil, Vitamin E, etc.) unless you have otherwise been advised.
-
--IBUPROFEN (the ingredient of Advil, Motrin, etc.) may be taken 
-even though you may also be taking Tylenol/Acetaminophen. You 
-may alternate these medications for pain control.  For pain 
-control, try TYLENOL FIRST, then ibuprofen, and then take the 
-narcotic pain medication as prescribed if additional pain relief 
-is needed.
-
--Ibuprofen should always be taken with food. Please discontinue 
-taking and notify your
-doctor should you develop blood in your stool (dark, tarry 
-stools)
-
--Call your Urologist's office to schedule/confirm your follow-up 
-appointment in ___ weeks AND if you have any questions.
-
--Do not eat constipating foods for ___ weeks, drink plenty of 
-fluids to keep hydrated
-
--No vigorous physical activity or sports for 4 weeks or until 
-otherwise advised. Light household chores/activity and leisurely 
-walking/activity is OK and should be continued. Do NOT be a 
-“couch potato”
-
--Tylenol should be your first-line pain medication. A narcotic 
-pain medication has been
-prescribed for breakthrough pain ___. REPLACE the Tylenol with 
-this narcotic pain medication if additional pain control is 
-needed..
-
--Max daily Tylenol (acetaminophen) dose is 4 grams from ALL 
-sources, note that narcotic pain medication also contains 
-Tylenol
-
--Do not lift anything heavier than a phone book (10 pounds) or 
-drive until you are seen by your Urologist in follow-up
-
--You may shower normally but do NOT immerse your incisions or 
-bathe
-
--Do not drive or drink alcohol while taking narcotics and do not 
-operate dangerous machinery
-
--Colace has been prescribed to avoid post surgical constipation 
-and constipation related to narcotic pain medication. 
-Discontinue if loose stool or diarrhea develops. Colace is a
-stool-softener, NOT a laxative
-
--If you have fevers > 101.5 F, vomiting, or increased redness, 
-swelling, or discharge from your incision, call your doctor or 
-go to the nearest emergency room.
-
--Your Foley should be secured to the catheter secure on your 
-thigh at ALL times until your follow up with the surgeon.
-
--Follow up in ___ weeks for wound check and Foley removal. DO 
-NOT 
-allow anyone that is outside of the urology team remove your 
-Foley for any reason.
-
--Wear Large Foley bag for majority of time; the leg bag is only 
-for short-term when leaving the house, etc.
-
- 
-
-###RESPONSE: strain {Muscle strain}, pressure {Pressure}, abdomen {Skin structure of anterior abdominal wall}, incision 
-sites {Surgical incision wound}, wound closure {Wound healed}, pain control {Pain control}, pain 
-control {Pain control}, narcotic {Narcotherapy}, pain relief {Pain relief}, blood in your stool {Hematochezia}, dark {Dark stools}, tarry 
-stools {Melena}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, breakthrough pain {Breakthrough pain}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, pain control {Pain control}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, constipation {Constipation}, constipation {Constipation}, narcotic {Narcotherapy}, pain medication {Administration of analgesic}, loose stool {Loose stool}, diarrhea {Diarrhea}, stool-softener {Administration of laxative}, fevers {Fever}, vomiting {Vomiting}, redness {Redness of skin over lesion}, swelling {Swelling}, incision {Surgical incision wound}, Foley {Urinary catheter in situ}, thigh {Thigh structure}, wound check {Wound assessment}, Foley removal {Removal of urinary bladder catheter}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
- etoh withdrawal  
-
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, etoh withdrawal {Alcohol withdrawal syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o, primarily ___ speaking (but conversational in 
-___ presents with HA and shaking after stopping drinking. 
-Pt reports drinking 1 large bottle of cognac daily x `1 week. He 
-attests to being sober for 3 months prior to this binge. Last 
-drink was ___ afternoon. The HA is frontal and intense but 
-similar to prior HA. no Vision or hearing changes. Pt also 
-reports N/V and diffuse abd pain starting today. No 
-hematemeisis. Pain is discribed as intense. He says it is 
-different than his typical pancreatitis pain, but he can not 
-discribe in what way. Pain improves with vomitting. No diarrhea 
-or constipation. Pt reports feeling tremulous. Subjective 
-fevers. Pt endorses h/o etoh withdrawal seizures. He endorses 
-depression but denies SI/HI now or ever.  
-.  
-In the ED, initial VS: 98.0, 78, 150/89, 17, 100%RA. Pt received 
-10mg PO valium and 4mg IV zofran in ED. CIWA of ___. Pt was 
-tachy in ED and diaphoretic. Also complained of belly discomfort 
-and vomitted. Labs and abd exam benign. MS oriented. VS prior to 
-transfer 125/78, 93, 17, 95% RA.  
-.  
-Upon arrival to the floor the pt was seen inducing vomitting 
-multiple times and complained of a headache. He complains of a 
-HA.  
-.  
-Pt was admitted ___ with etoh withdrawal and abd pain but 
-left AMA the same day.  
-.  
-ROS: Denies, chills, night sweats, vision changes, rhinorrhea, 
-congestion, sore throat, cough, shortness of breath, chest pain, 
-, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, 
-hematuria.  
-
- 
-
-###RESPONSE: HA {Headache}, shaking {Tremor}, drinking {Current drinker of alcohol}, drinking {Current drinker of alcohol}, binge {Drinking binge}, drink {Drinking episode}, HA is frontal {Frontal headache}, HA {Headache}, Vision {Visual disturbance}, hearing changes {Hearing change}, N/V {Nausea and vomiting}, diffuse {Diffuse pain}, abd pain {Abdominal pain}, hematemeisis {Hematemesis}, Pain {Pain}, pancreatitis {Pancreatitis}, pain {Pain}, Pain {Pain}, vomitting {Vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, fevers {Fever}, etoh withdrawal seizures {Alcohol withdrawal-induced convulsion}, depression {Depressive disorder}, SI/HI {Suicidal intent}, tachy {Tachycardia}, diaphoretic {Excessive sweating}, discomfort {Discomfort}, Labs {Laboratory test}, abd exam {Examination of abdomen}, oriented {Orientated}, inducing vomitting {Self-induced vomiting}, headache {Headache}, HA {Headache}, etoh withdrawal {Alcohol withdrawal syndrome}, abd pain {Abdominal pain}, ROS {Review of systems}, chills {Chill}, night sweats {Night sweats}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, diarrhea {Diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1.  Recurrent pancreatitis complicated by necrosis in ___ secondary to alcohol abuse.
-2.  Hypertension.
-3.  History of a seizure disorder; status post a motor vehicle 
-accident in ___ (negative magnetic resonance 
-imaging and electroencephalogram).
-4.  Status post left knee surgery.
-5.  History of alcohol abuse with episodes of withdrawal.
-
- 
-
-###RESPONSE: Recurrent pancreatitis {Recurrent pancreatitis}, necrosis {Necrosis}, alcohol abuse {Alcohol abuse}, Hypertension {Hypertensive disorder, systemic arterial}, seizure disorder {Seizure disorder}, motor vehicle 
-accident {Motor vehicle accident victim}, negative {No abnormality detected}, magnetic resonance 
-imaging {Magnetic resonance imaging}, electroencephalogram {Electroencephalogram}, left knee {Structure of left knee region}, surgery {Surgical procedure}, alcohol abuse {Alcohol abuse}, withdrawal {Alcohol withdrawal syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father had kidney cancer
- 
-
-###RESPONSE: kidney cancer {Malignant tumor of kidney}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-GENERAL - well-appearing man in NAD, comfortable, appropriate  
-HEENT - NC/AT, PERRLA, EOMI, sclerae erythematous, MMM, OP clear 
- 
-NECK - supple, no JVD,  
-LUNGS - CTA bilat, no r/rh/wh, good air movement, resp unlabored 
- 
-HEART - RRR, no MRG, nl S1-S2  
-ABDOMEN - soft/ND, mild epigastric tenderness. No rebound or 
-guarding. no masses or HSM,  
-EXTREMITIES - WWP, no c/c/e, 2+ DPs  
-SKIN - no rashes or lesions  
-LYMPH - no cervical LAD  
-NEURO - awake, A&Ox3, CNs II-XII grossly intact, not tremulous. 
-muscle strength ___ throughout, sensation grossly intact 
-throughout, DTRs 2+ and symmetric, cerebellar exam intact, 
-steady gait. Normal visual fields  
- 
-
- 
-
-###RESPONSE: GENERAL {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, comfortable {Comfortable appearance}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, sclerae {Scleral structure}, erythema {Erythema}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, rh/wh {Wheeze - rhonchi}, good air movement {Breath normal}, resp unlabored {Labored breathing}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, ND {Swollen abdomen}, mild {Symptom mild}, tenderness {Tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, no c/c/e {No abnormality detected}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, LYMPH {Lymphatic system physical examination}, LAD {Lymphadenopathy}, NEURO {Neurological examination}, awake {Awake}, Ox3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, tremulous {Tremor}, muscle strength {Muscle weakness}, sensation grossly intact {Normal sensation}, DTRs 2 {Normal tendon reflex}, steady gait {Gait normal}, Normal visual fields {Normal visual field}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:20AM BLOOD WBC-7.2 RBC-4.89 Hgb-14.6 Hct-40.8 MCV-83 
-MCH-29.8 MCHC-35.8* RDW-13.4 Plt ___
-___ 07:50PM BLOOD WBC-5.6 RBC-5.12 Hgb-15.7 Hct-42.4 MCV-83 
-MCH-30.6 MCHC-37.0* RDW-13.2 Plt ___
-___ 07:50PM BLOOD Neuts-50.4 Lymphs-42.3* Monos-5.1 Eos-1.0 
-Baso-1.2
-___ 07:20AM BLOOD Glucose-98 UreaN-9 Creat-0.9 Na-138 K-3.8 
-Cl-100 HCO3-24 AnGap-18
-___ 07:50PM BLOOD Glucose-125* UreaN-11 Creat-1.1 Na-135 
-K-3.5 Cl-94* HCO3-24 AnGap-21*
-___ 07:50PM BLOOD ALT-27 AST-30 AlkPhos-42 TotBili-0.9
-___ 07:20AM BLOOD Albumin-4.3 Mg-1.9
-___ 07:50PM BLOOD Lipase-31
-___ 07:50PM BLOOD ASA-NEG Acetmnp-NEG Bnzodzp-NEG 
-Barbitr-NEG Tricycl-NEG
-___ 08:09AM BLOOD Lactate-2.4*
-.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-HOSPITAL COURSE
-This is a ___ year old gentleman  with a history of multiple 
-admissions for alcohol withdrawal who presented with 
-tachycardia, vomitting, diaphoresis consistent with Etoh 
-withdrawal.  He was treated with diazepam overnight and left 
-against medical advice the following morning 
-.  
-ACTIVE ISSUES
-# ETOH WITHDRAWAL: History of chronic ETOH use complicated by 
-pancreatitis in the past with recent admission in ___ for 
-management of withdrawal symptoms.  The patient's CIWA scale was 
-24 on admission which improved significantly with 10mg diazepam. 
-He only scored positive on the CIWA scale twice. The patient 
-reports a history of withdrawal seizures however on 
-clarification appears to be more consistent with tremors. 
-History of prior seizure after motor vehicle accident ___ years 
-ago. No evidence of pancreatitis on lab work. Alchohol cessation 
-was discussed with the patient who wanted treatment only for 
-withdrawal not abstinence.  A social work consult was requested. 
- He was given thiamine folate and a multivitamin intravenously.  
-At mid-day following admission the patient was dressed and found 
-at the elevators preparing to leave.  The danger of alcohol 
-withdrawal and risk of seizures and even death was discussed.  
-The patient understood the importance of seeking medical 
-attention if his withdrawal returned.
-.  
-# ELEVATED AG: AG 17 on admission improved to 14 the following 
-morning. Likely in setting of etoh and with ketones in UA.  
-Lactate only marginally elevated at 2.4.
-.  
-# HEADACHE: Headache per review of prior discharge summaries is 
-a typical withdrawal symptoms for this patient. Improved 
-headache with treatment of withdrawal symptoms overnight with 
-valium. 
-.  
-# N/V, ABDOMINAL PAIN: Abdominal pain in this patient concerning 
-for pancreatitis given multiple admissions in past for alcohol 
-induced pancreatitis.  No evidence of pancreatitis on admission. 
- Patient report frequent emesis is causing abdominal pain.
-He tolerated a solid diet prior to leaving AMA.
-.  
-# HISTORY OF DEPRESSION: The patient has a history of depression 
-with psychiatric evaluations in the past for suicidal ideation.  
-He did not present expressing suicidal ideation however 
-completely off all psychiatric medications and more frequent 
-admissions for alcohol withdrawal. The patient did not stay long 
-enough to meet with social work. Prior to leaving, the 
-importance of following up with his psychiatrist was stressed.
-.
-TRANSITIONAL ISSUES:
-The patient left against medical advice. Follow-up with his 
-primary care physician and psychiatrist was urged.  He does not 
-take any medications regularly.
- 
-
-###RESPONSE: alcohol withdrawal {Alcohol withdrawal syndrome}, tachycardia {Tachycardia}, vomitting {Vomiting}, diaphoresis {Excessive sweating}, Etoh 
-withdrawal {Alcohol withdrawal syndrome}, left 
-against medical advice {Left against medical advice}, ETOH WITHDRAWAL {Alcohol withdrawal syndrome}, ETOH {Alcohol abuse}, pancreatitis {Pancreatitis}, management of withdrawal symptoms {Management of withdrawal symptom}, CIWA scale {Assessment using alcohol withdrawal scale}, improved {Patient's condition improved}, CIWA scale {Assessment using alcohol withdrawal scale}, withdrawal seizures {Alcohol withdrawal-induced convulsion}, tremors {Tremor}, seizure {Seizure}, motor vehicle accident {Motor vehicle accident victim}, No evidence {No abnormality detected}, pancreatitis {Pancreatitis}, withdrawal {Alcohol withdrawal syndrome}, alcohol 
-withdrawal {Alcohol withdrawal syndrome}, seizures {Seizure}, death {Dead}, withdrawal {Alcohol withdrawal syndrome}, ELEVATED AG {Increased anion gap}, improved {Patient's condition improved}, etoh {Alcohol abuse}, Lactate {Lactic acid measurement}, HEADACHE {Headache}, Headache {Headache}, withdrawal symptoms {Withdrawal symptom}, Improved {Patient's condition improved}, headache {Headache}, withdrawal symptoms {Withdrawal symptom}, ABDOMINAL PAIN {Abdominal pain}, Abdominal pain {Abdominal pain}, pancreatitis {Pancreatitis}, alcohol 
-induced pancreatitis {Inflammation of pancreas caused by alcohol}, No evidence {No abnormality detected}, pancreatitis {Pancreatitis}, emesis {Vomiting}, abdominal pain {Abdominal pain}, solid diet {Normal diet}, leaving AMA {Patient self-discharge against medical advice}, DEPRESSION {Depressive disorder}, depression {Depressive disorder}, psychiatric evaluations {Evaluation of psychiatric state of patient}, suicidal ideation {Suicidal thoughts}, suicidal ideation {Suicidal thoughts}, psychiatric {Psychiatry procedure or service}, medications {Administration of drug or medicament}, alcohol withdrawal {Alcohol withdrawal syndrome}, social {Social therapy}, psychiatrist {Psychiatric follow-up}, left against medical advice {Left against medical advice}, primary care {Primary care management}, psychiatrist {Psychiatric follow-up}, medications {Patient medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-not regularly taking any medications  
-occasionally takes atenolol for HTN when he ""feels his BP is 
-bad"".  
-
- 
-Discharge Medications:
-1. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed for pain/fever.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Alcohol withdrawal
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Alcohol withdrawal {Alcohol withdrawal syndrome}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You left the hospital against medical advice.  We discussed the 
-risks of leaving including further alcohol withdrawal leading to 
-possible seizures and even death.  You were aware of these risks 
-and decided to leave.  Please follow up with your primary care 
-physician and psychiatrist.  No changes were made to your 
-medications.
- 
-
-###RESPONSE: alcohol withdrawal {Alcohol withdrawal syndrome}, seizures {Seizure}, death {Dead}, primary care {Primary care management}, psychiatrist {Psychiatric follow-up}, changes were made to your 
-medications {Change of medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Occluded suprapubic catheter, urinary tract infection
- 
-Major Surgical or Invasive Procedure:
-Exchange of suprapubic catheter 
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Occluded suprapubic catheter {Obstruction of suprapubic catheter}, urinary tract infection {Urinary tract infectious disease}, Exchange of suprapubic catheter {Change of cystostomy tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with rectal cancer, stage IV with extensive pelvic nodal 
-involvement, receiving palliative CAPOX, s/p palliative 
-resection of his lower rectum and anus with diverting colostomy 
-and suprapubic tube for urethral injury who presented to ___ 
-with urinary retention since last night. The patient reports 
-that no urine has come through catheter since yesterday evening. 
-Suprapubic tube was just replaced on ___. Pt also having 
-decreased ostomy output since this AM. Normally empties ___ per 
-day. He also has significant abdominal discomfort.  
-- In the ED, initial VS were 9 98.6 117 149/69 99% RA.  
-- Exam was notable for purulent discharge surrounding SP tube, 
-extreme discomfort & abdominal tenderness.  
-- Labs were notable for lactate 2.6, cr 0.6, na 131, k 4.6, wbc 
-10.3, hct 40, plt 202, UA was grossly +ve.  
-- Imaging was notable for AXR which showed a non obstructive 
-bowel gas pattern.  
-- Consulted services included urology who recommended no need 
-for further studies if Cr, lytes WNL. At 21:00, ED flushed 
-foley, removed and manually drained bladder. Replaced with new 
-___ foley. Urine with purulent material draininage. Pt's pain 
-was much improved  
-with this.  
-- Patient was given IV ceftriaxone.  
-- Patient was admitted to OMED for management of complicated 
-UTI.  
-- VS prior to ED transfer were 2 98.1 72 120/65 20 100% RA.  
-On presentation to floor, patient was pain free, after having 
-catheter excahnged. no anusea, said emptied colostomy bag prior 
-to coming to ED. No fevers, chills, nausea or vomitting.
- 
-
-###RESPONSE: rectal cancer {Malignant tumor of rectum}, stage IV {Clinical stage IV}, pelvic nodal {Pelvic lymphadenopathy}, CAPOX {Chemotherapy}, resection {Excision}, rectum {Rectum structure}, anus {Anal structure}, diverting colostomy {Construction of diverting colostomy}, suprapubic tube {Procedure involving suprapubic catheter}, urethral injury {Injury of urethra}, urinary retention {Retention of urine}, urine {Urinalysis}, Suprapubic tube {Procedure involving suprapubic catheter}, abdominal discomfort {Abdominal discomfort}, VS {Vital signs finding}, RA {Breathing room air}, Exam {Physical examination procedure}, purulent discharge {Purulent discharge}, SP tube {Procedure involving suprapubic catheter}, discomfort {Discomfort}, abdominal tenderness {Abdominal tenderness}, wbc {White blood cell count}, hct {Hematocrit determination}, UA {Urinalysis}, Imaging {Imaging}, AXR {Diagnostic radiography of abdomen}, obstructive {Obstruction}, bowel gas pattern {Finding of gastrointestinal tract gas}, foley, removed {Removal of urinary bladder catheter}, drained bladder {Drainage of bladder}, Replaced with new 
-___ foley {Replacement of urinary catheter}, Urine {Urinalysis}, purulent {Purulent}, draininage {Drainage procedure}, pain {Pain}, improved {Patient's condition improved}, IV {Administration of drug or medicament via intravenous route}, UTI {Urinary tract infectious disease}, VS {Vital signs finding}, RA {Breathing room air}, pain free {No present pain}, catheter excahnged {Replacement of catheter}, anusea {Nausea}, colostomy {Colostomy}, fevers {Fever}, chills {Chill}, nausea {Nausea}, vomitting {Vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Past medical history: hyperlipidemia, cataracts, lymphadenopathy 
-(supraclavicular, mediastinal, RP, pelvic sidewall, iliac, 
-cervical)
-
-Past oncologic history:
-Presumed rectal cancer stage IV
-- ___ Began having anal irritation and pain with blood
-streaked stools and changing bowel habits. 
-- ___ Presented to his PCP, who found inguinal adenopathy. 
-- ___ Evaluated in the Hematologic Malignancies Clinic by
-Dr. ___. 
-- ___ PET CT showed, ""Widespread FDG-avid cervical,
-supraclavicular, mediastinal, retroperitoneal, pelvic sidewall,
-iliac, and inguinal lymphadenopathy, consistent with lymphoma.""
-- ___iopsy revealed adenocarcinoma
-consistent with a colorectal or appendiceal origin, positive for
-CK7, CK20 and CDX-2.
-
-PSH: cataract surgery, excision of right groin node ___, 
-Dr ___
- 
-
-###RESPONSE: hyperlipidemia {Hyperlipidemia}, cataracts {Cataract}, lymphadenopathy {Lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, mediastinal {Mediastinal lymphadenopathy}, RP {Retroperitoneal lymphadenopathy}, pelvic sidewall {Pelvic lymphadenopathy}, iliac {Iliac lymphadenopathy}, cervical {Cervical lymphadenopathy}, rectal cancer {Malignant tumor of rectum}, stage IV {Clinical stage IV}, pain {Abdominal pain}, blood
-streaked stools {Hematochezia}, changing bowel habits {Altered bowel function}, adenopathy {Lymphadenopathy}, Hematologic Malignancies {Malignant tumor of lymphoid, hemopoietic AND/OR related tissue}, PET CT {Positron emission tomography}, FDG-avid {Positron emission tomography with computed tomography using fluorodeoxyglucose (18-F)}, cervical {Cervical lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, mediastinal {Mediastinal lymphadenopathy}, retroperitoneal {Retroperitoneal lymphadenopathy}, pelvic {Pelvic lymphadenopathy}, iliac {Iliac lymphadenopathy}, inguinal lymphadenopathy {Inguinal lymphadenopathy}, lymphoma {Malignant lymphoma}, adenocarcinoma {Adenocarcinoma}, colorectal {Structure of colon and/or rectum}, appendiceal {Appendix structure}, cataract surgery {Cataract surgery}, excision {Excision}, right groin {Right inguinal region structure}, node {Inguinal lymph node structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother, healthy.
-Father, treated for colon cancer in the past.
-No other malignancies in the family which he is aware. 
- 
-
-###RESPONSE: colon cancer {Malignant neoplasm of colon}, malignancies {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-EXAM ON ADMISSION
-General: NAD  
-VITAL SIGNS: 98 132/70 85 18 98 ra  
-HEENT: MMM, no OP lesions, no cervical, supraclavicular, or  
-axillary adenopathy, no thyromegaly  
-CV: RR, NL S1S2 no S3S4 MRG  
-PULM: CTAB  
-ABD: BS+, soft, NTND, no masses or hepatosplenomegaly, colostomy 
-bag in palce with minimal formed brown stool, suprapubic 
-catheter in place, purulent material noted around site of entry  
-
-LIMBS: No edema, clubbing, tremors, or asterixis; no inguinal 
-adenopathy  
-SKIN: No rashes or skin breakdown  
-NEURO: Cranial nerves II-XII are within normal limits excluding  
-
-visual acuity which was not assessed, no nystagmus; strength is  
-
-___ of the proximal and distal upper and lower extremities  
-
-EXAM ON DISCHARGE
-
- 
-
-###RESPONSE: General {General examination of patient}, NAD {No abnormality detected}, VITAL SIGNS {Vital signs finding}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, OP {Oropharyngeal structure}, lesions {Lesion}, cervical {Cervical lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, axillary {Axillary lymph node structure}, adenopathy {Lymphadenopathy}, thyromegaly {Goiter}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, S2 {Normal second heart sound, S>2<}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, BS {Normal bowel sounds}, soft {Abdomen soft}, ND {Swollen abdomen}, masses {Abdominal mass}, hepatosplenomegaly {Hepatosplenomegaly}, colostomy {Colostomy}, stool {Stool finding}, suprapubic 
-catheter in place {Suprapubic urinary catheter in situ}, purulent {Purulent}, LIMBS {Examination of limb}, edema {Edema}, clubbing {Clubbing}, tremors {Tremor}, asterixis {Asterixis}, inguinal 
-adenopathy {Inguinal lymphadenopathy}, SKIN {Examination of skin}, rashes {Eruption of skin}, skin breakdown {Broken skin}, NEURO {Neurological examination}, Cranial nerves II {Optic nerve structure}, XII {Hypoglossal nerve structure}, visual acuity {Visual acuity finding}, nystagmus {Nystagmus}, upper {Upper limb structure}, lower extremities {Lower limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 09:20PM BLOOD WBC-10.3# RBC-4.14* Hgb-13.3* Hct-40.0 
-MCV-97 MCH-32.3* MCHC-33.4 RDW-20.1* Plt ___
-___ 09:20PM BLOOD Neuts-86.4* Lymphs-6.7* Monos-6.4 Eos-0.3 
-Baso-0.1
-___ 09:20PM BLOOD Glucose-136* UreaN-16 Creat-0.6 Na-131* 
-K-7.0* Cl-97 HCO3-25 AnGap-16
-___ 09:00PM URINE Color-Yellow Appear-Hazy Sp ___
-___ 09:00PM URINE Blood-MOD Nitrite-POS Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.5 Leuks-LG
-___ 09:00PM URINE RBC-117* WBC-132* Bacteri-MOD Yeast-NONE 
-Epi-0
-
-INTERVAL STUDIES
-___ KUB
-Nonobstructive bowel gas pattern
-
-DISCHARGE LABS
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, URINE {Urinalysis}, Color {Color finding}, URINE Blood {Blood in urine}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE {Urinalysis}, RBC {Red blood cell count}, WBC {White blood cell count}, Bacteri {Bacteriuria}, KUB {Radiography of kidney-ureter-bladder}, Nonobstructive {Obstruction}, bowel gas pattern {Finding of gastrointestinal tract gas}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ is a ___ year old man with stage IV rectal cancer with 
-extensive pelvic nodal involvement, who is receiving palliative 
-CAPOX, admitted to ___ with UTI.  
-
-# Complicated UTI: patient presented with blocked suprapubic 
-catheter, which was exchanged and is now draining well. His pain 
-is better but found to have grossly positive UA consistent with 
-UTI. He was never febrile. No prior culture data at ___. 
-Creatinine stable at 0.5-0.6 range. Started on CTX, pending 
-culture data for tailored antibiotics. Urine culture was 
-polymicrobial, so he was switched to cefpodoxime to complete 10 
-days on discharge. 
-
-# Rectal Cancer: Patient stable on regimen of CAPOX. Currently 
-C6D8  
-- touch base with Dr. ___, as ___ need to continue 
-capecitabine 1500 mg PO Q12H until C6D14 (ordered by oncology 
-attending).
-  
-# CAD: stable - continued home ASA 81 mg.
-
- 
-
-###RESPONSE: stage IV {Clinical stage IV}, rectal cancer {Malignant tumor of rectum}, pelvic nodal {Pelvic lymphadenopathy}, CAPOX {Chemotherapy}, UTI {Urinary tract infectious disease}, UTI {Urinary tract infectious disease}, blocked suprapubic 
-catheter {Obstruction of suprapubic catheter}, exchanged {Change of cystostomy tube}, pain {Abdominal pain}, UA {Urinalysis}, UTI {Urinary tract infectious disease}, febrile {Fever}, culture {Microbial culture}, Creatinine {Creatinine measurement}, CTX {Contraction of uterus during labor}, culture {Microbial culture}, antibiotics {Antibiotic therapy}, Urine culture {Urine culture}, Rectal Cancer {Malignant tumor of rectum}, stable {Patient's condition stable}, regimen {Therapeutic regimen}, CAPOX {Chemotherapy}, CAD {Coronary arteriosclerosis}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. Docusate Sodium 100 mg PO BID 
-3. Capecitabine 1500 mg PO Q12 
-
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. Docusate Sodium 100 mg PO BID 
-3. Cefpodoxime Proxetil 400 mg PO Q12H Duration: 9 Days 
-RX *cefpodoxime 200 mg 2 tablet(s) by mouth twice a day Disp 
-#*36 Tablet Refills:*0
-4. Capecitabine 1500 mg PO Q12 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary diagnoses: occluded suprapubic catheter, UTI
-Secondary diagnoses: stage IV rectal cancer, hyperlipidemia,  
-cataracts, lymphadenopathy (supraclavicular, mediastinal, RP, 
-pelvic sidewall, iliac, cervical); pelvic lymphadenopathy 
-causing lower extremity swelling  
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: occluded suprapubic catheter {Obstruction of suprapubic catheter}, UTI {Urinary tract infectious disease}, stage IV {Clinical stage IV}, rectal cancer {Malignant tumor of rectum}, hyperlipidemia {Hyperlipidemia}, cataracts {Cataract}, lymphadenopathy {Lymphadenopathy}, supraclavicular {Supraclavicular lymphadenopathy}, mediastinal {Mediastinal lymphadenopathy}, RP {Retroperitoneal lymphadenopathy}, pelvic {Pelvic lymphadenopathy}, iliac {Iliac lymphadenopathy}, cervical {Cervical lymphadenopathy}, pelvic lymphadenopathy {Pelvic lymphadenopathy}, lower extremity swelling {Swelling of lower limb}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were admitted to the hospital for a clogged suprapubic 
-catheter and a urinary tract infection. Your catheter was 
-exchanged and you were treated for your urinary tract infection 
-with IV antibiotics while in house. Lab data returned and showed 
-which antibiotics your infection is susceptible to. We switched 
-you to oral antibiotics to complete at home. 
-
-We wish you a very speedy recovery! It was a pleasure caring for 
-you.
-- Your team at ___
- 
-
-###RESPONSE: clogged suprapubic 
-catheter {Obstruction of suprapubic catheter}, urinary tract infection {Urinary tract infectious disease}, catheter was 
-exchanged {Change of cystostomy tube}, urinary tract infection {Urinary tract infectious disease}, IV antibiotics {Intravenous antibiotic therapy}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, oral antibiotics {Oral antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: NEUROSURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-pituitary adenoma
- 
-Major Surgical or Invasive Procedure:
-___ Transphenoidal resection of tumor
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, pituitary adenoma {Pituitary adenoma}, Transphenoidal resection of tumor {Transsphenoidal total excision of neoplasm of pituitary gland}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old male with a hitory of a prior 
-transphenoidal resection on ___ at ___ by Dr. ___. 
-His cystic pituitary mass was originally found incidentally in 
-___, after he had imaging for a complaint of tinnitus.  He now 
-presents for a re-resection of the pituitary lesion. The initial 
-pathology from ___ was adenoma. 
- 
-
-###RESPONSE: transphenoidal resection {Transsphenoidal total excision of neoplasm of pituitary gland}, pituitary mass {Mass of pituitary}, tinnitus {Tinnitus}, resection of the pituitary lesion {Transsphenoidal total excision of neoplasm of pituitary gland}, pathology {Abnormal histology findings}, adenoma {Benign pituitary adenoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-transsphenoidal resection ___, polyp s/p lap,
-and hypothyroidism
- 
-
-###RESPONSE: transsphenoidal resection {Transsphenoidal total excision of neoplasm of pituitary gland}, polyp {Polyp}, hypothyroidism {Hypothyroidism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Exam on Admission
-Neural intact. Visual fields full.
-
-On Discharge:
-A&Ox3
-PERRL 
-visual fields intact
-No pronator drift
-No leaking from nose when sitting up and leaning forward
-Motor: ___ throughout
-
- 
-
-###RESPONSE: Neural {Neurological examination}, Visual fields full {Normal visual field}, Ox3 {Oriented to person, time and place}, PERRL {Pupils equal and reacting to light}, visual fields intact {Normal visual field}, pronator drift {Downward drift of outstretched supinated arm}, leaking {Discharge}, nose {Nasal structure}, sitting {Sitting position}, Motor {Motor testing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-CT HEAD W/O CONTRAST ___ 
-Status post transsphenoidal resection of pituitary lesion with 
-expected 
-postoperative changes. No evidence of pneumocephalus or 
-intracranial 
-hemorrhage. 
-
- 
-
-###RESPONSE: AST {Aspartate aminotransferase measurement}, Status post {Postoperative state}, transsphenoidal resection of pituitary lesion {Transsphenoidal total excision of neoplasm of pituitary gland}, postoperative {Postoperative state}, No evidence {No abnormality detected}, pneumocephalus {Pneumocephalus}, intracranial 
-hemorrhage {Intracranial hemorrhage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was taken to the operating room on the day of 
-admission on ___ and underwent a transphenoidal resection of a 
-pituitary lesion. He tolerated the procedure well and was 
-extubated in the operating room. He was transferred to the Neuro 
-ICU post-operatively. Nasal packing was left in place 
-post-operatively and he was started on antibiotics for the 
-duration of the packing placement. He underwent a post-operative 
-non-contrast head CT which showed post-operative changes. His 
-diet as advanced as tolerated. His visual fields, as well as 
-urine and serum labs were routinely monitored.
-On ___ Mr ___ remained in the PACU. He was completely 
-neurologically intact. Vitals remained stable and he was 
-ambulatory out of bed to chair. Transfer orders pending and  
-awaiting transfer to floor.
-
-On ___, patient had two hours of increase urine output, urine 
-specific gravity and serum Na which were normal. Endocrine 
-evaluated the patient who recommended starting him on 40mg QAM 
-and 20mg QPM hydrocortisone today and decreasing to 20mg QAM and 
-10mg QPM tomorrow. They were not concerned with his output and 
-recommended discharge home. On exam, no drainage from the nose 
-or salty taste at the back of the throat. He was ambulating and 
-eating appropriately. He was discharge home and will be contact 
-for further follow up with endocrinology.
-
- 
-
- 
-
-###RESPONSE: transphenoidal resection of a 
-pituitary lesion {Transsphenoidal total excision of neoplasm of pituitary gland}, procedure {Surgical procedure}, extubated {Removal of endotracheal tube}, Neuro {Neurology service}, ICU {Patient transfer to intensive care unit}, post-operatively {Postoperative state}, Nasal packing {Packing of nasal cavity and nasopharynx}, post-operatively {Postoperative state}, antibiotics {Antibiotic therapy}, packing {Packing of wound}, post-operative {Postoperative state}, non-contrast head CT {Computed tomography of head without contrast}, post-operative {Postoperative state}, diet {Dietary finding}, visual fields {Visual field study}, urine {Evaluation of urine specimen}, serum labs {Blood test}, monitored {Monitoring procedure}, PACU {Postanesthesia care}, neurologically intact {Normal nervous system function}, Vitals remained stable {Normal vital signs}, increase urine output {Increased urine output}, urine 
-specific gravity {Urine specific gravity within reference range}, serum Na which were normal {Serum sodium level within reference range}, drainage from the nose {Nasal discharge}, throat {Structure of anterior portion of neck}, ambulating {Fully mobile}, follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-c
-abergoline,fluocinonide,levothyroxine,simvastatin,Cialis,aspirin 
-81, VITAMIN D2,multivitamin tablet
-
- 
-Discharge Medications:
-1. Hydrocortisone 20 mg PO REFER TO OTHER INSTRUCTIONS 
-please take 40mg QAM on ___ and 20mg QPM on ___, then 20mg QAM 
-and 10mg QPM until follow up. 
-RX *hydrocortisone 20 mg 1 tablet(s) by mouth refer to other 
-instructions Disp #*60 Tablet Refills:*1
-2. Levothyroxine Sodium 50 mcg PO DAILY 
-3. Omeprazole 40 mg PO DAILY 
-RX *omeprazole 40 mg 1 capsule(s) by mouth DAILY Disp #*60 
-Capsule Refills:*1
-4. OxycoDONE (Immediate Release)  ___ mg PO Q6H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every six (6) hours 
-Disp #*50 Tablet Refills:*0
-5. Simvastatin 10 mg PO QPM 
-6. Vitamin D 1400 UNIT PO DAILY 
-7. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice 
-a day Disp #*60 Capsule Refills:*1
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-pituitary adenoma
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: pituitary adenoma {Pituitary adenoma}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-¨Take your pain medicine as prescribed.
-¨Exercise should be limited to walking; no lifting, straining, 
-or excessive bending.
-¨Increase your intake of fluids and fiber, as narcotic pain 
-medicine can cause constipation. We generally recommend taking 
-an over the counter stool softener, such as Docusate (Colace) 
-while taking narcotic pain medication.
-¨Unless directed by your doctor, do not take any 
-anti-inflammatory medicines such as Motrin, Aspirin, Advil, and 
-Ibuprofen etc. 
-¨Clearance to drive and return to work will be addressed at 
-your post-operative office visit.
-¨Continue Sinus Precautions for an additional two weeks.  This 
-means, no use of straws, forceful blowing of your nose, or use 
-of your incentive spirometer. 
-¨If you have been discharged on Prednisone, take it daily as 
-prescribed.  
-¨If you are required to take Prednisone, an oral steroid, make 
-sure you are taking a medication to protect your stomach 
-(Prilosec, Protonix, or Pepcid), as this medication can cause 
-stomach irritation.  Prednisone should also be taken with a 
-glass of milk or with a meal. 
-
-CALL YOUR DOCTOR IMMEDIATELY IF YOU EXPERIENCE ANY OF THE 
-FOLLOWING
-
-¨New onset of tremors or seizures.
-¨Any confusion or change in mental status. 
-¨Any numbness, tingling, weakness in your extremities.
-¨Pain or headache that is continually increasing, or not 
-relieved by pain medication.
-¨Any signs of infection at the wound site: redness, swelling, 
-tenderness, or drainage.
-¨It is normal for feel nasal fullness for a few days after 
-surgery, but if you begin to experience drainage or salty taste 
-at the back of your throat, that resembles a “dripping” 
-sensation, or persistent, clear fluid that drains from your nose 
-that was not present when you were sent home, please call. 
-¨Fever greater than or equal to 101° F.
-¨If you notice your urine output to be increasing, and/or 
-excessive, and you are unable to quench your thirst, please call 
-your endocrinologist. 
-
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, Take your pain medicine {Administration of analgesic}, Exercise {Exercises}, walking {Does walk}, Increase your intake of fluids {Fluid intake encouragement}, narcotic pain 
-medicine can cause {Narcotics education}, constipation {Constipation}, stool softener {Administration of laxative}, while taking narcotic pain medication {Narcotics education}, Aspirin {Administration of aspirin}, post-operative office visit {Postoperative follow-up visit}, Sinus {Nasal sinus structure}, Precautions {Safety precautions}, nose {Nasal structure}, oral {Administration of drug or medicament via oral route}, steroid {Steroid therapy}, medication {Prescription of drug}, stomach {Stomach structure}, s medication can cause {Medication education}, stomach {Stomach structure}, tremors {Tremor}, seizures {Seizure}, confusion {Clouded consciousness}, mental status {Mental state finding}, numbness, tingling {Numbness and tingling sensation of skin}, weakness {Asthenia}, extremities {All extremities}, Pain {Pain}, headache {Headache}, pain medication {Administration of analgesic}, signs of infection {Monitoring for signs and symptoms of infection}, wound {Wound}, redness {Redness of skin over lesion}, swelling {Swelling}, tenderness {Tenderness}, drainage {Discharge}, nasal {Nasal structure}, after 
-surgery {Postoperative state}, drainage {Nasal discharge}, throat {Structure of anterior portion of neck}, clear fluid that drains from your nose {Leakage of cerebrospinal fluid from nose following surgical procedure}, Fever {Fever}, urine output to be increasing {Increased urine output}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Urinary Tract Infection
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Urinary Tract Infection {Urinary tract infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ male with quadriplegia, recurrent prior UTIs, neurogenic 
-bladder, and sacral decubitus presents with abd and back pain 
-and persistent UTI symtpoms. In ___ had E. Coli UTI 
-treated to ___ with Cefpodoxime. Was again admitted 
-___ again for UTI symptoms without indication of 
-infection.  A CT showed a decompressed bladder, bladder wall 
-thickening and enhancement of unclear significance for which 
-urology follow-up was recommended. He received Ceftriaxone then 
-36hr Cefpodoxime. UCx (+) Enterococcus and another gram positive 
-bacteria so treated with Bactrim.  He was given a 7 day course.  
-On ___ he was empirically started on Ampicillin for another 
-presumed UTI (had fevers).  Oxycodone ws increased and pyridium 
-started ___ for complaints of bladder spasms, but this worsened 
-with pain in back and over all body and abd. He was given 1mg 
-Ativan and then sent in.
-
-On ___ he was seen by Dr. ___ in Urology, where a KUB was 
-done showing no renal calculi, though pneumatosis could not be 
-ruled out.  Prior CT mentioned, ""There are scattered foci of air 
-and soft tissue thickening in the anterior abdominal wall."" 
-
-There has been concern that some of his behavior is 
-stress/coping related, and I understand that the patient had a 
-psych consult completed last week, after which Seroquel and 
-Valium were increased and Wellbutrin was started.
- 
-
-###RESPONSE: quadriplegia {Quadriplegia}, recurrent prior UTIs {Recurrent urinary tract infection}, neurogenic 
-bladder {Neurogenic bladder}, sacral decubitus {Chronic skin ulcer of sacrum}, abd {Abdominal pain}, back pain {Backache}, UTI {Urinary tract infectious disease}, E. Coli UTI {Urinary tract infection caused by Escherichia coli}, UTI {Urinary tract infectious disease}, infection {Infectious disease}, CT {Computed tomography}, bladder {Urinary bladder structure}, bladder wall {Structure of wall of urinary bladder}, thickening {Increased thickness}, UCx (+) Enterococcus and another gram positive {Urine culture - mixed growth}, Bactrim {Antibiotic therapy}, UTI {Urinary tract infectious disease}, fevers {Fever}, bladder spasms {Spasm of bladder}, worsened {Increased pain}, pain in back {Backache}, abd {Abdominal pain}, KUB {Radiography of kidney-ureter-bladder}, renal calculi {Kidney stone}, pneumatosis {Gas retention}, CT {Computed tomography}, soft tissue {Structure of soft tissue}, thickening {Increased thickness}, anterior abdominal wall {Anterior abdominal wall structure}, behavior {Behavior finding}, stress {Stress}, psych consult {Psychiatric procedure, interview AND/OR consultation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- fall injury c/b cervical spine and rib fracture in ___, s/p 
-multiple spine surgeries (c1-c4, c5-c7, L3-L5)
-- complete quadriplegia s/p baclofen pump placement on ___ 
-at ___
-- neurogenic bladder s/p suprapubic indrwelling catheter 
-(catheter placed in ___ ___
-- multiple UTIs
-- neurogenic bowel
-- lower back stage II coccyx pressure ulcer
-- muscle spasms
-- type II diabetes
-- anxiety (pyschiatrist ___. Worc. MA ___
-- depression (pyschiatrist ___. Worc. MA ___
-- hypercholesterolemia
-- GERD
-- h/o DVT/PE s/p IVC filter placement
-- history of gastrostomy
-- history of tracheostomy
-- history of alcohol abuse
-- history of drug (marijuana and cocaine) abuse
-
- 
-
-###RESPONSE: fall injury {Falling injury}, cervical spine {Structure of cervical vertebral column}, rib fracture {Fracture of rib}, spine surgeries {Operative procedure on spinal structure}, quadriplegia {Quadriplegia}, placement {Implantation procedure}, neurogenic bladder {Neurogenic bladder}, suprapubic indrwelling catheter {Suprapubic urinary catheter in situ}, placed {Implantation procedure}, UTIs {Recurrent urinary tract infection}, neurogenic bowel {Neurogenic bowel}, lower back {Lower back structure}, stage II coccyx pressure ulcer {Pressure injury of coccygeal region of back stage II}, muscle spasms {Spasm}, type II diabetes {Diabetes mellitus type 2}, anxiety {Anxiety}, depression {Depressive disorder}, hypercholesterolemia {Hypercholesterolemia}, GERD {Gastroesophageal reflux disease}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, IVC filter placement {Insertion of inferior vena caval filter}, gastrostomy {Gastrostomy}, tracheostomy {Exteriorization of trachea}, alcohol abuse {Alcohol abuse}, drug {Drug abuse}, cocaine) abuse {Cocaine abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Noncontributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-T 99.5, BP 111/66, HR 20, RR 20, SpO2 97%
-In NAD.
-OP clear, poor dentition, no lesions, no ___, neck supple
-No JVD, no bruits
-___ - none
-LUNGS CTA bilat w/o rhonchi, rubs, wheezes
-COR - RRR no MRG nl S2, S2.  Normal PMI
-ABD - mild distended, nl active bowel signs, non-tender, LLQ 
-mass under scar consistent with history of baclofen pump placed 
-there.  No rebound/guarding
-EXT - no clubbing, cyanosis, edema
-SKIN - Stage II decubiti bilat upper medial gluteal area with 
-surrounding StageI erythema, Stage II midline skin breakdown 
-coccygeal
-NERUO - Minimal proximal LUEx strength, more strength and 
-sensation RUEXt.  Is paraplegic LExt.
- 
-
-###RESPONSE: BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, NAD {No abnormality detected}, OP clear {Pharynx normal}, dentition {Structure of dentition}, lesions {Lesion}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, bruits {Bruit}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, rhonchi {Wheeze - rhonchi}, rubs {Pericardial friction rub}, wheezes {Wheezing}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, S2 {Normal second heart sound, S>2<}, Normal {No abnormality detected}, ABD {Examination of abdomen}, mild {Symptom mild}, distended {Swollen abdomen}, bowel {Intestinal structure}, non-tender {Abdominal tenderness}, LLQ 
-mass {Mass of left lower quadrant of abdomen}, scar {Scar}, placed {Implantation procedure}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXT {Examination of limb}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, SKIN {Examination of skin}, Stage II decubiti {Pressure injury of sacral region of back stage II}, gluteal area {Buttock structure}, erythema {Erythema}, skin breakdown {Broken skin}, NERUO {Neurological examination}, LUEx {Structure of left upper limb}, sensation {Normal sensation}, RUEXt {Structure of right upper limb}, paraplegic {Paraplegia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:55PM   WBC-7.8 RBC-4.05* HGB-11.9* HCT-36.6* MCV-90 
-MCH-29.4 MCHC-32.6 RDW-14.9
-___ 12:55PM   NEUTS-52.8 ___ MONOS-4.1 EOS-4.1* 
-BASOS-1.1
-___ 12:22PM   LACTATE-3.6* K+-3.9
-___ 12:10PM   GLUCOSE-249* UREA N-12 CREAT-0.4* SODIUM-138 
-POTASSIUM-4.4 CHLORIDE-100 TOTAL CO2-23 ANION GAP-19
-___ 12:10PM URINE  BLOOD-MOD NITRITE-NEG PROTEIN-25 
-GLUCOSE-250 KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 
-LEUK-MOD
-___ 12:10PM URINE  ___ BACTERIA-FEW 
-YEAST-MOD ___
-
-___ 12:00 am URINE     Site: CATHETER
-                            **FINAL REPORT ___
-   URINE CULTURE (Final ___: 
-      ENTEROCOCCUS SP..    >100,000 ORGANISMS/ML.. 
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-_________________________________________________________
-                             ENTEROCOCCUS SP.
-                             |   
-AMPICILLIN------------   <=2 S
-NITROFURANTOIN--------    32 S
-TETRACYCLINE----------   <=1 S
-VANCOMYCIN------------     1 S
-
-___ 2:00 am URINE      Source: Catheter. 
-                            **FINAL REPORT ___
-   URINE CULTURE (Final ___: 
-      Culture workup discontinued. Further incubation showed 
-contamination
-      with mixed skin/genital flora. Clinical significance of 
-isolate(s)
-      uncertain. Interpret with caution. 
-      ESCHERICHIA COLI.    >100,000 ORGANISMS/ML.. 
-         ___. ___ (___) REQUESTED SUSCEPTIBILITY TEST FOR 
-CEFPODOXIME ON
-         ___. 
-         Cefpodoxime = SENSITIVE, sensitivity testing performed 
-by ___
-         ___. 
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |   
-AMIKACIN--------------  =>64 R
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--    16 I
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------   =>4 R
-GENTAMICIN------------  =>16 R
-MEROPENEM-------------<=0.25 S
-NITROFURANTOIN--------  <=16 S
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------  =>16 R
-TRIMETHOPRIM/SULFA----  =>16 R
-
-CXR ___
-AP CHEST 6:33 P.M. ___ 
-  
-HISTORY: Quadriplegic fever. Question pneumonia. 
-  
-IMPRESSION: AP chest compared to ___. 
-  
-A roughly crescentic opacity in the right lower lung, beneath 
-the downward 
-displaced minor fissure is probably scarring or atelectasis 
-unchanged since at 
-least ___. Lungs otherwise clear. Heart size normal. No 
-pleural 
-effusion or evidence of central adenopathy. 
-  
-The study and the report were reviewed by the staff radiologist. 
-
-
-Time Taken Not Noted     Log-In Date/Time: ___ 2:05 pm
-      URINE     Site: NOT SPECIFIED
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      YEAST.    10,000-100,000 ORGANISMS/ML.. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Evaluation of urine specimen}, AST {Aspartate aminotransferase measurement}, URINE {Evaluation of urine specimen}, URINE CULTURE {Urine culture}, SENSITIVITIES {Antimicrobial susceptibility test}, URINE {Evaluation of urine specimen}, URINE CULTURE {Urine culture}, Culture {Microbial culture}, workup {Evaluation procedure}, sensitivity {Antimicrobial susceptibility test}, SENSITIVITIES {Antimicrobial susceptibility test}, CXR {Plain chest X-ray}, AP CHEST {Plain x-ray of chest anteroposterior view}, Quadriplegic {Quadriplegia}, fever {Fever}, pneumonia {Pneumonia}, AP chest {Plain x-ray of chest anteroposterior view}, opacity {Abnormally opaque structure}, right lower lung {Structure of base of right lung}, fissure {Fissure}, scarring {Scar}, atelectasis {Atelectasis}, Lungs {Lung structure}, clear {Normal breath sounds}, Heart {Heart structure}, normal {No abnormality detected}, pleural 
-effusion {Pleural effusion}, adenopathy {Lymphadenopathy}, URINE CULTURE {Urine culture}, AST {Aspartate aminotransferase measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ quadriplegic with recurrent UTIs, now with worsening 
-dysuria while on Ampicillin which was started ___ for fevers 
-for presumed UTI.  His UA is still positive nitrites and 
-leukocyte esterase.
-.
-# Presumed UTI:  Given Vancomycin to cover enterococcus which he 
-received in the ED.  He did not get anything for gram negative 
-coverage. Ceftriaxone 2gm daily added to based on prior 
-sensitivities.  UCX came back negative for bacteria, and showed 
-___ of yeast, likely contaminant -- this was not treated 
-here.  Will defer to PCP if he wants to treat this.  A CXR was 
-negative for obvious pneumonia.
-.
-# Suprapubic/Abdominal Pain: DDx includes bladder spasm, but 
-given recent KUB and Abd/pelvic CT reads referenced above, I 
-reviewed recent radiology films with radiology ___ on 
-call radiologist who indicated the CT showed mild enhancement of 
-bladder which could be consistent with UTI, and non-specific air 
-around stool in the bowel with constipation. Valium was recently 
-increased prior to admission, and he was started on Pyridium 
-(which he states never helps him). The latter is discontinue on 
-discharge.  Pt given Oxycodone prn for improved pain control and 
-continued on a bowel regimen as ordered.  His pain is LLQ and 
-vague.  I discussed with his PCP about having him see the 
-surgeons at ___ who put in his Baclofen pump at some point in 
-near future.
-.
-# Sacral Decubitus Ulcer: Stage II - present on admission.  
-___ wound RN to assess.  Continue treatments.
-.
-# DM2:  Normally on metformin, was continued.
-.
-#Depression/Anxiety:  continue Seroquel, Wellbutrin, Citalopram 
-and valium.
-.
-CODE:  FULL per patient
-.
-CONTACT:  HCP = ___ ___
-
- 
-
-###RESPONSE: quadriplegic {Quadriplegia}, recurrent UTIs {Recurrent urinary tract infection}, dysuria {Dysuria}, Ampicillin {Antibiotic therapy}, fevers {Fever}, UTI {Urinary tract infectious disease}, UA {Urinalysis}, positive nitrites {Nitrite detected in urine}, UTI {Urinary tract infectious disease}, Vancomycin {Antibiotic therapy}, sensitivities {Antimicrobial susceptibility test}, UCX came back negative for bacteria {Urine culture - no growth}, PCP {Primary care management}, CXR {Plain chest X-ray}, negative {No abnormality detected}, pneumonia {Pneumonia}, Suprapubic {Suprapubic pain}, Abdominal Pain {Abdominal pain}, bladder spasm {Spasm of bladder}, KUB {Radiography of kidney-ureter-bladder}, Abd/pelvic CT {Computed tomography of abdomen and pelvis}, CT {Computed tomography}, bladder {Urinary bladder structure}, UTI {Urinary tract infectious disease}, bowel {Intestinal structure}, constipation {Constipation}, improved {Patient's condition improved}, pain control {Pain control}, bowel {Intestinal structure}, regimen {Therapeutic regimen}, pain {Pain}, LLQ {Structure of left lower quadrant of abdomen}, PCP {Primary care management}, Sacral Decubitus Ulcer: Stage II {Pressure injury of sacral region of back stage II}, wound {Wound}, DM2 {Diabetes mellitus type 2}, Depression {Depressive disorder}, Anxiety {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Alendronate 70 mg Tablet Sig: One (1) Tablet PO QTUES 
-2. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) 
-Tablet, PO EVERY OTHER DAY 
-3. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-4. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily). 
-
-5. Tizanidine 2 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-
-6. Ascorbic Acid ___ mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-
-times a day).  
-8. Metformin 500 mg Tablet Sig: One (1) Tablet PO twice a day.  
-9. Midodrine 5 mg Tablet Sig: Two (2) Tablet PO BID 
-10. Baclofen 10 mg Tablet Sig: 2.5 Tablets PO TID 
-11. Zofran 4 mg Tablet Sig: One (1) Tablet PO once a day as 
-needed for nausea.  
-12. Baclofen  Intrathecal
-13. Metamucil Powder Sig: One (1) dose PO once a day as 
-needed for constipation.  
-14. Fragmin 5,000 unit/0.2 mL Syringe Sig: One (1) syringe 
-Subcutaneous once a day.  
-15. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID prn 
-constipation.  
-16. Miralax 17 gram/dose Powder Sig: One (1) dose PO once a day 
-as needed for constipation.  
-17. Acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H prn 
-fever, pain.  
-18. Oxycodone 5 mg Tablet Sig: Five (5) Tablet PO q8h:PRN pain
-19. Buspirone 10 mg Tablet Sig: One (1) Tablet PO TID 
-20. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY 
-21. Lorazepam 1 mg Tablet Sig: One (1) Tablet PO HS   
-22. Diazepam 2 mg Tablet Sig: One (1) Tablet PO Q8H prn spasms.  
-
-23. Quetiapine 25 mg Tablet Sig: Three (3) Tablet PO HS 
-24. Sodium Chloride 0.65 % Aerosol, Spray Sig: ___ Sprays Nasal
-BID  
-25. Phenazopyridine 100 mg Tablet Sig: One (1) Tablet PO TID prn 
-bladder pain
-26. Sulfamethoxazole-Trimethoprim 800-160 mg Tablet Sig: One (1) 
-
-Tablet PO BID (2 times a day) for 7 days.
-27. MagOx 400 mg Tablet Sig: One (1) Tablet PO twice a day.  
-28. Oxycodone 5 mg Tablet Sig: Two (2) Tablet PO at bedtime as 
-needed for pain.  
-29. Lorazepam 0.5 mg Tablet Sig: 0.5 Tablet PO q8h:PRN as needed 
-
-for anxiety.
- 
-Discharge Medications:
-1. Acetaminophen 325 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for fever.  
-2. Senna 8.6 mg Tablet Sig: ___ Tablets PO BID (2 times a day).  
-
-3. Polyethylene Glycol 3350 17 gram/dose Powder Sig: One (1)  PO 
-DAILY (Daily) as needed for constipation.  
-4. Fluticasone 50 mcg/Actuation Spray, Suspension Sig: One (1) 
-Spray Nasal DAILY (Daily).  
-5. Baclofen 10 mg Tablet Sig: 2.5 Tablets PO TID (3 times a 
-day).  
-6. Ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, 
-Rapid Dissolve PO DAILY (Daily) as needed for nausea.  
-7. Alendronate 70 mg Tablet Sig: One (1) Tablet PO QTUES (every 
-___.  
-8. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal 
-HS (at bedtime).  
-9. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO DAILY (Daily).  
-10. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. Tizanidine 2 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 
- 
-12. Metformin 500 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-13. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).  
-14. Magnesium Oxide 400 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-15. Buspirone 10 mg Tablet Sig: 1.5 Tablets PO TID (3 times a 
-day).  
-16. Diazepam 2 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime) 
-as needed for insomnia.  
-17. Quetiapine 100 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-18. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-19. Oxycodone 5 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 
-hours) as needed for pain.  
-20. Fragmin 5,000 unit/0.2 mL Syringe Sig: One (1) dose 
-Subcutaneous once a day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Abdominal Pain
-Stage II sacral debuitus
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Bedbound.
- 
-
-###RESPONSE: Abdominal Pain {Abdominal pain}, Stage II sacral debuitus {Pressure injury of sacral region of back stage II}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Bedbound {Bed-ridden}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with complaints of abdominal pain.  You were 
-empirically given antibiotics for possible urinary tract 
-infection but do not have a urinary tract infection by culture.  
-You have discomfort in your lower left abdomen, you are 
-tolerating all of your medications and a normal diet.  I 
-recommend you follow-up with your PCP and discuss ___ possible 
-visit with the surgeons who put in the baclofen pump (in the 
-left abdomen).  Please exercise patience with your current 
-condition and work with your facility's staff to help you as 
-best as possible. 
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, antibiotics {Antibiotic therapy}, urinary tract 
-infection {Urinary tract infectious disease}, urinary tract infection {Urinary tract infectious disease}, culture {Microbial culture}, discomfort {Discomfort}, lower left abdomen {Structure of left lower quadrant of abdomen}, medications {Patient medication education}, normal diet {Normal diet}, follow-up {Follow-up status}, PCP {Primary care management}, left abdomen {Structure of left side of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Headache
- 
-Major Surgical or Invasive Procedure:
-Imaging-guided LP - ___
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Headache {Headache}, Imaging {Imaging}, LP {Lumbar puncture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ female with PMH of hypertension,
-spinal stenosis, recent diagnosis of shingles, who presents with
-severe headache.
-
-Patient reports that the day of admission she woke up from sleep
-around 3AM with a headache, which she describes as ""intense"" and
-""all over"".  She states that this pain worsened throughout the
-day.  It was associated with nausea and vomiting -reports
-vomiting several times throughout the day, not able to keep
-anything down.  She states that bright lights made somewhat
-worse, but also that she does not normally like bright lights. 
-No phonophobia, though she does note continued ear pain.  
-Reports
-no fevers or chills.  Did have some shooting pains at the back 
-of
-her neck, but no neck soreness or stiffness.  No dizziness or
-lightheadedness, but not associated with falls.
-
-On review of records, patient first presented to her PCPs office
-on ___ with a rash on her face and neck.  She was diagnosed
-at that time with shingles, and started on a 10-day course of
-acyclovir.  She returned to urgent care on ___ with
-weakness on the left side of her face.  She was diagnosed with
-Bell's palsy secondary to her herpes zoster infection.  Was
-started on prednisone 60 mg daily for a week.  Of note, patient
-states that she was taking 60 mg 3 times a day rather than daily
-(3 tabs, 3 times a day).  She return to clinic on ___, the
-day of admission, with her headache as described above.  At this
-time she was sent to the emergency department.
-
-In the ED:
-
-Initial vital signs were notable for: T 36.5, HR 63, BP 157/95,
-RR 16, 98% RA 
-
-Exam notable for:
-Constitutional: Comfortable.
-Head/eyes: NCAT, PERRLA, EOMI.
-ENT/neck: neck supple, no rigidity or pain
-Neuro: Slowed speech, but fluent, left sided facial droop that
-has been ongoing for a week due to bell's palsy resulting from
-shingles. strength and sensation intact in bl UE and ___. ftn in
-tact. CN ___ otherwise intact with exception of CN VII on left
-side.
-
-Labs were notable for:
-
-- CBC: WBC 11.7, hgb 13.0, plt 288 
-
-- Lytes:
-
-140 / 98 / 20     AGap=16 
--------------- 91 
-3.4 \ 26 \ 0.8 
-
-- LFTs: AST: 20 ALT: 19 AP: 81 Tbili: 0.5 Alb: 4.1 
-- lipase 24
-- lactate 1.8
-
-Studies performed include:
-- NCHCT with no evidence of acute intracranial hemorrhage.
-- LP was attempted, but unable to obtain CSF sample 
-
-Consults: ___ was consulted for an LP, which was not done at time
-of admission 
-
-Patient was given:  
-___ 17:21 IVF  NS 1000 mL
-___ 17:28 IV Metoclopramide 10 mg   
-___ 17:28 IV DiphenhydrAMINE 25 mg  
-___ 17:29 IV Acyclovir 600 mg 
-___ 20:16 IV Morphine Sulfate 4 mg 
-
-Vitals on transfer: T 98.5, HR 58, BP 158/82, RR 16, 96% RA 
- 
-Upon arrival to the floor, patient recounts history as above. 
-She states that overall her headache is slightly better than it
-was initially.
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, spinal stenosis {Spinal stenosis}, shingles {Herpes zoster}, severe {Symptom severe}, headache {Headache}, headache {Headache}, pain {Pain}, nausea and vomiting {Nausea and vomiting}, vomiting {Vomiting}, worse {Increased pain}, phonophobia {Phonophobia}, ear pain {Pain of ear}, fevers {Fever}, chills {Chill}, shooting pains {Shooting pain}, back 
-of
-her neck {Cervical region back structure}, neck {Cervical region back structure}, soreness {Soreness}, stiffness {Stiffness}, dizziness {Dizziness}, lightheadedness {Lightheadedness}, falls {Falls}, rash {Eruption of skin}, face {Face structure}, neck {Neck structure}, shingles {Herpes zoster}, weakness {Weakness of face muscles}, left side of her face {Structure of left half of face}, Bell's palsy {Bell's palsy}, herpes zoster infection {Herpes zoster}, headache {Headache}, emergency {Emergency treatment management}, vital signs {Vital signs finding}, RA {Breathing room air}, Comfortable {Comfortable appearance}, Head/eyes {Physical examination procedure}, NCAT {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, ENT/neck {Physical examination procedure}, neck supple {Normal movement of neck}, rigidity {Nuchal rigidity}, pain {Pain}, Neuro {Neurological examination}, Slowed speech {Bradylalia}, fluent {Does speak fluently}, left sided facial {Structure of left half of face}, bell's palsy {Bell's palsy}, shingles {Herpes zoster}, sensation intact {Normal sensation}, UE {Upper limb structure}, CN {Cranial nerve structure}, CN VII on left
-side {Structure of left facial nerve}, CBC {Complete blood count}, WBC {White blood cell count}, LFTs {Hepatic function panel}, AST {Aspartate aminotransferase measurement}, ALT {Alanine aminotransferase measurement}, AP {Alkaline phosphatase measurement}, Tbili {Bilirubin, total measurement}, Alb {Albumin measurement}, lipase {Serum lipase measurement}, lactate {Lactic acid measurement}, NCHCT {Computed tomography of head without contrast}, no evidence {No abnormality detected}, intracranial hemorrhage {Intracranial hemorrhage}, LP {Lumbar puncture}, CSF {Cerebrospinal fluid collection}, LP {Lumbar puncture}, IVF {Administration of intravenous fluids}, Vitals {Vital signs finding}, RA {Breathing room air}, headache {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- hypertension 
-- melanoma
-- hyperlipidemia
-- Gastric ulcer 
-- Asthma 
-- Spinal stenosis, lumbar region, with neurogenic claudication 
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, melanoma {Malignant melanoma of skin}, hyperlipidemia {Hyperlipidemia}, Gastric ulcer {Gastric ulcer}, Asthma {Asthma}, Spinal stenosis, lumbar region {Spinal stenosis of lumbar region}, neurogenic claudication {Neurogenic claudication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Brother ___ 
-Father ___ 
-Mother ___ CAD/PVD - Early (___); Gout; Hypertension 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, PVD {Peripheral vascular disease}, Gout {Inflammatory disorder due to increased blood urate level}, Hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: T 98.4, HR 66, BP 171/90, RR 18, 93% RA 
-GENERAL: Alert and in no apparent distress
-EYES: Anicteric, pupils equally round
-ENT: Neck supple with negative brudzinski's and kernig's signs.
-Crusted over lesions on left side of face, including pinna of 
-ear
-and external canal. Very tender to light palpation
-CV: Heart regular, no murmur, no S3, no S4.  No JVD.
-RESP: Lungs clear to auscultation with good air movement
-bilaterally.  Breathing is non-labored
-GI: Abdomen soft, non-distended, non-tender to palpation.  Bowel
-sounds present.  No HSM
-GU: No suprapubic fullness or tenderness to palpation
-MSK: Neck supple, moves all extremities, strength grossly full
-and symmetric bilaterally in all limbs
-SKIN: Lesions over left side of face as noted above
-NEURO: Alert, oriented x3, PEERL, EOMI. Left-sided facial droop
-with decreased sensation to forehead and nearly no sensation in
-V2 and V3 distribution. Hearing grossly intact bilaterally.
-Palate raises symmetrically, shoulder shrug normal, tongue
-midline, strength ___ in upper and lower distal and proximal
-muscle groups.  
-PSYCH: pleasant, appropriate affect
- 
-
-###RESPONSE: VITALS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, Alert {Mentally alert}, distress {Distress}, EYES {Ophthalmic examination and evaluation}, Anicteric {White sclera}, pupils equally round {Pupil size and shape normal}, ENT {Abdominal tenderness}, supple {Normal movement of neck}, negative {No abnormality detected}, brudzinski's {Brudzinski's sign}, kernig's signs {Kernig's sign}, lesions {Lesion}, left side of face {Structure of left half of face}, pinna of 
-ear {Pinna structure}, external canal {External auditory canal structure}, tender {Abdominal tenderness}, palpation {Palpation}, CV {Cardiovascular physical examination}, Heart {Cardiovascular physical examination}, murmur {Murmur}, no S3 {Third heart sound, S>3<, inaudible}, no S4 {Fourth heart sound, S>4<, inaudible}, JVD {Jugular venous engorgement}, RESP {Examination of respiratory system}, Lungs {Examination of respiratory system}, good air movement {Breath normal}, Breathing {Examination of respiratory system}, labored {Labored breathing}, GI {Examination of digestive system}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, palpation {Palpation}, Bowel
-sounds present {Normal bowel sounds}, HSM {Hepatosplenomegaly}, GU {Examination of genitourinary system}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, palpation {Palpation}, MSK {Musculoskeletal system physical examination}, supple {Normal movement of neck}, all extremities {All extremities}, symmetric bilaterally in all limbs {Normal bilateral upper limbs and bilateral lower limbs}, SKIN {Examination of skin}, Lesions {Skin lesion}, left side of face {Structure of left half of face}, NEURO {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, PEERL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Left-sided facial {Structure of left half of face}, decreased sensation {Hypesthesia}, forehead {Forehead structure}, no sensation {Absence of sensation}, V2 {Entire maxilla}, V3 {Lower jaw region structure}, grossly intact {Normal nervous system function}, Palate {Palatal structure}, shoulder {Structure of right shoulder region}, normal {No abnormality detected}, tongue {Tongue structure}, upper and lower distal {Structure of distal palatal tooth surfaces}, muscle {Skeletal and/or smooth muscle structure}, PSYCH {Psychiatry procedure or service}, affect {Mood finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 03:15PM BLOOD WBC-11.7* RBC-4.54 Hgb-13.0 Hct-41.5 
-MCV-91 MCH-28.6 MCHC-31.3* RDW-12.6 RDWSD-41.7 Plt ___
-___ 03:15PM BLOOD Glucose-91 UreaN-20 Creat-0.8 Na-140 
-K-3.4* Cl-98 HCO3-26 AnGap-16
-___ 07:18AM BLOOD Calcium-8.6 Phos-3.9 Mg-1.9
-
-LP RESULTS:
-Tube 1: ___ 03:15PM CEREBROSPINAL FLUID (CSF) TNC-19* 
-RBC-700* Polys-7 Bands-1 ___ Monos-4
-Tube 4: ___ 03:15PM CEREBROSPINAL FLUID (CSF) TNC-22* 
-RBC-174* Polys-6 Bands-3 ___ ___ 03:15PM CEREBROSPINAL FLUID (CSF) TotProt-36 Glucose-57
-
-RELEVANT IMAGING:
-___ NCHCT:
-There is no evidence of acute, large territorial infarction, 
-fracture, 
-hemorrhage,edema,or mass effect.  There is mild prominence of 
-the ventricles  and sulci suggestive of involutional changes.  
-Periventricular white-matter hypodensities are nonspecific, 
-likely sequela of chronic ischemic small vessel  disease. 
-  
-Hyperostosis frontalis interna is noted.  Partial opacification 
-of the 
-posterior ethmoid air cells.  Layering fluid within the 
-bilateral sphenoid 
-sinuses, left greater than right, with aerosolized component 
-within the left sphenoid sinus.  The mastoid air cells are 
-clear.  The visualized portion of the orbits are normal. 
-  
-IMPRESSION:  
-1. No evidence of acute intracranial hemorrhage. 
-2. Paranasal sinus disease. 
-
-___ CTA head/neck:
-FINDINGS:  
-  
-CT head shows no evidence of hemorrhage, or loss of gray-white 
-matter 
-differentiation. No midline shift or hydrocephalus seen.  
-Aerosolized 
-secretions and fluid level are seen in the sphenoid sinus. 
-  
-CT angiography of the neck shows normal appearance of the 
-carotid and 
-vertebral arteries without stenosis or occlusion or dissection. 
-  
-CT angiography of the head shows normal appearance of the 
-arteries of the 
-anterior and posterior circulation without stenosis or occlusion 
-or aneurysm 
-greater than 3 mm in size. 
-  
-IMPRESSION:  
-No significant abnormalities on CT of the head without contrast. 
- No 
-significant abnormalities on CT angiography of the head and 
-neck.  Sphenoid sinus soft tissue changes. 
-
-DISCHARGE RESULTS:
-___ 06:50AM BLOOD WBC-7.4 RBC-3.83* Hgb-11.2 Hct-36.5 
-MCV-95 MCH-29.2 MCHC-30.7* RDW-12.4 RDWSD-42.9 Plt ___
-___ 07:00AM BLOOD Glucose-98 UreaN-13 Creat-1.0 Na-141 
-K-4.4 Cl-103 HCO3-28 AnGap-10
-___ 07:00AM BLOOD Calcium-9.0 Phos-4.3 Mg-2.___ woman with PMH of hypertension, spinal stenosis, 
-recent diagnosis of shingles with suspected Ramsay Hunt 
-syndrome, who presented with severe headache. CT head and CTA 
-head/neck showed no acute process. She underwent LP which showed 
-22 WBCs, primarily lymphs, without xanthochromia. ID was 
-consulted who felt this finding may represent VZV meningitis vs 
-meningeal irritation from VZV, and recommended 10-day course of 
-anti-viral therapy. She was treated initially with IV acyclovir, 
-transitioned to valacyclovir to complete course, last day ___. 
-She was also seen by neurology, who recommended initiation of 
-amitriptyline for headache management, and treatment of 
-neuropathic pain. Gabapentin was also uptitrated to 400mg TID. 
-Lisinopril was uptitrated to 20mg from 10mg daily.
-
-TRANSITIONAL ISSUES:
--Valtrex to finish ___
--Patient should receive shingles vaccine ___ weeks after 
-resolution of symptoms
--Amitriptyline started for neuropathic pain and headache
--Gabapentin increased to 400mg TID for neuropathic pain
--Patient complaining of headaches brought on by chewing, thought 
-to be related to shingles. If no improvement at f/u, would check 
-ESR/CRP to evaluate for GCA
--Please refer to ___ neurology for f/u, per patient preference
--Lisinopril increased from 10mg to 20mg daily
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, RBC {Red blood cell count}, Monos {Monocyte count}, RBC {Red blood cell count}, Glucose {Glucose measurement, blood}, NCHCT {Computed tomography of head without contrast}, no evidence {No abnormality detected}, infarction {Infarct}, fracture {Fracture}, hemorrhage {Hemorrhage}, edema {Edema}, mass {Mass}, ventricles {Brain ventricle structure}, sulci {Structure of sulcus of brain}, involutional changes {Involution}, Periventricular white-matter {Structure of periventricular white matter}, chronic ischemic {Chronic cerebral ischemia}, small vessel {Structure of small blood vessel (organ)}, Hyperostosis frontalis interna {Hyperostosis interna frontalis}, opacification {Abnormally opaque structure}, posterior ethmoid air cells {Structure of posterior cells of ethmoid sinus}, fluid {Accumulation of fluid}, sphenoid 
-sinuses {Sphenoid sinus structure}, left {Left sphenoid sinus structure}, right {Right sphenoid sinus structure}, left sphenoid sinus {Left sphenoid sinus structure}, mastoid air cells {Structure of mastoid cell}, are 
-clear {No abnormality detected}, orbits {Structure of orbit proper}, normal {No abnormality detected}, No evidence {No abnormality detected}, intracranial hemorrhage {Intracranial hemorrhage}, Paranasal sinus disease {Disorder of nasal sinus}, CT head {Computed tomography of head}, no evidence {No abnormality detected}, hemorrhage {Hemorrhage}, midline shift {Midline shift of brain}, hydrocephalus {Hydrocephalus}, fluid {Accumulation of fluid}, sphenoid sinus {Sphenoid sinus structure}, CT angiography of the neck {Computed tomography angiography of vascular structure of neck with contrast}, normal appearance {Normal appearance}, carotid {Carotid artery structure}, vertebral arteries {Structure of vertebral artery}, stenosis {Stenosis}, occlusion {Complete obstruction}, dissection {Dissection of artery}, CT angiography of the head {Computed tomography angiography of head with contrast}, normal appearance {Normal appearance}, arteries {Arterial structure}, circulation {Structure of cardiovascular system}, stenosis {Stenosis}, occlusion {Complete obstruction}, aneurysm {Aneurysm}, No significant abnormalities {No abnormality detected}, CT of the head without contrast {Computed tomography of head without contrast}, No 
-significant abnormalities {No abnormality detected}, CT angiography of the head and 
-neck {Computed tomography angiography of head and neck with contrast}, Sphenoid sinus {Sphenoid sinus structure}, soft tissue {Structure of soft tissue}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, hypertension {Hypertensive disorder, systemic arterial}, spinal stenosis {Spinal stenosis}, shingles {Herpes zoster}, Ramsay Hunt 
-syndrome {Herpes zoster auricularis}, severe {Symptom severe}, headache {Headache}, CT head {Computed tomography of head}, CTA 
-head/neck {Computed tomography angiography of head and neck with contrast}, no acute {No abnormality detected}, LP {Lumbar puncture}, lymphs {Lymphocyte count}, VZV meningitis {Herpes zoster with meningitis}, meningeal irritation {Meningeal irritation}, anti-viral therapy {Antiviral therapy}, headache {Headache}, neuropathic pain {Neuropathic pain}, receive shingles vaccine {Administration of vaccine product containing only Human alphaherpesvirus 3 antigen for shingles}, neuropathic pain {Neuropathic pain}, headache {Headache}, neuropathic pain {Neuropathic pain}, headaches {Headache}, shingles {Herpes zoster}, no improvement {Patient condition unchanged}, ESR {Erythrocyte sedimentation rate measurement}, CRP {C-reactive protein measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Lisinopril 10 mg PO DAILY 
-2. Omeprazole 20 mg PO BID 
-3. Ondansetron 8 mg PO Q8H:PRN Nausea/Vomiting - First Line 
-4. Pravastatin 40 mg PO DAILY 
-5. Vitamin D ___ UNIT PO DAILY 
-6. DICYCLOMine 20 mg PO TID 
-7. Polyethylene Glycol 17 g PO BID 
-8. TraZODone 50-100 mg PO QHS:PRN insomnia 
-9. Senna 17.2 mg PO QHS 
-10. Morphine SR (MS ___ 30 mg PO Q12H 
-11. Gabapentin 300 mg PO TID 
-
- 
-Discharge Medications:
-1.  Amitriptyline 10 mg PO QHS 
-RX *amitriptyline 10 mg 1 tablet(s) by mouth at bedtime Disp 
-#*30 Tablet Refills:*0 
-2.  Artificial Tears 2 DROP BOTH EYES QID 
-RX *dextran 70-hypromellose (PF) [Artificial Tears (PF)] 0.1 
-%-0.3 % ___ drops ___ four times a day Disp #*1 Bottle Refills:*2 
-
-3.  Capsaicin 0.025% 1 Appl TP TID 
-RX *capsaicin 0.025 % Apply small amount to affected area three 
-times a day Refills:*1 
-4.  HydrOXYzine 25 mg PO QHS:PRN itchiness 
-This medication will make you drowsy. Do not drive or operate 
-machinery while using this medication. 
-RX *hydroxyzine HCl 25 mg 1 tab by mouth at bedtime Disp #*20 
-Tablet Refills:*0 
-5.  ValACYclovir 1000 mg PO TID Duration: 4 Days 
-RX *valacyclovir 1,000 mg 1 tab by mouth three times a day Disp 
-#*13 Tablet Refills:*0 
-6.  Gabapentin 400 mg PO TID 
-RX *gabapentin 400 mg 1 capsule(s) by mouth three times a day 
-Disp #*90 Capsule Refills:*0 
-7.  Lisinopril 20 mg PO DAILY 
-RX *lisinopril 20 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0 
-8.  DICYCLOMine 20 mg PO TID  
-9.  Morphine SR (MS ___ 30 mg PO Q12H  
-10.  Omeprazole 20 mg PO BID  
-11.  Ondansetron 8 mg PO Q8H:PRN Nausea/Vomiting - First Line  
-12.  Polyethylene Glycol 17 g PO BID  
-13.  Pravastatin 40 mg PO DAILY  
-14.  Senna 17.2 mg PO QHS  
-15.  TraZODone 50-100 mg PO QHS:PRN insomnia  
-16.  Vitamin D ___ UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Shingles with meningeal irritation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Shingles with meningeal irritation {Herpes zoster with meningitis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-You came to the hospital with a headache. While you were here, 
-you had a lumbar puncture which showed irritation due to 
-shingles. You were started on anti-viral medication, as well as 
-medications to help your headache. You should continue the 
-anti-viral medication (valacyclovir, also called Valtrex) until 
-___. You should also use artificial tears as needed for dry 
-eyes, and use your eye patch at night until your eye is closing 
-completely.
-
-Please follow-up with your PCP as scheduled below. At this 
-visit, you may request a referral to neurology for further 
-follow-up.
-
-It was a pleasure participating in your care.
-
-Sincerely,
-Your ___ Team
- 
-
-###RESPONSE: headache {Headache}, lumbar puncture {Lumbar puncture}, shingles {Herpes zoster}, anti-viral medication {Antiviral therapy}, medications {Patient medication education}, headache {Headache}, anti-viral medication {Antiviral therapy}, dry 
-eyes {Dry eyes}, eye {Structure of eye proper}, eye {Structure of eye proper}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Syncope
-Back pain
- 
-Major Surgical or Invasive Procedure:
-Nil
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Syncope {Syncope}, Back pain {Backache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo female with history of HL, hypothyroidism, anxiety and 
-depression who presented after syncopal episode. She reports 
-being in her USOH until she was walking up to the store this 
-morning as per her routine. All of a sudden she felt her ""eyes 
-went black"". She reports fainting and losing consciousness. She 
-denies any other prior symptoms including dizziness, LH, visual 
-changes, nausea, CP, SOB, or palpitations. She denies any 
-urinary or fecal incontinence during the episode. She fell into 
-a seated position, as if she ""plopped down"" and broke her fall 
-with her right wrist. She then felt pain in both her right wrist 
-and her left hip, and it was this pain that ""awoke her"". She 
-denies hitting her head during the fall. No recent positional 
-change prior to the syncopal event. She has previously 
-experienced this same syncopal episode.  
-.  
-After her fall, she reports marked left hip pain. She denies any 
-urinary or fecal incontinence since the fall. She denies 
-numbness, tingling, weakness, or radiating pain in her legs
- 
-
-###RESPONSE: HL {Hyperlipidemia}, hypothyroidism {Hypothyroidism}, anxiety {Anxiety}, depression {Depressive disorder}, syncopal {Syncope}, yes 
-went black {Syncope}, fainting {Syncope}, losing consciousness {Decreased level of consciousness}, dizziness {Dizziness}, LH {Labile essential hypertension}, visual 
-changes {Sight deteriorating}, nausea {Nausea}, SOB {Dyspnea}, palpitations {Palpitations}, urinary {Urinary incontinence}, fecal incontinence {Incontinence of feces}, fell {Falls}, fall {Falls}, right wrist {Structure of right wrist region}, pain {Pain}, right wrist {Structure of right wrist region}, left hip {Left hip region structure}, pain {Pain}, fall {Falls}, syncopal {Syncope}, syncopal {Syncope}, fall {Falls}, left hip {Left hip region structure}, pain {Pain}, urinary {Urinary incontinence}, fecal incontinence {Incontinence of feces}, fall {Falls}, numbness, tingling {Numbness and tingling sensation of skin}, weakness {Asthenia}, radiating pain {Radiating pain}, legs {Lower limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Osteopenia  
-Hypothyroidism  
-Depression  
-Anxiety  
-HLD  
-Cataracts s/p repair  
-
- 
-
-###RESPONSE: Osteopenia {Osteopenia}, Hypothyroidism {Hypothyroidism}, Depression {Depressive disorder}, Anxiety {Anxiety}, HLD {Hyperlipidemia}, Cataracts {Cataract}, repair {Cataract surgery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother:faint spells, breast Ca in ___
- 
-
-###RESPONSE: faint {Syncope}, breast Ca {Malignant neoplasm of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS - 97.7 66 117/64 14 96% on RA 73.8kg  
-GENERAL - Alert, interactive, well-appearing elderly female in 
-pain, laying still in bed, unable to sit  
-HEENT - PERRLA, EOMI, sclerae anicteric, MMM, OP clear  
-NECK - Supple, no JVD  
-HEART - PMI non-displaced, RRR, nl S1-S2, no MRG  
-LUNGS - CTAB, no r/rh/wh, good air movement  
-ABDOMEN - +BS, soft/NT/ND, no masses or HSM  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses  
-BACK - tender over thoracic spine T4-T8, no paraspinal muscle 
-tenderness, no lumbosacral tenderness, pain over left SI joint 
-and into left groin  
-NEURO - awake, A&Ox3, CNs II-XII grossly intact, muscle strength 
-___ throughout, sensation grossly intact throughout  
-.  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, Alert {Mentally alert}, interactive {Does communicate}, well-appearing {Well cared for appearance}, pain {Pain}, laying still in bed {Lying in bed}, unable to sit {Unable to sit}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, HEART {Cardiovascular physical examination}, displaced {Apex beat displaced}, RRR {Normal heart rate}, nl S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, no MRG {Heart sounds normal}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, +BS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, 2+ peripheral pulses {Peripheral pulses normal}, tender {Abdominal tenderness}, T4 {Bone structure of T4}, T8 {Bone structure of T8}, paraspinal {Structure of paravertebral region}, tenderness {Tenderness}, lumbosacral {Structure of lumbar and/or sacral region of back}, tenderness {Tenderness}, pain {Pain}, left SI joint {Structure of left sacroiliac joint}, left groin {Left inguinal region structure}, NEURO {Neurological examination}, awake {Awake}, Ox3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, muscle {Skeletal and/or smooth muscle structure}, sensation grossly intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:30PM   cTropnT-<0.01
-___ 07:30PM   WBC-14.9* RBC-4.80 HGB-13.0 HCT-41.2 MCV-86 
-MCH-27.2 MCHC-31.6 RDW-13.___ yo female with history of osteopenia, HL, and hypothyroidism 
-admitted for syncope.  
-.  
-# Syncope: Although patient has had previous syncopal episodes 
-in the past, she has always had prior warning of feeling hot and 
-sweatty and had managed to sit down and prevent herself from 
-passing out.  This episode was different.  She had no prior 
-warning symptoms as before making this episode an unlikely 
-vasovagal.  There was no positional changes prior to fall making 
-orthostatic hypotension induced syncope unlikely.  She is also 
-not on any current anti-hypertensives such as thiazides.  She 
-was not exerting herself in terms of coughing/sneezing prior to 
-episode making effort syncope unlikely. However, she was walking 
-to the store and exerting herself minimally although she states 
-this walk has never troubled her before.  No faecal/urinary 
-incontinence or confusion post syncope also rules out a seizure. 
-Although she denies any chest pain/palpitations/SOB/headache, 
-and unremarkable cardiovascular exam, her recent ECG shows new 
-atrial enlargement and slight intraventricular delay.  This 
-warrants further cardiac workup to rule out transient arrhythmia 
-inducing syncopal episodes.  
-
--ECG - no ST/T wave changes, troponin <0.01  
--monitor on telemetry  
--ECHO looking specifically at valvular function (evidence of 
-aortic stenosis) which came back normal
--As per Dr. ___, patient going home with event 
-recorder
--Out patient PCP and cardiology appointments  
-.  
-# Left hip pain: Xrays without evidence of fracture. Most likely 
-contusion of left hip/sacrum.  
--tylenol standing  
--patient has been taking ibuprofen PRN for back pain, so discuss 
-risks in terms of GI bleed and pre-renal failure
--small dose of oxycodone prn further pain  
--___ consult  
-  
-.  
-# Back pain: History of osteopenia on BMD in ___. Compression 
-fracture seen in lumbar spine L2 level but does not correlate to 
-current symptoms. Compression fracture in the thoracic spine 
-would not be an unreasonable explanation for her current 
-symptoms given the mechanism of her fall.  
--thoracic spine films  
--___ as outpatient 
--Discuss commencement of Calcium and Vit D supplements as well 
-as bisphosphonates even though patient has declined these in the 
-past 
-.  
-# Leukocytosis: Most likely stress response. No signs or 
-symptoms of infection.  
-  
-.  
-# Hypothyroidism: continue levothyroxine  
-.  
-# HL: continue simvastatin  
-.  
-# Anxiety/depression: continue sertraline  
-.  
-
- 
-
-###RESPONSE: cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, osteopenia {Osteopenia}, HL {Hyperlipidemia}, hypothyroidism {Hypothyroidism}, syncope {Syncope}, Syncope {Syncope}, syncopal {Syncope}, hot and 
-sweatty {Feels hot and sweaty}, passing out {Syncope}, vasovagal {Vasovagal syncope}, fall {Falls}, orthostatic hypotension {Orthostatic hypotension}, syncope {Syncope}, t anti-hypertensives {On treatment for hypertension}, coughing {Cough}, sneezing {Sneezing}, effort syncope {Effort syncope}, faecal {Incontinence of feces}, urinary 
-incontinence {Urinary incontinence}, confusion {Clouded consciousness}, syncope {Syncope}, seizure {Seizure}, chest pain {Chest pain}, palpitations {Palpitations}, SOB {Dyspnea}, headache {Headache}, unremarkable cardiovascular exam {Cardiovascular system normal}, ECG {Electrocardiographic procedure}, atrial {Atrial structure}, enlargement {Enlargement}, intraventricular delay {Non-specific intraventricular conduction delay}, r cardiac workup {Examination of heart}, arrhythmia {Cardiac arrhythmia}, syncopal {Syncope}, ECG {Electrocardiographic procedure}, no ST/T wave change {Electrocardiogram normal}, troponin {Troponin measurement}, telemetry  {Electroencephalogram telemetry}, ECHO {Echocardiography}, valvular {Structure of heart valve tissue}, aortic stenosis {Aortic valve stenosis}, PCP {Primary care management}, cardiology appointments {Cardiac care management}, Left hip {Left hip region structure}, pain {Pain in scrotum}, fracture {Fracture}, contusion of left hip {Contusion of left hip region}, sacrum {Structure of sacral vertebral column}, back pain {Backache}, GI bleed {Gastrointestinal hemorrhage}, pre-renal failure {Pre-renal acute kidney injury}, pain {Pain}, Back pain {Backache}, osteopenia {Osteopenia}, Compression 
-fracture seen in lumbar spine L2 level {Compression fracture of second lumbar vertebra}, thoracic spine {Structure of thoracic vertebral column}, fall {Falls}, thoracic spine {Structure of thoracic vertebral column}, Leukocytosis {Leukocytosis}, stress {Stress}, signs {Sign}, infection {Infectious disease}, Hypothyroidism {Hypothyroidism}, HL {Hyperlipidemia}, Anxiety/depression {Mixed anxiety and depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
- sertraline 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
- levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
- simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-
- oxybutynin chloride 5 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-
- 
-Discharge Medications:
-1. acetaminophen 500 mg Tablet Sig: ___ Tablets PO every six (6) 
-hours.  
-2. sertraline 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-3. levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-4. simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-5. oxybutynin chloride 5 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
--Syncope
--Lumbar level 2 fracture
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Syncope {Syncope}, Lumbar level 2 fracture {Fracture of second lumbar vertebra}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear ___,
-
-___ were admitted to the ___ on the ___ after ___ 
-experienced a black out and subsequent back pain.  Hip x-rays 
-and back x-rays were done on ___.  Hip x-rays showed no hip 
-fracture but back x-ray revealed a fracture at the L2 level of 
-your spine.  Your previous diagnosis of osteopenia likely 
-contributed to this.
-
-Your black out episode sounds like it could have been like your 
-previous episodes.  However, in order to rule out a cardiac 
-cause, we took an image of your heart with an ""echo"" which was 
-normal.  We will still send ___ home with an event recorder 
-which ___ will have for two weeks.  The results of this can be 
-reviewed with Dr. ___ and with Dr. ___ as per your 
-appointments below.
-
-Your medications will continue as per your home regimen:
-Oxybutinin 5mg twice daily
-Simvastatin 20mg Once daily
-Levothyroxine 75mcg once daily
-Sertraline 50mg once daily
-As acetominophen helped your pain, ___ may take the 500mg 
-tablets ___ tablets upto 4 times per day, but don't take more 
-than 6 in a day
-Please ensure ___ attend your follow up appointments as 
-described below.
-
-It was a pleasure looking after ___ here at the ___.
- 
-
-###RESPONSE: black out {Syncope}, back pain {Backache}, Hip x-rays {Radiography of hip}, back {Structure of back of trunk}, x-rays {Radiographic imaging procedure}, Hip x-rays {Radiography of hip}, hip 
-fracture {Fracture of proximal end of femur}, back {Structure of back of trunk}, x-ray {Radiographic imaging procedure}, fracture at the L2 level of 
-your spine {Fracture of second lumbar vertebra}, osteopenia {Osteopenia}, black out {Syncope}, cardiac {Heart structure}, image of your heart {Imaging of heart}, echo {Echocardiography}, normal {No abnormality detected}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim
- 
-Attending: ___.
- 
-Chief Complaint:
-mouth pain, odynophagia, rash 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, mouth pain {Painful mouth}, odynophagia {Swallowing painful}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old male with history of recently diagnosed HIV/AIDS, 
-PCP pneumonia treated with 21 days of high dose bactrim, now 
-presenting with 4 days of diffuse maculopapular rash, mouth 
-pain, and fevers to 102.
-.
-Patient requested HIV test approximately one month ago after 
-learning that a prior partner was HIV positive. He then 
-developed shortness of breath and cough and presented to the 
-emergency department. CXR demonstrated multifocal infiltrates 
-and he was diagnosed with PCP pneumonia by bronchoscopy. At that 
-time his HIV antibody was positive, his CD4 count was 54 
-(___), and his HIV VL was 321,000. He was treated with 
-bactrim DS 2 tabs TID for 21 days, and with a prednisone taper.
-.
-Since this time, he has been started on atripla as an outpatient 
-on ___. Over the last week he noticed a rash on his chest 
-and arms that worsened. It was itchy but not painful. He also 
-noted steadily worsening oral pain and pain with swallowing. He 
-also had fevers to 102 with chills for the past two nights and 
-poor PO intake. He presented to outpatient clinic and was 
-treated with fluconazole for thrush, and with valtrex for oral 
-herpes.
-.
-He then presented to outpatient clinic, and was noted to have a 
-diffuse maculopapular rash and mucositis. he was referred to the 
-ED with concern for ___ syndrome. 
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, PCP pneumonia {Pneumocystosis jirovecii pneumonia}, maculopapular rash {Maculopapular rash}, mouth 
-pain {Painful mouth}, fevers {Fever}, HIV {Human immunodeficiency virus infection}, HIV positive {Human immunodeficiency virus detected}, shortness of breath {Dyspnea}, cough {Cough}, CXR {Plain chest X-ray}, infiltrates {Infiltration}, PCP pneumonia {Pneumocystosis jirovecii pneumonia}, bronchoscopy {Bronchoscopy}, HIV antibody {Human immunodeficiency virus antibody test}, CD4 count {Absolute CD4 count procedure}, HIV VL {Human immunodeficiency virus viral load}, started {New medication added}, rash {Eruption of skin}, chest {Skin structure of chest}, arms {Upper limb structure}, itchy {Itching}, painful {Pain}, worsening {Increased pain}, oral pain {Painful mouth}, pain with swallowing {Swallowing painful}, fevers {Fever}, chills {Chill}, poor PO intake {Decrease in appetite}, thrush {Candidiasis}, oral 
-herpes {Oral herpes simplex infection}, maculopapular rash {Maculopapular rash}, mucositis {Inflammatory disease of mucous membrane}, referred to the 
-ED {Referral to accident and emergency service}, syndrome {Disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Esophageal candidiasis
-HIV/AIDS
-Pneumocystis pneumonia
-Hypertension
-Vitamin D Deficiency
-Tinea Barbae
-Alcohol Abuse 
- 
-
-###RESPONSE: Esophageal candidiasis {Candidiasis of the esophagus}, HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, Pneumocystis pneumonia {Pneumocystosis jirovecii pneumonia}, Hypertension {Hypertensive disorder, systemic arterial}, Vitamin D Deficiency {Vitamin D deficiency}, Tinea Barbae {Tinea barbae}, Alcohol Abuse {Alcohol abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History: Mother with DM, HTN, father with DM, HTN and 
-pacemaker. 
- 
-
-###RESPONSE: DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, pacemaker {Implantation of cardiac pacemaker}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PHYSICAL EXAM:
-Vitals - T: 98.6 BP: 140/90 HR: 120 RR: 18 02 sat:98/RA
-GENERAL: Pleasant, well appearing in NAD
-HEENT: Normocephalic, atraumatic. No conjunctival pallor. No 
-scleral icterus. PERRLA/EOMI. Desquamation of mouth, lips, 
-oozing blood on lips, ginigivitis.
-SKIN: Diffuse maculopapular rash, with red papules over chest, 
-arms, face, scrotum and legs.
-CARDIAC: Regular rhythm, normal rate. Normal S1, S2. No murmurs, 
-rubs or gallops.
-LUNGS: CTAB, no wheezes, rales, rhonchi, good air movement 
-biaterally.
-ABDOMEN: NABS. Soft, NT, ND. No HSM
-EXTREMITIES: No edema or calf pain, 2+ dorsalis pedis/ posterior 
-tibial pulses.
-SKIN: No rashes/lesions, ecchymoses.
-NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved 
-sensation throughout. ___ strength throughout. ___ reflexes, 
-equal ___. Normal coordination. Gait assessment deferred
-PSYCH: Listens and responds to questions appropriately, pleasant 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, 02 sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, well appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, conjunctival pallor {Pale conjunctiva}, scleral icterus {Scleral icterus}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Desquamation {Peeling of skin}, mouth {Mouth region structure}, lips {Lip structure}, oozing {Wound discharge}, ginigivitis {Gingivitis}, SKIN {Examination of skin}, rash {Eruption of skin}, papules {Papular eruption of chin}, over chest {Skin structure of chest}, arms {Upper limb structure}, face {Face structure}, scrotum {Scrotal structure}, legs {Lower limb structure}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, good air movement {Breath normal}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, edema {Edema}, pain {Pain}, 2+ dorsalis pedis {Dorsalis pulse present}, posterior 
-tibial pulses {Posterior tibial pulse present}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, Appropriate {Appropriate affect}, grossly intact {Normal nervous system function}, Preserved 
-sensation {Normal sensation}, reflexes {Normal reflex}, Normal coordination {Normal coordination}, Gait assessment {Gait evaluation}, PSYCH {Psychological assessment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs:
-___ 11:50AM BLOOD WBC-5.7 RBC-3.94* Hgb-11.7* Hct-34.1* 
-MCV-87 MCH-29.7 MCHC-34.4 RDW-16.3* Plt ___
-___ 11:50AM BLOOD Neuts-63 Bands-2 Lymphs-12* Monos-19* 
-Eos-3 Baso-1 ___ Myelos-0
-___ 11:50AM BLOOD ___ PTT-29.7 ___
-___ 11:50AM BLOOD Glucose-107* UreaN-14 Creat-1.8* Na-126* 
-K-4.8 Cl-95* HCO3-20* AnGap-16
-___ 11:50AM BLOOD ALT-34 AST-32 LD(LDH)-273* AlkPhos-50 
-TotBili-0.3
-___ 05:56AM BLOOD Calcium-8.6 Phos-2.8 Mg-1.9
-___ 11:45AM BLOOD Lactate-1.2 K-5.1
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Lactate {Lactic acid measurement}, K {Blood potassium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-# ___: Bactrim was considered the most 
-likely causal agent was held.  Dermatology was consulted on 
-admission.  Skin biopsies were taken and he was started on 
-prednisone 80mg PO daily, with a planned taper over 4 weeks.  
-His bactrim, fluconazole and valtrex were stopped.  Opthomology 
-was consulted and found no ocular involvement.  His muscositis 
-pain was managed with lidocaine mouthwash, dexamthasone 
-mouthwash and PO vicodin.  His rash and mucositis improved, 
-though he still had substantial painful desquamation of the 
-scrotuim on discharge.
-.
-# HIV/AIDS: Patient had recently been started on atripla.  This 
-medication was initially held due to concern for low serum 
-bicarbonate, but was restarted once this resolved.  He was 
-treated with inhaled pentamindine once for PCP ___.  CXR 
-demonstrated no evidence of pneumonia. 
-.
-# Hypertension/Tachycardia: On admission, patient was 
-tachycardic and hypertensive.  He was intially restarted on his 
-home amlodipine and given IVF as there was concern that he was 
-hypovolemic.  His amlodipine was stopped, and he was started on 
-metoprolol.  His dose was titrated up to 50mg PO bid.
-.
-# Hyponatremia/ ARF: On admission, serum sodium was 126 and 
-creatine was 1.8.  With aggresive fluid resusciation with normal 
-saline, these values returned the the normal range. 
- 
-
-###RESPONSE: held {Recommendation to stop drug treatment}, Skin biopsies {Biopsy of skin}, started {New medication added}, stopped {Recommendation to stop drug treatment}, pain {Pain}, rash {Eruption of skin}, mucositis {Inflammatory disease of mucous membrane}, improved {Patient's condition improved}, painful {Pain}, desquamation {Peeling of skin}, scrotuim {Scrotal structure}, HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, started {New medication added}, held {Recommendation to stop drug treatment}, restarted {Restart of medication}, resolved {Problem resolved}, PCP {Pneumocystosis jirovecii pneumonia}, CXR {Plain chest X-ray}, no evidence {No abnormality detected}, pneumonia {Pneumonia}, Hypertension {Hypertensive disorder, systemic arterial}, Tachycardia {Tachycardia}, tachycardic {Tachycardia}, hypertensive {Finding of increased blood pressure}, restarted {Restart of medication}, IVF {Administration of intravenous fluids}, hypovolemic {Hypovolemia}, stopped {Recommendation to stop drug treatment}, started {New medication added}, Hyponatremia {Hyponatremia}, ARF {Acute kidney injury}, serum sodium {Sodium measurement, serum}, creatine {Creatine measurement}, fluid resusciation {Resuscitation using intravenous fluid}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Vitamin D 50,000 units q weekly
-Nizoral 2% shampoo
-Azithromycin 1000 mg po weekly
-Atripla 1 po daily
-Norvasc 10 mg po daily
-Fluconazole 200 mg po daily x 10 days ___ day 1)
-Ambien ___ mg po qhs prn insonia
-Valtrex 1 gm po BID x 10 days for initial HSV outbreak ___ day 
-1)
-Ibuprofen 600 mg po QID with meals prn pain, fever
-Ammonium Lactate one application for dry skin 
- 
-Discharge Medications:
-1. White Petrolatum-Mineral Oil 42.5-56.8 % Ointment Sig: One 
-(1) Appl Ophthalmic TID (3 times a day).  
-2. Hydrocodone-Acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q6H (every 6 hours) as needed for pain.
-Disp:*40 Tablet(s)* Refills:*0*
-3. Metoprolol Tartrate 25 mg Tablet Sig: Two (2) Tablet PO BID 
-(2 times a day).
-Disp:*qs Tablet(s)* Refills:*2*
-4. Zolpidem 5 mg Tablet Sig: ___ Tablets PO HS (at bedtime) as 
-needed for insomnia.  
-5. Acetaminophen 325 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for pain/fever.  
-6. Lidocaine HCl 2 % Solution Sig: Ten (10) ML Mucous membrane 
-QID (4 times a day) as needed for mouth pain.
-Disp:*qs 100 ml* Refills:*5*
-7. Prednisone 10 mg Tablet Sig: Please see below Tablet PO once 
-a day: 60mg daily (6 pills) for ___
-then switch to 40 mg (4 pills) for 5 days, 20mg (2 pills) for 5 
-days, 10 mg (1 pills) for 5 days then stop.
-Disp:*60 Tablet(s)* Refills:*0*
-8. ATRIPLA ___ mg Tablet Sig: One (1) Tablet PO once a 
-day.  
-9. Dexamethasone 0.5 mg/5 mL Elixir Sig: ___ MLs PO BID (2 
-times a day).
-Disp:*qs ML(s)* Refills:*2*
-10. Azithromycin 600 mg Tablet Sig: Two (2) Tablet PO once a 
-week: As directed by Dr. ___.  
-11. Pentamidine 300 mg Recon Soln Sig: One (1) inhaler 
-Inhalation once a month: As directed by Dr. ___.  
-12. Maalox/Viscous Lidocaine 2%
-1 part maalox (aluminum hydroxide/magnesium hydroxide), 1 part 
-viscous lidocaine 2%.  Swish and swallow, four times daily as 
-needed for oral pain.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-___
-HIV/AIDS
-Hypertension
-Tachycardia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, AIDS {Acquired immune deficiency syndrome}, Hypertension {Hypertensive disorder, systemic arterial}, Tachycardia {Tachycardia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with ___ syndrome, a condition 
-which affects the skin and mucous membranes.  We think this was 
-caused by the antibiotic bactrim.  You were treated with 
-steroids and pain medications. You will continue to take 
-steroids (prednisone) for several weeks as we taper the dose 
-down from 80mg to zero. You will take 60mg for 5 days, 40mg for 
-5 days, 20 mg for 5 days, 10 mg for 5 days, and then stop taking 
-it all together.
-
-You should not take bactrim in the future. You can continue 
-taking atripla for your HIV infection, and will continue taking 
-weekly azithromax and monthly pentamidine to prevent you from 
-getting opportunistic infections, until your CD4 count raises or 
-your primary HIV doctor decides that you no longer need them. 
-These drugs should be safe and will not cause recurrence of your 
-___.
-
-While you were here, you also showed signs of elevated heart 
-rate and blood pressure. We saw that Dr. ___ 
-Cardiologist, had suggested you change from amlodipine (Norvasc) 
-to Metoprolol (Toprol), which will help keep your heart from 
-beating too fast and also help lower your blood pressure. We are 
-sending you home on a dose of 50mg Metoprolol twice daily, and 
-you should follow up with Dr. ___ to see if this is 
-appropriately controlling your heart rate and blood pressure.
-
-The last thing you were followed for while here was your 
-shortness of breath. Given your history of PCP, we performed two 
-xrays to make sure you didn't have ongoing pneumonia. Your lungs 
-are currently clear, but you should ensure that you continue 
-taking your monthly pentamadine.
-
-Please stop taking valtex and fluconazole.  Discuss all 
-medication changes with your primary care doctor, ___.
- 
-
-###RESPONSE: syndrome {Disease}, skin {Skin structure}, mucous membranes {Mucous membrane structure}, antibiotic {Antibiotic therapy}, steroids {Steroid therapy}, pain medications {Administration of analgesic}, steroids {Steroid therapy}, stop taking {Recommendation to stop treatment}, continue 
-taking {Recommendation to continue with drug treatment}, HIV infection {Human immunodeficiency virus infection}, continue taking {Recommendation to continue with drug treatment}, prevent {Preventive procedure}, infections {Infectious disease}, CD4 count {Absolute CD4 count procedure}, HIV {Human immunodeficiency virus infection}, recurrence {Recurrent disease}, signs {Sign}, elevated heart 
-rate {Tachycardia}, blood pressure {Finding of increased blood pressure}, heart {Heart structure}, blood pressure {Finding of increased blood pressure}, heart rate {Cardiotachometry}, blood pressure {Blood pressure monitoring}, shortness of breath {Dyspnea}, PCP {Pneumocystosis jirovecii pneumonia}, pneumonia {Pneumonia}, lungs {Lung structure}, continue 
-taking {Recommendation to continue with drug treatment}, stop taking {Recommendation to stop treatment}, medication changes {Change of medication}, primary care {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-dizziness and worsening right sided weakness
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, dizziness {Dizziness}, right sided weakness {Right hemiparesis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ Stroke Scale Score: 9
-
-NIHSS performed within 6 hours of presentation at: ___ at
-2325
-NIHSS Total: 9
-1a. Level of Consciousness: 0
-1b. LOC Question: 0
-1c. LOC Commands: 0 
-2.  Best gaze: 0
-3.  Visual fields: 0
-4.  Facial palsy: 2 (residual)
-5a. Motor arm, left: 0
-5b. Motor arm, right: 2 (residual)
-6a. Motor leg, left: 0
-6b. Motor leg, right: 1 (residual)
-7.  Limb Ataxia: 0
-8.  Sensory: 1 (residual?)
-9.  Language: 1 (residual?)
-10. Dysarthria: 1 (residual?)
-11. Extinction and Neglect: 1 (residual?)
- 
-REASON FOR CONSULTATION: dizziness, intermittent right lower
-extremity weakness throughout day
-
-HPI: 
-
-___ is a ___ year old woman with history of
-hypertension, hyperlipidemia, prior stroke with residual right
-hemiparesis, localization-related epilepsy on Keppra and
-lamotrigine, hypothyroidism, and glaucoma who presented to ED
-from nursing home after new-onset dizziness this morning with
-subsequent acute-on-chronic right lower extremity weakness.
-History obtained by patient and as per chart review. 
-
-The patient reports that she was she had seen Dr. ___
-yesterday in clinic to establish new neurology clinic follow-up.
-No outside records were available for evaluation at that time 
-but
-her baseline exam prior to new symptom onset was documented.
-After her clinic appointment, she returned to her nursing home 
-in
-usual state of health. She woke up this morning and felt well. 
-At
-around 11AM, while urinating, she suddenly felt room-spinning
-dizziness that resolved but was followed by an atypical 
-sensation
-in her right lower extremity, described as heaviness and
-weakness. She notes that she has lived with her residual stroke
-deficits for ___ years and never felt anything like this in her
-right leg. She tried to get up from the commode but did not have
-the strength and as such called for help. Throughout the rest of
-the day, she notes that her right sided weakness and heaviness
-was intermittent. Her dizziness has since resolved. This 
-evening,
-she noted that she was again feeling weaker in her right lower
-extremity, requiring assistance to mobilize which is atypical 
-for
-her. She thus requested ED evaluation and was brought to ___.
-Since arrival at ___ (~ 15 minutes prior to my evaluation) she
-notes her symptoms have started to improve again. She now thinks
-she may be back at baseline, or close to it. 
-
-Per Dr. ___ initial clinic note on ___:
-"" Based on history, the patient suffered a stroke ___ years ago
-and was left with right hemiparesis. Since the stroke she has
-been on ASA 81 mg and had no recurrent events. She also suffers
-from seizures with mouth foaming, shaking and urinary
-incontinence, but no generalization. She is on Keppra for
-her seizures and she has not had a seizure for a long time."" His
-exam at the time was notable for ""mild aphasia and dysarthria
-with right facial droop and right hemiparesis."" He had no 
-outside
-records at that time and as primary reason for visit was to
-establish neurological care, he continued her on home dose of
-atorvastatin 60mg, aspirin 81 mg per his note, Keppra, and
-lamictal (for mood? is what is questioned in Dr. ___. 
- 
-ROS: 
-Notable for above findings, otherwise noncontributory
- 
-PMH:
-====
-HYPERTENSION                                                    
-HYPERLIPIDEMIA                                                  
-HYPOTHYROIDISM                                                  
-STROKE                                                          
-SEIZURE DISORDER                                                
-GLAUCOMA        
-                                                
-Surgical History  (Last Verified ___ by ___,
-MD):
-Surgical History updated, no known surgical history.            
-
-Medications:
-===========
-***NEEDS MEDICATION RECONCILLIATION***
-Keppra 500mg BID
-lamotrigine 200mg BID (for mood)
-Aspirin (either 81 or 325, unclear per chart review/med review 
-in
-OMR)
-metoprolol succinate 25mg ER qday
-levothyroxine 50ucg qday
-furosemide 20mg qday
-baclofen 10mg PRN muscle spasm (BID)
-atorvastin 60mg qPM
-
-
-###RESPONSE: Stroke {Cerebrovascular accident}, NIHSS performed {Assessment using National Institutes of Health stroke scale}, Level of Consciousness {Assessment of consciousness level}, Visual fields {Visual field study}, Facial palsy {Facial palsy}, Motor {Motor testing}, arm, left {Structure of left upper limb}, Motor {Motor testing}, arm, right {Structure of right upper limb}, Motor {Motor testing}, leg, left {Structure of left lower limb}, Motor {Motor testing}, leg, right {Structure of right lower limb}, Limb {All extremities}, Ataxia {Ataxia}, Sensory {Sensory testing}, Dysarthria {Dysarthria}, dizziness {Dizziness}, lower
-extremity weakness {Paresis of lower extremity}, hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, stroke {Cerebrovascular accident}, right
-hemiparesis {Right hemiparesis}, localization-related epilepsy {Focal epilepsy}, hypothyroidism {Hypothyroidism}, glaucoma {Glaucoma}, dizziness {Dizziness}, chronic {Chronic disease}, right lower extremity weakness {Paresis of right lower limb}, chart review {Chart evaluation by healthcare professional}, evaluation {Evaluation procedure}, baseline {Baseline state}, exam {Physical examination procedure}, dizziness {Dizziness}, resolved {Problem resolved}, atypical 
-sensation {Abnormal sensation}, right lower extremity {Structure of right lower limb}, heaviness {Sensation of heaviness in limbs}, weakness {Asthenia}, stroke {Cerebrovascular accident}, deficits {Neurological deficit}, right leg {Structure of right lower leg}, right sided weakness {Right hemiparesis}, heaviness {Sensation of heaviness in limbs}, dizziness {Dizziness}, resolved {Problem resolved}, feeling weaker {Asthenia}, right lower
-extremity {Structure of right lower limb}, assistance to mobilize {Difficulty mobilizing}, evaluation {Evaluation procedure}, evaluation {Evaluation procedure}, baseline {Baseline state}, stroke {Cerebrovascular accident}, right hemiparesis {Right hemiparesis}, stroke {Cerebrovascular accident}, seizures {Seizure}, mouth {Mouth region structure}, shaking {Tremor}, urinary
-incontinence {Urinary incontinence}, seizures {Seizure}, seizure {Seizure}, exam {Physical examination procedure}, mild {Symptom mild}, aphasia {Aphasia}, dysarthria {Dysarthria}, right facial droop {Weakness of right facial muscle}, right hemiparesis {Right hemiparesis}, neurological care {Care of neurological patient}, mood {Mood management}, HYPERTENSION {Hypertensive disorder, systemic arterial}, HYPERLIPIDEMIA {Hyperlipidemia}, HYPOTHYROIDISM {Hypothyroidism}, STROKE {Cerebrovascular accident}, SEIZURE DISORDER {Seizure disorder}, GLAUCOMA {Glaucoma}, surgical {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies:
-=========
-no known drug allergies         
-
-SOCIAL HISTORY:
-Social History  (Last Verified ___ by ___, 
-MD):
-Lives with:         Group setting                               
-Tobacco use:        Never smoker                                
-Alcohol use:        Denies                                      
-Recreational drugs  Denies                                      
-(marijuana, heroin,                                             
-crack pills or                                                  
-other):                                                         
-
-- Modified Rankin Scale:
-[] 0: No symptoms
-[] 1: No significant disability - able to carry out all usual
-activities despite some symptoms
-[] 2: Slight disability: able to look after own affairs without
-assistance but unable to carry out all previous activities
-[] 3: Moderate disability: requires some help but able to walk
-unassisted
-[x] 4: Moderately severe disability: unable to attend to own
-bodily needs without assistance and unable to walk unassisted
-[] 5: Severe disability: requires constant nursing care and
-attention, bedridden, incontinent
-[] 6: Dead
- 
-FAMILY HISTORY:
-notable for stroke and hypertension            
-
-PHYSICAL EXAMINATION: 
-Vitals: 
-T96.9, HR70-80s, RR16-24, BP140-180/70s 95 SaO2
-Orthostatics:
-137/81 supine with HR 78 --> standing HR 95; BP 161/92
-
-General: Awake, cooperative, NAD.
-HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in
-oropharynx.
-Neck: Supple,  No nuchal rigidity.
-Pulmonary: Normal work of breathing.
-Cardiac: RRR, warm, well-perfused.
-Abdomen: Soft, non-distended.
-Extremities: trace pedal edema.
-
-Neurologic:
--Mental Status: Alert and interactive with examiner. Oriented to
-self and to situation. Able to follow midline and appendicular
-commands. Has difficulty with two-step commands. Able to name
-high and low frequency objects with exception of wristwatch 
-clasp
-(refers to as band). Difficulty with ___ backwards and ___
-backwards, after multiple attempts with either task says
-___ Repetition intact.
-No neglect. 
-
--Cranial Nerves: PERRL 3>2. No nystagmus. Right eye does not
-fully bury sclera on lateral gaze. Visual fields full to finger
-counting. ? prior left bells palsy?. Right NLFF with delayed
-activation. Facial musculature symmetric. Hearing intact to
-conversation. Tongue midline. Slight dysarthria with guttural
-sounds. 
- 
--Motor: Right hemibody is with increased tone and spasticity at
-baseline. No adventitious movements. 
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5
-R  3    ___   0  0  0  3   4    4  4     4     0
- Per Dr. ___ ___
-""R  2    ___   0  0  0  2   -___     4     2""
-
--Sensory: Diminished sensation to pinprick on right lower
-extremity compared to left. Extinguishes to light touch with DSS
-on right. Temperature, proprioception intact.
-
--Reflexes:
-  Bi Tri ___ Pat Ach
-L  2  2    2    3   2
-R  2  3    2    3   3
-Plantar response was ? extensor on right, flexor on left. 
-
--Coordination: No intention tremor. No dysmetria on FNF on left
-and no decreased augmentation of movements with heel tapping on
-right or left lower extremity.
-
--Gait: Deferred in setting of acute illness, without baseline
-walker on hand
-
-LABORATORY DATA:
-___ 12:00AM BLOOD WBC: 4.4 RBC: 4.24 Hgb: 11.7 Hct: 38.5
-MCV: 91 MCH: 27.6 MCHC: 30.4* RDW: 15.2 RDWSD: 50.4* Plt Ct: 244 
-
-___ 12:10AM BLOOD ___: 11.8 PTT: 28.3 ___: 1.1 
-___ 12:00AM BLOOD Glucose: 82 UreaN: 9 Creat: 0.8 Na: 142 
-K:
-4.0 Cl: 104 HCO3: 28 AnGap: 10 
-___ 12:00AM BLOOD ALT: 18 AST: 28 AlkPhos: 90 TotBili: 0.5 
-___ 12:00AM BLOOD cTropnT: <0.01 
-___ 12:00AM BLOOD Albumin: 4.3 Calcium: 10.0 Phos: 2.7 Mg:
-2.1 
-___ 12:00AM BLOOD ASA: NEG Ethanol: NEG Acetmnp: 8* 
-Tricycl:
-NEG 
-___ 12:06AM BLOOD Glucose: 82 Lactate: 1.5 Creat: 0.7 Na:
-139 K: 4.7 Cl: 108 calHCO3: 29 
-___ 12:06AM BLOOD Hgb: 12.5 calcHCT: 38 
-___ 02:36AM URINE Blood: NEG Nitrite: NEG Protein: NEG
-Glucose: NEG Ketone: NEG Bilirub: NEG Urobiln: NEG pH: 6.5 
-Leuks:
-NEG 
-___ 02:36AM URINE bnzodzp: NEG barbitr: NEG opiates: NEG
-cocaine: NEG amphetm: NEG oxycodn: NEG mthdone: NEG 
-
-EKG: NSR
-
-IMAGING: 
-NCHCT: multiple areas of encephalomalacia, including left
-frontoparietal, left occipital, right frontal and right parietal
-lobe suggestive of chronic incarcts. Prominent ventricles. ?
-periventricular white matter hypodensity.
-
-CTA head and neck: no large vessel occlusion, no significant
-intracranial disease. 
-
-ASSESSMENT:
-
-THis is a ___ year old woman with HTN, hyperlipidemia, prior
-stroke with right hemiparesis, recently seen in stroke neurology
-clinic, who presents today for new onset dizziness and
-intermittent stuttering right lower extremity 
-weakness/heaviness.
-Exam is notable for mild aphasia, which I suspect is at her
-baseline as per Dr. ___ on ___. She is 
-slightly
-inattentive to ___, which his mental exam also suggests was the
-case two days prior. However, I do not some slightly more
-profound right hemibody weakness as compared to his exam, with 0
-in ___ (previously documented as 2). The patient also endorses
-loss of pinprick sensation in right lower extremity and
-extinguishes on the right with DSS. 
-
-The underlying etiology for her new symptoms remains unclear. I
-am reassured by the resolution since arrival to the ED but am
-concerned about the possibility of a stuttering lacune given the
-intermittent right lower extremity weakness vs flow-dependent
-perfusion states vs subclinical seizures vs stroke 
-recrudescence.
-No obvious infectious triggers on routine lab work in ED. Given
-new onset of waxing/waning symptoms with significant stroke risk
-factors, admission is warranted for expedited management.
-
-PLAN:
-- Admit to stroke neurology service under attending Dr. ___.
-
-# Neuro:
-- MRI head 
-- Check risk factors: fasting lipid panel and HBA1c  
-- Consider increasing/transitioning aspirin  
-- Allow BP to autoregulate as below
-- ___ consults
- 
-# CV:  
-- R/o MI with cardiac enzymes 
-- Monitor cardiac telemetry  
-- Allow BP to autoregulate with goal SBP<180 (goal 140-180s)  
-- Hydralazine 10 mg IV q6h prn SBP > 180  
-- Hold home antihypertensives / halve dose of beta-blocker  
-- Trans-thoracic echo  
- 
-# Pulmonary:
-- Monitor oximetry
-- Screening CXR
- 
-# GI/Nutrition:
-- NPO until passes water swallowing screen
-- Cardiac heart healthy diet once passess
-- Bowel regimen with Senna, Colace 
- 
-# Renal: 
-- Baseline Cr: 0.7
-- Continue to trend
-- mIVF @ 70cc/hr for 1L pending PO eval 
- 
-# Endocrine:
-- TSH, A1c
-- Finger sticks QID
-- Insulin sliding scale  
- 
-# Toxic/Metabolic:  
-- Check LFTs  
-- Check urine and serum toxin screens 
- 
-# ID:  
-- Check UA  
-- Check CXR
- 
-# Heme:
-- Baseline Hgb: 11.7
-
-# Psychiatric/Behavioral: 
-- No active issues
-  
-# Hospital Issues: 
-- DVT PPx: Pneumoboots, SQ heparin 
-- Precautions: Fall, Aspiration 
-- Restraints: none 
-- Health Care Proxy: unknown
-- Code Status:  full
-
- 
-
-###RESPONSE: drug allergies {Allergy to drug}, Never smoker {Never smoked tobacco}, disability {Disability}, able to carry out all usual
-activities {Able to carry out daily routine}, disability {Disability}, disability {Disability}, able to walk {Able to walk}, disability {Disability}, unable to walk {Unable to walk}, disability {Disability}, requires constant nursing care {Nursing assistance required}, Dead {Dead}, stroke {Cerebrovascular accident}, hypertension {Hypertensive disorder, systemic arterial}, standing {Orthostatic body position}, Awake {Awake}, cooperative {Cooperative mental state}, scleral icterus {Scleral icterus}, MMM {Moist oral mucosa}, lesions noted in
-oropharynx {Lesion of oropharynx}, Supple {Normal movement of neck}, nuchal rigidity {Nuchal rigidity}, RRR {Normal heart rate}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, pedal edema {Edema of foot}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, interactive {Does communicate}, Oriented {Oriented to person}, Repetition {Verbal repetition}, PERRL {Pupils equal and reacting to light}, nystagmus {Nystagmus}, Right eye {Right eye structure}, sclera {Scleral structure}, Visual fields {Visual field study}, full to finger
-counting {Full to finger counting}, bells palsy {Bell's palsy}, Facial musculature symmetric {Facial symmetry}, Hearing intact {Hearing normal}, Tongue {Tongue structure}, dysarthria {Dysarthria}, increased tone {Increased muscle tone}, spasticity {Spasticity}, baseline {Baseline state}, adventitious movements {Involuntary movement}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, WrE {Structure of extensor of wrist joint}, FFl {Structure of flexor of interphalangeal joint of finger}, FE {Structure of extensor muscle of forearm}, IO {Structure of intrinsic muscle of hand}, IP {Structure of iliopsoas muscle}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, TA {Tibialis anterior muscle structure}, Diminished sensation {Hypesthesia}, pinprick {Finding of pin prick discrimination}, right lower
-extremity {Structure of right lower limb}, left {Structure of left lower limb}, light touch {Light touch sensation present}, right {Structure of right lower limb}, proprioception intact {Normal joint position sense}, Plantar response was ? extensor on right {Extensor plantar response right}, flexor on left {Plantar response-L=flexor}, intention tremor {Intention tremor}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}, heel {Heel structure}, right {Structure of right lower limb}, left lower extremity {Structure of left lower limb}, baseline {Baseline state}, walker {Uses zimmer frame}, NSR {Normal sinus rhythm}, NCHCT {Computed tomography of head without contrast}, encephalomalacia {Encephalomalacia}, left
-frontoparietal {Left frontal and parietal lobes (combined site)}, left occipital {Left occipital lobe structure}, right frontal {Right frontal lobe structure}, right parietal
-lobe {Right parietal lobe structure}, chronic {Chronic disease}, incarcts {Infarct}, ventricles {Brain ventricle structure}, periventricular white matter {Structure of periventricular white matter}, CTA head and neck {Computed tomography angiography of head and neck with contrast}, large vessel {Large blood vessel structure}, occlusion {Complete obstruction}, intracranial {Intracranial structure}, disease {Disease}, HTN {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, stroke {Cerebrovascular accident}, right hemiparesis {Right hemiparesis}, stroke {Cerebrovascular accident}, dizziness {Dizziness}, lower extremity 
-weakness {Paresis of lower extremity}, heaviness {Sensation of heaviness in limbs}, Exam {Physical examination procedure}, mild {Symptom mild}, aphasia {Aphasia}, baseline {Baseline state}, right hemibody weakness {Right hemiparesis}, exam {Physical examination procedure}, pinprick {Finding of pin prick discrimination}, sensation {Abnormal sensation}, right lower extremity {Structure of right lower limb}, lacune {Lacunar infarction}, right lower extremity weakness {Paresis of right lower limb}, perfusion {Perfusion}, seizures {Seizure}, stroke {Cerebrovascular accident}, infectious {Infectious disease}, significant stroke risk {At increased risk of cerebrovascular accident}, neurology service {Neurology service}, Neuro {Neurological examination}, MRI head {Magnetic resonance imaging of head}, fasting {Fasting}, lipid panel {Lipid panel}, MI {Myocardial infarction}, cardiac enzymes {Cardiac enzymes/isoenzymes measurement}, cardiac telemetry {Cardiac telemetry}, IV {Administration of drug or medicament via intravenous route}, Trans-thoracic echo {Transthoracic echocardiography}, oximetry {Oximetry}, CXR {Plain chest X-ray}, NPO {Nil by mouth}, healthy diet {Healthy diet}, regimen {Therapeutic regimen}, Baseline {Baseline state}, TSH {Thyroid stimulating hormone measurement}, Finger sticks {Finger-prick sampling}, Insulin sliding scale {Sliding scale insulin regime}, LFTs {Hepatic function panel}, urine {Urinalysis}, UA {Urinalysis}, CXR {Plain chest X-ray}, Baseline {Baseline state}, Hgb {Measurement of total hemoglobin concentration}, DVT {Deep venous thrombosis}, PPx {Preventive procedure}, Precautions {Safety precautions}, Fall {Falls}, Aspiration {Pulmonary aspiration}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HYPERTENSION                                                    
-HYPERLIPIDEMIA                                                  
-HYPOTHYROIDISM                                                  
-STROKE                                                          
-SEIZURE DISORDER                                                
-GLAUCOMA    
- 
-
-###RESPONSE: HYPERTENSION {Hypertensive disorder, systemic arterial}, HYPERLIPIDEMIA {Hyperlipidemia}, HYPOTHYROIDISM {Hypothyroidism}, STROKE {Cerebrovascular accident}, SEIZURE DISORDER {Seizure disorder}, GLAUCOMA {Glaucoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-notable for stroke and hypertension   
- 
-
-###RESPONSE: stroke {Cerebrovascular accident}, hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-24 HR Data (last updated ___ @ 423)
-    Temp: 98.3 (Tm 98.4), BP: 113/71 (113-145/71-84), HR: 72
-(65-94), RR: 16 (___), O2 sat: 96% (96-98), O2 delivery: Ra   
-
-General: Awake, cooperative, NAD.
-HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in
-oropharynx.
-Neck: Supple,  No nuchal rigidity.
-Pulmonary: Normal work of breathing.
-Cardiac: RRR, warm, well-perfused.
-Extremities: trace pedal edema.
-
-Neurologic:
--Mental Status: Alert and interactive with examiner. Oriented to
-self and to situation. Able to follow midline and appendicular
-commands. Has difficulty with two-step commands. Repetition
-intact. 
-
--Cranial Nerves: PERRL 3>2. No nystagmus. Right eye does not
-fully bury sclera on lateral gaze. Visual fields full to finger
-counting. Right NLFF with delayed activation. Facial musculature
-symmetric. Hearing intact to conversation. Tongue midline. 
-Slight
-dysarthria with guttural sounds. 
- 
--Motor: Right hemibody is with increased tone and spasticity at
-baseline. No adventitious movements. 
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___
-L  5    ___   ___  5   5    5  5     5     5
-R  3    4   4-   0   0  0 0  3   4    4  4-    4     0
- Per Dr. ___ ___
-""R  2    ___   0  0  0  2   -___     4     2""
-
--Sensory: deferred
-
--Reflexes: deferred
-Plantar response was extensor on right, flexor on left. 
-
--Coordination: No intention tremor. No dysmetria on FNF on left
-and no decreased augmentation of movements with heel tapping on
-right or left lower extremity.
-
--Gait: Deferred
-
- 
-
-###RESPONSE: O2 sat {Oxygen saturation measurement}, General {General examination of patient}, Awake {Awake}, cooperative {Cooperative mental state}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, MMM {Moist oral mucosa}, lesions noted in
-oropharynx {Lesion of oropharynx}, Supple {Normal movement of neck}, nuchal rigidity {Nuchal rigidity}, Pulmonary {Examination of respiratory system}, Cardiac {Cardiovascular physical examination}, RRR {Normal heart rate}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, Extremities {Examination of limb}, pedal edema {Edema of foot}, Neurologic {Neurological examination}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, interactive {Does communicate}, Oriented {Oriented to person}, Repetition {Verbal repetition}, Cranial Nerves {Examination of cranial nerve}, PERRL {Pupils equal and reacting to light}, nystagmus {Nystagmus}, Right eye {Right eye structure}, sclera {Scleral structure}, Visual fields {Visual field study}, full to finger
-counting {Full to finger counting}, Facial musculature
-symmetric {Facial symmetry}, Hearing intact {Hearing normal}, Tongue {Tongue structure}, dysarthria {Dysarthria}, Motor {Motor testing}, increased tone {Increased muscle tone}, spasticity {Spasticity}, baseline {Baseline state}, adventitious movements {Involuntary movement}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, WrE {Structure of extensor of wrist joint}, FFl {Structure of flexor of interphalangeal joint of finger}, FE {Structure of extensor muscle of forearm}, IO {Structure of intrinsic muscle of hand}, IP {Structure of iliopsoas muscle}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, TA {Tibialis anterior muscle structure}, Sensory {Sensory testing}, Reflexes {Reflex studies}, Plantar response was extensor on right {Extensor plantar response right}, flexor on left {Plantar response-L=flexor}, intention tremor {Intention tremor}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}, heel {Heel structure}, right {Structure of right lower limb}, left lower extremity {Structure of left lower limb}, Gait {Examination of gait}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:00AM   ALT(SGPT)-16 AST(SGOT)-22 LD(LDH)-236 
-CK(CPK)-134 ALK PHOS-83 TOT BILI-0.4
-___ 06:00AM   CK-MB-3 cTropnT-<0.01
-___ 06:00AM   ALBUMIN-3.9 CALCIUM-9.5 PHOSPHATE-2.6* 
-MAGNESIUM-2.1 CHOLEST-154
-___ 06:00AM   %HbA1c-5.3 eAG-105
-___ 06:00AM   TRIGLYCER-40 HDL CHOL-76 CHOL/HDL-2.0 
-LDL(CALC)-70
-___ 06:00AM   TSH-7.9*
-___ 06:00AM   T4-8.1
-___ 06:00AM   WBC-4.7 RBC-4.00 HGB-11.0* HCT-36.4 MCV-91 
-MCH-27.5 MCHC-30.2* RDW-15.2 RDWSD-50.2*
-___ 06:00AM   ___ PTT-28.2 ___
-___ 02:36AM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG 
-cocaine-NEG amphetmn-NEG oxycodn-NEG mthdone-NEG
-___ 12:10AM   ___ PTT-28.3 ___
-___ 12:06AM   GLUCOSE-82 LACTATE-1.5 CREAT-0.7 NA+-139 
-K+-4.7 CL--108 TCO2-29
-___ 12:06AM   HGB-12.5 calcHCT-38
-___ 12:00AM   ASA-NEG ETHANOL-NEG ACETMNPHN-8* 
-tricyclic-NEG
-
-CT Head/ neck:
-1. Multifocal areas of encephalomalacia as described above, 
-largest in the 
-left frontoparietal lobe.  This limits sensitivity for acute 
-territorial 
-infarction.  Consider further evaluation with MRI. 
-2. Small chronic infarct left thalamus. 
-3. No evidence of acute intracranial hemorrhage. 
-4. Patent head and neck vasculature with no evidence of focal 
-stenosis, 
-occlusion, or aneurysm. 
-5. Right thyroid lobe nodule measuring 1.9 cm. 
-
-MR brain:
-1. Study is moderately degraded by motion. 
-2. Multiple bilateral supratentorial chronic infarcts, largest 
-in the left MCA territory, with evidence of probable chronic 
-blood products within right parieto-occipital infarct. 
-3. No acute infarct or extra-axial collection. 
-
- 
-
-###RESPONSE: ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT BILI {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, CHOLEST {Cholesterol measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, TSH {Thyroid stimulating hormone measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, CL {Chloride measurement, blood}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, encephalomalacia {Encephalomalacia}, left frontoparietal lobe {Left frontal and parietal lobes (combined site)}, infarction {Cerebral infarction}, evaluation {Evaluation procedure}, MRI {Magnetic resonance imaging of head}, infarct left thalamus {Thalamic infarction}, No evidence {No abnormality detected}, intracranial hemorrhage {Intracranial hemorrhage}, no evidence {No abnormality detected}, stenosis {Stenosis of artery}, occlusion {Occlusion of artery}, aneurysm {Arterial aneurysm}, thyroid lobe nodule {Thyroid nodule}, supratentorial {Supratentorial brain structure}, infarcts {Cerebral infarction}, left MCA {Structure of left middle cerebral artery}, right parieto-occipital {Right parietal and occipital lobes (combined site)}, infarct {Right sided cerebral infarction}, acute infarct {Cerebral infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Hospital Course:
-___ is a ___ year old woman with history of 
-hypertension, hyperlipidemia, prior stroke with residual right 
-hemiparesis, localization-related epilepsy on Keppra and 
-lamotrigine, hypothyroidism, and glaucoma who presented to ED
-from nursing home after new-onset dizziness with subsequent 
-acute-on-chronic right lower extremity weakness. Dizziness 
-resolved but reported right sided ""heaviness"" persisted more so 
-than her baseline deficit and thus was admitted to the stroke 
-service. Upon admission to stroke service, underlying etiology 
-for her new symptoms remained unclear. Cardiac origin ruled out 
-with EKG and telemetry. There was resolution since arrival to 
-the ED but concerning with possibility of a stuttering lacune 
-given the intermittent right lower extremity weakness vs 
-flow-dependent perfusion states vs subclinical seizures vs 
-stroke recrudescence. No obvious infectious triggers on routine 
-lab work in ED. Ultimately determined to have no stroke on MRI 
-but given risk factors and past stroke burden, diagnosis of 
-nonspecific sequela of cerebral infarction. 
-
-#Nonspecific Sequela of infarction: patient reportedly had 
-intermittent weakness and dizziness while at her facility. Upon 
-assessment in the ED, her symptoms had significantly improved 
-and she reported basically being back to baseline. NCHCT was 
-ordered and read as showing multiple areas of encephalomalacia, 
-including left frontoparietal, left occipital, right frontal and 
-right parietal lobe suggestive of chronic infarcts. Prominent 
-ventricles and periventricular white matter hypodensity. CTA 
-head and neck showed no large vessel occlusion, no significant 
-and no intracranial disease. She was admitted to the stroke 
-service and an MRI brain was ordered. MR brain read as: Multiple 
-bilateral supratentorial chronic infarcts, largest in the left 
-MCA territory, with evidence of probable chronic blood products 
-within right parieto-occipital infarct. No acute infarct or 
-extra-axial collection. Stroke risk factor labs sent. TTE was 
-done and found to have EF of 60, no cardiac origin of emboli 
-observed and no PFO. ___ recommended ___ rehab. She was 
-kept on ASA 325 mg. Atorvastatin 60mg kept on. 
-
-#HYPERTENSION
-She was initially taken off of her home BP meds and given BP 
-chance to autoregulate given concern for stroke. Once new 
-infarct ruled out on imaging, home BP meds added back. 
-Metoprolol 25mg PO daily 
-
-#HYPERLIPIDEMIA
-She will be sent home on atorvastatin 60mg. 
-
-#HYPOTHYROIDISM 
-Her TSH was found to be elevated at 7.9 and her home 
-levothyroxine was increased from 50 to 62mg qday. Her PCP ___ 
-need to continue trending TSH while outpatient. 
- #SEIZURE DISORDER
-Initial concern that her symptoms potentially were related to 
-seizure however no further concern and home medications were not 
-changed. She arrived on lamotrigine 200mg BID and keppra 500 BID 
-which she remained on. 
-
-#GLAUCOMA 
-No issues while inpatient. 
-
-Transitional Issues:
-[ ] PCP: trend TSH. Levothyroxine increased from 50 to 62.5mcg 
-daily given TSH 7.9. 
-
-Core Measures:
-AHA/ASA Core Measures for Ischemic Stroke and Transient Ischemic 
-Attack 
-1. Dysphagia screening before any PO intake? (x) Yes, confirmed 
-done - () Not confirmed () No. If no, reason why: 
-2. DVT Prophylaxis administered? (x) Yes - () No. If no, why not 
-(I.e. bleeding risk, hemorrhage, etc.) 
-3. Antithrombotic therapy administered by end of hospital day 2? 
-(x) Yes - () No. If not, why not? (I.e. bleeding risk, 
-hemorrhage, etc.)
-4. LDL documented? (x) Yes (LDL =70 ) - () No 
-5. Intensive statin therapy administered? atorvastatin 60mg LDL 
-> 70) (x) Yes - () No
-6. Smoking cessation counseling given? () Yes - () No [reason 
-(x) non-smoker - () unable to participate] 
-7. Stroke education (personal modifiable risk factors, how to 
-activate EMS for stroke, stroke warning signs and symptoms, 
-prescribed medications, need for followup) given in written 
-form? (x) Yes - () No 
-8. Assessment for rehabilitation or rehab services considered? 
-(x) Yes - () No. If no, why not? (I.e. patient at baseline 
-functional status)
-9. Discharged on statin therapy? (x) Yes - () No [if LDL >70, 
-reason not given: 
-10. Discharged on antithrombotic therapy? ASA 325 
-11. Discharged on oral anticoagulation for patients with atrial 
-fibrillation/flutter? () Yes - (x) No - If no, why not (I.e. 
-bleeding risk, etc.) 
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, stroke {Cerebrovascular accident}, right 
-hemiparesis {Right hemiparesis}, localization-related epilepsy {Focal epilepsy}, hypothyroidism {Hypothyroidism}, glaucoma {Glaucoma}, dizziness {Dizziness}, right lower extremity weakness {Paresis of right lower limb}, Dizziness {Dizziness}, resolved {Problem resolved}, right sided {Structure of right half of body}, heaviness {Sensation of heaviness in limbs}, baseline {Baseline state}, deficit {Neurological deficit}, Cardiac {Heart disease}, EKG {Electrocardiographic procedure}, telemetry {Cardiac telemetry}, lacune {Lacunar infarction}, right lower extremity weakness {Paresis of right lower limb}, perfusion {Perfusion}, seizures {Seizure}, stroke {Cerebrovascular accident}, infectious {Infectious disease}, stroke {Cerebrovascular accident}, MRI {Magnetic resonance imaging of head}, risk factors and past stroke burden {At increased risk of cerebrovascular accident}, cerebral infarction {Cerebral infarction}, infarction {Cerebral infarction}, weakness {Asthenia}, dizziness {Dizziness}, assessment {Evaluation procedure}, improved {Patient's condition improved}, baseline {Baseline state}, NCHCT {Computed tomography of head without contrast}, encephalomalacia {Encephalomalacia}, left frontoparietal {Left frontal and parietal lobes (combined site)}, left occipital {Left occipital lobe structure}, right frontal {Right frontal lobe structure}, right parietal lobe {Right parietal lobe structure}, infarcts {Cerebral infarction}, ventricles {Brain ventricle structure}, periventricular white matter {Structure of periventricular white matter}, CTA 
-head and neck {Computed tomography angiography of head and neck with contrast}, large vessel {Large blood vessel structure}, occlusion {Occlusion of cerebral artery}, intracranial {Intracranial structure}, disease {Disease}, MRI brain {Magnetic resonance imaging of brain}, MR brain {Magnetic resonance imaging of brain}, supratentorial {Supratentorial brain structure}, infarcts {Cerebral infarction}, left 
-MCA {Structure of left middle cerebral artery}, right parieto-occipital {Right parietal and occipital lobes (combined site)}, infarct {Cerebral infarction}, acute infarct {Acute infarct}, Stroke {Cerebrovascular accident}, TTE {Transthoracic echocardiography}, cardiac {Heart structure}, emboli {Embolus}, HYPERTENSION {Hypertensive disorder, systemic arterial}, stroke {Cerebrovascular accident}, infarct {Cerebral infarction}, imaging {Imaging}, HYPERLIPIDEMIA {Hyperlipidemia}, HYPOTHYROIDISM {Hypothyroidism}, TSH was found to be elevated {Thyroid stimulating hormone level above reference range}, PCP {Primary care management}, SEIZURE DISORDER {Seizure disorder}, seizure {Seizure}, GLAUCOMA {Glaucoma}, PCP {Primary care management}, Ischemic Stroke {Ischemic stroke}, Transient Ischemic 
-Attack {Transient ischemic attack}, Dysphagia screening {Screening for dysphagia}, DVT Prophylaxis {Prevention of deep vein thrombosis}, bleeding risk {At increased risk of hemorrhage}, hemorrhage {Bleeding}, Antithrombotic therapy {Continuous infusion of antithrombotic}, bleeding risk {At increased risk of hemorrhage}, hemorrhage {Bleeding}, LDL {Low density lipoprotein cholesterol measurement}, statin therapy {Administration of prophylactic statin}, Smoking cessation counseling {Smoking cessation education}, non-smoker {Non-smoker}, Stroke education {Education about cerebrovascular accident}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, warning signs and symptoms {Discussion about clinical red flag warning sign}, Assessment for rehabilitation {Assessment for rehabilitation}, baseline {Baseline state}, statin therapy {Administration of prophylactic statin}, oral {Administration of drug or medicament via oral route}, anticoagulation {Anticoagulant therapy}, atrial 
-fibrillation {Atrial fibrillation}, flutter {Atrial flutter}, bleeding risk {At increased risk of hemorrhage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Levothyroxine Sodium 50 mcg PO DAILY 
-2. Aspirin 325 mg PO DAILY 
-3. Vitamin D ___ UNIT PO MONTHLY 
-4. Multivitamins W/minerals 1 TAB PO DAILY 
-5. Metoprolol Succinate XL 25 mg PO DAILY 
-6. LevETIRAcetam 500 mg PO BID 
-7. LamoTRIgine 200 mg PO BID 
-8. Furosemide 20 mg PO DAILY 
-9. Baclofen 15 mg PO QPM 
-10. Atorvastatin 60 mg PO QPM 
-
- 
-Discharge Medications:
-1.  Aspirin 325 mg PO DAILY  
-2.  Atorvastatin 60 mg PO QPM  
-3.  Baclofen 15 mg PO QPM  
-4.  Furosemide 20 mg PO DAILY  
-5.  LamoTRIgine 200 mg PO BID  
-6.  LevETIRAcetam 500 mg PO BID  
-7.  Levothyroxine Sodium 50 mcg PO DAILY  
-8.  Metoprolol Succinate XL 25 mg PO DAILY  
-9.  Multivitamins W/minerals 1 TAB PO DAILY  
-10.  Vitamin D ___ UNIT PO MONTHLY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Nonspecific Sequela of Infarction
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Infarction {Cerebral infarction}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,  
-You were hospitalized due to symptoms of dizziness and right 
-sided weakness resulting from what we believe to be nonspecific 
-sequela of cerebral infarction. You were not found to have a new 
-stroke on MRI, however you have a history of residual problems 
-from past stroke and your new symptoms seemed consistent with 
-stroke. We believe that your new symptoms are likely secondary 
-to your stroke risk factors and related to old stroke. We would 
-like you to continue your current home meds and to continue 
-following closely with outpatient neurology in order to best 
-prevent further strokes. A stroke is a condition where a blood 
-vessel providing oxygen and nutrients to the brain is blocked by 
-a clot. The brain is the part of your body that controls and 
-directs all the other parts of your body, so damage to the brain 
-from being deprived of its blood supply can result in a variety 
-of symptoms.  
-
-Stroke can have many different causes, so we assessed you for 
-medical conditions that might raise your risk of having stroke. 
-In order to prevent future strokes, we plan to modify those risk 
-factors. Your risk factors are: high blood pressure, high 
-cholesterol. 
-
-We are not changing your home medications. 
- 
-Please take your other medications as prescribed.  
-
-Please follow up with Neurology and your primary care physician 
-as listed below.  
-If you experience any of the symptoms below, please seek 
-emergency medical attention by calling Emergency Medical 
-Services (dialing 911). In particular, since stroke can recur, 
-please pay attention to the sudden onset and persistence of 
-these symptoms:  
- - Sudden partial or complete loss of vision  
- - Sudden loss of the ability to speak words from your mouth  
- - Sudden loss of the ability to understand others speaking to 
-you  
- - Sudden weakness of one side of the body  
- - Sudden drooping of one side of the face  
- - Sudden loss of sensation of one side of the body  
-
- Sincerely,  
- Your ___ Neurology Team  
-
- 
-
-###RESPONSE: dizziness {Dizziness}, right 
-sided weakness {Right hemiparesis}, cerebral infarction {Cerebral infarction}, stroke {Cerebrovascular accident}, MRI {Magnetic resonance imaging of head}, problems {Problem}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, strokes {Cerebrovascular accident}, stroke {Cerebrovascular accident}, blood 
-vessel {Blood vessel structure}, brain {Brain structure}, clot {Blood clot}, brain {Brain structure}, damage {Damage}, brain {Brain structure}, Stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, strokes {Cerebrovascular accident}, high blood pressure {Hypertensive disorder, systemic arterial}, high 
-cholesterol {Hypercholesterolemia}, follow up with Neurology {Follow-up neurological assessment}, stroke {Cerebrovascular accident}, loss of vision {Functional visual loss}, loss of the ability to speak {Follow-up neurological assessment}, mouth {Mouth region structure}, loss of the ability to understand {Abnormal ability to understand}, weakness of one side of the body {Hemiparesis}, drooping of one side of the face {Facial hemiparesis}, loss of sensation {Numbness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Codeine / adhesive tape / Percocet
- 
-Attending: ___.
- 
-Chief Complaint:
-Recurrent chest pain, fatigue
- 
-Major Surgical or Invasive Procedure:
-Coronary Artery Bypass Grafting x 2 (left internal mammary 
-artery to the left anterior descending coronary artery; 
-saphenous vein graft to the obtuse marginal branch)
- 
-
-###RESPONSE: Codeine {Allergy to codeine}, adhesive tape {Allergy to adhesive agent}, chest pain {Chest pain}, fatigue {Fatigue}, Coronary Artery Bypass Grafting x 2 {Coronary artery bypass grafts x 2}, left internal mammary 
-artery {Structure of left internal thoracic artery}, left anterior descending coronary artery {Structure of anterior descending branch of left coronary artery}, saphenous vein graft {Aortocoronary artery bypass of one coronary artery with saphenous vein graft}, obtuse marginal {Structure of obtuse marginal branch of circumflex branch of left coronary artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mrs. ___ is a ___ year old female with multiple cardiac risk 
-factors who
-presented with recurrent chest pain concerning for angina. 
-Stress test was notable for mild anteroseptal ischemia. 
-Subsequent cardiac catheterization showed 60% left main lesion. 
-Of note, she has history of SVT. She reported
-occasional episodes of palpitations and diaphoresis sometimes 
-associated with chest pain. These episodes occurred several 
-times per week.  Based upon the above findings, she was referred 
-to Dr. ___ surgical revascularization.
- 
-
-###RESPONSE: cardiac risk 
-factors {Assessment for risk of cardiovascular disease}, chest pain {Chest pain}, angina {Angina}, Stress test {Electrocardiogram with exercise test}, anteroseptal ischemia {Ischemia of myocardium of anteroseptal region}, cardiac catheterization {Cardiac catheterization}, left main {Left coronary artery structure}, lesion {Lesion}, SVT {Supraventricular tachycardia}, palpitations {Palpitations}, diaphoresis {Excessive sweating}, chest pain {Chest pain}, surgical {Surgical procedure}, revascularization {Heart revascularization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1.  Hypertension
-2.  Dyslipidemia
-3.  Type II Diabetes Mellitus
-4.  History of SVT
-5.  Abdominal Aortic Aneurysm - incidental finding on cath
-
-Past Surgical History: 
-1.  s/p Open Cholecystectomy
-2.  s/p Appendectomy
-
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Type II Diabetes Mellitus {Diabetes mellitus type 2}, SVT {Supraventricular tachycardia}, Abdominal Aortic Aneurysm {Abdominal aortic aneurysm}, cath {Cardiac catheterization}, Cholecystectomy {Cholecystectomy}, Appendectomy {Excision of appendix}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father - died of myocardial infarction in his ___
- 
-
-###RESPONSE: died {Dead}, myocardial infarction {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-HR: 77  BP: 133/77  RR: 16  O2 sat: 99% RA
-Height: 61 inches    Weight: 145 lbs
-
-General: Well-developed female in no acute distress
-Skin: Warm [X] Dry [X] Intact [X]
-HEENT: NCAT [X] PERRLA [X] EOMI [X]
-Neck: Supple [X] Full ROM [X] JVD []
-Chest: Lungs clear bilaterally [X]
-Heart: RRR [X], No murmur/rub/Gallop
-Abdomen: Soft [X] non-distended [X] non-tender [X] bowel sounds 
-+ [X]
-Extremities: Warm [X], well-perfused [X] Edema -, Slight rash on 
-bilateral forearms. 
-Varicosities: None [X]
-Neuro: Grossly intact [X]
-Pulses:
-Femoral      Right: 2+  Left: 2+
-DP           Right: 2+  Left: 2+
-___           Right: 2+  Left: 2+
-Radial       Right: 2+  Left: 2+
-
-Discharge Exam:
-
-Carotid Bruit    Right: -   Left: -
-
-Discharge Exam:
-VS: T: 98.3  HR: 80-90's SR  BP: 98-111/60  Sats: 96% RA  
-WT: 65 Kg preop 65.7 Kg
-General: ___ year-old female in no apparent distress
-HEENT: normocephalic
-Card: RRR normal S1,S2 no murmur
-Resp: clear breath sounds throughout
-GI: benign
-Extr: warm no edema
-Wound: sternal and RLE clean dry intact no erythema. sternum 
-stable
-Neuro: awake, alert oriented. ambulating in halls
- 
-
-###RESPONSE: HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, Height {Height / growth finding}, Weight {Weight finding}, General {General examination of patient}, distress {Distress}, Skin {Examination of skin}, Warm {Warm skin}, Intact {Intact skin}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal range of cervical spine movement}, JVD {Jugular venous engorgement}, Chest {Examination of respiratory system}, Lungs {Examination of respiratory system}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, murmur {Murmur}, rub {Pleural friction rub}, Gallop {Gallop rhythm}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, bowel sounds {Normal bowel sounds}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Edema {Edema}, rash {Eruption of skin}, forearms {Forearm structure}, Varicosities {Venous varices}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, Femoral {Structure of femoral artery}, Right: 2+ {Pulse present in right femoral artery}, Left: 2+ {Pulse present in left femoral artery}, DP {Structure of dorsalis pedis artery}, Right: 2 {Pulse present in right dorsalis pedis artery}, Left: 2+ {Pulse present in left dorsalis pedis artery}, Right: 2 {Normal pulse in right dorsalis pedis artery}, Left: 2 {Pulse present in left femoral artery}, Radial {Structure of radial artery}, Right {Structure of right radial artery}, Left {Structure of left radial artery}, Carotid Bruit {Carotid bruit}, Right {Structure of right carotid artery}, Left {Structure of left carotid artery}, VS {Vital signs finding}, RA {Breathing room air}, preop {Preoperative state}, General {General examination of patient}, distress {Distress}, HEENT {Physical examination procedure}, normocephalic {Normal head}, Card {Structure of cardiovascular system}, RRR {Normal heart rate}, normal S1,S2 {Heart sounds normal}, murmur {Murmur}, Resp {Examination of respiratory system}, clear breath sounds {Normal breath sounds}, GI {Examination of digestive system}, Extr {Examination of limb}, warm {Warm skin}, edema {Edema}, sternal {Sternal skin structure}, RLE {Skin structure of right lower limb}, clean dry intact {Wound healing well}, erythema {Erythema}, sternum {Sternal skin structure}, Neuro {Neurological examination}, awake {Awake}, alert {Mentally alert}, oriented {Orientated}, ambulating {Fully mobile}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Cardiac Catheterization
-Right dominant system.  Left main coronary artery with ostial 
-60% stenosis. Left anterior descending and left circumflex 
-arteries had no aniographically apparent coronary artery 
-disease. The right coronary artery had proximal 30% lesion. 
-Estimated LVEF was 60%. Abdominal aortogram showed distal 
-aneurysm.
-
-Labs:
-___ WBC-7.1 RBC-3.11* Hgb-9.5* Hct-27.8* MCV-90 MCH-30.5 
-MCHC-34.0 RDW-12.8 Plt ___
-___ WBC-7.6# RBC-3.29*# Hgb-10.2*# Hct-28.6*# MCV-87 
-MCH-30.9 MCHC-35.5* RDW-12.8 Plt ___
-
-___ Glucose-158* UreaN-12 Creat-0.6 Na-129* K-4.2 Cl-91* 
-HCO3-34
-___ Glucose-128* UreaN-11 Creat-0.5 Na-127* K-4.1 Cl-90* 
-HCO3-33
-___ Glucose-148* UreaN-10 Creat-0.6 Na-130* K-4.1 Cl-92* 
-HCO3-29 
-___ UreaN-9 Creat-0.4 Na-137 K-3.3 Cl-108 HCO3-23 
-
-___ Mg-1.9
-___ Hgb-8.7* calcHCT-26
-
-___ MRSA SCREEN (Final ___:    No MRSA isolated. 
-
-Chest X-Ray ___: There is evidence of bilateral basal 
-atelectasis, left more than right.  In addition, a minimal left 
-pleural 
-effusion cannot be excluded.  The sternal wires and the 
-postoperative clips are in unchanged position.  No overt 
-pulmonary edema.  No pneumothorax. 
-
- 
-
-###RESPONSE: Cardiac Catheterization {Cardiac catheterization}, Right dominant system {Right dominant coronary system}, Left main coronary artery {Structure of left coronary artery main stem}, stenosis {Stenosis}, Left anterior descending {Structure of anterior descending branch of left coronary artery}, left circumflex 
-arteries {Structure of circumflex branch of left coronary artery}, disease {Disease}, right coronary artery had proximal {Structure of proximal portion of right coronary artery}, lesion {Lesion}, Abdominal aortogram {Abdominal aortogram}, aneurysm {Aneurysm}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, Mg {Blood magnesium measurement}, Hgb {Measurement of total hemoglobin concentration}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, MRSA {Methicillin resistant Staphylococcus aureus infection}, Chest X-Ray {Plain chest X-ray}, atelectasis {Atelectasis}, left {Left lung structure}, right {Right lung structure}, left {Structure of left pleural cavity}, pleural 
-effusion {Pleural effusion}, sternal {Structure of sternal region}, pulmonary edema {Pulmonary edema}, pneumothorax {Pneumothorax}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-She was admitted to ___ on ___ and was taken to the 
-operating room.  She underwent Coronary Artery Bypass Grafting x 
-2 (left internal mammary artery to the left anterior descending 
-coronary artery; saphenous vein graft to the obtuse marginal 
-branch).  She tolerated the procedure well and post-operatively 
-was transferred to the CVICU in stable condition for recovery 
-and invasive monitoring. 
-She weaned from sedation, awoke neurologically intact and was 
-extubated on POD 1.  She was weaned from inotropic and 
-vasopressor support. She remained hemodynamically stable and was 
-transferred to the telemetry floor for further recovery.  Chest 
-tubes and pacing wires were discontinued without complication.  
-
-Respiratory: aggressive pulmonary toilet and nebs she titrated 
-off oxygen.
-
-Cardiac: Beta-blockers were titrated for rate control Lopressor 
-50 mg tid.  She remained in sinus rhythm without ectopy.  Blood 
-pressure was initially high 130-140's her losartan 50 mg was 
-restarted but required titration down to 25 mg daily for SBP 
-98-111.  Aspirin and Statin were resumed.
-
-GI: benign PPI and bowel regime continued
-
-Renal: renal function within normal limits.  She was gently 
-diuresed to her preop weight of 65.7 Kg.
-
-Hyponatremia: Na+ 12. With free water restriction it slowly 
-trend ed up. Discharge Na 129. She was asymptomatic.
-
-Endocrine: IV insulin and sliding scale for good blood sugar 
-control.  Once taken PO medication her metformin and Glyburide 
-were resumed.
-
-Disposition: She was evaluated by the physical therapy service 
-for assistance with strength and mobility.  By the time of 
-discharge on POD 4 she was ambulating freely, the wound was 
-healing, and pain was controlled with oral analgesics.  She was 
-discharged home with ___ in good condition with appropriate 
-follow up instructions.
- 
-
-###RESPONSE: Coronary Artery Bypass Grafting x 
-2 {Coronary artery bypass grafts x 2}, left internal mammary artery {Structure of left internal thoracic artery}, left anterior descending 
-coronary artery {Structure of anterior descending branch of left coronary artery}, saphenous vein graft {Aortocoronary artery bypass of one coronary artery with saphenous vein graft}, obtuse marginal {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, procedure {Surgical procedure}, post-operatively {Postoperative state}, stable condition {Patient's condition stable}, monitoring {Monitoring procedure}, sedation {Administration of sedative}, neurologically intact {Normal nervous system function}, extubated {Removal of endotracheal tube}, vasopressor support {Vasopressor therapy}, hemodynamically stable {Hemodynamically stable}, telemetry {Cardiac telemetry}, Chest 
-tubes {Insertion of pleural tube drain}, pulmonary toilet {Airway toilet}, sinus rhythm {Sinus rhythm}, Blood 
-pressure {Blood pressure finding}, restarted {Restart of medication}, Aspirin {Administration of aspirin}, bowel {Intestinal structure}, renal function {Renal function monitoring}, diuresed {Diuretic therapy}, preop {Preoperative state}, weight {Weight finding}, Hyponatremia {Hyponatremia}, asymptomatic {Asymptomatic}, sliding scale {Sliding scale insulin regime}, blood sugar {Blood sugar management}, evaluated {Evaluation procedure}, physical therapy {Physical therapy assessment}, ambulating {Fully mobile}, wound was 
-healing {Wound healing well}, pain was controlled with oral analgesics {Demonstrates adequate pain control}, good {Patient's condition satisfactory}, instructions {Recommendation to}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Atenolol 50 mg PO DAILY 
-2. GlyBURIDE 5 mg PO BID 
-3. Hydrochlorothiazide 50 mg PO DAILY 
-4. Losartan Potassium 50 mg PO DAILY 
-5. MetFORMIN (Glucophage) 850 mg PO BID 
-6. Aspirin 162 mg PO DAILY 
-7. Calcium Carbonate 500 mg PO BID 
-8. Multivitamins 1 TAB PO DAILY 
-9. Fish Oil (Omega 3) 1000 mg PO BID 
-
- 
-Discharge Medications:
-1. Aspirin EC 81 mg PO DAILY 
-2. Calcium Carbonate 500 mg PO BID:PRN indigestion 
-3. GlyBURIDE 5 mg PO BID 
-4. Losartan Potassium 25 mg PO DAILY 
-RX *losartan 25 mg 1 tablet(s) by mouth once a day Disp #*30 
-Tablet Refills:*0
-5. Fish Oil (Omega 3) 1000 mg PO BID 
-6. MetFORMIN (Glucophage) 850 mg PO BID 
-7. Multivitamins 1 TAB PO DAILY 
-8. Acetaminophen 650 mg PO Q6H:PRN pain, fever 
-9. HYDROmorphone (Dilaudid) 2 mg PO Q6H:PRN pain 
-RX *hydromorphone 2 mg 1 tablet(s) by mouth every six (6) hours 
-Disp #*50 Tablet Refills:*0
-10. Lovastatin *NF* 40 mg Oral daily Reason for Ordering: Wish 
-to maintain preadmission medication while hospitalized, as there 
-is no acceptable substitute drug product available on formulary.
-11. Metoprolol Tartrate 50 mg PO TID 
-RX *metoprolol tartrate 50 mg 1 tablet(s) by mouth every eight 
-(8) hours Disp #*90 Tablet Refills:*5
-12. Senna 2 TAB PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-___ Diagnosis:
-Coronary Artery Disease
-Hypertension
-Hyperlipidemia
-Type II Diabetes Mellitus
-History of SVT
-
- 
-Discharge Condition:
-Alert and oriented x3 nonfocal
-Ambulating, gait steady
-Sternal pain managed with oral analgesics
-Sternal Incision - healing well, no erythema or drainage
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Coronary Artery Disease {Coronary arteriosclerosis}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Type II Diabetes Mellitus {Diabetes mellitus type 2}, SVT {Supraventricular tachycardia}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, gait steady {Gait normal}, Sternal pain {Pain of sternum}, oral analgesics {Administration of analgesic}, Sternal Incision {Wound of structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Wound discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. Please shower daily including washing incisions gently with 
-mild soap, no baths or swimming, and look at your incisions
-2). Please NO lotions, cream, powder, or ointments to incisions
-3). Each morning you should weigh yourself and then in the 
-evening take your temperature, these should be written down on 
-the chart
-4). No driving for approximately one month and while taking 
-narcotics, will be discussed at follow up appointment with 
-surgeon when you will be able to drive
-5). No lifting more than 10 pounds for 10 weeks
-6). Please wear a bra to reduce pulling on the sternal incision
-
-**Please call cardiac surgery office with any questions or 
-concerns ___. Answering service will contact on call 
-person during off hours**
-
- 
-
-###RESPONSE: shower {Functional activity education}, incisions {Surgical incision wound}, incisions {Surgical incision wound}, incisions {Surgical incision wound}, temperature {Body temperature finding}, while taking 
-narcotics {Narcotherapy}, No lifting {Functional activity education}, sternal incision {Wound of structure of sternal region}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-atorvastatin
- 
-Attending: ___.
- 
-Chief Complaint:
-L ankle pain
- 
-Major Surgical or Invasive Procedure:
-___ - ORIF L Ankle (___)
- 
-
-###RESPONSE: atorvastatin {Allergy to atorvastatin}, ankle pain {Ankle pain}, ORIF {Open reduction of fracture with internal fixation}, L Ankle {Structure of left ankle}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o F presenting s/p mechanical fall this evening. She 
-reports immediate pain of the left ankle after feeling it twist. 
-She was also unable to bear weight. Currently denies parathesias 
-or numbness. 
- 
-
-###RESPONSE: fall {Falls}, pain {Pain}, left ankle {Structure of left ankle}, unable to bear weight {Unable to weight-bear}, parathesias {Paresthesia}, numbness {Numbness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH/PSH: 
-1.  Hypertension.
-2.  Hyperlipidemia.
-3.  Glucose intolerance.
-4.  Gastroesophageal reflux.
-5.  Allergic rhinitis.
-6.  Status post H. pylori infection - confirmed eradicated ___.
-7.  Breast biopsy bilateral in the ___ and ___.  The patient
-denies any cancer.
-8.  Bilateral oophorectomy and hysterectomy - ___.
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Glucose intolerance {Impaired glucose tolerance}, Gastroesophageal reflux {Gastroesophageal reflux disease}, Allergic rhinitis {Allergic rhinitis}, H. pylori infection {Infection caused by Helicobacter pylori}, Breast biopsy {Biopsy of breast}, cancer {Malignant neoplasm of colon}, Bilateral oophorectomy {Excision of bilateral ovaries}, hysterectomy {Hysterectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: 99.1  103  148/72  18  98ra
-Gen: NAD, AAOx3
-LLE exam:
-SILT S/S/SP/DP/T
-fires ___
-WWP
-Splint in place
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, Gen {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, LLE {Structure of left lower limb}, SILT {Light touch sensation present}, DP {Structure of dorsalis pedis artery}, WWP {Normal tissue perfusion}, Splint {Application of splint}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:10AM BLOOD WBC-7.0 RBC-4.03* Hgb-11.1* Hct-33.4* 
-MCV-83 MCH-27.6 MCHC-33.3 RDW-14.9 Plt ___
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to the emergency department and was 
-evaluated by the orthopedic surgery team. The patient was found 
-to have L ankle fracture and was admitted to the orthopedic 
-surgery service.  The patient was taken to the operating room on 
-___ for ORIF L ankle, which the patient tolerated well (for 
-full details please see the separately dictated operative 
-report). The patient was taken from the OR to the PACU in stable 
-condition and after recovery from anesthesia was transferred to 
-the floor.  The patient was initially given IV fluids and IV 
-pain medications, and progressed to a regular diet and oral 
-medications by POD#1. The patient was given perioperative 
-antibiotics and anticoagulation per routine.  The patients home 
-medications were continued throughout this hospitalization.  The 
-patient worked with ___ who determined that discharge to rehab 
-was appropriate. The ___ hospital course was otherwise 
-unremarkable.
-
-At the time of discharge the patient was afebrile with stable 
-vital signs that were within normal limits, pain was well 
-controlled with oral medications, incisions were 
-clean/dry/intact, and the patient was voiding/moving bowels 
-spontaneously. The patient is touchdown weightbearing in the 
-left lower extremity, and will be discharged on Lovenox for DVT 
-prophylaxis.  The patient will follow up in two weeks per 
-routine. A thorough discussion was had with the patient 
-regarding the diagnosis and expected post-discharge course, and 
-all questions were answered prior to discharge.
- 
-Discharge Medications:
-1. Acetaminophen 1000 mg PO Q8H pain 
-RX *acetaminophen 500 mg 2 tablet(s) by mouth every 8 hours Disp 
-#*60 Tablet Refills:*2
-2. Amlodipine 2.5 mg PO DAILY 
-3. Calcium Carbonate 500 mg PO BID 
-4. Fluticasone Propionate NASAL 1 SPRY NU DAILY 
-5. Omeprazole 20 mg PO BID 
-6. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every 4 hours Disp 
-#*61 Tablet Refills:*0
-7. Pravastatin 40 mg PO DAILY 
-8. Vitamin D 400 UNIT PO DAILY 
-9. Enoxaparin Sodium 40 mg SC DAILY Duration: 14 Days 
-RX *enoxaparin 40 mg/0.4 mL 40 mg SC daily Disp #*14 Syringe 
-Refills:*0
-10. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice 
-daily Disp #*30 Capsule Refills:*2
-11. Senna 1 TAB PO BID:PRN constipation 
-RX *sennosides [senna] 8.6 mg 1 tab by mouth twice daily Disp 
-#*30 Tablet Refills:*2
-
- 
-
-###RESPONSE: emergency {Emergency treatment}, evaluated by the orthopedic surgery team {Orthopedic assessment}, L ankle {Structure of left ankle}, admitted to the orthopedic 
-surgery service {Admission by orthopedic surgeon}, ORIF {Open reduction of fracture with internal fixation}, L ankle {Structure of left ankle}, operative {Surgical procedure}, PACU {Postanesthesia care}, stable 
-condition {Patient's condition stable}, anesthesia {Administration of general anesthetic}, given IV fluids {Administration of intravenous fluids}, IV {Intravenous therapy}, pain medications {Administration of analgesic}, regular diet {Normal diet}, oral 
-medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, medications {Administration of drug or medicament}, unremarkable {No abnormality detected}, afebrile {Temperature normal}, stable 
-vital signs {Normal vital signs}, normal {No abnormality detected}, pain was well 
-controlled with oral medications {Demonstrates adequate pain control with oral analgesics}, incisions {Surgical incision wound}, clean/dry/intact {Wound healing well}, voiding {Normal micturition}, moving bowels {Finding of defecation}, weightbearing {Weight-bearing}, left lower extremity {Structure of left lower limb}, DVT 
-prophylaxis {Prevention of deep vein thrombosis}, follow up {Postoperative follow-up visit}, discussion {Patient education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-___ Diagnosis:
-L bimalleolar ankle fracture
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
- 
-
-###RESPONSE: bimalleolar ankle fracture {Bimalleolar fracture of ankle}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-MEDICATIONS:
-- Please take all medications as prescribed by your physicians 
-at discharge.
-- Continue all home medications unless specifically instructed 
-to stop by your surgeon.
-- Do not drink alcohol, drive a motor vehicle, or operate 
-machinery while taking narcotic pain relievers.
-- Narcotic pain relievers can cause constipation, so you should 
-drink eight 8oz glasses of water daily and take a stool softener 
-(colace) to prevent this side effect.
-
-ANTICOAGULATION:
-- Please take lovenox 40mg daily for 2 weeks
-
-WOUND CARE:
-- Please be careful to keep your splint dry until your follow-up 
-appointment.  
-- No baths or swimming for at least 4 weeks.
-- Any stitches or staples that need to be removed will be taken 
-out at your 2-week follow up appointment.
-
-ACTIVITY AND WEIGHT BEARING:
-- Touchdown weightbearing left lower extremity
-Physical Therapy:
-Touchdown weightbearing in left lower extremity.
-Please keep splint on until your follow-up appointment.
-Treatment Frequency:
-Please keep splint on until your follow-up appointment. Please 
-keep your splint dry. You may elevate your foot for comfort as 
-you like. Any sutures/staples will be removed at your follow up 
-appointment.
- 
-
-###RESPONSE: MEDICATIONS {Administration of drug or medicament}, medications {Administration of drug or medicament}, medications {Administration of drug or medicament}, Do not drink alcohol {Education about alcohol consumption}, while taking narcotic pain relievers {Narcotics education}, Narcotic pain relievers can cause {Narcotics education}, constipation {Constipation}, take a stool softener {Administration of laxative}, side effect {Medication side effects present}, ANTICOAGULATION {Anticoagulant therapy}, WOUND CARE {Wound care}, splint {Application of splint}, stitches {Removal of suture}, staples that need to be removed {Removal of staples}, ACTIVITY AND WEIGHT BEARING {Education about increasing activity tolerance}, weightbearing {Weight-bearing}, left lower extremity {Structure of left lower limb}, Physical Therapy {Physical therapy procedure}, weightbearing {Weight-bearing}, left lower extremity {Structure of left lower limb}, splint {Application of splint}, splint {Application of splint}, splint {Application of splint}, foot {Structure of left foot}, sutures {Removal of suture}, staples will be removed {Removal of staples}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-volume overload 
- 
-Major Surgical or Invasive Procedure:
-G-J Tube removed by interventional radiology ___
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, volume overload {Hypervolemia}, G-J Tube removed by interventional radiology {Removal of gastrojejunostomy tube using fluoroscopic guidance}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ with T1DM (c/b multiple toe
-amputations, gastroparesis & prior DKA), ESRD on HD (likely ___
-DM, no biopsy on file), bilateral ___ DVT s/p IVC filter ___
-and on warfarin, L non-occlusive jugular thrombus (___), R
-thalamic bleed in the setting of HTN emergency w/ residual L
-hemiparesis (___), & L hip fracture s/p fixation ___, and
-recent admission from ___ for MRSA bacteremia ___ PNA on
-vancomycin with HD sessions (scheduled course through ___, who
-presents from rehab with a 25-lb weight gain and worsening ___
-edema since discharge. The patient also had a new 2L O2
-requirement in the ED. 
- 
-The patient is on a MWF HD session, and had not received his
-___ session. Per NP at his rehab facility, the patient had
-recently been becoming hypotensive while receiving HD at his
-facility, with a progressive volume overload and inability to
-increase UF. He has not been on diuretics, and was not started 
-on
-any at facility.
-
- 
-
-###RESPONSE: T1DM {Diabetes mellitus type 1}, toe
-amputations {Amputated toe}, gastroparesis {Gastroparesis}, DKA {Ketoacidosis due to diabetes mellitus}, ESRD on HD {End stage renal failure on dialysis}, DM {Diabetes mellitus}, biopsy {Biopsy}, DVT {Deep venous thrombosis}, IVC filter {Inferior vena cava filter in situ}, on warfarin {Warfarin therapy}, L non-occlusive jugular {Structure of left jugular vein}, thrombus {Thrombus}, thalamic {Thalamic structure}, bleed {Bleeding}, HTN emergency {Hypertensive emergency}, L
-hemiparesis {Left hemiparesis}, hip fracture {Fracture of proximal end of femur}, fixation {Fixation}, MRSA bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, PNA {Pneumonia}, vancomycin {Antibiotic therapy}, HD {Hemodialysis}, weight gain {Weight gain}, worsening {Patient's condition worsened}, edema {Edema}, HD {Hemodialysis}, hypotensive {Low blood pressure}, HD {Hemodialysis}, volume overload {Hypervolemia}, diuretics {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--type I DM (A1C 4.9 ___ w/ prior DKA
--multiple amputations
--gastroparesis
--ESRD (likely ___ DM, no biopsy on file) on HD
--bilateral ___ DVT s/p IVC filter ___
--L non-occlusive jugular thrombus ___
--R thalamic bleed in the setting of HTN emergency w/ residual L
-hemiparesis (___)
--L hip fracture s/p fixation ___
- 
-
-###RESPONSE: type I DM {Diabetes mellitus type 1}, DKA {Ketoacidosis due to diabetes mellitus}, amputations {Amputated toe}, gastroparesis {Gastroparesis}, ESRD {End-stage renal disease}, DM {Diabetes mellitus}, biopsy {Biopsy}, HD {Hemodialysis}, DVT {Deep venous thrombosis}, IVC filter ___ {Inferior vena cava filter in situ}, L non-occlusive jugular {Structure of left jugular vein}, thrombus {Thrombus}, thalamic {Thalamic structure}, bleed {Bleeding}, HTN emergency {Hypertensive emergency}, L
-hemiparesis {Left hemiparesis}, hip fracture {Fracture of proximal end of femur}, fixation {Fixation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-___ significant for stroke. 
- 
-
-###RESPONSE: stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-========================
-VS: ___ Temp: 98.4 PO BP: 114/69 R Lying HR: 128 RR: 
-20
-O2 sat: 94% O2 delivery: RA 
-GENERAL: Patient lying in bed, NAD, interactive 
-HEAD: NC/AT, R pupil non-reactive (patient reports that it is a
-false eye). L pupil reactive. EOMI intact on left side. Oral
-mucosa w/o lesions, MMM. 
-NECK: Supple, no LAD, no thyromegaly. Elevated JVP. 
-CARDIAC: Tachycardic, irregular rhytm. No m/r/g. 
-RESPIRATORY: Speaking in full sentences. Decreased bibasilar
-breath rounds and mild crackles, L > R. 
-ABDOMEN: Unremarkable inspection, soft, NT, +BS. No palpable
-organomegaly. PEG tube in place, dressings c/d/I, no erythema or
-tenderness around site. 
-EXTREMITIES: Severe 2+ petting edema, L > R, in both UE and ___. 
-SKIN: Scattered ecchymoses across both arms b/l, no other 
-lesions
-or rashes. 
-NEUROLOGIC: ___ strength on left side; unable to lift L arm or L
-leg (baseline per patient). Normal strength on R side.  
-PSYCHIATRIC: Pleasant and cooperative. 
-
-DISCHARGE PHYSICAL EXAM
-========================
-Temp: 98.1 PO BP: 125/76 R Lying HR: 101 RR: 18 O2
-sat: 97% O2 delivery: Ra FSBG: 267 
-GENERAL: sitting up in bed, NAD, interactive 
-HEAD: NC/AT, R pupil non-reactive (false eye). L pupil reactive.
-EOMI intact on left side. Oral mucosa w/o lesions, MMM. 
-NECK: JVP normal
-CARDIAC: Tachycardic, irregular rhythm. No m/r/g. 
-RESPIRATORY: Nonlabored breathing, CATB.
-ABDOMEN: Unremarkable inspection, soft, NT. PEG tube in place,
-dressings c/d/I, no erythema or tenderness around site. 
-EXTREMITIES: 1+ pitting edema in left arm and leg, no edema R
-SKIN: Scattered ecchymoses across both arms b/l, no other 
-lesions
-or rashes. 
-NEUROLOGIC: ___ strength on left side; unable to lift L arm or L
-leg (baseline per patient). Normal strength on R side.  
-PSYCHIATRIC: Pleasant and cooperative.
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, Lying {Lying in bed}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, lying in bed {Lying in bed}, NAD {No abnormality detected}, interactive {Does communicate}, HEAD {Physical examination procedure}, NC {Normal head}, R pupil {Structure of pupil of right eye}, non-reactive {No pupillary reaction to light}, false eye {Prosthetic eye in situ}, L pupil {Structure of pupil of left eye}, EOMI {Normal ocular motility}, left {Left eye structure}, Oral
-mucosa {Oral mucous membrane structure}, lesions {Lesion}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, thyromegaly {Goiter}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, Tachycardic {Tachycardia}, irregular rhytm {Irregular heart beat}, No m/r/g {Heart sounds normal}, RESP {Examination of respiratory system}, RA {Breathing room air}, bibasilar {Structure of base of lung}, mild {Symptom mild}, crackles {Respiratory crackles}, ABDOMEN {Examination of abdomen}, inspection {Inspection}, soft {Abdomen soft}, NT {Abdominal tenderness}, BS {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, erythema {Erythema}, tenderness {Tenderness}, EXTREMITIES {Examination of limb}, edema {Edema}, UE {Upper limb structure}, SKIN {Examination of skin}, ecchymoses {Ecchymosis}, both arms {Both upper arms}, lesions {Lesion}, rashes {Eruption of skin}, NEURO {Neurological examination}, GI {Examination of digestive system}, unable to lift {Unable to lift}, L arm {Structure of left upper limb}, L
-leg {Structure of left lower limb}, baseline {Baseline state}, cooperative {Cooperative mental state}, PHYSICAL EXAM {Physical examination procedure}, Temp {Body temperature finding}, BP {Blood pressure finding}, Lying {Lying in bed}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2
-sat {Oxygen saturation measurement}, GENERAL {General examination of patient}, sitting {Sitting position}, NAD {No abnormality detected}, interactive {Does communicate}, HEAD {Physical examination procedure}, NC {Normal head}, R pupil {Structure of pupil of right eye}, non-reactive {No pupillary reaction to light}, (false eye) {Prosthetic eye in situ}, L pupil {Structure of pupil of left eye}, EOMI {Normal ocular motility}, left {Left eye structure}, Oral mucosa {Oral mucous membrane structure}, lesions {Lesion}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, Tachycardic {Tachycardia}, irregular rhythm {Irregular heart beat}, No m/r/g {Heart sounds normal}, RESP {Examination of respiratory system}, RA {Breathing room air}, CATB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, inspection {Inspection}, soft {Abdomen soft}, NT {Abdominal tenderness}, erythema {Erythema}, tenderness {Tenderness}, EXTREMITIES {Examination of limb}, edema {Edema}, left arm {Structure of left upper limb}, leg {Structure of left lower limb}, edema {Edema}, SKIN {Examination of skin}, ecchymoses {Ecchymosis}, both arms {Both upper arms}, lesions {Lesion}, rashes {Eruption of skin}, NEURO {Neurological examination}, GI {Examination of digestive system}, unable to lift {Unable to lift}, L arm {Structure of left upper limb}, L
-leg {Structure of left lower limb}, baseline {Baseline state}, cooperative {Cooperative mental state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-==============
-___ 10:15AM BLOOD WBC-15.4* RBC-2.27* Hgb-7.6* Hct-24.4* 
-MCV-108* MCH-33.5* MCHC-31.1* RDW-14.1 RDWSD-54.4* Plt ___
-___ 10:15AM BLOOD Neuts-63.3 Lymphs-4.4* Monos-5.6 
-Eos-25.0* Baso-1.1* Im ___ AbsNeut-9.72* AbsLymp-0.67* 
-AbsMono-0.86* AbsEos-3.84* AbsBaso-0.17*
-___ 10:15AM BLOOD ___ PTT-32.9 ___
-___ 07:52PM BLOOD ___ 03:50PM BLOOD Ret Aut-2.4* Abs Ret-0.05
-___ 10:15AM BLOOD Glucose-222* UreaN-107* Creat-3.8*# 
-Na-132* K-6.7* Cl-92* HCO3-26 AnGap-14
-___ 03:50PM BLOOD ALT-23 AST-18 LD(LDH)-178 AlkPhos-190* 
-TotBili-0.2 DirBili-<0.2 IndBili-0.2
-___ 10:15AM BLOOD ___
-___ 10:15AM BLOOD Calcium-9.8 Phos-3.8 Mg-1.8
-___ 03:50PM BLOOD calTIBC-165* Hapto-223* Ferritn-1616* 
-TRF-127*
-___ 03:50PM BLOOD TSH-1.5
-
-TROP TREND:
-___ 10:15AM BLOOD cTropnT-0.56*
-___ 07:52PM BLOOD cTropnT-0.61*
-___ 06:47AM BLOOD cTropnT-0.63*
-___ 05:25PM BLOOD CK-MB-3 cTropnT-0.72*
-___ 07:40AM BLOOD CK-MB-2 cTropnT-0.62*
-
-INR TREND:
-___ 05:08AM BLOOD ___ PTT-36.3 ___
-___ 06:14AM BLOOD ___ PTT-87.1* ___
-___ 07:00AM BLOOD ___ PTT-63.3* ___
-
-INTERVAL LABS
-==============
-___ 05:28AM BLOOD HBsAg-NEG HBsAb-POS HBcAb-NEG
-___ 05:28AM BLOOD HCV Ab-NEG
-___ 06:00PM BLOOD ___ pO2-187* pCO2-42 pH-7.39 
-calTCO2-26 Base XS-0 Comment-GREEN TOP 
-___ 06:00PM BLOOD Lactate-1.9
-
-DISCHARGE LABS
-==============
-___ 05:08AM BLOOD WBC-9.2 RBC-2.40* Hgb-7.8* Hct-25.7* 
-MCV-107* MCH-32.5* MCHC-30.4* RDW-14.6 RDWSD-57.0* Plt ___
-___ 05:08AM BLOOD Glucose-122* UreaN-44* Creat-3.0* Na-141 
-K-4.4 Cl-102 HCO3-26 AnGap-13
-___ 05:08AM BLOOD Calcium-8.9 Phos-4.4 Mg-1.8
-
-MICRO:
-=========
-___ 10:40 am BLOOD CULTURE      2 OF 2. 
-                            **FINAL REPORT ___
-   Blood Culture, Routine (Final ___:    NO GROWTH. 
-
-___ 6:00 pm STOOL     CONSISTENCY: NOT APPLICABLE
-      Source: Stool. 
-                            **FINAL REPORT ___
-   C. difficile PCR (Final ___: 
-      NEGATIVE. 
-           (Reference Range-Negative). 
-      The C. difficile PCR is highly sensitive for toxigenic 
-strains of C.
-      difficile and detects both C. difficile infection (CDI) 
-and
-      asymptomatic carriage. 
-      A negative C. diff PCR test indicates a low likelihood of 
-CDI or
-      carriage. 
-
-___ 7:15 pm MRSA SCREEN      Source: Nasal swab. 
-                            **FINAL REPORT ___
-   MRSA SCREEN (Final ___:    No MRSA isolated. 
-
-RADIOLOGY
-==========
-___ CXR
-IMPRESSION: Interval significant increase in left base 
-consolidation, worrisome for ongoing, worsened pneumonia.  
-Possible small left pleural effusion.  Equivocal new right base 
-opacity. Mild pulmonary vascular congestion without overt 
-pulmonary edema. 
-
-___ LOWER EXTREMITY US:
-IMPRESSION: 
-1. No evidence of acutedeep venous thrombosis in the left lower 
-extremity 
-veins.  A focal area of thickening along the posterior wall of 
-femoral vein could represent chronic changes from the previously 
-treated thrombus. 
-2. Nonspecific subcutaneous edema. 
-
-___:
-CONCLUSION:
-The left atrial volume index is normal. There is mild symmetric 
-left ventricular hypertrophy with a normal
-cavity size. There is normal regional and global left 
-ventricular systolic function. Quantitative biplane left
-ventricular ejection fraction is 58 %. Left ventricular cardiac 
-index is normal (>2.5 L/min/m2). There is
-no resting left ventricular outflow tract gradient. Mildly 
-dilated right ventricular cavity with normal free wall
-motion. The aortic sinus diameter is normal for gender with 
-normal ascending aorta diameter for gender. The
-aortic valve leaflets (3) appear structurally normal. There is 
-no aortic valve stenosis. There is no aortic
-regurgitation. The mitral valve leaflets are mildly thickened 
-with no mitral valve prolapse. There is mild [1+]
-mitral regurgitation. The pulmonic valve leaflets are normal. 
-The tricuspid valve leaflets appear structurally
-normal. There is mild [1+] tricuspid regurgitation. The 
-estimated pulmonary artery systolic pressure is
-normal. There is no pericardial effusion.
-IMPRESSION: Dilated right ventricle. Mild symmetric left 
-ventricular hypertrophy with normal
-cavity size and regional/global biventricular systolic function. 
-mild mitral and tricuspid
-regurgitation.
-Compared with the prior TTE (images not available for review) of 
-___ , the left ventricular systolic
-function appears to have improved.
-
-___ CTA CHEST 
-IMPRESSION: 
-1. No evidence of pulmonary embolism or aortic abnormality. 
-2. Multifocal pulmonary opacities in bilateral lungs have 
-progressed compared to ___ concerning for progression 
-of pneumonia. 
-3. Small to moderate bilateral pleural effusions. 
-
-___ G-J REMOVAL:
-IMPRESSION:  
-Technically successful gastrojejunostomy tube removal and T 
-fastener button removal.
-RECOMMENDATION(S):  Please re-consult interventional radiology 
-if there is 
-further need for enteral access in the future.  The gastrostomy 
-site may leak for the next few days while the site closes. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase level above reference range}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, HCV {Viral hepatitis type C}, pH {pH measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, CONSISTENCY {Finding of consistency of stool}, asymptomatic {Asymptomatic}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, Nasal {Nasal structure}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, MRSA {Methicillin resistant Staphylococcus aureus infection}, CXR {Plain chest X-ray}, left base 
-consolidation {Lung consolidation}, pneumonia {Pneumonia}, left {Left lung structure}, pleural effusion {Pleural effusion}, right base {Structure of base of right lung}, opacity {Abnormally opaque structure}, Mild {Symptom mild}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, pulmonary edema {Pulmonary edema}, No evidence {No abnormality detected}, acutedeep venous thrombosis {Acute deep venous thrombosis}, left lower 
-extremity 
-veins {Structure of vein of left lower limb}, thickening {Increased thickness}, femoral vein {Femoral vein structure}, chronic {Chronic disease}, thrombus {Thrombus}, subcutaneous {Subcutaneous tissue structure of lower extremity}, edema {Edema}, left atrial {Left atrial structure}, volume index is normal {Normal size cardiac chamber}, mild symmetric 
-left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal
-cavity {Normal size cardiac chamber}, normal regional and global left 
-ventricular systolic function {Echocardiogram shows normal left ventricular function}, left
-ventricular {Left cardiac ventricular structure}, Left ventricular {Left cardiac ventricular structure}, cardiac 
-index is normal {Normal cardiac index}, left ventricular outflow tract {Structure of outflow tract of left ventricle}, dilated {Dilatation}, right ventricular cavity {Structure of cavity of right cardiac ventricle}, free wall
-motion {Normal ventricular wall motion}, aortic sinus {Structure of sinus of Valsalva}, ascending aorta {Ascending aorta structure}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, aortic valve stenosis {Aortic valve stenosis}, aortic
-regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, mitral valve prolapse {Mitral valve prolapse}, mild [1+]
-mitral regurgitation {Mild mitral valve regurgitation}, pulmonic valve leaflets {Structure of cusp of pulmonic valve}, normal {No abnormality detected}, tricuspid valve leaflets appear structurally
-normal {Tricuspid valve normal}, mild [1+] tricuspid regurgitation {Mild tricuspid valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic pressure is
-normal {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, Dilated {Dilatation}, right ventricle {Right cardiac ventricular structure}, Mild symmetric left 
-ventricular hypertrophy {Mild left ventricular hypertrophy}, normal
-cavity {Normal size cardiac chamber}, biventricular {Cardiac ventricular structure}, systolic function {Normal left ventricular systolic function and wall motion}, mild mitral {Mild mitral valve regurgitation}, tricuspid
-regurgitation {Tricuspid valve regurgitation}, TTE {Transthoracic echocardiography}, left ventricular systolic
-function {Normal left ventricular systolic function and wall motion}, improved {Patient's condition improved}, CTA CHEST {Computed tomography of chest}, No evidence {No abnormality detected}, pulmonary embolism {Pulmonary embolism}, aortic {Aortic structure}, abnormality {No abnormality detected}, pulmonary {Lung structure}, opacities {Abnormally opaque structure}, lungs {Lung structure}, pneumonia {Pneumonia}, bilateral pleural effusions {Bilateral pleural effusion}, l gastrojejunostomy tube removal {Removal of gastrojejunostomy tube using fluoroscopic guidance}, removal {Removal}, gastrostomy {Gastrostomy}, leak {Anastomosis, leaking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-SUMMARY STATEMENT
-=========================================================
-___ chronically-ill male with T1DM, ESRD on HD, bilateral ___ 
-DVT
-s/p IVC filter ___ and on warfarin, L non-occlusive jugular
-thrombus (___), R thalamic bleed in the setting of HTN
-emergency w/ residual L hemiparesis (___), and recent
-admission from ___ for MRSA bacteremia ___ PNA on 
-vancomycin
-with HD sessions (scheduled course through ___, who presents
-from rehab with a 25-lb weight gain and worsening ___ edema on 
-___.
-
-ACTIVE ISSUES
-=========================================================
-# Dysphagia, s/p G-J tube placement ___
-# Severe Protein Calorie Nutrition
-Patient noted to have high aspiration risk over course for last
-hospitalization, but decided to accept risks and trial pureed 
-solids with nectar-thick liquids during prior hospitalization. 
-Patient's G-J tube became clogged during admission. As patient 
-was maintaining good PO intake and eating food was important to 
-patient's GOC, the clogged G-J tube was pulled ___. On 
-discharge, patient was eating solid diet.
-
-# ESRD on HD, secondary to T1D 
-Pre-admission HD sessions at facility were reported to have been 
-limited by hypotension and tachycardia, and with an inability to 
-increase UF as a result. Here, patient received hemodialysis 
-through admission with ultrafiltration to remove excess volume. 
-Repeat Echo showed recovered EF at 58%. By ___ patient did 
-not appear volume overloaded on clinical exam. 
-
-# HF w recovered EF (EF 45% ___ 
-# Elevated troponins 
-Patient presented with volume overload and elevated proBNP, 
-consistent with HF exacerbation. Patient's discharge weight was 
-66.3kg, and reported dry weight is 63kg. Admission weight was 
-74.3kg. EKG w/o new ischemic changes, despite mild trop 
-elevation. Infectious workup negative, other than ongoing 
-aspiration. While here, a repeat Echo showed a recovered EF at 
-58%. His metoprolol was uptitrated for better rate control, and 
-his atorvastatin was continued. 
-
-# Pneumonia 
-# Recent MRSA Bacteremia 
-# Leukocytosis
-Patient had recent admission from ___ for MRSA bacteremia
-___ PNA, and has been dosed with vancomycin with HD sessions
-(scheduled course through ___. He presented with increased 
-leukocytosis, and CXR consistent with worsened bilateral 
-pneumonia, likely secondary to aspiration. He received a few 
-days of broad spectrum treatment, prior to return to his 
-original Vancomycin course. Vancomycin was transitioned to 
-linezolid ___, as vancomycin may have been contributing to 
-eosinophilia (3.84 on admission). All antibiotics were stopped 
-on day of discharge (___) as patient had completed course 
-for hospital associated pneumonia.
-
-# Anemia 
-Hgb notably below baseline; 7.6 on admission, from discharge Hgb 
-of 8.3. Had Hgb drop from 7.6 to 6.5 on ___. Anemia likely 
-multifactorial, including acute suppression iso infection, and 
-anemia of chronic disease from ESRD. Less likely GI bleed, as 
-patient has had no complaints of melena or BRBPR. Patient was 
-transfused for Hgb < 7 throughout admission. Hb was 7.8 at 
-discharge.
-
-# T1DM
-Patient has very brittle T1DM, and presented in DKA on recent 
-admission in ___. He is very sensitive to insulin and has had 
-hypoglycemic episodes in the past. He was continued on home 
-glargine 7U with Q6H insulin sliding scale for tube feeds on 
-admission. He was transitioned to glargine 8U and insulin lispro 
-2U with meals after he began to eat meals. He was discharge on 
-glargine 8U with lispro 2U at meals.
-
-# Hypoxia (resolved) 
-Had new 2L O2 requirement in ED, after satting in low ___ on RA.
-Most likely volume overload iso vs progression of pneumonia.
-Resolved by time of arrival to floor. 
-
-# Goals of Care 
-A family meeting was held in which patient's family expressed a 
-clear understanding that patient was seriously ill and that 
-DNR/DNI status was consistent with the patient's goals. He 
-himself confirmed these wishes to his providers as well. At end 
-of hospitalization, patient filled out MOLST with DNR/DNI 
-status. He would like to keep eating for comfort and understands 
-the risks of aspiration and death. 
-
-CHRONIC ISSUES
-=========================================================
-# Atrial Fibrillation and tachycardia
-Patient presented with HR in 120s. Patient's home metoprolol 
-dose was increased from 25mg q6h to 50 mg q6h.
-
-# History of VTE
-Complicated coagulation history. Patient had bilateral ___ DVT 
-s/p IVC 
-filter ___, L non-occlusive jugular thrombus (___), R 
-thalamic bleed in the setting of HTN emergency w/ residual L 
-hemiparesis (___). Patient was briefly subtherapeutic, and 
-therefore bridged with a heparin gtt until therapeutic again. 
-Patient was discharged on home dose of warfarin 2.5 mg with 
-therapeutic INR of 2.5 at discharge. 
-
-# GERD: 
-Home Pantoprazole 40 mg PO Q12H was continued.
-
-# Mood: 
-Home mirtazapine 15 mg PO QHS was continued. Sertraline 25 mg PO 
-DAILY were held while patient was receiving Linezolid due to 
-risk of serotonin syndrome. 
-
-TRANSITIONAL ISSUES
-=========================================================
-#MRSA bacteremia s/p treatment
-[ ] Surveillance blood cultures after HD on ___
-
-#Hypertension
-[ ] Uptitrate lisinopril as tolerated to goal SBP <130/80.
-
-#Atrial fibrillation:
-[ ] Uptitrated metoprolol to 50mg q6h while inpatient. If 
-requires further rate control, could add diltiazem or consider 
-amiodarone, with discussion with cardiologist.
-[ ] Can consolidate Metop tartrate into Metop Succinate 200mg 
-daily if tolerating well. 
-
-#Diabetes mellitus
-[ ] Insulin dose was increased to 8U glargine at baseline, 2U 
-short-acting with meals, and sliding scale. Please titrate as 
-needed.
-
-#Depression:
-[ ] Holding sertraline due to interaction w Linezolid (risk of 
-serotonin syndrome) until ___, then ok to restart.
-
-CODE: DNR/DNI
-CONTACT: ___ 
-Relationship: wife 
-Phone number: ___ 
-
-The total time spent today on discharge planning, counseling and 
-coordination of care today was greater than 30 minutes.
- 
-
-###RESPONSE: T1DM {Diabetes mellitus type 1}, ESRD on HD {End stage renal failure on dialysis}, DVT {Deep venous thrombosis}, IVC filter {Inferior vena cava filter in situ}, on warfarin {Warfarin therapy}, L non-occlusive jugular {Structure of left jugular vein}, thrombus {Thrombus}, thalamic {Thalamic structure}, bleed {Bleeding}, HTN
-emergency {Hypertensive emergency}, L hemiparesis {Left hemiparesis}, MRSA bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, PNA {Pneumonia}, vancomycin {Antibiotic therapy}, HD {Hemodialysis}, weight gain {Weight gain}, edema {Edema}, Dysphagia {Dysphagia}, placement {Implantation procedure}, Severe Protein Calorie Nutrition {Severe protein-calorie malnutrition (Gomez: less than 60 percent of standard weight)}, aspiration risk {At increased risk for aspiration}, nectar-thick liquids {Dietary liquid consistency - nectar thick liquid}, good PO intake and eating food {Eating normal}, diet {Normal diet}, ESRD on HD {End stage renal failure on dialysis}, T1D {Diabetes mellitus type 1}, HD {Hemodialysis}, hypotension {Low blood pressure}, tachycardia {Tachycardia}, hemodialysis {Hemodialysis}, ultrafiltration {Ultrafiltration}, excess volume. {Hypervolemia}, Echo {Echocardiography}, volume overloaded {Hypervolemia}, exam {Physical examination procedure}, Elevated troponins {Troponin I above reference range}, volume overload {Hypervolemia}, HF exacerbation {Exacerbation of congestive heart failure}, weight {Weight finding}, weight {Weight finding}, weight {Weight finding}, EKG {Electrocardiographic procedure}, ischemic changes {Electrocardiographic myocardial ischemia}, Infectious {Infectious disease}, workup {Evaluation procedure}, aspiration {Aspiration pneumonia}, Echo {Echocardiography}, Pneumonia {Pneumonia}, MRSA Bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, Leukocytosis {Leukocytosis}, MRSA bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, PNA {Pneumonia}, vancomycin {Antibiotic therapy}, HD {Hemodialysis}, leukocytosis {Leukocytosis}, CXR {Plain chest X-ray}, bilateral 
-pneumonia {Bilateral pneumonia}, aspiration {Pulmonary aspiration}, Vancomycin {Antibiotic therapy}, Vancomycin {Antibiotic therapy}, vancomycin {Antibiotic therapy}, eosinophilia {Eosinophil count above reference range}, antibiotics {Antibiotic therapy}, hospital associated pneumonia {Nosocomial pneumonia}, Anemia {Anemia}, Hgb notably below baseline; {Hemoglobin below reference range}, Hgb {Measurement of total hemoglobin concentration}, Hgb {Measurement of total hemoglobin concentration}, Anemia {Anemia}, infection {Infectious disease}, anemia of chronic disease {Anemia of chronic disorder}, ESRD {End-stage renal disease}, GI bleed {Gastrointestinal hemorrhage}, no complaints {No complaints}, melena {Melena}, BRBPR {Hematochezia}, Hgb {Measurement of total hemoglobin concentration}, T1DM {Diabetes mellitus type 1}, T1DM {Diabetes mellitus type 1}, DKA {Ketoacidosis due to diabetes mellitus}, hypoglycemic {Hypoglycemia}, insulin sliding scale {Sliding scale insulin regime}, Hypoxia {Hypoxia}, resolved {Problem resolved}, satting {Finding of oxygen saturation}, RA {Breathing room air}, volume overload {Hypervolemia}, pneumonia {Pneumonia}, Resolved {Problem resolved}, meeting {Meetings}, DNR {Not for resuscitation}, DNR {Not for resuscitation}, aspiration {Pulmonary aspiration}, death {Dead}, Atrial Fibrillation {Atrial fibrillation}, tachycardia {Tachycardia}, HR {Finding of heart rate}, VTE {Thromboembolism of vein}, coagulation {Coagulation}, DVT {Deep venous thrombosis}, IVC 
-filter ___, {Inferior vena cava filter in situ}, thrombus {Thrombus}, thalamic {Thalamic structure}, bleed {Bleeding}, HTN emergency {Hypertensive emergency}, L 
-hemiparesis {Left hemiparesis}, heparin {Heparin therapy}, GERD {Gastroesophageal reflux disease}, serotonin syndrome {Serotonin syndrome}, MRSA bacteremia {Bacteremia caused by Methicillin resistant Staphylococcus aureus}, Surveillance blood cultures {Infection surveillance}, HD {Hemodialysis}, Hypertension {Hypertensive disorder, systemic arterial}, discussion {Discussion}, Diabetes mellitus {Diabetes mellitus}, baseline {Baseline state}, sliding scale {Sliding scale insulin regime}, serotonin syndrome {Serotonin syndrome}, DNR {Not for resuscitation}, discharge planning {Discharge planning}, counseling {Counseling}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Atorvastatin 40 mg PO QPM 
-2. Nephrocaps 1 CAP PO DAILY 
-3. Sertraline 25 mg PO DAILY 
-4. sevelamer CARBONATE 800 mg PO TID W/MEALS 
-5. Warfarin 2.5 mg PO DAILY16 
-6. Metoprolol Succinate XL 50 mg PO BID 
-7. Pantoprazole 40 mg PO Q12H 
-___  MD to order daily dose IV HD PROTOCOL 
-9. melatonin 6 mg oral QHS 
-10. Mirtazapine 15 mg PO QHS 
-11. Sucralfate 1 gm PO QID 
-12. Docusate Sodium 100 mg PO BID:PRN Constipation - First Line 
-13. ProMod Protein (protein supplement) 30 cc oral QID 
-14. Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever 
-15. Senna 17.2 mg PO BID:PRN Constipation - First Line 
-16. Glargine 7 Units Breakfast
-Insulin SC Sliding Scale using HUM Insulin
-17. Bisacodyl ___VERY OTHER DAY 
-
- 
-Discharge Medications:
-1.  Lisinopril 2.5 mg PO DAILY  
-2.  Metoprolol Tartrate 50 mg PO Q6H  
-3.  Miconazole Powder 2% 1 Appl TP BID rash  
-4.  Ramelteon 8 mg PO QHS:PRN insomnia  
-5.  Sarna Lotion 1 Appl TP TID:PRN dry skin  
-6.  Glargine 8 Units Breakfast
-Humalog 2 Units Breakfast
-Humalog 2 Units Lunch
-Humalog 2 Units Dinner
-Insulin SC Sliding Scale using HUM Insulin 
-7.  Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever  
-8.  Atorvastatin 40 mg PO QPM  
-9.  Bisacodyl ___VERY OTHER DAY  
-10.  Docusate Sodium 100 mg PO BID:PRN Constipation - First Line 
- 
-11.  melatonin 6 mg oral QHS  
-12.  Mirtazapine 15 mg PO QHS  
-13.  Nephrocaps 1 CAP PO DAILY  
-14.  Pantoprazole 40 mg PO Q12H  
-15.  ProMod Protein (protein supplement) 30 cc oral QID  
-16.  Senna 17.2 mg PO BID:PRN Constipation - First Line  
-17.  sevelamer CARBONATE 800 mg PO TID W/MEALS  
-18.  Sucralfate 1 gm PO QID  
-19.  Warfarin 2.5 mg PO DAILY16  
-20. HELD- Sertraline 25 mg PO DAILY  This medication was held. 
-Do not restart Sertraline until ___
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-End stage renal disease
-Pneumonia
-Heart failure with reduced ejection fraction
-Anemia
-Leukocytosis
-Type 1 Diabetes
-Dysphagia
-Hypoxia
-Atrial fibrillation
-Deep vein thrombosis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Out of Bed with assistance to chair or 
-wheelchair.
-
- 
-
-###RESPONSE: End stage renal disease {End-stage renal disease}, Pneumonia {Pneumonia}, Heart failure with reduced ejection fraction {Heart failure with reduced ejection fraction}, Anemia {Anemia}, Leukocytosis {Leukocytosis}, Type 1 Diabetes {Diabetes mellitus type 1}, Dysphagia {Dysphagia}, Hypoxia {Hypoxia}, Atrial fibrillation {Atrial fibrillation}, Deep vein thrombosis {Deep venous thrombosis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Out of Bed with assistance {Difficulty getting off a bed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-======================  
-DISCHARGE INSTRUCTIONS  
-======================  
-Dear Mr. ___,
-It was a pleasure caring for you at ___ 
-___.
-
-WHY WAS I IN THE HOSPITAL?  
-- You came to the hospital from rehab because you had gained 25 
-pounds of fluid and developed swelling in your legs. 
-
-WHAT HAPPENED TO ME IN THE HOSPITAL?  
-- When you came to the hospital you were found to have symptoms 
-and signs on an infection in your lung, likely related to 
-swallowing food into your lungs. You underwent dialysis in the 
-hospital to remove fluid from your body. You also received 
-antibiotics to treat the infection in your lung. We removed your 
-feeding tube because you preferred to eat food, even with the 
-increased risk of infections in your lungs.
-
-WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL?
-- Continue to take all your medicines and keep your 
-appointments.
-
-We wish you the best!
- 
-
-###RESPONSE: swelling {Swelling}, legs {Lower limb structure}, signs {Sign}, infection {Infectious disease}, lung {Metastatic malignant neoplasm to lung}, lungs {Lung structure}, dialysis {Dialysis procedure}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, lung {Lung structure}, removed {Removal}, infections {Local infection of wound}, lungs {Examination of respiratory system}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___           Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Vicodin
- 
-Attending: ___.
- 
-Chief Complaint:
-Elevated creatinine
-.
- 
-Major Surgical or Invasive Procedure:
-None
-.
- 
-
-###RESPONSE: Elevated creatinine {Serum creatinine above reference range}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo M hx etoh cirrhosis who presented yesterday to liver 
-clinic for second opinion. He was diagnosed with cirrhosis in 
-___, course complicated by variceal bleeding, ascites. On blood 
-work yesterday noted to have elevated Cr to 2.8, no prior 
-knowledge of renal insufficiency admitted today for further 
-evaluation.
-Pt has had a sore threat starting 5 d PTA associated with cough 
-productive of yellow sputum. No fever, chills, dyspnea. +Nausea 
-and vomiting about twice daily for 5 days, poor appetite. Urine 
-output unchanged. No abdominal pain, diarrhea. + sick contact, 
-wife had URI with sore throat and cough last week, now resolved.
-.
- 
-
-###RESPONSE: etoh cirrhosis {Alcoholic cirrhosis}, liver {Disorder of liver}, cirrhosis {Cirrhosis of liver}, variceal bleeding {Bleeding esophageal varices}, ascites {Ascites}, elevated {Elevation}, Cr {Finding of creatinine level}, renal insufficiency {Renal insufficiency}, evaluation {Evaluation procedure}, sore {Soreness}, cough 
-productive of yellow sputum {Productive cough-yellow sputum}, fever {Fever}, chills {Chill}, dyspnea {Dyspnea}, Nausea 
-and vomiting {Nausea and vomiting}, poor appetite {Decrease in appetite}, Urine 
-output unchanged {Normal urinary stream}, diarrhea {Diarrhea}, sick {Illness}, URI {Upper respiratory infection}, sore throat {Sore throat}, cough {Cough}, resolved {Problem resolved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Etoh cirrhosis, diagnosed in ___
-- hx variceal bleeding in ___, controlled with medications
-- hx ascites requiring periodic paracenteses
-Hx sepsis from dog bite in ___ c/b multiorgan failure
-L4-5 spinal fusion ___ at ___
-hx heart murmur, last echo at ___ 2 weeks ago
-HTN
-Hypercholesterolemia
-hx aortic aneurysm, stable for last ___ yrs
-.
- 
-
-###RESPONSE: Etoh cirrhosis {Alcoholic cirrhosis}, variceal bleeding {Bleeding esophageal varices}, ascites {Ascites}, paracenteses {Abdominal paracentesis}, sepsis {Sepsis}, dog bite {Dog bite - wound}, multiorgan failure {Multiple organ failure}, spinal fusion {Spinal arthrodesis}, heart murmur {Heart murmur}, echo {Echocardiography}, HTN {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, aortic aneurysm {Aortic aneurysm}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father had CABG in ___, father and paternal grandmother with 
-leukemia, uncle with unknown liver problem. No hx pulmonary 
-disease, diabetes, stroke.
-.
- 
-
-###RESPONSE: CABG {Coronary artery bypass grafting}, leukemia {Leukemia}, liver problem {Liver problem}, pulmonary 
-disease {Disorder of lung}, diabetes {Diabetes mellitus}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: T 972, BP 119/72, HR 66, RR 16, O2 sat 98% on RA
-Gen: pleasant male, ill appearing, no acute distress, AOx3, NAD
-HEENT: anicteric, MM dry, clear nasal discharge
-Neck: no JVD
-Resp: good air movement bilaterall, scaterred coarse ronchi 
-which improve with coughing, no wheezing
-CV: RRR, nl s1, s2, III/VI systolic murmur over apex, radiates 
-into abdomen
-Abd: +BS, soft, ND, NT, no HSM, + ascites, not tense
-Extr: warm, no edema, 2+ distal pulses
-Neuro: minimal asterixis, moves all exremities, no sensory 
-deficits
-.
- 
-
-###RESPONSE: VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, ill appearing {Looks ill}, distress {Distress}, AOx3 {Oriented to person, time and place}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, anicteric {White sclera}, MM dry {Mucous membrane dryness}, clear {Normal breath sounds}, nasal discharge {Nasal discharge}, Neck {Physical examination procedure}, JVD {Jugular venous engorgement}, Resp {Examination of respiratory system}, good {No abnormality detected}, ronchi {Wheeze - rhonchi}, coughing {Cough}, wheezing {Wheezing}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, nl s1, s2 {Heart sounds normal}, murmur {Murmur}, apex {Structure of apex of heart}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Abd {Examination of abdomen}, BS {Normal bowel sounds}, soft {Abdomen soft}, ND {Swollen abdomen}, NT {Abdominal tenderness}, HSM {Hepatosplenomegaly}, ascites {Ascites}, tense {Shoulder stiff}, Extr {Examination of limb}, warm {Warm skin}, edema {Edema}, 2+ distal pulses {Peripheral pulses normal}, Neuro {Neurological examination}, asterixis {Asterixis}, moves all exremities {Does move all four limbs}, sensory 
-deficits {Sensory disability}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-PERTINENT LABS:
-
-___ 04:20PM BLOOD WBC-8.1 RBC-4.06* Hgb-13.9* Hct-42.7 
-MCV-105* MCH-34.4* MCHC-32.7 RDW-13.4 Plt ___
-___ 05:10AM BLOOD WBC-7.5 RBC-3.32* Hgb-11.1* Hct-33.5* 
-MCV-101* MCH-33.6* MCHC-33.3 RDW-14.3 Plt ___
-___ 09:20PM BLOOD Neuts-77.3* Lymphs-11.1* Monos-7.5 
-Eos-3.9 Baso-0.3
-___ 04:20PM BLOOD ___ PTT-38.1* ___
-___ 04:20PM BLOOD UreaN-27* Creat-2.8* Na-134 K-5.6* Cl-102 
-HCO3-24 AnGap-14
-___ 04:20PM BLOOD ALT-37 AST-66* AlkPhos-227* TotBili-2.3*
-___ 04:20PM BLOOD TotProt-7.9 Albumin-2.9* Globuln-5.0*
-___ 05:45AM BLOOD Hapto-65
-___ 04:20PM BLOOD TSH-3.7
-___ 04:20PM BLOOD HBsAg-NEGATIVE HBsAb-NEGATIVE 
-HBcAb-NEGATIVE IgM HAV-NEGATIVE
-___:20PM BLOOD AFP-3.6
-___ 08:16PM URINE Color-Amber Appear-Hazy Sp ___
-___ 08:16PM URINE Blood-LG Nitrite-NEG Protein-TR 
-Glucose-NEG Ketone-NEG Bilirub-SM Urobiln-1 pH-5.0 Leuks-NEG
-___ 08:16PM URINE ___ Bacteri-FEW Yeast-NONE 
-___ 08:16PM URINE ___ 08:16PM URINE Eos-POSITIVE  
-___ 08:12AM URINE Hours-RANDOM UreaN-539 Creat-133 Na-35 
-TotProt-48 Prot/Cr-0.4*
-.
-MICRO DATA:
-URINE CX (___): negative
-.
-STUDIES:
-CXR (___): The suggestion of a small region of increased 
-radiopacity in the left mid lung at the level of the anterior 
-fourth rib, may correspond to a similar abnormality on the 
-lateral view projecting over the posterior aspect of the mid 
-thoracic spine. This could be a superimposition of normal 
-shadows or alternatively a very small focus of consolidation in 
-the left lung. Lungs are otherwise clear. There is no pleural 
-effusion or evidence of central adenopathy. Oblique chest views 
-might be helpful in determining whether the abnormality is real.
-.
-ABDOMINAL ULTRASOUND WITH DOPPLER (___): 
-1. Echogenic micronodular liver with no focal abnormalities 
-identified.
-2. Reverse flow in the right portal vein up into the left portal 
-vein. Patent umbilical vein.
-3. Single small gallstone with no signs of cholecystitis.
-4. Large amount of ascites.
-5. No hydronephrosis.
-.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, TSH {Thyroid stimulating hormone measurement}, HBsAg-NEGATIVE {Hepatitis B surface antigen not detected}, NEGATIVE {No abnormality detected}, NEGATIVE {No abnormality detected}, NEGATIVE {No abnormality detected}, AFP {Alpha-1-Fetoprotein measurement}, URINE {Urine culture}, Color {Color finding}, URINE Blood {Urine blood test}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE {Urine culture}, URINE {Urine culture}, URINE {Urine culture}, POSITIVE {Detected by cytology}, URINE {Urine culture}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, URINE CX {Urine culture}, negative {No abnormality detected}, CXR {Plain chest X-ray}, left {Left lung structure}, lung {Lung structure}, fourth rib {Bone structure of fourth rib}, lateral {Diagnostic radiography of chest, lateral}, thoracic spine {Structure of thoracic vertebral column}, superimposition {Superimposition}, normal {No abnormality detected}, shadows {Shadow}, consolidation {Consolidation}, left lung {Left lung structure}, Lungs {Lung structure}, clear {Normal breath sounds}, pleural 
-effusion {Pleural effusion}, adenopathy {Lymphadenopathy}, Oblique {Fracture, oblique}, chest {Plain chest X-ray}, abnormality {No abnormality detected}, ABDOMINAL ULTRASOUND {Ultrasonography of abdomen}, liver {Liver structure}, abnormalities {No abnormality detected}, right portal vein {Structure of right main branch of portal vein}, left portal 
-vein {Structure of left main branch of portal vein}, umbilical vein {Structure of umbilical vein}, gallstone {Gallbladder calculus}, signs {Sign}, cholecystitis {Cholecystitis}, ascites {Ascites}, hydronephrosis {Hydronephrosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year-old man with EtOH cirrhosis admitted with elevated 
-creatinine.
-.
-# Acute renal failure - Creatinine was 3.1 on admission. No 
-known history of kidney disease and PCP records showed that his 
-creatinine had been 1.1 a few months ago. Diuretics were held. 
-He received albumin and a fluid challenge overnight when he was 
-admitted without any significant effect. Started midodrine and 
-octreotide as well as daily albumin in case hepatorenal was 
-playing a role. No new meds. No signs of obstruction and no 
-hydronephrosis on ultrasound. Renal was consulted. Urine 
-sediment with acanthocytes and possibly a couple red cell casts. 
-UA with small amount of hematuria ___ RBC, ___ RBC on 
-repeat). The renal team felt that his renal failure was likely 
-due to renal hypoperfusion (could even be HRS) from combination 
-of cirrhosis and aortic stenosis, with multiple recent large 
-volume paracenteses. ___ also have underlying IgA nephropathy 
-given proteinuria. Hep B/C serologies negative so not likely a 
-GN related to those. Creatinine remained stable and he was 
-discharged with the plan to follow-up with Renal as an 
-outpatient for biopsy and further evaluation.
-.
-# Cough - Association with sore throat, rhinorrhea, similar sick 
-contacts symptoms made a viral URI most likely. He remained 
-afebrile without leukocytosis. A very small opacity in left lung 
-was noted on CXR however given bacterial pneumonia was felt 
-unlikely, he was not treated with antibiotics.
-.
-# Alcoholic Cirrhosis - Complicated by varices and recurrent 
-ascites requiring large volume paracentesis. MELD 25. Most 
-recent paracentesis on ___ with 9L removed, did not receive 
-albumin. Diuretics were held as above for renal failure. 
-Continued nadolol, MVI, folate. Discontinued lactulose as 
-patient has no history of encephalopathy.
-.
-# HTN - Continued amlodipine.
-.
-# Hypercholesterolemia - Continued statin.
-.
-# Full code
- 
-
-###RESPONSE: EtOH cirrhosis {Alcoholic cirrhosis}, elevated 
-creatinine {Serum creatinine above reference range}, Acute renal failure {Acute kidney injury}, Creatinine {Creatinine measurement}, creatinine {Creatinine measurement}, Diuretics {Diuretic therapy}, received albumin {Administration of albumin}, fluid {Administration of intravenous fluids}, albumin {Administration of albumin}, signs {Sign}, obstruction {Obstruction}, hydronephrosis {Hydronephrosis}, ultrasound {Ultrasonography}, Renal {Kidney structure}, Urine {Urine culture}, cell casts {Cellular casts}, hematuria {Blood in urine}, RBC {Red blood cell count}, RBC {Red blood cell count}, renal failure {Renal failure syndrome}, renal {Kidney structure}, HRS {Hepatorenal syndrome}, cirrhosis {Cirrhosis of liver}, aortic stenosis {Aortic valve stenosis}, paracenteses {Abdominal paracentesis}, IgA nephropathy {Immunoglobulin A nephropathy}, proteinuria {Proteinuria}, Hep B {Viral hepatitis type B}, negative {No abnormality detected}, Creatinine {Creatinine measurement}, stable {Patient's condition stable}, biopsy {Biopsy}, evaluation {Evaluation procedure}, Cough {Cough}, sore throat {Sore throat}, rhinorrhea {Nasal discharge}, sick {Illness}, viral {Viral disease}, URI {Upper respiratory infection}, afebrile {Fever}, leukocytosis {Leukocytosis}, opacity {Abnormally opaque structure}, left lung {Left lung structure}, CXR {Plain chest X-ray}, bacterial pneumonia {Bacterial pneumonia}, treated with antibiotics {Antibiotic therapy}, Alcoholic Cirrhosis {Alcoholic cirrhosis}, varices {Esophageal varices}, ascites {Ascites}, paracentesis {Abdominal paracentesis}, paracentesis {Centesis}, removed {Drainage of ascites}, albumin {Administration of albumin}, Diuretics {Diuretic therapy}, renal failure {Renal failure syndrome}, encephalopathy {Disorder of brain}, HTN {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Amlodipine 5mg daily
-Nadolol 80mg daily
-Protonix 40mg bid
-Folic acid 1mg daily
-Lipitor 20mg daily
-Lactulose 3tsp BID
-Spironolactone 50mg BID
-.
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: vicodin - itchy
-.
- 
-Discharge Medications:
-1. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-2. Nadolol 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-3. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO Q12H (every 12 hours).  
-4. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-5. Atorvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-6. Hexavitamin     Tablet Sig: One (1) Cap PO DAILY (Daily).  
-.
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary: Acute renal failure
-.
-Secondary: EtOH cirrhosis, hypertension, hypercholesterolemia
-.
- 
-Discharge Condition:
-Stable.
-.
- 
-
-###RESPONSE: Acute renal failure {Acute kidney injury}, EtOH cirrhosis {Alcoholic cirrhosis}, hypertension {Hypertensive disorder, systemic arterial}, hypercholesterolemia {Hypercholesterolemia}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital for evaluation and treatment 
-of kidney failure. Several labs were sent to work up your kidney 
-failure; these were still pending at time of discharge. You will 
-need to have a biopsy of your kidney to help make a diagnosis. 
-.
-You will have to follow up with the nephrologists next week for 
-your biopsy. 
-.
-If you develop a tense swollen abdomen, confusion, fevers>101, 
-shortness of breath, chest pain, or other symptoms that are 
-concerning to you, you should return to the emergency room.
-.
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, kidney failure {Renal failure syndrome}, kidney 
-failure {Renal failure syndrome}, biopsy {Biopsy}, biopsy {Biopsy}, tense {Feeling tense}, swollen abdomen {Swollen abdomen}, confusion {Clouded consciousness}, fevers {Fever}, shortness of breath {Dyspnea}, chest pain {Chest pain}, return to the emergency room {Emergency treatment management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics) / Ciprofloxacin / adhesive tape 
-/ Floxin / Neurontin / generic brand meds
- 
-Attending: ___.
- 
-Chief Complaint:
-left knee OA
- 
-Major Surgical or Invasive Procedure:
-left knee replacement ___, ___
-
- 
-
-###RESPONSE: Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, Ciprofloxacin {Allergy to ciprofloxacin}, adhesive tape {Allergy to adhesive agent}, left knee OA {Osteoarthritis of left knee joint}, left knee replacement {Total replacement of left knee joint}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old female with left knee OA s/p L TKR.
- 
-
-###RESPONSE: left knee OA {Osteoarthritis of left knee joint}, L TKR {Total replacement of left knee joint}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-BMI 31.68, thyroid dz, dyslipidemia, eczema
-Bursitis
-Low back pain                                                   
-Arthroscopy in ___ with Dr. ___ ___ 
- 
-___ History:
-___
-
-###RESPONSE: thyroid dz {Disorder of thyroid gland}, dyslipidemia {Dyslipidemia}, eczema {Eczema}, Bursitis {Bursitis}, Low back pain {Low back pain}, Arthroscopy {Arthroscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Well appearing in no acute distress  
- Afebrile with stable vital signs  
- Pain well-controlled  
- Respiratory: CTAB  
- Cardiovascular: RRR  
- Gastrointestinal: NT/ND  
- Genitourinary: Voiding independently  
- Neurologic: Intact with no focal deficits  
- Psychiatric: Pleasant, A&O x3  
- Musculoskeletal Lower Extremity:  
- * Incision healing well with staples
- * Thigh full but soft  
- * No calf tenderness  
- * ___ strength  
- * SILT, NVI distally  
- * Toes warm
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Well appearing {Well cared for appearance}, distress {Distress}, Afebrile {Fever}, stable vital signs {Normal vital signs}, Pain {Pain}, Respiratory {Examination of respiratory system}, CTAB {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, Gastrointestinal {Examination of digestive system}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Gen {General examination of patient}, Voiding independently {Normal micturition}, Neurologic {Neurological examination}, no focal deficits {Normal nervous system function}, O x3 {Oriented to person, time and place}, Musculoskeletal {Musculoskeletal system physical examination}, Lower Extremity {Lower limb structure}, Incision {Surgical incision wound}, healing well {Wound healing well}, Thigh {Thigh structure}, soft {Abdomen soft}, tenderness {Tenderness}, SILT {Light touch sensation present}, NVI distally {Normal peripheral neurovascular function}, Toes {Structure of all toes}, warm {Warm skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:03AM BLOOD Hgb-8.4* Hct-26.6*
-___ 06:07AM BLOOD Hgb-9.5* Hct-29.3*
-___ 06:03AM BLOOD Creat-0.6
-___ 06:07AM BLOOD Creat-0.6
- 
-
-###RESPONSE: Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, Creat {Creatinine measurement}, Creat {Creatinine measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the orthopedic surgery service and 
-was taken to the operating room for above described procedure. 
-Please see separately dictated operative report for details. The 
-surgery was uncomplicated and the patient tolerated the 
-procedure well. Patient received perioperative IV antibiotics.
-
-Postoperative course was remarkable for the following:
-POD #0 overnight, patient had high drain output and knee was 
-flexed with drain clamped for 4 hours with appropriate effect.
-POD #1, drain was discontinued. Dressing was changed per patient 
-request as she felt she was developing a rash. No rash noted.
-POD #2, patient complained of itchiness in morning.  A dose of 
-Benadryl was given and the itchiness resolved. Patient cleared 
-___ without further issues.
-
-Otherwise, pain was controlled with a combination of IV and oral 
-pain medications.  The patient received Aspirin 325 mg twice 
-daily for DVT prophylaxis starting on the morning of POD#1.  The 
-surgical dressing was changed on POD#2 and the surgical incision 
-was found to be clean and intact without erythema or abnormal 
-drainage. The patient was seen daily by physical therapy. Labs 
-were checked throughout the hospital course and repleted 
-accordingly. At the time of discharge the patient was tolerating 
-a regular diet and feeling well.  The patient was afebrile with 
-stable vital signs.  The patient's hematocrit was acceptable and 
-pain was adequately controlled on an oral regimen. The operative 
-extremity was neurovascularly intact and the wound was benign. 
-
-The patient's weight-bearing status is weight bearing as 
-tolerated on the operative extremity with no range of motion 
-restrictions.
-  
-Ms. ___ is discharged to home with services in stable 
-condition.
- 
-
-###RESPONSE: admitted to the orthopedic surgery service {Admission by orthopedic surgeon}, procedure {Surgical procedure}, operative {Surgical procedure}, surgery {Surgical procedure}, procedure {Surgical procedure}, IV antibiotics {Intravenous antibiotic therapy}, Postoperative course {Postoperative state}, drain {Wound discharge}, knee {Structure of left knee region}, drain clamped {Clamping of drain}, drain was discontinued {Removal of drain}, Dressing was changed {Change of dressing}, rash {Eruption of skin}, rash {Eruption of skin}, itchiness {Itching}, itchiness {Itching}, pain was controlled {Demonstrates adequate pain control}, IV {Intravenous therapy}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, Aspirin {Administration of aspirin}, DVT prophylaxis {Prevention of deep vein thrombosis}, surgical dressing was changed {Change of dressing}, surgical incision {Surgical incision wound}, intact {Intact skin}, erythema {Erythema}, drainage {Wound discharge}, physical therapy {Physical therapy procedure}, regular diet {Normal diet}, feeling well {Well in self}, afebrile {Fever}, stable vital signs {Normal vital signs}, hematocrit was acceptable {Stable hematocrit}, pain was adequately controlled {Demonstrates adequate pain control}, oral {Administration of drug or medicament via oral route}, regimen {Therapeutic regimen}, operative {Operative site}, extremity {All extremities}, neurovascularly intact {Normal peripheral neurovascular function}, wound {Wound}, weight-bearing {Weight-bearing}, weight bearing {Weight-bearing}, operative {Surgical procedure}, extremity {Limb structure}, stable 
-condition {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. BuPROPion (Sustained Release) 450 mg PO QHS 
-2. ClonazePAM 1 mg PO BID 
-3. Propranolol 20 mg PO BID 
-4. Atorvastatin 40 mg PO QPM 
-5. Ibuprofen 800 mg PO Q8H:PRN Pain - Mild 
-6. FLUoxetine 60 mg PO QHS 
-7. Levothyroxine Sodium 75-150 mcg PO DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H  
-2.  Aspirin EC 325 mg PO BID  
-3.  Docusate Sodium 100 mg PO BID  
-4.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - 
-Moderate 
-5.  Pantoprazole 40 mg PO Q24H 
-Continue while on 4-week course of Aspirin 325 mg twice daily.  
-6.  Senna 8.6 mg PO BID  
-7.  Atorvastatin 40 mg PO QPM  
-8.  BuPROPion (Sustained Release) 450 mg PO QHS  
-9.  ClonazePAM 1 mg PO BID  
-10.  FLUoxetine 60 mg PO QHS  
-11.  Levothyroxine Sodium 75-150 mcg PO DAILY  
-12.  Propranolol 20 mg PO BID  
-13. HELD- Ibuprofen 800 mg PO Q8H:PRN Pain - Mild  This 
-medication was held. Do not restart Ibuprofen until you've been 
-cleared by your surgeon
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-left knee OA
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, left knee OA {Osteoarthritis of left knee joint}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. Please return to the emergency department or notify your 
-physician if you experience any of the following: severe pain 
-not relieved by medication, increased swelling, decreased 
-sensation, difficulty with movement, fevers greater than 101.5, 
-shaking chills, increasing redness or drainage from the incision 
-site, chest pain, shortness of breath or any other concerns.
-
-2. Please follow up with your primary physician regarding this 
-admission and any new medications and refills. 
-
-3. Resume your home medications unless otherwise instructed.
-
-4. You have been given medications for pain control. Please do 
-not drive, operate heavy machinery, or drink alcohol while 
-taking these medications. As your pain decreases, take fewer 
-tablets and increase the time between doses. This medication can 
-cause constipation, so you should drink plenty of water daily 
-and take a stool softener (such as Colace) as needed to prevent 
-this side effect.  Call your surgeons office 3 days before you 
-are out of medication so that it can be refilled.  These 
-medications cannot be called into your pharmacy and must be 
-picked up in the clinic or mailed to your house.  Please allow 
-an extra 2 days if you would like your medication mailed to your 
-home.
-
-5. You may not drive a car until cleared to do so by your 
-surgeon.
-
-6. Please call your surgeon's office to schedule or confirm your 
-follow-up appointment.
-
-7. SWELLING: Ice the operative joint 20 minutes at a time, 
-especially after activity or physical therapy. Do not place ice 
-directly on the skin. You may wrap the knee with an ace bandage 
-for added compression. Please DO NOT take any non-steroidal 
-anti-inflammatory medications (NSAIDs such as Celebrex, 
-ibuprofen, Advil, Aleve, Motrin, naproxen etc) until cleared by 
-your physician.
-
-8. ANTICOAGULATION: Please continue your Aspirin 325 mg twice 
-daily for four (4) weeks to help prevent deep vein thrombosis 
-(blood clots).  Continue Pantoprazole daily while on Aspirin to 
-prevent GI upset (x 4 weeks). If you were taking Aspirin prior 
-to your surgery, take it at 325 mg twice daily until the end of 
-the 4 weeks, then you can go back to your normal dosing.
- 
-9. WOUND CARE: Please keep your incision clean and dry. It is 
-okay to shower five days after surgery but no tub baths, 
-swimming, or submerging your incision until after your four (4) 
-week checkup. Please place a dry sterile dressing on the wound 
-each day if there is drainage, otherwise leave it open to air. 
-Check wound regularly for signs of infection such as redness or 
-thick yellow drainage. Staples will be removed at your follow-up 
-appointment in two weeks.
-
-10. ___ (once at home): Home ___, dressing changes as 
-instructed, wound checks.
-
-11. ACTIVITY: Weight bearing as tolerated on the operative 
-extremity. Mobilize.  ROM as tolerated. No strenuous exercise or 
-heavy lifting until follow up appointment.
-Physical Therapy:
-WBAT LLE
-ROMAT
-Wean assistive device as able (i.e. 2 crutches or walker)
-Mobilize frequently 
-Treatments Frequency:
-daily dressing changes as needed for drainage
-wound checks daily
-ice
-staple removal and replace with steri-strips at follow up visit 
-in clinic
- 
-
-###RESPONSE: severe pain {Severe pain}, medication {Administration of drug or medicament}, swelling {Swelling}, decreased 
-sensation {Abnormal sensation}, difficulty with movement {Difficulty moving}, fevers {Fever}, shaking {Tremor}, chills {Chill}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, chest pain {Chest pain}, shortness of breath {Dyspnea}, primary physician {Primary care management}, medications {Prescription of drug}, medications {Prescription of drug}, medications {Prescription of drug}, pain control {Pain control}, while 
-taking these medications {Patient medication education}, pain {Pain}, medication can 
-cause {Patient medication education}, constipation {Constipation}, take a stool softener {Administration of laxative}, side effect {Medication side effects present}, medication so that it can be refilled {Medication prefill education}, medications {Prescription of drug}, medication {Prescription of drug}, u may not drive {Functional activity education}, SWELLING {Swelling}, Ice {Application of ice}, operative joint {Operative site}, activity {Functional activity education}, physical therapy {Physical therapy procedure}, Do not place {Wound treatment education}, ice {Application of ice}, skin {Skin structure}, knee {Structure of left knee region}, compression {Compression}, DO NOT take {Patient medication education}, non-steroidal 
-anti-inflammatory medications {Non-steroidal anti-inflammatory agent therapy}, ANTICOAGULATION {Anticoagulant therapy}, Aspirin {Administration of aspirin}, prevent deep vein thrombosis {Prevention of deep vein thrombosis}, blood clots {Blood clot}, Aspirin {Administration of aspirin}, GI upset {Gastrointestinal irritation}, surgery {Surgical procedure}, WOUND CARE {Wound care}, incision {Surgical incision wound}, shower {Able to shower self}, after surgery {Postoperative state}, incision {Surgical incision wound}, place a dry sterile dressing {Application of dressing}, wound {Surgical incision wound}, drainage {Wound discharge}, wound {Surgical incision wound}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, drainage {Wound discharge}, Staples will be removed {Removal of staples}, dressing changes {Change of dressing}, wound checks {Wound assessment}, ACTIVITY {Functional activity education}, Weight bearing {Weight-bearing}, operative {Operative site}, extremity {Limb structure}, Mobilize {Mobilizing exercises}, ROM {Range of motion activity}, exercise {Exercises}, lifting {Does lift}, Physical Therapy {Physical therapy procedure}, LLE {Structure of left lower limb}, ROM {Range of motion activity}, Mobilize {Does mobilize}, Treatments Frequency {Wound treatment education}, dressing changes {Change of dressing}, drainage {Wound discharge}, wound checks {Wound assessment}, ice {Application of ice}, staple removal {Removal of staples}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Type A aortic dissection involving b/l carotids and severe
-neurologic deficits,
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Type A aortic dissection {Dissection of proximal aorta}, carotids {Carotid artery structure}, neurologic deficits {Neurological deficit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ found down at home approximately 2 hours prior to
-presentation, EMS called immediately by wife.  EMS noted unequal
-pulses in his upper extremities during transport.  Upon arrival,
-he was found to be minimally responsive with a GCS of 5, with a
-fixed and dilated right pupil and posturing movements of his 
-left
-arm.  He was intubated and underwent a CT of the head, which was
-negative, and then a CTA of the torso with dissection protocol. 
-This demonstrated an aortic dissection from the root into the
-abdomen with involvement of the brachiocephalic artery as well 
-as
-the left carotid.Cardiac surgery was consulted for possible 
-dissection repair.
-
- 
-
-###RESPONSE: unequal
-pulses {Unequal pulse}, upper extremities {Upper limb structure}, GCS of 5 {Glasgow coma scale, 5}, fixed and dilated right pupil {Fixed dilatation of right pupil}, posturing movements {Abnormal posture}, left
-arm {Structure of left upper limb}, intubated {Intubation}, CT of the head {Computed tomography of head}, negative {No abnormality detected}, CTA {Computed tomography angiography of head with contrast}, torso {Trunk structure}, dissection protocol {Dissection procedure}, aortic dissection {Dissection of aorta}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, brachiocephalic artery {Structure of brachiocephalic artery}, left carotid {Structure of left carotid artery}, Cardiac surgery {Operation on heart}, dissection {Dissection of aorta}, repair {Surgical repair}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CAD, HTN, lipids, BPH
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, BPH {Benign prostatic hyperplasia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-unknown
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PE in ED:
-Pulse: Resp:intubated  O2 sat:100%
-B/P  ___  HR 44 (SR)
-
- 
-
-###RESPONSE: Pulse {Finding of pulse rate}, Resp {Examination of respiratory system}, intubated {Intubation}, O2 sat {Oxygen saturation measurement}, B/P {Blood pressure finding}, HR {Finding of heart rate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:01AM BLOOD WBC-10.7 RBC-4.89 Hgb-14.5 Hct-43.8 
-MCV-90 MCH-29.6 MCHC-33.0 RDW-13.7 Plt ___
-___ 06:01AM BLOOD ___ PTT-24.7* ___
-___ 06:01AM BLOOD Glucose-178* UreaN-18 Creat-1.0 Na-143 
-K-4.1 Cl-108 HCO3-21* AnGap-18
-    ___ ___ M  ___  ___ 
- 
-Radiology Report CTA CHEST W&W/O C&RECONS, NON-CORONARY Study 
-Date of ___ 6:17 AM 
- 
-  
-___   ___ 6:17 AM 
-CTA CHEST W&W/O C&RECONS, NON-; CTA ABD & PELVIS   Clip # 
-___   
-Reason: aortic dissection?  
-Contrast: OMNIPAQUE Amt: 80 
- 
-
- 
-UNDERLYING MEDICAL CONDITION: 
-   ___ with decreased pulse R hand, diaphoretic, fall, altered  
-REASON FOR THIS EXAMINATION: 
-   aortic dissection?  
-CONTRAINDICATIONS FOR IV CONTRAST: 
-   None. 
-
- 
- 
-Wet Read: SJBj SAT ___ 7:41 AM 
-Extensive type A aortic dissection extending from the aortic 
-root to the 
-distal abdominal aorta. Dissection extends up left 
-bracheocephalic and left 
-common carotid. RCC extension cannot be assessed. Diffuse large 
-bowel wall 
-thickening raises the possibility of ischemic bowel even though 
-the ___ 
-appears patent from the true lumen. 
-  
-
- 
-Wet Read Audit # 1  
-Wet Read Audit # 2 SJBj SAT ___ 6:46 AM 
-Extensive type A aortic dissection extending from the aortic 
-root to the 
-distal abdominal aorta. Dissection extends up both carotids.  
-  
-Wet Read Audit # 3 SJBj SAT ___ 7:40 AM 
-Extensive type A aortic dissection extending from the aortic 
-root to the 
-distal abdominal aorta. Dissection extends up left 
-bracheocephalic and left 
-common carotid. RCC extension cannot be assessed.  
-  
-
- 
-Final Report 
-INDICATION: ___ man with collapse, decreased right hand 
-pulse, 
-question dissection. 
-  
-COMPARISON: None. 
-  
-TECHNIQUE: MDCT data were acquired through the chest, abdomen 
-and pelvis 
-after the administration of 80 cc of IV contrast. Images were 
-displayed in 
-multiple planes. 
-  
-FINDINGS: The exam is limited by suboptimal contrast bolus 
-timing. 
-  
-There is an extensive type-A aortic dissection extending from 
-the aortic root, 
-to the descending and abdominal aorta, to the level of the 
-infrarenal 
-abdominal aorta. Evaluation for carotid extension is severely 
-limited by poor 
-contrast bolus timing and streak artifact through the neck. The 
-dissection at 
-least extends into the proximal left subclavian and into the 
-proximal right 
-brachiocephalic artery. Approximately 1.2 cm distal to the right 
-
-brachiocephalic origin, there is a 1.3 x 0.6 cm outpouching 
-(300b:18) which 
-may represent a pseudoaneurysm. Extension into the right common 
-carotid 
-cannot be assessed. The celiac, SMA and right and left renal 
-arteries 
-originate from the true lumen. The ___ from the true 
-lumen. 
-  
-There is no hemopericardium. There is fat stranding within the 
-mediastinum 
-without frank extravasation. Numerous chest wall collateral 
-vessels are 
-noted.  
-  
-CHEST: There is dependent atelectasis plus aspiration at both 
-lung bases.  
-The remainder of the lungs are clear. The airways are patent to 
-the 
-subsegmental level. An endotracheal tube ends in the upper 
-trachea.  
-  
-ABDOMEN: The liver parenchyma is homogeneous. The gallbladder is 
-thin-walled 
-and not distended. The pancreas, spleen, and adrenal glands are 
-unremarkable. 
-The kidneys enhance symmetrically. The stomach, small and large 
-bowel are of 
-normal caliber and appearance. 
-  
-PELVIS: Diffuse diverticulosis is seen throughout the colon. 
-There is a 
-right inguinal hernia (2:35) containing loops of small bowel 
-with mild 
-fecalization, but no wall thickening or adjacent stranding. 
-There is no free 
-pelvic fluid. There is no inguinal or pelvic adenopathy. The 
-appendix is 
-normal. 
-  
-BONE WINDOWS: There are moderate multilevel degenerative changes 
-throughout 
-the thoracolumbar spine. No concerning lytic or sclerotic 
-lesions. 
-  
-IMPRESSION: 
-  
-1. Extensive type-A dissection extending from the aortic root to 
-the 
-infrarenal abdominal aorta. The dissection extends into the 
-proximal left 
-subclavian and right brachiocephalic arteries. There is a small 
-thrombosed 
-pseudoaneurysm in the proximal right brachiocephalic artery. 
-Evaluation for 
-extension into the common carotid arteries is markedly limited 
-by poor 
-contrast bolus timing. Should further evaluation of the carotid 
-arteries be 
-necessary, neck CTA could be performed. 
-  
-2. Right inguinal hernia containing a loop of fecalized ileum 
-without 
-inflammation or wall thickening. 
-  
-3. Dependent atelectasis versus possible aspiration. 
-  
-4. Haziness of the mediastinal fat may be inflammatory although 
-hematoma is 
-not excluded. 
-  
-Findings were urgently conveyed to the ER physicians by Dr. ___ 
-___ 
-immediately after the completion of the scan by telephone on the 
-morning of 
-___ and discussed with ___ on the morning of 
-___ @ 
-9:55 am by Dr. ___. 
-  
-  
-  
-The study and the report were reviewed by the staff radiologist. 
-
-  
-___. ___ 
-___. ___ 
-___: SAT ___ 9:55 AM 
- 
-  Imaging Lab 
- 
-There is no report history available for viewing. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CORONARY {Atherosclerosis of coronary artery}, ABD {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, PELVIS {Structure of pelvis}, aortic dissection {Dissection of aorta}, pulse {Pulse finding}, R hand {Structure of right hand}, diaphoretic {Excessive sweating}, fall {Falls}, aortic dissection {Dissection of aorta}, AST {Aspartate aminotransferase measurement}, type A aortic dissection {Dissection of proximal aorta}, aortic 
-root {Supraaortic valve area structure}, abdominal aorta {Abdominal aorta structure}, Dissection {Dissection of artery}, left 
-bracheocephalic {Structure of left brachial artery}, left 
-common carotid {Left common carotid artery structure}, RCC {Renal cell carcinoma}, large 
-bowel wall {Structure of wall of large intestine}, thickening {Increased thickness}, ischemic bowel {Vascular insufficiency of intestine}, lumen {Structure of lumen of body system}, type A aortic dissection {Dissection of proximal aorta}, aortic 
-root {Supraaortic valve area structure}, abdominal aorta {Abdominal aorta structure}, Dissection {Dissection of artery}, carotids {Carotid artery structure}, type A aortic dissection {Dissection of proximal aorta}, aortic 
-root {Supraaortic valve area structure}, abdominal aorta {Abdominal aorta structure}, Dissection {Dissection of artery}, left 
-bracheocephalic {Structure of left brachial artery}, left 
-common carotid {Left common carotid artery structure}, RCC {Renal cell carcinoma}, collapse {Collapsing pulse}, right hand {Structure of right hand}, pulse {Pulse finding}, dissection {Dissection of artery}, chest, abdomen 
-and pelvis {Chest and/or abdomen and/or pelvis structure}, exam {Physical examination procedure}, type-A aortic dissection {Dissection of proximal aorta}, aortic root {Supraaortic valve area structure}, descending {Descending aorta structure}, abdominal aorta {Abdominal aorta structure}, infrarenal 
-abdominal aorta {Structure of infrarenal aorta}, Evaluation {Evaluation procedure}, carotid {Carotid artery structure}, artifact {Artifact}, neck {Neck structure}, dissection {Dissection of artery}, left subclavian {Structure of left subclavian artery}, right {Structure of right main branch of portal vein}, brachiocephalic artery {Structure of brachiocephalic artery}, right {Structure of right main branch of portal vein}, brachiocephalic {Structure of brachiocephalic artery}, pseudoaneurysm {Pseudoaneurysm}, right common 
-carotid {Right common carotid artery structure}, celiac {Structure of celiac artery}, SMA {Superior mesenteric artery structure}, right {Structure of right renal artery}, left renal 
-arteries {Structure of left renal artery}, lumen {Structure of lumen of body system}, lumen {Structure of lumen of body system}, hemopericardium {Hemopericardium}, fat {Structure of adipose tissue}, stranding {Density above reference range}, mediastinum {Mediastinal structure}, extravasation {Extravasation}, chest wall {Chest wall structure}, vessels {Blood vessel structure}, CHEST {Plain chest X-ray}, atelectasis {Atelectasis}, aspiration {Pulmonary aspiration}, both 
-lung {Both lungs}, bases {Structure of base of lung}, lungs are clear {Normal lung}, airways {Airway structure}, endotracheal tube {Insertion of endotracheal tube}, trachea {Tracheal structure}, ABDOMEN {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, liver parenchyma {Structure of parenchyma of liver}, gallbladder {Gallbladder structure}, distended {Swollen abdomen}, pancreas {Pancreatic structure}, spleen {Splenic structure}, adrenal glands {Bilateral adrenal glands}, unremarkable {No abnormality detected}, kidneys {Kidney structure}, stomach {Stomach structure}, small {Structure of small intestine}, large 
-bowel {Structure of large intestine}, normal {No abnormality detected}, PELVIS {Structure of pelvis}, diverticulosis {Diverticulosis of colon}, colon {Colon structure}, right inguinal hernia {Right inguinal hernia}, small bowel {Structure of small intestine}, wall {Colon wall structure}, thickening {Increased thickness}, pelvic {Structure of pelvis}, inguinal {Inguinal lymphadenopathy}, pelvic adenopathy {Pelvic lymphadenopathy}, appendix {Appendix structure}, normal {No abnormality detected}, BONE {Bone structure}, degenerative changes {Degeneration of spine}, thoracolumbar {Structure of thoracic and/or lumbar region of back}, spine {Structure of vertebral column}, lytic {Lysis}, sclerotic {Sclerosis}, lesions {Lesion}, type-A dissection {Dissection of proximal aorta}, aortic root {Supraaortic valve area structure}, infrarenal {Structure of infrarenal aorta}, abdominal aorta {Abdominal aorta structure}, dissection {Dissection of artery}, left 
-subclavian {Structure of left subclavian artery}, right {Structure of right main branch of portal vein}, brachiocephalic arteries {Structure of brachiocephalic artery}, thrombosed {Thrombus}, pseudoaneurysm {Pseudoaneurysm}, right {Structure of right main branch of portal vein}, brachiocephalic artery {Structure of brachiocephalic artery}, common carotid arteries {Common carotid artery structure}, evaluation {Evaluation procedure}, carotid 
-arteries {Carotid artery structure}, Right inguinal hernia {Right inguinal hernia}, ileum {Ileal structure}, inflammation {Inflammatory disorder}, wall {Colon wall structure}, thickening {Increased thickness}, atelectasis {Atelectasis}, aspiration {Pulmonary aspiration}, mediastinal fat {Structure of pericardial fat}, inflammatory {Inflammatory disorder}, hematoma {Hematoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presents with abdominal pain secondary to back pain 
-and rapidly deteriorating mental status with left hemi-neglect. 
-He was intubated for airway protection. CT of the head was 
-negative, CTA of the chest showing diffuse type A dissection. 
-Stat consult to cardiac surgery and vascular surgery was done.
-The family discussed with ___ risks of surgery. The 
-family were in agreement at having the pt extubated and allowing 
-him to die, knowing that it is what Mr. ___ would want; they 
-did not want to wait until his children, who live out of state, 
-arrive. Ms. ___ does not want an organ donation or
-an autopsy. ___ was taken off the ventilator and shortly 
-thereafter pronounced dead. The appropriate post mortem agencies 
-were contacted per hospital policy.
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, back pain {Backache}, deteriorating {Patient's condition deteriorating}, mental status {Neurological mental status determination}, hemi-neglect {Hemi-neglect}, intubated {Intubation}, airway {Airway structure}, CT of the head {Computed tomography of head}, negative {No abnormality detected}, CTA of the chest {Computed tomography of chest}, type A dissection {Dissection of proximal aorta}, cardiac surgery {Operation on heart}, vascular surgery {Vascular surgery procedure}, surgery {Surgical procedure}, extubated {Removal of endotracheal tube}, autopsy {Autopsy examination}, dead {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Amlodipine 10'
-Isosorbinde mononitrate 100'
-Metoprolol 50''
-Nitroglycerin PRN
-Pravastatin 40'
-Tamsulosin 0.8'
-ASA 325'
-
- 
-Discharge Medications:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Expired
- 
-Discharge Diagnosis:
-Type A dissection
- 
-Discharge Condition:
-expired
- 
-                             ___ MD ___
- 
-Completed by: ___
-
-###RESPONSE: Type A dissection {Dissection of proximal aorta}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-Trauma activation from 5 foot fall 
- 
-Major Surgical or Invasive Procedure:
-___ Exploratory laparotomy and splenectomy
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Trauma {Traumatic injury}, fall {Falls}, Exploratory laparotomy {Exploratory laparotomy}, splenectomy {Splenectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-ACS is consulted to evaluate this ___ man status post
-witnessed 5 foot fall into ___ pit presenting with multiple PL
-Left sided rib fx, hemoperitoneum w/ liver, spleen, and left
-kidney lacerations. 
-
-Per documentation following his fall he was pulled out by
-bystanders and ambulatory on scene per EMS. At that time patient
-unable to complete full interview secondary to intoxication with
-ETOH, benzos.  Patient states he is drinking, may have used 
-drugs
-but he is not sure. Also endorses epigastric pain. States he has
-history of hepatitis C, no other medical problems.
-
-On evaluation, patient HDS. GCS 15. Abdomen soft, tender to
-palpation to LUQ. Non-peritoneal.
-
- 
-
-###RESPONSE: fall {Falls}, Left sided {Bone structure of left rib}, rib fx {Fracture of rib}, hemoperitoneum {Nontraumatic hemoperitoneum}, liver {Laceration of liver}, spleen {Laceration of spleen}, left
-kidney lacerations {Laceration of left kidney}, fall {Falls}, intoxication with
-ETOH {Alcohol intoxication}, benzos {Benzodiazepine intoxication}, epigastric pain {Epigastric pain}, hepatitis C {Viral hepatitis type C}, evaluation {Evaluation procedure}, Abdomen soft {Abdomen soft}, tender to
-palpation to LUQ {Tenderness of left upper quadrant of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH: 
-Hep C - untreated 
-Depression/anxiety
-History of polysubstance abuse
-Right PTX s/p gunshot wound to right chest ___ 
-
-PSH: 
-Right chest tube placement ___
-Laceration repair back, posterior leg s/p stabbing 
-
- 
-
-###RESPONSE: Hep C {Viral hepatitis type C}, Depression {Depressive disorder}, anxiety {Anxiety}, polysubstance abuse {Polysubstance abuse}, Right PTX {Right pneumothorax}, gunshot wound {Gunshot wound}, right chest {Right thorax structure}, Right {Right thorax structure}, chest tube placement {Insertion of pleural tube drain}, Laceration {Laceration}, repair {Surgical repair}, back {Structure of posterior surface of lower leg}, posterior leg {Structure of posterior surface of lower leg}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-FH: 
-No known family history
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS:  
-General : In no acute distress
-Cardio: Normal S1, S2
-Pulmonary: CTAB
-Abdomen: Soft, mildy distended, mild LUQ tenderness, midline 
-closed with staples 
-Extremities: no edema, no erythema
-
- 
-
-###RESPONSE: VS {Vital signs finding}, General {General examination of patient}, distress {Distress}, Cardio {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, Pulm {Examination of respiratory system}, CTAB {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, mild {Symptom mild}, tenderness {Tenderness}, Extremities {Examination of limb}, edema {Edema}, erythema {Erythema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:00AM BLOOD WBC-11.6* RBC-2.86* Hgb-8.5* Hct-25.9* 
-MCV-91 MCH-29.7 MCHC-32.8 RDW-13.9 RDWSD-45.4 Plt ___
-___ 06:56AM BLOOD WBC-10.7* RBC-2.74* Hgb-8.4* Hct-25.0* 
-MCV-91 MCH-30.7 MCHC-33.6 RDW-13.9 RDWSD-46.1 Plt ___
-___ 05:44PM BLOOD WBC-11.7* RBC-2.64* Hgb-8.0* Hct-24.2* 
-MCV-92 MCH-30.3 MCHC-33.1 RDW-14.0 RDWSD-46.5* Plt ___
-___ 06:50AM BLOOD WBC-12.9* RBC-2.23* Hgb-6.9* Hct-21.0* 
-MCV-94 MCH-30.9 MCHC-32.9 RDW-13.7 RDWSD-46.4* Plt ___
-___ 06:42AM BLOOD WBC-15.9* RBC-2.41* Hgb-7.4* Hct-22.8* 
-MCV-95 MCH-30.7 MCHC-32.5 RDW-14.1 RDWSD-47.8* Plt ___
-___ 01:59AM BLOOD WBC-15.8* RBC-2.45* Hgb-7.6* Hct-22.4* 
-MCV-91 MCH-31.0 MCHC-33.9 RDW-14.0 RDWSD-46.8* Plt ___
-___ 07:25AM BLOOD WBC-15.3* RBC-2.62* Hgb-8.1* Hct-23.7* 
-MCV-91 MCH-30.9 MCHC-34.2 RDW-14.1 RDWSD-46.1 Plt ___
-___ 12:05AM BLOOD WBC-14.5* RBC-2.70* Hgb-8.4* Hct-24.1* 
-MCV-89 MCH-31.1 MCHC-34.9 RDW-14.1 RDWSD-45.8 Plt ___
-___ 10:17PM BLOOD WBC-15.8* RBC-2.89* Hgb-9.0* Hct-26.1* 
-MCV-90 MCH-31.1 MCHC-34.5 RDW-14.3 RDWSD-47.0* Plt ___
-___ 03:22PM BLOOD WBC-12.4* RBC-2.99* Hgb-9.3* Hct-27.0* 
-MCV-90 MCH-31.1 MCHC-34.4 RDW-14.2 RDWSD-46.7* Plt ___
-___ 12:00PM BLOOD WBC-13.3* RBC-3.34* Hgb-10.5* Hct-30.1* 
-MCV-90 MCH-31.4 MCHC-34.9 RDW-14.2 RDWSD-46.5* Plt ___
-___ 05:09AM BLOOD WBC-12.6* RBC-2.45* Hgb-7.6* Hct-22.3* 
-MCV-91 MCH-31.0 MCHC-34.1 RDW-13.2 RDWSD-43.8 Plt Ct-78*
-___ 04:00AM BLOOD WBC-13.6* RBC-1.95* Hgb-6.1* Hct-18.2* 
-MCV-93 MCH-31.3 MCHC-33.5 RDW-13.3 RDWSD-45.2 Plt Ct-93*
-___ 07:43AM BLOOD WBC-9.2 RBC-2.52* Hgb-8.0* Hct-24.2* 
-MCV-96 MCH-31.7 MCHC-33.1 RDW-12.6 RDWSD-43.3 Plt ___
-___ 10:07AM BLOOD WBC-5.2 RBC-2.56* Hgb-8.1* Hct-25.0* 
-MCV-98 MCH-31.6 MCHC-32.4 RDW-12.8 RDWSD-45.1 Plt ___
-___ 04:08AM BLOOD WBC-4.9 RBC-2.48* Hgb-8.0* Hct-23.9* 
-MCV-96 MCH-32.3* MCHC-33.5 RDW-12.7 RDWSD-44.8 Plt ___
-___ 09:30PM BLOOD WBC-5.3 RBC-2.71* Hgb-8.5* Hct-26.6* 
-MCV-98 MCH-31.4 MCHC-32.0 RDW-12.9 RDWSD-45.8 Plt ___
-___ 04:20PM BLOOD WBC-5.7 RBC-2.71* Hgb-8.6* Hct-26.0* 
-MCV-96 MCH-31.7 MCHC-33.1 RDW-13.0 RDWSD-45.6 Plt ___
-___ 02:04PM BLOOD WBC-1.9* RBC-2.33* Hgb-7.4* Hct-22.6* 
-MCV-97 MCH-31.8 MCHC-32.7 RDW-13.1 RDWSD-46.7* Plt Ct-80*
-___ 05:45AM BLOOD WBC-7.6 RBC-2.98* Hgb-9.5* Hct-29.1* 
-MCV-98 MCH-31.9 MCHC-32.6 RDW-13.0 RDWSD-46.5* Plt ___
-___ 02:17AM BLOOD WBC-9.5 RBC-3.05* Hgb-9.8* Hct-29.6* 
-MCV-97 MCH-32.1* MCHC-33.1 RDW-12.9 RDWSD-46.0 Plt ___
-___ 10:05PM BLOOD WBC-12.9* RBC-3.48* Hgb-11.2* Hct-33.7* 
-MCV-97 MCH-32.2* MCHC-33.2 RDW-12.8 RDWSD-45.5 Plt ___
-___ 01:59AM BLOOD Neuts-78.8* Lymphs-11.8* Monos-8.2 
-Eos-0.1* Baso-0.1 NRBC-0.3* Im ___ AbsNeut-12.44* 
-AbsLymp-1.86 AbsMono-1.29* AbsEos-0.02* AbsBaso-0.02
-___ 04:00AM BLOOD Neuts-74.2* Lymphs-15.3* Monos-6.3 
-Eos-0.1* Baso-0.1 NRBC-0.2* Im ___ AbsNeut-10.11* 
-AbsLymp-2.09 AbsMono-0.86* AbsEos-0.02* AbsBaso-0.02
-___ 10:05PM BLOOD Neuts-66.6 ___ Monos-10.2 
-Eos-0.8* Baso-0.2 Im ___ AbsNeut-8.58* AbsLymp-2.81 
-AbsMono-1.32* AbsEos-0.10 AbsBaso-0.03
-___ 07:00AM BLOOD Plt ___
-___ 06:56AM BLOOD Plt ___
-___ 05:44PM BLOOD Plt ___
-___ 06:50AM BLOOD Plt ___
-___ 06:42AM BLOOD Plt ___
-___ 01:59AM BLOOD Plt ___
-___ 09:37AM BLOOD ___
-___ 07:25AM BLOOD Plt ___
-___ 07:25AM BLOOD ___ PTT-24.6* ___
-___ 12:05AM BLOOD Plt ___
-___ 10:17PM BLOOD Plt ___
-___ 03:22PM BLOOD Plt ___
-___ 12:00PM BLOOD Plt ___
-___ 05:09AM BLOOD Plt Ct-78*
-___ 05:09AM BLOOD ___ PTT-24.1* ___
-___ 04:00AM BLOOD Plt Ct-93*
-___ 03:49AM BLOOD ___ PTT-22.7* ___
-___ 07:43AM BLOOD Plt ___
-___ 10:07AM BLOOD Plt ___
-___ 04:08AM BLOOD Plt ___
-___ 04:08AM BLOOD ___ PTT-24.3* ___
-___ 09:30PM BLOOD Plt ___
-___ 08:13PM BLOOD Plt Ct-UNABLE TO 
-___ 04:20PM BLOOD Plt ___
-___ 02:04PM BLOOD Plt Smr-VERY LOW* Plt Ct-80*
-___ 05:45AM BLOOD Plt ___
-___ 05:45AM BLOOD ___ PTT-23.9* ___
-___ 10:05PM BLOOD Plt ___
-___ 10:05PM BLOOD ___ PTT-22.8* ___
-___ 03:49AM BLOOD ___ 04:00AM BLOOD Ret Aut-2.8* Abs Ret-0.05
-___ 07:00AM BLOOD Glucose-89 UreaN-7 Creat-0.6 Na-139 K-3.9 
-Cl-101 HCO3-25 AnGap-13
-___ 06:56AM BLOOD Glucose-92 UreaN-6 Creat-0.5 Na-137 K-3.8 
-Cl-97 HCO3-25 AnGap-15
-___ 06:50AM BLOOD Glucose-92 UreaN-7 Creat-0.6 Na-135 K-3.8 
-Cl-99 HCO3-25 AnGap-11
-___ 06:42AM BLOOD Glucose-99 UreaN-8 Creat-0.6 Na-137 K-4.2 
-Cl-100 HCO3-26 AnGap-11
-___ 01:59AM BLOOD Glucose-101* UreaN-8 Creat-0.6 Na-135 
-K-4.1 Cl-98 HCO3-26 AnGap-11
-___ 07:25AM BLOOD Glucose-108* UreaN-8 Creat-0.7 Na-137 
-K-4.6 Cl-101 HCO3-25 AnGap-11
-___ 07:25AM BLOOD Glucose-108* UreaN-8 Creat-0.7 Na-137 
-K-4.6 Cl-101 HCO3-25 AnGap-11
-___ 12:05AM BLOOD Glucose-120* UreaN-9 Creat-0.6 Na-135 
-K-4.3 Cl-102 HCO3-25 AnGap-8*
-___ 10:17PM BLOOD Glucose-117* UreaN-9 Creat-0.7 Na-135 
-K-4.5 Cl-102 HCO3-25 AnGap-8*
-___ 03:22PM BLOOD Glucose-128* UreaN-11 Creat-0.9 Na-136 
-K-4.3 Cl-101 HCO3-25 AnGap-10
-___ 05:09AM BLOOD Glucose-168* UreaN-12 Creat-0.9 Na-136 
-K-3.4* Cl-104 HCO3-22 AnGap-10
-___ 01:58AM BLOOD Glucose-269* UreaN-8 Creat-0.7 Na-131* 
-K-3.5 Cl-97 HCO3-14* AnGap-20*
-___ 04:08AM BLOOD Glucose-111* UreaN-10 Creat-0.7 Na-134* 
-K-3.9 Cl-99 HCO3-27 AnGap-8*
-___ 05:45AM BLOOD Glucose-111* UreaN-10 Creat-0.8 Na-139 
-K-4.5 Cl-104 HCO3-21* AnGap-14
-___ 10:05PM BLOOD Glucose-127* UreaN-10 Creat-1.0 Na-142 
-K-4.5 Cl-104 HCO3-21* AnGap-17
-___ 04:08AM BLOOD ALT-24 AST-39 LD(LDH)-238 AlkPhos-63 
-TotBili-0.6
-___ 10:05PM BLOOD ALT-31 AST-61* AlkPhos-66 TotBili-0.2
-___ 07:00AM BLOOD Calcium-8.7 Phos-3.9 Mg-2.0
-___ 06:56AM BLOOD Calcium-8.5 Phos-4.2 Mg-2.0
-___ 06:50AM BLOOD Calcium-8.5 Phos-3.7 Mg-2.0
-___ 06:42AM BLOOD Calcium-8.3* Phos-3.1 Mg-2.2
-___ 01:59AM BLOOD Calcium-8.2* Phos-2.7 Mg-2.2
-___ 07:25AM BLOOD Calcium-7.8* Phos-2.2* Mg-2.2
-___ 12:05AM BLOOD Calcium-7.7* Phos-2.6* Mg-1.7
-___ 10:17PM BLOOD Calcium-7.6* Phos-2.9 Mg-1.8
-___ 03:22PM BLOOD Calcium-7.4* Phos-3.2 Mg-1.8
-___ 05:09AM BLOOD Calcium-7.0* Phos-4.5 Mg-2.2
-___ 04:08AM BLOOD Albumin-3.6 Calcium-8.4 Phos-2.7 Mg-1.9
-___ 05:45AM BLOOD Calcium-8.7 Phos-4.2 Mg-1.8
-___ 10:05PM BLOOD Albumin-4.0 Calcium-8.8 Phos-4.5 Mg-2.0
-___ 10:05PM BLOOD ASA-NEG ___ Acetmnp-NEG 
-Tricycl-NEG
-___ 05:31AM BLOOD Type-ART pO2-170* pCO2-45 pH-7.32* 
-calTCO2-24 Base XS--3
-___ 04:00AM BLOOD Type-ART Rates-___/ Tidal V-600 PEEP-5 
-FiO2-50 pO2-210* pCO2-44 pH-7.29* calTCO2-22 Base XS--4 
-Intubat-INTUBATED Vent-CONTROLLED
-___ 05:31AM BLOOD Lactate-2.0
-___ 04:00AM BLOOD Glucose-272* Lactate-4.9* K-3.2* 
-calHCO3-22
-___ 02:10AM BLOOD Lactate-14.0*
-___ 10:14PM BLOOD Lactate-2.5*
-___ 09:00AM BLOOD Hgb-11.0* calcHCT-33
-___ 04:00AM BLOOD Hgb-5.2* calcHCT-16 O2 Sat-96
-___ 04:00AM BLOOD freeCa-1.09*
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, pH {pH measurement}, Glucose {Glucose measurement, blood}, K {Blood potassium measurement}, Hgb {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, Hgb {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ male with Past Medical History 
-significant for untreated Hep C, EtOH substance use disorder, 
-polysubstance use disorder who presented to ___ s/p witnessed 
-fall 5' into pit at ___ station. He was found to have multiple 
-left rib fx (___), liver, spleen, & left kidney lacerations. 
-eFAST w/ positive fluid in RUQ, CT scan with fluid in pelvis. He 
-was admitted to the trauma surgery icu for close monitoring. He 
-underwent serial abdominal exams, Q6H CBC and Phenobarbital 
-loading for ETOH prophylaxis. His hematocrit remained relatively 
-stable and he was called out to the floor on HD 2. He was stable 
-on the floor until HD 4 when he acutely decompensated with 
-tachycardia to the 140s with SBP ___.  We gained access and took 
-him to the operating room emergently for an exploratory 
-laparotomy where he underwent a splenectomy. He received 5uprbc 
-total, 1 uffp. He was stabilized, extubated in the pacu and 
-transferred back to the floor for further management. 
-
-On 
-
-___ - discharged. Tolerating regular diet. Passing flatus 
-and having bowel movements. Patient received post splenectomy 
-vaccines on discharge with instruction to follow up with PCP for 
-continuous booster shots.  Midline abdominal Staples to be 
-removed in clinic. 
-___ Tolerating clears and some limited regular diet. 
-Ambulating independently . 
-___ Advanced diet to regular, H/H stable. ambulating with 
-RN. reassess needs.  
- ___ 1 unit PRBCs for Hct 21. post tx Hct: 24.2 , 
-suppository, small liquid BM  
- ___ blood cx, u cx pending, UA neg, walking with walker, 
-___ consult, oxy ___ q4hr  
- ___ foley/JP DC  
- ___ Temp 101.8 at ___. Resolved with Tylenol. CBC, CXR, 
-blood cx, UA sent stat  
- ___ tachy 130s, SBP ___, 1L fluid, 2 uprbc, OR ex lap  
- 
-
- 
-
-###RESPONSE: Hep C {Viral hepatitis type C}, EtOH substance use disorder {Alcohol abuse}, polysubstance use disorder {Polysubstance abuse}, fall {Falls}, left {Bone structure of left rib}, rib fx {Fracture of rib}, liver {Laceration of liver}, spleen {Laceration of spleen}, left kidney lacerations {Laceration of left kidney}, eFAST {Focused assessment with ultrasonography for trauma}, RUQ {Structure of right upper quadrant of abdomen}, CT scan {Computed tomography}, pelvis {Structure of pelvis}, monitoring {Monitoring response to treatment}, abdominal exams {Examination of abdomen}, CBC {Complete blood count}, prophylaxis {Preventive procedure}, hematocrit remained relatively 
-stable {Stable hematocrit}, tachycardia {Tachycardia}, exploratory 
-laparotomy {Exploratory laparotomy}, splenectomy {Splenectomy}, extubated {Removal of endotracheal tube}, regular diet {Normal diet}, Passing flatus {Passing flatus}, splenectomy {Splenectomy}, vaccines {Administration of vaccine to produce active immunity}, Staples to be 
-removed {Removal of staples}, clinic {Outpatient care management}, regular diet {Normal diet}, Ambulating independently {Independent walking}, regular {Normal diet}, stable {Patient's condition stable}, ambulating {Fully mobile}, blood cx {Blood culture}, u cx {Urine culture}, UA {Urinalysis}, walking with walker {Does mobilize using walker}, Temp {Body temperature finding}, CBC {Complete blood count}, CXR {Plain chest X-ray}, blood cx {Blood culture}, UA {Urinalysis}, tachy {Tachycardia}, fluid {Administration of fluid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Methadone 80 mg PO DAILY 
-2. ProAir HPA - 2 puffs, every 4 hours as needed for wheezing 
- 
-Discharge Medications:
-1.  Docusate Sodium 100 mg PO BID  
-2.  Docusate Sodium 100 mg PO BID  
-3.  HydrOXYzine 25 mg PO TID Anxiety  
-Take 1 capsule three times as needed for anxiety   
-4.  OxyCODONE (Immediate Release) 5 mg PO Q4H:PRN Pain - 
-Moderate  
-5.  ProAir HFA (albuterol sulfate) Other  inhalation Other 
-2 PUFFS , EVERY 4 HOURS AS NEEDED FOR WHEEZING 
-6.  Methadone 80 mg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-1. Nondisplaced fracture posterior left 12th rib,  
-2. Mildly displaced, comminuted fracture posterior left ___ & 
-11th ribs  
-3. Mildly displaced fracture posterolateral left 9th rib  
-4. Nondisplaced fracture anterolateral left 8th rib  
-5. Left kidney laceration (possible extension to renal pelvis & 
-collecting system)  
-6. Multiple splenic lacerations  
-7. Peripheral inferior liver laceration    
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Nondisplaced fracture {Undisplaced fracture}, left {Bone structure of left rib}, 12th rib {Bone structure of twelfth rib}, displaced {Fracture with displacement}, comminuted fracture {Fracture, comminuted}, left {Bone structure of left rib}, 11th ribs {Bone structure of eleventh rib}, displaced fracture {Fracture with displacement}, left {Bone structure of left rib}, 9th rib {Bone structure of ninth rib}, Nondisplaced fracture {Undisplaced fracture}, left {Bone structure of left rib}, 8th rib {Bone structure of eighth rib}, Left kidney laceration {Laceration of left kidney}, renal pelvis {Renal pelvis structure}, splenic lacerations {Laceration of spleen}, liver laceration {Laceration of liver}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to the Acute Care Surgery Service on ___ 
-after a fall sustaining left sided rib fractures, and injuries 
-to you spleen, liver, and left kidney. You had a large bleed 
-from your spleen and therefore you were taken to the operating 
-room and had it removed. Your spleen is important for your 
-immune system to function and therefore you were given vaccines 
-(Influenza. PCV13, Menactra, HIB) prior to leaving the hospital. 
-You should follow up with your primary care provider for ongoing 
-vaccines. 
-
-You are now doing better, tolerating a regular diet, having 
-bowel function (gas and bowel movements) and pain is better 
-controlled. 
-
-You are now ready to be discharged to home with the following 
-discharge instructions:
-
-Please call your doctor or nurse practitioner or return to the 
-Emergency Department for any of the following:
-*You experience new chest pain, pressure, squeezing or 
-tightness.
-*New or worsening cough, shortness of breath, or wheeze.
-*If you are vomiting and cannot keep down fluids or your 
-medications.
-*You are getting dehydrated due to continued vomiting, diarrhea, 
-or other reasons. Signs of dehydration include dry mouth, rapid 
-heartbeat, or feeling dizzy or faint when standing.
-*You see blood or dark/black material when you vomit or have a 
-bowel movement.
-*You experience burning when you urinate, have blood in your 
-urine, or experience a discharge.
-*Your pain in not improving within ___ hours or is not gone 
-within 24 hours. Call or return immediately if your pain is 
-getting worse or changes location or moving to your chest or 
-back.
-*You have shaking chills, or fever greater than 101.5 degrees 
-Fahrenheit or 38 degrees Celsius.
-*Any change in your symptoms, or any new symptoms that concern 
-you.
-
-Please resume all regular home medications, unless specifically 
-advised not to take a particular medication. Also, please take 
-any new medications as prescribed.
-
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids. Avoid lifting 
-weights greater than ___ lbs until you follow-up with your 
-surgeon.
-
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-
-Incision Care:
-*Please call your doctor or nurse practitioner if you have 
-increased pain, swelling, redness, or drainage from the incision 
-site.
-*Avoid swimming and baths until your follow-up appointment.
-*You may shower, and wash surgical incisions with a mild soap 
-and warm water. Gently pat the area dry.
-*If you have staples, they will be removed at your follow-up 
-appointment.
-*If you have steri-strips, they will fall off on their own. 
-Please remove any remaining strips ___ days after surgery.
-
-Liver/ Spleen lacerations:
-
-*AVOID contact sports and/or any activity that may cause injury 
-to your abdominal area for the next ___ weeks.
- 
-*If you suddenly become dizzy, lightheaded, feeling as if you 
-are going to pass out go to the nearest Emergency Room as this 
-could be a sign that you are having internal bleeding from your 
-liver or spleen injury.
- 
-*AVOID any blood thinners such as Motrin, Naprosyn, Indocin, 
-Aspirin, Coumadin or Plavix for at least ___ days unless 
-otherwise instructed by the MD/NP/PA.
-
- 
-
-###RESPONSE: fall {Falls}, left sided {Bone structure of left rib}, rib fractures {Fracture of rib}, injuries {Traumatic or non-traumatic injury}, spleen {Splenic structure}, liver {Liver structure}, left kidney {Traumatic injury of left kidney}, bleed {Bleeding}, spleen {Splenic structure}, removed {Splenectomy}, spleen {Splenic structure}, immune system {Structure of immune system}, vaccines {Administration of vaccine to produce active immunity}, regular diet {Normal diet}, pain {Pain}, chest pain {Chest pain}, pressure {Tight chest}, squeezing {Squeezing chest pain}, tightness {Tight chest}, cough {Cough}, shortness of breath {Dyspnea}, wheeze {Wheezing}, vomiting {Vomiting}, cannot keep down fluids {Nausea and vomiting}, dehydrated {Dehydration}, vomiting {Vomiting}, diarrhea {Diarrhea}, Signs {Sign}, dehydration {Dehydration}, dry mouth {Xerostomia}, rapid 
-heartbeat {Tachycardia}, dizzy {Dizziness}, faint {Feeling faint}, standing {Orthostatic body position}, blood or dark/black material when you vomit {Vomit contains blood}, bowel movement {Hematochezia}, burning {Burning sensation}, urinate {Micturition finding}, blood in your 
-urine {Blood in urine}, discharge {Discharge}, pain {Pain}, pain {Pain}, chest {Thoracic structure}, back {Structure of back of trunk}, shaking {Tremor}, chills {Chill}, fever {Fever}, ambulate {Ambulation training}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, surgical incisions {Surgical incision wound}, injury {Traumatic or non-traumatic injury}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, dizzy {Dizziness}, lightheaded {Lightheadedness}, feeling as if you 
-are going to pass out {Feeling faint}, sign {Sign}, bleeding {Bleeding}, liver {Injury of liver}, spleen injury {Injury of spleen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal pain
- 
-Major Surgical or Invasive Procedure:
-___ - exploratory laparotomy, ileotomy, gallstone removal
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, abdominal pain {Abdominal pain}, exploratory laparotomy {Exploratory laparotomy}, ileotomy {Ileotomy}, gallstone removal {Cholelithotomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with dementia transfered from OSH with a 3-day history of 
-nausea and vomiting. Per patient/family report, pt developed 
-nausea with a few episodes of nonbloody, nonbilious emesis three 
-days ago. He became progressively weaker in the setting of 
-almost no oral intake during this time.  The patient and family
-otherwise deny complaints of abdominal pain, fevers/chills, 
-diarrhea, or hematochezia. He cannot recall his last bowel 
-movement, but feels he has not passed stool or flatus in at 
-least 48 hours. He presented to ___ last evening 
-for evaluation, and CT imaging revealed findings consistent with
-gallstone ileus causing small bowel obstruction.  He was 
-transfered to ___ for further management.
-
-On arrival to ___, pt was found to be tachycardic (HR 115) 
-with mild hypotension (SBP 90), for which he was started on IVF 
-resuscitation. During placement of a nasogastric tube the pt 
-vomited, suffering a concomitant aspiration. He subsequently 
-developed respiratory distress and eventually required 
-intubation after failing noninvasive support.
- 
-
-###RESPONSE: dementia {Dementia}, nausea and vomiting {Nausea and vomiting}, nausea {Nausea}, emesis {Vomiting}, no oral intake {Inadequate oral intake}, abdominal pain {Abdominal pain}, fevers {Fever}, chills {Chill}, diarrhea {Diarrhea}, hematochezia {Hematochezia}, bowel 
-movement {Altered bowel function}, not passed stool or flatus {Constipation}, evaluation {Evaluation procedure}, CT imaging {Computed tomography}, gallstone ileus {Gallstone ileus}, small bowel obstruction {Small bowel obstruction}, tachycardic {Tachycardia}, hypotension {Low blood pressure}, IVF 
-resuscitation {Resuscitation using intravenous fluid}, placement of a nasogastric tube {Insertion of nasogastric tube}, vomited {Vomiting}, aspiration {Pulmonary aspiration}, respiratory distress {Respiratory distress}, intubation {Insertion of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH: HTN, Dementia, HLD
-PSH: denies
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, Dementia {Dementia}, HLD {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-N/C
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission Exam:
-Vitals: 98.9  110  105/68  18  95% facemask
-GEN: NAD. Alert w/ mild confusion.
-HEENT: No scleral icterus. Mucous membranes dry.
-CV: Reg rhythm but tachycardic.
-PULM: Clear to auscultation b/l
-ABD: Soft, nondistended, nontender to deep palpation.
-DRE: Normal tone. No gross blood. Heme-occult negative.
-Ext: ___ warm with palpable DP pulses and no edema.
-
-Physical examination upon discharge:  ___:
-
-Vital signs:  t=97.9, bp=135/80, hr=72, rr=20
-
-General:  Sitting comfortably in chair
-
-CV:  Ns1, s2, -3, -s4
-LUNGS:  Clear
-ABDOMEN:  soft, non-tender, midline incision with steri-strips
-EXT:  no pedal edema bil., + dp bil., no calf tenderness bil
-NEURO:  oriented to name, disoriented to time, place, 
-cooperative, follows commands
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, GEN {General examination of patient}, NAD {No abnormality detected}, Alert {Mentally alert}, confusion {Clouded consciousness}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, Mucous membranes dry {Mucous membrane dryness}, CV {Cardiovascular physical examination}, Reg rhythm {Finding of regularity of heart rhythm}, tachycardic {Tachycardia}, PULM {Examination of respiratory system}, Clear to auscultation b/l {Normal breath sounds}, ABD {Examination of abdomen}, Soft {Abdomen soft}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, palpation {Palpation}, Heme-occult negative {Occult blood not detected in feces}, Ext {Examination of limb}, warm {Warm skin}, palpable DP pulses {Dorsalis pulse present}, edema {Edema}, Sitting {Sitting position}, Clear {Normal breath sounds}, soft {Abdomen soft}, midline incision {Midline incision}, pedal edema {Edema of foot}, calf tenderness {Pain in calf}, oriented to name {Oriented to person}, disoriented to time {Disorientated in time}, place {Disorientated in place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:55AM BLOOD WBC-6.9 RBC-3.84* Hgb-11.8* Hct-37.3* 
-MCV-97 MCH-30.8 MCHC-31.7 RDW-12.9 Plt ___
-___ 06:55AM BLOOD Glucose-110* UreaN-20 Creat-0.9 Na-140 
-K-3.9 Cl-111* HCO3-22 AnGap-11
-___ 06:55AM BLOOD Calcium-8.5 Phos-2.7 Mg-2.0
-___ 01:55PM BLOOD WBC-7.2 RBC-3.83* Hgb-11.9* Hct-37.3* 
-MCV-98 MCH-31.1 MCHC-31.9 RDW-12.9 Plt ___
-___ 02:06AM BLOOD WBC-12.5* RBC-3.40* Hgb-10.5* Hct-32.3* 
-MCV-95 MCH-31.0 MCHC-32.6 RDW-13.2 Plt ___
-___ 07:15PM BLOOD WBC-6.0 RBC-4.26* Hgb-13.6* Hct-41.6 
-MCV-98 MCH-32.0 MCHC-32.7 RDW-13.3 Plt ___
-___ 09:21AM BLOOD WBC-5.0 RBC-4.57* Hgb-14.3 Hct-42.9 
-MCV-94 MCH-31.3 MCHC-33.4 RDW-12.9 Plt ___
-___ 01:20AM BLOOD WBC-5.4 RBC-5.06 Hgb-16.1 Hct-46.7 MCV-92 
-MCH-31.8 MCHC-34.5 RDW-12.8 Plt ___
-___ 01:57AM BLOOD Neuts-69 Bands-5 Lymphs-12* Monos-7 Eos-0 
-Baso-0 ___ Metas-5* Myelos-2*
-___ 01:55PM BLOOD Plt ___
-___ 02:16AM BLOOD Plt ___
-___ 12:34AM BLOOD ___ PTT-28.6 ___
-___ 01:20AM BLOOD ___ PTT-28.6 ___
-___ 01:55PM BLOOD Glucose-130* UreaN-21* Creat-1.0 Na-140 
-K-4.7 Cl-108 HCO3-19* AnGap-18
-___ 02:16AM BLOOD Glucose-116* UreaN-22* Creat-0.9 Na-140 
-K-3.6 Cl-108 HCO3-19* AnGap-17
-___ 01:54AM BLOOD Glucose-115* UreaN-25* Creat-1.0 Na-143 
-K-3.8 Cl-110* HCO3-25 AnGap-12
-___ 07:15PM BLOOD Glucose-142* UreaN-77* Creat-1.5* Na-137 
-K-3.7 Cl-106 HCO3-23 AnGap-12
-___ 09:21AM BLOOD Glucose-133* UreaN-91* Creat-1.8* Na-139 
-K-3.9 Cl-105 HCO3-23 AnGap-15
-___ 01:20AM BLOOD Glucose-162* UreaN-102* Creat-2.1* Na-134 
-K-3.6 Cl-97 HCO3-21* AnGap-20
-___ 06:04PM BLOOD CK(CPK)-25*
-___ 10:04PM BLOOD Lipase-49
-___ 01:08AM BLOOD CK-MB-1 cTropnT-0.40*
-___ 02:00AM BLOOD cTropnT-0.68*
-___ 06:04PM BLOOD CK-MB-1 cTropnT-0.78*
-___ 01:55PM BLOOD Calcium-8.6 Phos-2.8 Mg-2.1
-___ 02:16AM BLOOD Calcium-8.5 Phos-3.0 Mg-2.0
-___ 01:57AM BLOOD Triglyc-254*
-___ 10:04PM BLOOD Cortsol-28.3*
-___ 08:30AM BLOOD Vanco-20.3*
-___ 01:20AM BLOOD freeCa-1.09*
-___ 06:51PM BLOOD freeCa-1.17
-
-___:  EKG:  
-
-Sinus rhythm. A-V conduction delay. Inferior myocardial 
-infarction, age 
-indeterminate. No previous tracing available for comparison.
-
-___:  chest x-ray:
-
-  
-1. Enlarged aortic arch and extensively calcified aortic arch, 
-worrisome for aneurysmal dilatation. If warranted by clinical 
-situation, further evaluation could be performed with Chest CTA. 
- 
-  
-2. Reticular pulmonary opacities, most compatible with chronic 
-lung disease. 
-  
-3. Bibasilar atelectasis
-
-___:  chest x-ray:
-
- 
-FINDINGS: New right internal jugular line tip is at lower 
-SVC/cavoatrial 
-junction approximately 3.2 cm from the carina. Orogastric tube 
-courses below the diaphragm and ends into the body of the 
-stomach and is appropriately positioned. Since prior radiograph 
-acquired several hours apart, bibasilar atelectasis persists 
-with interval worsening on the right side and unchanged on the 
-left side. Small pleural effusion on the right side is similar. 
-Upper lungs are clear. There is no pneumothorax. Heart size, 
-mediastinal and hilar contours have stable appearance.
-
-___:  EKG:
-
- Supraventricular rhythm at the upper limits of normal rate with 
-P-R interval 
-prolongation. Low amplitude P waves merged with the T wave. 
-Cannot rule out atrial tachycardia with 2:1 block. RSR' pattern 
-in leads V1-V2. Q waves in leads III and aVF - consider inferior 
-myocardial infarction. Since the previous tracing the rate is 
-faster. The P-R interval is longer with a difference in the P 
-wave which may be related to fusion with a T wave. 
-Clinical correlation is suggested.  
-TRACING #1
-
-___:  ECHO:
-
- IMPRESSION: Mild symmetric left ventricular hypertrophy with 
-preserved global systolic function. The left ventricle is 
-compressed by a severely dilated and hypokinetic right 
-ventricle. The RV apical function is relatively preserved which 
-is a non-specific sign but could be due to pulmonary embolism. 
-Moderate tricuspid regurgitation and at least moderate pulmonary 
-hypertension.
-
-___:  EKG:
-
-Sinus bradycardia with sinus arrhythmia and P-R interval 
-prolongation. 
-Prolonged Q-T interval. Borderline low precordial QRS votlage. T 
-wave 
-inversions in leads VI-V4 and in the inferior leads. Slightly 
-delayed anterior R wave progression - cannot exclude prior 
-anteroseptal myocardial infarction. 
-Compared to the previous tracing of ___ T wave inversion is 
-more prominent in leads II and V3. RSR' pattern has resolved, 
-likely due to changes in electrode placement. Anterior R wave 
-progression has improved.An ongoing inferior and anterior 
-ischemic process cannot be excluded. Clinical correlation is 
-suggested 
-
-___:  chest x-xay:
-
-Moderate cardiomegaly is stable. Left lower lobe retrocardiac 
-consolidation and ill-defined opacities in the right mid and 
-lower lungs are stable, concerning for aspiration. There are no 
-new lung abnormalities, pneumothorax or enlarging pleural 
-effusions. Lines and tubes are in unchanged standard 
-position 
-
-___:  x-ray of the abdomen:
-
-IMPRESSION: Findings consistent with resolving small-bowel 
-obstruction from ___ with decreased gaseous distention of the 
-small bowel and progression of oral contrast into the proximal 
-colon.
-
-___:  cat scan of abdomen and chest:
-
- Multifocal pneumonia/aspiration pneumonia within the right 
-upper, middle, 
-and lower lobes. 
-  
-2. Small bilateral pleural effusions with associated 
-atelectasis. 
-  
-3. Fusiform infrarenal abdominal aortic aneurysm as well as 
-aneurysmal 
-dilatation of the right common iliac artery and a saccular 
-aneurysm arising off the right internal iliac artery with 
-significant mural thrombus. 
-  
-4. Dilatation of loops of small bowel within the left abdomen 
-and pelvis.  
-The degree of small bowel dilatation overall has generally 
-decreased and this likely reflects a persistent ileus, although 
-a partial small bowel obstruction is not entirely excluded. 
-  
-5. Enlarged right hilar lymph node presumably reactive. 
-Following resolution of acute symptoms a follow-up Chest CT is 
-recommended. 
-  
-6. Emphysema. 
-  
-7. Pulmonary arterial hypertension. 
-  
-8. Probably duodenal lipoma
-
-___:  EKG:
-
-Sinus bradycardia. P-R interval prolongation. Borderline low 
-limb lead 
-voltage. Mild Q-T interval prolongation. Early R wave 
-progression. 
-RSR' pattern in lead V1. Borderline intraventricular conduction 
-delay.  
-ST-T wave abnormalities. Since the previous tracing of ___ 
-the Q-T interval is now shorter. Otherwise, unchanged.  
-TRACING #1 
-
-___:  EKG:
-
-Probable sinus rhythm with atrial premature beats. Since the 
-previous tracing the rate has increased. Atrial ectopy is new. 
-The QRS complex is narrower. ST-T wave abnormalities are less 
-prominent.
-
-___:  chest x-ray:
-
-FINDINGS: As compared to the previous radiograph, the known 
-multifocal 
-pneumonia, with a maximum manifestation at the right lung base, 
-is unchanged in extent and severity. Unchanged moderate 
-cardiomegaly without pulmonary edema. Unchanged monitoring and 
-support devices. No newly appeared focal parenchymal opacities.
-
-___:  chest x-ray:
-
-Compared to the prior radiograph, there has been no change. 
-Right sided 
-extensive opacities remain. Left-sided patchy opacities also 
-remain. Moderate cardiomegaly and areas of atelectasis 
-bilaterally is unchanged. Right-sided IJ terminates in the 
-mid-to-distal SVC.
-
-___:  chest x-ray:
-
-Rotated lordotic positioning. Allowing for this, the 
-cardiomediastinal 
-silhouette is likely stable. There are patchy opacities at the 
-right and left bases, similar, possibly minimally improved, 
-compared with ___ at 5:46 a.m. Doubt CHF. No gross 
-effusion.
-
-___ 5:01 pm SPUTUM      Source: Endotracheal. 
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      >25 PMNs and <10 epithelial cells/100X field. 
-      NO MICROORGANISMS SEEN. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      Commensal Respiratory Flora Absent. 
-      YEAST.    SPARSE GROWTH. 
-
-___ 12:29 am SPUTUM      Source: Endotracheal. 
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      ___ PMNs and <10 epithelial cells/100X field. 
-      1+    (<1 per 1000X FIELD):   BUDDING YEAST. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      Commensal Respiratory Flora Absent. 
-      YEAST.    SPARSE GROWTH. 
-
-___ 8:28 am MRSA SCREEN      Source: Nasal swab. 
-
-                            **FINAL REPORT ___
-
-   MRSA SCREEN (Final ___: 
-      POSITIVE FOR METHICILLIN RESISTANT STAPH AUREUS. 
-
- 
-  
- 
- 
-  
- 
-
-  
-
- 
-  
-
-  
-
-  
-
-  
- 
-  
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Triglyc {Triglycerides measurement}, EKG {Electrocardiographic procedure}, Sinus rhythm {Sinus rhythm}, A-V conduction delay {Atrioventricular block}, Inferior myocardial 
-infarction {Inferior myocardial infarction on electrocardiogram}, Enlarged aortic arch {Abnormality of aortic arch}, aortic arch {Aortic arch structure}, aneurysmal dilatation {Aneurysm}, evaluation {Evaluation procedure}, Chest CTA {Computed tomography angiography of chest with contrast}, pulmonary {Examination of respiratory system}, opacities {Abnormally opaque structure}, chronic 
-lung disease {Chronic lung disease}, Bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, chest x-ray {Plain chest X-ray}, lower 
-SVC {Structure of low superior vena cava}, carina {Structure of carina of trachea}, diaphragm {Diaphragm structure}, stomach {Stomach structure}, radiograph {Plain radiography}, bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, pleural effusion {Pleural effusion}, Upper lungs {Structure of upper zone of lung}, are clear {Normal lung}, pneumothorax {Pneumothorax}, Heart {Heart structure}, mediastinal {Mediastinal structure}, stable appearance {Patient's condition stable}, upper limits of normal rate {Measurement finding above reference range}, P-R interval 
-prolongation {Prolonged PR interval}, Low amplitude P waves {Flattened P wave}, atrial tachycardia {Atrial tachycardia}, 2:1 block {Electrocardiogram: partial atrioventricular block - 2:1}, RSR' pattern 
-in leads V1-V2 {rSr pattern in V1 and V2}, leads III {Lead III}, inferior 
-myocardial infarction {Inferior myocardial infarction on electrocardiogram}, P-R interval is longer {Prolonged PR interval}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, left ventricle {Left cardiac ventricular structure}, hypokinetic right 
-ventricle {Hypokinetic right ventricular wall}, RV apical {Structure of apex of right ventricle}, pulmonary embolism {Pulmonary embolism}, Moderate tricuspid regurgitation {Moderate tricuspid valve regurgitation}, moderate pulmonary 
-hypertension {Moderate pulmonary hypertension}, EKG {Electrocardiographic procedure}, Sinus bradycardia {Sinus bradycardia}, sinus arrhythmia {Nodal rhythm disorder}, P-R interval 
-prolongation {Prolonged PR interval}, Prolonged Q-T interval {Prolonged QT interval}, low precordial QRS votlage {Low QRS voltages in the precordial leads}, T 
-wave 
-inversions {Inverted T wave}, delayed anterior R wave progression {Electrocardiographic R wave abnormal}, anteroseptal myocardial infarction {Anteroseptal infarction on electrocardiogram}, T wave inversion {Inverted T wave}, leads II {Lead II}, RSR' pattern {rSr pattern in V1 and V2}, Anterior R wave 
-progression {Electrocardiographic R wave abnormal}, improved {Patient's condition improved}, anterior 
-ischemic {Electrocardiographic anterior ischemia}, cardiomegaly {Cardiomegaly}, stable {Patient's condition stable}, Left lower lobe {Structure of lower lobe of left lung}, consolidation {Lung consolidation}, opacities {Abnormally opaque structure}, lower lungs {Structure of lower lobe of lung}, stable {Patient's condition stable}, aspiration {Aspiration pneumonia}, lung abnormalities {Imaging of lung abnormal}, pneumothorax {Pneumothorax}, pleural 
-effusions {Pleural effusion}, small-bowel 
-obstruction {Small bowel obstruction}, gaseous distention {Abdominal distension, gaseous}, small bowel {Structure of small intestine}, progression of oral contrast {Diagnostic radiography with oral contrast}, proximal 
-colon {Ascending colon structure}, pneumonia {Pneumonia}, aspiration pneumonia {Aspiration pneumonia}, right 
-upper, middle, 
-and lower lobes {Right lung structure}, bilateral pleural effusions {Bilateral pleural effusion}, atelectasis {Atelectasis}, infrarenal abdominal aortic aneurysm {Aneurysm of infrarenal abdominal aorta}, aneurysmal 
-dilatation {Aneurysm}, right common iliac artery {Structure of right common iliac artery}, saccular 
-aneurysm {Saccular aneurysm}, right internal iliac artery {Structure of right internal iliac artery}, mural thrombus {Mural thrombus}, Dilatation {Dilatation}, small bowel {Structure of small intestine}, left abdomen {Structure of left side of abdomen}, pelvis {Structure of pelvis}, small bowel {Structure of small intestine}, partial small bowel obstruction {Partial obstruction of small bowel}, Enlarged right hilar lymph node {Localized enlarged lymph nodes}, Chest CT {Computed tomography of chest}, Emphysema {Emphysema}, Pulmonary arterial hypertension {Pulmonary hypertensive arterial disease}, duodenal {Duodenal structure}, lipoma {Lipoma}, EKG {Electrocardiographic procedure}, Sinus bradycardia {Sinus bradycardia}, P-R interval prolongation {Prolonged PR interval}, low 
-limb lead 
-voltage {Low QRS voltages in the limb leads}, Q-T interval prolongation {Prolonged QT interval}, R wave 
-progression {Electrocardiographic R wave abnormal}, RSR' pattern in lead V1 {rSr pattern in V1 and V2}, ST-T wave abnormalities {Nonspecific ST-T abnormality on electrocardiogram}, Q-T interval is now shorter {Shortened QT interval}, EKG {Electrocardiographic procedure}, sinus rhythm {Sinus rhythm}, atrial premature beats {Atrial premature complex}, Atrial ectopy {Premature atrial contraction}, ST-T wave abnormalities {Nonspecific ST-T abnormality on electrocardiogram}, chest x-ray {Plain chest X-ray}, radiograph {Plain radiography}, pneumonia {Pneumonia}, right lung base {Structure of base of right lung}, cardiomegaly {Cardiomegaly}, pulmonary edema {Pulmonary edema}, monitoring {Monitoring response to treatment}, opacities {Abnormally opaque structure}, chest x-ray {Plain chest X-ray}, radiograph {Plain radiography}, opacities {Abnormally opaque structure}, opacities {Abnormally opaque structure}, cardiomegaly {Cardiomegaly}, atelectasis {Atelectasis}, SVC {Superior vena cava structure}, chest x-ray {Plain chest X-ray}, Rotated lordotic {Lordosis deformity of spine}, stable {Patient's condition stable}, opacities {Abnormally opaque structure}, bases {Structure of base of lung}, improved {Patient's condition improved}, CHF {Congestive heart failure}, effusion {Pleural effusion}, RESPIRATORY CULTURE {Respiratory microbial culture}, RESPIRATORY CULTURE {Respiratory microbial culture}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, MRSA SCREEN {Multi-resistant staphylococcus aureus screening}, POSITIVE FOR METHICILLIN RESISTANT STAPH AUREUS {Methicillin resistant Staphylococcus aureus detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to the ___ 
-___ with gallstone ileus. He had a gastric tube placed, but 
-was removed during transport.  He was hypoxic upon admission.  A 
-___ tube was replaced with subsequent vomitting.  He 
-was emergently intubated and taken to the operating room  on 
-___ for exploratory laparotomy, ileotomy and stone 
-extraction. He tolerated the procedure well and was transferred 
-to the intensive care unit for further care:
-
-Posoperatively, the patient was hypotensive and required fluid 
-boluses. A NICOM was placed that showed adequate cardiac output. 
-He was then started on intermittent levophed, vasopressin, and 
-dopamine.  As his hemodynamic status improved, the pressors were 
-weaned off by HD# 5. The patient was also noted to have a 
-troponin increase  to 0.8 and was intermittently bradycardic. He 
-underwent an Echocardiogaram which showed left ventricular 
-hypertrophy with an ejection fraction of >55%. He was seen by 
-Cardiology who atributed the changes to demand ischemia. On HD#4 
-the patient developed an arrythmia and there was concern for a 
-pulmonary embolism.  A CTA was performed which was negative for 
-a pulmonary embolism.  He otherwise had no cardiovascular 
-issues.
-
-During the hospital course, the patient required fluid 
-resuscitation and became fluid overloaded.  As a result of this, 
-he was difficult to ventilate and had to be paralyzed and 
-required several ventilatory mode changes. He was started on a 
-lasix drip to help decrease his overload.  This was discontinued 
-after 48 hours because of an increase in his creatinine. He 
-subsuequently auto-diuresised down to his dry weight. On HD #5, 
-he was started on tube feedings and gradually advanced to his 
-goal.   He was slowly weaned and extubated on POD#8. He was 
-maintained on a face mask throught POD #9 and weaned to nasal 
-cannula on POD #11.  He was placed on a 1 week course of zosyn 
-and vancomycin for his aspiration pneumonitis.   His oxygen 
-requirement slowly resolved.  He was evaluated by Speech and 
-Swallow to determine his ability to safely swallow without 
-aspiration.     
-
-On HD #5, the patient was started on tube feedings and slowly 
-advanced to goal.  He was evaluated by Speech and Swallow who 
-advanced him to a soft solid diet.  By POD 10 he was on a 
-regular diet and calorie counts were begun to measure the 
-magnitude of his oral intake.  He was tolerating a regular diet 
-upon discharge. 
-
-He was transferred to the surgical floor on HD #13.  His vital 
-signs have been stabie and he has been afebrile. His white blood 
-cell count has normalized and his hematocrit has been stable.  
-He was tolerating a regular diet.  He has been evaluated by 
-physical therapy and recommendations made for discharge to an 
-extended care facility where he can futhter regain his strength 
-and mobility.
-
-****Of note:  x-ray of the abdomen on ___ showed enlarged 
-right hilar lymph node and recommendation per radiology for a 
-repeat cat scan in the future.    
-
- 
-
-###RESPONSE: gallstone ileus {Gallstone ileus}, hypoxic {Hypoxia}, vomitting {Vomiting}, intubated {Intubation}, exploratory laparotomy {Exploratory laparotomy}, ileotomy {Ileotomy}, stone 
-extraction {Bile duct stone removal}, hypotensive {Low blood pressure}, fluid 
-boluses {Intravenous injection}, NICOM was placed {Non-invasive cardiac output monitoring}, adequate cardiac output {Normal cardiac output}, improved {Patient's condition improved}, bradycardic {Bradycardia}, Echocardiogaram {Echocardiography}, left ventricular 
-hypertrophy {Left ventricular hypertrophy}, demand ischemia {Ischemia co-occurrent and due to increased oxygen demand}, arrythmia {Cardiac arrhythmia}, pulmonary embolism {Pulmonary embolism}, CTA {Computed tomography angiography with contrast}, pulmonary embolism {Pulmonary embolism}, fluid 
-resuscitation {Resuscitation using intravenous fluid}, fluid overloaded {Hypervolemia}, lasix {Diuretic therapy}, increase in his creatinine {Creatine kinase level above reference range}, tube feedings {Tube feeding of patient}, face mask {Oxygen administration by mask}, nasal 
-cannula {Oxygen administration by nasal cannula}, aspiration pneumonitis {Aspiration pneumonitis}, evaluated by Speech and 
-Swallow {Evaluation of oral stage deglutition and pharyngeal stage deglutition}, swallow {Does swallow}, aspiration {Pulmonary aspiration}, tube feedings {Tube feeding of patient}, evaluated by Speech and Swallow {Seen by speech and language therapy service}, soft solid diet {Soft diet}, regular diet {Normal diet}, measure the 
-magnitude of his oral intake {Nutritional monitoring}, tolerating a regular diet {Tolerating normal diet}, afebrile {Fever}, white blood 
-cell count {White blood cell count}, hematocrit {Hematocrit determination}, tolerating a regular diet {Tolerating normal diet}, evaluated by 
-physical therapy {Physical therapy management}, x-ray of the abdomen {Diagnostic radiography of abdomen}, enlarged 
-right hilar lymph node {Localized enlarged lymph nodes}, cat scan {Computed tomography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Atorvastatin 20', Amlodipine 10', Losartan 100', Vitamin B12, 
-ASA (unknown dosage), Exelon patch 9.5mg/24hrs
-
- 
-Discharge Medications:
-1. heparin (porcine) 5,000 unit/mL Solution Sig: 5000 (5000) 
-units Injection TID (3 times a day).  
-2. miconazole nitrate 2 % Powder Sig: One (1) Appl Topical BID 
-(2 times a day) as needed for fungal infection.  
-3. bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal 
-once a day as needed for constipation.  
-4. aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-5. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for 
-Nebulization Sig: One (1) neb Inhalation Q6H (every 6 hours) as 
-needed for wheezing.  
-6. amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily): 
-hold for systolic blood pressure <110, hr <60.  
-7. atorvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-8. losartan 50 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-9. quetiapine 25 mg Tablet Sig: Three (3) Tablet PO HS (at 
-bedtime).  
-10. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H 
-(every 6 hours) as needed for pain.  
-11. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day: 
-hold for loose stool.  
-12. white petrolatum-mineral oil 56.8-42.5 % Ointment Sig: One 
-(1) Appl Ophthalmic PRN (as needed) as needed for dry eyes.  
-13. Exelon 9.5 mg/24 hour Patch 24 hr Sig: One (1) patch 
-Transdermal daily ().  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___ 
-___)
- 
-Discharge Diagnosis:
-aspiration
-gallstone ileus
-small bowel obstruction
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: aspiration {Pulmonary aspiration}, gallstone ileus {Gallstone ileus}, small bowel obstruction {Small bowel obstruction}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital with nausea and vomitting.  
-You were found on cat scan to have a gallstone ileus and a small 
-bowel obstruction.  You had a tube placed into your stomach for 
-decompression and you subsequently vomitted with some fluid 
-entering your lungs and causing pneumonia.  You were taken to 
-the operating room where you had an exploratory laparotomy and 
-removal of the gallstone which was causing the obstruction.  You 
-were monitored in the intensive care unit after the surgery 
-where you required intravenous medication to support your blood 
-pressure.  You vital signs gradually improved and you were 
-transferred to the surgical floor.  You are now preparing for 
-discharge where you can regain your strength and mobility.   
- 
-
-###RESPONSE: nausea {Nausea}, cat scan {Computed tomography}, gallstone ileus {Gallstone ileus}, small 
-bowel obstruction {Small bowel obstruction}, stomach {Stomach structure}, decompression {Decompression}, fluid 
-entering your lungs {Pulmonary aspiration}, pneumonia {Pneumonia}, exploratory laparotomy {Exploratory laparotomy}, removal of the gallstone {Removal of gallstones from intestine}, obstruction {Intestinal obstruction}, surgery {Surgical procedure}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-hypoxia
- 
-Major Surgical or Invasive Procedure:
-Radiation Treatments
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, hypoxia {Hypoxia}, Radiation {Radiation oncology AND/OR radiotherapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ M with history of SC lung cancer s/p RLL lobectomy ___, 
-recent hospitalization with low back pain found to have new 
-lesions in spine and hip, delerium, ARI improved with IVF, MSSA 
-bacteremia/PNA discharged on Nafcillin to be completed ___, 
-presents with sudden onset hypoxia this morning, with O2 sat 
-dropping to 81% at rehab and associated shortness of breath. He 
-was placed on 4L NC at that time. Notably patient also had some 
-urinary retention yesterday when at the hospital to have 
-radiation tattooing done, had a Foley placed yesterday, and he 
-has had gross hematuria since. He was taken to ___ 
-___ today where he was found to be anemic as well as to 
-have a UTI, and an elevated troponin to .4 in the setting of 
-atrial flutter/sinus tachycardia. Hct was also noted to drop 
-from ___. H receved asa 162 mg, oxycodone 5mg, zofran 4mg and 
-dilaudid 0.5 mg IV there.
-.
-Baseline sats at rehab have been ___ on 2L intermittently per 
-patient. Today sat to ___ on 2L. Notes show right leg swelling 
-U/S two days ago negative. 
-.
-Initial Vitals/Trigger: 97.6 114 179/95 19 97%6L. He denies 
-chest pain or abdominal pain, however he does endorse shortness 
-of breath which has somewhat resolved since he's been placed on 
-a nasal cannula at 4 L.
-.
-EKG showed atrial flutter. He was guiaic negative. Ceftriaxone 
-was given at 1245. Potassium was also give 1230 ___s 
-Oxycodone. CTA showed b/l subsegmental PEs.  CT head with old 
-lesions.
-.
-VS on transfer: afebrile 94 121/94 24 94% 2L.
-.
-On the floor, he denies ever having any shortness of breath, and 
-attributes his recent symptoms to anxiety which has resolved.  
-He denies any chest pain, and endorses a chronic cough which is 
-unchanged with occasional sputum production. His hematuria began 
-2 days ago, prior to that, he did not have dysuria.  He denies 
-any f/c/n/v/diarrhea.  Also has bilateral ___ edema which is new. 
- Denies any new problems since transfer.
- 
-
-###RESPONSE: SC lung cancer {Squamous cell carcinoma of lung}, RLL lobectomy {Lobectomy of lower lobe of right lung}, low back pain {Low back pain}, lesions {Lesion}, spine {Structure of vertebral column}, hip {Hip region structure}, delerium {Delirium}, improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, MSSA {Infection caused by methicillin susceptible Staphylococcus aureus}, bacteremia {Bacteremia caused by Staphylococcus aureus}, PNA {Pneumonia caused by methicillin susceptible Staphylococcus aureus}, hypoxia {Hypoxia}, O2 sat 
-dropping to 81% {Oxygen saturation below reference range}, shortness of breath {Dyspnea}, NC {Oxygen administration by nasal cannula}, urinary retention {Retention of urine}, radiation {Radiation oncology AND/OR radiotherapy}, tattooing {Tattooing}, Foley placed {Catheterization of urinary bladder}, gross hematuria {Frank hematuria}, anemic {Anemia}, UTI {Urinary tract infectious disease}, elevated troponin {Troponin I above reference range}, atrial flutter {Atrial flutter}, sinus tachycardia {Sinus tachycardia}, IV {Intravenous therapy}, Baseline {Baseline state}, right leg swelling {Swelling of right lower limb}, U/S {Ultrasonography}, Vitals {Vital signs finding}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, shortness 
-of breath {Dyspnea}, resolved {Problem resolved}, placed on 
-a nasal cannula {Oxygen administration by nasal cannula}, EKG {Electrocardiographic procedure}, atrial flutter {Atrial flutter}, CTA {Computed tomography angiography with contrast}, PEs {Pulmonary emphysema}, CT head {Computed tomography of head}, lesions {Lesion}, VS {Vital signs finding}, afebrile {Fever}, shortness of breath {Dyspnea}, anxiety {Anxiety}, chest pain {Chest pain}, chronic cough {Chronic cough}, sputum production {Productive cough}, hematuria {Blood in urine}, dysuria {Dysuria}, f/c {Fever with chills}, n/v {Nausea and vomiting}, diarrhea {Diarrhea}, edema {Edema}, problems {Problem}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--Squamous cell lung cancer: In remission for ___. s/p RLL 
-resection, no chemo, radiation. 
--Head and neck cancer: Remote hx. Details unknown.
--HTN
--mild COPD 
--mild carotid stenosis
--Recent echo shows mild-moderate mitral valve stenosis/aortic 
-stenosis with preserved EF
--hx of cardiac myxoma s/p resection with CVA
-
- 
-
-###RESPONSE: Squamous cell lung cancer {Squamous cell carcinoma of lung}, In remission {Malignant neoplasm in full remission}, RLL 
-resection {Lobectomy of lower lobe of right lung}, chemo {Chemotherapy}, radiation {Radiation oncology AND/OR radiotherapy}, Head and neck {Structure of head and/or neck}, cancer {Malignant neoplasm}, HTN {Hypertensive disorder, systemic arterial}, COPD {Chronic obstructive lung disease}, carotid stenosis {Carotid artery stenosis}, echo {Echocardiography}, mild {Mild mitral valve stenosis}, moderate mitral valve stenosis {Moderate mitral valve stenosis}, aortic 
-stenosis {Aortic valve stenosis}, cardiac myxoma {Myxoma of heart}, resection {Resection of neoplasm of heart}, CVA {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Daughter with breast cancer. Denies history of other cancers or
-heart disease.
-
- 
-
-###RESPONSE: breast cancer {Malignant neoplasm of breast}, cancers {Malignant neoplasm}, heart disease {Heart disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ON ADMISSION:
-Vitals: 98.9, 97, 111/59, 65-90s, 18, 94/4L 
-General: Alert, oriented, no acute distress, comfortable 
-appearing  
-HEENT: Sclera anicteric, MMM, oropharynx dry
-Neck: supple, JVP elevated to earlobe
-Lungs: b/l diffuse end expiratory high pitched wheeze loudest in 
-upper lobes
-CV: tachycardic rate and reg rhythm, normal S1 + S2, no murmurs, 
-rubs, gallops  
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU: foley in place
-Ext: warm, well perfused, 2+ pulses, b/l ___ edema pitting in R 
-leg, greater than left
-Neuro: CNS in tact, sensation and strength in tact upper and 
-lower extremities, strength in left leg limited by left hip 
-pain.
-.
-ON DISCHARGE:
-Vitals: 96.5-97.6, 150-168/60-72, 76-83, ___, 94-97% 2L NC
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, OP clear
-Neck: supple, JVP elevated to earlobe
-Lungs: b/l diffuse wheezing
-CV: tachycardic rate and reg rhythm, normal S1 + S2, ___ SEM 
-Abdomen: soft, non-tender, non-distended, bowel sounds (+) no 
-rebound or guarding, no HSM
-GU: foley
-Ext: warm, well perfused, 2+ pulses, b/l ___ edema pitting in R 
-leg, greater than left
-Neuro: CNS in tact, sensation and strength in tact upper and 
-lower extremities, strength in left leg limited by left hip 
-pain.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx {Oropharyngeal structure}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, Lungs {Examination of respiratory system}, b/l {Lung structure}, expiratory high pitched wheeze {Expiratory wheezing}, upper lobes {Structure of upper lobe of lung}, CV {Cardiovascular physical examination}, tachycardic {Tachycardia}, reg rhythm {Finding of regularity of heart rhythm}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley in place {Urinary catheter in situ}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema {Edema}, R 
-leg {Structure of right lower leg}, left {Structure of left lower leg}, Neuro {Neurological examination}, CNS in tact {Normal central nervous system}, sensation {Normal sensation}, upper {Upper limb structure}, lower extremities {Lower limb structure}, left leg {Structure of left lower leg}, left {Left hip region structure}, pain {Pain}, Vitals {Vital signs finding}, 2L NC {Oxygen administration by nasal cannula}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP elevated {Raised jugular venous pressure}, Lungs {Examination of respiratory system}, b/l {Lung structure}, wheezing {Wheezing}, CV {Cardiovascular physical examination}, tachycardic {Tachycardia}, reg rhythm {Finding of regularity of heart rhythm}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, SEM {Ejection murmur}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds (+) {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, HSM {Hepatosplenomegaly}, GU {Examination of genitourinary system}, Ext {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema pitting {Pitting edema}, R 
-leg {Structure of right lower leg}, left {Structure of left lower leg}, Neuro {Neurological examination}, CNS in tact {Normal central nervous system}, sensation {Normal sensation}, upper {Upper limb structure}, lower extremities {Lower limb structure}, left leg {Structure of left lower leg}, left {Left hip region structure}, hip 
-pain {Hip pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission Labs:
-___ 11:48AM BLOOD WBC-15.4* RBC-3.19* Hgb-9.4* Hct-27.1* 
-MCV-85 MCH-29.6 MCHC-34.8 RDW-15.1 Plt ___
-___ 11:48AM BLOOD Neuts-80.7* Lymphs-11.4* Monos-6.1 
-Eos-1.1 Baso-0.7
-___ 12:00PM BLOOD ___ PTT-25.0 ___
-___ 11:48AM BLOOD UreaN-22* Creat-1.5* Na-138 K-3.3 Cl-95* 
-HCO3-31 AnGap-15
-___ 11:48AM BLOOD ALT-14 AST-21 AlkPhos-97 TotBili-0.4
-___ 11:48AM BLOOD TotProt-6.9 Albumin-3.2* Globuln-3.7 
-Calcium-8.9
-___ 11:48AM BLOOD CEA-200*
-
-Discharge Labs:
-___ 07:05AM BLOOD WBC-8.8 RBC-3.31* Hgb-9.9* Hct-29.3* 
-MCV-89 MCH-29.8 MCHC-33.6 RDW-15.8* Plt ___
-___ 07:05AM BLOOD Glucose-147* UreaN-11 Creat-1.1 Na-135 
-K-4.2 Cl-96 HCO3-33* AnGap-10
-___ 07:05AM BLOOD ALT-19 AST-28 LD(LDH)-265* AlkPhos-80 
-TotBili-0.6
-___ 07:05AM BLOOD Albumin-3.0* Calcium-8.6 Phos-3.3 Mg-1.7
-
-Imaging:
-CT Chest:
-IMPRESSION: 
-1. Pulmonary emboli in the subsegmental branches of the left 
-lower lobe and 
-anterior left upper lobe with no evidence of right heart strain 
-or pulmonary 
-infarction. 
-2. New patchy consolidation in the dependent portion of the 
-right upper lobe 
-likely represents pneumonia or aspiration. Ground glass 
-opacities in a 
-bronchovascular distribution in the left upper lobe may 
-represent multifocal 
-pneumonia or significant aspiration event. 
-.
-CT Head:
-IMPRESSION:  
-1. No brain metastases identified.  
-2. There is no evidence of intra- or extra-axial hemorrhage; 
-however, subtle 
-subarachnoid hemorrhage cannot be excluded on this study due to 
-circulating 
-intravenous contrast. 
-.
-CXR:
-FINDINGS: As compared to the previous radiograph, the right PICC 
-line was 
-removed. Status post right lower lobe resection with subsequent 
-volume loss 
-of the right lung. Presence of a minimal right pleural effusion 
-cannot be 
-excluded. 
-  
-No newly appeared parenchymal opacities. No pulmonary edema. No 
-pneumonia.  
-Unchanged asymmetry of the tracheal course through the 
-mediastinum. 
-.
-___:
-IMPRESSION: Peroneal calf veins not visualized in either lower 
-extremities.  
-Otherwise, no DVT present 
-.
-CXR:
-Cardiomegaly and widened mediastinum are unchanged. Patient is 
-status post 
-right lower lobectomy. The lungs are grossly clear with the 
-surgical clips 
-projecting in the right medial upper hemithorax. Unchanged right 
-apical 
-pleural thickening and blunting of the right CP angle are likely 
-postoperative 
-changes. Aeration of the right lung has improved.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, CT Chest {Computed tomography of chest}, Pulmonary emboli {Pulmonary embolism}, left 
-lower lobe {Structure of lower lobe of left lung}, anterior left upper lobe {Structure of anterior segment of upper division of left upper lobe of lung}, right heart {Structure of right side of heart}, pulmonary 
-infarction {Pulmonary infarction}, consolidation {Consolidation}, right upper lobe {Structure of bronchus of right upper lobe}, pneumonia {Pneumonia}, aspiration {Pulmonary aspiration}, Ground glass 
-opacities {Ground glass lung opacity}, left upper lobe {Structure of upper lobe of left lung}, pneumonia {Pneumonia}, aspiration {Pulmonary aspiration}, brain metastases {Metastatic malignant neoplasm to brain}, intra {Intracranial hemorrhage}, hemorrhage {Intracranial hemorrhage}, subarachnoid hemorrhage {Subarachnoid intracranial hemorrhage}, radiograph {Plain radiography}, right {Right atrial structure}, PICC 
-line was 
-removed {Removal of peripherally inserted central catheter}, right lower lobe resection {Lobectomy of lower lobe of right lung}, volume loss {Decreased size}, right lung {Right lung structure}, right {Right pleura structure}, pleural effusion {Pleural effusion}, opacities {Abnormally opaque structure}, pulmonary edema {Pulmonary edema}, pneumonia {Pneumonia}, mediastinum {Mediastinal structure}, Peroneal {Structure of peroneal vein}, lower 
-extremities {Lower limb structure}, DVT {Deep venous thrombosis}, CXR {Plain chest X-ray}, Cardiomegaly {Cardiomegaly}, widened mediastinum {Widened mediastinum}, status post {Postoperative state}, right lower lobectomy {Lobectomy of lower lobe of right lung}, lungs {Lung structure}, clear {No abnormality detected}, surgical {Surgical procedure}, right {Right thorax structure}, hemithorax {Structure of half of thorax lateral to midsagittal plane}, right 
-apical {Structure of apex of right lung}, pleural thickening {Thickening of pleura}, right {Structure of right common femoral artery}, CP angle {Structure of costophrenic angle}, postoperative {Postoperative state}, right lung {Right lung structure}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ M with history of SC lung cancer s/p RLL lobectomy ___, 
-recent hospitalization with low back pain found to have new 
-lesions in spine and hip, delerium, ARI improved with IVF, MSSA 
-bacteremia/PNA discharged on Nafcillin to be completed ___, 
-presented with sudden onset hypoxia found to have bilateral 
-subsegmental PEs, PNA and fluid overlead.
-.
-ACTIVE ISSUES:
-# HYPOXIA: Initial deterioration was likely ___ PE and 
-aspiration PNA. Patient was initially started heparin gtt then 
-bridged to lovenox and was initially placed on Vanco/Zosyn. As 
-patient became afebrile, he was placed on Augmentin and remained 
-afebrile. ***LAST DAY OF ANTIBIOTICS WILL BE ON ___ Hypoxic 
-continued despite adequate PE and PNA coverage; exam revealed 
-hypervolemic state. Patient was diursed with IV lasix 20mg. 
-Serum Bicarbonate started raising patient and diuresis 
-terminated. Patient was briefly off oxygen however then 
-restarted o2 at 2 liters. This remaining hypoxia was attributed 
-to PE. Patient will remain on lovenox indefinitely. 
-.
-# LOWER EXTREMITY WEAKNESS/HIP PAIN/URINARY RETENTION: Symptoms 
-were attributed bony metastasis. Patient started radiation 
-therapy and will compelte treatments on ___. Patient was 
-started on steroids to help with inflammation. Patient will 
-remain on this dose of steroids until ___ then he can began 
-taper (2mg Q12h for 3 days then 2mg Q24h then off). Outpatient 
-oncology will reassess him to see if further treatments are 
-necessary. Physical therapy saw patient and recommended 
-rehabilitation for strength training. Foley holiday was 
-attempted however patient continued to have retention of urine 
-upto 1L. Foley was then replaced resulting in hematuria, likely 
-___ trauma v. radiation cystitis. Hematocrit was stable and 
-patient was hemodynamically stable. 
-.
-# HYPERTENSION: Patient was markedly hypertensive during this 
-admission and amlodipine was started with better control of BP
-.
-# ELEVATED TROPONIN: Patient had initial troponin leak on 
-admission likely ___ tachycardia and PE; there was associated 
-EKG changes. No changes made to medications and no further 
-interventions were needed.
-.
-# ATRIAL FLUTTER: On initially presentation, patient was 
-elevated HR to 120s however with treatment of PE and continued 
-use of metoprolol, patient had HR returned to normal.
-.
-# CODE STATUS: DNR/DNI
- 
-
-###RESPONSE: SC lung cancer {Squamous cell carcinoma of lung}, RLL lobectomy {Lobectomy of lower lobe of right lung}, low back pain {Low back pain}, lesions {Lesion}, spine {Structure of vertebral column}, hip {Hip region structure}, delerium {Delirium}, improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, MSSA {Infection caused by methicillin susceptible Staphylococcus aureus}, bacteremia {Bacteremia caused by Staphylococcus aureus}, PNA {Pneumonia caused by methicillin susceptible Staphylococcus aureus}, hypoxia {Hypoxia}, PEs {Pulmonary emphysema}, PNA {Pneumonia}, fluid overlead {Hypervolemia}, HYPOXIA {Hypoxia}, PE {Pulmonary emphysema}, aspiration PNA {Aspiration pneumonia}, afebrile {Fever}, afebrile {Fever}, ANTIBIOTICS {Antibiotic therapy}, Hypoxic {Hypoxia}, PE {Pulmonary emphysema}, PNA {Pneumonia}, hypervolemic {Hypervolemia}, diursed {Diuresis}, IV {Intravenous therapy}, lasix {Diuretic therapy}, diuresis {Diuresis}, o2 {Oxygen therapy}, hypoxia {Hypoxia}, PE {Pulmonary emphysema}, LOWER EXTREMITY WEAKNESS {Paresis of lower extremity}, HIP PAIN {Hip pain}, URINARY RETENTION {Retention of urine}, bony metastasis {Metastatic malignant neoplasm to bone}, radiation 
-therapy {Radiation oncology AND/OR radiotherapy}, steroids {Steroid therapy}, inflammation {Inflammatory disorder}, Outpatient {Outpatient care management}, Physical therapy {Physical therapy procedure}, rehabilitation {Rehabilitation therapy}, strength training {Exercise promotion: strength training}, Foley {Catheterization of urinary bladder}, retention of urine {Retention of urine}, Foley {Catheterization of urinary bladder}, hematuria {Blood in urine}, trauma {Injury of urinary tract proper}, radiation cystitis {Irradiation cystitis}, Hematocrit was stable {Stable hematocrit}, hemodynamically stable {Hemodynamically stable}, HYPERTENSION {Hypertensive disorder, systemic arterial}, hypertensive {Hypertensive disorder, systemic arterial}, ELEVATED TROPONIN {Troponin I above reference range}, tachycardia {Tachycardia}, PE {Pulmonary emphysema}, EKG changes {Electrocardiogram abnormal}, medications {Administration of drug or medicament}, ATRIAL FLUTTER {Atrial flutter}, elevated HR {Tachycardia}, PE {Pulmonary emphysema}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Medications:   per ___ form
- Lasix 20mg daily, last ___
- KCl 20meq daily, last ___
- Asa 81 mg daily, last ___
- Oxycontin 20mg BID, last 6am ___
- Hydralazine 50 mg BID, last ___
- Calcium carbonate 1250mg PO TID last ___
- Oxycodone 5mg PO Q3H prn, last ___
- Ativan 1mg PO Q8H prn last ___
- lidoderm 5% patch topically to left hip last ___ at 7am
- iron 325mg daily
- metoprolol tartrate 25 mg Tab BID
- colace 100mg BID prn 
- senna 1 tabe BID prn
- insulin humalog starting at 200 increase by 2 units every 50 up 
-to 400
-
-House regular Texture, Necture thick liquid
-
-hydrochlorothiazide 25 mg daily (stopped ___
- nafcillin in D2.4W 2 gram/100 mL IV Piggy Back (stopped ___  
- plan to change to Dicloxacillin 500 mg qid through ___
-
- 
-Discharge Medications:
-1. furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-2. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-3. hydralazine 50 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-4. amoxicillin-pot clavulanate 875-125 mg Tablet Sig: One (1) 
-Tablet PO Q12H (every 12 hours): Last dose on ___.  
-5. oxycodone 20 mg Tablet Extended Release 12 hr Sig: One (1) 
-Tablet Extended Release 12 hr PO Q8H (every 8 hours).  
-6. lorazepam 0.5 mg Tablet Sig: ___ Tablets PO Q8H (every 8 
-hours) as needed for anxiety.  
-7. lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: 
-One (1) Adhesive Patch, Medicated Topical DAILY (Daily).  
-8. calcium carbonate 500 mg calcium (1,250 mg) Tablet Sig: One 
-(1) Tablet PO TID (3 times a day).  
-9. metoprolol tartrate 25 mg Tablet Sig: One (1) Tablet PO BID 
-(2 times a day).  
-10. enoxaparin 100 mg/mL Syringe Sig: One (1) syringe 
-Subcutaneous Q12H (every 12 hours).  
-11. polyethylene glycol 3350 17 gram/dose Powder Sig: One (1)  
-PO DAILY (Daily) as needed for constipation.  
-12. amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-13. oxycodone 5 mg Tablet Sig: ___ Tablets PO Q3H (every 3 
-hours) as needed for pain.  
-14. dexamethasone 4 mg Tablet Sig: One (1) Tablet PO Q12H (every 
-12 hours).  
-15. insulin lispro 100 unit/mL Solution Sig: One (1) bottle 
-Subcutaneous QACHS: For ___ 150-200 give 2 units; if 201-250 give 
-4 units, if 251-300 give 6 units, for 301-350 give 8 units, if > 
-350 alert MD; At bed time, give 1 unit 201-250, give 2 units for 
-251-300, give 3 units for 301-350, alert MD for > 350.  
-16. guaifenesin 100 mg/5 mL Syrup Sig: ___ MLs PO Q6H (every 6 
-hours) as needed for cough.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Pulmonary Emboli
-Aspiration Pneumonia
-Metastatic Lung Cancer
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Out of Bed with assistance to chair or 
-wheelchair.
-
- 
-
-###RESPONSE: Pulmonary Emboli {Pulmonary embolism}, Aspiration Pneumonia {Aspiration pneumonia}, Metastatic {Metastatic malignant neoplasm}, Lung Cancer {Malignant tumor of lung}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Out of Bed with assistance {Difficulty getting off a bed}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted because you were having shortness of breath. 
-When you were admitted you were found to have blood clots in 
-your lungs. You were started on a blood thinning medication to 
-help stabilize the clots. You will remain this medication 
-indefinitely. You were also diagnosed pneumonia and placed on 
-antibiotics. You also have fluid in your lungs which we used 
-lasix to help remove the fluid. You however still require oxygen 
-which may be a result of your the lung clots.
-
-You began your radiation treatments while you were in the 
-hospital for your hip pain and urinary retention. You had 4 of 
-the 5 treatments and will return on ___ for your final 
-treatment. You will be followed by your oncologist to determine 
-if you need treatment. We are expecting you to start feeling 
-better in ___ weeks. In the mean time you will be going to an 
-excellent rehabilitation center to get stronger.
-
-You continue to have urinary retention likely from your cancer. 
-A catheter remains in your bladder to help drain the urine. 
-There is some blood in your urine from the catheter insertion 
-and should resolve within a few days.
-
-Please see the attached sheet for your medications. Please take 
-them as directed
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, blood clots {Blood clot}, lungs {Lung structure}, blood thinning medication {Administration of anticoagulant}, clots {Blood clot}, medication {Administration of drug or medicament}, pneumonia {Pneumonia}, antibiotics {Antibiotic therapy}, fluid in your lungs {Pleural effusion}, lasix {Diuretic therapy}, lung clots {Pulmonary embolism}, radiation {Radiation oncology AND/OR radiotherapy}, hip pain {Hip pain}, urinary retention {Retention of urine}, feeling 
-better {Well in self}, rehabilitation {Rehabilitation therapy}, urinary retention {Retention of urine}, cancer {Malignant neoplasm}, catheter remains in your bladder {Urinary catheter in situ}, blood in your urine {Blood in urine}, catheter insertion {Catheterization of urinary bladder}, medications {Administration of drug or medicament}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Codeine / Quinine
- 
-Attending: ___
- 
-Chief Complaint:
-non-small cell lung cancer
- 
-Major Surgical or Invasive Procedure:
-video assisted cervical mediastinoscopy, flexible bronchoscopy
-
- 
-
-###RESPONSE: Codeine {Allergy to codeine}, Quinine {Allergy to quinine}, non-small cell lung cancer {Non-small cell lung cancer}, cervical mediastinoscopy {Cervical mediastinoscopy}, flexible bronchoscopy {Flexible bronchoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ current ___ py smoker, hx Hep C & HCC s/p
-liver transplant ___, with 3cm RUL PET-avid nodule with
-pathology showing non-small cell carcinoma, here for follow-up.
-
-He has been asymptomatic since previous visit. No SOB, cough. No
-fevers, chills, nightsweats. He had EBUS which biopsied lesion
-showing non-small cell carcinoma. Lymph nodes were not biopsied. 
-
-PET negative for distant metastasis.
- 
-
-###RESPONSE: smoker {Smoker}, Hep C {Viral hepatitis type C}, HCC {Liver cell carcinoma}, liver transplant {Transplantation of liver}, RUL {Structure of upper lobe of right lung}, PET {Positron emission tomography}, nodule {Nodule}, non-small cell carcinoma {Non-small cell carcinoma}, asymptomatic {Asymptomatic}, SOB {Dyspnea}, cough {Cough}, fevers {Fever}, chills {Chill}, nightsweats {Night sweats}, biopsied {Biopsy}, lesion {Lesion}, non-small cell carcinoma {Non-small cell carcinoma}, Lymph nodes {Structure of lymph node}, biopsied {Biopsy}, PET {Positron emission tomography}, distant metastasis {Distant metastasis present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HEPATITIS C (genotype 1a, no sequelae of chronic liver disease 
-at this point, stage III fibrosis on biopsy; now s/p liver 
-transplant)                                                  
-HEPATOCELLULAR CARCINOMA (s/p RFA on ___ to segment VIa 
-lesion; now s/p liver transplant)                                
-     
-HYPERTENSION                                                     
-                                                   
-LUNG NODULE                                                     
-DIABETES MELLITUS                                                
-                                              
-H/O ALCOHOL ABUSE                                               
-H/O INTRAVENOUS DRUG ABUSE    
- 
-
-###RESPONSE: HEPATITIS C {Viral hepatitis type C}, genotype {Genotype determination}, no sequelae {Sequelae of disorders}, chronic liver disease {Chronic liver disease}, fibrosis {Fibrosis of lung}, biopsy {Biopsy}, liver 
-transplant {Transplantation of liver}, HEPATOCELLULAR CARCINOMA {Hepatocellular carcinoma}, RFA {Radiofrequency ablation}, lesion {Lesion}, liver transplant {Transplantation of liver}, HYPERTENSION {Hypertensive disorder, systemic arterial}, LUNG NODULE {Nodule of lung}, DIABETES MELLITUS {Diabetes mellitus}, ALCOHOL ABUSE {Alcohol abuse}, DRUG ABUSE {Drug abuse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Positive for a mother with stomach cancer diagnosed at age of ___ 
-and father with diabetes and also alcoholic with diabetes and 
-coronary artery disease. 
- 
-
-###RESPONSE: stomach cancer {Malignant tumor of stomach}, diabetes {Diabetes mellitus}, alcoholic {Problem drinker}, diabetes {Diabetes mellitus}, coronary artery disease {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Gen: Awake, alert, NAD 
-CV: +RRR
-Chest: incisions and dressing over prior CT site c/d/i 
-Resp: Normal WOB, no distress on 2L NC; +CTAB, no wheezes or 
-crackles
-Abdomen: Soft, non-distended, non-TTP 
-Ext: Warm, well-perfused 
-
- 
-
-###RESPONSE: Gen {General examination of patient}, Awake {Awake}, alert {Mentally alert}, NAD {No abnormality detected}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Chest {Examination of respiratory system}, incisions {Surgical incision wound}, dressing {Application of dressing}, Resp {Examination of respiratory system}, WOB {Labored breathing}, distress {Distress}, NC {Normal head}, CTAB {Normal breath sounds}, wheezes {Wheezing}, crackles {Respiratory crackles}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, TTP {Tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ Liver Doppler US:
-IMPRESSION: 
-  
-1. Patent transplant hepatic vasculature with appropriate 
-waveforms. 
-2. Unremarkable appearance of the transplant liver with no 
-biliary dilatation. 
-3. Small left pleural effusion noted. 
-
-GRAM STAIN (Final ___: 
-      1+    (<1 per 1000X FIELD):   POLYMORPHONUCLEAR 
-LEUKOCYTES. 
-      4+   (>10 per 1000X FIELD):   GRAM NEGATIVE DIPLOCOCCI. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      ~3000 CFU/mL Commensal Respiratory Flora. 
-      MORAXELLA CATARRHALIS.    >100,000 CFU/mL. 
-
- 
-
-###RESPONSE: Liver {Liver structure}, Doppler US {Doppler ultrasonography}, transplant {Structure of transplant}, hepatic vasculature {Vascular structure of liver}, transplant {Structure of transplant}, liver {Liver structure}, biliary dilatation {Hypertrophy of bile duct}, left {Left lung structure}, pleural effusion {Pleural effusion}, GRAM STAIN {Gram stain method}, CULTURE {Microbial culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ presented to ___ pre-op holding on ___ and 
-underwent video assisted right upper lobectomy and flexible 
-bronchoscopy (please see operative note for details). Patient 
-was extubated post procedure, however in the OR, he became 
-dyspneic, moving minimal air. He was reintubated given his 
-respiratory distress and transferred to the ICU (___). 
-The details of his/her course are as follows:
-
-Neuro: Given history of chronic pain on home suboxone, patient 
-was maintained on Tylenol and narcotics and the suboxone was 
-held. He was ultimately discharged with a supply of oxycodone 
-called to his pharmacy to last until his next appointment with 
-his PCP ___ ___. 
-
-CV: History of hypertension, continued on home lisinopril and 
-carvedilol. Remained hemodynamically stable, no active issues. 
-
-Pulm: Respiratory distress was likely secondary to lung 
-contusion when attempting to remove specimen, as well as post op 
-pain. He was extubated on POD1. He underwent bedside 
-bronchoscopies for clearing of mucous plugs, with BAL (___) 
-growing Moraxella. Both ___ drain and chest tube was put to 
-water seal on POD1. ___ drain was pulled on POD5, chest tube 
-was pulled on POD9, both with stable post pull films. His 
-progress was monitored with daily CXR. Encouraged IS, 
-ambulation. 
-
-FEN/GI: Transplant hepatology following, given his history of 
-___ s/p liver transplant. He was continued on home tacrolimus 
-dosing with monitoring of tacrolimus levels (goal ___ and LFTs. 
-Liver duplex was done due to persistently elevated LFTs per 
-hepatology recs, which showed no abnormalities. LFTs continued 
-to trend down. Follow up was set up with transplant hepatology 
-to recheck labs outpatient. Once extubated, diet was advanced as 
-tolerated. He tolerated a regular diet without nausea/vomiting 
-and was passing flatus and stool appropriately. 
-
-GU: He was able to void spontaneously without issue after foley 
-removal. Initial ___ with Cr 1.8 post op, which returned to his 
-baseline. History of CKD with baseline Cr 1.3-1.5.  
-
-Heme: H/H remained stable and he did not require any 
-transfusions. He was kept on prophylactic SQH while inpatient. 
-
-ID: He was treated with azithromycin x5 days for Moraxella 
-growing on BAL. 
-
-Dispo: He worked with physical therapy with a final 
-recommendation for discharge to home with home ___ services.  
-
-By day of discharge on ___, he was hemodynamically stable, 
-pain was well controlled on oral medications, he was tolerating 
-a regular diet without issue, and was ready for discharge.
-
- 
-
-###RESPONSE: right upper lobectomy {Lobectomy of upper lobe of right lung}, flexible 
-bronchoscopy {Flexible bronchoscopy}, extubated {Removal of endotracheal tube}, procedure {Procedure}, dyspneic {Dyspnea}, moving minimal air {Difficulty breathing}, reintubated {Intubation}, respiratory distress {Respiratory distress}, Neuro {Neurology service}, chronic pain {Chronic pain}, CV {Cardiovascular physical examination}, hypertension {Hypertensive disorder, systemic arterial}, hemodynamically stable {Hemodynamically stable}, Pulm {Examination of respiratory system}, Respiratory distress {Respiratory distress}, lung {Metastatic malignant neoplasm to lung}, contusion {Contusion}, pain {Abdominal pain}, extubated {Removal of endotracheal tube}, bronchoscopies {Bronchoscopy}, CXR {Plain chest X-ray}, GI {Structure of digestive system}, Transplant {Transplantation}, liver transplant {Transplantation of liver}, LFTs {Hepatic function panel}, Liver {Liver structure}, elevated {Elevation}, LFTs {Hepatic function panel}, abnormalities {No abnormality detected}, LFTs {Hepatic function panel}, transplant {Transplantation}, extubated {Removal of endotracheal tube}, diet {Dietary finding}, regular diet {Normal diet}, nausea/vomiting {Nausea and vomiting}, passing flatus {Passing flatus}, GU {Examination of genitourinary system}, able to void {Normal micturition}, foley 
-removal {Removal of urinary bladder catheter}, CKD {Chronic kidney disease}, Heme {Hematology test}, H {Hemoglobin finding}, stable {Patient's condition stable}, transfusions {Transfusion}, ID {Infectious disease}, physical therapy {Physical therapy procedure}, hemodynamically stable {Hemodynamically stable}, pain was well controlled {Demonstrates adequate pain control}, oral medications {Administration of drug or medicament via oral route}, regular diet {Normal diet}, ready for discharge {Ready for discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-further investigation.
-1. Lisinopril 5 mg PO DAILY 
-2. Nicotine Patch 21 mg/day TD DAILY 
-3. Nicotine Polacrilex 4 mg PO Q2H:PRN cigarette craving 
-4. CARVedilol 25 mg PO BID 
-5. Tacrolimus 1.5 mg PO QAM 
-6. docosahexanoic acid-epa 120-180 mg oral DAILY 
-7. Multivitamins 1 TAB PO DAILY 
-8. Buprenorphine-Naloxone Film (8mg-2mg) 1 FILM SL BID 
-9. sildenafil 25 mg oral DAILY:PRN ED 
-10. Calcium 500 + D (calcium carbonate-vitamin D3) 500 
-mg(1,250mg) -400 unit oral BID 
-11. Tacrolimus 1 mg PO QPM 
-12. Chantix Starting Month Box (varenicline) 0.5 mg (11)- 1 mg 
-(42) oral ASDIR 
-
- 
-Discharge Medications:
-1.  OxyCODONE (Immediate Release) 15 mg PO Q6H:PRN Pain - Severe 
-
-  Reason for PRN duplicate override: Alternating agents for 
-similar severity
-RX *oxycodone 5 mg ___ tablet(s) by mouth every six (6) hours 
-Disp #*12 Tablet Refills:*0 
-2.  Buprenorphine-Naloxone Film (8mg-2mg) 1 FILM SL BID 
-Consider prescribing naloxone at discharge  
-3.  Calcium 500 + D (calcium carbonate-vitamin D3) 500 
-mg(1,250mg) -400 unit oral BID  
-4.  CARVedilol 25 mg PO BID  
-5.  Chantix Starting Month Box (varenicline) 0.5 mg (11)- 1 mg 
-(42) oral ASDIR  
-6.  docosahexanoic acid-epa 120-180 mg oral DAILY  
-7.  Lisinopril 5 mg PO DAILY  
-8.  Multivitamins 1 TAB PO DAILY  
-9.  Nicotine Patch 21 mg/day TD DAILY  
-10.  Nicotine Polacrilex 4 mg PO Q2H:PRN cigarette craving  
-11.  sildenafil 25 mg oral DAILY:PRN ED  
-12.  Tacrolimus 1.5 mg PO QAM  
-13.  Tacrolimus 1 mg PO QPM  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-right upper lobe non-small cell lung cancer
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: right upper lobe {Structure of upper lobe of right lung}, non-small cell lung cancer {Non-small cell lung cancer}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-* You were admitted to the hospital for lung surgery and you've 
-recovered well. You are now ready for discharge.  
-
-* Continue to use your incentive spirometer 10 times an hour 
-while awake.
-
-* Check your incisions daily and report any increased redness or 
-drainage.   Cover the area with a gauze pad if it is draining.
-
-* Your chest tube dressing may be removed in 48 hours.  If it 
-starts to drain, cover it with a clean dry dressing and change 
-it  as needed to keep site clean and dry.
-
-* You may need pain medication once you are home but you can 
-wean it over the next week as the discomfort resolves.  Make 
-sure that you have regular bowel movements while on narcotic 
-pain medications as they are constipating which can cause more 
-problems.  Use a stool softener or gentle laxative to stay 
-regular.
-
-* No driving while taking narcotic pain medication.
-
-* Take Tylenol on a standing basis to avoid more opiod use.
-
-* Continue to stay well hydrated and eat well to heal your 
-incisions
-
-* Shower daily. Wash incision with mild soap & water, rinse, pat 
-dry
- * No tub bathing, swimming or hot tubs until incision healed
- * No lotions or creams to incision site
-
-* Walk ___ times a day and gradually increase your activity as 
-you can tolerate.
-
-Call Dr. ___ ___ if you experience:
- -Fevers > 101 or chills
- -Increased shortness of breath, chest pain or any other 
-symptoms that concern you.
-
-** If pathology specimens were sent at the time of surgery, the 
-reports will be reviewed with you in detail at your follow up 
-appointment. This will give both you and your doctor time to 
-understand the pathology, its implications and discuss options 
-going forward.**
-
- 
- 
-
-###RESPONSE: lung {Lung structure}, surgery {Surgical procedure}, ready for discharge {Ready for discharge}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, draining {Discharge}, removed {Removal of dressing}, drain {Discharge}, dressing {Application of dressing}, pain medication {Administration of analgesic}, discomfort {Discomfort}, pain medications {Administration of analgesic}, constipating {Constipation}, problems {Problem}, stool softener {Administration of laxative}, regular {Normal heart rate}, while taking narcotic pain medication {Narcotics education}, incision {Surgical incision wound}, incision {Surgical incision wound}, Fevers {Fever}, chills {Chill}, shortness of breath {Dyspnea}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-fever
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-HISTORY OF PRESENTING ILLNESS:
-Mr. ___ is a ___ male with asplenia,
-polycythemia ___, and secondary AML with CNS disease s/p allo
-SCT (D0 = ___ with relapsed disease s/p 3 cycles of
-decitabine/venetoclax and DLI on ___ currently on ___
-with recent admission for pneumonia who presents with fever.
-
-Patient was recently admitted ___ to ___ with right lower lobe
-pneumonia in the setting of neutropenia. He was treated with
-14-day course of meropenem and vancomycin. Infectious work-up,
-including bronchoscopy, was unrevealing. Hospitalization was
-complicated by transaminitis, presumed to be due to drug-induced
-liver injury, and persistent thrombocytopenia requiring several
-transfusions. He was also seen by dermatology for new nodules on
-his lower extremities and had a biopsy. Repeat chest imaging
-prior to discharge showed resolving right lower lobe pneumonia
-containing a fluid filled pneumatocele or early lung abscess. He
-was discharged to complete a further 14-day course of
-levofloxacin and metronidazole.
-
-He reports fever to ___ yesterday and 101.7 the morning of
-admission. He notes feeling more flushed. He also notes mild
-rhinorrhea over past few days which seems to be improving as 
-well
-as right ear discomfort. He also notes some right lung pain 
-which
-feels different and less intense then the pain he had prior to
-his last admission. The notes a mild cough, poor appetite, and
-chronic right foot neuropathy.
-
-On arrival to the ED, initial vitals were 98.3 86 113/85 20 98%
-RA. Exam was unremarkable. Labs were notable for WBC 6.9 (ANC
-100), H/H 7.7/24.0, Plt 12, INR 1.6, fibrinogen 761, Na 137, K
-4.1, BUN/Cr ___, ALP 266, LDH 317, and lactate 1.6. Influenza
-PCR was negative. CXR showed worsening right lower lobe
-consolidative opacity. Patient was given cefepime 2g IV and
-flagyl 500mg IV. Prior to transfer vitals were 99.2 100 122/70 
-16
-96% RA.
-
-On arrival to the floor, patient endorses the above history. He
-has no acute issues or concerns. He headache, vision changes,
-dizziness/lightheadedness, weakness/numbnesss, shortness of
-breath, hemoptysis, chest pain, palpitations, abdominal pain,
-nausea/vomiting, diarrhea, hematemesis, hematochezia/melena,
-dysuria, and hematuria.
- 
-
-###RESPONSE: asplenia {Asplenia}, polycythemia {Erythrocytosis}, secondary {Metastatic malignant neoplasm}, AML {Acute myeloid leukemia}, CNS disease {Disorder of the central nervous system}, allo
-SCT {Allogeneic peripheral blood stem cell transplant}, relapsed {Relapsing acute myeloid leukemia}, disease {Disease}, pneumonia {Pneumonia}, fever {Fever}, right lower lobe
-pneumonia {Right lower zone pneumonia}, neutropenia {Neutropenia}, vancomycin {Antibiotic therapy}, Infectious {Infectious disease}, work-up {Evaluation procedure}, bronchoscopy {Bronchoscopy}, transaminitis {Aspartate transaminase level above reference range}, drug-induced
-liver injury {Drug-induced disorder of liver}, thrombocytopenia {Thrombocytopenic disorder}, transfusions {Transfusion}, nodules {Nodule}, lower extremities {Lower limb structure}, biopsy {Biopsy}, chest imaging {Chest imaging}, right lower lobe pneumonia {Right lower zone pneumonia}, fluid {Effusion}, pneumatocele {Air cyst}, lung abscess {Abscess of lung}, fever {Fever}, mild {Symptom mild}, rhinorrhea {Nasal discharge}, right ear {Right ear structure}, discomfort {Discomfort}, right lung {Right lung structure}, pain {Pain}, pain {Pain}, mild {Symptom mild}, cough {Cough}, poor appetite {Decrease in appetite}, chronic {Chronic disease}, right foot {Structure of right foot}, neuropathy {Neuropathy}, vitals {Vital signs finding}, RA {Breathing room air}, unremarkable {No abnormality detected}, WBC {White blood cell count}, H/H {Measurement of total hemoglobin concentration and hematocrit}, INR {Calculation of international normalized ratio}, LDH {Serum total lactate dehydrogenase measurement}, lactate {Lactic acid measurement}, Influenza
-PCR {Detection of Influenza A virus using polymerase chain reaction technique}, CXR {Plain chest X-ray}, right lower lobe {Structure of lower lobe of right lung}, consolidative {Lung consolidation}, opacity {Abnormally opaque structure}, vitals {Vital signs finding}, RA {Breathing room air}, headache {Headache}, vision changes {Visual disturbance}, dizziness {Dizziness}, lightheadedness {Lightheadedness}, weakness {Asthenia}, numbnesss {Numbness}, shortness of
-breath {Dyspnea}, hemoptysis {Hemoptysis}, chest pain {Chest pain}, palpitations {Palpitations}, abdominal pain {Abdominal pain}, nausea/vomiting, diarrhea {Nausea, vomiting and diarrhea}, hematemesis {Hematemesis}, hematochezia {Hematochezia}, melena {Melena}, dysuria {Dysuria}, hematuria {Blood in urine}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST ONCOLOGIC HISTORY:
-- ___: Initial BMBx, dx AML 
-- ___: Leukopheresis
-- ___: Induction Therapy 7+3 cytarabine + daunorubicin
-- ___: Hypercellular marrow with extensive fibrosis, 5%
-blasts
-- ___: IT Ara-C, TNC2 postive cytospin
-- ___: Triple therapy TNC 1, negative cytospin
-- ___: Triple therapy TNC 1 negative cytospin
-- ___: Triple therapy TNC 1 negative cytospin
-- ___: Triple therapy TNC 6 negative cytospin
-- ___: Admitted for URD ablative Allogeneic stem cell
-transplant with Fludarabine/Busulfan for conditioning regimen.
-Day 0 = ___. Enrolled into ___.
-- ___: BMBX D+24, PB Chimerism CD33 100 D, CD3 70%. BM JAK2
-1%
-- ___: BM Chimerism D87% (CD33 100 CD3 D68%)
-- ___: BM Chimerism D91% (DCD33 100 CD3 D68%)
-- ___ apheresis unsuccessful
-- ___: PB chimersims D93% (CD33 100, CD3 80%)
-- ___: RLE DVT started on LMWH
-- ___: PB chimersims D97% (CD33 99, CD3 97%)
-- ___: BMBX 8% blasts, Stoped tacrolimus
-- ___: C1D1 Dacogen/Venetoclax
-- ___: C2D1 Dacogen/Venetoclax
-- ___: DLI
-- ___: C3D1 Dacogen/Venetoclax
-
-Polycythemia ___ as described above
--CAD status post PCI
-___ Splenectomy 
- 
-
-###RESPONSE: BMBx {Bone marrow sampling}, AML {Acute myeloid leukemia}, Leukopheresis {Leukopheresis}, Therapy {Therapy}, fibrosis {Fibrosis}, Allogeneic stem cell
-transplant {Allogeneic peripheral blood stem cell transplant}, regimen {Therapeutic regimen}, BMBX {Bone marrow sampling}, Chimerism {Cellular mosaicism}, BM {Bone marrow structure}, BM {Bone marrow structure}, Chimerism {Cellular mosaicism}, BM {Bone marrow structure}, Chimerism {Cellular mosaicism}, apheresis {Apheresis}, RLE {Structure of right lower limb}, DVT {Deep venous thrombosis}, BMBX {Bone marrow sampling}, Polycythemia {Erythrocytosis}, CAD {Coronary arteriosclerosis}, status post {Postoperative state}, PCI {Percutaneous coronary intervention}, Splenectomy {Splenectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with polycythemia ___.
- 
-
-###RESPONSE: polycythemia {Erythrocytosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-VS: Temp 99.6, BP 118/69, HR 89, RR 18, O2 sat 97% RA.
-GENERAL: Pleasant man, in no distress, lying in bed comfortably.
-HEENT: Anicteric, PERLL, OP clear.
-CARDIAC: RRR, no murmurs.
-LUNG: Appears in no respiratory distress, right basilar rhonchi.
-ABD: Soft, non-tender, non-distended, positive bowel sounds,.
-EXT: Warm, well perfused, no lower extremity edema.
-NEURO: A&Ox3, good attention and linear thought, gross strength
-and sensation intact.
-SKIN: Multiple pink-to-violaceous firm papules on bilateral 
-lower
-extremities as well as several on bilateral upper extremities.
-
-DISCHARGE PHYSICAL EXAM:
-moderate distress apneic restless at times
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, distress {Distress}, lying in bed {Lying in bed}, HEENT {Physical examination procedure}, Anicteric {White sclera}, PERLL {Pupils equal, react to light and accommodation}, OP clear {Pharynx normal}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Murmur}, LUNG {Examination of respiratory system}, distress {Distress}, right basilar {Structure of base of right lung}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, positive bowel sounds {Normal bowel sounds}, EXT {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, attention {Finding related to attentiveness}, sensation intact {Normal sensation}, SKIN {Examination of skin}, papules {Papule}, bilateral 
-lower
-extremities {Both lower extremities}, bilateral upper extremities {Both upper extremities}, moderate {Symptom moderate}, distress {Distress}, apneic {Apnea}, restless {Restlessness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 05:55PM BLOOD WBC: 6.9 RBC: 2.46* Hgb: 7.7* Hct: 24.0*
-MCV: 98 MCH: 31.3 MCHC: 32.1 RDW: 16.6* RDWSD: 54.1* Plt Ct: 12*
-___ 05:55PM BLOOD Neuts: 1* Lymphs: ___ Monos: 9 Eos: 1 
-Baso:
-0 Blasts: 69* NRBC: 108.0* AbsNeut: 0.10* AbsLymp: 1.92 AbsMono:
-0.62 AbsEos: 0.07 AbsBaso: 0.00*
-___ 05:55PM BLOOD ___: 17.2* PTT: 30.2 ___: 1.6*
-___ 05:55PM BLOOD Fibrino: ___
-___ 05:55PM BLOOD Glucose: 104* UreaN: 14 Creat: 0.8 Na: 
-137
-K: 4.1 Cl: 99 HCO3: 26 AnGap: 12
-___ 05:55PM BLOOD ALT: 22 AST: 33 LD(LDH): 317* AlkPhos:
-266* TotBili: 0.8
-___ 05:55PM BLOOD Albumin: 3.4*
-___ 06:16PM BLOOD Lactate: 1.6
-
-DISCHARGE LABS
-none-CMO
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hct {Hematocrit determination}, BLOOD Glucose {Glucose measurement, blood}, TotBili {Bilirubin, total measurement}, Lactate {Lactic acid measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ male with asplenia, 
-polycythemia ___, and secondary AML with CNS disease s/p allo 
-SCT (D0 = ___ with relapsed disease s/p 3 cycles of 
-decitabine/venetoclax and DLI on ___ most recently on 
-Ivisidenib with recent admission for pneumonia who presented 
-with febrile neutropenia with persistent RLL pneumonia with 
-course c/b SVT with unfortunate overwhelming infection now 
-transitioned to comfort measures only and transition to home 
-hospice.
-
-ACUTE CONDITIONS
-==================== 
-
-#RIGHT LOWER LOBE PNEUMONIA: 
-#FEBRILE NEUTROPENIA (Fevers persist]: 
-Patient is status post recent prolonged admission with right 
-lobe pneumonia that was concerning for possible abscess as well 
-as viral or fungal etiology. BAL and induced sputum studies were 
-negative at the time. He recently completed prolonged course of
-antibiotics; however, he was re-admitted with febrile 
-neutropenia and persistent RLL pneumonia concerning of fungal 
-etiology on imaging vs. lung abscess formation per ID. Further 
-work up of PNA with urine legionella (neg), strep pneumo (neg), 
-MRSA (neg) and parvovirus (neg). Sinus CT ___ obtained for 
-continued sinus
-pressure showed a right obstructive sinusitis. He was started on 
-IV Vancomycin (D1 ___ and IV Ceftaz 2gm Q8 hours 
-(D1 ___. Beta glucan elevated at 424, could be 
-false elevation, galactomannan negative. Repeat BD glucan 
-negative, Asp galactomannan ___ PND. MRSA negative; 
-therefore, vancomycin
-was discontinued. Patient had continued fevers, which prompted 
-re-imaging on ___. Chest CT showed progression of pneumonia, 
-now involving majority of the right lower lobe with surrounding 
-ground-glass opacities. Given concern for fungal pneumonia, 
-patient was started on Ambisone. ID re-consulted ___, recs 
-biopsy and induced sputum. Per ID, would need biopsy of his RLL 
-consolidation but deferred in light of profound TCP and GOC.
-
-Unfortunately, patient developed worsening pulmonary symptoms 
-(increased WOB ___ and tachycardia) and his 
-antibiotics was escalated from ceftazidime to meropenem (D1: 
-___. He also developed new SVT which may have 
-exacerbated his pulmonary symptoms. He was given Solumedrol 50mg 
-IVPx1 and was continued daily through ___, d/c'd as has not 
-been efficacious for his pulmonary symptoms. Given ongoing high 
-fevers, added Linezolid (D1 ___. Chest CT showed 
-worsening PNA on ___, after discussing the results with 
-primary oncologist, patient decided to transition care from 
-aggressive treatment to focus on symptom management and comfort. 
-His antibiotics were discontinued on ___ and he was started 
-on Morphine IV/PO for dyspnea management. He was discharged home 
-on ___ and after multiple discussions, agreed to home with 
-hospice services.
--per palliative recommendations will be discharged home with: 
-morphine ___ po suspension q2 prn, Ativan 0.5-1mg po q4 prn, 
-Tylenol ___ po prn.
-
-#RELAPSED AML: He is s/p allogeneic SCT (D0 = ___ with 
-relapsed disease s/p 3 cycles of decitabine/venetoclax and DLI 
-on ___. BMBx ___ consistent with persistent leukemia, 
-based on (+)IDH1 mutation. He was started on ivosidenib ___, 
-and venetoclax was stopped. Patient w/ lesions to extremities 
-that
-was concerning for leukemia cutis. Dermatology biopsied site on 
-___ result c/w leukemia cutis. Given persistent PNA despite 
-ABX and progressive disease, had GOC discussion with primary 
-oncologist on ___ and patient was made DNR/DNI, and on 
-___ as above with transition to CMO. 
-
-#DISCHARGE PLANNING: patient with difficult non compliance in 
-the past and patient was eager to leave the hospital ASAP ___ 
-AM. He initially was refusing home services, including hospice 
-care but after discussion with RN, SW, palliative team agreed to 
-go home with hospice services. Initially consulted ethics and 
-psychiatry with concern of patient leaving AMA however after 
-multiple discussions with ___ team patient agreed to resuming 
-hospice services and abiding by recommendations. Patient had 
-safety evaluation before discharge and appropriate to discharge 
-home with hospice. 
-
-d/c planning > 30 min
-
- 
-
-###RESPONSE: asplenia {Asplenia}, polycythemia {Erythrocytosis}, secondary {Metastatic malignant neoplasm}, AML {Acute myeloid leukemia}, CNS disease {Disorder of the central nervous system}, allo 
-SCT {Allogeneic peripheral blood stem cell transplant}, relapsed {Relapsing acute myeloid leukemia}, disease {Disease}, pneumonia {Pneumonia}, febrile neutropenia {Febrile neutropenia}, RLL pneumonia {Right lower zone pneumonia}, SVT {Supraventricular tachycardia}, infection {Infectious disease}, comfort measures {Comfort measures}, RIGHT LOWER LOBE PNEUMONIA {Right lower zone pneumonia}, FEBRILE NEUTROPENIA {Febrile neutropenia}, Fevers {Fever}, status post {Postoperative state}, right 
-lobe pneumonia {Right lower zone pneumonia}, abscess {Abscess of lung}, viral {Viral disease}, fungal {Mycosis}, induced sputum {Collection of induced sputum}, antibiotics {Antibiotic therapy}, febrile 
-neutropenia {Febrile neutropenia}, RLL pneumonia {Right lower zone pneumonia}, fungal {Mycosis}, imaging {Imaging}, lung abscess {Abscess of lung}, PNA {Pneumonia}, urine {Evaluation of urine specimen}, legionella {Legionella infection}, MRSA {Methicillin resistant Staphylococcus aureus infection}, parvovirus {Parvovirus infection}, Sinus {Nasal sinus structure}, CT {Computed tomography}, sinus
-pressure {Sensation of nasal sinus pressure}, right {Right sphenoid sinus structure}, obstructive sinusitis {Obstructive sinusitis}, Vancomycin {Antibiotic therapy}, MRSA {Methicillin resistant Staphylococcus aureus infection}, vancomycin {Antibiotic therapy}, fevers {Fever}, imaging {Imaging}, Chest CT {Computed tomography of chest}, pneumonia {Pneumonia}, right lower lobe {Structure of lower lobe of right lung}, ground-glass opacities {Ground glass lung opacity}, fungal pneumonia {Fungal pneumonia}, biopsy {Biopsy}, induced sputum {Collection of induced sputum}, biopsy {Biopsy}, RLL {Structure of lower lobe of right lung}, consolidation {Consolidation}, TCP {Thrombocytopenic disorder}, worsening pulmonary symptoms {Decreased respiratory function}, WOB {Labored breathing}, tachycardia {Tachycardia}, antibiotics {Antibiotic therapy}, SVT {Supraventricular tachycardia}, exacerbated his pulmonary symptoms {Decreased respiratory function}, pulmonary {Structure of respiratory system}, fevers {Fever}, Chest CT {Computed tomography of chest}, PNA {Pneumonia}, symptom management {Symptom management}, antibiotics {Antibiotic therapy}, dyspnea {Dyspnea}, discussions {Discussion}, RELAPSED AML {Relapsing acute myeloid leukemia}, allogeneic SCT {Allogeneic peripheral blood stem cell transplant}, relapsed {Relapsing acute myeloid leukemia}, disease {Disease}, BMBx {Bone marrow sampling}, leukemia {Leukemia}, mutation {Genetic mutation}, lesions {Skin lesion}, extremities {All extremities}, leukemia cutis {Leukemic infiltration of skin}, Dermatology biopsied {Biopsy of skin}, leukemia cutis {Leukemic infiltration of skin}, PNA {Pneumonia}, ABX {Antibiotic therapy}, disease {Disease}, discussion {Discussion}, DNR {Not for resuscitation}, non compliance {Drug compliance poor}, hospice 
-care {Hospice care}, discussion {Discussion}, hospice services {Hospice care}, leaving AMA {Patient self-discharge against medical advice}, discussions {Discussion}, hospice services {Hospice care}, evaluation {Evaluation procedure}, hospice {Hospice care}, d/c planning {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. LevoFLOXacin 750 mg PO DAILY 
-2. Ursodiol 300 mg PO QAM 
-3. Ursodiol 600 mg PO QPM 
-4. Magnesium Oxide 800 mg PO DAILY 
-5. Vitamin D ___ UNIT PO DAILY 
-6. Isavuconazonium Sulfate 372 mg PO DAILY 
-7. Gabapentin 400 mg PO DAILY 
-8. Multivitamins W/minerals 1 TAB PO DAILY 
-9. FoLIC Acid 1 mg PO DAILY 
-10. Acyclovir 400 mg PO Q8H 
-11. Pentamidine-Inhalation 300 mg IH MONTHLY 
-12. Tibsovo (ivosidenib) 500 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever  
-2.  LORazepam 0.5-1 mg PO Q4H:PRN anxiety 
-RX *lorazepam 0.5 mg ___ tabs by mouth every 4 hours as needed 
-Disp #*42 Tablet Refills:*0 
-3.  Morphine Sulfate (Oral Solution) 2 mg/mL ___ mg PO Q2H:PRN 
-pain/dyspnea 
-RX *morphine 10 mg/5 mL ___ ml by mouth every 2 hours as needed 
-Refills:*0 
-4.  Gabapentin 400 mg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis
-=============
-febrile neutropenia 
-AML
-Pneumonia
-Sinusitis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: With Service {Home health aide service management}, febrile neutropenia {Febrile neutropenia}, AML {Acute myeloid leukemia}, Pneumonia {Pneumonia}, Sinusitis {Sinusitis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Mr. ___, 
-
-You were admitted for fevers while your blood counts were low. 
-You were found to have persistent pneumonia which did not 
-improve with antibiotics. With worsening pneumonia, you 
-transitioned to comfort measures and supportive care. You are 
-not being discharge home. 
-
-Sincerely, 
-Your ___ team
- 
-
-###RESPONSE: fevers {Fever}, blood counts {Blood test}, pneumonia {Pneumonia}, antibiotics {Antibiotic therapy}, pneumonia {Pneumonia}, comfort measures {Comfort measures}, supportive care {Support}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-left ankle cellulitis
- 
-Major Surgical or Invasive Procedure:
-none 
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, left ankle cellulitis {Cellulitis of left ankle}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o female with HCV p/w 2 days of left ankle pain and redness 
-and also new low back/buttocks pain.  She recently attempted to 
-clip an ingrown toenail on her left foot although she reports no 
-toe pain or redness.  She denies fevers and chills although has 
-been having daily hot flashes.  Denies trauma to the ankle.  No 
-prior cellulitis or joint infections.
-.
-Ortho was consulted in ED in regards to question of a septic 
-joint.  No joint aspiration was performed as clinically felt to 
-be low chance of joint involvement.  She was given Vanco and 
-Cefazolin and pain control in ER.
-.
-Also got Cipro for + UA.
- 
-
-###RESPONSE: HCV {Viral hepatitis type C}, left ankle {Structure of left ankle}, pain {Pain}, redness {Redness of skin over lesion}, low back {Low back pain}, buttocks pain {Pain in buttock}, ingrown toenail {Ingrowing toenail}, left foot {Structure of left foot}, toe pain {Pain in toe}, redness {Redness of skin over lesion}, fevers {Fever}, chills {Chill}, hot flashes {Menopausal flushing}, trauma {Traumatic injury}, ankle {Structure of left ankle}, cellulitis {Cellulitis}, joint infections {Infectious disorder of joint}, septic 
-joint {Arthritis of knee}, joint aspiration {Arthrocentesis}, joint {Joint structure}, pain control {Pain control}, ER {Emergency treatment}, + UA {Abnormal urinalysis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HCV
-Hypertension  
-Hypothyroidism
-h/o pneumonia at ___ yrs and ___ yrs  
-MR/CHF - in the setting of pneumonia  
-Preeclampsia  
-Anxiety  
-h/o Kidney stones  
-s/p C-section  
-Chronic pain secondary to bilateral foot deformities.
-s/p removal of left breast cysts  
-left neck cyst removal  
-anemia
- 
-
-###RESPONSE: HCV {Viral hepatitis type C}, Hypertension {Hypertensive disorder, systemic arterial}, Hypothyroidism {Hypothyroidism}, pneumonia {Pneumonia}, MR {Mitral valve regurgitation}, CHF {Congestive heart failure}, pneumonia {Pneumonia}, Preeclampsia {Pre-eclampsia}, Anxiety {Anxiety}, Kidney stones {Kidney stone}, C-section {Cesarean section}, Chronic pain {Chronic pain}, foot deformities {Deformity of foot}, removal {Removal}, left breast {Left breast structure}, cysts {Cyst}, left neck {Structure of left half of neck}, cyst {Cyst}, removal {Removal}, anemia {Anemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with hypothyroidism. Father with hypertension and 
-alcoholism. Grandfather with jaw cancer. No known family history 
-of liver disease. 
- 
-
-###RESPONSE: hypothyroidism {Hypothyroidism}, hypertension {Hypertensive disorder, systemic arterial}, alcoholism {Alcoholism}, jaw {Structure of left half of neck}, cancer {Malignant neoplasm}, liver disease {Disorder of liver}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS:  97.2   140/100    72   20 100%RA
-GEN: Well appearing, Comfortable, NAD
-HEENT: NCAT, PERRL, OP clear, no thrush
-NECK: Supple, no LAD
-CV: RRR, III/VI SM LSB
-LUNGS: CTABL
-ABD: Soft, NTND, no masses, no bruits
-EXT: No ___ edema, erythema and warmth present over left ankle 
-and anterior leg.  Slightly decreased ROM on active and passive 
-movement.  2+ ___ pulses.  Right knee without warmth or 
-swelling.  No palpable LNs in popliteal fossa.
-BACK: No midline tenderness.  Small, mobile, tender lymph nodes 
-palpable over bilateral iliac crests.
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, Well appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, OP clear {Pharynx normal}, thrush {Candidiasis}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, SM {Systolic murmur}, LUNGS {Examination of respiratory system}, CTABL {Normal breath sounds}, ABD {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, masses {Abdominal mass}, EXT {Examination of limb}, edema {Edema}, erythema {Erythema}, warm {Warm skin}, left ankle {Structure of left ankle}, anterior leg {Skin structure of anterior surface of lower leg}, decreased ROM {Limitation of joint movement}, active {Active range of joint movement reduced}, passive 
-movement {Passive range of joint movement reduced}, 2+ ___ pulses {Lower limb pulse present}, Right knee {Structure of right knee region}, warm {Warm skin}, swelling {Joint swelling}, palpable {Finding by palpation}, LNs in popliteal fossa {Popliteal lymph node structure}, tenderness {Tenderness}, tender {Abdominal tenderness}, palpable {Finding by palpation}, iliac crests {Structure of iliac lymph node}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:50AM BLOOD WBC-9.6
-___ 10:00PM BLOOD WBC-7.1 RBC-4.00* Hgb-12.2 Hct-35.0* 
-MCV-88 MCH-30.6 MCHC-35.0 RDW-13.3 Plt ___
-___ 10:00PM BLOOD Neuts-54.5 ___ Monos-4.9 Eos-3.8 
-Baso-0.6
-___ 08:50AM BLOOD UreaN-13 Creat-0.9
-___ 10:00PM BLOOD Glucose-118* UreaN-18 Creat-0.9 Na-141 
-K-4.1 Cl-107 HCO3-28 AnGap-10
-___ 10:00PM BLOOD CRP-14.5*
-___ 10:10PM BLOOD Lactate-1.5
-___ 12:50AM URINE Color-Yellow Appear-Clear Sp ___
-___ 12:50AM URINE Blood-NEG Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-TR Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-SM
-___ 12:50AM URINE RBC-0 ___ Bacteri-NONE Yeast-NONE 
-___
-Blood and urine culture neg (urine culture was done after 
-antibiotics)
- 
-
-###RESPONSE: WBC {White blood cell count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, URINE {Evaluation of urine specimen}, Color {Color finding}, Clear {Urine looks clear}, Protein {Measurement of protein in urine}, pH {pH measurement}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, Blood {Blood culture}, urine culture {Urine culture}, urine culture {Urine culture}, antibiotics {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Left ankle celluliis improved with vancomycin and pt was 
-discharged on keflex. Oxycodone controlled pain well. 
-Cipro was continued for UTI. 
-Patient is known to have intraabdominal lymphadenopathy in past 
-and has noted low back lymph nodes. She was advised to follow up 
-with PCP regarding further follow up. 
-Also she was concered of a breast mass and was advised to 
-discuss with PCP ___. mammogram/US. 
- 
-
-###RESPONSE: Left ankle {Structure of left ankle}, celluliis {Cellulitis}, improved {Patient's condition improved}, vancomycin {Antibiotic therapy}, controlled pain {Demonstrates adequate pain control}, UTI {Urinary tract infectious disease}, intraabdominal lymphadenopathy {Disorder of intra-abdominal lymph nodes}, low back {Lower back structure}, lymph nodes {Structure of lymph node}, follow up {Follow-up arranged}, PCP {Primary care management}, follow up {Follow-up arranged}, breast mass {Breast lump}, PCP {Primary care management}, mammogram {Mammography}, US {Ultrasonography of bilateral breasts}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Clonazepam 1mg BID at 7PM and bedtime
-Clonazepam 2 mg BID prn
-Diltiazem 240mg daily
-HCTZ 25mg daily
-Synthroid ___ microgram daily x 6 days and then 100 microgram on 
-___ day
-Olmesartan 40 mg daily
-Darvon 65mg PRN
-Prilosec OTC
-Propanolol 40 mg TID
- 
-Discharge Medications:
-1. Clonazepam 1 mg Tablet Sig: Two (2) Tablet PO twice a day as 
-needed for anxiety: Do not take with alcohol, do not drive or 
-use machinery while on this medicaton. Can make you drowsy. .  
-2. Clonazepam 1 mg Tablet Sig: One (1) Tablet PO DAILY AT 7PM 
-(): Do not take with alcohol, do not drive or use machinery 
-while on this medicaton. Can make you drowsy. .  
-3. Clonazepam 1 mg Tablet Sig: One (1) Tablet PO QHS (once a day 
-(at bedtime)) as needed: Do not take with alcohol, do not drive 
-or use machinery while on this medicaton. Can make you drowsy. . 
- 
-4. Diltiazem HCl 120 mg Capsule, Sustained Release Sig: Two (2) 
-Capsule, Sustained Release PO DAILY (Daily).  
-5. Hydrochlorothiazide 12.5 mg Capsule Sig: Two (2) Capsule PO 
-DAILY (Daily).  
-6. Levothyroxine 100 mcg Tablet Sig: Two (2) Tablet PO 6X/WEEK 
-(___).  
-7. Levothyroxine 100 mcg Tablet Sig: One (1) Tablet PO 1X/WEEK 
-(___).  
-8. Olmesartan 20 mg Tablet Sig: Two (2) Tablet PO Daily () as 
-needed for HTN.  
-9. Propranolol 40 mg Tablet Sig: One (1) Tablet PO TID (3 times 
-a day).  
-10. Prilosec OTC 20 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO once a day.  
-11. Oxycodone 5 mg Tablet Sig: ___ Tablets PO every eight (8) 
-hours as needed for pain: Do not take with alcohol, do not drive 
-or use machinery while on this medicaton. Can make you drowsy. .
-Disp:*10 Tablet(s)* Refills:*0*
-12. Cephalexin 500 mg Capsule Sig: One (1) Capsule PO Q6H (every 
-6 hours) for 7 days.
-Disp:*28 Capsule(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Left leg/ankle cellulitis
-Urinary tract infection, bacterial likely
-Lymphadenopathy
-Concern for breast mass
-History of hypertension and anxiety
-Tobacco user
-
- 
-Discharge Condition:
-stable 
-
- 
-
-###RESPONSE: Left leg {Structure of left lower leg}, ankle {Structure of left ankle}, cellulitis {Cellulitis}, Urinary tract infection {Urinary tract infectious disease}, bacterial {Bacterial infectious disease}, Lymphadenopathy {Lymphadenopathy}, breast mass {Breast lump}, hypertension {Hypertensive disorder, systemic arterial}, anxiety {Anxiety}, Tobacco user {Tobacco user}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Return to the hospital if you have new fevers, chills, worsening 
-ankle swelling or pain or any new symptoms of concern to you. 
-
-Take the antibiotocs as prescribed for cellulitis. 
-
-Keep your appointments. 
-
-Discuss your concern about breast mass and also enlarged lymph 
-nodes with your primary care doctor - Dr ___ you se him 
-this week. You will need further work up for it. Dr ___ 
-arrange for it in clinic. 
-
-Do not take oxycodone and drive or use machinery or cook. 
-
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, fevers {Fever}, chills {Chill}, ankle swelling {Swollen ankle}, pain {Abdominal pain}, antibiotocs {Ankle pain}, cellulitis {Cellulitis}, breast mass {Breast lump}, enlarged lymph 
-nodes {Lymphadenopathy}, work up {Evaluation procedure}, clinic {Outpatient care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / Aspirin / Sulfa (Sulfonamide Antibiotics) / Latex 
-/ banana / kiwi / peanut / clindamycin / salicylates
- 
-Attending: ___.
- 
-Chief Complaint:
-shortness of breath
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, Aspirin {Allergy to aspirin}, Antibiotics {Antibiotic therapy}, peanut {Allergy to peanut}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ history of
-asthma, PCOS, hypertension, G6PD, and PTSD, presenting with
-worsening shortness of breath with concern for asthma
-exacerbation.
-
-Of note, patient recently presented to ___ ___ with
-worsening shortness of breath and coughing. Patient stated this
-felt like her prior asthma exacerbations. Given documented
-minimal wheezing on exam and with normal O2 saturation, she was
-treated with duonebs as well as prednisone. She was discharged 
-on
-prednisone 50 mg daily x 5 days. 
-
-Patient states that she never felt better after being discharged
-from the ___. She completed her 5 day course of
-prednisone 50 mg daily ___. She has continued to have 
-worsening
-shortness of breath, was told by co-workers this morning that 
-she
-was gasping for air and he could hear her audibly wheezing.
-States she has been adherent to her home Advair inhalers, has
-been using her albuterol rescue inhaler every couple of minutes
-without relief. Today has noted new worsening productive cough
-with phlegm. Denies any fevers or chills. Denies any sore throat
-or rhinorrhea.
-
-In the ED, initial VS were: T 98.1 HR 106 BP 175/96 RR 24 O2
-100%RA
-
-On Exam:
-Gen: Moderate distress, unable to speak in full sentences, 
-severe
-cough
-CV: RRR, normal S1/S2
-Pulm: +accessory muscle use, diffuse end expiratory wheezing,
-diminished breath sounds R lung base, bibasilar crackles
-
-Labs notable for: 
-- WBC 8.1, Hb 11.7, PLT 280
-- Na 142, K 3.8, BUN 5, Cr 0.5
-- VBG 7.41/___
-- Flu: Negative
-- UA: Moderate leuks, negative nitrite, 2 WBC, few bacteria  
-
-Imaging showed:
-CXR ___:
-1. Slightly increased interstitial opacities in the right lower
-lung field may represent bronchovascular crowding secondary to
-decreased inspiratory effort however an early infectious or
-inflammatory process cannot be excluded, particularly in this
-patient with productive cough.
-
-Consults: None
-
-Patient received:
-___ 07:51 IH Albuterol 0.083% Neb Soln
-___ 07:51 IH Ipratropium Bromide Neb 1 NEB  
-___ 08:09 IH Albuterol 0.083% Neb Soln 1 NEB 
-___ 08:09 IH Ipratropium Bromide Neb 1 NEB  
-___ 08:09 PO Ondansetron ODT 4 mg 
-___ 09:51 IV Magnesium Sulfate  
-___ 09:51 IV MethylPREDNISolone Sodium Succ 125 mg 
-___ 09:53 IH Albuterol 0.083% Neb Soln 1 NEB 
-___ 09:53 IH Ipratropium Bromide Neb 1 NEB   
-___ 10:53 IV Magnesium Sulfate 2 gm 
-___ 11:09 IV Azithromycin  
-___ 13:10 IV Azithromycin 500 mg 
-___ 14:22 IV CefTRIAXone   
-___ 14:29 IV CefTRIAXone 2 g  
-___ 16:16 PO/NG Spironolactone 100 mg 
-___ 16:16 IVF  LR  
-___ 17:39 IVF  LR 1000 mL 
-___ 20:21 PO/NG Acetaminophen 1000 mg 
-___ 20:38 PO TraMADol 50 mg 
-
-Transfer VS were: T 98.9 HR 114, BP 158/89 RR 18 O2 100%RA
-
-On arrival to the floor, patient confirms the above
-history. States that at present she does not feel short of
-breath, however endorsing frequent coughing (with occasional
-brownish phlegm).
-
- 
-
-###RESPONSE: asthma {Asthma}, PCOS {Polycystic ovary syndrome}, hypertension {Hypertensive disorder, systemic arterial}, G6PD {Glucose-6-phosphate dehydrogenase deficiency anemia}, PTSD {Posttraumatic stress disorder}, shortness of breath {Dyspnea}, asthma
-exacerbation {Exacerbation of asthma}, shortness of breath {Dyspnea}, coughing {Cough}, asthma exacerbations {Exacerbation of asthma}, wheezing {Wheezing}, normal O2 saturation {Oxygen saturation within reference range}, shortness of breath {Dyspnea}, gasping {Gasping for breath}, wheezing {Wheezing}, inhalers {Oxygen therapy}, inhaler {Oxygen therapy}, relief {Feeling relief}, productive cough {Productive cough}, fevers {Fever}, chills {Chill}, sore throat {Sore throat}, rhinorrhea {Nasal discharge}, VS {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, distress {Distress}, unable to speak {Unable to speak}, cough {Cough}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, Pulm {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, expiratory wheezing {Expiratory wheezing}, diminished breath sounds {Decreased breath sounds}, R lung base {Structure of base of right lung}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, Flu {Influenza}, UA {Urinalysis}, CXR {Plain chest X-ray}, opacities {Abnormally opaque structure}, lung field {Structure of lung field}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}, productive cough {Productive cough}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}, IV {Intravenous therapy}, IVF {Administration of intravenous fluids}, IVF {Administration of intravenous fluids}, VS {Vital signs finding}, RA {Breathing room air}, short of
-breath {Dyspnea}, coughing {Cough}, brownish phlegm {Brown sputum}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Asthma
-Obstructive sleep apnea
-PCOS (polycystic ovarian syndrome)       
-Psychosocial stressors, PTSD
-Iron deficiency anemia                              
-G6PD deficiency
-Headaches/Migraines
-Menorrhagia
-Atypical squamous cells of undetermined significance (ASCUS) on 
-___ smear of cervix
-h/o STD, Herpes simplex vulvovaginitis
-
- 
-
-###RESPONSE: Asthma {Asthma}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, PCOS {Polycystic ovary syndrome}, polycystic ovarian syndrome {Polycystic ovary syndrome}, PTSD {Posttraumatic stress disorder}, Iron deficiency anemia {Iron deficiency anemia}, G6PD deficiency {Glucose-6-phosphate dehydrogenase deficiency anemia}, Headaches {Headache}, Migraines {Migraine}, Menorrhagia {Menorrhagia}, Atypical squamous cells of undetermined significance {Atypical squamous cells of undetermined significance}, smear of cervix {Cytopathology procedure, preparation of smear, genital source}, STD {Sexually transmitted infectious disease}, Herpes simplex {Herpes simplex}, vulvovaginitis {Vulvovaginitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-- Sister w/ arrhythmia on rhythm control - unable to specify 
-further 
-- brother with cardiomyopathy
-- low potassium in family
-- Hypertension
-- Malignancy (sarcoma in mother, leukemia in father)
-- Depression
-- Obesity
-- T2DM
-- Keratoconus (multiple family members)
- 
-
-###RESPONSE: arrhythmia {Cardiac arrhythmia}, cardiomyopathy {Cardiomyopathy}, low potassium {Hypokalemia}, Hypertension {Hypertensive disorder, systemic arterial}, Malignancy {Malignant neoplasm}, sarcoma {Sarcoma}, leukemia {Leukemia}, Depression {Depressive disorder}, Obesity {Obesity}, T2DM {Diabetes mellitus type 2}, Keratoconus {Keratoconus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-========================
-VS: T 98.2 BP 166/98 HR 118 RR 18 O2 97%RA
-Gen: Intermittently coughing, however speaking in full sentences
-HEENT: NC/AT, PERRLA, EOMI
-Lungs: Decreased breath sounds throughout, however with good air
-movement. Diffuse expiratory wheezing throughout all lung 
-fields.
-CV: Tachycardic, regular rhythm, no murmurs, rubs, or gallops
-Abdomen: Soft, NT/ND.  Normoactive bowel sounds.  No evidence of
-organomegaly
-Neuro: CN II-XII intact. No focal neurological deficits.
-Extremities: 2+ peripheral pulses, no C/C/E
-
-DISCHARGE PHYSICAL EXAM:
-========================
-VS: ___ 0714 Temp: 98.2 PO BP: 130/88 HR: 91 RR: 20 O2 sat:
-98% O2 delivery: RA 
-Gen: Young F in NAD. Appears stated age. Intermittently coughing
-HEENT: NC/AT, EOMI
-Lungs: CTABL, no wheezes appreciated. Breathing comfortably on 
-RA
-without use of accessory muscles. 
-CV: RRR, no murmurs, rubs, or gallops
-Abdomen: Soft, NT/ND. NABS.  No evidence of organomegaly
-Neuro: No focal neurological deficits. A&Ox3. Moving all
-extremities.
-Extremities: warm and well-perfused, no edema
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, Gen {General examination of patient}, coughing {Cough}, HEENT {Physical examination procedure}, NC {Normal head}, AT {No injuries apparent}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Lungs {Examination of respiratory system}, Decreased breath sounds {Decreased breath sounds}, wheezing {Wheezing}, lung 
-fields {Structure of lung field}, CV {Cardiovascular physical examination}, Tachycardic {Tachycardia}, regular rhythm {Normal sinus rhythm}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Normoactive bowel sounds {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, Neuro {Neurological examination}, CN II {Normal central nervous system}, XII intact {Normal central nervous system}, neurological deficits {Neurological deficit}, Extremities {Examination of limb}, 2+ peripheral pulses {Peripheral pulses normal}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, coughing {Cough}, HEENT {Physical examination procedure}, NC {Normal head}, AT {No injuries apparent}, EOMI {Normal ocular motility}, Lungs {Examination of respiratory system}, CTABL {Normal breath sounds}, wheezes {Wheezing}, Breathing comfortably {Normal respiratory function}, RA {Breathing room air}, accessory muscles {Accessory skeletal muscle}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, NABS {Normal bowel sounds}, organomegaly {Abdominal organomegaly}, Neuro {Neurological examination}, neurological deficits {Neurological deficit}, all
-extremities {All extremities}, Extremities {All extremities}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 08:08AM   HCG-<5
-___ 08:08AM   CALCIUM-9.5 PHOSPHATE-4.6* MAGNESIUM-1.7
-___ 08:08AM   GLUCOSE-107* UREA N-5* CREAT-0.5 SODIUM-142 
-POTASSIUM-3.8 CHLORIDE-104 TOTAL CO2-22 ANION GAP-16
-___ 09:07AM URINE  MUCOUS-FEW*
-___ 09:07AM URINE  RBC-1 WBC-2 BACTERIA-FEW* YEAST-NONE 
-EPI-2
-___ 09:07AM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 
-LEUK-MOD*
-___ 09:07AM URINE  COLOR-Straw APPEAR-Hazy* SP ___
-___ 09:07AM URINE  UCG-NEGATIVE
-___ 12:06PM   PLT COUNT-280
-___ 12:06PM   NEUTS-45.7 ___ MONOS-12.2 EOS-3.2 
-BASOS-0.4 IM ___ AbsNeut-3.72 AbsLymp-3.12 AbsMono-0.99* 
-AbsEos-0.26 AbsBaso-0.03
-___ 12:06PM   WBC-8.1 RBC-4.59 HGB-11.7 HCT-38.1 MCV-83 
-MCH-25.5* MCHC-30.7* RDW-13.5 RDWSD-40.3
-___ 02:13PM   ___ PO2-49* PCO2-39 PH-7.41 TOTAL CO2-26 
-BASE XS-0 COMMENTS-PERIPHERAL
-___ 02:25PM OTHER BODY FLUID  FluAPCR-NEGATIVE 
-FluBPCR-NEGATIVE
-
-MICROBIOLOGY:
-=============
-__________________________________________________________
-___ 7:57 am SPUTUM      Source: Expectorated. 
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      ___ PMNs and >10 epithelial cells/100X field. 
-      Gram stain indicates extensive contamination with upper 
-respiratory
-      secretions. Bacterial culture results are invalid. 
-      PLEASE SUBMIT ANOTHER SPECIMEN. 
-
-   RESPIRATORY CULTURE (Final ___: 
-      TEST CANCELLED, PATIENT CREDITED. 
-__________________________________________________________
-___ 2:25 pm Rapid Respiratory Viral Screen & Culture
-      Source: Nasopharyngeal swab. 
-
-                            **FINAL REPORT ___
-
-   Respiratory Viral Culture (Final ___: 
-      No respiratory viruses isolated. 
-      Culture screened for Adenovirus, Influenza A & B, 
-Parainfluenza type
-      1,2 & 3, and Respiratory Syncytial Virus.. 
-      Detection of viruses other than those listed above will 
-only be
-      performed on specific request. Please call Virology at 
-___
-      within 1 week if additional testing is needed. 
-
-   Respiratory Viral Antigen Screen (Final ___: 
-      Negative for Respiratory Viral Antigen. 
-      Specimen screened for: Adeno, Parainfluenza 1, 2, 3, 
-Influenza A, B,
-      and RSV by immunofluorescence. 
-      Refer to respiratory viral culture and/or Influenza PCR 
-(results
-      listed under ""OTHER"" tab) for further information.. 
-__________________________________________________________
-___ 11:05 am BLOOD CULTURE      SET#2. 
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-__________________________________________________________
-___ 11:02 am BLOOD CULTURE      SET#1. 
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-__________________________________________________________
-___ 9:07 am URINE
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      MIXED BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT 
-WITH SKIN
-      AND/OR GENITAL CONTAMINATION. 
-
-IMAGING:
-========
-___ CXR
-FINDINGS:  
-When compared to most recent prior chest radiograph, there is 
-slightly 
-increased interstitial opacity projecting over the right lower 
-lung field 
-which appears more conspicuous .  This may represent crowding of 
-pulmonary 
-vasculature due to decreased inspiratory effort however an early 
-infectious or inflammatory process cannot be excluded.  There is 
-otherwise no other areas of focal consolidation.  There is no 
-pleural effusion or pneumothorax.  The cardiomediastinal 
-silhouette is within normal limits.  There is no acute osseous 
-abnormality or free intraperitoneal air under the diaphragm. 
-  
-IMPRESSION: 
-1. Slightly increased interstitial opacities in the right lower 
-lung field may represent bronchovascular crowding secondary to 
-decreased inspiratory effort however an early infectious or 
-inflammatory process cannot be excluded, particularly in this 
-patient with productive cough. 
-
-DISCHARGE LABS:
-===============
-(from day prior, no labs obtained on day of discharge)
-___ 06:50AM BLOOD WBC-15.1* RBC-4.91 Hgb-12.8 Hct-40.0 
-MCV-82 MCH-26.1 MCHC-32.0 RDW-13.2 RDWSD-38.9 Plt ___
-___ 06:50AM BLOOD Plt ___
-___ 06:50AM BLOOD Glucose-84 UreaN-10 Creat-0.6 Na-142 
-K-4.7 Cl-105 HCO3-25 AnGap-12
-___ 06:50AM BLOOD Calcium-9.5 Phos-4.6* Mg-2.___RIEF HOSPITAL SUMMARY:
-========================
-Ms. ___ is a ___ history of asthma, PCOS, hypertension, G6PD 
-deficiency, and PTSD, who recently presented to ___ 
-with worsening shortness of breath treated with prednisone 
-burst, now re-presenting with worsening shortness of breath and 
-wheezing, admitted with asthma exacerbation and community 
-acquired pneumonia. 
-
-TRANSITIONAL ISSUES:
-====================
-[ ] Patient hypertensive and with headaches while hospitalized. 
-Started on verapamil 120mg qd with some improvement in blood 
-pressure and headaches. Will require close-follow up, especially 
-once she completes the steroid taper as it was felt her steroids 
-contributed to her hypertension. 
-[ ] Patient discharged on steroid taper as follows: 50mg qd x2d, 
-40mg x2d, 30mg x2d, 20mg x2d, and 10mg x2d. PCP should reassess 
-respiratory symptoms and determine if a longer taper is 
-necessary.
-[ ] Pending tests: ___ Blood cultures x2- no growth to date.
-[ ] Patient was tachycardic during admission to 100-120s. Was 
-thought to be secondary to frequent albuterol use prior to 
-admission and ultimately improved during the majority of her 
-stay. Low risk for DVT/PE per Wells criteria and other vital 
-signs remained stable. Please follow up at next PCP ___.
-[ ] Patient had a significant headache during admission, with a 
-known history of migraines. She required IV ketorolac, PO 
-fioricet, and IV Compazine during admission. She was discharged 
-with PO Compazine and ibuprofen. Further headache management 
-should be considered in the outpatient setting. 
-
-ACUTE ISSUES:
-===============
-#Asthma exacerbation
-#?CAP 
-Patient has a history of asthma and has approximately 5 
-exacerbations per year with no prior intubations. She recently 
-presented to ___ on ___ with worsening dyspnea, s/p 
-inhalers and prednisone 50mg x5d completed ___ but without 
-subjective improvement. She presented to ___ ED with severe 
-dyspnea with diffuse wheezing on exam. She received 
-methylprednisolone 125mg x1 in the ED and then was started on 
-prednisone 60mg qd. There was question of new RLL infiltrate on 
-CXR on admission concerning for pneumonia, which could possibly 
-have been the trigger for her asthma exacerbation. She was 
-afebrile and without leukocytosis on admission but did have a 
-productive cough. Sputum culture was contaminated by upper 
-respiratory flora. Influenza PCR was negative. Respiratory viral 
-panel and culture were negative. She completed a 5-day course of 
-Ceftriaxone and azithromycin for empiric CAP treatment prior 
-discharge. There was some concern for PE in this young female 
-with wheezing and tachycardia but had low risk per Wells 
-criteria (see below), with ultimate improvement in her 
-tachycardia for the majority of her hospitalization. She was 
-continued on home Advair and received duonebs q6h. She was 
-switched from her home albuterol to levalbuterol nebs q2h:prn 
-given tachycardia, but was switched back to albuterol on 
-discharge. Patient was discharged on steroid taper for 10 days 
-(50mg qd x2d, 40 x2d, 30 x2d, 20 x2d, 10 x2d) and will follow up 
-with her PCP prior to the end of the taper to assess symptom 
-resolution. She also received guaifenison for cough. 
-
-#HTN 
-Patient hypertensive to 180s on admission. She is only on 
-spironolactone at home. She was previously hospitalized in ___ 
-for wide-ranging SBP to 180-190s, requiring nifedipine and was 
-started on labetalol at that time. Neuro workup at that time 
-with negative CTA/CTV. Subsequently had BP med overdose 
-requiring dopamine in MICU during prior hospitalization. During 
-hospitalization, her hypertension was felt to be related to 
-steroids. She was continued on home spironolactone and received 
-hydralazine prn. She was also started on verapamil 120mg qd for 
-both hypertension and headache. BPs were improved with addition 
-of verapamil and were 130-150s/70-90s on day of discharge. At 
-her PCP follow up, please evaluate her blood pressures (given 
-the prednisone will be tapering) and determine if Verapamil 
-should be continued.
-
-#Tachycardia 
-Patient tachycardia to the 90-120s on admission. EKG showed 
-sinus tachycardia. Differential included ___ albuterol (patient 
-endorsed using albuterol frequently prior to admission) vs PE. 
-There was lower suspicion for PE manifested as tachycardia and 
-wheezing given recent high frequency of albuterol nebs and low 
-risk per Wells criteria. Patient had no recent travel or 
-immobilization, no history of DVT/PE, and no known 
-hypercoagulable state. Her tachycardia improved during the 
-majority of her hospitalization.
-
-#Headache 
-Patient presented with right sided headache since ED, no focal 
-neurological deficits. Patient has history of migraines. No 
-improvement with APAP, tramadol or ibuprofen so patient received 
-ketorolac and Fioricet as well as IV Compazine as needed. 
-
-CHRONIC ISSUES:
-===============
-#Hypokalemia - Continued on home K supplementation 
-
-#PCOS - Continued on home spironolactone 100mg PO BID
-
-#OSA - History of CPAP previously non-adherent. 
-
-#CODE: Full (presumed)
-#CONTACT:
-Name of health care proxy: ___ 
-Relationship: sister 
-Phone number: ___ 
-
- 
-___ on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Vitamin D ___ UNIT PO 1X/WEEK (WE) 
-2. Albuterol Inhaler 1 PUFF IH Q6H:PRN Shortness of breath 
-3. Spironolactone 100 mg PO BID 
-4. Albuterol 0.083% Neb Soln 1 NEB IH Q4H:PRN wheeze 
-5. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-6. Vitamin D ___ UNIT PO DAILY 
-7. Potassium Chloride 20 mEq PO TID 
-8. Prenatal Vitamins 1 TAB PO DAILY 
-
- 
-Discharge Medications:
-1.  Ibuprofen 600 mg PO Q6H:PRN Pain - Mild NOT relieved by 
-Acetaminophen 
-RX *ibuprofen 600 mg 1 tablet(s) by mouth four times a day Disp 
-#*12 Tablet Refills:*0 
-2.  PredniSONE 50 mg PO DAILY Duration: 2 Doses 
-Start: Tomorrow - ___, First Dose: First Routine 
-Administration Time 
-This is dose # 1 of 5 tapered doses
-RX *prednisone 10 mg 5 tablet(s) by mouth once a day Disp #*10 
-Tablet Refills:*0 
-3.  PredniSONE 40 mg PO DAILY Duration: 2 Doses 
-Start: After 50 mg DAILY tapered dose 
-This is dose # 2 of 5 tapered doses
-RX *prednisone 10 mg 4 tablet(s) by mouth once a day Disp #*8 
-Tablet Refills:*0 
-4.  PredniSONE 30 mg PO DAILY Duration: 2 Doses 
-Start: After 40 mg DAILY tapered dose 
-This is dose # 3 of 5 tapered doses
-RX *prednisone 10 mg 3 tablet(s) by mouth once a day Disp #*6 
-Tablet Refills:*0 
-5.  PredniSONE 20 mg PO DAILY Duration: 2 Doses 
-Start: After 30 mg DAILY tapered dose 
-This is dose # 4 of 5 tapered doses
-RX *prednisone 10 mg 2 tablet(s) by mouth once a day Disp #*4 
-Tablet Refills:*0 
-6.  PredniSONE 10 mg PO DAILY Duration: 2 Doses 
-Start: After 20 mg DAILY tapered dose 
-This is dose # 5 of 5 tapered doses
-RX *prednisone 10 mg 1 tablet(s) by mouth once a day Disp #*2 
-Tablet Refills:*0 
-7.  Prochlorperazine 10 mg PO Q6H:PRN nausea 
-RX *prochlorperazine maleate [Compazine] 10 mg 1 tablet(s) by 
-mouth four times a day Disp #*12 Tablet Refills:*0 
-8.  Verapamil SR 120 mg PO Q24H 
-RX *verapamil [Calan SR] 120 mg 1 tablet(s) by mouth once a day 
-Disp #*30 Tablet Refills:*0 
-9.  Albuterol 0.083% Neb Soln 1 NEB IH Q4H:PRN wheeze  
-10.  Albuterol Inhaler 1 PUFF IH Q6H:PRN Shortness of breath  
-11.  Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID  
-12.  Potassium Chloride 20 mEq PO TID  
-13.  Prenatal Vitamins 1 TAB PO DAILY  
-14.  Spironolactone 100 mg PO BID  
-15.  Vitamin D ___ UNIT PO DAILY  
-16.  Vitamin D ___ UNIT PO 1X/WEEK (WE)  
-
- 
-
-###RESPONSE: CALCIUM {Blood calcium measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, URINE {Urine culture}, URINE {Urine culture}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, COLOR {Color finding}, URINE {Urine culture}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PH {pH measurement}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, SPUTUM {Sputum finding}, Expectorated {Does expectorate}, GRAM STAIN {Gram stain method}, cells {Cell structure}, Gram stain {Gram stain method}, respiratory {Examination of respiratory system}, Bacterial culture {Bacterial culture}, invalid {Invalidism}, RESPIRATORY {Examination of respiratory system}, CULTURE {Microbial culture}, Respiratory {Examination of respiratory system}, Culture {Microbial culture}, Respiratory {Examination of respiratory system}, Viral Culture {Viral culture}, respiratory {Examination of respiratory system}, Culture {Microbial culture}, Influenza {Influenza}, Parainfluenza {Parainfluenza}, Respiratory {Examination of respiratory system}, Detection of viruses {Detection of virus}, Respiratory {Examination of respiratory system}, Respiratory {Examination of respiratory system}, Parainfluenza {Parainfluenza}, Influenza {Influenza}, immunofluorescence {Fluorescent immunoassay}, respiratory {Examination of respiratory system}, viral culture {Viral culture}, Influenza {Influenza}, tab {Therapeutic abortion procedure}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, URINE {Urine culture}, URINE CULTURE {Urine culture}, SKIN {Examination of skin}, CXR {Plain chest X-ray}, chest {Thoracic structure}, radiograph {Plain radiography}, opacity {Abnormally opaque structure}, lung field {Structure of lung field}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}, consolidation {Consolidation}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, osseous {Bony labyrinth structure}, diaphragm {Diaphragm structure}, opacities {Abnormally opaque structure}, lung field {Structure of lung field}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}, productive cough {Productive cough}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, asthma {Asthma}, PCOS {Polycystic ovary syndrome}, hypertension {Hypertensive disorder, systemic arterial}, G6PD 
-deficiency {Glucose-6-phosphate dehydrogenase deficiency anemia}, PTSD {Posttraumatic stress disorder}, shortness of breath {Dyspnea}, shortness of breath {Dyspnea}, wheezing {Wheezing}, asthma exacerbation {Exacerbation of asthma}, community 
-acquired pneumonia {Community acquired pneumonia}, hypertensive {Hypertensive disorder, systemic arterial}, headaches {Headache}, blood 
-pressure {Blood pressure finding}, headaches {Headache}, hypertension {Hypertensive disorder, systemic arterial}, PCP {Primary care management}, respiratory {Examination of respiratory system}, Blood cultures {Blood culture}, tachycardic {Tachycardia}, improved {Patient's condition improved}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, vital 
-signs {Vital signs finding}, stable {Patient's condition stable}, PCP {Primary care management}, headache {Headache}, migraines {Migraine}, IV {Intravenous therapy}, IV {Intravenous therapy}, headache {Headache}, Asthma exacerbation {Exacerbation of asthma}, asthma {Asthma}, intubations {Intubation}, dyspnea {Dyspnea}, inhalers {Oxygen therapy}, dyspnea {Dyspnea}, wheezing {Wheezing}, infiltrate {Infiltration}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, asthma exacerbation {Exacerbation of asthma}, afebrile {Temperature normal}, leukocytosis {Leukocytosis}, productive cough {Productive cough}, Sputum culture {Microbial culture of sputum}, respiratory {Examination of respiratory system}, Influenza {Influenza}, Respiratory {Examination of respiratory system}, culture {Microbial culture}, PE {Pulmonary embolism}, wheezing {Wheezing}, tachycardia {Tachycardia}, tachycardia {Tachycardia}, tachycardia {Tachycardia}, PCP {Primary care management}, cough {Cough}, HTN {Hypertensive disorder, systemic arterial}, hypertensive {Hypertensive disorder, systemic arterial}, Neuro {Neurological examination}, CTA {Computed tomography angiography with contrast}, CTV {Computed tomography venography with contrast}, overdose {Overdose}, hypertension {Hypertensive disorder, systemic arterial}, hypertension {Hypertensive disorder, systemic arterial}, headache {Headache}, improved {Patient's condition improved}, PCP {Primary care management}, blood pressures {Blood pressure finding}, Tachycardia {Tachycardia}, tachycardia {Tachycardia}, sinus tachycardia {Sinus tachycardia}, PE {Pulmonary embolism}, suspicion {Suspicion}, PE {Pulmonary embolism}, tachycardia {Tachycardia}, wheezing {Wheezing}, frequency {Increased frequency of urination}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, hypercoagulable state {Hypercoagulability state}, tachycardia {Tachycardia}, improved {Patient's condition improved}, Headache {Headache}, right sided headache {Unilateral headache on right side of head}, neurological deficits {Neurological deficit}, migraines {Migraine}, IV {Intravenous therapy}, Hypokalemia {Hypokalemia}, PCOS {Polycystic ovary syndrome}, OSA {Obstructive sleep apnea syndrome}, Inhaler {Oxygen therapy}, Shortness of breath {Dyspnea}, wheeze {Wheezing}, TAB {Therapeutic abortion procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Asthma exacerbation
-Community acquired pneumonia
-
-Secondary Diagnosis:
-Hypertension
-Tachycardia
-Headache
-Hypokalemia
-Polycystic ovarian syndrome
-Obstructive sleep apnea
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Asthma exacerbation {Exacerbation of asthma}, Community acquired pneumonia {Community acquired pneumonia}, Hypertension {Hypertensive disorder, systemic arterial}, Tachycardia {Tachycardia}, Headache {Headache}, Hypokalemia {Hypokalemia}, Polycystic ovarian syndrome {Polycystic ovary syndrome}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,  
-
-It was a pleasure to care for you at the ___ 
-___.  
-
-Why did you come to the hospital?  
-- You came to the hospital because you were having difficulty 
-breathing. 
-
-What did you receive in the hospital?  
-- You received steroids to treat an asthma exacerbation.
-- You received antibiotics to treat any infection in lungs. 
-- You received medications to treat your headache.
-- You were started on a new blood pressure medication because 
-your blood pressure was high.
-
-What should you do once you leave the hospital?  
-- You should take all of your medications as prescribed (see 
-below).
-- You should attend all of your scheduled outpatient 
-appointments.  
-
-We wish you the best!  
-Your ___ Care Team  
-
- 
-
-###RESPONSE: difficulty 
-breathing {Difficulty breathing}, asthma {Asthma}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, lungs {Lung structure}, headache {Headache}, blood pressure {Blood pressure finding}, blood pressure was high {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with prior history of cocaine abuse presents from jail with 
-chest pain. He awoke from sleep at 1AM with sharp sub sternal 
-chest pain, ___ in intensity, non-radiating, worse with deep 
-inspiration. Pain has been constant. Never had this type of pain 
-before. No recent chest wall injuries or strenuous activities. 
-Went to ___ and had a concerning EKG with ?STE and 
-hyperacute T's that didn't meet criteria. Got ASA, had negative 
-trop @ 0230, negative d-dimer. Pain unrelieved with nitro, 
-morphine, dilaudid so patient transferred to ___ for further 
-eval.  
- 
-In the ED intial vitals were: 97 58 100/69 16 100%  
-Labs were significant for WBC 12.1, Troponin <.01, Phos 1.4  
-Patient was given: Dilaudid IV and lorazepam  
-Vitals on transfer: 66 120/64 7 98%  
-
-On the floor patient reports improvement in chest pain, now 
-___. Denies fever, chills, cough, SOB, orthopnea.  
-
- 
-
-###RESPONSE: cocaine abuse {Cocaine abuse}, chest pain {Chest pain}, chest pain {Chest pain}, radiating {Radiating pain}, Pain {Pain}, constant {Constant pain}, pain {Pain}, chest wall injuries {Injury of chest wall}, EKG {Electrocardiographic procedure}, Pain {Pain}, vitals {Vital signs finding}, Vitals {Vital signs finding}, chest pain {Chest pain}, fever {Fever}, chills {Chill}, cough {Cough}, SOB {Dyspnea}, orthopnea {Orthopnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-None
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-MGF- CAD
-Father- cirrhosis
-Mother- lung cancer 
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, lung cancer {Malignant tumor of lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission:
-VS: T=97.6 BP=107/62 HR=68 RR=18 O2 sat=99% RA  
-General: Well developed male in NAD 
-HEENT: EOMI, PERRL, sclera anicteric 
-Neck: JVP not elevated, supple, no LAD 
-CV: RRR, normal S1 and S2, no mrg. Chest wall is mildly tender 
-to palpation over left and right margins of sternum and xyphoid 
-process 
-Lungs: CTAB, no wheezes or rales 
-Abdomen: Soft, nontender, non-distended, no palpable 
-organomegaly 
-GU: No foley  
-Ext: Warm, well perfused, no edema, 2+ DP pulses 
-
-Discharge:
-General: Well developed male in NAD 
-HEENT: EOMI, PERRL, sclera anicteric 
-Neck: JVP not elevated, supple, no LAD 
-CV: RRR, normal S1 and S2, no mrg. Chest wall is mildly tender 
-to palpation over left and right margins of sternum and xyphoid 
-process 
-Lungs: CTAB, no wheezes or rales 
-Abdomen: Soft, nontender, non-distended, no palpable 
-organomegaly 
-GU: No foley  
-Ext: Warm, well perfused, no edema, 2+ DP pulses 
-
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, sclera anicteric {White sclera}, Neck {Physical examination procedure}, JVP not elevated {Normal jugular venous pressure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, Chest {Examination of respiratory system}, tender {Abdominal tenderness}, palpation {Palpation}, sternum {Bone structure of sternum}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, nontender {Abdominal tenderness}, non-distended {Normal abdominal contour}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Catheterization of urinary bladder}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, 2+ DP pulses {All pulses present in bilateral lower limbs}, General {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, sclera anicteric {White sclera}, Neck {Physical examination procedure}, JVP not elevated {Normal jugular venous pressure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, Chest wall is mildly tender {Chest wall tenderness}, sternum {Bone structure of sternum}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Catheterization of urinary bladder}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, 2+ DP pulses {All pulses present in bilateral lower limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission:
-___ 04:35AM BLOOD WBC-12.1* RBC-4.66 Hgb-14.3 Hct-42.7 
-MCV-92 MCH-30.6 MCHC-33.5 RDW-11.8 Plt ___
-___ 04:35AM BLOOD Neuts-86.0* Lymphs-9.9* Monos-3.3 Eos-0.2 
-Baso-0.5
-___ 04:35AM BLOOD Glucose-91 UreaN-17 Creat-0.9 Na-138 
-K-4.1 Cl-104 HCO3-22 AnGap-16
-___ 04:35AM BLOOD CK(CPK)-98
-___ 04:35AM BLOOD cTropnT-<0.01
-___ 04:35AM BLOOD CK-MB-2
-___ 04:35AM BLOOD Calcium-9.3 Phos-1.4* Mg-1.6
-
-Imaging: 
-Surface Echo ___:
-IMPRESSION: Normal biventricular regional/global systolic 
-function.  
-
-CTA ___:
-1.  No evidence of acute aortic syndrome. 
-2.  Heart size is top normal with a dilated right atrium.  No 
-pericardial 
-effusion.   
-3.  No focal consolidation.  Bilateral centrilobular nodules may 
-represent respiratory bronchiolitis in the setting of smoking 
-history.  Mild paraseptal emphysema. 
-
-Discharge:
-___:05PM BLOOD CK-MB-2 cTropnT-<0.___ with prior history of cocaine abuse presents from jail with 
-chest pain. 
-
-#Chest Pain: Most likely costochondtritis versus other 
-musculoskeletal pain. Pain is atypical for angina given lack of 
-association with exertion, lack of improvement with nitro and 
-reproducibility on exam albeit patient is at risk of CAD with 
-history of cocaine use. CTA is unrevealing for aortic dissection 
-or PE and troponin is negative x3 along with a normal surface 
-ECHO which are reassuring. ECG shows submillimeter ST elevations 
-that are concave up and may be normal variant. Patient was 
-started on daily aspirin daily 81mg and pain was improved with 
-tylenol and ibuprofen. Patient should continue to take ibuprofen 
-as needed for pain anti-inflammatory effect.
-
-#Hypophosphatemia: Patient was repleted with neutraphos.
-
-#Psych: Continue home seroquel  
-
-Transitional Issues:
--Patient was ruled out for MI with negative trop x3. EKG showed 
-precordial J-point elevation which may be normal variant. 
--Patient was started on aspirin 81 mg daily
--Patient was advised to take ibuprofen for pain
--Patient will need to establish PCP once released from jail
--Full code
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, regional/global systolic 
-function {Normal left ventricular systolic function and wall motion}, aortic {Aortic structure}, syndrome {Disease}, Heart {Heart structure}, dilated right atrium {Right atrial dilatation}, pericardial 
-effusion {Pericardial effusion}, consolidation {Consolidation}, nodules {Nodule}, bronchiolitis {Bronchiolitis}, smoking {Smoker}, paraseptal emphysema {Paraseptal emphysema}, cTropnT {Troponin T cardiac measurement}, cocaine abuse {Cocaine abuse}, chest pain {Chest pain}, Chest Pain {Chest pain}, costochondtritis {Costal chondritis}, musculoskeletal pain {Musculoskeletal pain}, Pain {Pain}, angina {Angina}, CAD {Coronary arteriosclerosis}, CTA {Computed tomography angiography with contrast}, aortic dissection {Dissection of aorta}, normal surface 
-ECHO {Electrocardiogram normal}, ECG {Electrocardiographic procedure}, ST elevations {ST segment elevation}, aspirin {Administration of aspirin}, pain {Pain}, improved {Patient's condition improved}, pain {Pain}, Hypophosphatemia {Hypophosphatemia}, Psych {Psychiatric procedure, interview AND/OR consultation}, MI {Myocardial infarction}, EKG {Electrocardiographic procedure}, aspirin {Administration of aspirin}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. QUEtiapine Fumarate Dose is Unknown  PO DAILY 
-
- 
-Discharge Medications:
-1. QUEtiapine Fumarate 0 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-RX *aspirin 81 mg 1 tablet,delayed release (___) by mouth 
-once a day Disp #*30 Tablet Refills:*0
-3. Ibuprofen 600 mg PO Q8H:PRN pain 
-RX *ibuprofen 600 mg 1 tablet(s) by mouth every eight (8) hours 
-Disp #*30 Tablet Refills:*0
-4. Acetaminophen 650 mg PO Q6H:PRN pain 
-RX *acetaminophen 650 mg 1 tablet extended release(s) by mouth 
-every six (6) hours Disp #*30 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Discharge Diagnosis:
-Chest pain
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Chest pain {Chest pain}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were admitted to ___ for chest pain. Based on your 
-physical examination, EKG, ultrasound of your heart and blood 
-tests we do not feel that your chest pain is related to a heart 
-attack. Your pain may be from inflammation of you muscles or 
-cartilage. Please take ibuprofen as needed for pain which will 
-help with the inflammation. Please establish a primary care 
-physician when you are released from jail. 
- 
-
-###RESPONSE: chest pain {Chest pain}, physical examination {Physical examination procedure}, EKG {Electrocardiographic procedure}, ultrasound of your heart {Echocardiography}, blood 
-tests {Blood test}, chest pain {Chest pain}, heart 
-attack {Myocardial infarction}, pain {Pain}, inflammation {Inflammatory disorder}, muscles {Skeletal and/or smooth muscle structure}, pain {Pain}, inflammation {Inflammatory disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Chest pain
- 
-Major Surgical or Invasive Procedure:
-Cardiac catheterization (___)
- 
-
-###RESPONSE: Chest pain {Chest pain}, Cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo male history of CAD IMI in ___ and 3VD with stent to LAD 
-in ___, HTN, presenting with chest pain. Patient noitces for 
-the last 2 weeks or so he has been having chest discomfort with 
-minimal activity. Specifically having chest heaviness taking in 
-his garbage cans, pushing a golf cart, or talking short walks. 
-For the last 2 days, patient noticed with minimal exertion and 
-short walks, would have chest heaviness/discomfort that would 
-resolve after several minutes of rest. The day of presentation, 
-the patient went for a walk at 3 ___ had had right sided chest 
-pressure, which resolved with rest. He was home and doing 
-chores, and decided to go for a walk again and said after about 
-___ a mile the chest discomfort returned prompting him to go 
-to the hospital for further evaluation.
-
-He was seen at an outside hospital where a CTA of the chest was 
-performed it showed no evidence of pulmonary embolism. He was 
-sent here for further eval. He received an aspirin. Trop 0.02 at 
-OSH.  
-Initial VS in the ED: T 97.5 HR 68 BP 157/103 RR 16 satting 97% 
-on RA. Labs were all normal including tropinins, CMP, CBC. EKG 
-showed sinus rhythm Q waves inferiorly consistent with prior. 
-VSS at time of transfer.  
- 
-CP feels different than his MI in the past, which was burning 
-pain.  This has felt more like pressure.
-
-Apparently gets nuclear studies as part of a research protocol 
-at ___ serially.
-
-On the floor, pt. in NAD.  
-
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denied cough, shortness of breath. Denied nausea, 
-vomiting, diarrhea, constipation or abdominal pain. No recent 
-change in bowel or bladder habits. No dysuria. Denied 
-arthralgias or myalgias.  
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, IMI {Old inferior myocardial infarction}, 3VD {Triple vessel disease of the heart}, stent to LAD {Placement of stent in anterior descending branch of left coronary artery}, HTN {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, chest discomfort {Chest discomfort}, chest {Thoracic structure}, heaviness {Heavy feeling}, walks {Does walk}, exertion {Chest pain on exertion}, short walks, would have chest heaviness/discomfort {Chest pain on exertion}, resolve {Problem resolved}, walk {Does walk}, right sided {Right thorax structure}, chest {Thoracic structure}, resolved {Problem resolved}, walk {Does walk}, chest discomfort {Chest discomfort}, evaluation {Evaluation procedure}, CTA of the chest {Computed tomography angiography of chest with contrast}, no evidence {No abnormality detected}, pulmonary embolism {Pulmonary embolism}, aspirin {Administration of aspirin}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, satting {Finding of oxygen saturation}, RA {Breathing room air}, Labs {Laboratory test}, normal {No abnormality detected}, tropinins {Troponin measurement}, CBC {Complete blood count}, EKG {Electrocardiographic procedure}, sinus rhythm {Sinus rhythm}, VSS {Vital signs finding}, CP {Chest pain}, MI {Myocardial infarction}, burning 
-pain {Burning pain}, pressure {Pressure}, nuclear studies {Nuclear medicine diagnostic procedure on cardiovascular system}, Review of systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of breath {Dyspnea}, nausea, 
-vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- CAD s/p IMI ___ when playing basketball, cath about one year  
-
-later showed 3VD, stent in ___ to LAD by Dr. ___.
-- Hypertension  
-- H/o hernia repair  
-- H/o pilonidal cysts  
-- Achilles tendon tear Left leg
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, IMI {Old inferior myocardial infarction}, cath {Cardiac catheterization}, 3VD {Triple vessel disease of the heart}, stent {Insertion of arterial stent}, LAD {Structure of anterior descending branch of left coronary artery}, Hypertension {Hypertensive disorder, systemic arterial}, hernia repair {Hernia repair}, pilonidal cysts {Pilonidal cyst}, Achilles tendon tear Left leg {Rupture of left Achilles tendon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died from MI, mother with valvular disorder in ___.  
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}, valvular disorder {Heart valve disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM
-Gen: well appearing, NAD, lying flat  
-Heent: OP clear, moist, anicteric  
-Neck: supple, JVP flat  
-Lungs: CTAB  
-___: nl S1 S2 PMI non displaced, RRR, no m/r/g  
-Abd: soft, NT/ND, BS+  
-Ext: warm, 1+ edema to ankles b/l  
-Neuro: A&O, appropriate, full strength, normal senstation  
-throughout  
-
-DISCHARGE PHYSICAL EXAM:
-Vitals: T 97.5 BP 131/74 HR 69 RR 18 SaO2 98% on RA
-Gen: well appearing, NAD, lying flat  
-Heent: OP clear, moist, anicteric  
-Neck: supple, JVP flat  
-Lungs: CTAB  
-___: nl S1 S2 PMI non displaced, RRR, no m/r/g  
-Abd: soft, NT/ND, BS+  
-Ext: warm, 1+ edema to ankles b/l  
-Neuro: A&O, appropriate, full strength, normal senstation  
-throughout  
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Gen {General examination of patient}, well appearing {Well cared for appearance}, NAD {No abnormality detected}, lying {Lying in bed}, Heent {Physical examination procedure}, OP clear {Pharynx normal}, moist {Moist oral mucosa}, anicteric {White sclera}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, S2 {Normal second heart sound, S>2<}, displaced {Apex beat displaced}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS+ {Normal bowel sounds}, Ext {Examination of limb}, warm {Warm skin}, edema {Edema}, Neuro {Neurological examination}, normal senstation {Normal sensation}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, Gen {General examination of patient}, well appearing {Well cared for appearance}, lying {Lying in bed}, Heent {Physical examination procedure}, OP clear {Pharynx normal}, moist {Moist oral mucosa}, anicteric {White sclera}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP flat {Normal jugular venous pressure}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, nl S1 S2 {Heart sounds normal}, displaced {Apex beat displaced}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS+ {Normal bowel sounds}, Ext: {Examination of limb}, edema {Edema}, Neuro {Neurological examination}, normal senstation {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:58AM BLOOD cTropnT-<0.01
-___ 02:00AM BLOOD cTropnT-<0.01
-___ 02:00AM BLOOD Glucose-104* UreaN-20 Creat-1.0 Na-141 
-K-4.1 Cl-106 HCO3-25 AnGap-14
-___ 06:58AM BLOOD Glucose-94 UreaN-17 Creat-0.9 Na-143 
-K-4.1 Cl-106 HCO3-28 AnGap-13
-___ 02:00AM BLOOD WBC-5.1 RBC-4.68 Hgb-14.7 Hct-41.3 MCV-88 
-MCH-31.4 MCHC-35.6* RDW-12.6 Plt ___
-___ 06:58AM BLOOD WBC-4.4 RBC-4.63 Hgb-14.4 Hct-41.2 MCV-89 
-MCH-31.1 MCHC-34.8 RDW-12.5 Plt ___
-
-CARDIAC CATH (___)
-- Final results pending at the time of discharge but verbal 
-signout and images reviewed, revealing existing known CAD plus a 
-lesion in the mLAD s/p DES.
- 
-
-###RESPONSE: cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, CARDIAC CATH {Cardiac catheterization}, CAD {Coronary arteriosclerosis}, lesion {Lesion}, mLAD {Structure of mid portion of anterior descending branch of left coronary artery}, DES {Endovascular insertion of drug eluting stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ yo male with CAD presenting with symptoms concerning for 
-unstable angina.
- 
-#) UNSTABLE ANGINA: Known CAD with stent in past. Has stressed 
-himself with pain with minimal exertion.  No evidence of cardiac 
-enzyme leak.  TIMI risk = 4.  Started on heparin gtt.  Given 
-atorvastatin 80mg, metoprolol.  Cath revealed similar findings 
-as prior cath with known occluded RCA, but now mLAD lesion felt 
-to be culprit s/p DES.
-
-#) HYPERTENSION: Not optimally controlled. Consider increasing 
-losartan as outpatient.
-# Code: Full code
-# Communication: Patient/ Wife ___ ___   
- 
-___ on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 325 mg PO DAILY 
-2. Clopidogrel 75 mg PO DAILY 
-3. Atorvastatin 80 mg PO DAILY 
-4. Metoprolol Succinate XL 25 mg PO DAILY 
-hold for SBP<100/ HR<60 
-5. Fish Oil (Omega 3) 2400 mg PO QHS 
-6. Vitamin D ___ UNIT PO DAILY 
-7. FoLIC Acid 1 mg PO DAILY 
-8. Losartan Potassium 50 mg PO DAILY 
-hold for SBP<100 or K+>5.5 
-
- 
-Discharge Medications:
-1. Aspirin 325 mg PO DAILY 
-2. Atorvastatin 80 mg PO DAILY 
-3. Clopidogrel 75 mg PO DAILY 
-4. Fish Oil (Omega 3) 2400 mg PO QHS 
-5. FoLIC Acid 1 mg PO DAILY 
-6. Losartan Potassium 50 mg PO DAILY 
-7. Metoprolol Succinate XL 25 mg PO DAILY 
-8. Vitamin D ___ UNIT PO DAILY 
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, unstable angina {Preinfarction syndrome}, UNSTABLE ANGINA {Preinfarction syndrome}, CAD {Coronary arteriosclerosis}, stent {Placement of stent in coronary artery}, pain with minimal exertion {Chest pain on exertion}, No evidence {No abnormality detected}, cardiac 
-enzyme leak {Cardiac enzyme or marker above reference range}, heparin {Heparin therapy}, Cath {Cardiac catheterization}, cath {Cardiac catheterization}, occluded RCA {Right coronary artery occlusion}, mLAD {Structure of mid portion of anterior descending branch of left coronary artery}, lesion {Lesion}, DES {Endovascular insertion of drug eluting stent}, HYPERTENSION {Hypertensive disorder, systemic arterial}, increasing {Prescription dose change}, Aspirin {Administration of aspirin}, SBP {Blood pressure monitoring}, HR {Cardiotachometry}, SBP {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Unstable angina
-Coronary artery disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Unstable angina {Preinfarction syndrome}, Coronary artery disease {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-   It was a pleasure taking care of you at ___.  You were 
-admitted for chest pain and were found to have a blockage in one 
-of your heart arteries.  A stent was placed in this artery, 
-relieving the blockage.  Please refrain from vigorous physical 
-activity for one week.  You must take your medications EVERY 
-DAY.
- 
-
-###RESPONSE: chest pain {Chest pain}, blockage in one 
-of your heart arteries {Coronary occlusion}, stent was placed in this artery {Placement of stent in coronary artery}, blockage {Coronary occlusion}, refrain from vigorous physical 
-activity {Recommendation regarding functional activity}, must take your medications {Recommendation to continue with drug treatment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___            Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Acute onset Nausea and vomiting 
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Nausea and vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with panhypopituitarism presenting with acute onset nausea 
-vomiting and fever. 
-
-Patient had cough and congestion for approximately one week, 
-mild chills, but no recorded fevers.  Yesterday prior to 
-admission, he had sudden onset nausea, vomiting. He called his 
-PCP, who told him to increase his dose of PO prednisone, but he 
-was unable to tolerate PO.  He vomited a total of ___ times. At 
-9PM, he vomited, then ""blacked out"" for ___ minutes, not 
-responding to wife calling his name, woke up spontaneously and 
-felt ok.  No abnormal limb movements, tongue biting, or 
-incontinence.  Wife called ___ and he was brought to the 
-emergency department.  No preceeding chest pain or palpitations. 
- This is his first syncopal episode.
-
-Of note, per recent discharge summary, patient has a history of 
-not consistently taking his medications, including his PO 
-prednisone, resulting in nausea/vomiting, and admission for IV 
-steroids.  It was emphasized at that time that he must take all 
-his medications as prescribed.
-In the ED, initial VS were: 101.3 82 159/64 18 96% 2L Nasal 
-Cannula  
-.  
-Labs were notable for a TSH of 0.25 and a Lactate of 2.2. He was 
-given 100 mg IV hydrocortisone, 1g of tylenol, zofran for his 
-vomiting, 1 L NS.  
-.  
-On arrival to the floor he is in no pain and resting 
-comfortably.  
-He is most concerned about dizziness he has been experienced, 
-which has been persistent since ___.  He 
-experiences lightheadedness, inability to walk, feels 
-disoriented ""loses himself in space"", and his legs feel weak.  
-Dizziness occurs ___ times daily, and experiences this sensation 
-for ___ minutes at a time.  He usually just rests and feels 
-better.  Never had a loss of consciousness or fall.  No abnormal 
-limb movements, no history of seizure, stroke, or MI.  Only 
-experiences dizziness when moving, never while lying still in 
-bed.
-
-Also complains of chest pressure lasting ___ minutes at night, 
-never occurs with activity, now happening ___ weekly.  Had this 
-complaint during last hospitalization, was recommended to get 
-outpatient nuclear stress.  No changes recently.
-.  
-REVIEW OF SYSTEMS:  
-(+)Per HPI
-Pertinent negatives:  abdominal pain, dysuria / polyuria, vision 
-changes, unilateral weakness, confusion or altered mental 
-status, abnormal limb movements
- 
-
-###RESPONSE: panhypopituitarism {Panhypopituitarism}, nausea 
-vomiting {Nausea and vomiting}, fever {Fever}, cough {Cough}, congestion {Nasal congestion}, mild {Symptom mild}, chills {Chill}, fevers {Fever}, nausea, vomiting {Nausea and vomiting}, vomited {Vomiting}, vomited {Vomiting}, blacked out {Syncope}, not 
-responding to wife calling {No response to sound}, No abnormal limb movements {Able to move all four limbs}, tongue biting {Tongue biting}, incontinence {Incontinence}, chest pain {Chest pain}, palpitations {Palpitations}, syncopal {Syncope}, not consistently taking his medications {Drugs - partial non-compliance}, nausea/vomiting {Nausea and vomiting}, IV {Intravenous therapy}, steroids {Steroid therapy}, VS {Vital signs finding}, Nasal 
-Cannula {Oxygen administration by nasal cannula}, IV {Intravenous therapy}, vomiting {Vomiting}, dizziness {Dizziness}, lightheadedness {Lightheadedness}, inability to walk {Unable to walk}, disoriented ""loses himself in space"" {Spatial disorientation}, legs {Lower limb structure}, Dizziness {Dizziness}, loss of consciousness {Loss of consciousness}, fall {Falls}, No abnormal 
-limb movements {Able to move all four limbs}, seizure {Seizure}, stroke {Cerebrovascular accident}, MI {Myocardial infarction}, dizziness {Dizziness}, chest pressure {Tight chest}, abdominal pain {Abdominal pain}, dysuria {Dysuria}, polyuria {Polyuria}, vision 
-changes {Visual disturbance}, weakness {Asthenia}, confusion {Clouded consciousness}, altered mental 
-status {Altered mental status}, limb {Limb structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- DM2  
-- acromegaly s/p transsphenoidal resection and proton beam  
-irradiation in ___  
-- panhypopituitarism
-- Multiple hospitalizations for nausea, vomiting, dizziness, 
-most recently dc'ed ___ for n/v and was not taking PO 
-prednisone consistently; had n/v and headache with negative 
-neurologic workup ___
-- Thyroid nodules  
-- cholecystectomy  
- 
-
-###RESPONSE: DM2 {Diabetes mellitus type 2}, acromegaly {Acromegaly}, proton beam  
-irradiation {External beam radiation therapy protons}, panhypopituitarism {Panhypopituitarism}, nausea, vomiting {Nausea and vomiting}, dizziness {Dizziness}, n/v {Nausea and vomiting}, n/v {Nausea and vomiting}, headache {Headache}, neurologic {Neurological examination}, Thyroid nodules {Thyroid nodule}, cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Negative for headache, migraine, stroke.
- 
-
-###RESPONSE: headache {Headache}, migraine {Migraine}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VS - 98.2 117/52 64 18 98% 3L
-GENERAL - well-appearing man in NAD, comfortable, appropriate, 
-large set jaw  
-HEENT - NC/AT dry MM  
-NECK - supple  
-LUNGS - Bibasilar crackles, R > L
-HEART - RRR, no MRG, nl S1-S2  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, 
-DPs), +large hands and feet c/w acromegaly
-SKIN - no rashes or lesions  
-NEURO - A&O, answers questions appropriately, no nystagmus, gait 
-steady
-
-DISCHARGE PHYSICAL EXAM
-VS - Tm 98.7 Tc 98.4 BP 102/46 64 18 89% on RA -> 100% on RA 
-with deep breathing and coughing; ambulatory sats maintained at 
-99%, transiently dropped only as low as 95%
-GENERAL - well-appearing ___ man in NAD, comfortable, 
-appropriate, large set jaw  
-HEENT - NC/AT dry MM  
-NECK - supple  
-LUNGS - Bibasilar crackles, R > L
-HEART - RRR, no MRG, nl S1-S2  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, 
-DPs), +large hands and feet c/w acromegaly
-SKIN - no rashes or lesions  
-NEURO - A&O, answers questions appropriately, no nystagmus, gait 
-steady
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, GENERAL {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, jaw {Jaw region structure}, HEENT {Physical examination procedure}, NC/AT {Normal head}, dry MM {Mucous membrane dryness}, NECK {Physical examination procedure}, LUNGS {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, 2+ peripheral pulses {Peripheral pulses normal}, radials {Structure of radial artery}, DPs {Structure of dorsalis pedis artery}, large hands {Large hand}, feet {Large, broad feet}, acromegaly {Acromegaly}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, NEURO {Neurological examination}, nystagmus {Nystagmus}, gait 
-steady {Gait normal}, PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, RA {Breathing room air}, deep breathing {Deep breathing}, coughing {Cough}, GENERAL {General examination of patient}, well-appearing {Well cared for appearance}, NAD {No abnormality detected}, jaw {Jaw region structure}, HEENT {Physical examination procedure}, NC/AT {Normal head}, dry MM {Mucous membrane dryness}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LUNGS {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Abdominal mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, 2+ peripheral pulses {Peripheral pulses normal}, radials {Structure of radial artery}, DPs {Structure of dorsalis pedis artery}, large hands {Large hand}, feet {Large, broad feet}, acromegaly {Acromegaly}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, NEURO {Neurological examination}, nystagmus {Nystagmus}, gait 
-steady {Gait normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 01:10AM BLOOD WBC-6.4 RBC-3.79* Hgb-11.8* Hct-34.4* 
-MCV-91 MCH-31.2 MCHC-34.3 RDW-14.4 Plt ___
-___ 01:10AM BLOOD Neuts-84.4* Lymphs-9.0* Monos-5.5 Eos-1.0 
-Baso-0.1
-___ 09:00AM BLOOD ___ PTT-27.1 ___
-___ 03:35PM BLOOD UreaN-32* Creat-1.1 Na-141 K-5.3* Cl-102 
-HCO3-28 AnGap-16
-
-OTHER RELEVANT LABS
-___ 03:35PM BLOOD Albumin-4.1 Calcium-9.5 Cholest-127
-___ 03:35PM BLOOD Triglyc-153* HDL-47 CHOL/HD-2.7 
-LDLcalc-49
-___ 03:35PM BLOOD %HbA1c-8.1* eAG-186*
-___ 03:35PM BLOOD TSH-0.25*
-___ 03:35PM BLOOD Free T4-1.1
-
-DISCHARGE LABS
-___ 12:45PM BLOOD WBC-6.3 RBC-3.37* Hgb-10.4* Hct-31.2* 
-MCV-93 MCH-31.0 MCHC-33.5 RDW-14.4 Plt ___
-___ 06:40AM BLOOD Glucose-182* UreaN-30* Creat-0.8 Na-140 
-K-3.9 Cl-107 HCO3-25 AnGap-12
-___ 06:40AM BLOOD Calcium-7.8* Phos-3.3 Mg-1.8
-
-IMAGING
-CHEST X-RAY:  Peribronchial opacification at both lung bases is 
-most likely atelectasis, but on the right, there is also a small 
-right pleural effusion, raising concern for pneumonia.  Heart 
-size is top normal, exaggerated by exceedingly low lung volumes. 
- There is no pulmonary edema.
-
-MICROBIOLOGY
-NEGATIVE:  Influenza A/B by ___ DIRECT INFLUENZA A ANTIGEN 
-TEST-FINAL; DIRECT INFLUENZA B ANTIGEN TEST-FINAL; Respiratory 
-Viral Culture-FINAL INPATIENT 
-___ URINE Legionella Urinary Antigen -FINAL 
-INPATIENT 
-___ URINE URINE CULTURE-FINAL INPATIENT 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Cholest {Cholesterol measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, TSH {Thyroid stimulating hormone measurement}, Free T4 {T4 free measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, IMAGING {Imaging}, CHEST X-RAY {Plain chest X-ray}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, right {Right lung structure}, right pleural {Right pleura structure}, effusion {Pleural effusion}, pneumonia {Pneumonia}, Heart {Heart structure}, lung volumes {Finding of respiratory volume}, edema {Edema}, MICROBIOLOGY {Microbiology}, INFLUENZA B ANTIGEN TEST {Influenza B virus antigen assay}, Viral Culture {Viral culture}, URINE {Urine culture}, Urinary {Urinary system structure}, URINE {Urine culture}, URINE CULTURE {Urine culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ YOM with panhypopituitaryism presented to ___ with fever, 
-sudden onset nausea/vomiting, syncope, and hypoxemia, found to 
-have possible pneumonia on CXR.  He most likely had a viral 
-illness and required stress-dose steroids, but was unable to 
-tolerate PO due to inractable nausea/vomiting.  He likely 
-experienced syncope from dehydration related to viral illness, 
-nausea, vomiting.
-
-# Panhypopituitarism, central adrenal insufficiency:  Patient 
-presented with nausea, vomiting, diarrhea; has been admitted 
-with similar presentations.  Nausea and vomiting improved with 1 
-dose IV steroids, and was able to tolerate oral steroids.  Home 
-prednisone was increased to 15mg daily.  Patient was instructed 
-to continue stress dose prednisone 15mg daily for duration of 
-pneumonia treatment, patient has appointment with outpatient 
-endocrinologist on ___, who was endocrinologist was updated 
-on hospitalization.
-
-# Fever, Hypoxemia, Healthcare associated pneumonia vs 
-aspiration:  Patient reported respiratory illness ongoing for 
-approximately 1 week.  Chest x-ray showed possible pneumonia.  
-His CURB-65 score was 2, moderate severity.  Alternatively, he 
-may have had aspiration event during vomiting / syncopal 
-episode.  He recently traveled to ___, but given Wells Score 
-of 0, suspicion for PE was low.  Started levofloxacin 750 mg 
-daily for HCAP (___).  He was successfully weaned off of 
-supplemental O2, and ambulatory sats remained in the high ___.  
-Influenza A/B and urine legionella were negative.  Other 
-infectious workup with pertinent negatives:  Urinalysis and 
-urine culture negative.  Blood cultures NGTD at the time this 
-note is written.
-
-# Syncope:  Likely vasovagal in setting of vomiting and 
-dehydration versus orthostatic hypotension in the setting of 
-inability to take PO steroids.  Family denies abnormal movements 
-to suggest seizure, awoke spontaneously with no residual 
-deficits.  EKG showed RBB but no significant change from prior.  
-Was monitored on telemetry overnight with no events recorded.
-
-# Dizziness: Adrenal insufficiency vs vertigo (associated with 
-movement and relieved with meclizine); orthostatics were normal, 
-negative workup on prior admissions.  
-
-# Anemia:  HCT has been mid 30's in past, most recently 31 
-___, with normal iron studies. Rectal exam done and was 
-found to be guaiac negative.  HCT was stable
-
-# Hypertension: Quinapril was held given low/normal blood 
-pressures during hospitalization, and possible contribution to 
-syncope.  PCP was informed and may restart if needed.
-
-# Chest pain:  Patient presented with atypical chest pain during 
-last admission, ruled out for MI seen by cardiology, recommended 
-outpatient stress test; History not consistent with cardiac 
-etiology, may be GI (esophageal irritation, acid reflux)
-Continued home aspirin 325mg, atorva 80mg, quinapril 10mg daily. 
- Recommended outpatient stress test 
-
-# DM: Held oral diabetes meds and placed on insulin SS 
-
-# CONTACT: patient, son ___ ___ ___ 
-(daughter in law)  
-
-other transitional issues (per PACT):
-- Inconsistent with metformin and glimeperide; consider reducing 
- regimen to single agent for compliance (perhaps XR version of 
-metformin which would be $4/month and provide better daily 
-coverage). Taking an ACEI (MA-) and an ASA.
-- Overdue for eye clinic f/up. 
- 
-
-###RESPONSE: panhypopituitaryism {Panhypopituitarism}, fever {Fever}, nausea/vomiting {Nausea and vomiting}, syncope {Syncope}, hypoxemia {Hypoxemia}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, viral 
-illness {Viral disease}, steroids {Steroid therapy}, nausea/vomiting {Nausea and vomiting}, syncope {Syncope}, dehydration {Dehydration}, viral illness {Viral disease}, nausea, vomiting {Nausea and vomiting}, Panhypopituitarism {Panhypopituitarism}, adrenal insufficiency {Adrenal cortical hypofunction}, nausea, vomiting {Nausea and vomiting}, Nausea and vomiting {Nausea and vomiting}, improved {Patient's condition improved}, IV {Intravenous therapy}, steroids {Steroid therapy}, oral {Administration of drug or medicament via oral route}, steroids {Steroid therapy}, pneumonia {Pneumonia}, Fever {Fever}, Hypoxemia {Hypoxemia}, Healthcare associated pneumonia {Nosocomial pneumonia}, aspiration {Aspiration pneumonia}, ted respiratory illness {Disorder of respiratory system}, Chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}, aspiration {Aspiration into respiratory tract}, vomiting {Vomiting}, syncopal {Syncope}, PE {Pulmonary embolism}, HCAP {Nosocomial pneumonia}, infectious {Infectious disease}, workup {Evaluation procedure}, Urinalysis {Urinalysis}, urine culture {Urine culture}, Blood cultures {Blood culture}, Syncope {Syncope}, vasovagal {Vasovagal syncope}, vomiting {Vomiting}, dehydration {Dehydration}, orthostatic hypotension {Orthostatic hypotension}, abnormal movements {Abnormal movement}, seizure {Seizure}, EKG {Electrocardiographic procedure}, RBB {Right bundle branch block}, telemetry {Electroencephalogram telemetry}, Dizziness {Dizziness}, Adrenal insufficiency {Adrenal cortical hypofunction}, vertigo {Vertigo}, orthostatics {Orthostatic body position}, Anemia {Anemia}, Rectal exam {Rectal examination}, guaiac {Guaiac test for occult blood in feces specimen}, HCT was stable {Stable hematocrit}, Hypertension {Hypertensive disorder, systemic arterial}, normal blood 
-pressures {Normal blood pressure}, syncope {Syncope}, Chest pain {Chest pain}, atypical chest pain {Atypical chest pain}, MI {Myocardial infarction}, stress test {Electrocardiogram with exercise test}, cardiac {Heart structure}, GI {Structure of digestive system}, acid reflux {Acid reflux}, stress test {Electrocardiogram with exercise test}, DM {Diabetes mellitus}, diabetes {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Atorvastatin 80 mg PO DAILY 
-2. glimepiride *NF* 1 mg Oral daily 
-3. Levothyroxine Sodium 75 mcg PO DAILY 
-4. MetFORMIN (Glucophage) 1000 mg PO BID 
-5. PredniSONE 5 mg PO DAILY 
-6. Quinapril 10 mg PO DAILY 
-7. Aspirin 81 mg PO DAILY 
-8. Vitamin D 3000 UNIT PO DAILY 
-9. Docusate Sodium 100 mg PO DAILY 
-10. Senna 1 TAB PO BID:PRN constipation 
-
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. Atorvastatin 80 mg PO DAILY 
-3. Docusate Sodium 100 mg PO DAILY 
-4. Levothyroxine Sodium 75 mcg PO DAILY 
-5. PredniSONE 15 mg PO DAILY 
-RX *prednisone 5 mg 3 tablet(s) by mouth DAILY Disp #*15 Tablet 
-Refills:*0
-6. Senna 1 TAB PO BID:PRN constipation 
-7. Vitamin D 3000 UNIT PO DAILY 
-8. Calcium Carbonate 1500 mg PO DAILY 
-Do not take within 1 hour of taking levothyroxine 
-9. Levofloxacin 750 mg PO DAILY Duration: 7 Days 
-RX *levofloxacin 750 mg 1 tablet(s) by mouth DAILY Disp #*5 
-Tablet Refills:*0
-10. MetFORMIN (Glucophage) 1000 mg PO BID 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Community acquired pneumonia, panhypopituitarism
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Community acquired pneumonia {Community acquired pneumonia}, panhypopituitarism {Panhypopituitarism}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-You were ___ to ___ for nausea, vomiting, and fever.  The 
-nausea, vomiting, and dizziness that you experience periodically 
-is most likely a result of low levels of steroids in your blood 
-because your pituitary gland, which controls release of 
-hormones, has been partially resected.  It is very important 
-that you take prednisone as prescribed every day to prevent 
-these symptoms.
-
-You had fevers and your chest x-ray showed evidence of 
-pneumonia, so we started you on an antibiotic called 
-levofloxacin.
- 
-
-###RESPONSE: nausea, vomiting {Nausea and vomiting}, fever {Fever}, nausea, vomiting {Nausea and vomiting}, dizziness {Dizziness}, low levels of steroids {Abnormal steroid hormone}, pituitary gland {Pituitary structure}, fevers {Fever}, chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: PSYCHIATRY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-""What about my headaches?""
-
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, headaches {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-HISTORY OF PRESENT ILLNESS: Please see Dr. ___ Dr.
-___ consult note from ___ for further details of 
-the
-HPI, PPHx, PMHx, Substance Use Hx, SHx.
- 
-Briefly, this is a ___ year old woman with history of chronic
-headaches and dyspepsia who originally came to the hospital on
-___ for sudden catatonic like symptoms in the setting of
-topiramate overuse for treatment of chronic headaches. She was
-transferred to neurology for workup of her catatonic features,
-her EEG showed diffuse slowing, and her symptoms improved
-significantly after a trial of lorazepam 2mg IM x 1. 
-
-She was revisited by psychiatry consult services who felt that
-she seemed to have new-onset psychotic processes, expressing
-paranoia and emotional lability.
-
-Upon arrival to the unit she stated she did not understand why
-she was on the psychiatric ward. She was concerned about her
-previous headaches and felt they were not adequately addressed
-but expressed she had not had a headache for the past 2 days. 
-She
-did not express any complaints, though stated she felt better
-when she sang, and sang church hymns through the remainder of 
-the
-interview.
-
-After speaking with her husband who came to visit, he states 
-that
-she is still, at times, not at her baseline. He stated she is
-sometimes confused and has difficulty concentrating. He does
-acknowledge that she is significantly improved from when she was
-first admitted.
-
- 
-
-###RESPONSE: chronic
-headaches {Chronic headache disorder}, dyspepsia {Indigestion}, catatonic {Catatonia}, chronic headaches {Chronic headache disorder}, neurology {Neurological examination}, workup {Evaluation procedure}, catatonic {Catatonia}, EEG {Electroencephalogram}, improved {Patient's condition improved}, paranoia {Paranoid disorder}, emotional lability {Mood swings}, psychiatric {Psychiatry procedure or service}, headaches {Headache}, headache {Headache}, baseline {Baseline state}, confused {Clouded consciousness}, difficulty concentrating {Unable to concentrate}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Headaches
- 
-
-###RESPONSE: Headaches {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-SAFETY:  The pt. was placed on 15 minute checks on admission and 
-
-remained here on that level of observation throughout.  She was 
-unit-restricted.  There were no acute safety issues during this 
-hospitalization.
-
-LEGAL: ___
-PSYCHIATRIC: 
-Catatonia had resolved before admission with ativan. On 
-admission, she endorsed depressed mood with neurovegetative 
-symptoms including reduced sleep, interest, energy, 
-concentration, and appetite. She exhibited transient psychotic 
-symptoms including a paranoid delusion that somebody was coming 
-to hurt her, and auditory hallucinations where she heard the 
-voice of her cousin and her brother. On admission, pt was 
-started on mirtazapine 7.5mg PO QHS, olanzapine 5mg PO BID, and 
-lorazepam 1mg PO BID with 1mg PO Q6H prn. On this regimen, she 
-improved significantly. Her mood improved, and her psychotic 
-symptoms resolved. Whereas on admission she was significantly 
-fixated on somatic symptoms, in which these complaints 
-represented the ___ her focus, by the time of discharge, 
-these complaints were only mentioned in passing. She has poor 
-insight, and she does not wish to take medications after 
-discharge, as she believes that taking medication will make her 
-dependent on them for further functioning.
- 
-
-GENERAL MEDICAL CONDITIONS:
-
-PSYCHOSOCIAL:
-#) GROUPS/MILIEU: pt was visible on the unit but did not attend 
-many groups.
-
-#) COLLATERAL CONTACTS:
-Husband denied previous depression or psychosis.
-
-RISK ASSESSMENT:
-
-#) Chronic/Static Risk Factors:
--mood disorder
-
-#) Modifiable Risk Factors:
--mood disorder
--psychosocial stressors
--poor insight, doesn't believe medications have helped her
-
-#) Protective Factors:
--married with children
--gender
--no past suicide attempts
-
-PROGNOSIS: Guarded
-Ms. ___ will need ___ follow-up with a 
-psychiatrist and therapist. If she adheres to her medications 
-and appointments, she will likely do well. However, as she does 
-not believe that medications are helping her, and she does not 
-want to take psychotropic medications long-term, non-compliance 
-is a significant risk.
- 
-
-###RESPONSE: SAFETY {Safety case management}, level of observation {Levels of observation}, no acute {No abnormality detected}, PSYCHIATRIC {Psychiatry procedure or service}, Catatonia {Catatonia}, resolved {Problem resolved}, depressed mood {Depressed mood}, reduced sleep {Short-sleeper}, interest {Loss of interest}, energy {Lack of energy}, concentration {Unable to concentrate}, appetite {Decrease in appetite}, psychotic 
-symptoms {Psychotic symptom present}, paranoid delusion {Paranoid delusion}, auditory hallucinations {Auditory hallucinations}, regimen {Therapeutic regimen}, improved {Patient's condition improved}, mood improved {Improved mood}, psychotic 
-symptoms resolved {Psychotic symptom finding}, somatic symptoms {Somatic pain}, insight {Finding related to ability to comprehend}, does not wish to take medications {Non-compliance of drug therapy}, medication {Administration of drug or medicament}, MILIEU {Environmental intervention}, did not attend {Did not attend}, depression {Depressive disorder}, psychosis {Psychotic disorder}, mood disorder {Mood disorder}, mood disorder {Mood disorder}, insight {Finding related to ability to comprehend}, medications {Administration of drug or medicament}, married {Married}, suicide attempts {Suicidal intent}, PROGNOSIS {Determination of prognosis}, follow-up {Follow-up arranged}, psychiatrist {Psychiatric follow-up}, medications {Prescription of drug}, medications {Administration of drug or medicament}, psychotropic medications {On psychotropic medication}, non-compliance {Non-compliance of drug therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. OLANZapine 2.5 mg PO QHS 
-2. timolol maleate 5 mg oral BID 
-3. Omeprazole 20 mg PO BID 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-MDD with psychotic features
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: MDD with psychotic features {Severe mood disorder with psychotic features}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
--please take your medications as prescribed
--please follow-up with outpatient appointments
- 
-                             ___ MD ___
- 
-Completed by: ___
-
-###RESPONSE: take your medications as prescribed {Patient medication education}, follow-up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-___ Cardiac catheterization
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, chest pain {Chest pain}, Cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ year old male with history of coronary artery 
-disease status-post catherization in ___ with stent to OM1, 
-and hypertension who presents with chest pain.  
-.  
-Patient reports that he had a ""stabbing"" chest pain this 
-morning. He states he had ""a lot"" of chest pain, more than the 
-___ episodes per day he had been having previously. He states it 
-improved with nitroglycerin that he took at home. He also had 
-had a positive stress test about a week ago and an outpatient 
-catherization at ___ had been planned.  
-.  
-He initially presented to ___, where he 
-received nitropaste. Vitals there were 94/22, HR 94, RR 18, 97% 
-on RA, and no pain. Cardiac enzymes there were CK 170 and 
-Troponin 0.02 at 12:30 ___.  
-Upon arrival to ___, his blood pressure was 104/52, HR 52, RR 
-18, temperature 96.2, and respiratory rate of 18. He was given 
-325 mg of aspirin and tolerated it well--of note there is a 
-possible allergy to aspirin noted in his admission intake form.  
-
-.  
-Patient was resting comfortably in his bed without any 
-complaints when interviewed. He denied chest pain or shortness 
-of breath.  
-.  
-On review of systems, he denies any prior history of stroke, 
-TIA, deep venous thrombosis, pulmonary embolism, bleeding at the 
-time of surgery, myalgias, cough, hemoptysis, black stools or 
-red stools. He denies recent fevers, chills or rigors. No 
-exertional buttock or calf pain. All of the other review of 
-systems were negative except for pain in his right hand that 
-patient relates has continued to bother him since a fall earlier 
-in the year.  
-.  
-Cardiac review of systems is notable for chest pain as discussed 
-above, accompanied by lightheadedness this morning. No worsening 
-dypsnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, 
-ankle edema, palpitations, syncope or presyncope.  
-.  
-
- 
-
-###RESPONSE: coronary artery 
-disease {Coronary arteriosclerosis}, stent {Insertion of arterial stent}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, hypertension {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, stabbing {Stabbing pain}, chest pain {Chest pain}, chest pain {Chest pain}, improved {Patient's condition improved}, stress test {Electrocardiogram with exercise test}, catherization {Cardiac catheterization}, Vitals {Vital signs finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, pain {Chest pain}, Cardiac enzymes {Finding of cardiac enzyme levels}, Troponin {Troponin measurement}, blood pressure {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, temperature {Body temperature finding}, respiratory rate {Finding of rate of respiration}, allergy to aspirin {Allergy to aspirin}, chest pain {Chest pain}, shortness 
-of breath {Dyspnea}, review of systems {Review of systems}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, cough {Cough}, hemoptysis {Hemoptysis}, black stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, exertional {Pain provoked by exertion}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of 
-systems {Review of systems}, negative {No abnormality detected}, pain {Hand pain}, right hand {Structure of right hand}, fall {Falls}, Cardiac {Structure of cardiovascular system}, review of systems {Review of systems}, chest pain {Chest pain}, lightheadedness {Lightheadedness}, dypsnea on exertion {Dyspnea on exertion}, paroxysmal nocturnal dyspnea {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, ankle edema {Ankle edema}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- CAD s/p BMS to OM1  (see below)
-- HTN  
-- renal calculi s/p surgery  
-- hip replacement x 2 on right r/t injuries  
-- GSW to pelvis/femur WWII; left hip replacement r/t war 
-injuries (left leg is shorter than right)  
-- BPH  
-- pneumonia  
-- appendectomy  
-.  
-Cardiac Risk Factors: (-)Diabetes, (-)Dyslipidemia, 
-(+)Hypertension  
-.  
-Cardiac History:  
-Percutaneous coronary intervention, in ___ anatomy as 
-follows: BMS to the OM with rotational atherectomy. Had to have 
-___ cath 10 days after first as first attempt at stent placement 
-was unsuccessful.  
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, HTN {Hypertensive disorder, systemic arterial}, renal calculi {Kidney stone}, surgery {Surgical procedure}, hip replacement {Prosthetic arthroplasty of hip}, right {Structure of right knee region}, injuries {Traumatic or non-traumatic injury}, GSW {Gunshot wound}, pelvis {Structure of pelvis}, femur {Bone structure of femur}, left hip replacement {Total replacement of left hip joint}, war 
-injuries {War injury}, left leg {Structure of left lower leg}, shorter {Short leg}, right {Structure of right lower limb}, BPH {Benign prostatic hyperplasia}, pneumonia {Pneumonia}, appendectomy {Excision of appendix}, Cardiac Risk Factors {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Dyslipidemia {Dyslipidemia}, Hypertension {Hypertensive disorder, systemic arterial}, Cardiac {Structure of cardiovascular system}, Percutaneous coronary intervention {Percutaneous coronary intervention}, OM {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, rotational atherectomy {Atherectomy by rotary cutter}, cath {Cardiac catheterization}, stent placement {Placement of stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-There is no family history of premature coronary artery disease. 
-A brother died suddenly in sleep at age ___. 
- 
-
-###RESPONSE: coronary artery disease {Coronary arteriosclerosis}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: 97.7, 158/67, 56, 18, 97% on RA, 161 lbs.  
-GENERAL: Elderly male, sleeping, easily awaken, NAD. Oriented 
-x3. Mood, affect appropriate.  
-HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were 
-pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.  
-
-NECK: Supple with JVP of 8 cm.  
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. Bradycardic, irregularly irregular, S1, S2. No m/r/g. No 
-thrills, lifts. No S3 or S4.  
-LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp 
-were unlabored, no accessory muscle use. CTAB, no crackles, 
-wheezes or rhonchi. Transmitted noises from abdomen appreciated 
-at times. Fleshy nodule in middle of upper back.  
-ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not 
-enlarged by palpation. No abdominial bruits.  
-EXTREMITIES: No c/c/e. No femoral bruits.  
-SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  
-PULSES:  
-Bilateral: Carotid 2+ Very strong bilateral DP 2+ ___ 2+
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, sleeping {Asleep}, awake {Awake}, NAD {No abnormality detected}, Oriented 
-x3 {Oriented to person, time and place}, Mood {Level of mood - normal}, affect {Mood finding}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva were 
-pink {Conjunctiva normal}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, Bradycardic {Bradycardia}, irregularly irregular {Heart irregularly irregular}, S2 {Normal second heart sound, S>2<}, thrills {Thrill}, No S3 {Third heart sound, S>3<, inaudible}, S4 {Fourth heart sound, S>4<, inaudible}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, Transmitted noises {Transmitted sounds}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, nodule {Nodule}, upper back {Upper back structure}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, enlarged {Enlargement}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, EXTREMITIES {Examination of limb}, femoral bruits {Femoral bruit}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, PULSES {Pulse finding}, Carotid 2 {Normal carotid arterial pulse}, DP 2+ {Dorsalis pulse present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ Cardiac cath:
-COMMENTS:      
-1. Selective coronary angiography of this right dominant system 
-demonstrated no significant obstructive CAD. The LMCA had mild 
-disease. 
-The LCX/OM1 stents were patent. The LA and RCA had moderate 
-diffuse disease, unchanged from the prior catheterization in 
-___. 
-2. Limited resting hemodynamics demonstrated systemic arterial 
-hypertension (154/61). 
-  
-FINAL DIAGNOSIS:     
-1. No significant obstructive CAD. Patent OM stents. 
-
- 
-
-###RESPONSE: Cardiac cath {Cardiac catheterization}, coronary angiography {Angiography of coronary artery}, right {Right coronary artery structure}, CAD {Coronary arteriosclerosis}, LMCA {Structure of left coronary artery main stem}, disease {Disease}, LCX {Stent in circumflex branch of left coronary artery}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, stents were patent {Coronary stent patent}, LA {Structure of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, disease {Disease}, catheterization {Cardiac catheterization}, hemodynamics {Hemodynamic monitoring}, systemic arterial 
-hypertension {Hypertensive disorder, systemic arterial}, CAD {Coronary arteriosclerosis}, OM {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, stents {Coronary stent patent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient is a ___ year old male with history of coronary artery 
-disease and hypertension who presents with chest pain in the 
-setting of a recent positive stress test.  
-.  
-# CORONARIES: Patient has known CAD, has prior BMS to OM1 in 
-___. His recurrent chest pain is concerning for stuttering 
-angina given his known disease and response to nitroglycerin. 
-Report of his out-patient stress test (reportedly positive per 
-patient) was not available for review at time of admission, but 
-plans were already being made for repeat catherization given 
-worsening symptoms in the setting of a good medical regimen. 
-Cardiac enzymes were negative times three and no ischemic 
-changes were seen on EKG. Cardiac catheterization was performed 
-which revealed no significant lesions or stenosis.  Pt remained 
-pain free throughout his hospitalization. He was instructed to 
-continue his home cardiac medications as previously directed and 
-follow up with his primary care physician within one week of 
-discharge.
-.  
-# RHYTHM: Pt has no history of arrhythmias. Sinus bradycardia 
-with 1st degree AV block is an old finding. Given pts known 
-bradycardia and new history of dizziness and fatigue, pt was 
-evaluated by the Electrophysiology team.  There was no 
-indication for pacemaker placement during this admission.  Pt 
-was discharged home with a holter monitor to observe the extent 
-of his bradycardia. Pt will follow up with his primary care 
-provider and cardiologist to determine the benefit of a 
-pacemaker in the future.  
-.
-# PUMP: No evidence of failure on history or exam.  
-.   
-# HTN: Continue home medications (mayzide, terazosin, diovan, 
-metoprolol in lieu of atenolol given advanced age and atenolol 
-is renally cleared)  
-.  
-# BPH: Continue terazosin.  
-.  
-# Anemia: Stable from one year ago. Will defer any desired 
-further work-up to outpatient providers.  
-.  
-# FEN: Precath hydration was provided.  
-.  
-# ACCESS: PIV's   
-.  
-# CODE: Full  
-.  
-# Contact: Daughter ___:  
-Phone: ___  
-
- 
-
-###RESPONSE: coronary artery 
-disease {Coronary arteriosclerosis}, hypertension {Hypertensive disorder, systemic arterial}, chest pain {Chest pain}, stress test {Electrocardiogram with exercise test}, CAD {Coronary arteriosclerosis}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, chest pain {Chest pain}, angina {Angina}, stress test {Electrocardiogram with exercise test}, no ischemic 
-changes {Electrocardiogram: no myocardial ischemia}, EKG {Electrocardiographic procedure}, Cardiac catheterization {Cardiac catheterization}, lesions {Lesion}, stenosis {Stenosis}, pain {Chest pain}, arrhythmias {Cardiac arrhythmia}, Sinus bradycardia {Sinus bradycardia}, 1st degree AV block {First degree atrioventricular block}, bradycardia {Bradycardia}, dizziness {Dizziness}, fatigue {Fatigue}, evaluated {Evaluation procedure}, pacemaker placement {Implantation of cardiac pacemaker}, bradycardia {Bradycardia}, follow up {Follow-up arranged}, HTN {Hypertensive disorder, systemic arterial}, BPH {Benign prostatic hyperplasia}, Anemia {Anemia}, Stable {Patient's condition stable}, PIV {Peripheral intravenous catheter care}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Atenolol 25 mg daily  
-Plavix 75 mg daily  
-___ 12.5 mg daily  
-Omeprazole 40 mg daily  
-Zocor 20 mg daily  
-Terazosin 10 mg daily  
-Diovan 80 mg daily  
-Imdur 60 mg daily  
- 
-Discharge Medications:
-1. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day.
-Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
-2. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Simvastatin 20 mg Tablet Sig: One (1) Tablet PO once a day.  
-4. Omeprazole 40 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-5. Terazosin 10 mg Capsule Sig: One (1) Capsule PO once a day.  
-6. Isosorbide Mononitrate 60 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-7. Valsartan 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-8. Maxzide-25mg  Oral
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-___ Diagnosis:
-Primary
-1. Coronary artery disease
-2. Hypertension
-3. Bradycardia
-
- 
-Discharge Condition:
-Hemodynamically stable, chest pain free
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Coronary artery disease {Coronary arteriosclerosis}, Hypertension {Hypertensive disorder, systemic arterial}, Bradycardia {Bradycardia}, Hemodynamically stable {Hemodynamically stable}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You came into the hospital because of chest pain. You underwent 
-a repeat cardiac catheterization that showed no major new 
-blockages.
-.
-At the other hospital, you had evidence of an irregular heart 
-rhythm (atrial fibrillation or flutter) but your heart rhythm 
-here looked regular. You will need a heart monitor for 48 hours 
-following discharge from the hospital to see if the irregular 
-rhythm recurs.
-.
-We stopped your atenolol because it may be contributing to the 
-dizzy episodes you were having prior to coming into the 
-hospital. 
-Please take your medications as directed and keep your followup 
-appointments.
-.
-Call your doctor and seek medical attention if you develop:
-** worsening chest discomfort, shortness of breath, 
-lightheadedness or dizziness, bleeding, swelling, or pain at the 
-procedure site at your groin, or if you have any other symptoms 
-that worry you
- 
-
-###RESPONSE: chest pain {Chest pain}, cardiac catheterization {Cardiac catheterization}, irregular heart 
-rhythm {Irregular heart beat}, atrial fibrillation {Atrial fibrillation}, flutter {Atrial flutter}, heart rhythm {Finding of heart rhythm}, regular {Normal sinus rhythm}, irregular 
-rhythm {Irregular heart beat}, dizzy {Dizziness}, chest discomfort {Chest discomfort}, shortness of breath {Dyspnea}, lightheadedness {Lightheadedness}, dizziness {Dizziness}, bleeding {Bleeding}, swelling {Swelling}, pain {Chest pain}, procedure {Procedure}, groin {Inguinal region structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal pain, diarrhea
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ yo M w/hx of DVT, hyponatremia, and chronic 
-pancreatic abnormalitiy of unknown etiology presenting with 
-lower abdominal pain and diarrhea. His symptoms began with 
-diarrhea on ___ happening twice a day, was nonbloody.  He 
-developed abdominal pain on ___, constant, 
-nonradiating, and in the lower central abdomen. His abdominal 
-pain progressed over three days to ___, and his diarrhea did 
-not improve.  His last bowel movement was yesterday and is 
-currently passing gas. He has been able to eat and drink, denies 
-any fevers, chills, vomiting, hematemesis, melena, hematochezia, 
-travel, sick contacts, food ingestion.  He finished triple 
-therapy for H. Pylori 1 month ago. He did endorse urinary 
-hesitancy, no dysuria. He has no history of alcohol use, did 
-smoke with 2.5 pack years.  
-
-On arrival to the ED, initial vitals were: T97.8 HR84 BP136/84 
-RR16 O296% ra. Exam notable for mild diffuse ttp, no 
-rebound/guarding. Labs notable for: ALT 87 AP 60 Tbili: 0.2 Na: 
-129 BUN/crea: ___ Lip: 171 WBC: 8.2. CT abdomen showed 
-pancreatitis of body and tail and likely distal splenic vein 
-thrombosis. In ED, patient received  Morphine 5 mg IV, 4mg 
-zofran, and 2L IV NS. Patient evaluated by ACS who recommended 
-admission to medicine for suspected pancreatitis. VS prior to 
-transfer: 98.3 76 116/72 14 100% RA. 
-
-Currently, he is feeling ___ abdominal pain, which he calls 
-comfortable.  It is in the center lower abdomen, nonradiating.  
-He denies any vomiting, fevers, chills, or SOB.
-
-Of note, he has had a 25 lb weight loss since ___ and has had 
-a poor appetite.  He has some chronic symptoms that began with 
-constipation.  Sometime in ___ he was admitted to the ___ 
-for hyponatremia and was found to have a chronic pancreatic 
-abnormality of unknown etiology s/p biopsy, colonoscopy, and 
-endoscopy.  He also had a DVT that he is on Lovenox for 
-currently.  He expresses some chronic lower abdominal pain that 
-sometimes involves testicular pain.
- 
-ROS: per HPI, denies fever, chills, night sweats, vision 
-changes,  shortness of breath, chest pain, vomiting, BRBPR, 
-melena, hematochezia, dysuria, hematuria. Did endorse headache.
-
- 
-
-###RESPONSE: DVT {Deep venous thrombosis}, hyponatremia {Hyponatremia}, chronic 
-pancreatic abnormalitiy {Disorder of pancreas}, lower abdominal pain {Lower abdominal pain}, diarrhea {Diarrhea}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, constant {Constant pain}, nonradiating {Radiating pain}, lower central abdomen {Lower abdomen structure}, abdominal 
-pain {Abdominal pain}, diarrhea {Diarrhea}, passing gas {Passing flatus}, able to eat {Able to eat}, fevers {Fever}, chills {Chill}, vomiting {Vomiting}, hematemesis {Hematemesis}, melena {Melena}, hematochezia {Hematochezia}, travel {Travel abroad}, triple 
-therapy for H. Pylori {Triple therapy helicobacter pylori}, urinary 
-hesitancy {Delay when starting to pass urine}, dysuria {Dysuria}, alcohol use {Current drinker of alcohol}, did 
-smoke {Ex-smoker}, vitals {Vital signs finding}, diffuse {Diffuse pain}, ttp {Tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, ALT {Alanine aminotransferase above reference range}, WBC {White blood cell count}, CT abdomen {Computed tomography of abdomen}, pancreatitis {Pancreatitis}, splenic vein 
-thrombosis {Splenic vein thrombosis}, pancreatitis {Pancreatitis}, VS {Vital signs finding}, RA {Breathing room air}, abdominal pain {Abdominal pain}, lower abdomen {Lower abdomen structure}, nonradiating {Radiating pain}, vomiting {Vomiting}, fevers {Fever}, chills {Chill}, SOB {Dyspnea}, weight loss {Weight loss}, poor appetite {Decrease in appetite}, constipation {Constipation}, hyponatremia {Hyponatremia}, chronic pancreatic 
-abnormality {Disorder of pancreas}, biopsy {Biopsy}, colonoscopy {Colonoscopy}, endoscopy {Endoscopy}, DVT {Deep venous thrombosis}, lower abdominal pain {Lower abdominal pain}, testicular pain {Pain in testicle}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, vision 
-changes {Visual disturbance}, shortness of breath {Dyspnea}, chest pain {Chest pain}, vomiting {Vomiting}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}, headache {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-pancreatic mass s/p biopsy, colonoscopy, and endoscopy, the most 
-recent endoscopy in ___
-H pylori gastritis s/p triple therapy 1 month ago 
-DVT in ___
-Diabetes Mellitus (reported by patient, on no therapy)
-
- 
-
-###RESPONSE: pancreatic mass {Mass of pancreas}, biopsy {Biopsy}, colonoscopy {Colonoscopy}, endoscopy {Endoscopy}, endoscopy {Endoscopy}, H pylori gastritis {Gastritis caused by Helicobacter pylori}, triple therapy {Triple therapy helicobacter pylori}, DVT {Deep venous thrombosis}, Diabetes Mellitus {Diabetes mellitus}, therapy {Therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Denies any family history of pancreatic or other GI disease, 
-cancer, or autoimmune disease
-
- 
-
-###RESPONSE: pancreatic {Pancreatic structure}, GI disease {Disorder of gastrointestinal tract}, cancer {Malignant neoplasm}, autoimmune disease {Autoimmune disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-======================
-Admission Physical Exam
-======================
-VS - Temp 97.8F, BP 125/62, HR 106, R 18, O2-sat 98% RA  
-General: NAD, appears comfortable
-HEENT: normocephalic, no scleral icterus, OP clear. 
-Neck: supple, no cervical ___.
-CV:  regular rhymthm, tachycardic, nl S1 S2, no r/m/g 
-appreciated.
-Lungs: CTAB, no rales
-Abdomen: +BS.Soft,nondistended,tender to palpation in the 
-central lower abdomen and epigastric regions, worse in lower 
-abdomen. ___ and Grey-Turner's signs negative.  No fluid 
-wave. No hepatosplenomegaly. No rebound or guarding.
-GU: no Foley. No LAD,no testicular pain to palpation. No CVA 
-tenderness.
-Ext: WWP, +2 pulses. No pedal edema. 
-Neuro: A+Ox3, attentive. Memory intact. Motor and sensory 
-function grossly intact.
-Skin: no rashes. No spider angiomata.
-
-=====================
-Discharge Physical Exam
-=====================
-VS- 98.7 119/72 83 18 95RA
-General: NAD, appears comfortable
-HEENT: no scleral icterus 
-CV: regular rhythm, normal rate, S1 and S2 clear and of good 
-quality, no r/m/g appreciated.
-Lungs: CTAB bilaterally with good air movement. 
-Abdomen: +BS. Soft, non-tender, slightly distended. No rebound 
-or guarding.
-Extremities: Warm and well perfused with 2+ DP pulses, no 
-cyanosis, edema, or excoriations.
-Neuro: A+Ox3, attentive. 
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, O2-sat {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, normocephalic {Normal head}, scleral icterus {Scleral icterus}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, cervical {Cervical lymphadenopathy}, CV {Cardiovascular physical examination}, regular rhymthm {Normal sinus rhythm}, tachycardic {Tachycardia}, S2 {Normal second heart sound, S>2<}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, rales {Respiratory crackles}, Abdomen {Examination of abdomen}, BS {Normal bowel sounds}, Soft {Abdomen soft}, nondistended {Normal abdominal contour}, tender {Abdominal tenderness}, palpation {Palpation}, lower abdomen {Lower abdomen structure}, epigastric regions {Epigastric region structure}, lower 
-abdomen {Lower abdomen structure}, Grey-Turner's signs {Grey Turner's sign}, hepatosplenomegaly {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, Foley {Catheterization of urinary bladder}, LAD {Lymphadenopathy}, pain {Pain}, palpation {Palpation}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, 2 pulses {Peripheral pulses normal}, edema {Edema}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, Memory intact {Memory function normal}, grossly intact {Normal nervous system function}, Skin {Examination of skin}, rashes {Eruption of skin}, spider angiomata {Spider telangiectasis of skin}, Physical Exam {Physical examination procedure}, VS {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, CV {Cardiovascular physical examination}, regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, S2 {Normal second heart sound, S>2<}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, good air movement {Breath normal}, Abdomen {Examination of abdomen}, BS {Normal bowel sounds}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Extremities {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ DP pulses {All pulses present in bilateral lower limbs}, cyanosis {Cyanosis}, edema {Edema}, excoriations {Excoriation}, Neuro {Neurological examination}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, attentive {Well controlled integrated attention}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-=============================
-Admission labs
-=============================
-___ 12:45AM BLOOD WBC-8.2 RBC-4.53* Hgb-12.4* Hct-40.2 
-MCV-89 MCH-27.4 MCHC-30.9* RDW-12.3 Plt ___
-___ 12:45AM BLOOD Neuts-59.0 ___ Monos-7.6 Eos-2.0 
-Baso-0.5
-___ 12:45AM BLOOD Plt ___
-___ 10:30AM BLOOD Glucose-110* UreaN-4* Creat-0.4* Na-134 
-K-4.1 Cl-99 HCO3-27 AnGap-12
-___ 12:45AM BLOOD Glucose-151* UreaN-6 Creat-0.6 Na-129* 
-K-4.5 Cl-97 HCO3-27 AnGap-10
-___ 12:45AM BLOOD ALT-87* AST-35 AlkPhos-60 TotBili-0.2
-___ 12:45AM BLOOD Lipase-171*
-___ 10:30AM BLOOD Calcium-8.8 Phos-3.8 Mg-1.8
-___ 12:45AM BLOOD Albumin-4.4 Calcium-8.9 Phos-4.3 Mg-2.0
-___ 12:45AM BLOOD Osmolal-266*
-___ 08:06PM BLOOD CA ___ -Test  
-================
-Imaging
-================
-CT Abd/Pelv w/Contrast ___: IMPRESSION:  
- 
-1.  Pancreatitis most prominent in the body and tail of the 
-pancreas with
-areas of pancreatic parenchymal hypoenhancement in the body and 
-tail,
-concerning for edema or impending pancreatic necrosis, involving 
-less than ___ of the gland. The areas of hypodensity in the 
-pancreas are round and focal lesions cannot be excluded. No 
-peripancreatic fluid collection.  The splenic vein is attenuated 
-proximally and likely narrowed in the region adjacent to the 
-body and tail of the pancreas.
- 
-2.  Multiple bilateral solid and ground glass nodules throughout 
-both lung
-bases most likely represents infection, however, further 
-characterization withdedicated chest CT could be considered on a 
-non-emergent basis to exclude the possibility of malignancy.
-
-==================
-Discharge Results
-==================   
-___ 07:15AM BLOOD Hct-38.3*
-___ 07:10AM BLOOD Na-132* K-3.9 Cl-97
-___ 07:10AM BLOOD ALT-149* AST-50* AlkPhos-87 TotBili-0.4
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Lipase {Serum lipase measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, Pancreatitis {Pancreatitis}, pancreas {Pancreatic structure}, pancreatic parenchymal {Structure of parenchyma of pancreas}, edema {Edema}, pancreatic necrosis {Necrosis of pancreas}, pancreas {Pancreatic structure}, lesions {Lesion}, fluid collection {Accumulation of fluid}, splenic vein {Structure of splenic vein}, pancreas {Pancreatic structure}, ground glass {Ground glass lung opacity}, nodules {Nodule}, lung
-bases {Structure of base of lung}, infection {Infectious disease}, malignancy {Malignant neoplasm}, Hct {Hematocrit determination}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ yo M with hx of DVT, hyponatremia, and 
-pancreatic mass suggestive of malignancy presenting with 
-pancreatitis secondary to pancreatic mass.
-  
-# Pancreatitis: Patient was treated conservatively for 
-pancreatitis. Morphine IV administered for pain control, he 
-remained NPO and given intravenous fluids. Diet was advanced 
-slowly once pain resolved and prior to discharge was tolerating 
-food and fluids without pain. Started pancreatic enzymes for 
-diarrhea.  He remained hemodynamically stable throughout.
-   
-# Pancreatic mass: FNA biopsy at outside hospital suggests 
-adenocarcinoma versus neuroendocrine tumor. Records from ___ 
-including MRI showed pancreatic ductal mass and PET with uptake 
-in the lungs. Chest CT with nodules suggestive of metastatic 
-disease.  The oncology team was consulted, and additional biopsy 
-was recommended however can be completed in the outpatient 
-setting. ___ was consulted and will set patient up for biopsy 
-post discharge. 
-  
-# Hyponatremia: Secondary to SIADH given low sodium with 
-euvolemia, elevated urine sodium, and improvement of sodium with 
-fluid restriction. He has a history of SIADH and presented with 
-a sodium of 129 that improved over the course of his admission 
-with fluid restriction. He had no neurologic symptoms at any 
-point during his admission.
-   
-# Splenic vein thrombosis: Imaging findings were suggestive of 
-splenic vein thrombosis, which based on prior ___ imaging is 
-chronic.  He was maintained on his home Lovenox dose.
-     
-==================
-Transitions of Care
-==================
-- To undergo outpatient retroperitoneal lymph node biopsy for 
-final diagnosis of his pancreatic mass
-- Oncology outpatient eval to determine next treatment steps
-- Follow up with PCP regarding ___ enzyme titration to 
-help with diarrhea
-- Follow up with PCP regarding BPH
-- Monitor Hyponatremia
-- Code Status: Full code
-- Additional contact: Brother ___ ___
- 
-
-###RESPONSE: DVT {Deep venous thrombosis}, hyponatremia {Hyponatremia}, pancreatic mass {Mass of pancreas}, malignancy {Malignant neoplasm}, pancreatitis {Pancreatitis}, pancreatic mass {Mass of pancreas}, Pancreatitis {Pancreatitis}, pancreatitis {Pancreatitis}, pain control {Pain control}, remained NPO {On nothing by mouth status}, intravenous fluids {Intravenous infusion}, pain resolved {No present pain}, tolerating 
-food {Tolerating normal diet}, fluids {Tolerating oral fluid}, without pain {No present pain}, diarrhea {Diarrhea}, hemodynamically stable {Hemodynamically stable}, Pancreatic mass {Mass of pancreas}, FNA biopsy {Fine needle biopsy}, adenocarcinoma {Adenocarcinoma}, neuroendocrine tumor {Neuroendocrine tumor}, MRI {Magnetic resonance imaging}, pancreatic ductal mass {Mass of pancreas}, PET {Positron emission tomography}, lungs {Metastatic malignant neoplasm to lung}, Chest CT {Computed tomography of chest}, nodules {Nodule}, metastatic 
-disease {Metastatic malignant neoplasm}, biopsy {Biopsy}, biopsy {Biopsy}, Hyponatremia {Hyponatremia}, SIADH {Syndrome of inappropriate vasopressin secretion}, euvolemia {Normal blood volume}, urine sodium {Sodium measurement, urine}, fluid restriction {Fluid restriction}, SIADH {Syndrome of inappropriate vasopressin secretion}, sodium {Sodium measurement}, improved {Patient's condition improved}, fluid restriction {Fluid restriction}, no neurologic symptoms {Normal nervous system function}, Splenic vein thrombosis {Splenic vein thrombosis}, Imaging findings {Imaging finding}, splenic vein thrombosis {Splenic vein thrombosis}, imaging {Imaging}, retroperitoneal lymph node {Structure of retroperitoneal lymph node}, biopsy {Biopsy}, pancreatic mass {Mass of pancreas}, outpatient eval {Outpatient procedure}, PCP {Primary care management}, diarrhea {Diarrhea}, PCP {Primary care management}, BPH {Benign prostatic hyperplasia}, Hyponatremia {Hyponatremia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Enoxaparin Sodium 70 mg SC Q12H 
-Start: ___, First Dose: Next Routine Administration Time 
-
- 
-Discharge Medications:
-1. Pancrelipase 5000 1 CAP PO TID W/MEALS 
-Please talk with your doctors about ___ the medicine to 
-help with diarrhea. 
-RX *lipase-protease-amylase [Pancrelipase 5000] 5,000 
-unit-17,000 unit-27,000 unit 1 capsule(s) by mouth three times a 
-day Disp #*90 Capsule Refills:*0
-2. Enoxaparin Sodium 70 mg SC Q12H 
-Start: ___, First Dose: First Routine Administration Time 
-3. Tamsulosin 0.4 mg PO HS 
-Follow up with your primary care doctor about this medication 
-and your symptoms. 
-RX *tamsulosin 0.4 mg 1 capsule(s) by mouth at bedtime Disp #*30 
-Capsule Refills:*0
-4. Benzonatate 100 mg PO TID:PRN Cough 
-RX *benzonatate 100 mg 1 capsule(s) by mouth three times a day 
-Disp #*90 Capsule Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Active:
-- Pancreatitis
-- Pancreatic malignancy
-  
-Chronic:
-- Pancreatic cancer
-- Hyponatremia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Pancreatitis {Pancreatitis}, Pancreatic malignancy {Malignant tumor of pancreas}, Pancreatic cancer {Malignant tumor of pancreas}, Hyponatremia {Hyponatremia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Mr. ___,
-   
-You were admitted to the hospital because of abdominal pain and 
-diarrhea caused by inflammation of your pancreas.  You received 
-fluids and pain medication and improved. You were tolerating 
-food and liquids by mouth at discharge.  You were given some 
-pancreatic enzymes to help with the diarrhea. 
-   
-We acquired records from the ___, which along with your 
-symptoms of weight loss are concerning for cancer. We scheduled 
-an outpatient biopsy of a lymph node for you. It is very 
-important that you have that procedure done and follow up with 
-the oncologists to continue your care. You were complaining of 
-some tenderness around your bladder and some difficulty 
-initiating urination, so you were starting on a medication to 
-help with that and should follow up with your primary care 
-doctor. Thank you for having us be a part of your care team.
- 
-The Interventional Radiology team will be contacting you to 
-schedule an appointment for your biopsy. If you do not hear by 
-___ next week please call the floor ___
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, inflammation of your pancreas {Pancreatitis}, pain medication {Administration of analgesic}, improved {Patient's condition improved}, tolerating 
-food {Tolerating diet}, liquids by mouth {Tolerating oral fluid}, diarrhea {Diarrhea}, weight loss {Weight loss}, cancer {Malignant neoplasm}, biopsy {Biopsy}, lymph node {Structure of lymph node}, tenderness {Tenderness}, bladder {Urinary bladder structure}, difficulty 
-initiating urination {Delay when starting to pass urine}, biopsy {Biopsy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: PLASTIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Compazine
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal wound 
- 
-Major Surgical or Invasive Procedure:
-Abdominal wound exploration and removal of infected mesh.
-
- 
-
-###RESPONSE: Compazine {Allergy to prochlorperazine}, abdominal wound {Wound of abdomen}, Abdominal wound exploration {Exploration of penetrating wound of abdomen}, removal of infected mesh {Removal of mesh from wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ is a ___ year old female with history of lower 
-abdominal desmoid tumor removal and reconstruction with mesh 
-with subsequent infection and resection of mesh and replacement, 
-eventually wound which required delayed primary closure. She 
-presented to clinic with a small wound in the middle ofher lower 
-abdominal incision site.  She is here today for abdominal wound 
-exploration.
-
- 
-
-###RESPONSE: abdominal desmoid tumor removal {Excision of subfascial abdominal wall tumor}, reconstruction {Reconstruction procedure}, infection {Postoperative wound infection}, resection of mesh {Removal of mesh from wound}, replacement {Replacement procedure}, wound {Surgical incision wound}, closure {Reparative closure}, wound {Surgical incision wound}, abdominal incision {Abdomen incision}, abdominal wound 
-exploration {Exploration of penetrating wound of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-depression, chronic headaches, presyncope, type 2 diabetes
-mellitus, hyperlipidemia, obesity, chronic urinary tract 
-infections, and chronic back pain.  She has a longstanding
-microcytosis with a negative workup in the past.
-.
-PSH
-D&C, right first metatarsal bunion, cesarean section 
-with placenta previa, bilateral breast reduction, bilateral ORIF 
-
-of the hips for congenital dysplasia. 
-
- 
-
-###RESPONSE: depression {Depressive disorder}, chronic headaches {Chronic headache disorder}, presyncope {Near syncope}, type 2 diabetes
-mellitus {Diabetes mellitus type 2}, hyperlipidemia {Hyperlipidemia}, obesity {Obesity}, chronic urinary tract 
-infections {Chronic urinary tract infection}, chronic back pain {Chronic back pain}, microcytosis {Microcytosis, red cells}, negative {No pathologic diagnosis}, workup {Evaluation procedure}, D&C {Dilation and curettage}, right first metatarsal {Structure of first metatarsal bone of right foot}, bunion {Swelling of first metatarsophalangeal joint of hallux}, cesarean section {Cesarean section}, placenta previa {Placenta previa}, bilateral breast reduction {Reduction plasty of bilateral breasts}, congenital dysplasia {Congenital hip dysplasia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Physical exam per PRS post operative note ___ 1844 Temp: 97.5 PO BP: 111/63 L Lying HR: 106 RR: 20 O2
-sat: 100% O2 delivery: RA 
-Gen: NAD, A&Ox3, lying on stretcher.
-HEENT: Normocephalic. 
-CV: RRR
-R: Breathing comfortably on room air. No wheezing.
-Abd: Lower abd with VAC in place, holding suction, trace SS
-output. No surrounding erythema. 
-Ext: WWP. 
-
- 
-
-###RESPONSE: Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2
-sat {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, lying {Lying in bed}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Breathing comfortably on room air {Breathing room air}, wheezing {Wheezing}, Abd {Examination of abdomen}, erythema {Erythema}, Ext {Examination of limb}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 10:20PM   GLUCOSE-210* UREA N-11 CREAT-0.7 SODIUM-139 
-POTASSIUM-4.2 CHLORIDE-101 TOTAL CO2-25 ANION GAP-13
-___ 10:20PM   estGFR-Using this
-___ 10:02PM URINE  HOURS-RANDOM
-___ 10:02PM URINE  UCG-NEGATIVE
-.
-IMAGING:
-Radiology Report CT ABD & PELVIS W & W/O CONTRAST, ADDL SECTIONS 
-Study Date of ___ 12:08 AM 
-IMPRESSION: 
-1. Interval decrease in size of the prior anterior abdominal 
-wall collections. 
-2. No fistula.  No hernia. 
-3. Cholelithiasis, but no features of cholecystitis. 
-4. Rest of the findings as described above. 
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CT ABD & PELVIS W {Computed tomography of abdomen and pelvis with contrast}, W/O CONTRAST {Computed tomography of abdomen and pelvis without contrast}, decrease in size {Decreased size}, anterior abdominal 
-wall {Anterior abdominal wall structure}, fistula {Fistula}, hernia {Hernia of abdominal cavity}, Cholelithiasis {Calculus in biliary tract}, cholecystitis {Cholecystitis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the plastic surgery service on 
-___ and had a abdominal wound exploration and removal of 
-mesh.  The patient tolerated the procedure well. 
- .
- Neuro: Post-operatively, the patient received IV pain 
-medications with good effect and adequate pain control. When 
-tolerating oral intake, the patient was transitioned to oral 
-pain medications. 
- .
- CV: The patient was stable from a cardiovascular standpoint; 
-vital signs were routinely monitored.
- .
- Pulmonary: The patient was stable from a pulmonary standpoint; 
-vital signs were routinely monitored.
- .
- GI/GU: Post-operatively, the patient was given IV fluids until 
-tolerating oral intake.  Her diet was advanced when appropriate, 
-which was tolerated well. She was also started on a bowel 
-regimen to encourage bowel movement. Intake and output were 
-closely monitored. 
- .
- ID: Post-operatively, the patient was started on IV cefazolin, 
-then switched to PO cefadroxil for discharge home. The patient's 
-temperature was closely watched for signs of infection. 
- .
- Prophylaxis: The patient received subcutaneous heparin during 
-this stay, and was encouraged to get up and ambulate as early as 
-possible. 
- .
- At the time of discharge on POD#2, the patient was doing well, 
-afebrile with stable vital signs, tolerating a regular diet, 
-ambulating, voiding without assistance, and pain was well 
-controlled.  She was discharged with wound vac in place.
- 
-
-###RESPONSE: abdominal wound exploration {Exploration of penetrating wound of abdomen}, removal of 
-mesh {Removal of mesh from wound}, Neuro {Neurological assessment}, Post-operatively {Postoperative state}, IV {Intravenous therapy}, pain 
-medications {Administration of analgesic}, good effect {Good therapeutic response}, adequate pain control {Demonstrates adequate pain control}, tolerating oral intake {Tolerating diet}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, stable {Patient's condition stable}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Pulmonary {Examination of respiratory system}, stable {Patient's condition stable}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Post-operatively {Postoperative state}, given IV fluids {Administration of intravenous fluids}, tolerating oral intake {Tolerating diet}, diet was advanced {Advance diet as tolerated}, bowel 
-regimen {Bowel care}, Intake and output {Measuring intake and output}, Post-operatively {Postoperative state}, temperature {Temperature taking}, watched for signs of infection {Monitoring for signs and symptoms of infection}, Prophylaxis {Preventive procedure}, subcutaneous heparin {Subcutaneous injection of heparin}, ambulate {Ambulation training}, afebrile {Temperature normal}, stable vital signs {Normal vital signs}, tolerating a regular diet {Tolerating normal diet}, ambulating {Fully mobile}, voiding without assistance {Normal micturition}, pain was well 
-controlled {Demonstrates adequate pain control}, wound vac {Vacuum assisted skin closure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Albuterol Inhaler 2 PUFF IH Q4H:PRN SOB 
-2. Carbamazepine (Extended-Release) 100 mg PO QAM 
-3. Carbamazepine (Extended-Release) 200 mg PO QHS 
-4. cefaDROXil 500 mg oral BID 
-5. FLUoxetine 60 mg PO DAILY 
-6. Gabapentin 300 mg PO QHS 
-7. Gabapentin 100 mg PO BID 
-8. MetFORMIN (Glucophage) 850 mg PO BID 
-9. Omeprazole 20 mg PO DAILY 
-10. Ondansetron 8 mg PO DAILY:PRN nausea 
-11. OxyCODONE (Immediate Release) 5 mg PO Q4H:PRN Pain - 
-Moderate 
-12. Polyethylene Glycol 17 g PO DAILY:PRN Constipation - Second 
-Line 
-13. RisperiDONE 0.5 mg PO DAILY 
-14. Simvastatin 40 mg PO QPM 
-15. Acetaminophen 650 mg PO Q6H:PRN Pain - Mild 
-16. Aspirin 81 mg PO DAILY 
-17. Docusate Sodium 100 mg PO BID:PRN Constipation - First Line 
-18. Senna 8.6 mg PO BID:PRN Constipation - Second Line 
-
- 
-Discharge Medications:
-1.  cefaDROXil 500 mg oral BID 
-RX *cefadroxil 500 mg 1 capsule(s) by mouth twice a day Disp 
-#*56 Capsule Refills:*2 
-2.  Ibuprofen 600 mg PO Q6H:PRN Pain - Mild 
-  Reason for PRN duplicate override: Alternating agents for 
-similar severity 
-3.  Simethicone 40-80 mg PO QID:PRN abdominal gas  
-4.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every four (4) hours 
-Disp #*50 Tablet Refills:*0 
-5.  Acetaminophen 650 mg PO Q6H:PRN Pain - Mild  
-6.  Albuterol Inhaler 2 PUFF IH Q4H:PRN SOB  
-7.  Aspirin 81 mg PO DAILY  
-8.  Carbamazepine (Extended-Release) 100 mg PO QAM  
-9.  Carbamazepine (Extended-Release) 200 mg PO QHS  
-10.  Docusate Sodium 100 mg PO BID:PRN Constipation - First Line 
- 
-11.  FLUoxetine 60 mg PO DAILY  
-12.  Gabapentin 300 mg PO QHS  
-13.  Gabapentin 100 mg PO BID  
-14.  MetFORMIN (Glucophage) 850 mg PO BID  
-15.  Omeprazole 20 mg PO DAILY  
-16.  Ondansetron 8 mg PO DAILY:PRN nausea  
-17.  Polyethylene Glycol 17 g PO DAILY:PRN Constipation - Second 
-Line  
-18.  RisperiDONE 0.5 mg PO DAILY  
-19.  Senna 8.6 mg PO BID:PRN Constipation - Second Line  
-20.  Simvastatin 40 mg PO QPM  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
-1) Infected mesh
-2) Poor coping skills in setting of depression
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, depression {Depressive disorder}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Personal Care:
- 1. You will have a wound VAC dressing with a wound vac machine 
-in place for discharge home.  This will remain in place until 
-you come back on ___ for the OR.
- 2. While VAC is in place, please clean around the VAC site and 
-monitor for air leaks of the VAC
- 3. A written record of the daily output from the VAC drain 
-should be brought to every follow-up appointment. 
- 4. You may shower daily with assistance as needed.  You should 
-do this with wound vac apparatus disconnected from you.  Once 
-you have showered you will need to reconnect your dressing to 
-the wound vac apparatus and make sure it is functioning 
-properly.
- 5. No baths until after directed by your surgeon.
- .
- Activity:
- 1. Avoid strenuous activity with wound vac in place.
- .
- Medications:
- 1. Resume your regular medications unless instructed otherwise 
-and take any new meds as ordered .
- 2. You may take your prescribed pain medication for moderate to 
-severe pain. You may switch to Tylenol or Extra Strength Tylenol 
-for mild pain as directed on the packaging. Please note that 
-Percocet and Vicodin have Tylenol as an active ingredient so do 
-not take these meds with additional Tylenol.
- 3. Take prescription pain medications for pain not relieved by 
-tylenol.
- 4. Take your antibiotic as prescribed if you are discharged on 
-one.
- 5. Take Colace, 100 mg by mouth 2 times per day, while taking 
-the prescription pain medication. You may use a different 
-over-the-counter stool softener if you wish.
- 6. Do not drive or operate heavy machinery while taking any 
-narcotic pain medication. You may have constipation when taking 
-narcotic pain medications (oxycodone, percocet, vicodin, 
-hydrocodone, dilaudid, etc.); you should continue drinking 
-fluids, you may take stool softeners, and should eat foods that 
-are high in fiber.
- .
- Call the office IMMEDIATELY if you have any of the following:
- 1. Signs of infection: fever with chills, increased redness, 
-swelling, warmth or tenderness at the surgical site, or unusual 
-drainage from the incision(s).
- 2. A large amount of bleeding from the incision(s) or drain(s).
- 3. Fever greater than 101.5 oF
- 4. Severe pain NOT relieved by your medication.
- .
- Return to the ER if: 
- * If you are vomiting and cannot keep in fluids or your 
-medications. 
- * If you have shaking chills, fever greater than 101.5 (F) 
-degrees or 38 (C) degrees, increased redness, swelling or 
-discharge from incision, chest pain, shortness of breath, or 
-anything else that is troubling you.
- * Any serious change in your symptoms, or any new symptoms that 
-concern you.
- 
-
-###RESPONSE: wound VAC {Vacuum assisted skin closure}, dressing {Application of dressing}, in place {Device in situ}, output from the VAC drain {Monitoring of fluid output from drain}, Signs of infection {Monitoring for signs and symptoms of infection}, fever with chills {Fever with chills}, redness {Redness of skin over lesion}, swelling {Swelling}, warmth {Warm skin}, tenderness {Tenderness}, surgical site {Operative site}, drainage {Wound discharge}, incision {Surgical incision wound}, bleeding {Bleeding}, incision {Surgical incision wound}, drain {Wound discharge}, Fever {Fever}, Severe pain {Severe pain}, vomiting {Vomiting}, cannot keep in fluids {Unable to drink}, shaking {Tremor}, chills {Chill}, fever {Fever}, redness {Redness of skin over lesion}, swelling {Swelling}, incision {Surgical incision wound}, chest pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-morphine
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea, cough
- 
-Major Surgical or Invasive Procedure:
-Intubation ___
-Extubation ___
-
- 
-
-###RESPONSE: morphine {Allergy to morphine}, Dyspnea {Dyspnea}, cough {Cough}, Intubation {Insertion of endotracheal tube}, Extubation {Removal of endotracheal tube}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms ___ is a ___ woman with a history of CHF (LVEF 70% in 
-___, on Bumex), Afib (on Abixiban), and HTN who presents with 
-worsening shortness of breath over the past week. Dyspnea has 
-been on exertion and at rest. Associated with PND and orthopnea. 
-Also associated with 1 month of increased bilateral lower 
-extremity swelling, R>L. Not associated with chest pain or 
-palpitations. During this time, she has had a non-productive 
-cough, as well as intermittent dysuria and increased urinary 
-frequency. She notes an odor to urine, but denies fevers, 
-chills, chest pain, abdominal pain, or pain in legs. No recent 
-sick contacts, no recent travel. No nasal congestion, cough, or 
-other URI symptoms preceding dyspnea. 
-  
-In the ED, initial vitals were: T 98.3 HR 110 BP 142/74 RR 24 
-SaO2 94% on nc  
-Exam: Rales at both lung bases. RLE edema > LLE (stable from 
-previous PCP ___ 
-Labs:  proBNP 7388, K 3.0, Cr 1.7, Mg 1.3, WBC 12.3, Hgb 11.2, 
-Plt 286, INR 1.4, lacate 1.7
-Imaging:  EKG: HR 130, AFib w RVR, Left axis, Normal QRS and 
-QTc, no STE. CXR: Mild pulmonary edema, worse in the interval. 
-Bedside U/S: mild pericardial effusion
-Consults:  Cardiology, Respiratory therapy
-Patient was given Nitro gtt for control of shortness of breath. 
-She developed AF + RVR, so was started on Esmolol gtt. She 
-became hypotensive to ___, so Esmolol gtt was stopped, and her 
-HR improved without further intervention. She also received 
-Aspirin, Lasix 80mg IVx1 & 40mg IVx2, K 40mg POx1, Mg 2gm IV.
-Decision was made to admit to CCU for CHF exacerbation with 
-pulmonary edema requiring BiPAP
-Vitals on transfer were:  HR 100 BP 113/56 RR 25 SaO2 98% ra
-
-On the floor, patient reports feeling well. She continues to be 
-a little short of breath, but the facemask is bothering her. She 
-denies current chest pain. Has been coughing and short of breath 
-for the past week. Cough is nonproductive. No current abdominal 
-pain or dysuria.  
- 
-REVIEW OF SYSTEMS:  
-(+) per HPI  
-Cardiac review of systems is notable for absence of chest pain, 
-palpitations, syncope or presyncope.  
-Denies any prior history of stroke, TIA, deep venous thrombosis, 
-pulmonary embolism, bleeding at the time of surgery, myalgias, 
-joint pains, cough, hemoptysis, black stools or red stools. 
-Denies recent fevers, chills or rigors. Denies exertional 
-buttock or calf pain. All of the other review of systems were 
-negative.  
-
- 
-
-###RESPONSE: CHF {Congestive heart failure}, Afib {Atrial fibrillation}, HTN {Hypertensive disorder, systemic arterial}, worsening {Patient's condition worsened}, shortness of breath {Dyspnea}, Dyspnea {Dyspnea}, exertion {Dyspnea on exertion}, at rest {Dyspnea at rest}, PND {Paroxysmal nocturnal dyspnea}, orthopnea {Orthopnea}, bilateral lower 
-extremity swelling {Swelling of bilateral lower limbs}, chest pain {Chest pain}, palpitations {Palpitations}, non-productive 
-cough {Dry cough}, dysuria {Dysuria}, urinary 
-frequency {Increased frequency of urination}, odor to urine {Abnormal urine odor}, fevers {Fever}, chills {Chill}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, pain in legs {Pain in lower limb}, travel {Travel abroad}, nasal congestion {Nasal congestion}, cough {Cough}, URI {Upper respiratory infection}, dyspnea {Dyspnea}, vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, on nc {Oxygen administration by nasal cannula}, Exam {Physical examination procedure}, Rales {Respiratory crackles}, lung bases {Structure of base of lung}, RLE edema > LLE {Edema of bilateral lower limbs}, stable {Patient's condition stable}, PCP {Primary care management}, Labs {Laboratory test}, WBC {White blood cell count}, INR {Calculation of international normalized ratio}, Imaging {Imaging}, EKG {Electrocardiographic procedure}, HR {Finding of heart rate}, AFib w RVR {Atrial fibrillation with rapid ventricular response}, Left {Structure of left side of heart}, axis {Electrocardiographic axis finding}, Normal {No abnormality detected}, QRS {Finding of electrocardiogram QRS complex}, QTc {Finding of electrocardiogram QT interval}, STE {ST segment elevation}, CXR {Plain chest X-ray}, Mild {Symptom mild}, pulmonary edema {Pulmonary edema}, worse {Patient's condition worsened}, U/S {Ultrasonography}, mild {Symptom mild}, pericardial effusion {Pericardial effusion}, Cardiology {Cardiology service}, Respiratory therapy {Respiratory therapy}, shortness of breath {Dyspnea}, AF + RVR {Atrial fibrillation with rapid ventricular response}, hypotensive {Low blood pressure}, Esmolol gtt was stopped {Recommendation to stop drug treatment}, HR {Finding of heart rate}, improved {Patient's condition improved}, Aspirin {Administration of aspirin}, Lasix {Diuretic therapy}, IV {Intravenous therapy}, CHF exacerbation {Exacerbation of congestive heart failure}, pulmonary edema {Pulmonary edema}, BiPAP {Bilevel positive airway pressure titration}, Vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, ra {Breathing room air}, feeling well {Well in self}, short of breath {Dyspnea}, facemask {Oxygen administration by mask}, chest pain {Chest pain}, coughing {Cough}, short of breath {Dyspnea}, Cough is nonproductive {Dry cough}, abdominal 
-pain {Abdominal pain}, dysuria {Dysuria}, REVIEW OF SYSTEMS {Review of systems}, Cardiac {Cardiovascular physical examination}, review of systems {Review of systems}, chest pain {Chest pain}, palpitations {Palpitations}, syncope {Syncope}, presyncope {Near syncope}, stroke {Cerebrovascular accident}, TIA {Transient ischemic attack}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}, bleeding {Bleeding}, surgery {Surgical procedure}, myalgias {Muscle pain}, joint pains {Joint pain}, cough {Cough}, hemoptysis {Hemoptysis}, black stools {Dark stools}, red stools {Red stools}, fevers {Fever}, chills {Chill}, rigors {Rigor}, exertional {Pain provoked by exertion}, buttock {Pain in buttock}, calf pain {Pain in calf}, review of systems {Review of systems}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hypertension
-hyperlipidemia
-peripheral vascular disease
-venous insufficiency
-peripheral neuropathy
-history of colon CA (no rad/chem)
-rosacea
-intertrigo
-L5-S1 radiculopathy
-
-PSH: 
-partial colectomy 93'
-R ___ angio; 
-PTA R SFA c stent x 2 at mid/distal SFA ___ (Zilver 
-stent)
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, peripheral vascular disease {Peripheral vascular disease}, venous insufficiency {Vascular insufficiency}, peripheral neuropathy {Peripheral nerve disease}, colon CA {Malignant neoplasm of colon}, rad {Radiation oncology AND/OR radiotherapy}, chem {Chemotherapy}, rosacea {Rosacea}, intertrigo {Intertrigo}, L5-S1 {Structure of intervertebral disc of L5 and S1}, radiculopathy {Nerve root disorder}, partial colectomy {Partial resection of colon}, angio {Angiography}, PTA {Percutaneous transluminal angioplasty}, SFA {Structure of superficial femoral artery}, stent {Insertion of arterial stent}, SFA {Structure of superficial femoral artery}, stent {Insertion of arterial stent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-CAD in brother
- 
-Physical ___:
-ADMISSION PHYSICAL EXAMINATION:  
-VS:  T 97.1 HR 113 BP 121/76 RR 25 SaO2 100% on facemask
-Gen:  elderly woman, labored breathing, nontoxic, NAD
-HEENT:  no scleral icterus, erythema and ecchymosis over nose 
-and mouth, mmm
-NECK:  +JVD (JVP 12cm)
-CV:  tachycardic, irregular rhythm, no m/r/g
-LUNGS:  on facemask, coughing, junky breath sounds with 
-bilateral wheezing and rhonchi; wheezing 
-ABD:  soft, NT/ND, +bs, no suprapubic tenderness
-EXT:  warm, 2+ edema in bilateral ___ to knees, venous stasis 
-changes R>L
-SKIN: erythema and ecchymosis over nose and mouth
-NEURO:  alert, moving all 4 extremities, no gross deficits
-
-DISCHARGE PHYSICAL EXAM:
-Discharge Weight: 72.9 kg
-VS: 97-98.6 90-110s/50-60s ___ RA
-Weight: 74.4 <--75.4 <--75.1 kg <-- 75.8 kg
-Tele: short asymptomatic sinus pauses while sleeping
-Gen:  elderly woman, NAD
-HEENT:  no scleral icterus, erythema and ecchymosis over nose 
-and mouth, mmm
-NECK:  no JVD
-CV:  regular rate, irregularly irregular rhythm, no m/r/g
-LUNGS:  wheezing and rhonchi have resolved 
-ABD:  soft, NT/ND, +bs, no ttp
-EXT:  warm, no edema, venous stasis changes R>L
-SKIN: erythema and ecchymosis over nose and mouth mostly 
-resolved
-NEURO:  alert, moving all 4 extremities, no gross deficits, 
-oriented to person, time, and place
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, PHYSICAL EXAMINATION {Physical examination procedure}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, facemask {Oxygen administration by mask}, Gen {General examination of patient}, labored breathing {Labored breathing}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, erythema {Erythema}, ecchymosis {Ecchymosis}, nose {Nasal structure}, mouth {Mouth region structure}, mmm {Moist oral mucosa}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, tachycardic {Tachycardia}, irregular rhythm {Irregular heart beat}, no m/r/g {Heart sounds normal}, LUNGS {Examination of respiratory system}, facemask {Oxygen administration by mask}, coughing {Cough}, breath sounds {Finding of breath sounds}, wheezing {Wheezing}, rhonchi {Wheeze - rhonchi}, wheezing {Wheezing}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, +bs {Normal bowel sounds}, EXT {Examination of limb}, warm {Warm skin}, edema in bilateral ___ to knees {Edema of bilateral lower legs}, venous stasis {Venous stasis}, SKIN {Examination of skin}, erythema {Erythema}, ecchymosis {Ecchymosis}, nose {Nasal structure}, mouth {Mouth region structure}, NEURO {Neurological examination}, alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, deficits {Neurological deficit}, Weight {Weight finding}, VS {Vital signs finding}, RA {Breathing room air}, Weight {Weight finding}, Tele {Cardiac telemetry}, asymptomatic {Asymptomatic}, sinus pauses {Sinus arrest}, sleeping {Asleep}, Gen {General examination of patient}, HEENT {Physical examination procedure}, scleral icterus {Scleral icterus}, erythema {Erythema}, ecchymosis {Ecchymosis}, nose {Nasal structure}, mouth {Mouth region structure}, mmm {Moist oral mucosa}, NECK {Physical examination procedure}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, regular rate {Normal heart rate}, irregularly irregular {Heart irregularly irregular}, rhythm {Irregular heart beat}, no m/r/g {Heart sounds normal}, LUNGS {Examination of respiratory system}, wheezing {Wheezing}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, +bs {Normal bowel sounds}, EXT {Examination of limb}, warm {Warm skin}, edema {Edema}, venous stasis {Venous stasis}, SKIN {Examination of skin}, erythema {Erythema}, ecchymosis {Ecchymosis}, nose {Nasal structure}, mouth {Mouth region structure}, NEURO {Neurological examination}, alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, deficits {Neurological deficit}, oriented to person, time, and place {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-======================
-___ 01:40PM BLOOD WBC-12.3*# RBC-4.03 Hgb-11.2 Hct-35.9 
-MCV-89 MCH-27.8 MCHC-31.2* RDW-16.2* RDWSD-52.7* Plt ___
-___ 01:40PM BLOOD ___ PTT-33.7 ___
-___ 01:40PM BLOOD Glucose-132* UreaN-35* Creat-1.7* Na-140 
-K-3.0* Cl-93* HCO3-26 AnGap-24*
-___ 01:40PM BLOOD ALT-16 AST-22 AlkPhos-131* TotBili-1.0
-___ 01:40PM BLOOD proBNP-___*
-___ 01:40PM BLOOD cTropnT-<0.01
-___ 01:40PM BLOOD Albumin-4.1 Calcium-7.2* Phos-4.0 Mg-1.3*
-___ 03:29AM BLOOD Type-ART Temp-36.3 Rates-/29 pO2-152* 
-pCO2-120* pH-7.07* calTCO2-37* Base XS-0 Intubat-NOT INTUBA
-___ 02:14PM BLOOD Lactate-1.7
-___ 03:29AM BLOOD freeCa-0.93*
-
-OTHER PERTINENT LABS:
-======================
-___ 08:53PM BLOOD cTropnT-<0.01
-___ 01:40PM BLOOD cTropnT-<0.01
-___ 06:55AM BLOOD TSH-7.9*
-___ 06:55AM BLOOD Free T4-1.2
-
-MICRO:
-======================
-___ Blood culture: negative
-___ MRSA screen: negative
-___ Urine culture: KLEBSIELLA PNEUMONIAE.    >100,000 
-ORGANISMS/ML..
-___ Sputum culture: MORAXELLA CATARRHALIS.    MODERATE GROWTH. 
-
-
-IMAGING/STUDIES:
-======================
-CXR ___: Comparison to ___.  Decrease in extent 
-of a pre-existing left pleural effusion.  Unchanged appearance 
-of the right lung.  Moderate cardiomegaly.  Mild retrocardiac 
-atelectasis.  Unchanged fibrotic right upper lobe changes.  
-Right PICC line is constant. 
-
-ECHO ___: 
-The left atrium is moderately dilated. The estimated right 
-atrial pressure is at least 15 mmHg. There is mild symmetric 
-left ventricular hypertrophy with normal cavity size and 
-regional/global systolic function (LVEF>55%). There is mild 
-symmetric left ventricular hypertrophy. The left ventricular 
-cavity size is normal. Overall left ventricular systolic 
-function is normal (LVEF>55%). Doppler parameters are 
-indeterminate for left ventricular diastolic function. Right 
-ventricular chamber size and free wall motion are normal. The 
-aortic valve leaflets (3) appear structurally normal with good 
-leaflet excursion and no aortic stenosis or aortic 
-regurgitation. The mitral valve leaflets are moderately 
-thickened. Mild (1+) mitral regurgitation is seen. [Due to 
-acoustic shadowing, the severity of mitral regurgitation may be 
-significantly UNDERestimated.] There is moderate pulmonary 
-artery systolic hypertension. There is no pericardial effusion. 
-There is an anterior space which most likely represents a 
-prominent fat pad. 
-
- Compared with the prior study (images reviewed) of ___, 
-pulmonary artery systolic pressure is higher and mild mitral 
-regurgitation is now appreciated. Other findings are similar.  
-
-DISCHARGE LABS:
-======================
-___ 07:14AM BLOOD WBC-6.4 RBC-3.48* Hgb-9.6* Hct-31.4* 
-MCV-90 MCH-27.6 MCHC-30.6* RDW-16.8* RDWSD-53.8* Plt ___
-___ 07:14AM BLOOD Glucose-107* UreaN-27* Creat-1.7* Na-144 
-K-3.7 Cl-104 HCO3-34* AnGap-10
-___ 07:14AM BLOOD Calcium-7.4* Phos-3.3 Mg-2.___RIEF SUMMARY STATEMENT:
-=========================
-___ woman with a history of CHF (LVEF 70% in ___, on Bumex), 
-Afib (on Apixiban), and HTN who presented with worsening 
-shortness of breath over the past week and cough found to have R 
-sided pneumonia and acute on chronic diastolic heart failure 
-exacerbation requiring BiPAP, complicated by hypercarbic 
-respiratory failure requiring intubation. Sputum culture grew 
-Moraxella and was treated with ceftriaxone (___) and 
-azithromycin (___). Patient was given steroids, d/c'ed 
-after 3 days due to worsening delirium. Delirium improved after 
-steroids were d/c'ed and with Seroquel.  Pt. with afib with RVR 
-during hospitalization.  Started on metoprolol and amiodarone 
-with improvement in rates.
-
-ACTIVE ISSUES: 
-=========================
-#) ACUTE DECOMPENSATED DIASTOLIC HEART FAILURE: LVEF 70% in 
-___. On admission, her exam was consistent with fluid overload, 
-with elevated JVP and 2+ pitting edema in both legs. LVEF 55-60% 
-on this admission. She was diuresed with 120 mg IV Lasix boluses 
-and Lasix gtt. Patient was transitioned to her home Bumex prior 
-to discharge. Of note, her Bumex had recently been increased as 
-an outpatient but she was not aware of this increase and had 
-continued at her previous dose, possibly leading to the present 
-admission.
-
-#) HYPOXIA/CAP: Patient presented with hypoxia, was likely due 
-to CHF exacerbation and community acquired pneumonia. Although 
-patient stated she had no history of asthma or COPD, she had 
-episodes of wheezing and was given standing ipratropium nebs 
-which improved wheezing and hypoxia. Patient was found to have R 
-lobe pneumonia on CXR and sputum culture grew Moraxella. She was 
-treated with 7 day course of Ceftriaxone. Due to worsening 
-hypercarbia and wheezing, she was treated with prednisone for 
-CAP, however prednisone was stopped after 3 days due to 
-worsening delirium. Patient had aggressive pulmonary toilet for 
-copious secretions and productive cough. Hypoxia had resolved 
-prior to discharge.
-
-#) ACUTE HYPERCARBIC RESPIRATORY FAILURE: Patient had episode of 
-agitation and altered mental status on first night of admission, 
-was found to have pCO2 120 and pH 7.07. She was intubated for 
-hypercarbic respiratory failure and treated with diuretics and 
-antibiotics for pneumonia. She was extubated the next day 
-(___). She had subsequent episodes of respiratory distress 
-that resolved with BiPAP.
-
-#) AFIB with RVR: At home patient took Apixiban 2.5mg BID and 
-Diltiazem 180mg BID.  On this admission, pt. with RVR.  HRs were 
-140s-150s during admission which was controlled with a diltiazem 
-gtt.  She was started back on her PO diltiazem and started on 
-metoprolol 100 XL.  She still had difficult to control rates.  
-As such, patient was started on amiodarone with improvement.  
-She eventually was transitioned back to PO medications and was 
-discharged on Metoprolol succinate 100 XL daily, Diltiazem 120 
-mg daily, and amiodarone. She was discharged on her home 
-apixaban for anticoagulation.
-
-#) ALTERED MENTAL STATUS: Patient had worsening delirium after 
-extubation most likely due to steroids, scopolamine, and ICU 
-hospitalization. The scopolamine patch and steroids were d/c'ed 
-and patient improved slowly. She was started on 50 mg Seroquel 
-at 4 pm and 10 pm daily for continued agitation and sundowning. 
-Mental status improved prior to discharge and she was AAOX3.  
-She was discontinued off of Seroquel with stable mental status 
-for over 72 hours.
-
-CHRONIC ISSUES:  
-=========================
-#) GERD: 
-- Continued home omeprazole 20 mg daily
-
-#) CHRONIC PAIN
-- Continued home Gabapentin 300mg qhs 
-
-TRANSITIONAL ISSUES:
-======================
-# Discharge Weight: 72.9kg (standing, day of discharge)
-# s/p CAP Course: Completed Ceftriaxone 7 days, Prednisone 3 
-days
-# Afib Outpatient Management:  Patient needs to follow up with 
-Dr. ___ Dr. ___ from cardiology.
-# Afib with RVR: Pt. with difficult to control ventricular rates 
-in the setting of her illness.  She was started on metoprolol 
-and amiodarone. Continued on dilt and apixaban.
-# Amio:  Would consider discontinuing amiodarone now that 
-patient is stable with rate-controlled Afib.  Otherwise, patient 
-needs safety monitoring if she remains on Amiodarone long term. 
-Please check PFTs and TFTs as an outpatient. On ___, 
-TSH:7.9 Free-T4:1.2.
-# Amiodarone Dosing: Given 400 BID for 1 week (to ___, 200 
-BID for 3 weeks (to ___, then 200 daily (Starting 
-___ 
-# Consider cardioversion as outpatient
-# Patient noticed to have painless lump underneath R mandible. 
-Please evaluate as outpatient.
-# Code: DNR/DNI
-# HCP:  ___ (pt's niece): ___
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, pH {pH measurement}, Lactate {Lactic acid measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, TSH {Thyroid stimulating hormone measurement}, Free T4 {T4 free measurement}, Blood culture {Blood culture}, negative {No abnormality detected}, MRSA {Methicillin resistant Staphylococcus aureus infection}, negative {No abnormality detected}, Urine culture {Urine culture}, Sputum culture {Microbial culture of sputum}, CXR {Plain chest X-ray}, left {Left lung structure}, pleural effusion {Pleural effusion}, right lung {Right lung structure}, cardiomegaly {Cardiomegaly}, Mild {Symptom mild}, atelectasis {Atelectasis}, right upper lobe {Structure of upper lobe of right lung}, PICC line {Peripherally inserted central venous catheter in situ}, ECHO {Echocardiography}, left atrium is moderately dilated {Left atrial dilatation}, right 
-atrial {Right atrial structure}, pressure {Pressure}, mild symmetric 
-left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, mild 
-symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, left ventricular 
-cavity {Structure of cavity of left cardiac ventricle}, size is normal {Normal size}, left ventricular systolic 
-function is normal {Normal left ventricular systolic function and wall motion}, left ventricular {Structure of myocardium of left ventricle}, Right 
-ventricular chamber {Right cardiac ventricular structure}, size {Normal size}, wall motion are normal {Finding of right ventricular wall motion}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, good {No abnormality detected}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, aortic 
-regurgitation {Aortic valve regurgitation}, mitral valve leaflets {Structure of leaflet of mitral valve}, thickened {Increased thickness}, Mild (1+) mitral regurgitation {Mild mitral valve regurgitation}, mitral regurgitation {Mitral valve regurgitation}, pulmonary 
-artery systolic hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, fat pad {Structure of normal fat pad}, study {Evaluation procedure}, systolic pressure {Increased systolic arterial pressure}, mild mitral 
-regurgitation {Mild mitral valve regurgitation}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CHF {Congestive heart failure}, Afib {Atrial fibrillation}, HTN {Hypertensive disorder, systemic arterial}, worsening {Patient's condition worsened}, shortness of breath {Dyspnea}, cough {Cough}, R 
-sided {Right lung structure}, pneumonia {Pneumonia}, acute on chronic diastolic heart failure {Acute on chronic diastolic heart failure}, BiPAP {Bilevel positive airway pressure titration}, hypercarbic 
-respiratory failure {Hypercapnic respiratory failure}, intubation {Insertion of endotracheal tube}, Sputum culture {Microbial culture of sputum}, steroids {Steroid therapy}, worsening {Patient's condition worsened}, delirium {Delirium}, Delirium {Delirium}, improved {Patient's condition improved}, steroids {Steroid therapy}, afib with RVR {Atrial fibrillation with rapid ventricular response}, improvement {Patient's condition improved}, rates {Finding of heart rate}, DECOMPENSATED DIASTOLIC HEART FAILURE {Decompensated cardiac failure}, exam {Physical examination procedure}, fluid overload {Hypervolemia}, JVP {Finding of jugular venous pressure}, 2+ pitting edema {2+ pitting edema}, both legs {Both lower legs}, diuresed {Diuretic therapy}, IV {Intravenous therapy}, Lasix {Diuretic therapy}, Lasix {Diuretic therapy}, increased {Increasing dosage of medication}, HYPOXIA {Hypoxia}, CAP {Community acquired pneumonia}, hypoxia {Hypoxia}, CHF exacerbation {Exacerbation of congestive heart failure}, community acquired pneumonia {Community acquired pneumonia}, asthma {Asthma}, COPD {Chronic obstructive lung disease}, wheezing {Wheezing}, standing {Orthostatic body position}, improved {Patient's condition improved}, wheezing {Wheezing}, hypoxia {Hypoxia}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, sputum culture {Microbial culture of sputum}, worsening {Patient's condition worsened}, hypercarbia {Hypercapnia}, wheezing {Wheezing}, CAP {Community acquired pneumonia}, worsening {Patient's condition worsened}, delirium {Delirium}, pulmonary toilet {Airway toilet}, copious secretions {Copious sputum}, productive cough {Productive cough}, Hypoxia {Hypoxia}, resolved {Problem resolved}, HYPERCARBIC RESPIRATORY FAILURE {Hypercapnic respiratory failure}, agitation {Feeling agitated}, altered mental status {Altered mental status}, intubated {Insertion of endotracheal tube}, hypercarbic respiratory failure {Hypercapnic respiratory failure}, diuretics {Diuretic therapy}, antibiotics {Antibiotic therapy}, pneumonia {Pneumonia}, extubated {Removal of endotracheal tube}, respiratory distress {Respiratory distress}, resolved {Problem resolved}, BiPAP {Bilevel positive airway pressure titration}, AFIB with RVR {Atrial fibrillation with rapid ventricular response}, RVR {Atrial fibrillation with rapid ventricular response}, HRs {Finding of heart rate}, rates {Finding of heart rate}, improvement {Patient's condition improved}, PO medications {Administration of drug or medicament via oral route}, apixaban {Anticoagulant therapy}, anticoagulation {Anticoagulant therapy}, ALTERED MENTAL STATUS {Altered mental status}, worsening {Patient's condition worsened}, delirium {Delirium}, extubation {Removal of endotracheal tube}, steroids {Steroid therapy}, ICU {Admission to intensive care unit}, steroids {Steroid therapy}, improved {Patient's condition improved}, agitation {Feeling agitated}, sundowning {Sundowning}, Mental status {Altered mental status}, improved {Patient's condition improved}, OX3 {Oriented to person, time and place}, discontinued {Recommendation to stop drug treatment}, stable {Patient's condition stable}, mental status {Mental state finding}, GERD {Gastroesophageal reflux disease}, CHRONIC PAIN {Chronic pain}, Weight {Weight finding}, standing {Orthostatic body position}, CAP {Community acquired pneumonia}, Afib {Atrial fibrillation}, Outpatient {Outpatient care management}, follow up {Follow-up arranged}, cardiology {Cardiology service}, Afib with RVR {Atrial fibrillation with rapid ventricular response}, ventricular {Cardiac ventricular structure}, rates {Finding of heart rate}, stable {Patient's condition stable}, rate {Finding of heart rate}, Afib {Atrial fibrillation}, monitoring {Monitoring procedure}, PFTs {Measurement of respiratory function}, TFTs {Thyroid panel}, TSH {Thyroid stimulating hormone measurement}, Free-T4 {T4 free measurement}, cardioversion {Cardioversion}, lump {Mass}, mandible {Bone structure of mandible}, evaluate {Evaluation procedure}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Bumetanide 2 mg PO QAM 
-2. bumetanide 1 mg oral QPM 
-3. Diltiazem Extended-Release 180 mg PO BID 
-4. Apixaban 2.5 mg PO BID 
-5. Gabapentin 300 mg PO QHS 
-6. Omeprazole 20 mg PO DAILY 
-7. Aspirin 81 mg PO DAILY 
-8. Cyanocobalamin 1000 mcg PO DAILY 
-9. miconazole nitrate unknown strength topical apply underneath 
-breasts and groin as needed for rash 
-
- 
-Discharge Medications:
-1. Apixaban 2.5 mg PO BID 
-2. Aspirin 81 mg PO DAILY 
-3. Bumetanide 2 mg PO QAM 
-4. Bumetanide 1 mg ORAL QPM 
-5. Diltiazem Extended-Release 120 mg PO DAILY 
-6. Gabapentin 300 mg PO DAILY 
-7. Omeprazole 20 mg PO DAILY 
-8. Amiodarone 400 mg PO BID 
-9. Metoprolol Succinate XL 100 mg PO DAILY 
-10. Cyanocobalamin 1000 mcg PO DAILY 
-11. miconazole nitrate unknown  TOPICAL APPLY UNDERNEATH BREASTS 
-AND GROIN AS NEEDED FOR RASH 
-12. Docusate Sodium 100 mg PO BID 
-13. Polyethylene Glycol 17 g PO DAILY:PRN constipation 
-14. Senna 8.6 mg PO BID:PRN constipation 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSES
-===================
-Acute on chronic diastolic heart failure
-Community Acquired Pneumonia
-Hypercarbic respiratory failure
-Delirium
-
-SECONDARY DIAGNOSES
-=====================
-Hypertension
-Hyperlipidemia
-Intertrigo
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Acute on chronic diastolic heart failure {Acute on chronic diastolic heart failure}, Community Acquired Pneumonia {Community acquired pneumonia}, Hypercarbic respiratory failure {Hypercapnic respiratory failure}, Delirium {Delirium}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Intertrigo {Intertrigo}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-You were admitted to ___ 
-because you had shortness of breath and cough. You were having 
-trouble breathing so you were placed on BiPAP machine and sent 
-to the cardiac ICU. You were found to have a pneumonia and heart 
-failure exacerbation causing fluid to accumulate in your lungs. 
-You required a breathing tube and breathing machine for a short 
-time to help you breathe during the beginning of your 
-hospitalization. You were given medications to treat your 
-pneumonia and medications to help remove fluid from your lungs. 
-You were given steroids to help decrease inflammation in your 
-lungs, but this caused you to be agitated and confused in the 
-ICU. Your confusion improved off of the steroids. Your exercise 
-tolerance decreased from your baseline, so you are being 
-discharged to rehab before you go home.
-
-Sincerely,
-
-Your ___ Team
- 
-
-###RESPONSE: shortness of breath {Dyspnea}, cough {Cough}, trouble breathing {Difficulty breathing}, BiPAP {Bilevel positive airway pressure titration}, cardiac ICU {Admission to cardiac intensive care unit}, pneumonia {Pneumonia}, heart 
-failure {Heart failure}, lungs {Lung structure}, breathing tube {Insertion of endotracheal tube}, breathing {Dual pressure spontaneous ventilation support}, medications {Prescription of drug}, pneumonia {Pneumonia}, medications {Prescription of drug}, lungs {Lung structure}, steroids {Steroid therapy}, inflammation {Inflammatory disorder}, lungs {Lung structure}, agitated {Feeling agitated}, confused {Clouded consciousness}, ICU {Admission to intensive care unit}, confusion {Clouded consciousness}, improved {Patient's condition improved}, steroids {Steroid therapy}, exercise 
-tolerance {Exercise tolerance finding}, baseline {Baseline state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Demerol / Zestril / adhesive tape / ondansetron / ondansetron 
-HCl
- 
-Attending: ___.
- 
-Chief Complaint:
-Vomiting
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: adhesive tape {Allergy to adhesive agent}, Vomiting {Vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo M with metastatic esophageal cancer presents with 
-refractory nausea and vomiting. History was obtained from the 
-patient's wife as the patient was too confused. According to his 
-wife, Mr. ___ has had mild nausea periodically until ___ 
-night, when he started vomiting coffee grounds every 2 hrs. On 
-___ morning the vomiting stopped, but he was still not able 
-to tolerate any solid foods. On ___ and ___ mornings he 
-vomited yellow, frothy emesis between ___, but had no further 
-vomiting. On ___ he was able to eat half an egg and some 
-chicken noodle soup, but that was it. Of note, mid last week he 
-also had some diarrhea, but that has resolved. Confusion began 
-today, previously he was not confused. His wife does note that 
-he has been very weak, with occasional tremors/""spasms"" in the 
-legs. He has not complained of a headache. He has been urinating 
-normally, and had a BM today or yesterday. His wife notes that 
-she is a ___, and would have been able to manage taking care 
-of him at home, but she was concerned that he might have an 
-aspiration pneumonia.
-
-His wife also reports that his pain (in neck, shoulders, right 
-hip/pelvis) has been well-controlled on methadone 20mg tid. He 
-has not required oxycodone for breakthrough in over a week. His 
-oncologist did increase his methadone to 25mg tid two weeks ago, 
-but he opted to return to the lower dose as he felt that the 
-higher dose was causing worsening nausea.
-
-Review of Systems:  
-(+) Per HPI  
-(-) Denies chills, night sweats. Denies blurry vision, diplopia, 
-loss of vision, photophobia. Denies headache, sinus tenderness, 
-rhinorrhea or congestion. Denies palpitations, lower extremity 
-edema. Denies shortness of breath. Denies melena, hematemesis, 
-hematochezia. Denies dysuria, stool or urine incontinence. 
-Denies arthralgias or myalgias. Denies rashes. All other systems 
-negative.  
-
- 
-
-###RESPONSE: metastatic {Metastatic malignant neoplasm}, esophageal cancer {Malignant tumor of esophagus}, refractory nausea and vomiting {Intractable nausea and vomiting}, confused {Clouded consciousness}, nausea {Nausea}, vomiting coffee grounds {Coffee ground vomiting}, vomiting {Vomiting}, vomited {Vomiting}, emesis {Vomiting}, vomiting {Vomiting}, able to eat {Able to eat}, diarrhea {Diarrhea}, Confusion {Clouded consciousness}, not confused {Not confused}, weak {Asthenia}, tremors {Tremor}, spasms {Spasm}, legs {Lower limb structure}, headache {Headache}, aspiration pneumonia {Aspiration pneumonia}, pain {Pain}, neck {Cervical region back structure}, shoulders {Shoulder region structure}, right 
-hip {Right hip region structure}, pelvis {Structure of right half of pelvis}, nausea {Nausea}, chills {Chill}, night sweats {Night sweats}, blurry vision {Blurring of visual image}, diplopia {Diplopia}, loss of vision {Blindness AND/OR vision impairment level}, photophobia {Photophobia}, headache {Headache}, sinus {Nasal sinus structure}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, palpitations {Palpitations}, lower extremity 
-edema {Edema of lower extremity}, shortness of breath {Dyspnea}, melena {Melena}, hematemesis {Hematemesis}, hematochezia {Hematochezia}, dysuria {Dysuria}, stool or urine incontinence {Double incontinence}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST ONCOLOGIC HISTORY:  
-- Stage IV metastatic poorly differentiated esophageal 
-adenocarcinoma diagnosed in ___  
- 
-PAST MEDICAL HISTORY:  
-- dCHF  
-- CABG: ___ (LIMA to LAD) due to CCATH showing total occlusion  
-
-of the RCA and circumflex arteries and an 80% left main  
-stenosis.  
-- CAD: CCATH/PCI: ___ - PTCA and DES x2 of the LMCA 
-bifurcation (LAD and ramus), ___ - ___ 
-___, ___ - ___, ___ - ___ anastomotic site 
-of LIMA to LAD, ___, ___  
-- s/p St. ___ Aortic Valve Replacement ___ - on coumadin in 
-past 
-- ""Intractable angina"" on methadone  
-- Hypertension  
-- Dyslipidemia  
-- h/o defibrillation in ___  
-- Nephrolithiasis  
-- s/p lap cholecystectomy in ___  
-- Horner's syndrome - mild  
-
- 
-
-###RESPONSE: Stage IV {Clinical stage IV}, metastatic {Metastatic malignant neoplasm}, esophageal 
-adenocarcinoma {Adenocarcinoma in situ of esophagus}, dCHF {Diastolic heart failure}, CABG {Coronary artery bypass grafting}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, CCATH {Cardiac catheterization}, total occlusion {Complete obstruction}, RCA {Right coronary artery structure}, circumflex arteries {Structure of circumflex branch of left coronary artery}, left main {Left coronary artery structure}, stenosis {Stenosis}, CAD {Coronary arteriosclerosis}, CCATH {Cardiac catheterization}, PCI {Percutaneous coronary intervention}, PTCA {Percutaneous transluminal coronary angioplasty}, DES {Endovascular insertion of drug eluting stent}, LMCA {Left coronary artery structure}, bifurcation {Bifurcation}, LAD {Structure of anterior descending branch of left coronary artery}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, Aortic Valve Replacement {Replacement of aortic valve}, Intractable angina {Refractory angina}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Nephrolithiasis {Kidney stone}, cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Many family members with CAD.
- 
-
-###RESPONSE: CAD {Disorder of coronary artery}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION
-VITALS: Afebrile, T 97.9, 140/90, ___, RR 20, 95% on room air 
-GENERAL: Middle aged man laying in bed, in NAD
-HEENT: NCAT, EOMI, PERRL, anicteric sclera, poor dentition, MMM  
-
-NECK: supple, no LAD  
-CARDIAC: RRR, S1 normal, mechanical S2, ___ systolic murmur hear 
-throughout precordium. 
-LUNG: Bilateral rales half-way up, no rhonchi, diminished breath 
-sounds at bases bilaterally
-ABDOMEN: Soft, generalized ttp, normoactive bowel sounds 
-throughout, no rebound/guarding, no hepatosplenomegaly  
-EXTREMITIES: WWP, no c/c/e, 2+ DP pulses bilaterally
-NEURO: CN II-XII intact, strength ___ in bilateral triceps, 
-biceps, deltoid, handgrip, and bilateral quads, ankle 
-flexion/extension, sensation intact. Oriented to ___ and ___, 
-not oriented to date. Having difficulty answering questions, not 
-sure how many days he has been vomiting 
-
- 
-
-###RESPONSE: VITALS {Vital signs finding}, Afebrile {Temperature normal}, RR {Finding of rate of respiration}, on room air {Breathing room air}, GENERAL {General examination of patient}, laying in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, dentition {Finding of dentition}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1 normal {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, precordium {Structure of precordium}, LUNG {Examination of respiratory system}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, diminished breath 
-sounds {Decreased breath sounds}, bases {Structure of base of lung}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, generalized ttp {Generalized abdominal tenderness}, normoactive bowel sounds {Normal bowel sounds}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, 2+ DP pulses {All pulses present in bilateral lower limbs}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, triceps {Triceps brachii muscle structure}, biceps {Biceps brachii muscle structure}, deltoid {Structure of deltoid muscle}, quads {Structure of quadriceps femoris muscle}, ankle {Ankle region structure}, sensation intact {Normal sensation}, Oriented {Orientated}, oriented {Orientated}, vomiting {Vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:25PM BLOOD WBC-15.7*# RBC-4.55*# Hgb-11.7*# 
-Hct-35.7*# MCV-78* MCH-25.6* MCHC-32.7 RDW-22.0* Plt ___
-___ 12:25PM BLOOD UreaN-21* Creat-1.3*
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ yo M with h/o metastatic esophageal cancer presented with 
-nausea, vomiting, dehydration, hypercalcemia (14), and failure 
-to thrive, and also with significant multifactorial 
-encephalopathy (likely toxic-metabolic encephalopathy).
-
-#Hypercalcemia: numerous ___, elev alk phos, malignancy 
-related (Not working up with PTH levels, etc). Likely 
-precipitated by dehydration. Provided IVF with NS and K 
-repletion >200cc/hr (despite sig CAD history has preserved EF on 
-last echo). Pt developed mild SOB with diffuse rales, so IVF 
-subsequently d/c'd. Calcium improved. No reaction to test dose 
-calcitonin and started calcitonin 250units SC (4mg/kg) q12h. 
-Received IV pamidronate 90mg on ___.
-
-# Acute multifactorial encephalopathy; likely multifactorial 
-toxic metabolic due to hypercalcemia, pain and progression of 
-malignancy. Treated with olanzapine.
-
-#Metastatic Esophageal Cancer with bone and lung ___: disease 
-progessing, he did not tolerate first round of chemo and does 
-not want further chemo or treatment. On admission focus was 
-sympom control and hospice care with plan to discharge to 
-nursing home. However on ___ pt became intolerant of all po 
-including fluids and medications. I had a conversation with his 
-wife on ___ regarding this change in condition and thus 
-prognosis. The decision was made to make the patient CMO. His 
-PCP, oncologist and cardiologist were made aware of this change. 
-He was made comfortable with morphine, olanzapine, scopolomine, 
-and glycopyroate and died peacefully with his wife at the 
-bedside on the morning of ___.
-
- 
-
-###RESPONSE: metastatic {Metastatic malignant neoplasm}, esophageal cancer {Malignant tumor of esophagus}, nausea, vomiting {Nausea and vomiting}, dehydration {Dehydration}, hypercalcemia {Hypercalcemia}, failure 
-to thrive {Failure to thrive}, multifactorial 
-encephalopathy {Multifactorial encephalopathy}, toxic-metabolic encephalopathy {Toxic metabolic encephalopathy}, Hypercalcemia {Hypercalcemia}, elev alk phos {Alkaline phosphatase above reference range}, malignancy {Malignant neoplasm}, dehydration {Dehydration}, CAD {Disorder of coronary artery}, echo {Echocardiography}, SOB {Dyspnea}, rales {Respiratory crackles}, improved {Patient's condition improved}, IV {Intravenous therapy}, multifactorial encephalopathy {Multifactorial encephalopathy}, toxic metabolic {Toxic metabolic encephalopathy}, hypercalcemia {Hypercalcemia}, pain {Pain}, malignancy {Malignant neoplasm}, Metastatic {Metastatic malignant neoplasm}, Esophageal Cancer {Malignant tumor of esophagus}, bone {Bone structure}, lung {Metastatic malignant neoplasm to lung}, disease {Disease}, chemo {Chemotherapy}, chemo {Chemotherapy}, hospice care {Hospice care}, discharge to 
-nursing home {Discharge to nursing home}, prognosis {Determination of prognosis}, make the patient CMO {Comfort care only status}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Prochlorperazine 10 mg PO Q6H:PRN nausea 
-2. Lorazepam 1 mg PO Q6H:PRN nausea 
-3. Metoprolol Succinate XL 50 mg PO DAILY 
-4. Polyethylene Glycol 17 g PO DAILY 
-5. Atorvastatin 80 mg PO DAILY 
-6. Torsemide 40 mg PO DAILY 
-7. Isosorbide Mononitrate (Extended Release) 120 mg PO DAILY 
-8. Methadone 20 mg PO TID 
-9. OxycoDONE (Immediate Release)  5 mg PO Q6H:PRN pain 
-10. Pantoprazole 40 mg PO Q12H 
-11. Citalopram 30 mg PO DAILY 
-12. FoLIC Acid 1 mg PO DAILY 
-13. Vitamin D Dose is Unknown  PO DAILY 
-
- 
-Discharge Medications:
-none, pt deceased
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home with Service
- 
-Discharge Diagnosis:
-metastatic esophageal cancer
-hypercalcemia of malignancy
-failure to thrive
-malnutrition, moderate
-cancer related pain
-bone metastasis
-
- 
-Discharge Condition:
-deceased
- 
-                             ___ MD ___
- 
-Completed by: ___
-
-###RESPONSE: metastatic {Metastatic malignant neoplasm}, esophageal cancer {Malignant tumor of esophagus}, hypercalcemia of malignancy {Humoral hypercalcemia of malignancy}, failure to thrive {Failure to thrive}, malnutrition {Nutritional disorder}, cancer related pain {Chronic pain due to malignant neoplastic disease}, bone {Bone structure}, metastasis {Metastatic malignant neoplasm}, deceased {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Spice Flavor / Children's Tylenol Plus / Bactrim
- 
-Attending: ___.
- 
-Chief Complaint:
-Abscess
- 
-Major Surgical or Invasive Procedure:
-Incision and drainage of abscess
- 
-
-###RESPONSE: Abscess {Abscess}, Incision and drainage of abscess {Incision and drainage of abscess}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ yo man with PMHx sig. for developmental delay 
-and history of MRSA abscesses who presents with an axillary 
-abscess.  The patient reports itchy rash under his arms 
-bilaterally for the past 2 weeks.  He was seen in the office on 
-___, given antifungal creams and antihistamines, which have not 
-helped.  A painful lump under his L arm worsened and several 
-small R pustules under the right arm.  He reports that the 
-redness and itching is spreading to his chest.  The patient 
-reports that he has felt febrile for one night, did not take 
-temperature.  No chills, nightsweats. 
-
-The patient is a ___ and has been outside recently, has 
-sunburn on left arm, but has redness on his chest which patient 
-reports is not sunburn. 
-
-In the ED, initial VS were: 98.2 86 134/88 15 98% RA. Exam was 
-notable for L axilla with single large abscess 2.5x3.5cm and 
-surrounding erythema. This was I&D'ed and packed.  Labs were 
-unremarkable. The patient received vancomycin, percocet. 
- 
-Review of Systems:  
-(+) Per HPI  
-(-) Denies headache, sinus tenderness, rhinorrhea or congestion. 
-Denies chest pain or tightness, palpitations. Denies cough, 
-shortness of breath. Denies nausea, vomiting, diarrhea, 
-constipation, or abdominal pain. No dysuria, urinary frequency. 
-Denies arthralgias or myalgias. All other review of systems 
-negative. 
- 
-
-###RESPONSE: developmental delay {Developmental delay}, MRSA {Methicillin resistant Staphylococcus aureus infection}, abscesses {Abscess}, axillary 
-abscess {Abscess of axilla}, itchy {Itching}, rash {Eruption of skin}, arms {Upper limb structure}, painful {Pain}, lump {Mass}, L arm {Left upper arm structure}, pustules {Pustule}, right arm {Right upper arm structure}, redness {Redness of skin over lesion}, itching {Itching}, chest {Thoracic structure}, febrile {Fever}, chills {Chill}, nightsweats {Night sweats}, sunburn {Solar erythema}, left arm {Left upper arm structure}, redness {Redness of skin over lesion}, chest {Thoracic structure}, sunburn {Solar erythema}, VS {Vital signs finding}, RA {Breathing room air}, Exam {Physical examination procedure}, L axilla {Structure of left axillary region}, abscess {Abscess}, erythema {Erythema}, I&D {Incision AND drainage}, unremarkable {No abnormality detected}, headache {Headache}, sinus {Nasal sinus structure}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, Denies cough {Does not cough}, shortness of breath {Dyspnea}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, dysuria {Dysuria}, urinary frequency {Increased frequency of urination}, arthralgias {Joint pain}, myalgias {Muscle pain}, review of systems {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-ANEMIA (ICD-285.9)      
-CONSTIPATION (ICD-564.0)      
-CALCULUS, KIDNEY (ICD-592.0)      
-CELLULITIS/ABSCESS - MRSA (ICD-682.9)      
-RETARDATION, MENTAL NOS (ICD-319)      
-CARPAL TUNNEL SYNDROME, BILATERAL (ICD-354.0)      
-
- 
-
-###RESPONSE: ANEMIA {Anemia}, CONSTIPATION {Constipation}, CALCULUS {Calculus}, KIDNEY {Kidney structure}, CELLULITIS {Cellulitis}, ABSCESS {Abscess}, MRSA {Methicillin resistant Staphylococcus aureus infection}, RETARDATION, MENTAL {Intellectual disability}, CARPAL TUNNEL SYNDROME {Carpal tunnel syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with diabetes.
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals:  98.1, 121/66, 58, 14. 97RA, ___ pain in L axilla
-Gen: NAD, AOX3  
-HEENT: PER, EOMI, MMM, sclera anicteric, not injected  
-Neck: no LAD, no JVD  
-Cardiovascular: RRR normal s1, s2, no murmurs appreciated  
-Respiratory: Clear to auscultation bilaterally, no wheezes, 
-rales or rhonchi  
-Abd: normoactive bowel sounds, soft, non-tender, non distended  
-Extremities: No edema, 2+ DP pulses, R axilla erythematous with 
-scattered pustules, L axilla erythematous with I&D site  
-NEURO: PERRL, EOMI, face symmetric, no tongue deviation  
-Integument: Warm, moist; erythematous macular rash across chest
-Psychiatric: appropriate, pleasant, not anxious  
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, pain {Pain}, L axilla {Structure of left axillary region}, Gen {General examination of patient}, NAD {No abnormality detected}, AOX3 {Oriented to person, time and place}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, sclera anicteric {White sclera}, Neck {Physical examination procedure}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, normal s1, s2 {Heart sounds normal}, murmurs {Murmur}, Respiratory {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abd {Examination of abdomen}, normoactive bowel sounds {Normal bowel sounds}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, Extremities {Examination of limb}, edema {Edema}, 2+ DP pulses {Dorsalis pulse present}, R axilla {Structure of right axillary region}, erythema {Erythema}, pustules {Pustule}, L axilla {Structure of left axillary region}, erythema {Erythema}, I&D {Incision AND drainage}, NEURO {Neurological examination}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, face symmetric {Facial symmetry}, tongue {Tongue structure}, deviation {Displacement}, Integument {Structure of integumentary system}, Warm {Warm skin}, moist {Moist skin}, erythema {Erythema}, rash {Eruption of skin}, chest {Thoracic structure}, Psychiatric {Psychiatric symptom}, anxious {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs:
-___ 06:45PM   WBC-8.4 RBC-4.84 HGB-14.2 HCT-41.5 MCV-86 
-MCH-29.2 MCHC-34.2 RDW-13.6
-___ 06:45PM   NEUTS-55.7 ___ MONOS-4.0 EOS-4.1* 
-BASOS-1.8
-___ 06:45PM   PLT COUNT-368
-___ 06:45PM   GLUCOSE-111* UREA N-17 CREAT-0.9 SODIUM-140 
-POTASSIUM-4.5 CHLORIDE-104 TOTAL CO2-29 ANION GAP-12
-___ 06:45PM   ___ PTT-26.1 ___
-___ 06:52PM   LACTATE-1.___. Abscess, left axilla:  Patient has a history of MRSA skin 
-abscesses. This episode was treated with incision and drainage 
-followed by IV vancomycin then oral clindamicin. He has an 
-appointment with his PCP's office for the day after discharge.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, Abscess {Abscess}, left axilla {Structure of left axillary region}, MRSA {Methicillin resistant Staphylococcus aureus infection}, skin 
-abscesses {Abscess of skin and/or subcutaneous tissue}, incision and drainage {Incision AND drainage}, IV {Administration of drug or medicament via intravenous route}, oral {Administration of drug or medicament via oral route}, PCP {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-OMEPRAZOLE 20 MG CPDR (OMEPRAZOLE) 1 tab po every day      
-VYTONE CRE 1% (IODOQUINOL-HC) APPLY BID TO AFFECTED AREAS      
-CLOTRIM ANTIFUNGAL CREA 1 % (CLOTRIMAZOLE) apply to affected 
-area bid      
-DIPHENHYDRAMINE HCL 25 MG CAPS (DIPHENHYDRAMINE HCL) ___ tabs PO 
-Q4-6H PRN      
-LORATADINE 10 MG TABS (LORATADINE) 1 tab po every day as needed 
-for itch
- 
-Discharge Medications:
-1. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-2. loratadine 10 mg Tablet Sig: One (1) Tablet PO once a day as 
-needed for itching.  
-3. iodoquinol-HC ___ % Cream Sig: One (1)  Topical twice a day.  
-
-4. clotrimazole 1 % Cream Sig: One (1)  Topical twice a day.  
-5. clindamycin HCl 300 mg Capsule Sig: One (1) Capsule PO every 
-eight (8) hours for 6 days.
-Disp:*18 Capsule(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-1. Abscess
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Abscess {Abscess}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with an abscess in your left axilla (armpit). 
-Please continue taking the prescribed antibiotics and follow-up 
-with the ___ on tomorrow (___).
- 
-
-###RESPONSE: abscess {Abscess}, left axilla {Structure of left axillary region}, armpit {Structure of axillary fossa}, antibiotics {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-low BP
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: low BP {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ h/o Lupus, embolic strokes s/p recent stroke on coumadin, 
-metastatic colon cancer on chemotherapy s/p renal transplant on 
-PD admitted from clinic with hypotension. Patient presented to 
-___ today for INR check, but went to ___ clinic. She 
-noted that she was slightly dizzy with some blurred vision while 
-walking through the parking lot. In ___ clinic, they 
-checked her INR, and then decided to start her on cycle 1 of 
-erbitux. She was given benadryl as premedication.  
-.  
-Her blood pressure was then found to be low 70/40. The patient's 
-typically BP runs in SBP ___ and there is always difficulty 
-obtaining accurate BP's. Because of this the patient was kept in 
-clinic for gentle fluids with the goal of returning her SBP to 
-mid 80's. She was also given decadron in the chance that she was 
-having a reaction to erbitux. As her blood pressure did not 
-increase adequately, it was decided to admit her. In addition, 
-she was drowsy in clinic - ___ to Benadryl?, but was becoming 
-increasingly alert as the benadryl wore off.  
-.  
-The patient now states that her mental status is greatly 
-improved, at baseline, ""feels normal"". She also reports that she 
-has increased the amount of fluid she removes in PD in order to 
-dec peripheral edema. In addition, she missed her midodrine 
-doses today. She also notes that yesterday she had poor PO 
-intake secondary to the heat and mild nausea. Denies any 
-vomting, no chills, no fever, minimal diarrhea.  
-.  
-In ___, the patient was admitted with fever and hypotension. 
-She was found to have CDiff colitis in early ___, discharged 
-on vancomycin PO - which she has finished. Several days ago, she 
-was admitted to the neurology service for acute/subacute embolic 
-stroke. In the work up, she was found to have a filamentous 
-structure on the right atrial catheter c/w thrombus and was 
-started on anticoagulation.  
-.
- 
-Clinic course:  
-# VS: 4:45pm BP 76/58 P ___  
-# Meds/IVF: 1.5L NS slowly, benadryl as premedication with 
-erbitux  
-.  
-ROS:  
-(+) mild nausea, mild diarrhea, DOE but at baseline, + 
-peripheral edema but dec over the past week, + leg weakness when 
-climbing stairs (at baseline)  
-(-) no abominal pain, no lupus symptoms, no rash, no worsening 
-joint swelling, no hematochezia, no melena 
-
- 
-
-###RESPONSE: Lupus {Lupus erythematosus}, embolic strokes {Embolic stroke}, stroke {Cerebrovascular accident}, metastatic colon cancer {Metastatic carcinoma to colon}, chemotherapy {Chemotherapy}, renal transplant {Transplant of kidney}, PD {Peritoneal dialysis}, hypotension {Low blood pressure}, dizzy {Dizziness}, blurred vision {Blurring of visual image}, blood pressure {Blood pressure finding}, low {Low blood pressure}, BP {Blood pressure finding}, fluids {Administration of intravenous fluids}, drowsy {Drowsy}, alert {Mentally alert}, improved {Patient's condition improved}, baseline {Baseline state}, PD {Peritoneal dialysis}, peripheral edema {Peripheral edema}, poor PO 
-intake {Inadequate oral intake}, nausea {Nausea}, vomting {Vomiting}, chills {Chill}, fever {Fever}, diarrhea {Diarrhea}, fever {Fever}, hypotension {Low blood pressure}, CDiff colitis {Clostridium difficile colitis}, embolic 
-stroke {Embolic stroke}, right atrial {Right atrial structure}, thrombus {Thrombus}, anticoagulation {Anticoagulant therapy}, VS {Vital signs finding}, BP {Blood pressure finding}, nausea {Nausea}, diarrhea {Diarrhea}, DOE {Dyspnea on exertion}, peripheral edema {Peripheral edema}, leg weakness {Monoparesis of lower limb}, abominal pain {Abdominal pain}, lupus {Lupus erythematosus}, rash {Eruption of skin}, joint swelling {Joint swelling}, hematochezia {Hematochezia}, melena {Melena}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-.  
-POncH  
-# Stage III metstatic colon adenocarcinoma (dx ___: LVI, 
-venous, perineural invasion; FDG-avid RUL, L adrenal gland mass 
-(___), brain mets  
---s/p resection  
---s/p irinotecan X2 doses dc'd ___ intractable diarrhea  
---s/p capecitabine, oxaliplatin x3 cycles  
---s/p fluorouracil, leucovorin, oxaliplatin (Folfox) ___  
-.  
-PMH  
-# ESRD s/p failed renal transplants x2 (___), on PD x3 
-daily, immunosuppressants d/c'd on ___ given increasing 
-creatinine and in setting of chemo treatment  
-# SLE on prednisone 5mg daily  
-# Hyperlipidemia  
-# Osteoporosis  
-# Mitral regurgitation  
-# Dyspepsia  
-# Seizure disorder s/p stroke (___)  
-
- 
-
-###RESPONSE: Stage III {Carcinoma of colon, stage III}, metstatic colon {Metastatic carcinoma to colon}, adenocarcinoma {Adenocarcinoma}, LVI {Blood/lymphatic vessel invasion by tumor present (breast)}, venous {Venous (large vessel) invasion by tumor present}, perineural invasion {Perineural invasion by tumor present}, FDG-avid {Positron emission tomography with computed tomography using fluorodeoxyglucose (18-F)}, RUL {Structure of upper lobe of right lung}, L adrenal gland {Structure of left adrenal gland}, mass {Mass of adrenal gland}, brain mets {Metastatic malignant neoplasm to brain}, resection {Excision}, diarrhea {Diarrhea}, ESRD {End-stage renal disease}, failed renal transplants {Failed renal transplant}, PD {Peritoneal dialysis}, chemo {Chemotherapy}, SLE {Systemic lupus erythematosus}, Hyperlipidemia {Hyperlipidemia}, Osteoporosis {Osteoporosis}, Mitral regurgitation {Mitral valve regurgitation}, Dyspepsia {Indigestion}, Seizure disorder {Seizure disorder}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-This is largely unknown to the patient. There are multiple 
-cancers in the family.
-
- 
-
-###RESPONSE: multiple 
-cancers {Multiple malignancy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: T 97.3, BP 95/78, HR 100, RR 20, O2sat 97 on RA  
-Gen: NAD  
-HEENT: NCAT, MMM, OP clear, neck supple, mildly dysarthric 
-speech, mild ___ flattening on the left  
-CV: RRR, S1S2, ___ murmur  
-Chest: coughing with deep inspiration, crackles ___ up on right 
-side posteriorly, no labored breathing  
-Abd: Soft, NT, distended, no rebound, no guarding; no TTP, NABS  
-
-Ext: 2+ pitting edema B  
-Neuro: AOx3, attention intact, strength ___ bilaterally, CN II- 
-XII intact  
-
- 
-
-###RESPONSE: VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2sat {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, supple {Normal movement of neck}, dysarthric 
-speech {Dysarthria}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, Chest {Examination of respiratory system}, coughing {Cough}, crackles {Respiratory crackles}, right 
-side {Right lung structure}, labored breathing {Labored breathing}, Abd {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, distended {Swollen abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, TTP {Tenderness}, NABS {Normal bowel sounds}, Ext {Examination of limb}, edema {Edema}, Neuro {Neurological examination}, AOx3 {Oriented to person, time and place}, attention {Finding related to attentiveness}, CN II- 
-XII intact {Normal central nervous system}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:08PM BLOOD WBC-9.6 RBC-3.29* Hgb-10.6* Hct-32.4* 
-MCV-98 MCH-32.1* MCHC-32.7 RDW-17.7* Plt ___
-___ 05:15AM BLOOD WBC-9.7 RBC-3.23* Hgb-10.4* Hct-32.1* 
-MCV-99* MCH-32.1* MCHC-32.3 RDW-17.7* Plt ___
-
-___ 12:23PM BLOOD ___
-___ 11:56AM BLOOD ___
-___ 06:08PM BLOOD Glucose-145* UreaN-33* Creat-8.4* Na-134 
-K-4.1 Cl-100 HCO3-27 AnGap-11
-___ 05:15AM BLOOD Glucose-141* UreaN-36* Creat-8.3* Na-134 
-K-3.7 Cl-100 HCO3-28 AnGap-10
-___ 06:08PM BLOOD Calcium-7.4* Phos-3.4 Mg-2.0
-___ 05:15AM BLOOD Calcium-7.3* Phos-3.2 Mg-2.___y the time the patient reached the floor, her BP had returned 
-to normal and she was feeling well. She was observed overnight, 
-restarted on Midodrine and seen by the renal team. The renal 
-team recomended reducing the amount of fluid removed at each 
-session. She had no further episodes of low BP. In addition, her 
-INR was monitored. On the day of discharge, it was 3.6 and she 
-was instructed to hold her evening dose. These instructions were 
-also communicated to the ___ anti-coagulation nurses; they will 
-call her with further instructions.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, low BP {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily) for ___ days.  
-2. Prednisone 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-3. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1) 
-Tablet PO MWF (___).  
-4. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO QID (4 times a day).  
-5. Midodrine 2.5 mg Tablet Sig: One (1) Tablet PO TID (3 times a 
-
-day).  
-6. Potassium Chloride 20 mEq Packet Sig: Two (2) Packet PO DAILY 
-
-(Daily).  
-7. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-8. Calcitriol 0.25 mcg Capsule Sig: One (1) Capsule PO DAILY 
-(Daily).  
-9. Warfarin 5 mg Tablet Sig: One (1) Tablet PO once a day.
-Disp:*30 Tablet(s)* Refills:*2*
- 
-Discharge Medications:
-1. Midodrine 2.5 mg Tablet Sig: One (1) Tablet PO TID (3 times a 
-day).  
-2. Prednisone 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-3. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-4. Trimethoprim-Sulfamethoxazole 160-800 mg Tablet Sig: One (1) 
-Tablet PO MWF (___).  
-5. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO QID (4 times a day).  
-6. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-7. Calcitriol 0.25 mcg Capsule Sig: One (1) Capsule PO DAILY 
-(Daily).  
-8. Warfarin 2.5 mg Tablet Sig: Two (2) Tablet PO once a day: 
-take at 4pm at night.
-Disp:*30 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Low Blood Pressure
-End Stage Renal Disease
-
- 
-Discharge Condition:
-improved
-
- 
-
-###RESPONSE: Low Blood Pressure {Low blood pressure}, End Stage Renal Disease {End-stage renal disease}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for low blood pressure. You were given fluids 
-and restarted on Midodrine. Your blood pressure improved. The 
-renal team also recomended taking off less fluid with dialysis 
-to avoid low blood pressures.
-.
-You should continued taking coumadin. Your INR was elevated 
-today. You should NOT take any warfarin (coumadin) tonight. The 
-___ clinic will call you to adjust the dose. You 
-will need to have your INR checked on ___.
-.
-If you have dizziness, light-headedness, fevers or chills, you 
-should return to the emergency room.
- 
-
-###RESPONSE: low blood pressure {Low blood pressure}, fluids {Administration of intravenous fluids}, blood pressure {Blood pressure finding}, improved {Patient's condition improved}, dialysis {Dialysis procedure}, low blood pressures {Low blood pressure}, dizziness {Dizziness}, light-headedness {Lightheadedness}, fevers {Fever}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Dizziness, Left arm weakness 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Dizziness {Dizziness}, Left arm {Structure of left upper limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old left handed woman presenting with dizziness and left 
-arm weakness. The patient reports starting a new medication, 
-donepezil, about 1 week ago. Following this period in time she 
-noted the onset of vertigo while standing up, which would 
-resolve upon sitting down. She also noted, though not 
-concurrently, that her left arm ""felt weak."" Onset of this 
-sensation was slow over days. She reports difficulty reaching up 
-to touch her forehead. There was no associated pain. She reports 
-difficulty with handwriting because the pen jerks around the 
-page. She does not have any hand weakness however, in that she 
-has no difficulty in opening doorknobs or jars. The pt denied 
-headache, loss of vision, blurred vision, diplopia, dysarthria, 
-dysphagia. tinnitus or hearing difficulty. Denied difficulties 
-producing or comprehending speech. No parasthesias. No bowel or 
-bladder incontinence or retention. Denied difficulty with gait.  
-
-  
-In the emergency department, initial vitals: 13:54 0 97.9 72 
-128/95 18 98. Not orthostatic. No gait abnormality. EKG- new TWI 
-I, otherwise nonspecific change. CXR-atelectasis at RL base, no 
-pna or effusion, large dilated air filled viscous in upper 
-abdomen correlate clinically- no abd pain on exam. KUB given 
-findings on CXR- non specific bowel gas pattern, need f/u final 
-read. Cardiac enzymes- neg. WBC inc but U/A-neg and it appears 
-to be chronically elevated. CT Head-neg. Neuro consult- no acute 
-issue, no objective signs of weakness, symptoms may be related 
-to Aricept, can d/c medicatoin and then get in touch with PCP to 
-discuss--->per neuro added on Lithium level (mildly elevated). 
-200 cc NS and 8 mg of IV Zofran given. Admitted for syncope w/u. 
- 
-  
-On arrival to the floor, she states she is feeling somewhat 
-depressed with suicidal ideation but no intent/plan. She feels 
-safe now that she is hospitalized. She states that occasionally 
-when she walks, she feels worried that she is going to fall but 
-has not fallen as of yet. She has a mildly productive cough that 
-has developed in the past 10 minutes.  
-  
-Review of systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denied shortness of breath. Denied chest pain or 
-tightness, palpitations. Denied nausea, vomiting, diarrhea, 
-constipation or abdominal pain. No recent change in bowel or 
-bladder habits. No dysuria. Denied arthralgias or myalgias.  
-
- 
-
-###RESPONSE: left handed {Left handed}, dizziness {Dizziness}, left 
-arm {Structure of left upper limb}, vertigo {Vertigo}, standing {Orthostatic body position}, resolve {Problem resolved}, sitting {Sitting position}, left arm {Structure of left upper limb}, weak {Asthenia}, difficulty reaching {Difficulty reaching}, forehead {Forehead structure}, pain {Pain}, hand {Hand structure}, weakness {Asthenia}, headache {Headache}, loss of vision {Functional visual loss}, blurred vision {Blurring of visual image}, diplopia {Diplopia}, dysarthria {Dysarthria}, dysphagia {Dysphagia}, tinnitus {Tinnitus}, hearing difficulty {Hearing difficulty}, difficulties 
-producing or comprehending speech {Difficulty comprehending speech}, parasthesias {Paresthesia}, bowel {Incontinence of feces}, bladder incontinence {Urinary incontinence}, retention {Retention of urine}, difficulty with gait {Abnormal gait}, vitals {Vital signs finding}, orthostatic {Orthostatic body position}, gait abnormality {Abnormal gait}, EKG {Electrocardiographic procedure}, TWI {Inverted T wave}, CXR {Plain chest X-ray}, atelectasis {Atelectasis}, RL base {Structure of base of right lung}, pna {Pneumonia}, effusion {Pleural effusion}, dilated {Dilatation}, upper 
-abdomen {Upper abdomen structure}, abd pain {Abdominal pain}, exam {Physical examination procedure}, KUB {Radiography of kidney-ureter-bladder}, CXR {Plain chest X-ray}, bowel gas pattern {Finding of gastrointestinal tract gas}, Cardiac enzymes {Finding of cardiac enzyme levels}, WBC {White blood cell count}, U/A-neg {Urinalysis = no abnormality}, CT Head {Computed tomography of head}, Neuro {Neurology service}, signs {Sign}, weakness {Asthenia}, Lithium level {Finding of lithium level}, syncope {Syncope}, depressed {Depressed mood}, suicidal ideation {Suicidal thoughts}, intent {Suicidal intent}, walks {Difficulty walking}, worried {Worried}, fall {Falls}, fallen {Falls}, productive cough {Productive cough}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, shortness of breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-COPD--Pt does not use 02 at home  
-Hypothryoid  
-Hyperlipidemia 
-RLS 
-
-PSYCHIATRIC HISTORY:  Per OMR, and patient interview:
-Diagnosedwith schizoaffective disorder ___ years ago after having
-her son. First hospitalization in ___ ___ after 
-SA
-by cutting wrists.  Several other SA, including OD, and
-self-stabbing.  Reports associated ___ with some of these SA, 
-but
-reports no auditory hallucinations in ___ years. Pt relates that
-last suicide attempt was ___ years ago, and that last psychiatric
-hospitalization was ___ years ago prior to recent ___ 
-admission
-in ___ (5 days). Has had over 10 psychiatric
-hospitalizations.  Has gone to day program at ___ over
-past ___ years.
-Psychiatrist: ___, MD at ___  ___
-Therapist: ___ at ___ 
-___
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, Hypothryoid {Hypothyroidism}, Hyperlipidemia {Hyperlipidemia}, schizoaffective disorder {Schizoaffective disorder}, cutting wrists {Cutting own wrists}, self-stabbing {Stabbing self}, auditory hallucinations {Auditory hallucinations}, suicide attempt {Suicidal intent}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-None known. 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITAL SIGNS: T 96.7 BP 110/62 HR 61 RR 18 O2 94% on RA  
-GENERAL: Pleasant, depressed appearing.  
-HEENT: Normocephalic, atraumatic. No conjunctival pallor. No 
-scleral icterus. PERRLA/EOMI. MMM. OP clear. Neck Supple, No 
-LAD, No thyromegaly.  
-CARDIAC: Regular rhythm, normal rate. Normal S1, S2. No murmurs, 
-rubs or ___. JVP not elevated.  
-LUNGS: Occasional rhonchi that clear w/ coughing, good air 
-movement biaterally.  
-ABDOMEN: Distended but NABS. Soft, NT, ND. No HSM  
-EXTREMITIES: No edema or calf pain, 2+ dorsalis pedis/ posterior 
-tibial pulses.  
-SKIN: No rashes/lesions, ecchymoses.  
-NEURO: A&Ox3. Appropriate. CN ___ grossly intact. Preserved 
-sensation throughout. ___ strength throughout. Babinski 
-equivocal. Normal coordination. Gait assessment deferred  
-PSYCH: Endorses suicidal ideation but no plan, + more depressed 
-recently about concern that her memory is failing her  
-
- 
-
-###RESPONSE: VITAL SIGNS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Finding of oxygen saturation}, RA {Breathing room air}, GENERAL {General examination of patient}, depressed {Depressed mood}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, conjunctival pallor {Pale conjunctiva}, scleral icterus {Scleral icterus}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, thyromegaly {Goiter}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, Normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, JVP not elevated {Normal jugular venous pressure}, LUNGS {Examination of respiratory system}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Distended {Swollen abdomen}, NABS {Normal bowel sounds}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, edema {Edema}, pain {Pain}, 2+ dorsalis pedis {Dorsalis pulse present}, posterior 
-tibial pulses {Posterior tibial pulse present}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, Appropriate {Appropriate affect}, CN {Cranial nerve structure}, grossly intact {Normal nervous system function}, Preserved 
-sensation {Normal sensation}, Babinski {Flexor plantar response finding}, Normal coordination {Normal coordination}, Gait assessment {Gait evaluation}, PSYCH {Initial psychiatric evaluation}, suicidal ideation {Suicidal thoughts}, depressed {Depressed mood}, memory {Memory finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 03:00PM   PLT COUNT-386
-___ 03:00PM   NEUTS-83.1* LYMPHS-11.6* MONOS-3.6 EOS-1.4 
-BASOS-0.2
-___ 03:00PM   WBC-16.9* RBC-4.82 HGB-14.3 HCT-43.0 MCV-89 
-MCH-29.8 MCHC-33.3 RDW-13.4
-___ 03:00PM   LITHIUM-1.6*
-___ 03:00PM   CALCIUM-11.4* PHOSPHATE-3.0 MAGNESIUM-2.1
-___ 03:00PM   CK-MB-NotDone
-___ 03:00PM   cTropnT-<0.01
-___ 03:00PM   CK(CPK)-67
-___ 03:00PM   estGFR-Using this
-___ 03:00PM   GLUCOSE-98 UREA N-15 CREAT-1.0 SODIUM-136 
-POTASSIUM-3.4 CHLORIDE-103 TOTAL CO2-23 ANION GAP-13
-___ 03:31PM   ___ PTT-24.6 ___
-___ 06:00PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-0.2 PH-7.0 
-LEUK-NEG
-___ 06:00PM URINE  COLOR-Straw APPEAR-Clear SP ___
-___ 09:18PM   CK-MB-NotDone
-___ 09:18PM   cTropnT-<0.01
-___ 09:18PM   CK(CPK)-45
-.
-CT Head (___):
-There is no hemorrhage, edema, mass effect, or acute 
-large vascular territory infarction. The gray-white matter 
-differentiation is preserved. There is mild asymmetric frontal 
-atrophy, but the ventricles and sulci are otherwise normal in 
-caliber and configuration. Basal cisterns are preserved. There 
-is no shift of normally midline structures. Calcifications are 
-seen involving the cavernous and supraclinoid internal carotid 
-arteries. The osseous structures demonstrate no fracture. There 
-are no suspicious lytic 
-or sclerotic lesions. The visualized paranasal sinuses and 
-mastoid air cells are normally pneumatized and clear. 
-.  
-IMPRESSION: No acute intracranial process. 
-
- 
-
-###RESPONSE: PLT COUNT {Platelet count}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, LITHIUM {Finding of lithium level}, CALCIUM {Blood calcium measurement}, PHOSPHATE {Phosphate, total measurement}, MAGNESIUM {Blood magnesium measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK(CPK {Creatine kinase measurement}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, URINE {Urinalysis}, PROTEIN {Measurement of protein in urine}, GLUCOSE {Glucose measurement, urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, COLOR {Color finding}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK(CPK {Creatine kinase measurement}, hemorrhage {Hemorrhage}, edema {Edema}, mass {Mass}, vascular {Blood vessel structure}, infarction {Infarct}, white matter {Cerebral white matter structure}, frontal {Structure of cortex of frontal lobe}, atrophy {Atrophy}, ventricles {Brain ventricle structure}, sulci {Structure of sulcus of brain}, cisterns {Structure of subarachnoid cistern}, shift of normally midline structures {Midline shift of brain}, Calcifications {Pathologic calcification, calcified structure}, internal carotid 
-arteries {Internal carotid artery structure}, osseous structures {Bone structure}, fracture {Fracture}, lytic {Lysis}, sclerotic {Sclerosis}, lesions {Lesion}, paranasal sinuses {Nasal sinus structure}, mastoid air cells {Structure of mastoid cell}, intracranial {Intracranial structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ y/o female with a h/o schizoaffective disorder and 
-hypothyroidism who presented with dizziness and was found to be 
-hypercalcemic. The following issues were investigated during 
-this hospitalization:
-  
-1. Dizziness: Onset of symptoms correlates with initiation of 
-Aricept for short-term memory loss and this medication has been 
-associated with dizziness. Patient received IVF upon arrival for 
-hypercalcemia but was never found to be orthostatic. Aricept was 
-held while in house with improvement in symptoms. Head CT 
-unremarkable as was neuro exam. Patient was discharged with home 
-___. She will not continue on Aricept. 
-  
-2.  Hypercalcemia: Patient with history of elevated PTH since 
-___ with intermittently elevated calcium values. Calcium > 11 
-on admission, but responsive to IVF. Calcium and vitamin D 
-supplements discontinued but bisphosphonate continued. Endocrine 
-consulted given concern for Lithium-induced hyperparathyroidism. 
-24 hour urine calcium was low and consistent with 
-Lithium-induced disease and not likely necessitating surgical 
-intervention. Still, further work-up was deferred to the 
-outpatient setting. Lithium was decreased, but maintained as the 
-endocrinopathies are generally not reversed with stopping 
-Lithium and mood-stabilization remains of concern. She will f/u 
-her lithium levels with her outpatient psychiatrist Dr. ___. 
-She will also f/u as an outpatient with endocrinology.
-
-3. Diabetes Insipidus: Suggested by mildly elevated Na and 
-chloride, in the setting of endocrinopathies in a patient on 
-long-term Lithium. Patient was started on Amiloride at the 
-recommendation of the endocrinology consult, with improvement in 
-electrolyte derrangements. Patient was otherwise encouraged to 
-remain hydrated. She will be discharged on amiloride. 
-  
-4. Schizoaffective d/o: Psychiatry was consulted given concern 
-for suicidal ideations and depression as well as for guidance 
-for Lithium. Patient was initially on a ___, requiring 
-that she remain hospitalized with intention to be transferred to 
-a psychiatric facility. However, as her hospitalization 
-continued and her metabolic derrangements were corrected, her 
-mood improved. The section was eventually lifted and the patient 
-was restarted on Lithium at a lower dose with outpatient 
-follow-up with her psychiatrist. 
-  
-5. Dementia: Per patient's outpatient psychologist, 
-neuropsychological testing showed significant memory impairment 
-and MRI showed vascular disease, suggesting a possible etiology 
-of dementia. Patient had been started on Aricept as an 
-outpatient, but this was held given the complaint of 
-lightheadedness that started after initiation of medication. 
-
-6. Hypothyroidism: Patient was maintained on outpatient 
-Levothyroxine.
-
-7. Osteoporosis: Calcium and Vitamin D were held given elevated 
-calcium and PTh on presentation, though Alendronate was 
-continued. 
-
-8. Hyperlipidemia: Patient was maintained on outpatient statin. 
-
-9. Leukocytosis: Chronic problem of unclear etiology. No obvious 
-source of infection. ___ trended down during this 
-hospitalization and thus work-up was not pursued. 
-
-Full code
-
-She was discharged with outpatient endocrine and psychiatry 
-follow up.
- 
-
-###RESPONSE: schizoaffective disorder {Schizoaffective disorder}, hypothyroidism {Hypothyroidism}, dizziness {Dizziness}, hypercalcemic {Hypercalcemia}, Dizziness {Dizziness}, short-term memory loss {Poor short-term memory}, dizziness {Dizziness}, IVF {Administration of intravenous fluids}, hypercalcemia {Hypercalcemia}, orthostatic {Orthostatic hypotension}, Head CT {Computed tomography of head}, unremarkable {No abnormality detected}, neuro exam {Normal nervous system function}, Hypercalcemia {Hypercalcemia}, calcium {Blood calcium measurement}, Calcium {Blood calcium measurement}, IVF {Administration of intravenous fluids}, Lithium-induced hyperparathyroidism {Hyperparathyroidism caused by lithium therapy}, urine calcium {Calcium measurement, urine}, surgical 
-intervention {Surgical procedure}, work-up {Evaluation procedure}, lithium levels {Finding of lithium level}, psychiatrist {Psychiatric follow-up}, Diabetes Insipidus {Diabetes insipidus}, Schizoaffective {Schizoaffective disorder}, suicidal ideations {Suicidal thoughts}, depression {Depressive disorder}, mood improved {Improved mood}, on Lithium {On lithium}, outpatient 
-follow-up {Outpatient care management}, psychiatrist {Psychiatric follow-up}, Dementia {Dementia}, neuropsychological testing {Neuropsychological testing}, memory impairment {Memory impairment}, MRI {Magnetic resonance imaging}, vascular disease {Disorder of blood vessel}, dementia {Dementia}, lightheadedness {Lightheadedness}, Hypothyroidism {Hypothyroidism}, Osteoporosis {Osteoporosis}, elevated 
-calcium {Hypercalcemia}, PTh {Hyperparathyroidism}, Hyperlipidemia {Hyperlipidemia}, Leukocytosis {Leukocytosis}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Aricept 5mg QHS (started 1 week ago)  
-Simvastatin 40 mg daily  
-levothyroxine 0.125 mg daily  
-aspirin 81 mg daily  
-iron daily  
-alendronate 70 mg every week  
-vitamin D 400 units b.i.d.  
-calcium 400 mg b.i.d.  
-lithium 300 mg ___ mg once qhs  
-Risperdal 4 mg b.i.d.  
-Seroquel 50 mg daily  
-lorazepam 1 mg daily  
-cilostazol 100 mg b.i.d.  
-citalopram daily (dose unknown)  
-
- 
-Discharge Medications:
-1. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. Levothyroxine 125 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-4. Risperidone 2 mg Tablet Sig: Two (2) Tablet PO BID (2 times a 
-day).  
-5. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).  
-6. Cilostazol 100 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-7. Alendronate 70 mg Tablet Sig: One (1) Tablet PO QSUN (every 
-___.  
-8. Quetiapine 100 mg Tablet Sig: One (1) Tablet PO QHS (once a 
-day (at bedtime)).  
-9. Amiloride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*2*
-10. Lithium Carbonate 300 mg Capsule Sig: One (1) Capsule PO QHS 
-(once a day (at bedtime)).
-Disp:*30 Capsule(s)* Refills:*2*
-11. Citalopram 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Lightheadedness
-Hyperparathyroidism
-Nephrogenic Diabetes Inspidus
-
-Secondary: 
-Schizoaffective disorder
-
- 
-Discharge Condition:
-Stable
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Lightheadedness {Lightheadedness}, Hyperparathyroidism {Hyperparathyroidism}, Nephrogenic Diabetes Inspidus {Nephrogenic diabetes insipidus}, Schizoaffective disorder {Schizoaffective disorder}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were seen and evaluated for left hand weakness and 
-lightheadedness, which was felt to be due to a new medication 
-you started - Aricept. This medication has been stopped. 
-Additionally, you were noted to have an elevated calcium, which 
-was due to a hormone problem called hyperparathyroidism. This 
-hormone problem is likely due to Lithium, which you take and 
-NEED to continue to take to control your mood. However, your 
-Lithium dose has been decreased. Since your walking was unsteady 
-but improved when you were discharged, you will have home ___ 
-care. 
-
-Take all of your medications as directed. Your Aricept, calcium 
-and vitamin D have been stopped and your Lithium has been 
-decreased. You were also started on a new medication, Amiloride, 
-to help control your sodium level. It is important to stay very 
-well hydrated.
-
-Keep all of your follow-up appointments. They are listed below. 
-Once you are discharged, you have an appointment with endocrine 
-at 3PM today. It is very important that you keep this 
-appointment. You will also need to follow up with your 
-psychiatrist, Dr. ___, for management of your 
-Lithium. The psychiatry team here will contact him and will make 
-an appointment for you. 
-
-Call your doctor or go to the ER for any of the following: chest 
-pain, shortness of breath, fevers/chills, 
-nausea/vomiting/diarrhea, worsened lightheadedness or falls, 
-sudden slurred speech or weakness, headaches, vision changes, 
-extreme fatigue, confusion or any other concerning symptoms. 
- 
-
-###RESPONSE: left hand weakness {Weakness of left hand}, lightheadedness {Lightheadedness}, elevated calcium {Hypercalcemia}, hyperparathyroidism {Hyperparathyroidism}, mood {Mood swings}, r walking was unsteady {Unsteady when walking}, improved {Patient's condition improved}, sodium level {Finding of sodium level}, psychiatrist {Psychiatric follow-up}, chest 
-pain {Chest pain}, shortness of breath {Dyspnea}, fevers {Fever}, chills {Chill}, nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, lightheadedness {Lightheadedness}, falls {Falls}, slurred speech {Slurred speech}, weakness {Asthenia}, headaches {Headache}, vision changes {Visual disturbance}, fatigue {Fatigue}, confusion {Clouded consciousness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-vancomycin / Zosyn
- 
-Attending: ___.
- 
-Chief Complaint:
-fevers, lethargy
- 
-Reason for MICU transfer:  concern for septic shock
-
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: vancomycin {Allergy to vancomycin}, fevers {Fever}, lethargy {Lethargy}, MICU transfer {Patient transfer to intensive care unit}, septic shock {Septic shock}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with recent diagnosis of Graves' disease and longtime 
-diagnosis of Kawasaki's disease on warfarin, presenting to ED 
-with intermittent fevers and lethargy x 1 week and RLQ abdominal 
-pain x ___ days.  Initially developed fever up to 102 and mild 
-sore throat 1 week ago, was found to have normal WBC with left 
-shift and mildly elevated TSH at ___, and was discharged 
-home with presumptive diagnosis of viral infection.  However, 
-his fevers persisted as high as 102 with night sweats and 
-headaches, and was told by his endocrinologist Dr. ___ to 
-discontinue his methimazole (MMI). He then developed RLQ pain 
-and right groin pain especially on ambulation, and was sent to 
-ED following appointment with Dr. ___.
-
-In the ED, his initial vitals were 98.3 77 58/34 18 98%.  He was 
-given 4L fluids.  Bedside ultrasound showed no free fluid or 
-tamponade with normal IVC and mildly diminished cardiac 
-contractility.  Labs notable for WBC 12.8 with left shift, UA 
-with 93 WBC, CXR showed no pneumonia, two CT A/P were performed 
-that showed no appendicitis or bowel wall thickening but did 
-show right retroperitoneal stranding.  Surgery was consulted and 
-recommended admission to medicine.  Endocrinology was consulted 
-for concern of thyrotoxicosis or adrenal insufficiency, and 
-recommended discontinuation of steroids but further thyroid 
-studies.  He had a R IJ placed, was started on levophed, 
-vanc/zosyn, and hydrocortisone.
-
-In the MICU, his initial vitals were 101.4 117 108/70 35 93% 2L. 
- He reported feeling more energy.
-
- 
-
-###RESPONSE: Graves' disease {Graves' disease}, Kawasaki's disease {Acute febrile mucocutaneous lymph node syndrome}, intermittent fevers {Intermittent fever}, lethargy {Lethargy}, RLQ abdominal 
-pain {Right lower quadrant pain}, fever {Fever}, sore throat {Sore throat}, normal WBC {White blood cell count within reference range}, left 
-shift {Left shifted white blood cells}, elevated TSH {Thyroid stimulating hormone level above reference range}, viral infection {Viral disease}, fevers {Fever}, night sweats {Night sweats}, headaches {Headache}, RLQ pain {Right lower quadrant pain}, right groin pain {Right inguinal pain}, vitals {Vital signs finding}, fluids {Administration of fluid therapy}, ultrasound {Ultrasonography}, free fluid {Effusion}, tamponade {Cardiac tamponade}, IVC {Inferior vena cava structure}, cardiac {Heart structure}, left shift {Left shifted white blood cells}, UA {Urinalysis}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, CT A/P {Computed tomography of abdomen and pelvis}, appendicitis {Appendicitis}, bowel wall {Intestinal wall structure}, thickening {Increased thickness}, right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, Surgery was consulted {Medical consultation on hospital inpatient}, thyrotoxicosis {Thyrotoxicosis}, adrenal insufficiency {Adrenal cortical hypofunction}, steroids {Steroid therapy}, thyroid 
-studies {Examination of thyroid gland}, vitals {Vital signs finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- ___' disease based on clinical presentation (duration of
-symptoms, mild orbitopathy, lid lag, non tender mildly enlarged
-thyroid gland). No RAIU. No TSI or TBII testing. Had elevated 
-TPO
-ab 266 (reference range ___
-- Kawasaki disease s/p MI (suggestive though not completely 
-diagnosed on cardiac cath in ___ now on coumadin
-- asthma
-- hyperlipidemia
-- gout
-
- 
-
-###RESPONSE: disease {Disease}, mild {Symptom mild}, orbitopathy {Thyroid eye disease}, lid lag {Lid lag}, tender {Tenderness of thyroid}, enlarged
-thyroid gland {Goiter}, RAIU {Radionuclide imaging of thyroid using iodine radioisotope}, TSI {Thyroid stimulating immunoglobulins measurement}, TBII {Thyrotropin binding inhibitory immunoglobulins measurement}, Kawasaki disease {Acute febrile mucocutaneous lymph node syndrome}, MI {Myocardial infarction}, cardiac cath {Cardiac catheterization}, asthma {Asthma}, hyperlipidemia {Hyperlipidemia}, gout {Inflammatory disorder due to increased blood urate level}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-His father died at age ___ with asbestosis.  His mother is ___ and
-is in assisted living.  He has two brothers and a sister who are
-healthy.  His son age ___ was diagnosed as hypothyroid and his
-daughter, age ___, is healthy.
-
- 
-
-###RESPONSE: died {Dead}, asbestosis {Asbestosis}, hypothyroid {Hypothyroidism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-Vitals:  101.4 117 108/70 35 93% 2L
-General: Alert, oriented, mild blanching erythema throughout 
-chest/trunk/extremities, no acute distress  
-HEENT: dry MM, OC/OP clear
-Neck: supple, no LAD, no JVP 
-CV: Tachycardic, regular rhythm, normal S1/S2, no m/r/g
-Lungs: Tachypneic, clear to auscultation bilaterally, no w/r/r
-Abdomen: soft, non-tender, mildly distended, hypoactive bowel 
-sounds, no organomegaly, no rebound or guarding  
-GU: foley in place
-Ext: Warm, well perfused, 2+ pulses, no c/c/e  
-Neuro: CN II-XII intact, ___ strength upper/lower extremities 
- 
-DISCHARGE PHYSICAL EXAM:
-AVSS
-Lungs clear with very scant coarse sounds at right base
-Very Mild RLQ tenderness
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, erythema {Erythema}, chest {Thoracic structure}, trunk {Trunk structure}, extremities {Examination of limb}, distress {Distress}, HEENT {Physical examination procedure}, dry MM {Mucous membrane dryness}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, Tachycardic {Tachycardia}, regular rhythm {Normal sinus rhythm}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Lungs {Examination of respiratory system}, Tachypneic {Tachypnea}, clear to auscultation bilaterally {Normal breath sounds}, no w/r/r {Normal breath sounds}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, hypoactive bowel 
-sounds {Decreased bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley in place {Urinary catheter in situ}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, Neuro {Neurological examination}, CN II-XII intact {Normal central nervous system}, upper {Upper limb structure}, lower extremities {Lower limb structure}, PHYSICAL EXAM {Physical examination procedure}, AVSS {Vital signs finding}, Lungs {Examination of respiratory system}, clear {Chest clear}, right base {Structure of base of right lung}, RLQ tenderness {Tenderness of right lower quadrant of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 09:37AM BLOOD WBC-12.8*# RBC-3.78* Hgb-10.2*# 
-Hct-32.5*# MCV-86 MCH-26.9*# MCHC-31.4 RDW-16.4* Plt ___
-___ 09:37AM BLOOD Neuts-91* Bands-3 Lymphs-2* Monos-3 Eos-0 
-Baso-0 ___ Metas-1* Myelos-0
-___ 09:37AM BLOOD ___ PTT-35.4 ___
-___ 09:37AM BLOOD Glucose-105* UreaN-23* Creat-1.9*# Na-133 
-K-5.0 Cl-99 HCO3-22 AnGap-17
-___ 09:37AM BLOOD ALT-19 AST-20 AlkPhos-101 TotBili-0.8
-___ 09:37AM BLOOD Albumin-3.4* Calcium-8.8 Phos-2.1* Mg-2.2
-___ 02:42PM BLOOD T4-5.9 T3-84 calcTBG-0.75* TUptake-1.33* 
-T4Index-7.8
-___ 09:37AM BLOOD TSH-0.71
-___ 09:37AM BLOOD Cortsol-51.8*
-___ 09:53AM BLOOD Lactate-2.0
-___ 03:19AM BLOOD Lactate-1.3
-___ 02:34PM BLOOD O2 Sat-62
-___ 03:19AM BLOOD O2 Sat-87
-
-DISCHARGE LABS:
-___ 07:10AM BLOOD WBC-5.7 RBC-3.37* Hgb-9.0* Hct-28.6* 
-MCV-85 MCH-26.8* MCHC-31.6 RDW-17.6* Plt ___
-___ 07:10AM BLOOD ___
-___ 07:10AM BLOOD Glucose-84 UreaN-17 Creat-0.7 Na-141 
-K-3.9 Cl-105 HCO3-30 AnGap-10
-___ 08:20AM BLOOD Calcium-8.3* Phos-2.6* Mg-2.5
-
-___ ___ M  ___  ___BD & PELVIS W/O CONTRAST Study Date of 
-___ 4:12 ___ 
- 
-  
-___   ___ 4:___BD & PELVIS W/O CONTRAST; -77 BY DIFFERENT PHYSICIAN   ___ 
-# ___   
-Reason: Eval retroperitoneal process as seen on previous CT 
-scan. PO 
- 
-
- 
-UNDERLYING MEDICAL CONDITION: 
-   History: ___ with fevers and RLQ tenderness  
-REASON FOR THIS EXAMINATION: 
-   Eval retroperitoneal process as seen on previous CT scan. PO 
-contrast already  
-   given 
-CONTRAINDICATIONS FOR IV CONTRAST: 
-    
-
- 
- 
-Wet Read: ___ ___ 7:03 ___ 
-  
-1. Minimal asymmetric right perinephric stranding. Please 
-correlate with 
-urinalysis.  
-  
-2. Normal appendix.  
-  
-3. Unchanged nonspecific right retroperitoneal stranding 
-extending along the 
-right iliac vessels.  
-  
-4. 5 mm left lower lobe pulmonary nodule should be followed in 
-___ months if 
-the patient is at high risk for lung malignancy.  
-  
-
- 
-Final Report 
-HISTORY:  ___ male with fevers and right lower quadrant 
-tenderness.   
-  
-COMPARISON:  Same day CT of in ___.   
-  
-TECHNIQUE:  MDCT images were obtained from the lung bases to the 
-pubic 
-symphysis after administration of oral contrast.  IV contrast 
-was not 
-administered.  This examination was repeated since a CT 
-performed at 12:00 in 
-order to better visualize the appendix.  Axial images were 
-interpreted in 
-conjunction with coronal and sagittal reformats.   
-  
-FINDINGS: 
-  
-Coronary artery calcifications are similar to prior.  Bibasilar 
-atelectasis is 
-unchanged.  5 mm left lower lobe nodule should be followed as 
-previously 
-recommended.  No pleural or pericardial effusion.   
-  
-ABDOMEN:   
-  
-Evaluation of the intra-abdominal organs is limited by lack of 
-IV contrast 
-administration.  The unenhanced appearance of the liver, 
-gallbladder, intra 
-and extrahepatic bile ducts, pancreas, spleen, and adrenal 
-glands is normal.  
-There is minimal asymmetric right perinephric stranding and 
-thickening of 
-Gerota's fascia.  The ureters have a normal course and caliber. 
-No calculi are 
-seen within the kidneys or ureters, and no hydronephrosis is 
-present. 
-  
-The stomach is normal.  The small and large bowel have a normal 
-course and 
-calibur.  The appendix is not dilated and the base of the 
-appendix contains 
-oral contrast, though the remainder of the appendix does not 
-fill with oral 
-contrast. No stranding is noted about the appendiceal tip. 
-  
-Right retroperitoneal stranding extending from the right lateral 
-conal fascia 
-along the right iliac vessels is unchanged and nonspecific. No 
-focal fluid 
-collection is present.  No retroperitoneal or mesenteric 
-lymphadenopathy.  The 
-unenhanced appearance of the portal and intra-abdominal systemic 
-vasculature 
-is unremarkable.  No abdominal wall hernia, pneumoperitoneum, or 
-free 
-intraperitoneal fluid. 
-  
-PELVIS:  The bladder contains a Foley catheter.  The terminal 
-ureters are 
-normal.  The prostate gland is unremarkable.  No pelvic 
-side-wall or inguinal 
-lymphadenopathy. No free pelvic fluid or inguinal hernia. 
-  
-OSSEOUS STRUCTURES:  No focal lytic or sclerotic lesion 
-concerning for 
-malignancy.  Retrolisthesis of L5 on S1.  Mild multilevel 
-thoracolumbar spine 
-degenerative changes.   
-  
-CT Abd and Pelvis
-IMPRESSION: 
-  
-1.  Minimal asymmetric right perinephric stranding and 
-thickening of Gerota's 
-fascia, which can be seen with pyelonephritis. Clinical 
-correlation with 
-urinalysis recommended. 
-  
-2.  Unchanged right retroperitoneal stranding extending along 
-the right iliac 
-vessels, non-specific. Findings could relate to urinary tract 
-infection.   
-  
-3.  Normal appendix.   
-   
-4.  5 mm left lower lobe pulmonary nodule should be re-assessed 
-in 12 months 
-if there is low risk of lung malignancy or in ___ months there 
-is high risk. 
- 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, PELVIS W/O CONTRAST {Computed tomography of pelvis without contrast}, PELVIS W/O CONTRAST {Computed tomography of pelvis without contrast}, CT 
-scan {Computed tomography of abdomen}, fevers {Fever}, RLQ tenderness {Tenderness of right lower quadrant of abdomen}, CT scan {Computed tomography of abdomen}, IV {Intravenous therapy}, right {Structure of right half of body}, perinephric {Structure of perirenal region}, urinalysis {Urinalysis}, appendix {Appendix structure}, right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, right iliac vessels {Structure of right iliac vessel}, left lower lobe {Structure of lower lobe of left lung}, pulmonary nodule {Nodule of lung}, lung malignancy {Metastatic malignant neoplasm to lung}, fevers {Fever}, right lower quadrant 
-tenderness {Tenderness of right lower quadrant of abdomen}, lung bases {Structure of base of lung}, pubic 
-symphysis {Structure of epiphysis of pubis}, oral {Administration of drug or medicament via oral route}, IV {Intravenous therapy}, appendix {Appendix structure}, Coronary artery calcifications {Calcification of coronary artery}, Bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, left lower lobe {Structure of lower lobe of left lung}, nodule {Nodule of lung}, pleural {Pleural effusion}, pericardial effusion {Pericardial effusion}, ABDOMEN {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Evaluation {Evaluation procedure}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, IV {Intravenous therapy}, liver {Liver structure}, gallbladder {Gallbladder structure}, intra {Intrahepatic biliary tract structure}, extrahepatic bile ducts {Extrahepatic duct structure}, pancreas {Pancreatic structure}, spleen {Splenic structure}, adrenal 
-glands {Bilateral adrenal glands}, perinephric {Structure of perirenal region}, thickening {Increased thickness}, fascia {Structure of fascia}, ureters {Ureteric structure}, calculi {Calculus}, kidneys {Kidney structure}, ureters {Ureteric structure}, hydronephrosis {Hydronephrosis}, stomach {Stomach structure}, small {Structure of small intestine}, large bowel {Structure of large intestine}, appendix {Appendix structure}, dilated {Dilatation}, appendix {Appendix structure}, oral {Administration of drug or medicament via oral route}, appendix {Appendix structure}, oral {Administration of drug or medicament via oral route}, Right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, fascia {Structure of fascia}, right iliac vessels {Structure of right iliac vessel}, retroperitoneal {Retroperitoneal lymphadenopathy}, mesenteric 
-lymphadenopathy {Mesenteric lymphadenopathy}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, unremarkable {No abnormality detected}, abdominal wall {Structure of wall of abdominal proper segment of trunk}, hernia {Herniated structure}, pneumoperitoneum {Pneumoperitoneum}, PELVIS {Structure of pelvis}, bladder {Urinary bladder structure}, Foley catheter {Urinary catheter in situ}, ureters {Ureteric structure}, prostate gland {Prostatic structure}, unremarkable {No abnormality detected}, pelvic 
-side-wall {Pelvic lymphadenopathy}, inguinal 
-lymphadenopathy {Inguinal lymphadenopathy}, pelvic {Structure of pelvis}, inguinal hernia {Inguinal hernia}, OSSEOUS STRUCTURES {Bone structure}, lytic {Lysis}, sclerotic {Sclerosis}, lesion {Lesion}, malignancy {Malignant neoplasm}, Retrolisthesis {Retrolisthesis}, thoracolumbar {Structure of thoracic and/or lumbar region of back}, spine {Structure of vertebral column}, degenerative changes {Degeneration of spine}, CT Abd and Pelvis {Computed tomography of abdomen and pelvis}, right {Structure of right half of body}, perinephric {Structure of perirenal region}, thickening {Increased thickness}, fascia {Structure of fascia}, pyelonephritis {Pyelonephritis}, urinalysis {Urinalysis}, right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, right iliac 
-vessels {Structure of right iliac vessel}, urinary tract 
-infection {Urinary tract infectious disease}, appendix {Appendix structure}, left lower lobe {Structure of lower lobe of left lung}, pulmonary nodule {Nodule of lung}, lung malignancy {Metastatic malignant neoplasm to lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with hyperthyroidism on methimazole, Kawasaki's on warfarin, 
-presenting with one week of intermittent fevers, lethargy, and 
-RLQ pain, found to be in septic shock of unclear etiology:
-
-# Septic shock ___ pyelonephritis: The patient meet SIRS 
-criteria with fever, leukocytosis, tachycardia, tachypnea, also 
-hypotensive with likely source urinary given concerning UA 
-(RBC-4, WBC-93, no epi's) and perinephric/retroperitoneal 
-stranding on CT.  The patient was bolus 6L of NS and started a 
-levophed gtt in the ED.  A central line was placed in the ED.  
-The CVP was resusitated to >12, and MAP remained >65 on 
-levophed.  His BP quickly improved and he was weaned from the 
-levophed gtt.  He was initially given vancomycin and zosyn in 
-the ED, which was narrowed to cefepime on arrival to the FICU.  
-He developed a morbilliform rash after recieving vancomycin and 
-zosyn in the ED.  He remained off pressors for over 48 hour and 
-was admitted to a medical floor bed.  After 3 days, his 
-antibiotics were narrowed to levofloxacin.  Blood and Urine 
-cultures had no growth to date at that time. The patient was 
-discharged on 7 day additional days of Levofloxacin for a full 
-14d treatment for pylenonephritis due to septic shock.
-
-# ___: Cr 1.9 in ED secondary to shock, which resolved to 
-baseline after fluid resusitation.
-
-# Hyperthyroidism: The patient was followed by endocrinology 
-will inpatient after a recent diagnosis of Grave's Disease.  He 
-was continued on his home propranolol, but the home dose of 
-methimazole was held.  The patient will need to follow up with 
-endocrinology with 1 week of discharge.
-
-# Kawasaki's disease: He was continued on his home coumadin and 
-quinapril.  An Echo was obtained that revealed a normal EF with 
-mild aortic valve stenosis. The patients INR on d/c was 3.7 
-given interaction with Coumadin. The patient will hold his 
-Coumadin for 2 nights and have his INR checked on ___ at 
-the ___. 
-
-# Alcohol use: He denies a history of withdrawal, DTs, or 
-seizures in previous hospitalizations.  e was initially started  
-on a CIWA, but was discontinued after not scoring for the 
-duration of his hospitalization.
-
-# HLD: continued ezetimibe, held lipitor per endocrinology.
-
-# Gout: well controlled, continued home allopurinol
-
-# Pulmonary Nodule: Please see above.
- 
-
-###RESPONSE: hyperthyroidism {Hyperthyroidism}, Kawasaki's {Acute febrile mucocutaneous lymph node syndrome}, intermittent fevers {Intermittent fever}, lethargy {Lethargy}, septic shock {Septic shock}, Septic shock {Septic shock}, pyelonephritis {Pyelonephritis}, SIRS {Systemic inflammatory response syndrome}, fever {Fever}, leukocytosis {Leukocytosis}, tachycardia {Tachycardia}, tachypnea {Tachypnea}, hypotensive {Low blood pressure}, urinary {Urinary system structure}, UA {Urinalysis}, perinephric {Structure of perirenal region}, retroperitoneal {Retroperitoneal compartment structure}, CT {Computed tomography}, resusitated {Resuscitation}, BP {Blood pressure finding}, improved {Patient's condition improved}, vancomycin {Antibiotic therapy}, morbilliform rash {Morbilliform rash}, vancomycin {Antibiotic therapy}, pressors {Hypotensive therapy}, antibiotics {Antibiotic therapy}, Urine 
-cultures {Urine culture}, pylenonephritis {Pyelonephritis}, septic shock {Septic shock}, shock {Septic shock}, baseline {Baseline state}, fluid resusitation {Administration of fluid therapy}, Hyperthyroidism {Hyperthyroidism}, Grave's Disease {Graves' disease}, Kawasaki's disease {Acute febrile mucocutaneous lymph node syndrome}, Echo {Echocardiography}, mild aortic valve stenosis {Mild stenosis of aortic valve}, Alcohol use {Current drinker of alcohol}, withdrawal {Alcohol withdrawal syndrome}, DT {Alcohol withdrawal delirium}, seizures {Seizure}, HLD {Hyperlipidemia}, Gout {Inflammatory disorder due to increased blood urate level}, Pulmonary Nodule {Nodule of lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Ezetimibe 10 mg PO DAILY 
-2. Propranolol 10 mg PO BID 
-3. Quinapril 10 mg PO DAILY 
-4. Allopurinol ___ mg PO DAILY 
-5. Warfarin 2.5 mg PO 4X/WEEK (___) 
-6. Warfarin 2 mg PO 3X/WEEK (___) 
-
- 
-Discharge Medications:
-1. Ezetimibe 10 mg PO DAILY 
-2. Propranolol 10 mg PO BID 
-3. Quinapril 10 mg PO DAILY 
-4. Warfarin 2.5 mg PO 4X/WEEK (___) 
-Do not take until instructed
-
-5. Warfarin 2 mg PO 3X/WEEK (___) 
-6. Levofloxacin 750 mg PO DAILY 
-RX *levofloxacin [Levaquin] 750 mg 1 tablet(s) by mouth Daily 
-Disp #*7 Tablet Refills:*0
-7. PredniSONE 40 mg PO DAILY 
-RX *prednisone 20 mg 2 tablet(s) by mouth daily Disp #*8 Tablet 
-Refills:*0
-8. Pulmicort Flexhaler *NF* (budesonide) 90 mcg/actuation 
-Inhalation BID 
-9. Allopurinol ___ mg PO DAILY 
-10. Methimazole 10 mg PO TID 
-Do not take this medication until instructed to do so by Dr. 
-___
- 
-11. Simvastatin 40 mg PO DAILY 
-Please do not take this medication until instructed to do so by 
-your PCP. 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis
-- Septic Shock secondary to pyelnonephritis
-- Graves Disease
-- Kawasaki Disease
-- Gerd
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Septic Shock {Septic shock}, pyelnonephritis {Pyelonephritis}, Graves Disease {Graves' disease}, Kawasaki Disease {Acute febrile mucocutaneous lymph node syndrome}, Gerd {Gastroesophageal reflux disease}, Mental Status {Mental state finding}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ with low blood pressure and were 
-found to have sepsis. While the source of the infection is not 
-entirely clear, this was most likely due to a kidney infection. 
-You were also treated for an asthma exacerbation. Please note 
-the changes to your medications below.
- 
-
-###RESPONSE: low blood pressure {Low blood pressure}, sepsis {Sepsis}, infection {Infectious disease}, kidney infection {Infectious disorder of kidney}, asthma exacerbation {Exacerbation of asthma}, changes to your medications {Medication education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Abdominal pain 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Abdominal pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ w/LURT (___) with CKD stage IV
-of renal allograft, RAS s/p stenting, CAD s/p DES x4 ___, 
-___
-on aspirin/Plavix, HFpEF, atrial fibrillation s/p DVVC (___)
-on Eliquis, HTN, HLD, T2DM, aorto-iliac occlusive disease,
-bilateral carotid disease c/b recent CVA, OSA, and prostate
-cancer, with recent hospitalization for HF exacerbation and
-pericarditis, who presents with abdominal pain. 
-
-He states that he has had poor appetite and epigastric pain 
-since
-discharge on ___. He feels progressively weaker as a result. 
-The
-epigastric pain does not radiate. He denies fevers, nausea,
-vomiting, chest pain, diarrhea, difficulty breathing, hematuria,
-dysuria, lower extremity edema, back pain. 
-
- 
-
-###RESPONSE: LURT {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, renal allograft {Live donor renal transplant}, RAS {Renal artery stenosis}, stenting {Insertion of arterial stent}, CAD {Coronary arteriosclerosis}, DES {Endovascular insertion of drug eluting stent}, HFpEF {Heart failure with normal ejection fraction}, atrial fibrillation {Atrial fibrillation}, DVVC {Direct current cardioversion}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, T2DM {Diabetes mellitus type 2}, aorto-iliac occlusive disease {Occlusion of aortoiliac artery}, l carotid disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, OSA {Obstructive sleep apnea syndrome}, prostate
-cancer {Carcinoma of prostate}, HF exacerbation {Exacerbation of congestive heart failure}, pericarditis {Pericarditis}, abdominal pain {Abdominal pain}, poor appetite {Decrease in appetite}, epigastric pain {Epigastric pain}, epigastric pain {Epigastric pain}, radiate {Radiating pain}, fevers {Fever}, nausea,
-vomiting {Nausea and vomiting}, chest pain {Chest pain}, diarrhea {Diarrhea}, difficulty breathing {Difficulty breathing}, hematuria {Blood in urine}, dysuria {Dysuria}, lower extremity edema {Edema of lower extremity}, back pain {Backache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History: 
-Cardiovascular Issues:
-1.  Coronary artery disease (s/p ___ 2 to proximal-LAD ___,
-s/p ___ 2 to mid-LAD ___.
-2.  Diastolic congestive heart failure.
-3.  Hypertension.
-4.  Dyslipidemia.
-5.  Claudication/Aorto iliac occlusive disease (ABI 0.88/0.76).
-6.  Morbid obesity.
-7. diabetes
-8 Obstructive sleep apnea
-9. C diff enterocolitis
-10 renal artery stenosis
-11. s/p kidney transplant with CKD stage IV transplanted kidney
-12. Klepbsiella UTI
-13. Prostate cancer
-14. Hyperparathyroidism
- 
-
-###RESPONSE: Coronary artery disease {Coronary arteriosclerosis}, proximal-LAD {Structure of proximal portion of anterior descending branch of left coronary artery}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, congestive heart failure {Congestive heart failure}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Claudication {Intermittent claudication}, Aorto iliac occlusive disease {Occlusion of aortoiliac artery}, Morbid obesity {Morbid obesity}, diabetes {Diabetes mellitus}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, enterocolitis {Inflammation of small intestine and colon}, renal artery stenosis {Renal artery stenosis}, kidney transplant {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, transplanted kidney {Structure of transplanted kidney}, UTI {Urinary tract infectious disease}, Prostate cancer {Carcinoma of prostate}, Hyperparathyroidism {Hyperparathyroidism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father: ___, gout  
-Mother: ___, ESRD on hemodialysis
-Brothers: Lung cancer and CAD 
-His father died at age ___ of dementia.  His mother died at age 
-___
-of heart failure.  She also had a history of stroke and
-hypertension.  He has two brothers, two sisters, and no 
-children.
-One of his brothers had an MI in his late ___. There is no 
-family
-history notable for hyperlipidemia, diabetes,or sudden cardiac
-death.
- 
-
-###RESPONSE: gout {Inflammatory disorder due to increased blood urate level}, ESRD on hemodialysis {End stage renal failure on dialysis}, Lung cancer {Malignant tumor of lung}, CAD {Coronary arteriosclerosis}, died {Dead}, dementia {Dementia}, died {Dead}, heart failure {Heart failure}, stroke {Cerebrovascular accident}, hypertension {Hypertensive disorder, systemic arterial}, MI {Myocardial infarction}, hyperlipidemia {Hyperlipidemia}, diabetes {Diabetes mellitus}, sudden cardiac
-death {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission Exam:
-===============
-GENERAL: Alert and interactive. In no acute distress.
-HEENT: NCAT. PERRL, EOMI. Sclera anicteric and without 
-injection.
-MMM.
-NECK: No cervical lymphadenopathy. 
-CARDIAC: Regular rhythm, normal rate. Audible S1 and S2. No
-murmurs/rubs/gallops.
-LUNGS: Clear to auscultation bilaterally. No wheezes, rhonchi or
-rales. No increased work of breathing.
-BACK: No spinous process tenderness. No CVA tenderness.
-ABDOMEN: Soft, non distended, non-tender to deep palpation in 
-all
-four quadrants. 
-EXTREMITIES: No clubbing, cyanosis, or edema. Pulses DP/Radial 
-2+
-bilaterally.
-SKIN: Warm. No rash.
-NEUROLOGIC: ___ strength throughout. Normal sensation. AOx3.
-
-Discharge Exam:
-GENERAL: NAD 
-CARDIAC: Regular rhythm, normal rate. 
-LUNGS: Clear to auscultation bilaterally. No wheezes, rhonchi or
-rales. No increased work of breathing..
-ABDOMEN: Soft, non distended, non-tender to deep palpation in 
-all
-four quadrants. 
-EXTREMITIES: no edema bilateral lower extremity
-
- 
-
-###RESPONSE: GENERAL {General examination of patient}, Alert {Mentally alert}, interactive {Does communicate}, distress {Distress}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Sclera anicteric {White sclera}, injection {Scleral injection}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, cervical lymphadenopathy {Cervical lymphadenopathy}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, increased work of breathing {Difficulty breathing}, BACK {Physical examination procedure}, spinous process {Structure of spinous process of vertebra}, tenderness {Tenderness}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, non-tender {Abdominal tenderness}, palpation {Palpation}, EXTREMITIES {Examination of limb}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Pulses DP/Radial 
-2+ {Peripheral pulses normal}, SKIN {Examination of skin}, Warm {Warm skin}, rash {Eruption of skin}, NEURO {Neurological examination}, GI {Examination of digestive system}, Normal sensation {Normal sensation}, AOx3 {Oriented to person, time and place}, GENERAL {General examination of patient}, NAD {No abnormality detected}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, increased work of breathing {Difficulty breathing}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, non distended {Swollen abdomen}, non-tender {Abdominal tenderness}, deep palpation {Deep palpation}, EXTREMITIES {Examination of limb}, edema bilateral lower extremity {Edema of bilateral lower limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Labs:
-
-___ 08:20PM BLOOD WBC-16.8* RBC-4.34* Hgb-12.3* Hct-37.8* 
-MCV-87 MCH-28.3 MCHC-32.5 RDW-14.6 RDWSD-46.5* Plt ___
-___ 08:20PM BLOOD ___ PTT-27.1 ___
-___ 08:20PM BLOOD Glucose-167* UreaN-61* Creat-2.6* Na-138 
-K-3.4* Cl-95* HCO3-24 AnGap-19*
-___ 07:34AM BLOOD Glucose-147* UreaN-57* Creat-2.6* Na-144 
-K-4.1 Cl-104 HCO3-23 AnGap-17
-___ 02:58AM BLOOD CMV VL-NOT DETECT
-___ 08:29PM BLOOD Lactate-1.1
-
-Imaging:
-CT Abdomen/Peliv
-IMPRESSION: 
-1. Focal wall thickening with pericolonic stranding at the 
-hepatic flexure,  most consistent with focal 
-colits(infectious/inflammatory/ischemic) versus  diverticulitis. 
- Recommend follow-up colonoscopy after acute symptoms subside. 
-2. Sigmoid colon diverticulosis with equivocal haziness of the 
-fat adjacent to  the proximal sigmoid colon could represent 
-additional site of 
-diverticulitis/focal colitis. 
-3. Small to moderate right and small left bilateral pleural 
-effusions with 
-overlying atelectasis.  Small pericardial effusion again seen. 
-4. Right lower quadrant transplant kidney with mild dilatation 
-of the renal  pelvis, increased compared to the prior CT from ___. 
-
-Renal Transplant US:
-Interval increase in intrarenal arterial resistive indices now 
-ranging from  0.89-1.0 with lack of diastolic flow seen in the 
-mid and lower pole intrarenal  arteries as well as main renal 
-artery. This is new compared to ___, however loss 
-of diastolic flow was also seen on a prior renal ultrasound  
-performed ___. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CT Abdomen/Peliv {Computed tomography of abdomen and pelvis}, thickening {Increased thickness}, pericolonic {Structure of paracolic region}, hepatic flexure {Structure of right colic flexure}, colits {Colitis}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}, ischemic {Ischemia}, diverticulitis {Diverticulitis}, colonoscopy {Colonoscopy}, Sigmoid colon diverticulosis {Diverticulosis of sigmoid colon}, sigmoid colon {Sigmoid colon structure}, diverticulitis {Diverticulitis}, colitis {Colitis}, bilateral pleural 
-effusions {Bilateral pleural effusion}, atelectasis {Atelectasis}, pericardial effusion {Pericardial effusion}, Right lower quadrant {Structure of right lower quadrant of abdomen}, transplant kidney {Structure of transplanted kidney}, dilatation 
-of the renal  pelvis {Dilatation of renal pelvis}, arteries {Arterial structure}, renal 
-artery {Structure of renal artery}, renal ultrasound {Echography of kidney}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ w/LURT (___) with CKD stage IV of renal allograft, RAS 
-s/p stenting, CAD s/p DES x4 (___) on aspirin/Plavix, 
-HFpEF, atrial fibrillation s/p DVVC (___) on Eliquis, HTN, 
-HLD, T2DM, aorto-iliac occlusive disease, bilateral carotid 
-disease c/b recent CVA, OSA, and prostate cancer, with recent
-hospitalization for CHF exacerbation and pericarditis, who 
-presents with abdominal pain with CT A/P concerning for 
-diverticulitis. 
-
-#Diverticulitis.
-#Abdominal pain. 
-Patient presented with new onset abdominal pain.  CT A/P 
-obtained in ED consistent with diverticulitis. The patient was 
-started on Unasyn while inpatient and had good response. He was 
-able to tolerate PO and was having normal non bloody BM at the 
-time of discharge. At time of discharge, abdominal pain had 
-resolved.
-He was discharged with Augmentin per renal dosing 500mg BID to 
-compete a 10 day course (___) In addition, given his history 
-of recurrent C diff, he was started on oral vancomycin for C 
-diff prophylaxis. He will continue oral vancomycin for a total 
-of 15 day course (___). The patient should have a colonoscopy 
-to evaluate for bowel pathology in the setting of 
-diverticulitis. 
-
-CHRONIC AND STABLE ISSUES
-=========================
-#ESRD s/p renal transplant
-#Immunosuppression. ESRD s/p living unrelated transplantation in
-___ c/b transplant glomerulopathy (biopsy proven in ___, 
-now
-with CKD IV. Per Renal Transplant notes, he has a had a gradual
-increase in SCr over the past year. Cr is currently at baseline
-2.3-2.6.
-- continue mycophenolate mofetil 250 mg PO BID
-- continue tacrolimus 1.5 mg PO Q12H, goal ___
-
-#Pericarditis
-#Pericardial effusion. Etiology of the effusion was thought to 
-be
-viral pericarditis likely due to recent upper respiratory
-infection given elevated CRP. A second TTE showed small to
-moderate (small ammount apically and more moderate at base)
-pericardial effusion with no overt evidence of tamponade. It was
-felt that the effusion was predominantly posterior and unlikely
-to be amenable to 
-pericardiocentesis, which was deferred.
-- continue ASA 325 TID (last ___ for 2 week course
-- continue colchicine 3 months (last ___
-
-#HFpEF, Stage C, NYHA class II. Recent hospitalization for HFpEF
-exacerbation due to withholding diuretic and possible bacterial
-pneumonia. Currently euvolemic on exam
-- continue torsemide 
-- continue coreg
-- continue amlodipine, hydralazine 
-
-#CAD
-#Troponinemia
-- continue high dose ASA as above, then will return to ASA 81 mg
-on ___
-- continue pravastatin 
-
-#HTN
-- continue hydralazine, amlodipine
-- continue coreg
-
-#Atrial Fibrillation: s/p DCCV
-- continue home carvedilol 
-- continue home apixaban 
-
-#T2DM
-- continue home glargine 24U QAM
-- continue ISS
-
-#Dyslipidemia
-#Claudication/aortoiliac occlusive disease.
-#Bilateral carotid artery disease (80-99% ___, 60-69% LICA)
-#Multiple CVA/embolic strokes. Strokes attributed to
-subtherapeutic 
-INR, switched to NOAC during inpatient admission ___. 
-- continue ASA, apixaban as above
-- continue Pravastatin as above
-
-#Gout
-- continue allopurinol 
-
-#BPH
-- continue tamsulosin
-
-#GERD
-- continue pantoprazole especially as he is on high dose ASA
-
-Transitional issues:
-
-Transitional Issues:
-====================
-Recommend follow-up colonoscopy after acute symptoms subside.
-
- 
-
-###RESPONSE: LURT {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, renal allograft {Live donor renal transplant}, RAS {Renal artery stenosis}, stenting {Insertion of arterial stent}, CAD {Coronary arteriosclerosis}, DES {Endovascular insertion of drug eluting stent}, HFpEF {Heart failure with normal ejection fraction}, atrial fibrillation {Atrial fibrillation}, DVVC {Direct current cardioversion}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, T2DM {Diabetes mellitus type 2}, aorto-iliac occlusive disease {Occlusion of aortoiliac artery}, carotid 
-disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, OSA {Obstructive sleep apnea syndrome}, prostate cancer {Carcinoma of prostate}, CHF exacerbation {Exacerbation of congestive heart failure}, pericarditis {Pericarditis}, abdominal pain {Abdominal pain}, CT A/P {Computed tomography of abdomen and pelvis}, diverticulitis {Diverticulitis}, Diverticulitis {Diverticulitis}, Abdominal pain {Abdominal pain}, abdominal pain {Abdominal pain}, CT A/P {Computed tomography of abdomen and pelvis}, diverticulitis {Diverticulitis}, bloody BM {Hematochezia}, abdominal pain {Abdominal pain}, oral {Administration of drug or medicament via oral route}, prophylaxis {Preventive procedure}, oral {Administration of drug or medicament via oral route}, colonoscopy {Colonoscopy}, bowel {Intestinal structure}, diverticulitis {Diverticulitis}, ESRD {End-stage renal disease}, renal transplant {Transplant of kidney}, ESRD {End-stage renal disease}, transplantation {Transplantation}, transplant glomerulopathy {Transplant glomerulopathy}, biopsy {Biopsy}, CKD IV {Chronic kidney disease stage 4}, baseline {Baseline state}, Pericarditis {Pericarditis}, Pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, viral pericarditis {Viral pericarditis}, upper respiratory
-infection {Upper respiratory infection}, elevated CRP {C-reactive protein above reference range}, TTE {Transthoracic echocardiography}, pericardial effusion {Pericardial effusion}, tamponade {Cardiac tamponade}, effusion {Pericardial effusion}, pericardiocentesis {Pericardiocentesis}, HFpEF {Heart failure with normal ejection fraction}, HFpEF {Heart failure with normal ejection fraction}, diuretic {Diuretic therapy}, bacterial
-pneumonia {Bacterial pneumonia}, euvolemic {Normal blood volume}, CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, Atrial Fibrillation {Atrial fibrillation}, DCCV {Direct current cardioversion}, T2DM {Diabetes mellitus type 2}, ISS {Sliding scale insulin regime}, Dyslipidemia {Dyslipidemia}, Claudication {Intermittent claudication}, aortoiliac occlusive disease {Aortoiliac atherosclerosis}, carotid artery disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, embolic strokes {Embolic stroke}, Strokes {Cerebrovascular accident}, Gout {Inflammatory disorder due to increased blood urate level}, BPH {Benign prostatic hyperplasia}, GERD {Gastroesophageal reflux disease}, colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acidophilus Probiotic (acidophilus-pectin, citrus) 100 
-million cell-10 mg oral DAILY 
-2. DICYCLOMine 10 mg PO DAILY:PRN abdominal pain 
-3. melatonin 10 mg oral QHS 
-4. Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain 
-5. Allopurinol ___ mg PO DAILY 
-6. amLODIPine 10 mg PO DAILY 
-7. Apixaban 2.5 mg PO BID 
-8. Aspirin 325 mg PO TID 
-9. Calcitriol 0.25 mcg PO DAILY 
-10. Carvedilol 25 mg PO BID 
-11. Multivitamins 1 TAB PO DAILY 
-12. Mycophenolate Mofetil 250 mg PO BID 
-13. Pantoprazole 40 mg PO Q24H 
-14. Pravastatin 40 mg PO QPM 
-15. Tacrolimus 1.5 mg PO Q12H 
-16. Torsemide 80 mg PO BID 
-17. Tamsulosin 0.4 mg PO QHS 
-18. Colchicine 0.3 mg PO DAILY Pericarditis  
-19. HydrALAZINE 25 mg PO TID 
-20. Calcium Carbonate 500 mg PO QID:PRN gas 
-21. Glargine 24 Units Breakfast
-
- 
-Discharge Medications:
-1.  Amoxicillin-Clavulanic Acid ___ mg PO Q12H 
-RX *amoxicillin-pot clavulanate 500 mg-125 mg 1 tablet(s) by 
-mouth every twelve (12) hours Disp #*16 Tablet Refills:*0 
-2.  Vancomycin Oral Liquid ___ mg PO/NG BID 
-RX *vancomycin [Firvanq] 25 mg/mL 5 ml by mouth twice a day Disp 
-#*3900 Milliliter Milliliter Refills:*0 
-3.  Glargine 24 Units Breakfast 
-4.  Acidophilus Probiotic (acidophilus-pectin, citrus) 100 
-million cell-10 mg oral DAILY  
-5.  Allopurinol ___ mg PO DAILY  
-6.  amLODIPine 10 mg PO DAILY  
-7.  Apixaban 2.5 mg PO BID  
-8.  Aspirin 325 mg PO TID  
-9.  Calcitriol 0.25 mcg PO DAILY  
-10.  Calcium Carbonate 500 mg PO QID:PRN gas  
-11.  Carvedilol 25 mg PO BID  
-12.  Colchicine 0.3 mg PO DAILY Pericarditis   
-13.  DICYCLOMine 10 mg PO DAILY:PRN abdominal pain  
-14.  HydrALAZINE 25 mg PO TID  
-15.  melatonin 10 mg oral QHS  
-16.  Multivitamins 1 TAB PO DAILY  
-17.  Mycophenolate Mofetil 250 mg PO BID  
-18.  Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain  
-19.  Pantoprazole 40 mg PO Q24H  
-20.  Pravastatin 40 mg PO QPM  
-21.  Tacrolimus 1.5 mg PO Q12H  
-22.  Tamsulosin 0.4 mg PO QHS  
-23.  Torsemide 80 mg PO BID  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Diverticulitis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Diverticulitis {Diverticulitis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr ___,  
-It was a pleasure caring for you at ___ 
-___.
-
-WHY WAS I IN THE HOSPITAL?  
-- You had abdominal pain from diverticulitis 
-
-WHAT HAPPENED TO ME IN THE HOSPITAL?  
-- We gave you antibiotics and you got better
-- We transitioned you to oral antibiotics
-
-WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL?
-- Please take all of the antibiotics as described below:
-- Augmentin 500mg BID until (___)
-- Vancomycin 125mg BID until (___)
-
-We wish you the ___!
-
-Sincerely,  
-Your ___ Team  
-
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, diverticulitis {Diverticulitis}, antibiotics {Antibiotic therapy}, oral antibiotics {Oral antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                       Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / aspirin / seafood / Percocet / cats
- 
-Attending: ___.
- 
-Chief Complaint:
-Syncope
- 
-Major Surgical or Invasive Procedure:
-tPA via EKOS catheter x 2 (___)
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, aspirin {Allergy to aspirin}, seafood {Allergy to seafood}, cats {Allergy to Felis catus protein}, Syncope {Syncope}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year-old patient with a history of 
-retroperitoneal lipoma and abnormal uterine bleeding who is 
-transferred from an OSH due to massive pulmonary embolism. 
-
-Of note, Ms. ___ has been having prolonged and profuse uterine 
-bleeding for which she was started on norethindrone by her 
-gynecologist. One day prior to admission she developed left leg 
-swelling and pain which she did not make of too much. The day of 
-admission she developed sudden-onset dyspnea, palpitations and 
-she later lost consciousness only to regain it when EMS arrived. 
-
-
-She was taken to ___ where she had a CTA 
-Chest showing bilateral PEs and was started on a heparin gtt. In 
-the ED she underwent a second syncopal event after going to the 
-bathroom. On the day of transfer an echocardiogram was done 
-showing severe RV dilation and hypokinesis sparing the apex 
-leading to transfer to ___ for higher level of care. 
-
-On arrival to the MICU,  she had no additional complaints.
-
- 
-
-###RESPONSE: retroperitoneal {Retroperitoneal compartment structure}, lipoma {Lipoma morphology}, abnormal uterine bleeding {Abnormal uterine bleeding}, pulmonary embolism {Pulmonary embolism}, uterine 
-bleeding {Abnormal uterine bleeding}, left leg 
-swelling {Localized swelling of left lower limb}, pain {Pain in left lower limb}, dyspnea {Dyspnea}, palpitations {Palpitations}, lost consciousness {Loss of consciousness}, CTA 
-Chest {Computed tomography angiography of chest with contrast}, PEs {Pulmonary embolism}, heparin {Heparin therapy}, syncopal {Syncope}, echocardiogram {Echocardiography}, RV dilation {Dilatation of right cardiac ventricle}, hypokinesis {Hyperkinetic right ventricular wall}, apex {Structure of apex of heart}, MICU {Patient transfer to intensive care unit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Seasonal allergies                                              
-Retroperitoneal fatty mass                                      
-H/o anemia 
-C-section                                                       
-Umbilical hernia s/p repair 
- 
-
-###RESPONSE: Seasonal allergies {Seasonal allergy}, Retroperitoneal fatty mass {Mass of retroperitoneal structure}, anemia {Anemia}, C-section {Cesarean section}, Umbilical hernia {Umbilical hernia}, repair {Repair of umbilical hernia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother: ___   
-Father: ___ cancer   
-MGM: Hypertension 
- 
-
-###RESPONSE: cancer {Malignant neoplasm}, Hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission Physical Exam
-=======================
-Vitals: Please see Metavision
-GENERAL: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear  
-NECK: supple, JVP 2cm above clavicle at 45 degrees, no LAD  
-LUNGS: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-CV: Regular rate and rhythm, loud S2, no murmurs, rubs, gallops  
-
-ABD: soft, non-tender, non-distended, bowel sounds present, no 
-rebound tenderness or guarding, no organomegaly  
-EXT: Warm, well perfused. L>R diameter of calves. Non-tender 
-calves.
-NEURO: AOx3, grossly non-focal
-
-Discharge Physical Exam
-=======================
-Vitals: T 98.6, BP 115/65, HR 81, RR 18, SpO2 100/RA
-General: Alert, oriented, no acute distress, lying comfortably. 
-Tearful talking about her kids and wanting to get home to them.
-HEENT: Sclera anicteric, MMM, oropharynx clear. Bandage over R 
-lower neck is clean and dry.
-Lungs: Faint bibasilar crackles  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen: soft, non-tender, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-Ext: Warm, well perfused, 2+ pulses, trace edema in L leg up 
-into shin. No edema on R side. No erythema or increased warmth.  
-
-Skin: Without rashes or lesions - R neck bandaged from IJ line 
-as above 
-Neuro: moving all extremities  
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, clavicle {Bone structure of clavicle}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, loud {Heart sounds exaggerated}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, calves {Structure of calf of leg}, tender {Abdominal tenderness}, calves {Structure of calf of leg}, NEURO {Neurological examination}, AOx3 {Oriented to person, time and place}, grossly non-focal {No abnormality detected}, Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, lying {Lying in bed}, Tearful {Crying associated with mood}, talking {Does speak}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Bandage {Application of bandage}, neck {Structure of right half of neck}, Lungs {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema {Edema}, L leg {Structure of left lower limb}, shin {Shin structure}, edema {Edema}, R side {Structure of right lower leg}, erythema {Erythema}, warm {Warm skin}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, R neck {Structure of right half of neck}, bandaged {Application of bandage}, IJ line {Catheterization of internal jugular vein}, Neuro {Neurological examination}, all extremities {All extremities}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs
-==============
-___ 02:37PM BLOOD WBC-8.2# RBC-3.94 Hgb-9.3* Hct-31.1* 
-MCV-79*# MCH-23.6*# MCHC-29.9* RDW-17.8* RDWSD-50.8* Plt ___
-___ 02:37PM BLOOD Neuts-62.9 ___ Monos-10.3 
-Eos-0.2* Baso-0.4 Im ___ AbsNeut-5.13 AbsLymp-2.12 
-AbsMono-0.84* AbsEos-0.02* AbsBaso-0.03
-___ 05:34PM BLOOD ___ PTT-49.9* ___
-___ 02:37PM BLOOD Glucose-82 UreaN-8 Creat-0.6 Na-140 K-3.4 
-Cl-114* HCO3-16* AnGap-13
-___ 02:37PM BLOOD ALT-9 AST-18 LD(LDH)-285* AlkPhos-61 
-TotBili-0.6
-___ 02:37PM BLOOD cTropnT-0.03* proBNP-1552*
-___ 02:37PM BLOOD Albumin-3.0* Calcium-6.8* Phos-2.2* 
-Mg-1.7
-___ 02:49PM BLOOD Lactate-1.6
-
-Discharge labs
-==============
-___ 08:55AM BLOOD WBC-6.2 RBC-3.81* Hgb-9.1* Hct-29.2* 
-MCV-77* MCH-23.9* MCHC-31.2* RDW-19.8* RDWSD-51.6* Plt ___
-___ 08:55AM BLOOD Plt ___
-___ 11:25AM BLOOD PTT-60.5*
-___ 08:55AM BLOOD ___ PTT-66.9* ___
-___ 08:55AM BLOOD Glucose-83 UreaN-8 Creat-0.7 Na-141 K-3.7 
-Cl-106 HCO3-24 AnGap-15
-___ 08:55AM BLOOD Calcium-8.6 Phos-4.0 Mg-2.1
-
-Imaging
-___ Pelvic US  
-1. Fibroid uterus, distorting the endometrium. 
-2. Blood in the endocervical canal. 
-3. Normal ovaries.  No free fluid. 
-
-___ EKOS placement
-RECOMMENDATION(S):  1. Infusion of 1.0 mg tPA through each the 
-EKOS 
-catheter. 
-2. Monitor fibrinogen and H&H at least Q6 
-3. Reassessment of patient in  12  hours status post catheter 
-directed 
-chemical thrombectomy with EKOS 
-
-___ TTE
-The left atrium is normal in size. Left ventricular wall 
-thickness, cavity size, and global systolic function are normal 
-(LVEF>55%). The right ventricular cavity is mildly dilated with 
-mild global free wall hypokinesis. The aortic valve leaflets (3) 
-appear structurally normal with good leaflet excursion and no 
-aortic stenosis. The mitral valve leaflets are structurally 
-normal. There is borderline pulmonary artery systolic 
-hypertension. There is no pericardial effusion. 
-IMPRESSION: Suboptimal image quality. Mild right ventricular 
-cavity dilation with free wall hypokinesis. Borderline pulmonary 
-artery systolic hypertension. Normal left ventricular cavity 
-size and global systolic function.  
-
-___ Pulmonary arteriogram
-Significant decrease in pulmonary embolic volume with 
-significant improvement 
-of peripheral pulmonary arterial flow 
-RECOMMENDATION(S):  Continue anticoagulation. 
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Lactate {Lactic acid measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, Pelvic US {Pelvic echography}, Fibroid uterus {Uterine leiomyoma}, endometrium {Endometrial structure}, endocervical canal {Structure of cervical canal of uterus}, Normal ovaries {Normal ovary}, free fluid {Effusion}, placement {Insertion of central venous catheter}, Infusion {Infusion}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}, fibrinogen {Fibrinogen measurement}, H&H {Measurement of total hemoglobin concentration and hematocrit}, status post {Postoperative state}, catheter {Insertion of central venous catheter}, thrombectomy {Removal of thrombus}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, systolic function are normal {Normal left ventricular systolic function and wall motion}, right ventricular cavity {Structure of cavity of right cardiac ventricle}, free wall hypokinesis {Hypokinesis of cardiac wall}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, good {No abnormality detected}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, mitral valve leaflets {Structure of leaflet of mitral valve}, structurally 
-normal {Mitral valve normal}, pulmonary artery systolic 
-hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, right ventricular 
-cavity {Structure of cavity of right cardiac ventricle}, free wall hypokinesis {Hypokinesis of cardiac wall}, pulmonary 
-artery systolic hypertension {Pulmonary hypertensive arterial disease}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, systolic function {Normal left ventricular systolic function and wall motion}, Pulmonary arteriogram {Angiography of pulmonary arteries}, decrease {Decreased size}, pulmonary embolic {Pulmonary embolism}, improvement {Patient's condition improved}, l pulmonary arterial flow {Structure of artery of pulmonary circulation}, anticoagulation {Anticoagulant therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ year-old patient with a history of 
-retroperitoneal lipoma and abnormal uterine bleeding who is 
-transferred from an OSH due to massive pulmonary embolism. 
-
-#Massive Pulmonary Embolism: Pt was transferred from outside 
-hospital, where a CTA chest showed pulmonary embolism. Given 
-syncope x2 prior to admission, echocardiographic signs of RV 
-failure, elevated proBNP (1552) and troponin T (0.03), this PE 
-is classified as massive. Initially, patient was hemodynamically 
-stable at rest with labile hemodynamics on minimal exertion. Pt 
-received tPA via EKOS catheter x 2 on ___ for directed lysis 
-of clot. Pt is now hemodynamically stable. Pt on heparin gtt 
-during admission; warfarin initiated on ___ (received 5mg). 
-NOACs were considered, but due to insurance issues and patient 
-preference, warfarin was chosen. INR on discharge of 1.1; pt 
-will go home with lovenox for bridging until therapeutic on 
-warfarin.
-
-#Abnormal uterine bleeding: Has been ongoing for year but 
-slightly worse recently, for which she was started on 
-norethindrone. Pelvic ultrasound showed fibroid uterus with 
-blood in endocervical canal, normal ovaries, no free air. Gyn 
-saw patient, recommended hysterectomy. Pt not interested in 
-hysterectomy at this time, will f/u with gyn as an outpatient. 
-Bleeding is minimal at this time, and remained stable on heparin 
-gtt and with tPA.
-
-#Anemia: stable throughout admission. H/H of 9.1 and 29.2 on 
-discharge.
-
-TRANSITIONAL ISSUES:
-#ABNORMAL UTERINE BLEEDING: will follow-up at ___ resident 
-___ for gynecology 
-#HYPERCOAGULABILITY: should get hypercoagulability work-up as 
-outpatient. Mother also has history of PE.
-#ANTICOAGULATION: initiated on warfarin on ___ will be on 
-lovenox at home to bridge onto warfarin therapy. Will need close 
-follow-up of coagulation studies. INR should be checked on 
-___. Dr ___ manage her 
-Coumadin.bility work up as outpatient
- 
-
-###RESPONSE: retroperitoneal {Retroperitoneal compartment structure}, lipoma {Lipoma}, abnormal uterine bleeding {Abnormal uterine bleeding}, pulmonary embolism {Pulmonary embolism}, Pulmonary Embolism {Pulmonary embolism}, CTA chest {Computed tomography angiography of chest with contrast}, pulmonary embolism {Pulmonary embolism}, syncope {Syncope}, echocardiographic {Echocardiography}, signs {Sign}, RV {Right cardiac ventricular structure}, elevated {Complement level above reference range}, troponin T {Troponin T measurement}, PE {Pulmonary embolism}, hemodynamically 
-stable {Hemodynamically stable}, hemodynamics {Hemodynamic monitoring}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}, lysis {Lysis}, clot {Blood clot}, hemodynamically stable {Hemodynamically stable}, heparin {Heparin therapy}, INR {Calculation of international normalized ratio}, on 
-warfarin {Warfarin therapy}, Abnormal uterine bleeding {Abnormal uterine bleeding}, worse {Patient's condition worsened}, Pelvic ultrasound {Pelvic echography}, fibroid uterus with 
-blood {Abnormal uterine bleeding due to uterine fibroid}, endocervical canal {Structure of cervical canal of uterus}, normal ovaries {Normal ovary}, free air {Pneumoperitoneum}, hysterectomy {Hysterectomy}, not interested {Lack of interest}, hysterectomy {Hysterectomy}, Bleeding {Abnormal uterine bleeding}, minimal {Symptom mild}, stable {Patient's condition stable}, heparin {Heparin therapy}, tPA {Intravenous injection of tissue plasminogen activator}, Anemia {Anemia}, stable {Patient's condition stable}, ABNORMAL UTERINE BLEEDING {Abnormal uterine bleeding}, follow-up {Follow-up arranged}, HYPERCOAGULABILITY {Hypercoagulability state}, hypercoagulability {Hypercoagulability state}, work-up {Evaluation procedure}, ANTICOAGULATION {Anticoagulant therapy}, on warfarin {Warfarin therapy}, warfarin therapy {Warfarin therapy}, follow-up {Follow-up consultation}, coagulation {Coagulation}, studies {Monitoring procedure}, INR {Calculation of international normalized ratio}, checked {Monitoring procedure}, Coumadin {Anticoagulant therapy}, work up {Evaluation procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. norethindrone acetate 5 mg oral BID 
-
- 
-Discharge Medications:
-1.  Enoxaparin Sodium 80 mg SC BID 
-Start: ___, First Dose: Next Routine Administration Time 
-RX *enoxaparin 80 mg/0.8 mL 80 mg SQ twice a day Disp #*60 
-Syringe Refills:*0 
-2.  Warfarin 5 mg PO DAILY16 
-RX *warfarin [Coumadin] 2.5 mg Two tablet(s) by mouth Once a day 
-Disp #*30 Tablet Refills:*0 
-3.  norethindrone acetate 5 mg oral BID  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSES:
- - Massive pulmonary embolism
- - Abnormal uterine bleeding
-
-SECONDARY DIAGNOSES:
- - Anemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: pulmonary embolism {Pulmonary embolism}, Abnormal uterine bleeding {Abnormal uterine bleeding}, Anemia {Anemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms ___,
-
-You were admitted to ___ from 
-___ to ___ for a massive pulmonary embolism (blood clot 
-in your lungs).
-
-WHAT HAPPENED WHILE YOU WERE IN THE HOSPITAL?
-=============================================
- - You had an ultrasound of your heart, which showed that your 
-heart was being affected by the pulmonary embolism.
- - You were seen by our gynecologists, who thought your uterine 
-bleeding was stable and that you were okay to receive blood 
-thinners for your blood clot.
- - You had a pelvic ultrasound, which showed fibroids in your 
-uterus, which is likely the cause of your bleeding.
- - You had catheters put into your neck that reached the spot in 
-your lungs where the blood clot was. A medicine called tPA was 
-put into the catheters that helped to break up the clot.
- - You were on an IV drip of heparin (blood thinner).
- - You were started on warfarin (Coumadin), which is a blood 
-thinner pill that you will continue to take once you leave the 
-hospital.
-
-WHAT WILL HAPPEN WHEN YOU LEAVE THE HOSPITAL?
-=============================================
- - You will continue to take warfarin as prescribed. It is very 
-important that you take this every day to prevent your blood 
-clot from getting worse.
- - You will have to inject yourself with enoxaparin (Lovenox) at 
-home until you determine with your primary care doctor that your 
-warfarin dose is appropriate. It is VERY important that you take 
-this every day to prevent your blood clot from getting worse, 
-until your primary care doctor tells you it is okay to stop.
- - You should got to Dr. ___ office on ___ to get your 
-INR level drawn. 
- - You will see Dr ___ care doctor) for routine 
-follow-up once you leave the hospital.
- - You will see one of our cardiologists (who helped to take 
-care of your blood clot in the hospital) in the office for 
-follow-up of your blood clot.
- - You will see a gynecologist in our clinic here for follow-up 
-of your bleeding and fibroids.
-
-If you have any further questions regarding your care here, 
-please do not hesitate to contact us. We wish you the ___ with 
-your health going forward.
-
-Your ___ Care Team
- 
-
-###RESPONSE: pulmonary embolism {Pulmonary embolism}, blood clot {Blood clot}, lungs {Lung structure}, ultrasound of your heart {Echocardiography}, heart {Heart structure}, pulmonary embolism {Pulmonary embolism}, uterine 
-bleeding {Abnormal uterine bleeding}, stable {Patient's condition stable}, receive blood 
-thinners {Anticoagulant therapy}, blood clot {Blood clot}, pelvic ultrasound {Pelvic echography}, fibroids {Uterine leiomyoma}, uterus {Uterine structure}, bleeding {Abnormal uterine bleeding}, catheters {Insertion of central venous catheter}, neck {Neck structure}, lungs {Lung structure}, blood clot {Blood clot}, tPA {Intravenous injection of tissue plasminogen activator}, catheters {Insertion of central venous catheter}, clot {Blood clot}, IV {Intravenous therapy}, heparin {Heparin therapy}, blood thinner {Anticoagulant therapy}, on warfarin {Warfarin therapy}, Coumadin {Anticoagulant therapy}, blood 
-thinner {Anticoagulant therapy}, warfarin {Warfarin therapy}, blood 
-clot {Blood clot}, primary care {Primary care management}, blood clot {Blood clot}, primary care {Primary care management}, INR {Calculation of international normalized ratio}, follow-up {Follow-up consultation}, blood clot {Blood clot}, follow-up {Follow-up consultation}, blood clot {Blood clot}, clinic {Outpatient care management}, follow-up {Follow-up consultation}, bleeding {Abnormal uterine bleeding}, fibroids {Uterine leiomyoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: OBSTETRICS/GYNECOLOGY
- 
-
-###RESPONSE: OBSTETRICS {Obstetric procedure}, GYNECOLOGY {Operation on female genital organs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-lisinopril
- 
-Attending: ___.
- 
-Chief Complaint:
-endometrial cancer
- 
-Major Surgical or Invasive Procedure:
-total laparoscopic hysterectomy, bilateral 
-salpingo-oophorectomy, pelvic lymph node dissection, cystoscopy
-
- 
-
-###RESPONSE: endometrial cancer {Endometrial carcinoma}, laparoscopic hysterectomy {Laparoscopic hysterectomy}, bilateral 
-salpingo-oophorectomy {Excision of bilateral fallopian tubes and ovaries}, pelvic lymph node dissection {Pelvic lymphadenectomy}, cystoscopy {Transurethral cystoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with a past medical
-history notable for chronic kidney disease, hypertension, and a
-history of PE and DVT in ___ who reports the onset of vaginal
-bleeding on ___.  She presented to the emergency room and
-underwent a CT of the abdomen and pelvis.  This showed
-diverticular disease without inflammation as well as uterine
-fibroids but no lymphadenopathy.   She was referred to Dr. 
-___ attempted an endometrial biopsy which was nondiagnostic.  
-She
-also had what appeared to be a cervical biopsy and ECC on
-___ which were both negative.  She then proceeded to the
-operating room on ___ for a hysteroscopy with ___ curettage.  Findings were notable for a lush endometrium
-with a polypoid lesion with abnormal vessels on the right 
-uterine
-sidewall and a larger lesion on the posterior uterine wall with
-abnormal vessels, both which were biopsied and removed.  Final
-pathology from this procedure showed an endometrial
-adenocarcinoma, endometrioid type, FIGO grade 1.  The specimen
-has been received here at ___ but has not yet been
-interpreted for second opinion.  The patient was referred to GYN
-oncology for further evaluation and treatment recommendations. 
-She presents today for consultation along with her 2 daughters.
-
-Since then she continues to have light vaginal bleeding.  She
-otherwise feels
-well and denies any pain or discomfort. She denies any
-early satiety, unintentional weight changes, nausea/vomiting,
-SOB/CP, increased abdominal girth, abdominal or pelvic pain,
-vaginal discharge, or change in her bowel or bladder habits.
-
-10 system Review of Systems negative except as noted above.
- 
-
-###RESPONSE: chronic kidney disease {Chronic kidney disease}, hypertension {Hypertensive disorder, systemic arterial}, PE {Pulmonary embolism}, DVT {Deep venous thrombosis}, vaginal
-bleeding {Bleeding from vagina}, CT {Computed tomography}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pelvis {Structure of pelvis}, diverticular disease {Diverticular disease}, inflammation {Inflammatory disorder}, uterine
-fibroids {Uterine leiomyoma}, lymphadenopathy {Lymphadenopathy}, endometrial biopsy {Endometrial biopsy}, cervical biopsy {Cervical biopsy}, ECC {Endocervical curettage}, hysteroscopy {Hysteroscopy}, curettage {Curettage}, endometrium {Endometrial structure}, lesion {Lesion}, vessels {Blood vessel finding}, right {Right hip region structure}, uterine {Uterine structure}, lesion {Lesion}, posterior uterine wall {Structure of posterior wall of uterus}, vessels {Blood vessel finding}, biopsied {Biopsy}, removed {Removal}, endometrial
-adenocarcinoma, endometrioid type {Endometrioid carcinoma of endometrium}, grade 1 {G1 grade}, GYN {Gynecologic examination}, vaginal bleeding {Bleeding from vagina}, feels
-well {Well in self}, pain {Abdominal pain}, discomfort {Discomfort}, early satiety {Early satiety}, weight changes {Weight change finding}, nausea {Nausea}, vomiting {Vomiting}, SOB {Dyspnea}, CP {Chest pain}, increased abdominal girth {Swollen abdomen}, abdominal {Abdominal pain}, pelvic {Pain in pelvis}, pain {Abdominal pain}, vaginal discharge {Vaginal discharge}, bowel {Intestinal structure}, bladder {Urinary bladder structure}, habits {Habit}, Review of Systems {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Health Maintenance:
--Mammogram: ___ years ago
--Colonoscopy: Never
--Bone Mineral Density: Unsure 
-
-
-###RESPONSE: Mammogram {Mammography}, Colonoscopy {Colonoscopy}, Density {Abnormally opaque structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History: obesity, pernicious anemia, asthma,
-hypertension, anxiety disorder, hypothyroidism, personal history
-of a DVT and PE, chronic kidney disease, chronic venous stasis
-and lower extremity edema
-
-Past Surgical History: Open cholecystectomy, ___
-                                 
-Past OB History:  G7 P5
-7 vaginal deliveries without complications
-
-Past GYN History:
-Menopausal.  This is her first episode of postmenopausal
-bleeding.  She has never taken any hormone replacement therapy. 
-She denies any significant gynecologic problems in the past.
-
- 
-
-###RESPONSE: obesity {Obesity}, pernicious anemia {Pernicious anemia}, asthma {Asthma}, hypertension {Hypertensive disorder, systemic arterial}, anxiety disorder {Anxiety disorder}, hypothyroidism {Hypothyroidism}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, chronic kidney disease {Chronic kidney disease}, chronic {Chronic edema}, venous stasis {Venous stasis}, lower extremity edema {Edema of lower extremity}, cholecystectomy {Cholecystectomy}, vaginal deliveries {Vaginal delivery}, Menopausal {Menopause finding}, postmenopausal
-bleeding {Postmenopausal bleeding}, hormone replacement therapy {Hormone replacement therapy}, gynecologic problems {Female genital tract problem}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Denies family history of GYN cancer, breast cancer, colon cancer 
-                                            
-
- 
-
-###RESPONSE: GYN {Female genital organ structure}, cancer {Malignant neoplasm}, breast cancer {Malignant neoplasm of breast}, colon cancer {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On day of discharge:
-Afebrile, vitals stable
-No acute distress
-CV: regular rate and rhythm
-Pulm: clear to auscultation bilaterally
-Abd: soft, appropriately tender, nondistended, incision 
-clean/dry/intact, no rebound/guarding
-___: nontender, nonedematous
-
- 
-
-###RESPONSE: Afebrile {Fever}, vitals {Vital signs finding}, stable {Stable blood pressure}, distress {Distress}, CV {Cardiovascular physical examination}, regular rate and rhythm {Normal heart rate}, Pulm {Examination of respiratory system}, clear to auscultation bilaterally {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, tender {Abdominal tenderness}, nondistended {Normal abdominal contour}, incision {Abdomen incision}, clean/dry/intact {Wound healing well}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, nontender {Abdominal tenderness}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:25AM BLOOD WBC-7.1 RBC-3.81* Hgb-10.7* Hct-32.5* 
-MCV-85 MCH-28.1 MCHC-32.9 RDW-14.5 RDWSD-44.9 Plt ___
-___ 06:25AM BLOOD Glucose-114* UreaN-13 Creat-0.9 Na-139 
-K-3.7 Cl-102 HCO3-27 AnGap-14
-___ 06:25AM BLOOD Calcium-8.4 Phos-2.9 Mg-2.0
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ was admitted to the gynecologic oncology service 
-after undergoing total laparoscopic hysterectomy, bilateral 
-slapping-oophorectomy, pelvic lymph node dissection, and 
-cystoscopy for endometrial cancer. Please see the operative 
-report for full details.  
-
-Her post-operative course is detailed as follows. Immediately 
-postoperatively, her pain was controlled with IV morphine and IV 
-toradol. Her diet was advanced without difficulty and she was 
-transitioned to PO ibuprofen, liquid Tylenol, and liquid 
-oxycodone. On post-operative day #1, her urine output was 
-adequate so her Foley catheter was removed and she voided 
-spontaneously. 
-
-She was continued on her home medications for hypothyroidism, 
-hypertension (hydrochlorothiazide restarted on post operative 
-day 1), and asthma.
-
-By post-operative day 1, she was tolerating a regular diet, 
-voiding spontaneously, ambulating independently, and pain was 
-controlled with oral medications. She was then discharged home 
-in stable condition with outpatient follow-up scheduled.  She 
-was also discharged on 28 days of Lovenox for a personal history 
-of deep venous thrombosis and pulmonary embolism.
- 
-
-###RESPONSE: laparoscopic hysterectomy {Laparoscopic hysterectomy}, bilateral 
-slapping-oophorectomy {Excision of bilateral fallopian tubes and ovaries}, pelvic lymph node dissection {Pelvic lymphadenectomy}, cystoscopy {Transurethral cystoscopy}, endometrial cancer {Endometrial carcinoma}, post-operative course {Postoperative state}, pain {Pain}, IV {Intravenous therapy}, IV {Intravenous therapy}, diet {Dietary finding}, urine {Urine culture}, Foley cathete {Catheterization of urinary bladder}, medications {Administration of drug or medicament}, hypothyroidism {Hypothyroidism}, hypertension {Hypertensive disorder, systemic arterial}, asthma {Asthma}, regular diet {Normal diet}, voiding spontaneously {Normal micturition}, ambulating independently {Independent walking}, pain {Pain}, oral medications {Administration of drug or medicament via oral route}, stable condition {Patient's condition stable}, outpatient follow-up {Outpatient care management}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-albuterol, brinzolamide-brimonidine (eye drops), clobetasol, 
-fluticasone-salmeterol, hydrochlorothiazide 12.5 daily, 
-latenoprost, levothyroxine 75 mcg daily, ativan, timolol, 
-tramadol, baby aspirin, vitamin D3, vitamin B12
- 
-Discharge Medications:
-1.  Acetaminophen (Liquid) 650 mg PO Q6H:PRN Pain - Moderate 
-RX *acetaminophen 650 mg/20.3 mL 650 mg by mouth every 6 hours 
-Refills:*1 
-2.  Docusate Sodium 100 mg PO BID:PRN constipation 
-RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice 
-per day Disp #*60 Capsule Refills:*1 
-3.  Enoxaparin Sodium 40 mg SC Q24H 
-Start: ___, First Dose: Next Routine Administration Time 
-RX *enoxaparin 40 mg/0.4 mL 40 mg IM daily Disp #*28 Syringe 
-Refills:*0 
-4.  Ibuprofen Suspension 400 mg PO Q8H:PRN Pain - Mild 
-RX *ibuprofen 100 mg/5 mL 20 ml by mouth every four (4) hours 
-Refills:*0 
-5.  OxycoDONE Liquid 2.5 mg PO Q4H:PRN Pain - Moderate 
-RX *oxycodone 5 mg/5 mL 2.5 mg by mouth every 4 hours Refills:*0 
-
-6.  Senna 8.6 mg PO BID:PRN constipation 
-RX *sennosides [senna] 8.8 mg/5 mL 5 ml by mouth twice a day 
-Refills:*0 
-7.  Albuterol Inhaler ___ PUFF IH Q6H:PRN wheezing  
-8.  Hydrochlorothiazide 12.5 mg PO DAILY  
-9.  Levothyroxine Sodium 75 mcg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-endometrial cancer
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, endometrial cancer {Endometrial carcinoma}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-.
-You were admitted to the gynecologic oncology service after 
-undergoing the procedures listed below. You have recovered well 
-after your operation, and the team feels that you are safe to be 
-discharged home. Please follow these instructions: 
-. 
-Laparoscopic instructions:  
-* Take your medications as prescribed. We recommend you take 
-non-narcotics (i.e. Tylenol, ibuprofen) regularly for the first 
-few days post-operatively, and use the narcotic as needed. As 
-you start to feel better and need less medication, you should 
-decrease/stop the narcotic first.
-* Do not drive while taking narcotics.  
-* Do not combine narcotic and sedative medications or alcohol.  
-* Do not take more than 4000mg acetaminophen (tylenol) in 24 
-hrs.  
-* No strenuous activity until your post-op appointment.  
-* Nothing in the vagina (no tampons, no douching, no sex) for 8 
-weeks.
-* No heavy lifting of objects >10 lbs for 4 weeks.  
-* You may eat a regular diet.
-* It is safe to walk up stairs.  
-.
-Incision care:  
-* You may shower and allow soapy water to run over incision; no 
-scrubbing of incision. No bath tubs for 6 weeks.  
-* You should remove your port site dressings ___ days after your 
-surgery, if they have not already been removed in the hospital. 
-Leave your steri-strips on.  If they are still on after ___ 
-days from surgery, you may remove them.  
-* If you have staples, they will be removed at your follow-up 
-visit.  
-.
-To reach medical records to get the records from this 
-hospitalization sent to your doctor at home, call ___.  
-
-.
-Call your doctor at ___ for:  
-* fever > 100.4  
-* severe abdominal pain  
-* difficulty urinating  
-* vaginal bleeding requiring >1 pad/hr  
-* abnormal vaginal discharge  
-* redness or drainage from incision  
-* nausea/vomiting where you are unable to keep down fluids/food 
-or your medication  
-* chest pain or difficulty breathing 
-* onset of any concerning symptoms 
-
- 
-
-###RESPONSE: medications {Administration of drug or medicament}, medication {Administration of drug or medicament}, decrease {Decreased size}, while taking narcotics {Narcotics education}, medications {Administration of drug or medicament}, vagina {Vaginal structure}, lifting {Does lift}, regular diet {Normal diet}, walk {Does walk}, Incision care {Incision care}, incision {Surgical incision wound}, incision {Surgical incision wound}, fever {Fever}, abdominal pain {Abdominal pain}, difficulty urinating {Difficulty passing urine}, vaginal bleeding {Bleeding from vagina}, pad {Pad}, abnormal vaginal discharge {Vaginal discharge problem}, redness {Redness of skin over lesion}, drainage {Discharge}, incision {Incision}, nausea {Nausea}, vomiting {Vomiting}, fluids {Tolerating oral fluid}, medication {Administration of drug or medicament}, chest pain {Chest pain}, difficulty breathing {Difficulty breathing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Codeine / Iodine / Morphine / Percocet / Percodan
- 
-Attending: ___.
- 
-Chief Complaint:
-Left Facial Pain, Skin Infection and Fever
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Codeine {Allergy to codeine}, Iodine {Allergy to iodine compound}, Morphine {Allergy to morphine}, Left Facial {Structure of left half of face}, Pain {Pain in face}, Skin Infection {Infection of skin and/or subcutaneous tissue}, Fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year-old man with a history of squamous cell 
-carcinoma s/p Mohs to the L temporal area on ___. Since the 
-surgery, he has been having headaches, gradually worsening. He 
-has not been able to eat much since ___ due to the pain. It now 
-extends from his forehead down to his mandible on the L. He 
-initially took acetaminophen, which did not change his pain. He 
-then took 400 mg ibuprofen which seemed to help. On ___ he 
-developed fevers and chills. He came to the hospital.
- 
-
-###RESPONSE: squamous cell 
-carcinoma {Squamous cell carcinoma}, Mohs {Mohs surgery}, L temporal {Left temporal lobe structure}, surgery {Surgical procedure}, headaches {Headache}, worsening {Increased pain}, has not been able to eat {Unable to eat}, pain {Pain}, forehead {Forehead structure}, mandible {Bone structure of mandible}, pain {Pain}, fevers {Fever}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--dyslipidemia  
--BPH  
--numerous non-melanoma skin cancers  
--actinic keratoses  
--s/p splenectomy following MVA in ___ (? vaccinations)
- 
-
-###RESPONSE: dyslipidemia {Dyslipidemia}, BPH {Benign prostatic hyperplasia}, melanoma {Malignant melanoma of skin}, skin cancers {Malignant neoplasm of skin}, actinic keratoses  {Actinic keratosis}, splenectomy {Splenectomy}, MVA {Motor vehicle accident victim}, vaccinations {Administration of vaccine to produce active immunity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father was a ___ and family had prolonged sun exposure. 
-There is a strong family history of actinic keratoses,  and skin 
-cancer. 
- 
-
-###RESPONSE: actinic keratoses {Actinic keratosis}, skin 
-cancer {Malignant neoplasm of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS: T 97, BP 118/70, RR 16, O2 98% on RA  
-Gen: appears comfortable, talkative and pleasant  
-HEENT: L temporal surgical wound healing, slight purulence when 
-pressed most pronounced at hairline, erythema is most pronounced 
-around the wound but extends down to his mandible. He is very 
-tender around the suture and mildly tender down the L lateral 
-aspect of his face.  
-Neck: supple  
-Cardiovascular: regular, no murmur  
-Respiratory: Clear to auscultation bilaterally, no wheezes, 
-rales or rhonchi  
-Abd: Soft, non-tender, non distended, no heptosplenomegally, 
-bowel sounds present, abdominal scar from splenectomy  
-Extremities: warm, no edema  
-Neurological: grossly intact  
-Skin: L temporal area described above. Otherwise, he has diffuse 
-actinic keratoses, most pronounced on his back and scalp.
- 
-
-###RESPONSE: VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, HEENT {Physical examination procedure}, L temporal {Structure of left temporal bone}, surgical wound {Surgical wound}, healing {Wound healed}, purulence {Purulent discharge from wound}, erythema {Erythema}, wound {Wound}, mandible {Bone structure of mandible}, tender {Abdominal tenderness}, tender {Abdominal tenderness}, L lateral 
-aspect of his face {Structure of left half of face}, Neck {Physical examination procedure}, supple {Normal movement of neck}, Cardiovascular {Cardiovascular physical examination}, regular {Normal heart rate}, murmur {Murmur}, Respiratory {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abd {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, heptosplenomegally {Hepatosplenomegaly}, bowel sounds present {Normal bowel sounds}, abdominal scar {Abdominal skin scar}, splenectomy {Splenectomy}, Extremities {Examination of limb}, warm {Warm skin}, edema {Edema}, Neurologic {Neurological examination}, grossly intact {Normal nervous system function}, Skin {Examination of skin}, temporal {Structure of left temporal bone}, actinic keratoses {Actinic keratosis}, back {Structure of back of trunk}, scalp {Scalp structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:30PM   WBC-24.4*# RBC-4.59* HGB-14.2 HCT-41.9 MCV-91 
-MCH-31.0 MCHC-33.9 RDW-13.5
-
-___ 07:27AM BLOOD WBC-17.5* RBC-4.22* Hgb-13.3* Hct-39.1* 
-MCV-93 MCH-31.4 MCHC-33.9 RDW-13.4 Plt ___ year-old man with a history of squamous cell carcinoma s/p 
-Mohs to the L temporal area on ___. Since the surgery, he has 
-been having headaches, gradually worsening. He has not been able 
-to eat much since ___ due to the pain. It now extends from his 
-forehead down to his mandible on the L.
-.
-In the ED, initial VS T 99.9, BP 144/87, HR 93, RR 16, O2 96% 
-RA. Exam was notable for infected-appearing wound on L temporal 
-area. Labs notable for leukocytosis. Dermatology saw him and 
-recommended IV MRSA coverage and observation overnight. He was 
-given 1g vancomycin and admitted.  
-.
-His elevated temperature resolved with administration of 2 doses 
-of IV vancomycin. WBC count on ED presentation was 24.4 and on 
-day of discharge was 17.5. Pain was also subjectively much 
-improved. Gram stain of wound revealed gram positive cocci in 
-pairs. Wound and blood culture and sensitity remain pending. 
-Dermatology was consulted and recommended follow-up appointment 
-in their surgery clinic on ___ at 2PM and 
-outpatient oral antibiotic therapy. Patient was prescribed 
-Bactrim DS PO x 14 days. 
-.
-His other medical problems were stable and no changes were made 
-to the medications other than adding Bactrim DS for his current 
-skin infection.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, squamous cell carcinoma {Squamous cell carcinoma}, Mohs {Mohs surgery}, L temporal {Left temporal lobe structure}, surgery {Surgical procedure}, headaches {Headache}, worsening {Increased pain}, has not been able 
-to eat {Unable to eat}, pain {Pain}, forehead {Forehead structure}, mandible {Bone structure of mandible}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, infected-appearing wound {Local infection of wound}, L temporal {Left temporal lobe structure}, leukocytosis {Leukocytosis}, elevated temperature {Body temperature above reference range}, resolved {Problem resolved}, WBC {White blood cell count}, Pain {Pain}, improved {Patient's condition improved}, Gram stain {Gram stain method}, wound {Wound}, Wound {Wound}, blood culture {Blood culture}, oral antibiotic therapy {Oral antibiotic therapy}, stable {Patient's condition stable}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-simvastatin 5 mg daily  
-finasteride 5 mg dialy  
- 
-Discharge Medications:
-1. Ibuprofen 400 mg Tablet Sig: Two (2) Tablet PO Q8H (every 8 
-hours) as needed for pain.
-Disp:*20 Tablet(s)* Refills:*0*
-2. Finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*2*
-3. Simvastatin 10 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*2*
-4. Bactrim DS 800-160 mg Tablet Sig: Two (2) Tablet PO twice a 
-day for 14 days.
-Disp:*56 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-L Facial cellulitis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: L Facial {Structure of left half of face}, cellulitis {Cellulitis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ for 
-fever and a skin infection. You were started on IV vancomycin in 
-the ED and continued on admission. Your fever resolved and your 
-pain improved. In addition, your white blood cell count is 
-appropriately responding to the antibiotic therapy. Your 
-infection treatment with antibiotics will be continued as oral 
-Bactrim DS 2 pills twice daily for 14 days. You should continue 
-your home medications as written in this discharge document.
-.
-The Following CHANGES have been made:
-You were STARTED on BACTRIM DS 2 pills twice per day for 14 days 
-for the infection.
-.
-Please follow up with your dermatologist on ___ on ___ 
-at 2pm ___ ___ Center Dermatologic Surgery clinic .
-
- 
-
-###RESPONSE: fever {Fever}, skin infection {Infection of skin and/or subcutaneous tissue}, fever {Fever}, resolved {Problem resolved}, pain improved {Sensation of pain reduced}, white blood cell count {White blood cell count}, antibiotic therapy {Antibiotic therapy}, infection {Infectious disease}, antibiotics {Antibiotic therapy}, infection {Infectious disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Chocolate Flavor / Atenolol
- 
-Attending: ___.
- 
-Chief Complaint:
-Lethargy, speech difficulties, word-finding difficulties
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Atenolol {Allergy to atenolol}, Lethargy {Lethargy}, speech difficulties {Has difficulty with speech}, word-finding difficulties {Word finding difficulty}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old gentleman seen recently in the ED 
-for a fall returning with lethargy, slurred & repeated speech, 
-difficult with word finding. 4 days prior to admission, the 
-patient was out at the ___, was pushed from a standing 
-position and fell on his knees. Since that time he has had 
-considerable pain, and decreased mobility. The morning prior to 
-admission, he awoke with decreased appetite, had lethargy and 
-then later developed difficulty with word finding, right leg 
-weakness and slurred speech. He called into ___ and he was 
-referred to the ED for possible stroke work up.  
-.  
-In the ED, Initial VS: 102 67 140/67 18 96%RA. Patient received 
-Tylenol CTX, Azithro for CAP/retrocardiac opacity on CXR. Neuro 
-recommended infectious work up and will follow in consult. 
-Transfer VS: 98.0 63 116/40 16 98%RA.  
-.  
-On arrival to the floor, the patient is comfortable, and per 
-niece, back to baseline. He denies any discomfort or any recent 
-indications of illness: fevers, chills, cough, chest pain, 
-dyspnea, sputum, abdominal pain, nausea, vomiting, dysuria.  He 
-and his niece report cough and some malaise over last two days.
-.  
-Review of Systems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denies chest pain or tightness, palpitations. Denies 
-cough, shortness of breath, or wheezes. Denied nausea, vomiting, 
-diarrhea, constipation or abdominal pain. No recent change in 
-bowel or bladder habits. No dysuria. Denies arthralgias or 
-myalgias. Denies rashes or skin breakdown. No numbness/tingling 
-in extremities. No feelings of depression or anxiety. All other 
-review of systems negative.  
-
- 
-
-###RESPONSE: fall {Elderly fall}, lethargy {Lethargy}, slurred {Slurred speech}, difficult with word finding {Word finding difficulty}, standing 
-position {Orthostatic body position}, fell {Elderly fall}, knees {Knee region structure}, pain {Pain}, decreased mobility {Reduced mobility}, decreased appetite {Decrease in appetite}, lethargy {Lethargy}, difficulty with word finding {Word finding difficulty}, right leg {Structure of right lower leg}, weakness {Monoparesis of lower limb}, slurred speech {Slurred speech}, stroke {Cerebrovascular accident}, RA {Breathing room air}, opacity {Abnormally opaque structure}, CXR {Plain chest X-ray}, RA {Breathing room air}, discomfort {Discomfort}, fevers {Fever}, chills {Chill}, cough {Cough}, chest pain {Chest pain}, dyspnea {Dyspnea}, sputum {No sputum}, abdominal pain {Abdominal pain}, nausea {Nausea}, vomiting {Vomiting}, dysuria {Dysuria}, cough {Cough}, malaise {Malaise}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, cough {Cough}, shortness of breath {Dyspnea}, wheezes {Wheezing}, nausea {Nausea}, vomiting {Vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in 
-bowel {Altered bowel function}, bladder {Urinary bladder structure}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}, skin breakdown {Broken skin}, No numbness/tingling {Numbness and tingling sensation of skin}, extremities {Limb structure}, depression {Depressive disorder}, anxiety {Anxiety}, review of systems {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Atrial Fibrillation  
-- Prostate cancer  
-- Hypertension  
-- Hyperlipidemia  
-- Type two diabetes mellitus
-- Osteoporosis
-
- 
-
-###RESPONSE: Atrial Fibrillation {Atrial fibrillation}, Prostate cancer {Carcinoma of prostate}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Type two diabetes mellitus {Diabetes mellitus type 2}, Osteoporosis {Osteoporosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-(At time of admission)
-VS: 97.7 130/53 80 24 96% RA  
-GEN: Elderly gentleman, well appearing and comfortable  
-HEENT: No JVD, no LAD  
-CV: S1 & S2 regular without murmur  
-PULM: Bibasilar crackles, decreased LLL breath sounds  
-ABD: NTND  
-LIMBS: Bandaged knees, chronic stasis changes bilateral lower 
-extremities, no edema  
-NEURO: AAOx3, CN ii-xii grossly intact, gait deferred 
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, HEENT {Physical examination procedure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, PULM {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, ND {Swollen abdomen}, LIMBS {Examination of limb}, Bandaged {Application of bandage}, knees {Knee region structure}, stasis {Stasis}, lower 
-extremities {Lower limb structure}, edema {Edema}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, CN ii {Optic nerve structure}, xii {Hypoglossal nerve structure}, grossly intact {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Chest X-ray 
-___
-FRONTAL AND LATERAL VIEWS OF THE CHEST: Lung volumes are low. 
-Streaky 
-opacity at the lung bases likely due to atelectasis. There is 
-stable 
-eventration of the right hemidiaphragm. Increased density in the 
-retrocardiac area and seen laterally at the left lung base are 
-concerning for infectious process. There is calcification of the 
-aortic knob, unchanged with a slightly tortuous aorta. Heart 
-size is mildly enlarged with prominent left atrium.  There is no 
-pleural effusion or pneumothorax. 
-  
-IMPRESSION: Increased patchy opacities at the left lung base 
-concerning for pneumonia/aspiration. 
-
-Head CT
-___
-FINDINGS: There is no acute intracranial hemorrhage, large areas 
-of edema, 
-large masses or mass effect. Periventricular white matter 
-hypodensities is 
-consistent with chronic small vessel ischemic changes. There is 
-preservation of normal gray-white matter differentiation. The 
-ventricles and sulci are normal in size and configuration given 
-the patient's age. 
-Soft tissues of the orbits and nasopharynx are within normal 
-limits. The 
-visualized paranasal sinuses and mastoid air cells are clear. No 
-fractures 
-are identified. 
-IMPRESSION: No acute intracranial process. No acute hemorrhage. 
-
-Laboratories on day of discharge:
-WBC 6.5, Hemoglobin 11.3, Hematocrit 33.5, Platelets 196, MCV 89
-INR 3.7
-Na 135, K 3.3, Cl 102, HCO3 25, BUN 52, Creatinine 1.5, Glucose 
-118
-Ca 8.4, Mg 2.3, P 3.1
-CK 308
-
- 
-
-###RESPONSE: Chest X-ray {Plain chest X-ray}, CHEST {Thoracic structure}, Lung {Lung structure}, opacity {Abnormally opaque structure}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, stable {Patient's condition stable}, eventration {Eventration}, right hemidiaphragm {Structure of right hemidiaphragm}, left lung {Left lung structure}, infectious process {Infectious disease}, calcification of the 
-aortic knob {Aortic valve calcification}, aorta {Aortic structure}, Heart {Heart structure}, left atrium {Left atrial structure}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, opacities {Abnormally opaque structure}, the left lung base {Structure of base of left lung}, pneumonia {Pneumonia}, aspiration {Aspiration pneumonia}, intracranial hemorrhage {Intracranial hemorrhage}, edema {Edema}, mass {Mass}, mass {Mass}, Periventricular white matter {Structure of periventricular white matter}, chronic {Chronic disease}, small vessel {Structure of small blood vessel (organ)}, ischemic {Ischemia}, ventricles {Brain ventricle structure}, Soft tissues of the orbits {Structure of soft tissues of orbit}, nasopharynx {Nasopharyngeal structure}, paranasal sinuses {Nasal sinus structure}, and mastoid air cells {Structure of mastoid cell}, fractures {Fracture}, intracranial {Intracranial structure}, acute hemorrhage {Acute hemorrhage}, Hematocrit {Hematocrit determination}, Platelets {Platelet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-#) Altered mental status: Initially concerning for stroke or 
-bleed given history of anticoagulation and recent fall (though 
-denied hitting head), however head CT did not demonstrate any 
-bleed. Neurology was consulted in the emergency room and 
-evaluated the patient. Based on his fever and chest x-ray 
-findings, it was felt that his symptoms represented metabolic 
-encephalopathy secondary to his febrile infection.
-His mental status improved during his admission, and his 
-neurologic examination remained non-focal.
-<br>
-#) Fever: Urine analysis not consistent with urinary tract 
-infection, with culture negative for 24 hours. Chest x-ray was 
-concerning for pneumonia at the left base. No other localizing 
-symptoms or findings on examination. Patient was given 
-ceftriaxone and azithromycin in the emergency room along with 
-acetaminophen. He remained afebrile after that time, without any 
-leukocytosis.
-- He should continue azithromycin for 2 more days, and 
-cefpodoxine 200 mg Q12 hours for 4 additional days.
-- Blood cultures were pending at time of discharge, but were 
-negative. Final cultures should be followed up from 
-rehabilitation.
-<br>
-#) Atrial fibrillation: Patient's INR was elevated at time of 
-admission, so his warfarin was held. He is not on any 
-rate-controlling agents at home and had good rate control (high 
-40's to 60's) during his admission.
-- His INR should be check day after discharge, and warfarin 
-resumed and adjusted accordingly.
-<br>
-#) Hypertension: His blood pressure medications were held 
-initially to monitor for any hypotension given altered mental 
-status and febrile state, they were resumed day of discharge 
-when his systolic pressure was 160 in the morning.
-<br>
-#) Hyperlipidemia: Continue pravastatin
-<br>
-#) Renal insufficiency: Baseline values in our system are 
-varied, 1.1-1.3 or 1.4. FeUrea was 36%, which was on the cut-off 
-for being consistent with pre-renal etiology. His function 
-remained stable slightly above baseline at 1.4-1.5 during 
-admission. He was encouarged to take PO's during his first day, 
-and his home medications werer re-started on day two. Given 
-small blood seen in urine analysis, CK was checked to evaluate 
-for rhabdomyolysis, which was 308.
-<br>
-#) Anemia: Patient had mild normocytic anemia during his stay. 
-Iron studies, B-12, and folate were pending at time of discharge 
-and may be followed up on an outpatient basis.
-<br>
-#) Diabetes Mellitus: Patient's blood sugars were mildly 
-elevated during his admission (100-120's), but he was not 
-treated, as wished to avoid hypoglycemia.
-<br>
-#) Osteoporosis: Continued vitamin D, calcium, and alendronate.
-<br>
-#) Status-post fall earlier in week: Patient was evaluated by 
-physical therapy, who felt a short stay at rehabilitation was 
-appropriate.
-
- 
-
-###RESPONSE: Altered mental status {Altered mental status}, stroke {Cerebrovascular accident}, bleed {Bleeding}, anticoagulation {Anticoagulant therapy}, fall {Falls}, head {Head structure}, head CT {Computed tomography of head}, bleed {Hemorrhage}, fever {Fever}, chest x-ray {Plain chest X-ray}, metabolic 
-encephalopathy {Metabolic encephalopathy}, febrile {Fever}, infection {Infectious disease}, mental status {Mental state finding}, improved {Patient's condition improved}, neurologic examination {Neurological examination}, Fever {Fever}, Urine analysis {Urinalysis}, urinary tract 
-infection {Urinary tract infectious disease}, culture {Urine culture}, Chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}, left base {Structure of base of left lung}, leukocytosis {Leukocytosis}, Blood cultures {Blood culture}, cultures {Microbial culture}, rehabilitation {Rehabilitation therapy}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, hypotension {Low blood pressure}, altered mental 
-status {Altered mental status}, febrile {Fever}, Hyperlipidemia {Hyperlipidemia}, Renal insufficiency {Renal insufficiency}, Baseline {Baseline state}, rhabdomyolysis {Rhabdomyolysis}, Anemia {Anemia}, normocytic anemia {Normocytic anemia}, Diabetes Mellitus {Diabetes mellitus}, hypoglycemia {Hypoglycemia}, Osteoporosis {Osteoporosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Alendronate 70mg PO Q week  
-Pravastatin 20mg PO daily  
-Spironolactore-HCTZ 25mg-25mg PO daily  
-Warfarin 1.25mg PO Daily  
-Calcium/Vitamin D  
-Colace 100mg PO BID  
-
- 
-Discharge Medications:
-1. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2) 
-Tablet PO DAILY (Daily).  
-2. Pravastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. Azithromycin 250 mg Tablet Sig: One (1) Tablet PO Q24H (every 
-24 hours) for 2 days.
-Disp:*2 Tablet(s)* Refills:*0*
-4. Cefpodoxime 200 mg Tablet Sig: One (1) Tablet PO every twelve 
-(12) hours for 4 days.
-Disp:*8 Tablet(s)* Refills:*0*
-5. Alendronate 70 mg Tablet Sig: One (1) Tablet PO once a week.  
-
-6. Calcium Carbonate-Vit D3-Min 600-400 mg-unit Tablet Sig: One 
-(1) Tablet PO twice a day.  
-7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-8. Aldactazide ___ mg Tablet Sig: One (1) Tablet PO once a 
-day.  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary diagnosis:
-- Pneumonia
-Secondary diagnoses:
-- Atrial fibrillation
-- Hypertension
-- Hyperlipidemia
-- History of prostate cancer
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Pneumonia {Pneumonia}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, prostate cancer {Carcinoma of prostate}, Mental Status {Mental state finding}, Level of Consciousness {Finding of level of consciousness}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted for concern over word-finding difficulties and 
-changes in your speech. After evaluation, it was found that you 
-had a pneumonia, and it was likely that the fevers were 
-contributing to the changes in your mental status.
-
-We have made the following changes to your medications:
-- STARTED an antibiotic called Cefpodoxine 200 mg every 12 hours 
-for 4 days
-- STARTED an antibiotic called Azithromycin 250 mg daily for 2 
-days
-
-No other changes were made to your medications.
- 
-
-###RESPONSE: word-finding difficulties {Word finding difficulty}, evaluation {Evaluation procedure}, pneumonia {Pneumonia}, fevers {Fever}, mental status {Mental state finding}, antibiotic {Antibiotic therapy}, antibiotic {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-R knee pain
- 
-Major Surgical or Invasive Procedure:
-R patellar tendon rupture
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, knee pain {Pain of knee region}, R patellar tendon rupture {Traumatic rupture of right patellar tendon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-He was playing softball 1 hour prior to his presentation to the
-emergency department, he was jogging slowly, turning suddenly 
-and
-felt a pop.  He felt immediate pain in his knee and fell to the
-ground but did not hit his head or lose consciousness.
-
-He is unable to move his knee afterwards actively.
- 
-
-###RESPONSE: emergency {Emergency treatment management}, pain in his knee {Pain of knee region}, fell {Falls}, head {Head structure}, lose consciousness {Loss of consciousness}, unable to move his knee {No knee movement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Gen:NAD
-RLE: dressing c/d/I
-knee immobilizer in place
-fires ___
-foot WWP
- 
-
-###RESPONSE: Gen {General examination of patient}, NAD {No abnormality detected}, RLE {Structure of right lower limb}, dressing {Application of dressing}, knee immobilizer {Application of knee immobilizer}, in place {Device in situ}, foot {Foot structure}, WWP {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 05:15AM BLOOD WBC-8.0 RBC-4.35* Hgb-13.2* Hct-39.5* 
-MCV-91 MCH-30.3 MCHC-33.4 RDW-12.7 RDWSD-41.5 Plt ___
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to the emergency department and was 
-evaluated by the orthopedic surgery team. The patient was found 
-to have a R patellar tendon rupture and was admitted to the 
-orthopedic surgery service. The patient was taken to the 
-operating room on ___ for R patellar tendon repair, which 
-the patient tolerated well. For full details of the procedure 
-please see the separately dictated operative report. The patient 
-was taken from the OR to the PACU in stable condition and after 
-satisfactory recovery from anesthesia was transferred to the 
-floor. The patient was initially given IV fluids and IV pain 
-medications, and progressed to a regular diet and oral 
-medications by POD#1. The patient was given ___ 
-antibiotics and anticoagulation per routine. The patient's home 
-medications were continued throughout this hospitalization. The 
-patient worked with ___ who determined that discharge to home was 
-appropriate. The ___ hospital course was otherwise 
-unremarkable.
-
-At the time of discharge the patient's pain was well controlled 
-with oral medications, incisions were clean/dry/intact, and the 
-patient was voiding/moving bowels spontaneously. The patient is 
-weight bearing as tolerated in the right lower extremity, and 
-will be discharged on aspirin for DVT prophylaxis. The patient 
-will follow up with Dr. ___ routine. A thorough 
-discussion was had with the patient regarding the diagnosis and 
-expected post-discharge course including reasons to call the 
-office or return to the hospital, and all questions were 
-answered. The patient was also given written instructions 
-concerning precautionary instructions and the appropriate 
-follow-up care. The patient expressed readiness for discharge.
- 
-
-###RESPONSE: emergency {Emergency treatment management}, evaluated by the orthopedic surgery team {Orthopedic assessment}, patellar tendon rupture {Rupture of patellar tendon}, admitted to the 
-orthopedic surgery service {Admission by orthopedic surgeon}, patellar tendon repair {Repair of patellar tendon}, procedure {Procedure}, PACU {Postanesthesia care}, stable condition {Patient's condition stable}, anesthesia {Administration of general anesthetic}, given IV fluids {Administration of intravenous fluids}, IV {Intravenous therapy}, pain 
-medications {Administration of analgesic}, regular diet {Normal diet}, oral 
-medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, unremarkable {No abnormality detected}, pain was well controlled 
-with oral medications {Demonstrates adequate pain control with oral analgesics}, incisions {Incision}, clean/dry/intact {Wound healing well}, voiding {Normal micturition}, moving bowels spontaneously {Normal bowel habits}, weight bearing {Weight-bearing}, right lower extremity {Structure of right lower limb}, aspirin {Administration of aspirin}, DVT prophylaxis {Prevention of deep vein thrombosis}, follow up {Follow-up arranged}, discussion {Patient education}, call the 
-office {Recommendation regarding contacting someone}, instructions {Patient education}, instructions {Patient education}, follow-up care {Postoperative procedure education}, readiness for discharge {Ready for discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-None. 
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H  
-2.  Aspirin 325 mg PO DAILY 
-RX *aspirin 325 mg 1 (One) tablet(s) by mouth once a day Disp 
-#*30 Tablet Refills:*0 
-3.  Docusate Sodium 100 mg PO BID  
-4.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone 5 mg ___ capsule(s) by mouth every three to six 
-hours Disp #*25 Capsule Refills:*0 
-5.Outpatient Physical Therapy
-WBAT RLE in ___ brace locked in extension. Evaluate and 
-treat. 
-6.Crutches
-Diagnosis: right patellar tendon rupture
-Prognosis: good
-Length of need: 13 months
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-R patellar tendon rupture
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: R patellar tendon rupture {Traumatic rupture of right patellar tendon}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-
-INSTRUCTIONS AFTER ORTHOPAEDIC SURGERY:
-
-- You were in the hospital for orthopedic surgery. It is normal 
-to feel tired or ""washed out"" after surgery, and this feeling 
-should improve over the first few days to week. 
-- Resume your regular activities as tolerated, but please follow 
-your weight bearing precautions strictly at all times.
-
-ACTIVITY AND WEIGHT BEARING:
-- WBAT RLE locked in extension in ___ brace
-
-MEDICATIONS:
-  1)  Take Tylenol ___ every 6 hours around the clock. This is 
-an over the counter medication.
-  2)  Add  *** as needed for increased pain. Aim to wean off 
-this medication in 1 week or sooner.  This is an example on how 
-to wean down:
-Take 1 tablet every 3 hours as needed x 1 day,
-then 1 tablet every 4 hours as needed x 1 day,
-then 1 tablet every 6 hours as needed x 1 day,
-then 1 tablet every 8 hours as needed x 2 days, 
-then 1 tablet every 12 hours as needed x 1 day,
-then 1 tablet every before bedtime as needed x 1 day.  
-Then continue with Tylenol for pain.
-  3)  Do not stop the Tylenol until you are off of the narcotic 
-medication.
-  4)  Per state regulations, we are limited in the amount of 
-narcotics we can prescribe. If you require more, you must 
-contact the office to set up an appointment because we cannot 
-refill this type of pain medication over the phone. 
-  5)  Narcotic pain relievers can cause constipation, so you 
-should drink eight 8oz glasses of water daily and continue 
-following the bowel regimen as stated on your medication 
-prescription list. These meds (senna, colace, miralax) are over 
-the counter and may be obtained at any pharmacy.
-  6)  Do not drink alcohol, drive a motor vehicle, or operate 
-machinery while taking narcotic pain relievers.
-  7)  Please take all medications as prescribed by your 
-physicians at discharge.
-  8)  Continue all home medications unless specifically 
-instructed to stop by your surgeon.
-      
-ANTICOAGULATION:
-- Please take aspirin 81 mg daily for 4 weeks
-
-WOUND CARE:
-- You may shower. No baths or swimming for at least 4 weeks.
-- Any stitches or staples that need to be removed will be taken 
-out at your 2-week follow up appointment.
-- Incision may be left open to air unless actively draining. If 
-draining, you may apply a gauze dressing secured with paper 
-tape.
-- Splint must be left on until follow up appointment unless 
-otherwise instructed.
-- Do NOT get splint wet.
-
-DANGER SIGNS:
-Please call your PCP or surgeon's office and/or return to the 
-emergency department if you experience any of the following:
-- Increasing pain that is not controlled with pain medications
-- Increasing redness, swelling, drainage, or other concerning 
-changes in your incision
-- Persistent or increasing numbness, tingling, or loss of 
-sensation
-- Fever > 101.4
-- Shaking chills
-- Chest pain
-- Shortness of breath
-- Nausea or vomiting with an inability to keep food, liquid, 
-medications down
-- Any other medical concerns
-
-FOLLOW UP:
-Please follow up with your Orthopaedic Surgeon, Dr. ___. 
-You will have follow up with ___, NP in the 
-Orthopaedic Trauma Clinic 14 days post-operation for evaluation. 
-Call ___ to schedule appointment upon discharge.
-
-Please follow up with your primary care doctor regarding this 
-admission within ___ weeks and for any new medications/refills.
-
-Please follow up with your primary care doctor regarding this 
-admission within ___ weeks and for and any new 
-medications/refills.
-
-Physical Therapy:
-WBAT locked in extension
-Treatments Frequency:
-Any staples or superficial sutures you have are to remain in 
-place for at least 2 weeks postoperatively.  Incision may be 
-left open to air unless actively draining.  If draining, you may 
-apply a gauze dressing secured with paper tape.  You may shower 
-and allow water to run over the wound, but please refrain from 
-bathing for at least 4 weeks postoperatively.
-
- 
-
-###RESPONSE: orthopedic surgery {Operation on musculoskeletal system}, tired {Tired}, washed out {Exhaustion}, after surgery {Postoperative state}, activities as tolerated {Education about increasing activity tolerance}, weight bearing {Weight-bearing}, precautions {Safety precautions}, WBAT {Weight-bearing gait training}, RLE {Structure of right lower limb}, increased pain {Increased pain}, medication {Administration of drug or medicament}, Tylenol {Administration of analgesic}, for pain {Pain relief}, Do not stop the Tylenol until you are off of the narcotic 
-medication {Narcotics education}, narcotics {Narcotherapy}, pain medication {Administration of analgesic}, Narcotic pain relievers can cause {Narcotics education}, constipation {Constipation}, bowel regimen {Bowel care}, medication 
-prescription {Prescription of drug}, meds {Administration of drug or medicament}, senna, colace {Administration of laxative}, Do not drink alcohol {Education about alcohol consumption}, drive a motor vehicle {Unable to drive a car}, while taking narcotic pain relievers {Narcotics education}, Please take all medications as prescribed {Patient medication education}, medications {Administration of drug or medicament}, may shower {Wound treatment education}, stitches {Removal of suture}, staples that need to be removed {Removal of staples}, Incision {Surgical incision wound}, draining {Wound discharge}, draining {Wound discharge}, apply a gauze dressing {Application of dressing}, Splint {Application of splint}, PCP {Primary care management}, return to the 
-emergency {Emergency treatment education}, Increasing pain {Increased pain}, pain medications {Administration of analgesic}, Increasing {Patient's condition worsened}, redness {Redness of skin over lesion}, swelling {Swelling}, drainage {Wound discharge}, incision {Surgical incision wound}, increasing {Patient's condition worsened}, numbness, tingling {Numbness and tingling sensation of skin}, loss of 
-sensation {Numbness}, Fever {Fever}, Shaking {Tremor}, chills {Chill}, Chest pain {Chest pain}, Shortness of breath {Dyspnea}, Nausea {Nausea}, vomiting {Vomiting}, inability to keep food {Unable to eat}, liquid {Unable to drink}, medications {Administration of drug or medicament}, post-operation {Postoperative state}, evaluation {Evaluation procedure}, primary care {Primary care management}, new medications {New medication commenced}, primary care {Primary care management}, new 
-medications {New medication commenced}, WBAT {Weight-bearing gait training}, staples {Closure by staple}, sutures {Closure by suture}, in 
-place {Device in situ}, postoperatively {Postoperative state}, Incision {Surgical incision wound}, draining {Wound discharge}, draining {Wound discharge}, apply a gauze dressing {Application of dressing}, may shower {Wound treatment education}, water to run over the wound {Irrigation of wound}, postoperatively {Postoperative state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Dyspnea
- 
-Major Surgical or Invasive Procedure:
-___ cardioversion - ___
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Dyspnea {Dyspnea}, cardioversion {Cardioversion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with AFib s/p DCCV ___ on apixaban, bicuspid aortic 
-valve with mild AS, hyperlipidemia, OSA on CPAP, sarcoidosis, 
-presents with dyspnea, AFib with RVR, acute CHF.  
- ___ was recently admitted in ___ for AFib with RVR. ___ was 
-treated with IV diltiazem and transitioned to oral agents. ___ 
-was given Lasix 20 IV for mild volume overload. ___ had sinus 
-pauses on telemetry thought to be due to OSA. ___ was started on 
-apixaban for anticoagulation. On ___, ___ had elective ___ 
-with successful electrical cardioversion of atrial fibrillation 
-to sinus rhythm.  
- ___ was seen by Dr. ___ on ___. The patient was noticed 
-to be in acute heart failure but the patient strongly preferred 
-outpatient treatment and so his torsemide dose was increased 
-from 40mg to 120mg. ___ had some success with this and lost 14 
-lbs. ___ uses 3 pillows at baseline and has recent PND. Over past 
-day, ___ developed increasing dyspnea on exertion. ___ presented 
-to ___ ED, BNP was ___, troponin negative, and ___ was 
-transferred here.  
- In the ED, initial vital signs were: 98.3 100 ___ 95% RA  
-
- - Labs were notable for: WBC stable. K 3.2. Mg 1.8. BUN/Cr 
-___. TnT neg. BNP 1317 (prior ___)  
- - Imaging: OSH CXR R hilar adenopathy, mild R basilar 
-patchiness, no significant change from prior CXR ___  
- - The patient was given:  
- ___ 21:48 PO/NG Apixaban 5 mg  
- ___ 23:57 IV Furosemide 80 mg  
- - Consults: Atrius Cards- admit  
- Upon arrival to the floor, patient has no complaints.  
- ROS per HPI otherwise negative in 14-point review. 
- 
-
-###RESPONSE: AFib {Atrial fibrillation}, DCCV {Direct current cardioversion}, bicuspid aortic 
-valve {Bicuspid aortic valve}, hyperlipidemia {Hyperlipidemia}, OSA {Obstructive sleep apnea syndrome}, sarcoidosis {Sarcoidosis}, dyspnea {Dyspnea}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, IV {Intravenous therapy}, IV {Intravenous therapy}, sinus 
-pauses {Sinus arrest}, telemetry {Electroencephalogram telemetry}, OSA {Obstructive sleep apnea syndrome}, anticoagulation {Anticoagulant therapy}, electrical cardioversion {Direct current cardioversion}, atrial fibrillation {Atrial fibrillation}, sinus rhythm {Sinus rhythm}, acute heart failure {Acute heart failure}, baseline {Baseline state}, dyspnea on exertion {Dyspnea on exertion}, vital signs {Vital signs finding}, RA {Breathing room air}, stable {Patient's condition stable}, Imaging {Imaging}, CXR {Plain chest X-ray}, hilar adenopathy {Hilar lymphadenopathy}, CXR {Plain chest X-ray}, IV {Intravenous therapy}, no complaints {No complaints}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Venous stasis  
-A-fib s/p cardioversion in ___  
-OSA (obstructive sleep apnea) on cpap  
-Lymphadenopathy  
-Hypertension  
-Aortic stenosis, mild  
-ED (erectile dysfunction)  
-Hyperlipidemia  
-Mediastinal adenopathy - found to have sarcoid ___ 
- 
-
-###RESPONSE: Venous stasis {Venous stasis}, A-fib {Atrial fibrillation}, cardioversion {Cardioversion}, OSA (obstructive sleep apnea {Obstructive sleep apnea syndrome}, Lymphadenopathy {Lymphadenopathy}, Hypertension {Hypertensive disorder, systemic arterial}, Aortic stenosis {Aortic valve stenosis}, erectile dysfunction {Erectile dysfunction}, Hyperlipidemia {Hyperlipidemia}, Mediastinal {Mediastinal structure}, adenopathy {Lymphadenopathy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died at ___ getting CABG  
-Twin brothers died from alpha 1 antitrypsin
- 
-
-###RESPONSE: died {Dead}, CABG {Coronary artery bypass grafting}, died {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-VITALS: T98.1 ___ 21 96RA 153.5kg  
- GEN: Morbidly obese middle aged male in no distress  
- NECK: JVP not visible due to thick neck  
- HEART: Irreg irreg, normal S1 S2, no murmurs  
- LUNGS: Basilar crackles  
- ABD: Soft, NT, mildly distended, normal BS  
- EXT: 3+ edema to calves bilaterally, 2+ DP and ___ pulses  
-
-DISCHARGE PHYSICAL EXAM:
-
-VS: T97.8 103/82-128/83  ___ 98RA and CPAP
-I/O: 8hr: ___ 24hr: 1320/3350
-Weight: 153.5-> 150.2 -> 150-> 149.3->149.4
-GEN: Morbidly obese middle aged male in no distress , sitting in 
-recliner chair 
-NECK: JVP difficult to assess w thick neck
- HEART: Distant heart sounds, regular, no murmurs  
- LUNGS: CTAB, no wheezes, crackles, rhonchi
- ABD: Soft, NT, mildly distended, normal BS  
- EXT: 1+ edema to knees bilaterally, 2+ DP pulses, R foot 
-minimal erythema of R MTP, improved
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VITALS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, Morbidly obese {Morbid obesity}, distress {Distress}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, neck {Neck structure}, HEART {Cardiovascular physical examination}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, LUNGS {Examination of respiratory system}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, distended {Swollen abdomen}, BS {Normal bowel sounds}, EXT {Examination of limb}, edema {Edema}, 2+ DP and ___ pulses {All pulses present in bilateral lower limbs}, RA {Breathing room air}, GEN {General examination of patient}, Morbidly obese {Morbid obesity}, distress {Distress}, sitting {Sitting position}, NECK {Physical examination procedure}, neck {Neck structure}, HEART {Cardiovascular physical examination}, Distant heart sounds {Heart sounds diminished}, murmurs {Murmur}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, crackles {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, BS {Normal bowel sounds}, EXT {Examination of limb}, edema {Edema}, knees {Knee region structure}, 2+ DP pulses {All pulses present in bilateral lower limbs}, foot {Foot structure}, erythema {Erythema}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 09:45PM BLOOD WBC-7.3 RBC-4.48* Hgb-13.5* Hct-40.6 
-MCV-91 MCH-30.1 MCHC-33.3 RDW-14.7 RDWSD-48.3* Plt ___
-___ 09:45PM BLOOD Glucose-94 UreaN-15 Creat-0.8 Na-137 
-K-3.2* Cl-96 HCO3-28 AnGap-16
-___ 09:45PM BLOOD ___ PTT-34.1 ___
-___ 06:30AM BLOOD ALT-18 AST-20 AlkPhos-56 TotBili-0.8
-___ 09:45PM BLOOD proBNP-1317*
-___ 09:45PM BLOOD cTropnT-<0.01
-___ 06:30AM BLOOD cTropnT-<0.01
-___ 09:45PM BLOOD Calcium-9.2 Phos-3.6 Mg-1.8
-___ 09:51PM BLOOD Lactate-1.3
-
-DISCHARGE LABS:
-
-___ 01:40PM BLOOD WBC-6.8 RBC-4.50* Hgb-13.4* Hct-41.5 
-MCV-92 MCH-29.8 MCHC-32.3 RDW-14.5 RDWSD-49.0* Plt ___
-___ 03:04PM BLOOD ___
-___ 01:40PM BLOOD Glucose-113* UreaN-22* Creat-0.9 Na-133 
-K-4.1 Cl-95* HCO3-26 AnGap-16
-___ 01:40PM BLOOD Calcium-9.2 Phos-3.7 Mg-2.2
-
-MICRO
-
-IMAGING:
-
-___ CXR:
- 
-Limited exam for which repeat is suggested for more detailed 
-evaluation.  
-Enlarged right hilum could be due to pulmonary artery 
-enlargement or 
-underlying adenopathy and attention suggested on followup. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, evaluation {Evaluation procedure}, pulmonary artery {Pulmonary artery structure}, enlargement {Enlargement}, adenopathy {Lymphadenopathy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with AFib s/p DCCV ___ on apixaban, bicuspid aortic 
-valve with mild AS, hyperlipidemia, OSA on CPAP, sarcoidosis, 
-presents with dyspnea, AFib with RVR, acute CHF. 
-
- # Afib with RVR. Symptomatic, up to 150s day of admission, 
-started on sotalol with good effect in the hospital where QTc 
-prolongation was monitored. Cardioversion performed ___ with 
-return to sinus rhythm. Discharged on sotalol 160mg BID and 
-apixaban due to h/o ___ clot in ___. Diltiazem was stopped 
-because of conversion to sinus and presence of sotalol.  
-
- # Acute on chronic systolic and diastolic heart failure: Cause 
-of acute decompensation is likely from tachycardia-induced 
-cardiomyopathy given AF with RVR. Recent outpatient TTE with 
-impaired EF down to ___ with moderate global hypokinesis, 
-mild AS, mild MR. ___ was found to be in acute heart failure in 
-outpatient setting, and failed outpatient trial of increased 
-torsemide (from 40 to 120mg daily). Good diuresis on Lasix so 
-discharged on Lasix 40mg BID. Potassium levels stable at this 
-dose. Weight at discharge 149.4kg, which should be approximate 
-dry weight. Started on spironolactone 25mg, lisinopril 2.5mg. 
-Recommended low salt diet with 2000mL fluid restriction daily 
-and f/u with cardiology and PCP.
-   
-#acute gouty flare: Describes having gout one previously. 
-Morning of ___ complaining of R ""foot"" pain. R first MTP 
-joint erythematous and swollen, tender to light touch. Given 
-that ___ is anti-coagulated, colchicine is preferred first line 
-treatment. Given 1.8mg day one and one week of 0.6mg 
-prophylaxis.
-
-# Elevated INR: Admission INR 1.6, increased from previous 
-admission in ___, where INR was 1.3-1.4.  Likely from 
-apixaban (can increase INR, though not predictable increases). 
- 
- # OSA on CPAP. History of some sinus pauses during last 
-admission, used CPAP well during admission.  
- 
-
- 
-
-###RESPONSE: AFib {Atrial fibrillation}, DCCV {Direct current cardioversion}, bicuspid aortic 
-valve {Bicuspid aortic valve}, hyperlipidemia {Hyperlipidemia}, OSA {Obstructive sleep apnea syndrome}, sarcoidosis {Sarcoidosis}, dyspnea {Dyspnea}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, Afib with RVR {Atrial fibrillation with rapid ventricular response}, Cardioversion {Cardioversion}, sinus rhythm {Sinus rhythm}, clot {Blood clot}, sinus {Sinus rhythm}, chronic systolic and diastolic heart failure {Acute on chronic combined systolic and diastolic heart failure}, decompensation {Decompensation}, tachycardia-induced 
-cardiomyopathy {Tachycardia-induced cardiomyopathy}, AF with RVR {Atrial fibrillation with rapid ventricular response}, TTE {Transthoracic echocardiography}, hypokinesis {Hypokinesis of cardiac wall}, MR {Mitral valve regurgitation}, acute heart failure {Acute heart failure}, diuresis {Diuresis}, Potassium levels {Finding of potassium level}, low salt diet {Low sodium diet}, fluid restriction {Fluid restriction}, PCP {Primary care management}, gout {Inflammatory disorder due to increased blood urate level}, foot"" pain {Foot pain}, joint {Joint structure}, erythematous {Erythema}, tender {Tenderness}, first line 
-treatment {First line treatment}, prophylaxis {Preventive procedure}, OSA {Obstructive sleep apnea syndrome}, sinus {Sinus arrest}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Apixaban 5 mg PO BID 
-2. Sildenafil 20 mg PO DAILY:PRN ED 
-3. Diltiazem 90 mg PO TID 
-4. Torsemide 120 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Apixaban 5 mg PO BID 
-2. Colchicine 0.6 mg PO ONCE Duration: 1 Dose 
-Take for one week. 
-RX *colchicine 0.6 mg 1 capsule(s) by mouth daily Disp #*10 
-Capsule Refills:*0
-3. Furosemide 40 mg PO BID 
-Can take in the morning and mid-day. 
-RX *furosemide 40 mg 1 tablet(s) by mouth twice daily Disp #*60 
-Tablet Refills:*0
-4. Lisinopril 2.5 mg PO DAILY 
-RX *lisinopril 2.5 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*0
-5. Sotalol 160 mg PO BID 
-RX *sotalol [Betapace] 160 mg 1 tablet(s) by mouth twice daily 
-Disp #*60 Tablet Refills:*0
-6. Spironolactone 25 mg PO DAILY 
-RX *spironolactone [Aldactone] 25 mg 1 tablet(s) by mouth daily 
-Disp #*30 Tablet Refills:*0
-7. Sildenafil 20 mg PO DAILY:PRN ED 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSES:
-Atrial fibrillation with RVR
-Acute on chronic systolic and diastolic heart failure (rEF with 
-diastolic dysfunction)
-Acute gouty flare
-
-SECONDARY DIAGNOSES:
-OSA on CPAP
-
- 
-Discharge Condition:
-Discharge condition stable.
-AOx3
-Able to ambulate safely independently.
-
- 
-
-###RESPONSE: Atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}, Acute on chronic systolic and diastolic heart failure {Acute on chronic combined systolic and diastolic heart failure}, diastolic dysfunction {Diastolic dysfunction}, OSA {Obstructive sleep apnea syndrome}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You came to the hospital because your heart was beating very 
-fast and in an irregular rhythm. This is called atrial 
-fibrillation (""A-fib"") with rapid ventricular response. We 
-started you on a medication to help control the rhythm, called 
-sotalol, and performed a procedure to stop the afib (this 
-procedure is cardioversion).
-
-You will need to keep taking the sotalol twice daily at home. 
-You will stop the diltiazem you were taking, as well as the 
-torsemide. You will keep taking the apixiban for blood thinner. 
-You will also start Lasix twice daily, spironolactone daily and 
-lisinopril daily.
-
-New meds
-==========
-sotalol 160mg twice daily
-Lasix 40mg twice daily
-lisinopril 2.5mg daily
-spironolactone 25mg daily
-
-Stop taking these medications
-=============================
-diltiazem
-torsemide
-
-Keep taking these medications
-================================
-apixiban 
-
-You will follow up with Dr. ___ in ___. They are making 
-the appointment for you and you should be contacted.
-
-Be Well,
-your ___ team
-
- 
-
-###RESPONSE: heart {Heart structure}, irregular {Irregular heart beat}, atrial 
-fibrillation {Atrial fibrillation}, A-fib {Atrial fibrillation}, procedure {Procedure}, afib {Atrial fibrillation}, procedure {Procedure}, cardioversion {Cardioversion}, follow up {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Zocor
- 
-Attending: ___.
- 
-Chief Complaint:
-L leg swelling and pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: L leg swelling {Localized swelling of left lower leg}, pain {Pain in left lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o M with PMHx of metastatic melanoma s/p resection of
-abdominal mass, axillary LN dissection, resection of R frontal
-mass with Nsurg, on immunotherapy - most recently nivolumab 
-(C8D1
-___, Afib not on AC, PUD with prior GI bleed x2 (___), PE
-s/p IVC filter ___, gastric bypass ___, hypothyroidism,
-adrenal insufficiency who presents from US appointment with new
-LLE DVT. 
-
-Pt states he has been noticing swelling, and increased pain in
-the LLE for the past week. No numbness/tingling. Eventually
-scheduled US appt and was told to go immediately to an ED after
-they found the DVT on exam. Has been feeling weak for the past
-few weeks as well and felt unsteady earlier today. 
-
-In the ED,
-- Initial vitals:  T97.2, HR 85, BP 154/100, RR 16, O2 sat 98% 
-RA
-
-- Exam notable for:  
-Ext: LLE slightly larger compared to R, slight calf tenderness 
-in
-both legs, slight TTP in L thigh, L foot more edematous compared
-to R, DP pulse intact b/l, LLE also with bandage, skin 
-underneath
-erythematous and edematous
-Neuro: sensation intact in ___ b/l, no focal neuro deficits
-appreciated
-- Labs notable for: WBC 10.7 with 79% PMNs, Hgb 12, MCV 103
-- Imaging notable for:  
-___ US
-IMPRESSION:
-Deep venous thrombosis involving the distal left femoral vein 
-and
-extending into the left common femoral vein. There is no 
-evidence
-of thrombus in the right common femoral vein. The patient has an
-IVC filter.
-
-- Pt was given:  
-___ IV CeFAZolin 1 g
-___ PO Omeprazole 20 mg B
-___ PO/NG Dexamethasone 2 mg 
-___ PO/NG Levothyroxine Sodium 75 mcg  
-___ PO/NG Digoxin .125 mg  
-___ PO/NG Codeine Sulfate 15 mg 
-___ PO/NG Torsemide 10 mg 
-___ IV CeFAZolin 1 g  
-___ PO/NG Codeine Sulfate 15 mg 
-___ PO/NG Rivaroxaban 15 mg 
-
-- Vitals prior to transfer: T 99.1, HR 84, BP 135/80, RR 16, O2
-sat 99% RA.
-
-Upon arrival to the floor, the patient shares that he has been
-feeling weak and sustained a fall a couple weeks ago, and has
-been sitting and sleeping on the couch most of the time since
-then. He also recalls feeling lightheaded when getting up once 
-in
-the past week. He confirms that he first notice left leg 
-swelling
-one week ago. He recalls taking an anticoagulation pill in the
-past that was not warfarin (cannot remember name), but stopped
-after having GI bleeds a few years ago. He has not had any 
-recent
-bloody or dark stools. Denies fever/chills, N/V, CP, SOB,
-pleuritic chest pain, pain with deep breathing. No dysuria or
-current GI complaints. 
- 
-
- 
-
-###RESPONSE: metastatic melanoma {Metastatic malignant melanoma}, resection {Excision}, abdominal mass {Abdominal mass}, axillary LN dissection {Excision of axillary lymph node}, resection {Excision}, R frontal {Right frontal lobe structure}, mass {Mass}, immunotherapy {Immunotherapy}, Afib {Atrial fibrillation}, PUD {Peptic ulcer}, GI bleed {Gastrointestinal hemorrhage}, PE {Pulmonary embolism}, IVC filter {Inferior vena cava filter in situ}, gastric bypass {Bypass of stomach}, hypothyroidism {Hypothyroidism}, adrenal insufficiency {Adrenal cortical hypofunction}, US {Ultrasonography}, LLE {Structure of left lower limb}, DVT {Deep venous thrombosis}, swelling {Swelling}, increased pain {Increased pain}, LLE {Structure of left lower limb}, numbness/tingling {Numbness and tingling sensation of skin}, US {Ultrasonography}, DVT {Deep venous thrombosis}, exam {Physical examination procedure}, feeling weak {Asthenia}, vitals {Vital signs finding}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, Exam {Physical examination procedure}, Ext {Examination of limb}, LLE {Structure of left lower limb}, larger {Increased size}, R {Structure of right lower limb}, calf tenderness {Pain in calf}, both legs {Both lower legs}, TTP {Tenderness}, L thigh {Structure of left thigh}, L foot {Structure of left foot}, edematous {Edema}, R {Structure of right foot}, DP pulse intact {Dorsalis pulse present}, LLE {Structure of left lower limb}, skin 
-underneath
-erythematous {Erythema of skin}, edematous {Edematous skin}, Neuro {Neurological examination}, sensation intact {Normal sensation}, neuro deficits {Neurological deficit}, Labs {Laboratory test}, WBC {White blood cell count}, MCV {Erythrocyte mean corpuscular volume determination}, Imaging {Imaging}, US {Ultrasonography}, Deep venous thrombosis {Deep venous thrombosis}, left femoral vein {Structure of left femoral vein}, common femoral vein {Common femoral vein structure}, no 
-evidence {No abnormality detected}, thrombus {Thrombus}, right common femoral vein {Structure of right femoral vein}, IVC filter {Inferior vena cava filter in situ}, Vitals {Vital signs finding}, O2
-sat {Oxygen saturation measurement}, RA {Breathing room air}, feeling weak {Asthenia}, fall {Falls}, sitting and sleeping on the couch {Semi-recumbent position}, lightheaded {Lightheadedness}, left leg 
-swelling {Localized swelling of left lower limb}, anticoagulation {Anticoagulant therapy}, warfarin {Warfarin therapy}, GI bleeds {Gastrointestinal hemorrhage}, bloody {Hematochezia}, dark stools {Dark stools}, fever {Fever}, chills {Chill}, N/V {Nausea and vomiting}, CP {Chest pain}, SOB {Dyspnea}, pleuritic chest pain {Pleuritic pain}, pain with deep breathing {Chest pain on breathing}, dysuria {Dysuria}, GI complaints {Gastrointestinal symptom}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-ONCOLOGIC HISTORY:
-Mr. ___ noted a ""blood blister"" on his abdomen many years 
-ago
-which resolved on its own.  Then, approximately a year prior to
-presentation, this started to grow again and bled occasionally.
-He was referred by his PCP to dermatology where he saw ___, NP, on ___ with a 2 x 2
-centimeter inflamed plaque with a central ulcer on the right
-abdomen noted.  Biopsy revealed nodular melanoma, present at
-peripheral and deep margins, at least 7.5 mm deep, at least
-___ level 4, ulcerated, 29 mitoses per millimeter squared,
-absent lymphovascular and perineural invasion on the original
-pathology though the specimen was reviewed in our cutaneous
-oncology conference and felt to show lymphovascular invasion. 
-The patient was referred here for further management.  He went 
-on
-to have a wide local excision and sentinel lymph node biopsy on
-___.  This showed residual melanoma to 11 mm depth, 
-2
-of 6 recovered lymph nodes with micrometastases.
-
-Initial staging scans on ___ revealed metastatic disease 
-in
-the left arm, right peritoneum, right adrenal, and left
-infrahilar lymph node consistent with metastatic disease.  Brain
-MRI showed no CNS metastases.  He underwent FNA of the left arm
-nodule on ___ by Dr. ___ melanoma. 
-
-Admitted to ___ with worsening SOB on ___, found 
-to
-have a PE, put on anticoagulation but developed abdominal wall
-hematoma so, IVC filter placed. He has a history of developing 
-GI
-bleed while on anticoagulation in the past for atrial
-fibrillation.
-
-Was initially considered for Clinical Trial but could not be
-enrolled due to elevated LFTs ( likely in the setting of acute
-heavy alcohol use). 
-
-Pembrolizumab 2 mg/kg every 3 weeks started on ___. 
-Progression seen on scans on ___, therefore treatment
-transitioned to ipi/nivo.
-
-He completed 4 cycles Ipi/Nivo with good response and was
-transitioned to nivolumab monotherapy. He was subsequently
-hospitalized with adrenal failure and was found to have
-metastatic disease to the brain. 
-
-Neurosurgery was completed ___. Subsequent imaging revealed
-ongoing abnormalities in the resection base so received CK
-radiation to the site from ___.
-  
-PAST MEDICAL HISTORY:  
-Gastric bypass
-Shoulder arthritis, rotator cuff injury awaiting surgery
-atrial fibrillation
-diabetes
-alcohol abuse
-fatty liver
-hypertension
-osteoarthritis of the knee
-radial nerve palsy
-sleep apnea
-GI bleed from PUD while on anticoagulation for afib
- 
-
-###RESPONSE: blood blister {Blood blister}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, resolved {Problem resolved}, bled {Bleeding}, inflamed plaque {Erythematous plaque}, ulcer {Ulcer}, right
-abdomen {Structure of right side of abdomen}, Biopsy {Biopsy}, nodular melanoma {Nodular melanoma}, absent lymphovascular {Lymphatic (small vessel) invasion by tumor absent}, perineural invasion {Perineural invasion by tumor absent}, pathology {Abnormal histology findings}, wide local excision {Wide excision}, sentinel lymph node biopsy {Sentinel lymph node biopsy}, melanoma {Malignant melanoma of skin}, lymph nodes {Structure of lymph node}, metastatic disease {Metastatic malignant neoplasm to brain}, left arm {Left upper arm structure}, peritoneum {Peritoneum (serous membrane) structure}, right adrenal {Structure of right adrenal gland}, lymph node {Structure of lymph node}, metastatic disease {Metastatic malignant neoplasm to brain}, Brain
-MRI {Magnetic resonance imaging of brain}, CNS metastases {Metastatic malignant neoplasm to central nervous system}, FNA {Fine needle biopsy}, left arm
-nodule {Nodule of skin of left upper limb}, melanoma {Malignant melanoma of skin}, worsening {Patient's condition worsened}, SOB {Dyspnea}, PE {Pulmonary embolism}, anticoagulation {Anticoagulant therapy}, abdominal wall
-hematoma {Hematoma of abdominal wall}, IVC filter {Inferior vena cava filter in situ}, placed {Implantation procedure}, GI
-bleed {Gastrointestinal hemorrhage}, anticoagulation {Anticoagulant therapy}, atrial
-fibrillation {Atrial fibrillation}, Clinical Trial {Clinical trial}, elevated LFTs {Liver function test above reference range}, heavy alcohol use {Alcohol intake above recommended sensible limits}, good response {Good therapeutic response}, metastatic disease to the brain {Metastatic malignant neoplasm to brain}, imaging {Imaging}, abnormalities {Imaging result abnormal}, resection {Excision}, radiation {Radiation oncology AND/OR radiotherapy}, Gastric bypass {Bypass of stomach}, Shoulder arthritis {Inflammation of joint of shoulder region}, rotator cuff injury {Injury of rotator cuff}, surgery {Surgical procedure}, atrial fibrillation {Atrial fibrillation}, diabetes {Diabetes mellitus}, alcohol abuse {Alcohol abuse}, fatty liver {Steatosis of liver}, hypertension {Hypertensive disorder, systemic arterial}, osteoarthritis of the knee {Osteoarthritis of knee}, radial nerve {Structure of radial nerve}, palsy {Paralysis}, sleep apnea {Sleep apnea}, GI bleed {Gastrointestinal hemorrhage}, PUD {Peptic ulcer}, anticoagulation {Anticoagulant therapy}, afib {Atrial fibrillation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-His brother had skin cancer though he does not think it was 
-melanoma.
- 
-
-###RESPONSE: skin cancer {Malignant neoplasm of skin}, melanoma {Malignant melanoma of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VS: ___ 1655 Temp: 98.1 PO BP: 139/91 HR: 72 RR: 18 O2 sat:
-97% O2 delivery: Ra 
-GENERAL: Obese man lying in bed in NAD  
-HEENT: AT/NC, Sclerae anicteric, MMM, poor dentition.
-CV: Irregularly irregular rate and rhythm. No murmurs, rubs, or
-gallops.
-PULM: CTAB, no wheezes, rales, rhonchi.
-ABD: Abdomen soft, obese, nontender to palpation, no
-rebound/guarding, no hepatosplenomegaly, well-healed scar.
-EXT: WWP, no cyanosis, 2+ LLE, 1+ RLE
-SKIN: Warm and well perfused, numerous scatter ecchymoses over
-bilateral upper extremities, mild diffuse poorly circumscribed
-erythema over anterior left lower leg with scant amount of clear
-fluid expressed from a 7mm thin papule
-NEURO: Alert, moving all 4 extremities with purpose, face
-symmetric  
-ACCESS: port
-
-DISCHARGE PHYSICAL EXAM:
-VS: ___ 1500 Temp: 98.9 PO BP: 133/96 HR: 90 RR: 18 O2 sat: 
-95% O2 delivery: RA 
-GENERAL: Obese man lying in bed in NAD  
-HEENT: AT/NC, Sclerae anicteric, MMM, poor dentition.
-CV: Irregularly irregular rate and rhythm. No murmurs, rubs, or 
-gallops.
-PULM: CTAB, no wheezes, rales, rhonchi.
-ABD: Abdomen soft, obese, nontender to palpation, no 
-rebound/guarding, no hepatosplenomegaly, well-healed scar.
-EXT: WWP, no cyanosis, 2+ LLE, 1+ RLE
-SKIN: Warm and well perfused, numerous scatter ecchymoses over 
-bilateral upper extremities, mild diffuse poorly circumscribed 
-erythema over anterior left lower leg
-NEURO: Alert, moving all 4 extremities with purpose, face 
-symmetric  
-ACCESS: port
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, O2 sat {Oxygen saturation measurement}, O2 delivery: Ra {Breathing room air}, GENERAL {General examination of patient}, Obese {Obese}, lying in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, Sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, poor dentition {Impaired dentition}, CV {Cardiovascular physical examination}, Irregularly irregular {Heart irregularly irregular}, rate {Finding of heart rate}, rhythm {Irregular heart beat}, murmurs {Heart murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Abdomen soft {Abdomen soft}, obese {Obese abdomen}, nontender {Abdominal tenderness}, palpation {Palpation}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, well-healed {Wound healed}, scar {Scar}, EXT {Examination of limb}, WWP {Normal tissue perfusion}, cyanosis {Cyanosis}, LLE {Structure of left lower limb}, RLE {Structure of right lower limb}, SKIN {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, ecchymoses {Ecchymosis}, upper extremities {Upper limb structure}, mild {Symptom mild}, erythema {Erythema}, left lower leg {Structure of left lower leg}, papule {Papule}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face
-symmetric {Facial symmetry}, VS {Vital signs finding}, Temp {Body temperature finding}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, RA {Breathing room air}, Obese {Obese}, lying in bed {Lying in bed}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, Sclerae anicteric {White sclera}, MMM {Moist oral mucosa}, poor dentition {Impaired dentition}, CV {Cardiovascular physical examination}, Irregularly irregular {Heart irregularly irregular}, rate {Finding of heart rate}, rhythm {Irregular heart beat}, murmurs {Heart murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Abdomen soft {Abdomen soft}, obese {Obese abdomen}, nontender {Abdominal tenderness}, palpation {Palpation}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, well-healed {Wound healed}, scar {Scar}, EXT {Examination of limb}, WWP {Normal tissue perfusion}, cyanosis {Cyanosis}, LLE {Structure of left lower limb}, RLE {Structure of right lower limb}, SKIN {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, ecchymoses {Ecchymosis}, upper extremities {Upper limb structure}, mild {Symptom mild}, erythema {Erythema}, left lower leg {Structure of left lower leg}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face 
-symmetric {Facial symmetry}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 07:56PM BLOOD WBC-10.7* RBC-3.40* Hgb-12.0* Hct-35.0* 
-MCV-103* MCH-35.3* MCHC-34.3 RDW-14.7 RDWSD-55.1* Plt ___
-___ 07:56PM BLOOD Neuts-79.1* Lymphs-7.6* Monos-7.7 
-Eos-0.0* Baso-0.8 NRBC-0.2* Im ___ AbsNeut-8.48* 
-AbsLymp-0.82* AbsMono-0.83* AbsEos-0.00* AbsBaso-0.09*
-___ 07:56PM BLOOD ___ PTT-24.4* ___
-___ 07:56PM BLOOD Glucose-121* UreaN-11 Creat-0.5 Na-135 
-K-3.7 Cl-93* HCO3-29 AnGap-13
-___ 10:29AM URINE Blood-SM* Nitrite-NEG Protein-NEG 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-NEG
-___ 10:29AM URINE RBC-6* WBC-2 Bacteri-FEW* Yeast-NONE 
-Epi-<1
-___ 10:29AM URINE CastHy-1*
-
-DISCHARGE LABS
-___ 05:02AM BLOOD WBC-8.7 RBC-3.42* Hgb-12.2* Hct-35.9* 
-MCV-105* MCH-35.7* MCHC-34.0 RDW-15.0 RDWSD-57.4* Plt ___
-___ 05:02AM BLOOD Neuts-77.0* Lymphs-10.0* Monos-8.0 
-Eos-0.1* Baso-0.3 Im ___ AbsNeut-6.69* AbsLymp-0.87* 
-AbsMono-0.70 AbsEos-0.01* AbsBaso-0.03
-___ 05:02AM BLOOD ___ PTT-28.7 ___
-___ 05:02AM BLOOD Glucose-97 UreaN-10 Creat-0.5 Na-140 
-K-3.2* Cl-94* HCO3-32 AnGap-14
-___ 05:02AM BLOOD Albumin-2.9* Calcium-8.3* Phos-3.4 Mg-1.7
-___ 05:02AM BLOOD ALT-12 AST-37 LD(LDH)-491* AlkPhos-163* 
-TotBili-0.6
-
-MICRO
-___ UCx and BCx x2 pending
-
-IMAGING
-___ ___
-Focal DVT of the proximal left femoral vein measuring up to 2.3 
-cm.  No other evidence of DVT in the left lower extremity veins.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, URINE Blood {Urine blood test}, Nitrite-NEG {Nitrite not detected in urine}, Protein-NEG {Urine protein not detected}, Glucose-NEG {Urine glucose not detected}, Ketone-NEG {Urine ketones not detected}, NEG {No abnormality detected}, Urobiln-NEG {Urine urobilinogen not detected}, pH {pH measurement}, Leuks-NEG {Urine leukocytes not detected}, URINE {Urinalysis}, RBC {Red blood cell count}, WBC {White blood cell count}, Bacteri {Bacteriuria}, URINE {Urine culture}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, UCx {Urine culture}, BCx {Blood culture}, IMAGING {Imaging}, DVT {Deep venous thrombosis}, left femoral vein {Structure of left femoral vein}, DVT {Deep venous thrombosis}, left lower extremity veins {Structure of vein of left lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-PATIENT SUMMARY
-=================
-Mr. ___ is a ___ man with metastatic melanoma on nivolumab 
-monotherapy, atrial fibrillation not on anticoagulation, history 
-of GI bleed x2 (___) and PE s/p IVC filter (___), now 
-presenting with new LLE DVT.
-
-ACTIVE ISSUES
-================
-#DVT
-Presented with 1 week of LLE pain and swelling in the setting of 
-limited mobility (pt reports recent fall, feeling weak, and 
-having occasional lightheadedness when standing). Found to have 
-DVT of proximal L femoral vein on Doppler ultrasound. History 
-notable for PE in ___ s/p IVC filter placement. He reports 
-being on a DOAC in the past, presumably for afib, which was 
-discontinued in setting of 2 GI bleeds in ___. Rivaroxaban 
-started in the ED on ___, transitioned to apixaban on ___ do 
-to preferable bleeding risk profile. H/H stable after initiation 
-of anticoagulation. 
-
-#Concern for cellulitis
-Received IV cefazolin 1g x2 in the ED for presumed cellulitis of 
-LLE. Exam notable for mild erythema and ulceration of LLE with 
-clear discharge, pain, and swelling which could be related to 
-DVT but will continue empiric non-purulent cellulitis treatment 
-for now with plan for Cephalexin 500mg QID to complete a 10 day 
-course (end date ___. 
-
-#Weakness
-Pt reports weakness a fall ~2 weeks ago while on treadmill. He 
-was referred for physical therapy as an outpatient at home. 
-
-#Melanoma
-Pt has stage IV BRAF WT melanoma s/p resection of abdominal mass 
-and axillary LN dissection, resection of R frontal brain mass, 
-progression of disease on Pembrolizumab then ipi/nivo, now with 
-mixed response on nivolumab monotherapy (C8D1 ___.
-
-#Afib
-Continued home digoxin 0.125mg QD.
-
-#Alcohol use disorder
-#Cirrhosis
-History of cirrhosis likely ___ alcohol use. LFTs wnl except for 
-elevated alk phos and LDH. Did not score on CIWA or require 
-Ativan.
-
-CHRONIC ISSUES
-================
-#Adrenal insufficiency
-Likely ___ immune checkpoint inhibitor therapy. Continued home 
-hydrocortisone 20mg QAM, 10mg QHS.
-
-#Hypothyroidism
-Continued home levothyroxine 75mcg QD.
-
-#HTN
-Pt reports that HTN improved after gastric bypass, currently not 
-on home meds. BP 110s-130s/70s-90s this admission.
-
-#Diabetes
-Pt reports that blood sugars improved after gastric bypass, 
-currently not on home meds. Morning glucose 140s-150s this 
-admission.
-
-#Other home medications
-Continued home omeprazole, multivitamins, iron.
-
-TRANSITIONAL ISSUES
-====================
-[] F/u resolution of DVT on apixaban. Could consider 
-transitioning to lovenox, deferred this admission given 
-significantly higher co-pay.
-[] F/u H/H, melena/hematochezia in 2 weeks on apixaban. 
-[] F/u blood glucose, consider checking A1c.
-[] F/u weakness, falls. Arrangements made for home ___.
- 
-
-###RESPONSE: metastatic melanoma {Metastatic malignant melanoma}, atrial fibrillation {Atrial fibrillation}, anticoagulation {Anticoagulant therapy}, GI bleed {Gastrointestinal hemorrhage}, PE {Pulmonary embolism}, IVC filter {Inferior vena cava filter in situ}, LLE {Structure of left lower limb}, DVT {Deep venous thrombosis}, DVT {Deep venous thrombosis}, LLE {Structure of left lower limb}, pain {Pain}, swelling {Swelling}, limited mobility {Impaired mobility}, fall {Falls}, feeling weak {Asthenia}, lightheadedness {Lightheadedness}, standing {Orthostatic body position}, DVT {Deep venous thrombosis}, L femoral vein {Structure of left femoral vein}, Doppler ultrasound {Doppler ultrasound}, PE {Pulmonary embolism}, IVC filter placement {Insertion of inferior vena caval filter}, afib {Atrial fibrillation}, GI bleeds {Gastrointestinal hemorrhage}, bleeding risk {At increased risk of hemorrhage}, stable {Patient's condition stable}, anticoagulation {Anticoagulant therapy}, cellulitis {Cellulitis}, cellulitis {Cellulitis}, LLE {Structure of left lower limb}, Exam {Physical examination procedure}, mild {Symptom mild}, erythema {Erythema}, ulceration {Ulcer}, LLE {Structure of left lower limb}, discharge {Discharge from skin ulcer}, pain {Pain}, swelling {Swelling}, DVT {Deep venous thrombosis}, purulent {Purulent}, cellulitis {Cellulitis}, Weakness {Asthenia}, weakness {Asthenia}, fall {Falls}, physical therapy {Physical therapy procedure}, Melanoma {Malignant melanoma of skin}, stage IV {Clinical stage IV}, melanoma {Malignant melanoma of skin}, resection {Excision}, abdominal mass {Abdominal mass}, axillary LN dissection {Excision of axillary lymph node}, resection {Excision}, R frontal {Right frontal lobe structure}, brain mass {Mass lesion of brain}, disease {Disease}, Afib {Atrial fibrillation}, Alcohol use disorder {Alcoholism}, Cirrhosis {Cirrhosis of liver}, cirrhosis likely ___ alcohol use {Alcoholic cirrhosis}, LFTs wnl {Liver function tests within reference range}, elevated alk phos {Serum alkaline phosphatase within reference range}, LDH {Serum lactate dehydrogenase level above reference range}, CHRONIC ISSUES {Chronic disease}, Adrenal insufficiency {Adrenal cortical hypofunction}, immune checkpoint inhibitor therapy {Immune checkpoint inhibitor therapy}, Hypothyroidism {Hypothyroidism}, HTN {Hypertensive disorder, systemic arterial}, HTN {Hypertensive disorder, systemic arterial}, improved {Patient's condition improved}, gastric bypass {Bypass of stomach}, Diabetes {Diabetes mellitus}, blood sugars {Blood sugar management}, improved {Patient's condition improved}, gastric bypass {Bypass of stomach}, glucose {Glucose measurement, blood}, resolution {Problem resolved}, DVT {Deep venous thrombosis}, melena {Melena}, hematochezia {Hematochezia}, blood glucose {Glucose measurement, blood}, weakness {Asthenia}, falls {Falls}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Colchicine 0.6 mg PO DAILY:PRN gout flare 
-2. Digoxin 0.125 mg PO DAILY 
-3. Hydrocortisone 10 mg PO QHS 
-4. Hydrocortisone 20 mg PO QAM 
-5. Levothyroxine Sodium 75 mcg PO DAILY 
-6. Omeprazole 20 mg PO DAILY 
-7. Cyanocobalamin 100 mcg PO DAILY 
-8. Ferrous Sulfate 325 mg PO DAILY 
-9. Multivitamins W/minerals 1 TAB PO DAILY 
-
- 
-Discharge Medications:
-1.  Apixaban 10 mg PO BID Duration: 7 Days  
-2.  Cephalexin 500 mg PO QID 
-RX *cephalexin 500 mg 1 capsule(s) by mouth every six (6) hours 
-Disp #*34 Capsule Refills:*0 
-3.  Colchicine 0.6 mg PO DAILY:PRN gout flare  
-4.  Cyanocobalamin 100 mcg PO DAILY  
-5.  Digoxin 0.125 mg PO DAILY  
-6.  Ferrous Sulfate 325 mg PO DAILY  
-7.  Hydrocortisone 10 mg PO QHS  
-8.  Hydrocortisone 20 mg PO QAM  
-9.  Levothyroxine Sodium 75 mcg PO DAILY  
-10.  Multivitamins W/minerals 1 TAB PO DAILY  
-11.  Omeprazole 20 mg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY:
-========
-Deep vein thrombosis
-Skin and soft tissue infection 
-
-SECONDARY: 
-==========
-METASTATIC MELANOMA 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Deep vein thrombosis {Deep venous thrombosis}, Skin {Infection of skin}, soft tissue infection {Soft tissue infection}, METASTATIC MELANOMA {Metastatic malignant melanoma}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
- 
-It was a pleasure caring for you at ___ 
-___.  
- 
-WHY WAS I IN THE HOSPITAL?  
- - You were admitted for treatment of a blood clot in your leg, 
-known as a deep vein thrombosis (DVT) and a skin infection.
- 
-WHAT HAPPENED TO ME IN THE HOSPITAL?  
- - You were started on a medication to thin your blood to treat 
-your DVT
- - You were given antibiotics to treat a possible skin 
-infection. 
- 
-WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL?  
- - Continue to take all your medicines and keep your 
-appointments.  
- - Please call your oncologist or return to the emergency 
-department if you experience any of the danger signs listed 
-below. 
- 
-We wish you the best!  
- 
-Sincerely,  
-Your ___ Team  
-
- 
-
-###RESPONSE: blood clot {Blood clot}, leg {Structure of left lower leg}, deep vein thrombosis {Deep venous thrombosis}, DVT {Deep venous thrombosis}, skin infection {Infection of skin}, started {New medication added}, medication to thin your blood {Anticoagulant therapy}, DVT {Deep venous thrombosis}, antibiotics {Antibiotic therapy}, skin 
-infection {Infection of skin and/or subcutaneous tissue}, return to the emergency {Emergency treatment education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-Cardiac cath ___ and ___
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, chest pain {Chest pain}, Cardiac cath {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ male with a past medical history significant for 
-rheumatoid arthritis, chronic pain, and significant cardiac 
-history including CABG in ___ and PCI 6 months ago presents 
-with severe chest pain with associated arm/jaw pain since 
-___. Pain initially exertional but now at rest, 
-described as sharp like an ice pick with extension to left arm 
-and jaw similar to pain prior to CABG. He notes SOB, 
-nausea/vomiting, palpitations associated with this chest pain. 
-Denies orthopnea, PND. Patient presented to OSH after having a 
-possible syncopal episode when he had pain and weakness climbing 
-stairs from doing laundry and thinks he may have lost 
-consciousness. He had some relief with baby ASA. In ___, 
-afebrile with HR ___ to ___ and systolic BP 140s, oxygen 
-saturation stable on room air, troponin 0.03, EKG with no 
-changes, chest x-ray negative. Patient states that he passed out 
-in ___ lobby, RN reports rapid response due to severe 
-chest pain which was improved with nitro SLx3, IV morphine, 
-clonazepam.  
-On the floor, patient complains of severe ___ chest pain and is 
-tearful. Pain improved with nitro gtt.  
-Review of Systems: As per HPI, otherwise negative. 
- 
-
-###RESPONSE: rheumatoid arthritis {Rheumatoid arthritis}, chronic pain {Chronic pain}, cardiac {Heart disease}, CABG {Coronary artery bypass grafting}, PCI {Percutaneous coronary intervention}, chest pain {Chest pain}, arm {Pain in upper limb}, jaw pain {Jaw pain}, Pain {Chest pain}, exertional {Chest pain}, at rest {Chest pain at rest}, sharp {Sharp pain}, extension to left arm {Pain radiating to left arm}, jaw {Pain radiating to jaw}, pain {Chest pain}, CABG {Coronary artery bypass grafting}, SOB {Dyspnea}, nausea/vomiting {Nausea and vomiting}, palpitations {Palpitations}, chest pain {Chest pain}, orthopnea {Orthopnea}, PND {Paroxysmal nocturnal dyspnea}, syncopal {Syncope}, pain {Chest pain}, weakness {Asthenia}, lost 
-consciousness {Loss of consciousness}, relief {Pain relief}, ASA {Administration of aspirin}, afebrile {Temperature normal}, HR {Finding of heart rate}, BP {Blood pressure finding}, oxygen 
-saturation {Finding of oxygen saturation}, on room air {Breathing room air}, troponin {Troponin measurement}, EKG {Electrocardiographic procedure}, chest x-ray {Plain chest X-ray}, negative {No abnormality detected}, chest pain {Chest pain}, improved {Patient's condition improved}, chest pain {Chest pain}, tearful {Crying}, Pain improved {Sensation of pain reduced}, Review of Systems {Review of systems}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Coronary artery disease status post 5 vessel CABG (___)  
-CHF  
-Hypertension  
-Hypercholesterolemia  
-Rheumatoid arthritis on prednisone  
-Ulcerative colitis  
-GERD  
-Sciatica  
-Appendectomy  
-Knee arthroplasty  
-Anxiety attacks  
-Recent right knee replacement  
-Recent cardiac catheterization in ___ with stent placement 
-x2  
-Chronic back pain  
-Osteoarthritis  
-Depression with recent hospitalization 
- 
-
-###RESPONSE: Coronary artery disease {Coronary arteriosclerosis}, 5 vessel CABG {Coronary artery bypass grafts x 5}, CHF {Congestive heart failure}, Hypertension {Hypertensive disorder, systemic arterial}, Hypercholesterolemia {Hypercholesterolemia}, Rheumatoid arthritis {Rheumatoid arthritis}, Ulcerative colitis {Ulcerative colitis}, GERD {Gastroesophageal reflux disease}, Sciatica {Sciatica}, Appendectomy {Excision of appendix}, Knee arthroplasty {Arthroplasty of knee}, Anxiety attacks {Anxiety attack}, nt right knee replacement {Total replacement of right knee joint}, cardiac catheterization {Cardiac catheterization}, stent placement {Placement of stent in coronary artery}, Chronic back pain {Chronic back pain}, Osteoarthritis {Osteoarthritis}, Depression {Depressive disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with CHF
- 
-
-###RESPONSE: CHF {Congestive heart failure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-Vitals - T: 98.1 BP: 141/84 HR: 67 RR: 20 02 sat: 98% on 2L wt 
-204 lbs (OSH)  
-GENERAL: Patient in moderate distress, tearful  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM. Xanthelasma present near left eye.  
-NECK: nontender supple neck, no LAD, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles  
-ABDOMEN: nondistended, +BS, nontender in all quadrants, no 
-rebound/guarding, no hepatosplenomegaly  
-EXTREMITIES: 2+ ___ edema, moving all 4 extremities with purpose  
-
-PULSES: 2+ DP pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes  
-
-DISCHARGE PHYSICAL EXAM:
-Vitals: T 97.9 96/66 64 (58-82) 18 97% RA  
-Tele: NSR 
-Last 24 hours I/O: ___
-Today's weight: 90.6
-GENERAL: NAD, sitting up in bed  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM. Xanthelasma present near left eye.  
-NECK: nontender supple neck, no JVD  
-CARDIAC: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNG: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles, + pain with palpation over 
-anterior chest, no pain with deep breath  
-ABDOMEN: nondistended, +BS, nontender in all quadrants  
-EXTREMITIES: no edema, moving all 4 extremities with purpose  
-PULSES: 2+ DP pulses bilaterally  
-NEURO: CN II-XII intact  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes  
- 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, 02 sat {Oxygen saturation measurement}, GENERAL {General examination of patient}, distress {Distress}, tearful {Crying}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, Xanthelasma {Xanthelasma}, left eye {Left eye structure}, NECK {Physical examination procedure}, nontender {Abdominal tenderness}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, +BS {Normal bowel sounds}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, hepatosplenomegaly {Hepatosplenomegaly}, EXTREMITIES {Examination of limb}, edema {Edema}, moving all 4 extremities {Does move all four limbs}, PULSES {Pulse finding}, 2+ DP pulses {All pulses present in bilateral lower limbs}, NEURO {Neurological examination}, CN II-XII intact {Normal central nervous system}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}, Vitals {Vital signs finding}, T {Body temperature finding}, RA {Breathing room air}, Tele {Cardiac telemetry}, NSR {Normal sinus rhythm}, weight {Weight finding}, RA {Breathing room air}, NAD {No abnormality detected}, sitting up in bed {Fowler's position}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, Xanthelasma {Xanthelasma}, left eye {Left eye structure}, NECK {Physical examination procedure}, supple neck {Normal movement of neck}, JVD {Jugular venous engorgement}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, pain {Pain}, palpation {Palpation}, chest {Thoracic structure}, pain with deep breath {Pain provoked by breathing}, ABDOMEN {Examination of abdomen}, +BS {Normal bowel sounds}, EXTREMITIES {Examination of limb}, edema {Edema}, moving all 4 extremities {Does move all four limbs}, PULSES {Pulse finding}, 2+ DP pulses {All pulses present in bilateral lower limbs}, NEURO {Neurological examination}, CN II-XII {Structure of cervical spinal nerve}, intact  
-SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-___ 11:55PM BLOOD WBC-5.7 RBC-4.34* Hgb-12.9* Hct-38.1* 
-MCV-88 MCH-29.8 MCHC-33.9 RDW-15.1 Plt ___
-___ 11:55PM BLOOD Neuts-61.4 ___ Monos-5.2 Eos-3.7 
-Baso-0.6
-___ 11:55PM BLOOD ___ PTT-127.1* ___
-___ 11:55PM BLOOD Glucose-104* UreaN-12 Creat-0.8 Na-142 
-K-3.4 Cl-105 HCO3-28 AnGap-12
-___ 11:55PM BLOOD CK-MB-1 cTropnT-<0.01
-___ 09:05AM BLOOD CK-MB-<1 cTropnT-<0.01
-___ 11:55PM BLOOD Calcium-9.1 Phos-3.4 Mg-2.1
-
-DISCHARGE LABS:
-___ 06:45AM BLOOD WBC-4.2 RBC-4.43* Hgb-12.8* Hct-39.1* 
-MCV-88 MCH-28.9 MCHC-32.8 RDW-15.1 Plt ___
-___ 06:45AM BLOOD Glucose-118* UreaN-18 Creat-1.2 Na-140 
-K-4.4 Cl-101 HCO3-31 AnGap-12
-___ 07:00PM BLOOD CK-MB-<1 cTropnT-<0.01
-___ 12:31AM BLOOD CK-MB-<1 cTropnT-<0.01
-___ 06:45AM BLOOD Calcium-9.1 Phos-4.9* Mg-2.3
-
-IMAGING:
-CARDIAC CATH ___:
-Hemodynamics (see above):
-Coronary angiography:  right dominant
-LMCA: 
-LAD:  90% proximal, 100% mid
-LCX:  40% proximal, 99% distal with patent stent in midvessel 
-and
-occluded OMs
-RCA:  100% proximal
-SVG-:  radial to OM patent, vein to PDA with 75% in-stent
-restenosis, vein to diagonal known patent
-LIMA-LAD:  not injected but known 80% in LAD beyond graft
-Other: 
-
-Assessment & Recommendations
- 1. Will discuss options after review prior films with probable
-PCI of restenosis of PDA graft and PCI of distal circumflex next
-week.  Both supply small territories.
-
-CARDIAC CATH ___:
-Hemodynamics (see above):
-Coronary angiography:  right dominant
-LMCA: 
-LAD:  known 80% proximal, 100% mid
-LCX:  known diffuse up to 60% with patent stent in mid vessel 
-and
-complex ___ distal with occluded OMs
-RCA:  known ___ proximal
-SVG-:  diagonal patent, vein to PDA with only 30% in-stent
-restenosis after IC nicardipine which is much improved compared
-with angiography 3 days ago, radial to OM2 known patent
-LIMA-LAD:  LAD with 70% beyond anastomosis with diffusely small
-caliber distal vessel
-Other:  Aortogram shows patent vein to diagonal and patent 
-radial
-to OM2
-
-Interventional details
-After IC nicardipine administration showed improvement in distal
-PDA graft, intervention considered no longer necessary on that
-area.  PCI of distal LAD beyond LIMA and PCI of distal 
-circumflex
-would both be difficult but could be considered if recurrent
-angina or markedly positive ETT.
-
-Assessment & Recommendations
- 1. Continue med Rx.
- 2. Consider PCI if recurrent angina.
-
-CXR ___:
-Normal lung volumes. Normal appearance of the mediastinum and 
-the hilar
-structures. Sternotomy wires of the CABG show correct alignment. 
-Borderline
-size of the cardiac silhouette. Mild elongation of the 
-descending aorta.  No pneumonia, no pulmonary edema.  No pleural 
-effusions.
-
-EXERCISE STRESS TEST ___:
-Fair exercise tolerance. Atypical/non-anginal type symptoms
-with no ischemic ST segment changes at the achieved level of 
-work.
-Nuclear report sent separately.
-
-CARDIAC PERFUSION STUDY ___:
-1. At level of exercise achieved, no myocardial perfusion 
-defects. 
-2.  Normal left ventricular ejection fraction of 54%.  
-3.  Mildly prominent
-right ventricle.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, CK-MB {Creatine kinase MB isoenzyme measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Coronary angiography {Angiography of coronary artery}, LMCA: {Structure of left coronary artery main stem}, LAD {Structure of anterior descending branch of left coronary artery}, proximal {Structure of proximal portion of anterior descending branch of left coronary artery}, mid {Structure of mid portion of anterior descending branch of left coronary artery}, LCX {Structure of circumflex branch of left coronary artery}, proximal {Structure of proximal portion of circumflex branch of left coronary artery}, distal {Structure of distal portion of circumflex branch of left coronary artery}, patent stent {Coronary stent patent}, midvessel {Structure of mid portion of circumflex branch of left coronary artery}, occluded {Complete obstruction}, OMs {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, proximal {Structure of proximal portion of right coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, radial {Structure of radial artery}, OM {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, vein {Venous structure}, PDA {Structure of posterior descending coronary artery}, stent {Placement of stent}, restenosis {Restenosis}, vein {Venous structure}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, graft {Structure of transplant}, PCI {Percutaneous coronary intervention}, restenosis {Restenosis}, PDA {Structure of posterior descending coronary artery}, graft {Structure of transplant}, PCI {Percutaneous coronary intervention}, distal circumflex {Structure of distal portion of circumflex branch of left coronary artery}, CARDIAC CATH {Cardiac catheterization}, Coronary angiography {Angiography of coronary artery}, right dominant {Right dominant coronary system}, LMCA {Structure of left coronary artery main stem}, LAD {Structure of anterior descending branch of left coronary artery}, proximal {Structure of proximal portion of anterior descending branch of left coronary artery}, mid
-LCX {Structure of mid portion of circumflex branch of left coronary artery}, patent stent {Coronary stent patent}, mid vessel {Structure of mid portion of circumflex branch of left coronary artery}, distal {Structure of distal portion of circumflex branch of left coronary artery}, occluded {Complete obstruction}, OMs {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, proximal {Structure of proximal portion of right coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, vein {Venous structure}, PDA {Structure of posterior descending coronary artery}, restenosis {Restenosis}, improved {Patient's condition improved}, angiography {Angiography}, radial {Coronary artery bypass grafting using radial artery graft}, OM2 {Structure of second obtuse marginal branch of circumflex branch of left coronary artery}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, LAD {Structure of anterior descending branch of left coronary artery}, anastomosis {Anastomosis}, distal vessel {Structure of distal portion of anterior descending branch of left coronary artery}, patent vein {Venous access patent}, diagonal {Structure of diagonal branch of anterior descending branch of left coronary artery}, radial {Coronary artery bypass grafting using radial artery graft}, OM2 {Structure of second obtuse marginal branch of circumflex branch of left coronary artery}, PDA {Structure of posterior descending coronary artery}, graft {Structure of transplant}, PCI {Percutaneous coronary intervention}, distal LAD {Structure of distal portion of anterior descending branch of left coronary artery}, LIMA {Structure of left internal thoracic artery}, PCI {Percutaneous coronary intervention}, distal 
-circumflex {Structure of distal portion of circumflex branch of left coronary artery}, recurrent {Recurrent disease}, angina {Angina}, PCI {Percutaneous coronary intervention}, recurrent {Recurrent disease}, angina {Angina}, Normal lung volumes {Lung volume test normal}, Normal appearance {Normal appearance}, mediastinum {Mediastinal structure}, hilar {Structure of hilum of lung}, Sternotomy {Sternotomy}, CABG {Coronary artery bypass grafting}, cardiac {Heart structure}, descending aorta {Descending aorta structure}, pneumonia {Pneumonia}, pulmonary edema {Pulmonary edema}, pleural 
-effusions {Pleural effusion}, exercise tolerance {Exercise tolerance finding}, Atypical {Atypical angina}, anginal {Angina}, ischemic {Ischemia}, ST segment changes {Finding of electrocardiogram ST segment}, myocardial perfusion 
-defects {Myocardial perfusion defect}, left ventricular {Left cardiac ventricular structure}, right ventricle {Right cardiac ventricular structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old male with a PMHx significant for rheumatoid 
-arthritis, chronic pain, and significant cardiac history 
-including CABG in ___ and PCI 6 months ago presents with severe 
-chest pain with associated arm/jaw pain without EKG changes or 
-troponin leak.  
-
-ACUTE ISSUES:
-#Chest pain: Patient had history of CAD s/p CABG and PCIs with 
-significant chest pain at rest without EKG changes and negative 
-troponins. He underwent catheterization on ___ which showed 
-extensive disease in the LAD, Lcx and RCA. No intervention was 
-performed given that the previous films were not available for 
-review and it was unknown whether the lesions were new or old. 
-He underwent repeat catheterization on ___ without 
-interventions given poor anatomy unchanged from prior PCI. He 
-was continued on aspirin, plavix, metoprolol and atorvastatin. 
-He continued to have significant chest pain at rest and with 
-minimal exertion without EKG changes. He was started on imdur, 
-amlodipine and ranolazine without much improvement in chest 
-pain. He had a stress test and nuclear study which showed no EKG 
-changes or evidence of ischemia. Chest pain was not felt to be 
-due to cardiac ischemia given these findings. He was discharged 
-with plans to follow-up with his PCP/cardiologist for further 
-management. 
- 
-#Chronic pain: Patient has sciatica and multiple joint surgeries 
-in addition to chronic inflammatory diseases. He is on many pain 
-medications as an outpatient and had a significant requirement 
-for narcotics while hospitalized. He also endorsed symptoms of 
-withdrawal when he did not get his opioid medications. He 
-complained mostly of back and chest pain, which was treated with 
-home medications of oxycodone, oxycontin and gabapentin. He was 
-seen by the chronic pain service given that patient's chest pain 
-was at times reproducible who recommended increasing gabapentin, 
-starting volteran gel and using a lidocaine patch. Patient's 
-chest and back pain improved with these interventions. 
- 
-#Anxiety: Patient was continued on home clonazepam, trazodone, 
-benadryl prn.   
-
-CHRONIC ISSUES:
-# ___ edema: Patient was continued on home furosemide. 
-
-#Rheumatoid arthritis/ulcerative colitis: Patient is on 
-methotrexate and prednisone at home. He had no flares of joint 
-pain or diarrhea during this hospitalization. He was continued 
-on home prednisone and methotrexate was held.   
-
-TRANSITIONAL ISSUES:
-- Patient was started on Imdur 30mg PO daily, amlodipine 5 mg 
-daily, ranolazine 1000 mg BID
-- increased gabapentin to 900 mg TID
-- started acetaminophen 1000 mg q8h, voltaran cream and 
-lidocaine patches
-- recommend psychiatry follow-up and therapy
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. ClonazePAM 1 mg PO QID 
-3. DiphenhydrAMINE 25 mg PO Q6H:PRN itch 
-4. FoLIC Acid 1 mg PO DAILY 
-5. Furosemide 20 mg PO DAILY 
-6. Gabapentin 600 mg PO BID 
-7. Metoprolol Succinate XL 25 mg PO DAILY 
-8. Omeprazole 20 mg PO DAILY 
-9. OxycoDONE (Immediate Release)  10 mg PO Q8H:PRN pain 
-10. OxyCODONE SR (OxyconTIN) 40 mg PO Q8H 
-11. PredniSONE 5 mg PO BID 
-12. TraZODone 100 mg PO QHS insomnia 
-13. Acetaminophen 650 mg PO Q6H:PRN pain 
-RX *acetaminophen 650 mg 1 tablet(s) by mouth every six (6) 
-hours Disp #*30 Tablet Refills:*0
-14. Atorvastatin 80 mg PO QPM 
-RX *atorvastatin 80 mg 1 tablet(s) by mouth every night Disp 
-#*30 Tablet Refills:*0
-15. Clopidogrel 75 mg PO DAILY 
-RX *clopidogrel 75 mg 1 tablet(s) by mouth daily Disp #*30 
-Tablet Refills:*0
-16. Isosorbide Mononitrate (Extended Release) 30 mg PO DAILY 
-RX *isosorbide mononitrate 30 mg 1 tablet(s) by mouth daily Disp 
-#*30 Tablet Refills:*0
-17. Lidocaine 5% Patch 1 PTCH TD QAM 
-RX *lidocaine 5 % (700 mg/patch) Place 1 patch to area of worst 
-pain every morning. Please remove after 12 hours. every morning 
-Disp #*30 Patch Refills:*0
-18. Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain 
-RX *nitroglycerin [Nitrostat] 0.3 mg 1 tablet(s) sublingually q5 
-minutes Disp #*20 Tablet Refills:*0
-19. Methocarbamol 500 mg PO Q8H 
-20. Methotrexate 15 mg PO 1X/WEEK (___) 
-
- 
-
-###RESPONSE: rheumatoid 
-arthritis {Rheumatoid arthritis}, chronic pain {Chronic pain}, cardiac {Heart disease}, CABG {Coronary artery bypass grafting}, PCI {Percutaneous coronary intervention}, chest pain {Chest pain}, arm {Pain in upper limb}, jaw pain {Jaw pain}, EKG changes {Electrocardiogram abnormal}, Chest pain {Chest pain}, CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, PCIs {Percutaneous coronary intervention}, chest pain at rest {Chest pain at rest}, EKG changes {Electrocardiogram abnormal}, catheterization {Cardiac catheterization}, LAD {Structure of anterior descending branch of left coronary artery}, Lcx {Structure of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, lesions {Lesion}, catheterization {Cardiac catheterization}, PCI {Percutaneous coronary intervention}, aspirin {Administration of aspirin}, chest pain at rest {Chest pain at rest}, exertion {Chest pain on exertion}, EKG changes {Electrocardiogram abnormal}, chest 
-pain {Chest pain}, stress test {Electrocardiogram with exercise test}, nuclear study {Nuclear medicine diagnostic procedure on cardiovascular system}, EKG 
-changes {Electrocardiogram abnormal}, ischemia {Ischemia}, Chest pain {Chest pain}, cardiac ischemia {Myocardial ischemia}, Chronic pain {Chronic pain}, sciatica {Sciatica}, joint {Joint structure}, surgeries {Surgical procedure}, chronic inflammatory diseases {Chronic inflammatory disorder}, pain 
-medications {Administration of analgesic}, narcotics {Narcotherapy}, withdrawal {Opioid withdrawal syndrome}, back {Backache}, chest pain {Chest pain}, chronic pain {Chronic pain}, chest pain {Chest pain}, chest {Thoracic structure}, pain improved {Sensation of pain reduced}, Anxiety {Anxiety}, edema {Edema of lower extremity}, Rheumatoid arthritis {Rheumatoid arthritis}, ulcerative colitis {Ulcerative colitis}, joint 
-pain {Joint pain}, diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS:
-Chest pain
-Chronic pain 
-Anxiety
-
-SECONDARY DIAGNOSIS:
-CAD s/p ___ 
- 
-___ Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Chest pain {Chest pain}, Chronic pain {Chronic pain}, Anxiety {Anxiety}, CAD {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were admitted to ___ with chest pain. Your EKG was 
-unchanged from prior. You had a cardiac cath which was unchanged 
-from your prior cath about six months ago. Given that this was 
-unlikely to be accounting for your chest pain, there was no 
-intervention. You were continued on your home medications, but 
-still had a few episodes of chest pain. A new medication was 
-added to help with this pain. You should continue to take all 
-your home medications as prescribed. 
-
-It was a pleasure taking care of you, 
-Your ___ Doctors
-
- 
-___ Instructions:
-___
-
-###RESPONSE: chest pain {Chest pain}, EKG {Electrocardiographic procedure}, cardiac cath {Cardiac catheterization}, cath {Cardiac catheterization}, chest pain {Chest pain}, chest pain {Chest pain}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                      Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Diarrhea
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ YO homeless male who presented to the ED for 2 
-days of watery green diarrhea. He was in his usual state of 
-health until 3 days ago when he developed greenish watery 
-diarrhea. He has had > 20 BMs a day. Also has had diffuse mild 
-cramping, nausea, weakness, and pre-syncope. Today he noted 
-fevers and chills. He has also has HA and a cough for 2 months 
-and recently was prescribed a z pack for this ___. He 
-denies emesis but has had loss of appetite (last meal 2 days 
-ago). Denies undercooked meat. Possible sick contacts at the 
-___. There is only one bathroom for > 100 residents. He also 
-recently returned from ATL on a plane.  
-.  
-Of note, Mr. ___ denies current blood in his stool, but he had 
-BRBPR 1 month ago with anemia and states that his PCP wanted to 
-refer him for colonoscopy.  
-.  
-In the ED vital signs were: Temp:97.1 HR:130 BP:108/76 Resp:18 
-O(2)Sat:100 RA. His EKG revealed sinus tacycardia. His abdomen 
-was slightly tender. Patient had a CT scan of abd/pelvis and CXR 
-which were both normal. Hct, chem 7, and LFTs were WNL except 
-for bicarb 21. No anion gap. Patient was given 4 liters of 
-intravenous fluids but remained tachycardic with HR 110-120 and 
-then he spiked a temperature of 100.8. He was given zofran, 
-famotidine, tylenol, and morphine. He was admitted for fluid 
-hydration. Vital signs at the time of transfer were 100.3 111 
-124/76 18 100RA  
-.  
-On the floor, pt is still having multiple bouts of diarrhea, but 
-otherwise denies complaint.  
-.  
-Review of systems:  
-(+) Per HPI. Also + for rhinorha, HA, cough. No SOB, CP, or 
-palpitations. No dysuria. Denied arthralgias or myalgias and 
-rash.
- 
-
-###RESPONSE: homeless {Homeless}, watery {Liquid stool}, green {Feces color: green}, diarrhea {Diarrhea}, greenish {Feces color: green}, watery {Liquid stool}, diarrhea {Diarrhea}, diffuse {Diffuse pain}, nausea {Nausea}, weakness {Asthenia}, pre-syncope {Near syncope}, fevers {Fever}, chills {Chill}, HA {Headache}, cough {Cough}, emesis {Vomiting}, loss of appetite {Loss of appetite}, blood in his stool {Hematochezia}, BRBPR {Hematochezia}, anemia {Anemia}, colonoscopy {Colonoscopy}, RA {Breathing room air}, EKG {Electrocardiographic procedure}, sinus tacycardia {Sinus tachycardia}, abdomen 
-was slightly tender {Abdominal tenderness}, CT scan of abd/pelvis {Computed tomography of abdomen and pelvis}, CXR {Plain chest X-ray}, LFTs were WNL {Liver function tests within reference range}, intravenous fluids {Intravenous infusion}, tachycardic {Tachycardia}, HR {Finding of heart rate}, Vital signs {Vital signs finding}, diarrhea {Diarrhea}, rhinorha {Nasal discharge}, HA {Headache}, cough {Cough}, SOB {Dyspnea}, CP {Chest pain}, palpitations {Palpitations}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Homelessness: Lives in shelter by ___ for past few months 
-since moved here from ___. Recently applied for ___ 
-___  
-2. bronchitis - presented to ED ___ with multiple complaints - 
-treated with albuterol inhaler and Z pack  
-3. anxiety/depression - presented to ED ___ and ___. Paranoid personality disorder  
-5. nephrolithiasis - seen on CT scan  
-6. Trigger finger - offerred surgery but has declined  
-7. h/o head trauma at age ___ s/p being struck in head with a  
-baseball. Denies LOC at that time.  
-8. s/p MVA ___ years ago, pedestrian struck by utility vehicle. 
-+LOC.  
-9. HTN  
-10. spinal stenosis  
-11. PTSD 
- 
-
-###RESPONSE: Homelessness {Homeless}, bronchitis {Bronchitis}, multiple complaints {Multiple symptoms}, anxiety/depression {Mixed anxiety and depressive disorder}, Paranoid personality disorder {Paranoid personality disorder}, nephrolithiasis {Kidney stone}, CT scan {Computed tomography of abdomen}, Trigger finger {Acquired trigger finger}, head trauma {Injury of head}, head {Head structure}, LOC {Loss of consciousness}, MVA {Motor vehicle accident victim}, LOC {Loss of consciousness}, HTN {Hypertensive disorder, systemic arterial}, spinal stenosis {Spinal stenosis}, PTSD {Posttraumatic stress disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-CAD- 4 brothers had MI  
-mother had stent placed  
-father lung cancer  
-sister with depression, daughter with bipolar d/O  
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, stent placed {Stented coronary artery}, lung cancer {Malignant tumor of lung}, depression {Depressive disorder}, bipolar d/O {Bipolar disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: 98.3 BP: 135/90 P: 99 R: 18 O2: 100% RA  
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, dry MM, oropharynx clear  
-Neck: supple, JVP not elevated, no LAD  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi  
-CV: tachycardic, normal S1 + S2, no murmurs, rubs, gallops  
-Abdomen: + BS, diffusely tender to palpation in all quadrants, 
-soft, mildly distended, no rebound tenderness or guarding, no 
-organomegaly or ascites, rectal exam revealed no stool in vault, 
-Guaiac neg.  
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry MM {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, tachycardic {Tachycardia}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, BS {Normal bowel sounds}, tender {Abdominal tenderness}, palpation {Palpation}, soft {Abdomen soft}, distended {Swollen abdomen}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, ascites {Ascites}, rectal exam {Rectal examination}, Guaiac {Guaiac test for occult blood in feces specimen}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 09:35PM   LACTATE-1.1
-___ 04:20PM   GLUCOSE-121* UREA N-16 CREAT-1.1 SODIUM-137 
-POTASSIUM-3.8 CHLORIDE-106 TOTAL CO2-21* ANION GAP-14
-___ 04:20PM   ALT(SGPT)-15 AST(SGOT)-25 ALK PHOS-83
-___ 04:20PM   LIPASE-31
-___ 04:20PM   WBC-6.1 RBC-5.17 HGB-14.5 HCT-42.3 MCV-82# 
-MCH-28.0 MCHC-34.2# RDW-13.7
-___ 04:20PM   NEUTS-84.3* LYMPHS-10.7* MONOS-2.6 EOS-2.1 
-BASOS-0.3
-___ 04:20PM   PLT COUNT-265
-
-  OVA + PARASITES (Final ___: 
-      NO OVA AND PARASITES SEEN. 
-      This test does not reliably detect Cryptosporidium, 
-Cyclospora or
-      Microsporidium. While most cases of Giardia are detected 
-by routine
-      O+P, the Giardia antigen test may enhance detection when 
-organisms
-      are rare. 
-
-   FECAL CULTURE - R/O VIBRIO (Preliminary): 
-
-   FECAL CULTURE - R/O YERSINIA (Preliminary): 
-
-   FECAL CULTURE - R/O E.COLI 0157:H7 (Final ___: 
-      NO E.COLI 0157:H7 FOUND. 
-
-   Cryptosporidium/Giardia (DFA) (Preliminary): 
-
-___ 10:16 pm STOOL     CONSISTENCY: NOT APPLICABLE
-      Source: Stool. 
-
-                            **FINAL REPORT ___
-
-   OVA + PARASITES (Final ___: 
-      NO OVA AND PARASITES SEEN. 
-      This test does not reliably detect Cryptosporidium, 
-Cyclospora or
-      Microsporidium. While most cases of Giardia are detected 
-by routine
-      O+P, the Giardia antigen test may enhance detection when 
-organisms
-      are rare. 
-
-___ 7:08 am STOOL     CONSISTENCY: LOOSE      Source: 
-Stool. 
-
-   FECAL CULTURE (Final ___:    NO SALMONELLA OR SHIGELLA 
-FOUND. 
-
-   CAMPYLOBACTER CULTURE (Pending): 
-
-   CLOSTRIDIUM DIFFICILE TOXIN A & B TEST (Final ___: 
-      Feces negative for C.difficile toxin A & B by EIA. 
-           (Reference Range-Negative). 
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, CULTURE {Microbial culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is a ___ YO homeless male who presented with acute 
-diarrhea and was admitted for rehydration.  
-
-# Diarrhea: Pt has acute onset of diarrhea, fever, nausea, and 
-anorexia, most likely infectious. Given time of year and 
-exposure to sick contacts in crowded shelter Viral 
-gastroenteritis was felt to be the most likley etiology. Stool 
-studies were sent regardless. He was placed on a bland diet and 
-treated symptomatically with loperamide, IVF prn, and tylenol 
-for abdominal pain. On HD2 his diarrhea had improved, he had 
-remiained afebrile with stable VS and was tolerating bland diet 
-with minimal abdominal pain. C diff and HIV were both negative 
-as were O&P x2. There was no salmonella, shigella or Ecoli 
-OH:571. Studies for yersinia, vibrio and cryptosporidum were 
-pending at the time of discharge and should be followed up by 
-his PCP as the results become available.
-.
-. 
-# Sinus tachycardia: Likely from volume depletion. Pt received 
-5L NS in the ED and an additional 1L of NS once on the floor. 
-His tachycardia subsequently resolved and his VS remined stable 
-throughout the course of his hospitalization.
- 
-.  
-# Chronic cough: CXR no evidence of pneumonia. Pt does have post 
-nasal drip which could contribute to chronic cough. He was not 
-hypoxic nor was he ever in distress. This will need to be 
-adressed by his PCP. 
-.  
-# Depression:  
-COntinued home medications. He will follow up with his 
-depression support group.
-.  
-# Homeless: SW saw and evaluated patient and have made 
-arrangments for temporary housing following discharge. Please 
-refer to their note for details.
-.
-# Hx of BRBRP: Pt denies current bleeding. But had seveal 
-episodes of blood streaked toilet paper during his admission. 
-His HCT remained stable. Thought secondary to hemmorhoids vs 
-irritation from frequent stooling. Pt's last C-scope was ___ years 
-ago in ___ and was reportedly normal. He should follow up 
-with his PCP for appropriate screening/ further workup.
-
- 
-
-###RESPONSE: homeless {Homeless}, acute 
-diarrhea {Acute diarrhea}, rehydration {Rehydration therapy}, Diarrhea {Diarrhea}, acute onset of diarrhea {Acute diarrhea}, fever {Fever}, nausea {Nausea}, anorexia {Loss of appetite}, infectious {Infectious disease}, Viral 
-gastroenteritis {Viral gastroenteritis}, Stool 
-studies {Stool microscopy}, bland diet {Bland diet}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, improved {Patient's condition improved}, stable VS {Normal vital signs}, bland diet {Bland diet}, abdominal pain {Abdominal pain}, HIV {Human immunodeficiency virus infection}, Sinus tachycardia {Sinus tachycardia}, tachycardia {Tachycardia}, his VS remined stable {Normal vital signs}, Chronic cough {Chronic cough}, CXR {Plain chest X-ray}, no evidence {No abnormality detected}, pneumonia {Pneumonia}, post 
-nasal drip {Posterior rhinorrhea}, chronic cough {Chronic cough}, hypoxic {Hypoxia}, distress {Distress}, Depression {Depressive disorder}, Homeless {Homeless}, BRBRP {Hematochezia}, bleeding {Bleeding}, hemmorhoids {Hemorrhoids}, frequent stooling {Frequent defecation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. risperidone 2 mg Tablet Sig: One (1) Tablet PO at bedtime.  
-2. citalopram Oral 
-
- 
-Discharge Medications:
-1. risperidone 2 mg Tablet Sig: One (1) Tablet PO at bedtime.  
-2. loperamide 2 mg Capsule Sig: One (1) Capsule PO QID (4 times 
-a day) as needed for loose stools for 5 days.
-Disp:*20 Capsule(s)* Refills:*0*
-3. citalopram  Oral
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Viral enteritis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Viral enteritis {Inflammation of intestine caused by virus}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ because you had diarrhea that made 
-you dehydrated. The most likely cause of your diarrhea was a 
-viral gastroenteritis. We gave you IV fluids and managed your 
-symptoms with a medication called loperamide that helps decrease 
-the frequency of bowel movements. 
-
-While you were here we made the following changes to your 
-medications:
-We started you on Loperamide 2mg every 4 hours as needed for 
-diarrhea.
-
-Otherwise you should continue taking your home medications as 
-prescribed
- 
-
-###RESPONSE: diarrhea {Diarrhea}, dehydrated {Dehydration}, diarrhea {Diarrhea}, viral gastroenteritis {Viral gastroenteritis}, diarrhea {Diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-___
- 
-Attending: ___.
- 
-Chief Complaint:
-Agitation, seizure
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: Agitation {Feeling agitated}, seizure {Seizure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Patient is a ___ y/o M with a hx of intractable seizures on 
-multiple meds and with recent placement of vagal nerve 
-stimulator who presents after having been found to be shaking, 
-""dizzy"" and combative at his home today. He called a family 
-member saying he did not feel well, and he was found shaking, 
-unable to stop on his own, and was brought to the ED
-
-Also of note, he is currently on an abx being treated for 
-diverticulitis. He has been on augmentin for this for an unclear 
-amount of time, likely since ___, the time of his first CT 
-showing acute diverticulitis.
-
-The patient does not remembers dates and exact sequential onset 
-of symptoms. He has had diarrhea, and thinks it probably started 
-after Abx use, but isnt sure.
-
-In the ED, He was extremely agitated, thrashing and using 
-profane language. he recieved 2mg Ativan IV x2. He also got 
-flagyl and cipro IV in the ED.
- 
-
-###RESPONSE: seizures {Seizure}, placement of vagal nerve 
-stimulator {Insertion of vagal nerve stimulator}, shaking {Tremor}, dizzy {Dizziness}, combative {Aggressive behavior}, not feel well {Malaise}, shaking {Tremor}, abx {Antibiotic therapy}, diverticulitis {Diverticulitis}, CT {Computed tomography}, diverticulitis {Diverticulitis}, diarrhea {Diarrhea}, Abx {Antibiotic therapy}, agitated {Feeling agitated}, IV {Intravenous therapy}, IV {Intravenous therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- intractable seizures
-- s/p VNS (___)
-- h/o post-op psychosis and behavioral problems post anesthesia
-- Meningitis at 6 months old
-- Left temporal head trauma with brief LOC at ___ yo
-- h/o Arm fracture
-- h/o Left orbital fracture--> required surgical repair and had
-residual visual defects
-- Near drowning in ___
-- s/p Left leg amputation s/p prosthesis
- 
-
-###RESPONSE: seizures {Seizure}, VNS {Insertion of vagal nerve stimulator}, post-op {Postoperative state}, psychosis {Psychotic disorder}, behavioral problems {Problem behavior}, Meningitis {Meningitis}, Left temporal {Left temporal lobe structure}, brief LOC {Brief loss of consciousness}, Arm fracture {Fracture of upper limb}, orbital fracture {Fracture of orbit}, surgical repair {Repair of orbit proper}, visual defects {Visual field defect}, Near drowning {Nonfatal submersion}, Left leg {Structure of left lower limb}, amputation {Amputation of lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father has pacemaker @ ___ yo; healthy mother & two sisters. No 
-family history of epilepsy, vertigo, other neurologic disease.  
-Born in ___, of ___ ancestry, no consanguinity.
-
- 
-
-###RESPONSE: epilepsy {Epilepsy}, vertigo {Vertigo}, neurologic disease {Disorder of nervous system}, consanguinity {Consanguinity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: 98.1 BP: 134/88 P: 70 RR: 22 O2Sat: 98% 2L
-Gen: No acute distress
-HEENT: EOMI, left pupil dilated (secondary to injury), but 
-reactive to light. rt reactive to light.
-Neck: supple. no LAD
-CV: RRR, nl s1 s2, no g/r/m
-Lungs: clear to ausc, very slow inspiration and expiration 
-secondary to yogic breathing.
-ABd: +BS. tender to palp throughout, esp RLQ. +BS. no HSM. no 
-rebounnd tenderness
-Extremities: below knee amp left leg
-Neuro: please see neuro note for detailed neuro exam.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2Sat {Oxygen saturation measurement}, Gen {General examination of patient}, distress {Distress}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, pupil dilated {Dilated pupil}, injury {Traumatic or non-traumatic injury}, reactive to light {Finding of pupil reaction to light}, rt {Structure of pupil of right eye}, reactive to light {Finding of pupil reaction to light}, Neck {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, nl s1 s2 {Heart sounds normal}, g {Gallop rhythm}, r {Pericardial friction rub}, m {Murmur}, Lungs {Examination of respiratory system}, clear to ausc {Chest clear}, slow inspiration and expiration {Slow respiration}, ABd {Examination of abdomen}, +BS {Normal bowel sounds}, tender {Abdominal tenderness}, palp {Palpation of abdomen}, RLQ {Structure of right lower quadrant of abdomen}, +BS {Normal bowel sounds}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Extremities {Examination of limb}, below knee amp left leg {Amputated left lower limb below knee}, Neuro {Neurological examination}, neuro exam {Neurological examination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ abdomen/pelvis CT with contrast
-IMPRESSION:
-1. Interval progression of inflammatory stranding in the left 
-lower quadrant along a hyperenhancing area of sigmoid colon with 
-multiple diverticula and seberal foci of extraluminal air 
-consistent with diverticulitis with microperforation. No 
-drainable fluid collections.
-2. Prostatic enlargement.
-3. Punctate focus of air within the bladder with no CT evidence 
-for colonic vesicular fistula. Findings may relate to recent 
-instrumentation. Clinical correlation is recommended.
-.
-CXR ___
-FINDINGS: Single bedside AP examination labeled ""upright at 
-13:51"" with patient markedly tilted to his right, is compared 
-with the most recent study dated ___. A metallic 
-neurostimulator device overlies the mid-left hemithorax, as 
-before. Bibasilar subsegmental atelectasis and/or scarring, as 
-well as multiple old healed right rib fractures with associated 
-lateral pleural thickening, are redemonstrated. Allowing for 
-this, no acute focal airspace process is identified. There is no 
-evidence of CHF.
-.
-___ Head CT
-IMPRESSION: No acute intracranial abnormality.
-.
-
- 
-
-###RESPONSE: abdomen {Computed tomography of abdomen with contrast}, inflammatory {Inflammatory disorder}, left 
-lower quadrant {Structure of left lower quadrant of abdomen}, sigmoid colon {Sigmoid colon structure}, multiple diverticula {Multiple diverticula}, diverticulitis {Diverticulitis}, Prostatic enlargement {Large prostate}, bladder {Urinary bladder structure}, colonic vesicular fistula {Vesicocolic fistula}, CXR {Plain chest X-ray}, left {Left lung structure}, hemithorax {Structure of half of thorax lateral to midsagittal plane}, Bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, scarring {Scar}, right rib {Bone structure of right rib}, fractures {Fracture of multiple ribs}, pleural thickening {Thickening of pleura}, CHF {Congestive heart failure}, Head CT {Computed tomography of head}, intracranial {Intracranial structure}, abnormality {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Assessment: Pt is a ___ y/o M with hx intractable seizures, s/p 
-VNS placed ___, who presents to the ED in likely post-ictal 
-state, in setting of decreased seizure threshold with 
-diverticulitis. CT showing diverticulitis with microperferation.
-
-Hospital Course By Problem:
-
-Diverticulitis: Pt was diagnosed with divertitulitis intially as 
-an outpatient, on ___. He had a CT scan at that time. A repeat 
-CT on ___ (day of admission), showed progression of disease, 
-patient now with microperforation. Surgery was consulted given 
-this is complicated diverticulitis. He was put on broad spectrum 
-antibiotics, intially zosyn and vancomycin. Vancomycin was 
-eventually discontinued given low suspicion for gram positive 
-infection on bowel. Patient was on bowel rest, NPO, and on TPN. 
-A PICC line was placed for the TPN and IV antibiotics since he 
-has poor venous access. Patients abdominal pain improved slowly. 
-Once minimal, he was started on a liquid diet, which he 
-tolerated, and this was slowly advanced to regular diet. TPN was 
-tapered off. Prior to discharge, the patient was switched to PO 
-augmentin, which he is to continue for a total of 3 weeks of 
-abx, so until ___. He was also seen by nutrition several 
-times, including once with his HCP present, to go over changes 
-in his diet given his new diagnosis of diverticulitis. 
-.
-Diarrhea: Patient had small amounts of diarrhea during 
-hospitaliztion, which came back positive for clostridium 
-dificile. He has a history of difficult to control seizures, so 
-flagyl is avoided since it lowers seizure threshold. He was 
-started on vancomycin PO 250mg q6h, which he was will continued 
-until ___, 2 weeks after augmentin course is done. 
-.
-Agitation: Patient was agitated in the ED, likely has lower 
-seizure threshold given diverticulitus. This may also be 
-delerium from infection. On suggestion by epilepsy service, he 
-was put on ativan standing and PRN
-.
-Hx of seizures: patient has significant hx of seizures, has 
-vagal nerve stimulator since ___. At this time, he likely has 
-lower seizure threshold secondary to infection. He was followed 
-by the epilepsy service while in the hospital. Most of 
-medications were switched to IV during hospitalization while he 
-was NPO. He was continued on the home meds as listed. Levels of 
-carbamazipine and phenytoin were checked almost daily and 
-bolused and adjusted as needed. He was also placed on standing 
-ativan 1mg BID while infected. Once tolerating PO, he was 
-switched back to PO meds, and discharged on the medications he 
-was admitted on. The Ativan was tapered off on discharge. 
-.
-Leukocytosis: likely secondary to diverticulitis, resolved. 
-UA/UC: negative, blood cx negative, CXR normal.
-.
-NSVT on tele: asymptomatic, possible that it was interaction 
-with vagal nerve stimulator. cardiac enzymes negative. EKG 
-normal. no recurrance.
- 
-
-###RESPONSE: Assessment {Evaluation procedure}, seizures {Seizure}, VNS placed {Insertion of vagal nerve stimulator}, post-ictal 
-state {Post-ictal state}, seizure {Seizure}, diverticulitis {Diverticulitis}, CT {Computed tomography}, diverticulitis {Diverticulitis}, Diverticulitis {Diverticulitis}, divertitulitis {Diverticulitis}, CT scan {Computed tomography of abdomen}, CT {Computed tomography}, disease {Disease}, Surgery was consulted {Medical consultation on hospital inpatient}, diverticulitis {Diverticulitis}, antibiotics {Antibiotic therapy}, infection on bowel {Intestinal infectious disease}, bowel {Intestinal structure}, NPO {Nil by mouth}, on TPN {Total parenteral nutrition}, PICC line {Peripherally inserted central venous catheter in situ}, TPN {Administration of total parenteral nutrition}, IV antibiotics {Intravenous antibiotic therapy}, poor venous access {Poor venous access}, abdominal pain {Abdominal pain}, improved {Patient's condition improved}, liquid diet {Liquid diet}, regular diet {Normal diet}, TPN {Total parenteral nutrition}, seen by nutrition {Seen by hospital-based dietitian}, diet {Dietary finding}, diverticulitis {Diverticulitis}, Diarrhea {Diarrhea}, diarrhea {Diarrhea}, seizures {Seizure}, seizure {Seizure}, Agitation {Feeling agitated}, agitated {Feeling agitated}, seizure {Seizure}, diverticulitus {Diverticulitis}, delerium {Delirium}, infection {Infectious disease}, suggestion by epilepsy service {Medical consultation on hospital inpatient}, seizures {Seizure}, seizures {Seizure}, vagal nerve stimulator {Insertion of vagal nerve stimulator}, seizure {Seizure}, infection {Infectious disease}, epilepsy service {Seen by neurologist}, medications {Administration of drug or medicament}, IV {Intravenous therapy}, NPO {Nil by mouth}, medications {Administration of drug or medicament}, Leukocytosis {Leukocytosis}, diverticulitis {Diverticulitis}, resolved {Problem resolved}, UA {Urinalysis}, UC {Urine culture}, blood cx {Blood culture}, CXR normal {Standard chest X-ray normal}, NSVT {Nonsustained ventricular tachycardia}, tele {Cardiac telemetry}, asymptomatic {Asymptomatic}, vagal nerve stimulator {Insertion of vagal nerve stimulator}, cardiac enzymes negative {Cardiac enzymes within reference range}, EKG 
-normal {Electrocardiogram normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-CARBAMAZEPINE 200 mg--1 tab bid and 2 tabs at bedtime
-DILANTIN 160 mg QAM / 200QPM
-LAMICTAL 150 mg--1 tablet(s) by mouth at 4 pm & 2 tabs @ 10pm
-Multi-Vitamin W/Minerals --1 capsule(s) by mouth daily
-TRILEPTAL 150 mg--1 tablet(s) by mouth daily at 10 am
-AUGMENTIN 875/125 PO BID
- 
-Discharge Medications:
-1. Dilantin Kapseal 30 mg Capsule Sig: Two (2) Capsule PO every 
-morning.  
-2. Dilantin Kapseal 100 mg Capsule Sig: One (1) Capsule PO every 
-morning.  
-3. Dilantin Kapseal 100 mg Capsule Sig: Two (2) Capsule PO every 
-night.  
-4. Lamotrigine 150 mg Tablet Sig: One (1) Tablet PO at 4pm 
-everday.  
-5. Lamotrigine 150 mg Tablet Sig: Two (2) Tablet PO at 10pm.  
-6. Carbamazepine 200 mg Tablet Sig: One (1) Tablet PO BID (2 
-times a day).  
-7. Carbamazepine 200 mg Tablet Sig: Two (2) Tablet PO QHS (once 
-a day (at bedtime)).  
-8. Oxcarbazepine 300 mg Tablet Sig: One (1) Tablet PO Q10AM ().  
-
-9. Amoxicillin-Pot Clavulanate 250-125 mg Tablet Sig: Two (2) 
-Tablet PO Q8H (every 8 hours) for 12 days: Until ___.
-Disp:*80 Tablet(s)* Refills:*0*
-10. Vancomycin 250 mg Capsule Sig: One (1) Capsule PO Q6H (every 
-6 hours) for 26 days: until ___.
-Disp:*110 Capsule(s)* Refills:*0*
-11. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day) for 5 days: Please take 1 pill twice a day for 2 days; 
-and then 1 pill once a day for 3 days after that. (total 5 
-days).
-Disp:*8 Tablet(s)* Refills:*0*
-12. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
-Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary
-Diverticulitis
-Clostridium Dificile infection
-
-Secondary:
-Seizures
-
- 
-Discharge Condition:
-stable.
-
- 
-
-###RESPONSE: Diverticulitis {Diverticulitis}, Clostridium Dificile infection {Infection caused by Clostridioides difficile}, Seizures {Seizure}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You came to the hospital with abdominal pain. A CT scan was done 
-of your abdomen and you were found to have diverticulitis. You 
-were treated with antibiotics through your IV and bowel rest. 
-Once your abdominal pain got better, you were started on a diet. 
-
-.
-You have been switched to oral antibiotics, Augmentin, which you 
-should take until ___. For the Clostridium Dificile 
-infection, you should continue to take the oral Vancomycin until 
-___. 
-.
-You spoked to a nutritionist while you were here about dietary 
-restrictions with Diverticulosis. She provided you with 
-information sheets about diet. You were intstructed to avoid any 
-food with small seeds, including strawberries. Also avoid small 
-nuts and popcorn. Also try to slowly increase the fiber in your 
-diet. 
-.
-You should continue the epilepsy regimen you were on prior to 
-admission. In addition, you were taking ativan while here, and 
-you should taper that off. Please take 1 pill twice a day for 2 
-days, and then 1 pill once a day for 3 days after that, and then 
-stop taking them. 
-.
-You should not go to work until after you have been cleared by 
-someone in the neurology department or your PCP next week.
-.
-Please call your PCP or go to the hospital if you experience 
-worsening abdominal pain, worsening diarrhea, or increases 
-seizures. 
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, abdominal pain {Abdominal pain}, CT scan was done 
-of your abdomen {Computed tomography of abdomen}, diverticulitis {Diverticulitis}, treated with antibiotics {Antibiotic therapy}, IV {Intravenous therapy}, bowel rest {Nil by mouth}, abdominal pain {Abdominal pain}, diet {Dietary finding}, oral antibiotics {Oral antibiotic therapy}, Clostridium Dificile 
-infection {Infection caused by Clostridioides difficile}, oral {Administration of drug or medicament via oral route}, spoked to a nutritionist {Seen by hospital-based dietitian}, Diverticulosis {Diverticulosis of large intestine}, diet {Dietary finding}, diet {Dietary finding}, epilepsy {Epilepsy}, regimen {Therapeutic regimen}, PCP {Primary care management}, PCP {Primary care management}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, seizures {Seizure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-gunshot wound to abdomen
- 
-Major Surgical or Invasive Procedure:
-Exploratory laparotomy and repair of gunshot wound to the 
-stomach and jejunum.
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, gunshot wound {Gunshot wound}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Exploratory laparotomy {Exploratory laparotomy}, repair {Surgical repair}, gunshot wound {Gunshot wound}, stomach {Repair of stomach}, jejunum {Repair of duodenum}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Recharge is a ___ year old male who was medflighted from scene to 
-___ after sustaining a single small caliber gunshot wound to 
-his LLQ.  He was taken emergently to the OR.  
-
-He lives in ___, but along with his mother, was visiting his 
-two sisters in ___.  The night of the incident, the pt was 
-with his cousins, + ETOH, ___ was ___ in the ER, when his group 
-was approached by several men.  He heard a shot and the next 
-thing he remembers was being in the helicopter.  
- 
-
-###RESPONSE: gunshot wound {Gunshot wound}, LLQ {Structure of left lower quadrant of abdomen}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Laparoscopic appendectomy
- 
-
-###RESPONSE: Laparoscopic appendectomy {Laparoscopic appendectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PE: Temp: 97.8F   HR 88  BP 108/80  RR 16  O2 Sat 97%RA
-Gen: NAD
-HEENT: PERRL, EOMI, sclera anicteric
-CV: RRR
-Pulm: Moving air well, some occas coarse breath sounds at left 
-base
-Abd: soft, incision clead, dry, intact. Staples in place.  
-Ext: 2+pulses throughout, no c/ce
-
- 
-
-###RESPONSE: PE {General examination of patient}, Temp {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, sclera anicteric {White sclera}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, Pulm {Examination of respiratory system}, left 
-base {Structure of base of left lung}, Abd {Examination of abdomen}, soft {Abdomen soft}, incision {Surgical incision wound}, Ext {Examination of limb}, 2+pulses {Peripheral pulses normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 12:48AM BLOOD WBC-13.0* RBC-4.28* Hgb-12.5* Hct-36.9* 
-MCV-86 MCH-29.1 MCHC-33.8 RDW-13.7 Plt ___
-___ 03:45AM BLOOD WBC-19.0* RBC-4.00* Hgb-11.6* Hct-34.9* 
-MCV-87 MCH-29.1 MCHC-33.3 RDW-13.9 Plt ___
-___ 08:11AM BLOOD Hct-33.1*
-___ 06:02AM BLOOD WBC-15.7* RBC-4.22* Hgb-12.4* Hct-36.3* 
-MCV-86 MCH-29.3 MCHC-34.2 RDW-13.4 Plt ___
-___ 07:01PM BLOOD WBC-16.9* RBC-3.97* Hgb-11.9* Hct-34.5* 
-MCV-87 MCH-29.8 MCHC-34.4 RDW-13.6 Plt ___
-___ 06:05AM BLOOD WBC-13.6* RBC-3.76* Hgb-11.1* Hct-32.7* 
-MCV-87 MCH-29.6 MCHC-34.1 RDW-13.6 Plt ___
-___ 06:50AM BLOOD WBC-10.2 RBC-3.62* Hgb-10.5* Hct-31.3* 
-MCV-87 MCH-29.0 MCHC-33.5 RDW-13.3 Plt ___
-___ 03:45AM BLOOD ___ PTT-29.0 ___
-___ 12:48AM BLOOD Glucose-117* UreaN-12 Creat-0.8 Na-146* 
-K-3.0* Cl-108 HCO3-22 AnGap-19
-___ 07:35PM BLOOD Glucose-128* UreaN-12 Creat-0.8 Na-137 
-K-3.8 Cl-101 HCO3-27 AnGap-13
-___ 03:45AM BLOOD Calcium-8.9 Phos-5.2* Mg-1.5
-___ 07:35PM BLOOD Calcium-8.8 Phos-2.6* Mg-2.0
-___ 12:48AM BLOOD ASA-NEG Ethanol-67* Acetmnp-NEG 
-Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Hct {Hematocrit determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The pt was medflighted from the scene and was taken emergently 
-to the operating room, discovering a GSW through stomach and 
-into jejunum, with injury to the transverse mesocolon, jejunum 
-distal to ligament of treitz as well as a retroperitoneal 
-hematoma
-
-anterior and posterior gastrostomy and jejunostomy.  These were 
-repaired primarily.  He was also noted to have a small 
-retroperitoneal hematoma.  Postoperatively, he did well and was 
-transferred to the floor from the trauma ICU on POD 1.   
-
-On a CT scan with contrast done to locate the bullet he was 
-noted to have an 8 x 10mm left renal pseudoaneurysm.  He was 
-seen by vascular surgery, but no intervention was required.  
-
-Complicating the pt's stay was the development of fevers and 
-left lobe consolidation thought to be secondary to aspiration 
-pneumonia.  He was started a 10 day course of levaquin.  By time 
-of discharge, he was afebrile, tolerating a regular diet, pain 
-was controlled with po pain medicine, and able to ambulate.  He 
-was discharged home to his sister's house.  He will follow up in 
-the trauma clinic but will most likely return to ___ after 
-that.  
-
-Several staples were removed prior to discharge.  The incision 
-was clean, dry, and intact without signs of infection.  
- 
-
-###RESPONSE: GSW {Gunshot wound}, stomach {Stomach structure}, jejunum {Jejunal structure}, injury {Traumatic or non-traumatic injury}, transverse mesocolon {Structure of transverse mesocolon}, jejunum {Jejunal structure}, ligament of treitz {Structure of suspensory muscle of duodenum}, retroperitoneal 
-hematoma {Retroperitoneal hematoma}, gastrostomy {Repair of stomach}, jejunostomy {Repair of jejunostomy}, repaired {Surgical repair}, retroperitoneal hematoma {Retroperitoneal hematoma}, CT scan {Computed tomography of abdomen}, left renal {Vascular structure of left kidney}, pseudoaneurysm {Pseudoaneurysm}, fevers {Fever}, left lobe {Left lung structure}, consolidation {Consolidation}, aspiration 
-pneumonia {Aspiration pneumonia}, regular diet {Normal diet}, pain {Chest pain}, pain {Chest pain}, able to ambulate {Able to walk}, follow up {Follow-up arranged}, uma clinic {Outpatient care management}, incision {Surgical incision wound}, signs {Sign}, infection {Postoperative wound infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-None
- 
-Discharge Medications:
-1. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day.
-Disp:*60 Capsule(s)* Refills:*0*
-2. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed for constipation.
-Disp:*60 Tablet(s)* Refills:*0*
-3. Famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).
-Disp:*60 Tablet(s)* Refills:*0*
-4. Oxycodone-Acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q4H (every 4 hours) as needed for pain.
-Disp:*25 Tablet(s)* Refills:*0*
-5. Levaquin 750 mg Tablet Sig: One (1) Tablet PO once a day for 
-6 days.
-Disp:*6 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Gunshot wound to abdomen
-Pneumonia
-
- 
-Discharge Condition:
-Stable, afebrile, tolerating a regular diet
-
- 
-
-###RESPONSE: Gunshot wound {Gunshot wound}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Pneumonia {Pneumonia}, Stable {Patient's condition stable}, regular diet {Normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital after you suffered a gunshot 
-wound to your abdomen and had emergency surgery.  While in the 
-hospital, you developed a pneumonia and you were treated with 
-antibiotics.  You will need to continue the antibiotic for 
-several days after discharge.  
-
-For pain, you can take tylenol or ibuprofen.  For severe pain, 
-you can take the prescription medication, percocet.  If you take 
-the percocet, please do not drive or drink alcohol.  Also, you 
-should not take tylenol with percocet because percocet already 
-contains tylenol.  
-
-Several of your staples were removed.  Your incision was then 
-closed with sticky tape.  You can get this wet but please do not 
-soak in a tub or pool.  The tapes will fall off on their own.  
-
-Please return call your doctor or return to the ER if you 
-develop shortness of breath, chest pain, bloody cough, nausea or 
-vomiting, fever, or other new or concerning symptoms.  
- 
-
-###RESPONSE: gunshot 
-wound {Gunshot wound}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, emergency surgery {Emergency operation}, pneumonia {Pneumonia}, antibiotics {Antibiotic therapy}, antibiotic {Antibiotic therapy}, pain {Pain}, severe pain {Severe pain}, incision {Surgical incision wound}, shortness of breath {Dyspnea}, chest pain {Chest pain}, bloody cough {Hemoptysis}, nausea {Nausea}, vomiting {Vomiting}, fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins
- 
-Attending: ___.
- 
-Chief Complaint:
-back pain
- 
-Major Surgical or Invasive Procedure:
-ALIF L4-L5
-Posterior L4-L5 laminectomy and fusion and removal ___ 
-rod
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, back pain {Backache}, ALIF {Interbody fusion of lumbar spine by anterior approach}, L4-L5 laminectomy {Excision of lamina of lumbar vertebra}, fusion {Lumbar spinal fusion}, removal {Removal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ presented to Dr. ___ office with complaints of 
-worsening back and leg pain. After review of the patients 
-history and physical examination in the office, as well as 
-radiographic studies, it was determined they would be a good 
-candidate for anterior and posterior L4-L5 fusion and removal of 
-___ rod. The patient was in agreement with the plan and 
-consent was obtained and signed.
- 
-
-###RESPONSE: back {Backache}, leg pain {Pain in lower limb}, history and physical examination {History AND physical examination}, radiographic studies {Imaging}, fusion {Lumbar spinal fusion}, removal {Removal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-asthma, allergies
-GI problems
-depression
-OCD/PTSD/bipolar disorder
-pneumonia, migraines, chickenpox
-arthritis
-hemorrhoids
-psoriasis
-
-PSH: thoracic fusion in ___, three neck surgeries, 
-hysterectomy, C-section, bladder sling, polyps removed
- 
-
-###RESPONSE: asthma {Asthma}, GI {Structure of digestive system}, depression {Depressive disorder}, OCD {Obsessive-compulsive disorder}, PTSD {Posttraumatic stress disorder}, bipolar disorder {Bipolar disorder}, pneumonia {Pneumonia}, migraines {Migraine}, chickenpox {Varicella}, arthritis {Arthritis}, hemorrhoids {Hemorrhoids}, psoriasis {Psoriasis}, thoracic fusion {Fusion of thoracic spine}, neck {Neck pain}, surgeries {Surgical procedure}, hysterectomy {Hysterectomy}, C-section {Cesarean section}, bladder sling {Repair of stress incontinence by suprapubic sling}, polyps removed {Resection of polyp}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-cancer, diabetes, neurologic disease, skin disease, blood 
-disorders, arthritis, hypertension
- 
-
-###RESPONSE: cancer {Malignant neoplasm}, diabetes {Diabetes mellitus}, neurologic disease {Disorder of nervous system}, skin disease {Disorder of skin}, disorders {Disease}, arthritis {Arthritis}, hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On examination the patient is well developed, well nourished, 
-A&O x3 in NAD. AVSS.
-Range of motion of the lumbar spine is somewhat limited on 
-flexion, extension and lateral bending due to pain.
-Ambulating well with the assistance of a walker and ___, with 
-brace for support.
-Gross motor examination reveals good strength throughout the 
-bilateral lower extremities.
-There is no clonus present. 
-Sensation is intact throughout all affected dermatomes.
-The thoracolumbar incision is clean, dry and intact without 
-erythema, edema or drainage.
-The patient is voiding well without a foley catheter.
-
- 
-
-###RESPONSE: well nourished {Well nourished}, A {Mentally alert}, O x3 {Oriented to person, time and place}, NAD {No abnormality detected}, AVSS {Vital signs finding}, lumbar spine {Structure of lumbar vertebral column}, limited on 
-flexion, extension and lateral bending {Limitation of joint movement}, pain {Pain}, support {Support}, lower extremities {Lower limb structure}, clonus {Clonus}, Sensation {Normal sensation}, affect {Mood finding}, dermatomes {Dermatome}, thoracolumbar {Structure of thoracic and/or lumbar region of back}, incision {Surgical incision wound}, erythema {Erythema}, edema {Edema}, drainage {Discharge}, voiding {Normal micturition}, foley {Catheterization of urinary bladder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:24AM BLOOD WBC-6.3 RBC-3.22* Hgb-9.3* Hct-29.5* 
-MCV-92 MCH-28.9 MCHC-31.5* RDW-12.5 RDWSD-41.8 Plt ___
-___ 06:24AM BLOOD Glucose-116* UreaN-6 Creat-0.5 Na-138 
-K-4.2 Cl-96 HCO___-34* AnGap-12
-___ 06:24AM BLOOD Calcium-8.4 Phos-4.7* Mg-2.___riefly, ___ was admitted to the ___ Spine Surgery 
-Service on ___ and taken to the Operating Room for an 
-anterior lumbar interbody fusion L4-L5 through an anterior 
-approach. Please refer to the dictated operative note for 
-further details. The surgery was performed without complication, 
-the patient tolerated the procedure well and was transferred to 
-the PACU in a stable condition. TEDs/pnemoboots were used for 
-postoperative DVT prophylaxis. Intravenous antibiotics were 
-given per standard protocol. Initial postop pain was controlled 
-with a dilaudid PCA. The patient remained NPO. On HD#2, she 
-returned to the operating room for a posterior L4-L5 laminectomy 
-and fusion and ___ rod removal scheduled as part of a 
-staged 2-part procedure. Please refer to the dictated operative 
-note for further details. The second surgery was also without 
-complication and the patient was transferred to the PACU in a 
-stable condition. Postoperative labs were grossly stable. The 
-patient remained NPO until bowel function returned, then diet 
-was advanced as tolerated. The patient was transitioned to oral 
-pain medication when tolerating PO diet. Foley was removed on 
-POD#2 from the second procedure, and the patient was able to 
-void. A hemovac drain that was placed at the time of surgery was 
-also removed on POD#2. A brace was fitted for comfort and 
-support. She received 2 units of pRBCs due to acute 
-post-operative blood loss anemia. Physical therapy was consulted 
-for mobilization OOB to ambulate. Hospital course was otherwise 
-unremarkable. On the day of discharge the patient was afebrile 
-with stable vital signs, comfortable on oral pain control and 
-tolerating a regular diet.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, anterior lumbar interbody fusion {Interbody fusion of lumbar spine by anterior approach}, surgery {Surgical procedure}, procedure {Surgical procedure}, stable {Patient's condition stable}, DVT prophylaxis {Prevention of deep vein thrombosis}, Intravenous antibiotics {Intravenous antibiotic therapy}, postop pain {Postoperative pain}, PCA {Patient controlled analgesia}, remained NPO {On nothing by mouth status}, laminectomy {Excision of lamina of vertebra}, fusion {Lumbar spinal fusion}, removal {Removal}, procedure {Surgical procedure}, surgery {Surgical procedure}, stable {Patient's condition stable}, stable {Patient's condition stable}, remained NPO {On nothing by mouth status}, bowel {Intestinal structure}, oral {Administration of drug or medicament via oral route}, pain medication {Administration of analgesic}, Foley was removed {Removal of urinary bladder catheter}, able to 
-void {Normal micturition}, removed {Removal of drain}, support {Support}, blood loss anemia {Anemia due to blood loss}, mobilization {Mobilization}, unremarkable {No abnormality detected}, stable {Patient's condition stable}, pain control {Pain control}, tolerating a regular diet {Tolerating normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. dextroamphetamine-amphetamine 15 mg oral QAM 
-2. Amphetamine-Dextroamphetamine XR 30 mg PO DAILY 
-3. Gabapentin 300 mg PO TID 
-4. Diazepam 10 mg PO Q8H:PRN muscle spasm 
-5. Senna 8.6 mg PO BID:PRN constipation 
-6. Morphine SR (MS ___ 30 mg PO Q12H 
-7. OxyCODONE (Immediate Release) 15 mg PO Q6H 
-8. mometasone 220 mcg (14 doses) inhalation DAILY 
-9. Ibuprofen 800 mg PO Q8H:PRN Pain - Mild 
-10. Omeprazole 20 mg PO BID 
-11. Albuterol Sulfate (Extended Release) Dose is Unknown  PO 
-Frequency is Unknown 
-12. Albuterol Inhaler ___ PUFF IH Q6H:PRN wheeze, sob 
-13. Vitamin D ___ UNIT PO DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 325-650 mg PO Q6H:PRN Pain - Mild/Fever  
-2.  Docusate Sodium 100 mg PO BID 
-RX *docusate sodium 100 mg 1 capsule(s) by mouth twice a day 
-Disp #*60 Capsule Refills:*0 
-3.  Albuterol Sulfate (Extended Release) 4 mg PO Q12H  
-4.  Diazepam 5 mg PO Q6H:PRN spasm 
-RX *diazepam 5 mg 1 tab by mouth every six (6) hours Disp #*90 
-Tablet Refills:*0 
-5.  Morphine SR (MS ___ 60 mg PO Q12H 
-RX *morphine [MS ___ 60 mg 1 tablet(s) by mouth every twelve 
-(12) hours Disp #*60 Tablet Refills:*0 
-6.  OxyCODONE (Immediate Release) 15 mg PO Q3H:PRN Pain - 
-Moderate 
-RX *oxycodone 15 mg 1 tablet(s) by mouth q3h Disp #*112 Tablet 
-Refills:*0 
-7.  Albuterol Inhaler ___ PUFF IH Q6H:PRN wheeze, sob  
-8.  Amphetamine-Dextroamphetamine XR 30 mg PO DAILY  
-9.  dextroamphetamine-amphetamine 15 mg oral QAM  
-10.  Gabapentin 300 mg PO TID 
-RX *gabapentin [Neurontin] 300 mg 1 capsule(s) by mouth three 
-times a day Disp #*90 Capsule Refills:*0 
-11.  mometasone 220 mcg (14 doses) inhalation DAILY  
-12.  Omeprazole 20 mg PO BID  
-13.  Senna 8.6 mg PO BID:PRN constipation 
-RX *sennosides [senna] 8.6 mg 1 tab by mouth twice a day Disp 
-#*60 Tablet Refills:*0 
-14.  Vitamin D ___ UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Lumbar spondylosis, scoliosis, and disk degeneration.
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Lumbar spondylosis {Lumbar spondylosis}, scoliosis {Scoliosis deformity of spine}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-ACTIVITY: DO NOT lift anything greater than 10 lbs for 2 weeks. 
-
-___ times a day you should go for a walk for ___ minutes as 
-part of your recovery. You can walk as much as you can tolerate. 
-
-You will be more comfortable if you do not sit or stand more 
-than ~45 minutes without changing positions.
-
-BRACE: You have been given a brace. This brace should be worn 
-for comfort when you are walking. You may take it off when 
-sitting in a chair or while lying in bed.
-
-WOUND: Remove the external dressing in 2 days. If your incision 
-is draining, cover it with a new dry sterile dressing. If it is 
-dry then you may leave the incision open to air. Once the 
-incision is completely dry, (usually ___ days after the 
-operation) you may shower. Do not soak the incision in a bath or 
-pool until fully healed. If the incision starts draining at any 
-time after surgery, cover it with a sterile dressing. Please 
-call the office. 
-Please call the office if you have a fever>101.5 degrees 
-Fahrenheit and/or drainage from your wound.
-
-MEDICATIONS: You should resume taking your normal home 
-medications. Refrain from NSAIDs immediately post operatively.
-
-You have also been given Additional Medications to control your 
-post-operative pain. Please allow our office 72 hours for refill 
-of narcotic prescriptions. Please plan ahead. You can either 
-have them mailed to your home or pick them up at ___ 
-___, ___. We are not able 
-to call or fax narcotic prescriptions to your pharmacy. In 
-addition, per practice policy, we only prescribe pain 
-medications for 6 months from the date of surgery.
- 
-
-###RESPONSE: walk {Does walk}, walk as much as you can tolerate {Education about increasing activity tolerance}, sit {Does sit}, stand {Does stand}, walking {Does walk}, sitting {Sitting position}, lying in bed {Lying in bed}, WOUND {Wound treatment education}, incision {Surgical incision wound}, draining {Wound discharge}, new dry sterile dressing {Change of dressing}, incision {Surgical incision wound}, incision {Surgical incision wound}, incision {Surgical incision wound}, incision {Surgical incision wound}, draining {Wound discharge}, sterile dressing {Application of dressing, sterile}, fever {Fever}, drainage from your wound {Wound discharge}, post-operative pain {Postoperative pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics) / Ceftin / Biaxin
- 
-Attending: ___.
- 
-Chief Complaint:
-Obesity
- 
-Major Surgical or Invasive Procedure:
-___: Laparoscopic Roux-en-Y Bypass
-
- 
-
-###RESPONSE: Sulfa {Allergy to sulfonamide}, Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, Ceftin {Allergy to cephalosporin}, Biaxin {Allergy to clarithromycin}, Obesity {Obesity}, Laparoscopic {Laparoscopic procedure}, Roux-en-Y Bypass {Roux-en-Y gastrojejunostomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Per Dr. ___
-
-___ is a ___ female referred for evaluation
-of gastric restrictive surgery in the treatment and management 
-of
-morbid obesity by her primary care physician ___ in
-___.  ___ was seen and evaluated in our ___ clinic initially ___ and
-___ with follow-up sessions on ___ and ___.  
-
-___ has class II severe obesity with weight of 233.9 pounds as
-of ___.  Her initial screen weight on ___ was 232.8 
-pounds
-with her highest weight in this time period as 236.1 pounds on
-___.  Her height is 65.5 inches and her BMI is 39.2.  Her
-previous weight loss efforts have included Weight Watchers, 
-___, Nutrisystem, the Grapefruit Diet, self-initiated diets 
-and
-exercise.  She has not taken prescription weight loss 
-medications
-or used over-the-counter ephedra-containing appetite
-suppressants/herbal supplements.  She has been able to lose up 
-to
-22 pounds but her weight loss attempts have failed to produce
-lasting results.  She stated that her lowest adult weight was 
-150
-pounds at the age of ___ and her highest weight was 236.1 pounds
-on ___ and she weighed 236 pounds ___ years ago when weighed at
-the ___.  She stated that she has been
-struggling with weight since the birth of her daughter and cites
-as factors contributing to her excess weight large portions,
-convenience eating, emotional eating, inconsistent meal pattern
-and lack of exercise.  Her current physical activity is walking
-her dog for 15 minutes ___ times a day at a slow pace.  She
-denied history of eating disorders - no anorexia, bulimia,
-diuretic or laxative abuse and she denied binge eating.  She 
-does
-have a diagnosis of depression and has been followed by a
-therapist as well as a psychopharmacologist.  She was
-hospitalized for depression in ___ and she is on several
-psychotropic medications (buspirone, duloxetine).
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, f gastric restrictive surgery {Operation on stomach}, morbid obesity {Morbid obesity}, primary care {Primary care management}, evaluated {Evaluation procedure}, clinic {Outpatient care management}, severe obesity {Severe obesity}, weight {Weight finding}, weight {Weight finding}, weight {Weight finding}, height {Height / growth finding}, BMI {Finding of body mass index}, weight loss {Weight loss}, Weight Watchers {Weight maintenance consultation}, Nutrisystem {Weight maintenance consultation}, Grapefruit Diet {Patient-initiated diet}, self-initiated diets {Patient-initiated diet}, exercise {Exercises}, prescription {Prescription of drug}, weight loss {Weight loss}, weight loss {Weight loss}, weight {Weight finding}, weight {Weight finding}, struggling with weight {Weight maintenance regimen}, birth {Mother delivered}, excess weight {Excessive weight gain}, large portions {Excessive eating}, inconsistent meal pattern {Irregular meal times}, lack of exercise {Lack of exercise}, activity {Finding of functional performance and activity}, walking {Does walk}, eating disorders {Eating disorder}, anorexia {Loss of appetite}, bulimia {Bulimia nervosa}, diuretic {Abuse of diuretics}, laxative abuse {Abuse of laxatives}, binge eating {Binge eating behavior}, depression {Depressive disorder}, depression {Depressive disorder}, psychotropic medications {On psychotropic medication}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Her medical history is noteworthy for:
-
-1)  hypertension
-2)  type 2 diabetes with hemoglobin A1c of 8.8% on ___ at 
-    ___ (previous A1c was very high at 9.2%)
-3)  hyperlipidemia with elevated triglycerides
-4)  gastroesophageal reflux
-5)  osteoarthritis of the hand joints
-6)  history of paroxysmal supraventricular tachycardia
-7)  carotid artery stenosis (moderate 50% blockage)
-8)  chronic sinusitis
-9)  history of hiatal hernia
-10) hepatic steatosis by ultrasound
-11) question of thyromegaly
-
-Her surgical history is significant for:
-
-1)  left breast biopsy that was benign
-2)  cataract surgery
-3)  tubal ligation
-4)  tonsillectomy
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, type 2 diabetes {Diabetes mellitus type 2}, hemoglobin A1c {Hemoglobin A1c measurement}, hyperlipidemia {Hyperlipidemia}, elevated triglycerides {Serum triglycerides above reference range}, gastroesophageal reflux {Gastroesophageal reflux disease}, osteoarthritis of the hand joints {Degenerative joint disease of hand}, paroxysmal supraventricular tachycardia {Paroxysmal supraventricular tachycardia}, carotid artery stenosis {Carotid artery stenosis}, chronic sinusitis {Chronic sinusitis}, hiatal hernia {Hiatal hernia}, hepatic steatosis {Steatosis of liver}, ultrasound {Ultrasonography of liver}, thyromegaly {Goiter}, left breast {Left breast structure}, cataract surgery {Cataract surgery}, tubal ligation {Ligation of fallopian tube}, tonsillectomy {Tonsillectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Her family history is
-noted for father deceased age ___ of ___; mother living age ___ and
-history of atrial fibrillation, colon cancer and arthritis;
-brother deceased age ___ of ___, diabetes and obesity; another
-brother living age ___ with diabetes and carotid stenosis s/p
-carotid endarterectomy; sister living age ___ with history of
-breast CA and thyroid disease. 
- 
-
-###RESPONSE: deceased {Dead}, atrial fibrillation {Atrial fibrillation}, colon cancer {Malignant neoplasm of colon}, arthritis {Arthritis}, deceased {Dead}, diabetes {Diabetes mellitus}, obesity {Obesity}, diabetes {Diabetes mellitus}, carotid stenosis {Carotid artery stenosis}, carotid endarterectomy {Carotid endarterectomy}, breast CA {Malignant neoplasm of breast}, thyroid disease {Disorder of thyroid gland}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Gen: Well appearing female in no acute distress
-CV: Regular rate and rhythm, No M/T/H
-Lungs: CTA b/l
-Abdomen: Soft NT/ND, Incisions clean dry and intact
-Extremeties: No edema, peripheral pulses strong and intact
- 
-
-###RESPONSE: Gen {General examination of patient}, Well appearing {Well cared for appearance}, no acute {No abnormality detected}, distress {Distress}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, Lungs {Examination of respiratory system}, CTA {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Incisions {Surgical incision wound}, clean dry and intact {Wound healing well}, Extremeties {Examination of limb}, edema {Edema}, peripheral pulses strong and intact {Peripheral pulses normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Labs after admission:
-___ 04:15PM BLOOD Glucose-156* UreaN-16 Creat-0.9 Na-139 
-K-4.8 Cl-106 HCO3-26 AnGap-12
-___ 04:15PM BLOOD Calcium-8.7 Phos-4.0 Mg-2.0
-___ 08:00AM BLOOD WBC-12.7* RBC-3.85* Hgb-11.8* Hct-36.2 
-MCV-94 MCH-30.8 MCHC-32.7 RDW-12.9 Plt ___
-___ 07:56AM BLOOD Type-ART FiO2-70 pO2-83* pCO2-57* 
-pH-7.31* calTCO2-30 Base XS-0 Intubat-NOT INTUBA Comment-SIMPLE 
-FAC
-___ 09:02AM BLOOD ___ PTT-29.3 ___
-
-Labs prior to discharge:
-___ 07:30AM BLOOD WBC-10.1 RBC-3.63* Hgb-11.1* Hct-34.5* 
-MCV-95 MCH-30.5 MCHC-32.1 RDW-13.0 Plt ___
-___ 07:30AM BLOOD Glucose-194* UreaN-9 Creat-0.7 Na-139 
-K-4.2 Cl-100 HCO3-27 AnGap-16
-___ 07:30AM BLOOD Calcium-9.0 Phos-2.1* Mg-1.9
-
-Imaging:
-___ CTA chest, abd, pelvis: 
-1. No pulmonary embolism. 
-2. Ground-glass opacity in the lung apices with diffuse, 
-predominantly 
-central, ground-glass nodules in both lungs, concerning for 
-early 
-bronchopneumonia.  This patient requires a followup chest CT as 
-an outpatient 
-to demonstrate resolution of these nodules after treatment. 
-3. Small bilateral pleural effusions and bibasilar atelectasis. 
-4. No evidence of bowel obstruction or anastomotic leak. 
-
-___  BAS/UGI AIR/SBFT:
-Normal postoperative appearance of the stomach and 
-gastroesophageal junction without obstruction or leak. 
-
- 
-
-###RESPONSE: Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CTA chest, abd, pelvis {Computed tomography angiography of thorax and abdomen and pelvis with contrast}, pulmonary embolism {Pulmonary embolism}, Ground-glass opacity {Ground glass lung opacity}, lung apices {Structure of apex of lung}, ground-glass {Ground glass lung opacity}, nodules in both lungs {Nodule of lung}, bronchopneumonia {Bronchopneumonia}, followup {Follow-up consultation}, chest CT {Computed tomography of chest}, resolution {Problem resolved}, nodules {Nodule of lung}, bilateral pleural effusions {Bilateral pleural effusion}, bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, No evidence {No abnormality detected}, bowel obstruction {Intestinal obstruction}, anastomotic leak {Gastrointestinal anastomotic leak}, Normal {No abnormality detected}, postoperative {Postoperative state}, stomach {Stomach structure}, gastroesophageal junction {Cardioesophageal junction structure}, obstruction {Obstruction}, leak {Anastomosis, leaking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to pre-op on ___. Pt was 
-evaluated by anaesthesia and taken to the operating room for 
-laparoscopic Roux-en-Y gastric bypass. There were no adverse 
-events in the operating room; please see the operative note for 
-details. Pt was extubated, taken to the PACU until stable. She 
-was then transferred to ___ 9. On POD #1, Patient had an acute 
-desaturation requiring 70 percent o2 via face mask and was 
-transferred to TSICU. A chest X-ray showed low lung vol, 
-moderate cardiomegaly, signs of mild fluid overload. A CT/CTA 
-was done which ruled out pulmonary embolism but showed b/l 
-pleural eff, apical findings concerning for bronchopneumonia. 
-The patient was managed with a combination of O2 via facemask, 
-chest ___, duonebs, and encouragement of Incentive spirometry. 
-She soon reduced her O2 requirements to 2L via nasal cannula and 
-was stable enough to be transferred out of the TSICU. Since that 
-point she resumed the ___ bariatric gastric bypass pathway. 
-
-Neuro: The patient was alert and oriented throughout 
-hospitalization; pain was initially managed with a PCA and then 
-transitioned to oral Roxicet once tolerating a stage 2 diet. 
-CV: The patient remained stable from a cardiovascular 
-standpoint; vital signs were routinely monitored.
-Pulmonary: The patient remained stable thereafter from a 
-pulmonary standpoint; vital signs were routinely monitored. Good 
-pulmonary toilet, early ambulation and incentive spirometry were 
-encouraged throughout hospitalization. 
-GI/GU/FEN: The patient was initially kept NPO.  An upper GI 
-study (POD1) were both negative for a leak, therefore, the diet 
-was advanced sequentially to a Bariatric Stage 3 diet, which was 
-well tolerated. Patient's intake and output were closely 
-monitored.  JP output remained serosanguinous throughout 
-admission; the drain was removed prior to discharge. Her insulin 
-regimen was adjusted to reflect her lower postoperative blood 
-glucose levels.
-ID: The patient's fever curves were closely watched for signs of 
-infection, of which there were none.
-HEME: The patient's blood counts were closely watched for signs 
-of bleeding, of which there were none.
-Prophylaxis: The patient received subcutaneous heparin and ___ 
-dyne boots were used during this stay and was encouraged to get 
-up and ambulate as early as possible.
-
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs.  The patient was tolerating a stage 3 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled.  The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
-
- 
-
-###RESPONSE: anaesthesia {Anesthesia consultation}, laparoscopic {Laparoscopic procedure}, Roux-en-Y gastric bypass {Roux-en-Y gastrojejunostomy}, operative {Surgical procedure}, extubated {Removal of endotracheal tube}, PACU {Postanesthesia care}, stable {Patient's condition stable}, desaturation {Oxygen saturation below reference range}, o2 via face mask {Oxygen administration by mask}, transferred to TSICU {Patient transfer to intensive care unit}, chest X-ray {Plain chest X-ray}, lung {Lung structure}, cardiomegaly {Cardiomegaly}, signs {Sign}, fluid overload {Hypervolemia}, CT {Computed tomography of chest}, CTA {Computed tomography angiography of chest with contrast}, pulmonary embolism {Pulmonary embolism}, b/l 
-pleural eff {Bilateral pleural effusion}, apical {Structure of apex of lung}, bronchopneumonia {Bronchopneumonia}, O2 via facemask {Oxygen administration by mask}, chest {Thoracic structure}, Incentive spirometry {Incentive spirometry}, nasal cannula {Oxygen administration by nasal cannula}, stable {Patient's condition stable}, bariatric {Bariatric operative procedure}, gastric bypass {Bypass of stomach}, pathway {Care regime}, Neuro {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, pain {Pain}, PCA {Patient controlled analgesia}, oral {Administration of drug or medicament via oral route}, tolerating {Tolerating diet}, CV {Cardiovascular physical examination}, stable {Patient's condition stable}, cardiovascular {Cardiovascular physical examination}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, stable {Patient's condition stable}, pulmonary {Examination of respiratory system}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Good {Good therapeutic response}, pulmonary toilet {Airway toilet}, ambulation {Ambulation training}, incentive spirometry {Incentive spirometry}, NPO {Nil by mouth}, upper GI {Upper gastrointestinal tract structure}, study {Evaluation procedure}, negative {No abnormality detected}, leak {Anastomosis, leaking}, diet 
-was advanced {Advance diet as tolerated}, Bariatric {Bariatric operative procedure}, Stage 3 diet {Dietary regime}, well tolerated {Tolerating diet}, intake and output {Measuring intake and output}, monitored {Monitoring procedure}, JP {Insertion of tube into jejunum}, output remained serosanguinous {Serosanguineous discharge from wound}, drain was removed {Removal of drain}, insulin 
-regimen {Insulin regime}, postoperative {Postoperative state}, blood 
-glucose levels {Finding of blood glucose level}, ID {Infection control procedure}, fever {Fever}, watched for signs of 
-infection {Monitoring for signs and symptoms of infection}, blood counts {Blood test}, signs {Sign}, bleeding {Bleeding}, Prophylaxis {Preventive procedure}, heparin {Heparin therapy}, ambulate {Ambulation training}, afebrile {Fever}, stable vital signs {Normal vital signs}, tolerating a stage 3 
-diet {Tolerating diet}, ambulating {Fully mobile}, voiding {Micturition finding}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}, follow-up {Follow-up arranged}, instructions {Patient education}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. BusPIRone 15 mg PO DAILY 
-2. Duloxetine 30 mg PO DAILY 
-3. Fexofenadine 180 mg PO DAILY 
-4. Lansoprazole Oral Disintegrating Tab 30 mg PO BID 
-5. Lisinopril 10 mg PO DAILY 
-6. Metoprolol Tartrate 25 mg PO DAILY 
-7. Rosuvastatin Calcium 20 mg PO DAILY 
-8. TraZODone 50 mg PO HS 
-
- 
-Discharge Medications:
-1. OxycoDONE-Acetaminophen Elixir ___ mL PO Q4H:PRN pain 
-RX *oxycodone-acetaminophen [Roxicet] 5 mg-325 mg/5 mL ___ ml 
-by mouth every four (4) hours Refills:*0
-2. Docusate Sodium (Liquid) 100 mg PO BID 
-RX *docusate sodium 50 mg/5 mL 100 mg by mouth twice a day 
-Refills:*0
-3. Ranitidine (Liquid) 150 mg PO BID 
-RX *ranitidine HCl 15 mg/mL 150 mg by mouth twice a day 
-Refills:*3
-4. BusPIRone 15 mg PO DAILY 
-5. Duloxetine 30 mg PO DAILY 
-6. Fexofenadine 180 mg PO DAILY 
-7. Lisinopril 10 mg PO DAILY 
-8. Metoprolol Tartrate 25 mg PO DAILY 
-9. Rosuvastatin Calcium 20 mg PO DAILY 
-10. TraZODone 50 mg PO HS 
-11. Enoxaparin Sodium 30 mg SC BID Duration: 28 Days 
-Start: ___ - ___, First Dose: Next Routine Administration 
-Time 
-RX *enoxaparin 30 mg/0.3 mL 30 mg SC twice a day Disp #*56 
-Syringe Refills:*0
-12. NPH 12 Units Breakfast
-NPH 8 Units Bedtime
-Insulin SC Sliding Scale using HUM Insulin
-RX *NPH insulin human recomb [Humulin N KwikPen] 100 unit/mL (3 
-mL) 12 or 8 units SC 12 Units before BKFT; 8 Units before BED; 
-Disp #*60 Syringe Refills:*3
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Obesity
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: With Service {Home health aide service management}, Obesity {Obesity}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions: Please call your surgeon or return to 
-the emergency department if you develop a fever greater than 
-101.5, chest pain, shortness of breath, severe abdominal pain, 
-pain unrelieved by your pain medication, severe nausea or 
-vomiting, severe abdominal bloating, inability to eat or drink, 
-foul smelling or colorful drainage from your incisions, redness 
-or swelling around your incisions, or any other symptoms which 
-are concerning to you.
-
-Diet: Stay on Stage III diet until your follow up appointment. 
-Do not self advance
-diet, do not drink out of a straw or chew gum.
-
-Medication Instructions:
-Resume your home medications, CRUSH ALL PILLS.
-You will be starting some new medications:
-1.  You are being discharged on medications to treat the pain 
-from your operation. These medications will make you drowsy and 
-impair your ability to drive a motor vehicle or operate 
-machinery safely. You MUST refrain from such activities while 
-taking these medications.
-2. You should begin taking a chewable complete multivitamin with 
-minerals. No gummy vitamins.
-3. You will be taking Zantac liquid ___ mg twice daily for one 
-month. This medicine prevents gastric reflux.
-4. You should take a stool softener, Colace, twice daily for 
-constipation as needed, or until you resume a normal bowel 
-pattern.
-5. You must not use NSAIDS (non-steroidal anti-inflammatory 
-drugs) Examples are Ibuprofen, Motrin, Aleve, Nuprin and 
-Naproxen. These agents will cause bleeding and ulcers in your 
-digestive system.
-
-Activity:
-No heavy lifting of items ___ pounds for 6 weeks. You may 
-resume moderate
-exercise at your discretion, no abdominal exercises.
-
-Wound Care:
-You may shower, no tub baths or swimming. 
-If there is clear drainage from your incisions, cover with 
-clean, dry gauze. 
-Your steri-strips will fall off on their own. Please remove any 
-remaining strips ___ days after surgery.
-Please call the doctor if you have increased pain, swelling, 
-redness, or drainage from the incision sites
-
- 
-
-###RESPONSE: emergency {Emergency treatment}, fever {Fever}, chest pain {Chest pain}, shortness of breath {Dyspnea}, abdominal pain {Abdominal pain}, pain {Pain}, pain medication {Administration of analgesic}, nausea {Nausea}, vomiting {Vomiting}, abdominal bloating {Abdominal bloating}, inability to eat {Unable to eat}, drink {Unable to drink}, drainage {Wound discharge}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, swelling {Swelling}, incisions {Surgical incision wound}, Diet {Obesity diet education}, Stage III diet {Dietary regime}, medications {Administration of analgesic}, pain {Pain}, operation {Surgical procedure}, medications will make you {Patient medication education}, drowsy {Drowsy}, impair your ability to drive a motor vehicle or operate 
-machinery safely {Patient should not drive or operate machinery}, activities {Functional activity education}, while 
-taking these medications {Patient medication education}, gastric reflux {Gastric reflux}, take a stool softener {Administration of laxative}, constipation {Constipation}, a normal bowel 
-pattern {Normal bowel habits}, must not use {Patient medication education}, bleeding {Gastrointestinal hemorrhage}, ulcers in your 
-digestive system {Gastrointestinal ulcer}, No heavy lifting {Recommendation to avoid activity of daily living}, exercise {Exercises}, abdominal exercises {Abdominal exercises}, no tub baths {Recommendation to avoid activity of daily living}, drainage {Wound discharge}, incisions {Surgical incision wound}, cover with 
-clean, dry gauze {Application of dressing}, after surgery {Postoperative state}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision sites {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-n/v/d
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, n/v/d {Nausea, vomiting and diarrhea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ woman w/ PMH multiple myeloma s/p 
-chemotherapy currently undergoing GCSF injections in preparation 
-for stem cell transplant this coming ___ presenting with 1 
-week of general malaise and nausea, vomiting, diarrhea x 1 day.
-
-She has had approximately 20 episodes of nonbloody nonbilious 
-emesis as well as nonbloody watery diarrhea. She has had poor 
-p.o. intake and subjective fevers and chills with profuse 
-diaphoresis. She is currently getting treated at ___. 
-Her most recent preparation shot was earlier today. The only 
-other medical problem is anxiety and depression for which she 
-takes Ativan as needed. No significant cough dysuria or 
-hematuria. She does have some epigastric abdominal pain.
-
-Exam was significant for tachycardia, dry mucous membranes, 
-epigastric tenderness to palpation.
-
-VS significant for Tmax 99.7, HR 111, BP 135/69, RR 16, O2Sat 
-94% on RA.
-
-CXR shows: Scattered bilateral densities overlying ribs may in 
-part relate to rib lesions, new since ___, but also raise 
-concern for underlying multifocal infection. No prior for 
-comparison since ___.
-
-CT A/P showed: multiple loops of small bowel with wall edema. 
-Mild wall thickening of ascending colon, transverse colon, 
-rectum. Associated mesenteric edema and small amount of ascites 
-concerning for entero-proctocolitis. Numerous punched out lytic 
-lesions within the pelvis, imaged spine, and proximal femurs
-consistent with multiple myeloma.
-
-She received Zofran, Lorazepam, NS and LR IVF 3L total, 
-Clonazepam, Tylenol 1g, diphenhydramine 25 mg. 
-
-She reports that she started feeling malaise and nausea a week 
-ago. She started taking her GCSF shots 4 days ago. She reports 
-that she started to have worsening nausea with vomiting of NBNB 
-emesis and diarrhea, no  melena/hematochezia. She reports that 
-she is having abdominal pain but also says that she's been 
-having this for awhile and thinks this is from her multiple 
-myeloma. She had a fever this week that she measured at home. 
-She denies chest pains, SOB, cough. She denies lower extremity 
-swelling. She feels
-that all of her bones are aching and she can't get comfortable. 
-She hasn't had morphine or other narcotics all day today. 
-Doesn't feel like the Zofran is working for nausea. Feeling very 
-anxious as well.
-
-ROS: Pertinent positives and negatives as noted in the HPI.  All 
-other systems were reviewed and are negative. 
-
- 
-
-###RESPONSE: multiple myeloma {Multiple myeloma}, chemotherapy {Chemotherapy}, stem cell transplant {Allogeneic peripheral blood stem cell transplant}, malaise {Malaise}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, emesis {Vomiting}, watery {Liquid stool}, diarrhea {Diarrhea}, poor 
-p.o. intake {Inadequate oral intake}, fevers {Fever}, chills {Chill}, diaphoresis {Excessive sweating}, anxiety {Anxiety}, depression {Depressive disorder}, cough {Cough}, dysuria {Dysuria}, hematuria {Blood in urine}, epigastric abdominal pain {Epigastric pain}, tachycardia {Tachycardia}, dry mucous membranes {Mucous membrane dryness}, epigastric tenderness {Tenderness of epigastrium}, palpation {Palpation}, RA {Breathing room air}, CXR {Plain chest X-ray}, rib {Bone structure of rib}, lesions {Lesion}, infection {Infectious disease}, CT A/P {Computed tomography of abdomen and pelvis}, small bowel {Structure of small intestine}, edema {Edema}, thickening {Increased thickness}, ascending colon {Ascending colon structure}, transverse colon {Transverse colon structure}, rectum {Rectum structure}, mesenteric {Mesentery structure}, edema {Edema}, ascites {Ascites}, proctocolitis {Proctocolitis}, lytic 
-lesions {Lytic lesion of bone on X-ray}, pelvis {Structure of pelvis}, spine {Structure of vertebral column}, proximal femurs {Bone structure of proximal femur}, malaise {Malaise}, nausea {Nausea}, nausea {Nausea}, vomiting {Vomiting}, emesis {Vomiting}, diarrhea {Diarrhea}, melena {Melena}, hematochezia {Hematochezia}, abdominal pain {Abdominal pain}, multiple 
-myeloma {Multiple myeloma}, fever {Fever}, chest pains {Chest pain}, SOB {Dyspnea}, cough {Cough}, lower extremity 
-swelling {Swelling of lower limb}, aching {Aching pain}, nausea {Nausea}, anxious {Anxiety}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Multiple Myeloma
-Chronic obstructive pulmonary disease 
-Gastroesophageal reflux disease 
-Chiari malformation type I 
-Anxiety 
-PTSD (post-traumatic stress disorder) 
-Hypertensive disorder 
-Asthma 
-Colitis 
-Erosive gastritis 
-Anemia 
-Arthritis 
-Hyperlipidemia 
-Depressive disorder 
-Colon polyp 
-HYSTERECTOMY 
-ANTERIOR CRUCIATE LIGAMENT REPAIR 
-
- 
-
-###RESPONSE: Multiple Myeloma {Multiple myeloma}, Chronic obstructive pulmonary disease {Chronic obstructive lung disease}, Gastroesophageal reflux disease {Gastroesophageal reflux disease}, Chiari malformation type I {Chiari malformation type I}, Anxiety {Anxiety}, PTSD (post-traumatic stress disorder {Posttraumatic stress disorder}, Hypertensive disorder {Hypertensive disorder, systemic arterial}, Asthma {Asthma}, Colitis {Colitis}, Erosive gastritis {Erosive gastritis}, Anemia {Anemia}, Arthritis {Arthritis}, Hyperlipidemia {Hyperlipidemia}, Depressive disorder {Depressive disorder}, Colon polyp {Polyp of colon}, ANTERIOR CRUCIATE LIGAMENT REPAIR {Repair of anterior cruciate ligament of knee joint}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Reviewed and found to be not relevant to this illness/reason for 
-hospitalization.
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: 99.1 PO 150 / 84 99 16 95% Ra 
-GENERAL: alert, anxious, tearful, fidgeting, moving around in 
-bed
-a lot
-EYES: Anicteric, pupils equally round
-ENT: Ears and nose without visible erythema, masses, or trauma. 
-Oropharynx without visible lesion, erythema or exudate
-CV: Heart tachycardic, no murmur, no S3, no S4.  No JVD.
-RESP: Lungs clear to auscultation with good air movement
-bilaterally.  Breathing is non-labored
-GI: Abdomen soft, non-distended, tender to palpation over lower
-abdomen.  Bowel sounds present.  No HSM
-GU: No suprapubic fullness or tenderness to palpation
-MSK: Neck supple, moves all extremities, strength grossly full
-and symmetric bilaterally in all limbs
-SKIN: No rashes or ulcerations noted
-NEURO: Alert, oriented, face symmetric, gaze conjugate with 
-EOMI,
-speech fluent, moves all limbs, sensation to light touch grossly
-intact throughout
-PSYCH: tearful, anxious
-
-DISCHARGE EXAM: 
-Vital Signs: 98.8  127/67 98 18 96% RA
-glucose: 
-. 
-GEN: NAD, ambulating , pleasant, interactive, nervous, anxious
-EYES: PERRL, EOMI, conjunctiva clear, anicteric
-ENT: moist mucous membranes, no exudates 
-NECK: supple 
-CV: RRR s1s2 nl, no m/r/g
-PULM: CTA, no r/r/w 
-GI: normal BS, mild diffuse tenderness, no HSM  
-EXT: warm, no c/c/e
-SKIN: no rashes 
-NEURO: alert, oriented x 3, answers ? appropriately, follows 
-commands, non focal
-PSYCH: appropriate
-ACCESS: PIV
-FOLEY: absent
-
- 
-
-###RESPONSE: GENERAL {General examination of patient}, alert {Mentally alert}, anxious {Anxiety}, tearful {Crying associated with mood}, fidgeting {Fidgeting}, EYES {Ophthalmic examination and evaluation}, Anicteric {White sclera}, pupils equally round {Pupil size and shape normal}, ENT {Abdominal tenderness}, Ears {Ear structure}, nose {Nasal structure}, erythema {Erythema}, masses {Abdominal mass}, trauma {Traumatic injury}, Oropharynx {Oropharyngeal structure}, lesion {Lesion}, erythema {Erythema}, exudate {Exudate}, CV {Cardiovascular physical examination}, Heart {Cardiovascular physical examination}, tachycardic {Tachycardia}, murmur {Murmur}, no S3 {Third heart sound, S>3<, inaudible}, no S4 {Fourth heart sound, S>4<, inaudible}, JVD {Jugular venous engorgement}, RESP {Examination of respiratory system}, Lungs {Examination of respiratory system}, labored {Labored breathing}, GI {Examination of digestive system}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, tender {Abdominal tenderness}, palpation {Palpation}, lower
-abdomen {Lower abdomen structure}, Bowel sounds present {Normal bowel sounds}, HSM {Hepatosplenomegaly}, GU {Examination of genitourinary system}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, palpation {Palpation}, MSK {Musculoskeletal system physical examination}, Neck {Physical examination procedure}, supple {Normal movement of neck}, all extremities {All extremities}, SKIN {Examination of skin}, rashes {Eruption of skin}, ulcerations {Ulcer}, NEURO {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, face symmetric {Facial symmetry}, EOMI {Normal ocular motility}, speech fluent {Does speak fluently}, moves all limbs {Does move all four limbs}, sensation to light touch grossly
-intact {Normal light touch sensation}, PSYCH {Psychiatry procedure or service}, tearful {Crying associated with mood}, anxious {Anxiety}, Vital Signs {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, ambulating {Fully mobile}, anxious {Anxiety}, EYES {Ophthalmic examination and evaluation}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, conjunctiva clear {Conjunctiva normal}, anicteric {White sclera}, ENT {Abdominal tenderness}, moist mucous membranes {Moist oral mucosa}, exudates {Exudate}, NECK {Physical examination procedure}, supple {Normal movement of neck}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, s1s2 nl {Heart sounds normal}, no m/r/g {Heart sounds normal}, PULM {Examination of respiratory system}, CTA {Normal breath sounds}, GI {Examination of digestive system}, normal BS {Normal bowel sounds}, tenderness {Tenderness}, HSM {Hepatosplenomegaly}, EXT {Examination of limb}, warm {Warm skin}, SKIN {Examination of skin}, rashes {Eruption of skin}, NEURO {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, PSYCH {Psychiatry procedure or service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMIT LABS:
-WBC 54.3, Hgb 13.6, Plt 301
-INR 1.2, PTT 26
-Cr 0.7
-AlkP 173
-trop neg x 1
-phos 2.2
-lactate 2.1
-flu negative
-
-DISCHARGE LABS: 
-___ 06:25AM BLOOD WBC-4.7 RBC-3.81* Hgb-11.1* Hct-34.5 
-MCV-91 MCH-29.1 MCHC-32.2 RDW-15.9* RDWSD-52.6* Plt ___
-___ 06:25AM BLOOD Glucose-87 UreaN-5* Creat-0.5 Na-141 
-K-3.1* Cl-101 HCO3-27 AnGap-13
-___ 06:25AM BLOOD Calcium-8.3* Phos-3.7 Mg-1.8
-
-# CXR (___): Scattered bilateral densities overlying ribs may 
-in part relate to rib lesions, new since ___, but also 
-raise concern for underlying multifocal infection. No prior for 
-comparison since ___.
-
-# CT A/P (___): IMPRESSION: 1. Multiple relatively collapsed 
-loops of small bowel demonstrate wall edema.  Mild wall 
-thickening of the ascending colon and possibly the transverse 
-colon. Mild wall thickening and hyperemia of the rectum.  
-Associated mesenteric edema and small amount of ascites.  
-Findings concerning for entero-proctocolitis. 2. Numerous 
-punched-out lytic lesions within the pelvis, imaged spine, and 
-proximal femurs, consistent with multiple myeloma. 3. Anterior 
-wedge compression deformities of T12 through L2 of indeterminate 
-age, but unlikely to be acute. 
-.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CXR {Plain chest X-ray}, rib {Bone structure of rib}, lesions {Lesion}, infection {Infectious disease}, small bowel {Structure of small intestine}, edema {Edema}, thickening {Increased thickness}, ascending colon {Ascending colon structure}, transverse 
-colon {Transverse colon structure}, thickening {Increased thickness}, hyperemia {Hyperemia}, rectum {Rectum structure}, mesenteric {Mesentery structure}, edema {Edema}, ascites {Ascites}, entero {Inflammation of intestine}, proctocolitis {Proctocolitis}, lytic lesions {Lytic lesion of bone on X-ray}, pelvis {Structure of pelvis}, spine {Structure of vertebral column}, proximal femurs {Bone structure of proximal femur}, multiple myeloma {Multiple myeloma}, compression {Compression}, deformities {Deformity}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-ASSESSMENT & PLAN: ___ F h/o multiple myeloma s/p chemotherapy 
-currently undergoing GCSF injections in preparation for stem 
-cell transplant this coming ___ presenting with 1 week of 
-general malaise and nausea, vomiting, diarrhea x 1 day.
-
-ACUTE/ACTIVE PROBLEMS:
-# Fever
-# Nausea/vomiting/diarrhea: 
-# Body pain/aches
-   Ms. ___ presented with nausea/vomiting/diarrhea, fever. 
-Although severity of these symptoms reportedly increased in the 
-setting of GCSF initation (x4 days), she reports diarrhea 
-occurring even beforehand. Admit WBC was elevated 54.3, lactate 
-2.1 - but in the setting of GCSF.
-    CT A/P showed evidence of mild enteroproctocolitis. Workup 
-of her symptoms included the following: Flu: neg, Stool cdiff, 
-salmonella/shigella/campylobacter were neg, CMV VL was 
-undetectable.  Of note, CXR was negative. 
-    To evaluate whether the G-CSF may play a role in her 
-symptomology, hematology was consulted.  They felt that her 
-constellation of symptoms were not attributable to the G-CSF.  
-Although there are reports of anaphylaxis to G-CSF use - this 
-was considered unlikely.  
-    She was placed on IV Zofran, lorazepam ___, and hydrated.  On 
-the Day1 of hospitalization, her nausea/vomiting and diarrhea 
-resolved.  There were no further episodes of fever.  Due to low 
-suspicion for bacterial infection, no antibiotics were given.  
-She noted steady improvement in her symptoms with good tolerance 
-of PO solids on day of discharge.  She was reassured that she 
-should expect full recovery from a likely viral gastroenteritis. 
- . 
-  Cause of Body pain unclear.  ? side effect of the ___ as she 
-describe it as her bones that are hurting her. 
-
-# Leukocytosis:
-# MM
-  Being treated at ___. S/p XRT, chemotherapy (RVD - last 
-___.  Was planned for BMT on ___ per Partner's records. On 
-admit, with high WBC with bands likely due to the effect of 
-GCSF.  Dr. ___ staff at ___ was consulted - and it was 
-felt that harvesting and port would be have to be postponed 
-until she recoevers.  Transfer to ___ was felt not indicated.  
-Reportedly, in the future, a more supervised approach would be 
-adopted for her next Harvesting attempt.  She was continued on 
-acyclovir. 
-
-CHRONIC/STABLE PROBLEMS:
-#Anxiety
-#Depression:
-Continued on home citalopram, venlafaxine.  Ativan above as 
-needed (per ___ hasn't had a prescription since ___
-
-#HTN: continue diltiazem
-
-GENERAL/SUPPORTIVE CARE:
-# Nutrition/Hydration: regular diet
-# Functional status: ambulatory
-# Bowel Function: holding
-# Lines/Tubes/Drains: PIVs
-# Precautions: universal
-# VTE prophylaxis: SQH
-# Consulting Services: none
-# Contacts/HCP/Surrogate and Communication: son
-# Code Status/Advance Care Planning: Full Code, presumed
-# Disposition: Home without services. . 
-
-NOTE: She reports that she has run out of oxycodone (confirmed 
-on PMP).  1 day of oxycodone was provided to provide bridge for 
-her visit/contact with her PCP. 
-
- 
-
-###RESPONSE: multiple myeloma {Multiple myeloma}, chemotherapy {Chemotherapy}, stem 
-cell transplant {Allogeneic peripheral blood stem cell transplant}, malaise {Malaise}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, Fever {Fever}, Nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, pain {Pain}, nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, fever {Fever}, diarrhea {Diarrhea}, WBC was elevated {Leukocytosis}, CT A/P {Computed tomography of abdomen and pelvis}, enteroproctocolitis {Proctocolitis}, Flu {Influenza}, CXR {Plain chest X-ray}, anaphylaxis {Anaphylaxis}, nausea/vomiting and diarrhea {Nausea, vomiting and diarrhea}, fever {Fever}, bacterial infection {Bacterial infectious disease}, viral gastroenteritis {Viral gastroenteritis}, Body pain {Generalized aches and pains}, MM {Plasma cell myeloma}, XRT {X-ray beam therapy}, chemotherapy {Chemotherapy}, Anxiety
-#Depression {Mixed anxiety and depressive disorder}, HTN {Hypertensive disorder, systemic arterial}, regular diet {Normal diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Vitamin D ___ UNIT PO 1X/WEEK (___) 
-2. Diltiazem Extended-Release 240 mg PO DAILY 
-3. Venlafaxine XR 75 mg PO DAILY 
-4. Citalopram 40 mg PO DAILY 
-5. Dexamethasone 4 mg PO DAILY:PRN during radiation 
-6. OxyCODONE (Immediate Release) 10 mg PO Q4H:PRN Pain - 
-Moderate 
-7. Morphine Sulfate ___ 30 mg PO DAILY 
-8. Morphine Sulfate ___ 60 mg PO QHS 
-9. Acyclovir 400 mg PO Q8H 
-10. Senna 17.2 mg PO DAILY 
-11. Ondansetron 8 mg PO Q8H:PRN Nausea/Vomiting - First Line 
-
- 
-Discharge Medications:
-1.  Acyclovir 400 mg PO Q8H  
-2.  Citalopram 40 mg PO DAILY  
-3.  Dexamethasone 4 mg PO DAILY:PRN during radiation  
-4.  Diltiazem Extended-Release 240 mg PO DAILY  
-5.  Morphine Sulfate ___ 30 mg PO DAILY  
-6.  Morphine Sulfate ___ 60 mg PO QHS  
-7.  Ondansetron 8 mg PO Q8H:PRN Nausea/Vomiting - First Line  
-8.  OxyCODONE (Immediate Release) 10 mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone 10 mg 1 tablet(s) by mouth every four (4) hours 
-Disp #*6 Tablet Refills:*0 
-9.  Senna 17.2 mg PO DAILY  
-10.  Venlafaxine XR 75 mg PO DAILY  
-11.  Vitamin D ___ UNIT PO 1X/WEEK (___)  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Viral gastroenteritis 
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: Viral gastroenteritis {Viral gastroenteritis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear ___,
-
-   It was a pleasure looking after you.  As you may know, you 
-were admitted with abdominal pain, diarrhea, nausea and 
-vomiting.  You had multiple infection tests to evaluate for a 
-possible cause for these symptoms and the workup here did not 
-yield any positive tests (which is a good thing).  
-   CT scan of the abdomen revealed mild inflammation of the 
-intestinal tract - which can occur in setting of certain viral 
-gastroenteritis.  You were observed for several days and were 
-noted to have significant improvement in your symptoms: 
-resolution of the diarrhea and nausea and vomiting.  You should 
-continue to improve as this infection resolves.
-   Due to this episode, as you know, your schedule for cell 
-harvesting at ___ will be postponed.  
-They will continue to contact you to determine the optimal 
-follow up.
-   Your medications remain otherwise unchanged (compared to 
-prior to admission). 
-   We wish you quick recovery and good health!
-
-Your ___ Team 
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, nausea and 
-vomiting {Nausea and vomiting}, infection {Infectious disease}, CT scan of the abdomen {Computed tomography of abdomen}, mild inflammation {Mild inflammation}, intestinal tract {Intestinal structure}, viral 
-gastroenteritis {Viral gastroenteritis}, diarrhea {Diarrhea}, nausea and vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Syncope
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Syncope {Syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with history of dementia, HTN, CAD, BPH, hospitalization at 
-___ on ___ for syncope presents with witnessed syncope. Per 
-EMS, daughter was with him at ___.  
-Patient was in a chair and had LOC for a few seconds. Did not 
-hit his head.  Patient does not recall palpitations, 
-diaphoresis, lightheadedness prior to syncope.  Spoke with his 
-daughter.  She came to visit patient at ___ for lunch 
-today.  He looked ""unwell"" and somewhat confused.  He was not 
-eating his lunch.  Put food in his mouth and spit it out.  When 
-asked if he was okay, answered ""I'm just not hungry"" multiple 
-times.  Pt then looked diaphoretic, pale, and outstretched his 
-hands as if to catch himself.  He then slumped over and was 
-unarousable.  This lasted approximately 30 seconds.  When he 
-woke up, he was alert, oriented, and conversational, but did not 
-recall what happened.  Per daughter, when he was hospitalized 
-for syncope 3 weeks ago, he also had an episode with both of his 
-arms shaking followed by LOC for several minutes. Per nursing, 
-his BP was 64/40, he was diaphoretic, and confused. For EMS his 
-BP was 128/64. Finger stick in ER was 91.  He arrived with foley 
-catheter from nursing home, scant records available.  
-.
-Of note, patient was recently admitted on ___ to 
-___ for syncopal episode. During hospital stay, 
-patient had TTE which showed EF of 60%, head CT which was 
-unremarkable, Hct of 30 and Cr of 1.5.  There was a question of 
-elder abuse/social work file opened given that at patient's home 
-there were beer cans on the floor mixed with medications. 
-.
-ED course notable for: initial vitals: 98.2 55 120/56 22 97% 3L. 
-Given IV cipro for UTI. Chest x-ray negative for acute process. 
-Labs notable for UA positive for UTI, blood and urine cx sent, 
-trop <0.01, lactate 1.5 and neutrophil ___ WBC. EKG notable 
-for sinus brady, no ST changes. ED team did not reach NH or 
-family. Did NOT change foley cath. Mental Status: Pt A+Ox2 This 
-is his baseline. Lines & Drains: iv 20g r ac. Drips: cipro 400mg 
-iv running. Most Recent Vitals: 98.2, 61, 125/54,13,100ra prior 
-to transfer. 
-.  
-Review of sytems:  
-(+) Per HPI  
-(-) Denies fever, chills, night sweats, recent weight loss or 
-gain. Denies headache, sinus tenderness, rhinorrhea or 
-congestion. Denied cough, shortness of breath. Denied chest pain 
-or tightness, palpitations. Denied nausea, vomiting, diarrhea, 
-constipation or abdominal pain. No recent change in bowel or 
-bladder habits. No dysuria. Denied arthralgias or myalgias.  
-.  
- 
-
-###RESPONSE: dementia {Dementia}, HTN {Hypertensive disorder, systemic arterial}, CAD {Coronary arteriosclerosis}, BPH {Benign prostatic hyperplasia}, syncope {Syncope}, witnessed syncope {Syncope witnessed by provider of history other than subject}, LOC {Loss of consciousness}, palpitations {Palpitations}, diaphoresis {Excessive sweating}, lightheadedness {Lightheadedness}, syncope {Syncope}, confused {Clouded consciousness}, mouth {Mouth region structure}, spit {Does spit}, hungry {Hungry}, diaphoretic {Excessive sweating}, hands {Hand structure}, alert {Mentally alert}, oriented {Orientated}, syncope {Syncope}, arms {Upper limb structure}, shaking {Tremor}, LOC {Loss of consciousness}, diaphoretic {Excessive sweating}, confused {Clouded consciousness}, foley 
-catheter {Urinary catheter in situ}, syncopal {Syncope}, TTE {Transthoracic echocardiography}, head CT {Computed tomography of head}, unremarkable {No abnormality detected}, elder abuse {Victim of elder abuse}, UTI {Urinary tract infectious disease}, Chest x-ray {Plain chest X-ray}, UA {Urinalysis}, UTI {Urinary tract infectious disease}, urine cx {Urine culture}, EKG {Electrocardiographic procedure}, sinus brady {Electrocardiogram: sinus bradycardia}, ST changes {Electrocardiographic ST segment changes}, Mental Status {Neurological mental status determination}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting {Nausea and vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HTN
-hypothyroidism
-Alzheimer d
-PUD
-BPH
-total knee replacement
-s/p gastric surgery for bleeding ulcers years ago
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, hypothyroidism {Hypothyroidism}, Alzheimer {Alzheimer's disease}, PUD {Peptic ulcer}, BPH {Benign prostatic hyperplasia}, total knee replacement {Total knee replacement}, gastric {Stomach structure}, surgery {Surgical procedure}, bleeding ulcers {Bleeding ulcer}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Physical Exam on Admission:
-.
-Vitals: T 97.6  BP 150/74 P 58 RR 20 O2 100 RA  
-General: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MM somewhat dry, oropharynx clear  
-Neck: supple, JVP not elevated, no LAD  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen: soft, +BS, nontender, nondistended
-Ext: no cyanosis/edema
-Neuro: alert, oriented to self, ___, ___, able to 
-say days of the week backwards, CN II-XII intact, finger to 
-nose/heel to shin intact, ___ strength in LEs and UEs b/l, no 
-pronator drift, sensation to light touch intact throughout.
-
-Physical exam on Discharge
-Vitals: Pt remained afebrile.  His blood pressure typically ran 
-in the 110-140/70s.  Pt was initially orthostatic with a 
-systolic drop of 40 from lying to standing as well as an 
-increase in HR of >40.  After fluids, repeat orthostatics 
-revealed little change in blood pressure, but the heart rate 
-increase remained the same.
-Neck: supple, JVP not elevated, no LAD  
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops  
-Abdomen: soft, +BS, nontender, nondistended
-Ext: no cyanosis, edema
-Neuro: alert, oriented to self, ___, ___, able to 
-say days of the week backwards, CN II-XII intact, finger to 
-nose/heel to shin intact, ___ strength in LEs and UEs b/l, no 
-pronator drift, sensation to light touch intact throughout.  
-Able to ambulate on own.
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MM somewhat dry {Mucous membrane dryness}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, BS {Normal bowel sounds}, nontender {Abdominal tenderness}, Ext {Examination of limb}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, CN II-XII intact {Normal central nervous system}, finger {Finger structure}, nose {Nasal structure}, heel {Heel structure}, shin {Shin structure}, pronator drift {Downward drift of outstretched supinated arm}, sensation to light touch intact {Light touch sensation present}, Vitals {Vital signs finding}, orthostatic with a 
-systolic drop {Orthostatic hypotension}, lying {Recumbent body position}, standing {Orthostatic body position}, HR {Finding of heart rate}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, BS {Normal bowel sounds}, nontender {Abdominal tenderness}, Ext {Examination of limb}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, CN II-XII intact {Normal central nervous system}, finger {Finger structure}, nose {Nasal structure}, heel {Heel structure}, shin {Shin structure}, pronator drift {Downward drift of outstretched supinated arm}, sensation to light touch intact {Light touch sensation present}, Able to ambulate {Able to walk}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Labs on Admission:
-.
-
-___ 02:55PM   WBC-13.4* RBC-3.49* HGB-9.5* HCT-29.2* MCV-84 
-MCH-27.2 MCHC-32.4 RDW-17.8*
-___ 02:55PM   cTropnT-<0.01
-___ 02:55PM   GLUCOSE-110* UREA N-20 CREAT-1.1 SODIUM-136 
-POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-26 ANION GAP-14
-___ 05:24PM   LACTATE-1.5
-___ 03:25PM URINE  COLOR-Yellow APPEAR-Cloudy SP ___
-___ 03:25PM URINE  BLOOD-SM  NITRITE-POS PROTEIN-100 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-8.5* 
-LEUK-LG
-___ 03:25PM URINE  RBC-13* WBC-19* BACTERIA-MOD YEAST-NONE 
-EPI-<1
-___ 03:25PM URINE  3PHOSPHAT-MOD
-___ 03:25PM URINE  MUCOUS-OCC
-___ 02:55PM   GLUCOSE-110* UREA N-20 CREAT-1.1 SODIUM-136 
-POTASSIUM-4.7 CHLORIDE-101 TOTAL CO2-26 ANION GAP-14
-
-Relevant and Discharge labs:
-___ 07:50AM BLOOD WBC-7.9 RBC-3.64* Hgb-9.8* Hct-30.7* 
-MCV-84 MCH-26.8* MCHC-31.8 RDW-17.6* Plt ___
-Fill in new CMP
-
-___ 02:55PM BLOOD calTIBC-358 VitB12-1509* Folate-11.3 
-Ferritn-33 TRF-275
-___ 03:34PM URINE Blood-TR Nitrite-POS Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-0.2 pH-8.5* Leuks-LG
-___ 03:34PM URINE RBC-1 WBC-4 Bacteri-MANY Yeast-NONE Epi-0
-___ 03:34PM URINE CholesX-MANY
-___ 03:34PM URINE Hours-RANDOM UreaN-495 Creat-106 Na-66 
-K-54 Cl-67
-___ 3:25 pm URINE     Site: CATHETER
-
-Pertinent Micro:
-___ 3:25 pm URINE     Site: CATHETER
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      PROTEUS MIRABILIS.    >100,000 ORGANISMS/ML.. 
-         PRESUMPTIVE IDENTIFICATION. 
-         Piperacillin/tazobactam sensitivity testing available 
-on request. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             PROTEUS MIRABILIS
-                             |   
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--    16 I
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------   =>4 R
-GENTAMICIN------------     8 I
-MEROPENEM-------------<=0.25 S
-TOBRAMYCIN------------     2 S
-TRIMETHOPRIM/SULFA----  =>16 R
-
-Pertinent Imaging:
-___ ECG: No change from previous except for now in sinus 
-bradycardia
-___ CXR: WNL
-___  TTE: >55% LVEF w/ nL cavity size and function.  No evidence 
-of any outflow tract obstruction or aortic stenosis.  No ASD by 
-2D or color Doppler.  Mild LVH. The left atrium is elongated. 
-The right atrium is moderately dilated. No echo clues for 
-syncope.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, cTropnT {Troponin T cardiac measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, URINE CULTURE {Urine culture}, ECG {Electrocardiographic procedure}, sinus 
-bradycardia {Electrocardiogram: sinus bradycardia}, CXR {Plain chest X-ray}, TTE {Transthoracic echocardiography}, No evidence {No abnormality detected}, obstruction {Obstruction}, aortic stenosis {Aortic valve stenosis}, ASD {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, LVH {Left ventricular hypertrophy}, left atrium {Left atrial structure}, right atrium is moderately dilated {Right atrial dilatation}, syncope {Syncope}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ yo M with history of dementia, HTN, BPH, hospitalization at 
-OSH on ___ for syncope presents with another episode of 
-witnessed syncope.  Pt found to have orthostatic hypotension and 
-UTI. 
-.
-# Syncope workup: The patient's syncope workup included an 
-examination of cardiac, autonomic, and neurological causes.  
-Given the patient's preceding diaphoresis, paleness, and lack of 
-post-ictal confusion or tiredness after the event, it was 
-thought that this was a syncopal episode and not a seizure.  
-Neurology was consulted and did not think that the etiology of 
-LOC for this individual was a seizure or other neurological 
-process and did not think that EEG or MRI was necessary. 
-Notably, the patient had a recent Non contrast head CT done at 
-the OSH and this was normal with no evidence of hemmorhage, 
-ischemic stroke, infection, or masses.  The patient's vitals 
-signs were remarkable for orthostatic hypotension.  Initially, 
-the pt's SBP dropped by 40 and the HR increased by greater than 
-40 upon lying to standing.  After volume repletion, the pt's 
-blood pressures remained stable upon lying to standing, but the 
-heart rate still increased by 40.  At the rehab facility, it was 
-noted that his SBP mostly ranged in the ___ and during the time 
-of his syncope, his BP was 60/40.  Because a contributing factor 
-to his syncope was likely hypotension, we discontinued the 
-patient's tamsulosin and doxazosin after emailing the patient's 
-PCP, ___.  We found that the patient also had a UTI 
-___ his indwelling foley catheter, which likely led to poor oral 
-and fluid intake, as well as frequent urination, thereby 
-exacerbating the patient's hypotension.  However, given that the 
-patient's syncope occurred while he was sitting, it is unlikely 
-that orthostasis in and of itself caused the event.  The pt's 
-daughter does not give any history of a preceding event to 
-elicit a vasovagal response.  The patient was tested for carotid 
-hypersensitivity via massage and this was also negative.  
-Repeated TTE during his hospitalization was unremarkable.  The 
-patient was on telemetry throughout his hospital course and this 
-was only remarkable for multiple PACs as well as one episode 
-where the patient became tachycardic to about 150 which lasted 
-for approximately a minute.  Based on this rhythm strip, I was 
-unable to discern what the origin of the supraventricular 
-tachycardia was: sinus tachycardia vs AVNRT vs 2:1 Atrial 
-flutter. It was likely SVT. However, this was the only notable 
-episode of tachycardia seen on telemetry and as this occurred in 
-the middle of the night, the patient was not assessed during 
-that time.  At this point, we cannot rule out an SVT in the 
-setting of poor volume status and hypotension leading to the 
-patient's syncope. We have placed the patient on ___ 
-monitor.  If the monitor is not revealing and the patient 
-continues to have syncopal events, a workup with tilt table 
-testing, followed by EP study seems reasonable. 
-.
-# UTI: The pt was found to have a UTI in the setting of a 
-chronic indwelling foley.  The patient's foley was discontinued 
-and the patient voided well despite his history of BPH.  The 
-patient was treated with oral ciprofloxacin 500mg BID.  The 
-urine culture returned growing Proteus, which was what was 
-initially suspected based on UA the susceptibilities showed 
-adequate coverage with cephalexin. Ciprofloxacin was stopped. By 
-definition, because of the indwelling foley, the patient's UTI 
-is classified as complicated and will require another 10 days of 
-cephalexin treatment.
-.
-
-# Anemia: The patient is anemic with a hct of about 30 which is 
-similar to where he was at the OSH 2 weeks ago.  The pt had a 
-low serum iron at 16, but ferritin and TIBC were normal.  The pt 
-will likely need stool guaiac as an outpatient to evaluate for 
-any bleeding as well as consideration of ferrous sulfate and 
-consideration of addtional workup as appropriate including 
-possible colonoscopy.
-.
-# Rising Creatinine: The pt's creatinine rose from 1.1 on 
-admission to 1.3.  His FeNa was <1%.  The patient was given IV 
-fluids to treat the prerenal etiology.  The cr on afternoon of 
-admission was 1.2
-.
-# Transitional Issues: Going to ___.  Following up 
-with Dr. ___ on ___.  If the ___ 
-monitor is not revealing and the patient continues to have 
-syncopal events, a workup with tilt table testing, followed by 
-EP study seems reasonable at Dr. ___. 
-
- 
-
-###RESPONSE: dementia {Dementia}, HTN {Hypertensive disorder, systemic arterial}, BPH {Benign prostatic hyperplasia}, syncope {Syncope}, witnessed syncope {Syncope witnessed by provider of history other than subject}, orthostatic hypotension {Orthostatic hypotension}, UTI {Urinary tract infectious disease}, Syncope {Syncope}, workup {Evaluation procedure}, syncope {Syncope}, workup {Evaluation procedure}, diaphoresis {Excessive sweating}, post-ictal confusion {Postseizure confusion}, tiredness {Tired}, syncopal {Syncope}, seizure {Seizure}, Neurology was consulted {Seen by neurologist}, LOC {Loss of consciousness}, seizure {Seizure}, EEG {Electroencephalogram}, MRI {Magnetic resonance imaging of head}, Non contrast head CT {Computed tomography of head without contrast}, no evidence {No abnormality detected}, hemmorhage {Bleeding}, ischemic stroke {Ischemic stroke}, infection {Infectious disease}, masses {Mass}, orthostatic hypotension {Orthostatic hypotension}, lying {Recumbent body position}, standing {Orthostatic body position}, blood pressures remained stable {Stable blood pressure}, lying {Recumbent body position}, standing {Orthostatic body position}, syncope {Syncope}, syncope {Syncope}, hypotension {Low blood pressure}, UTI {Urinary tract infectious disease}, foley catheter {Urinary catheter in situ}, poor oral {Inadequate oral intake}, fluid intake {Finding of insufficient fluid intake}, frequent urination {Increased frequency of urination}, hypotension {Low blood pressure}, syncope {Syncope}, sitting {Sitting position}, vasovagal response {Vasovagal symptom}, TTE {Transthoracic echocardiography}, unremarkable {No abnormality detected}, telemetry {Cardiac telemetry}, PACs {Electrocardiographic atrial ectopics}, tachycardic {Tachycardia}, supraventricular 
-tachycardia {Supraventricular tachycardia}, sinus tachycardia {Sinus tachycardia}, AVNRT {Re-entrant atrioventricular node tachycardia}, Atrial 
-flutter {Atrial flutter}, SVT {Supraventricular tachycardia}, tachycardia {Tachycardia}, telemetry {Cardiac telemetry}, SVT {Supraventricular tachycardia}, hypotension {Low blood pressure}, syncope {Syncope}, syncopal {Syncope}, workup {Evaluation procedure}, tilt table 
-testing {Tilt test}, EP {Cardiac electrophysiology}, UTI {Urinary tract infectious disease}, UTI {Urinary tract infectious disease}, BPH {Benign prostatic hyperplasia}, urine culture {Urine culture}, UA {Urinalysis}, UTI {Urinary tract infectious disease}, Anemia {Anemia}, anemic {Anemia}, guaiac {Guaiac test for occult blood in feces specimen}, bleeding {Bleeding}, workup {Evaluation procedure}, colonoscopy {Colonoscopy}, Rising Creatinine {Serum creatinine above reference range}, creatinine rose {Serum creatinine above reference range}, syncopal {Syncope}, workup {Evaluation procedure}, tilt table testing {Tilt test}, EP {Cardiac electrophysiology}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Medications:  Taken from ___ discharge summary.
-atenolol 12.5 mg Tablet one Tablet(s) by mouth daily  
-donepezil [Aricept] 10 mg Tablet 1 Tablet(s) by mouth each day 
-at bedtime  
-Levothyroxine 100 mcg Tablet 1 Tablet(s) by mouth each day  
-lisinopril 10 mg Tablet one Tablet(s) by mouth daily 
-venlafaxine [Effexor XR] 37.5 mg Capsule, Ext Release 24 hr qD
-Potassium Chloride 20meq 1 tab PO daily
-Melatonin 1 mg 1 tab PO at bedtime
-Flomax 0.4mg PO 1 tab daily
-finasteride 5 mg Tablet 1 Tablet(s) by mouth each day  
-
-   * OTCs *             
-cyanocobalamin (vitamin B-12) [Vitamin B-12] 1,000 mcg Tablet 
-qDay
- 
-Discharge Medications:
-1. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO TID (3 
-times a day).
-Disp:*180 Tablet(s)* Refills:*2*
-2. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).
-Disp:*60 Capsule(s)* Refills:*2*
-3. senna 8.6 mg Tablet Sig: ___ Tablets PO HS (at bedtime).
-Disp:*60 Tablet(s)* Refills:*2*
-4. atenolol 25 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).  
-5. donepezil 5 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). 
- 
-6. levothyroxine 100 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-7. lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-8. venlafaxine 37.5 mg Capsule, Ext Release 24 hr Sig: One (1) 
-Capsule, Ext Release 24 hr PO DAILY (Daily).  
-9. potassium chloride 20 mEq Tablet, ER Particles/Crystals Sig: 
-One (1) Tablet, ER Particles/Crystals PO once a day.  
-10. finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-11. cephalexin 500 mg Capsule Sig: One (1) Capsule PO Q6H (every 
-6 hours) for 10 days: end day ___.
-Disp:*40 Capsule(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Syncope
-Urinary Tract Infection
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Syncope {Syncope}, Urinary Tract Infection {Urinary tract infectious disease}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear ___,
-.
-It was a pleasure taking care of you at ___ 
-___.  You were admitted after an episode of loss of 
-consciousness at your nursing home.  To determine the cause of 
-this, we monitored your blood pressures lying and standing, 
-monitored your heart rhythms, and looked at your heart with an 
-echocardiogram (which was normal). You were dehydrated and 
-improved with IV fluids. Because your pressures were very 
-different when standing and lying down, we discontinued one of 
-your blood pressure medications (this was confirmed with your 
-PCP ___. 
-
-We are also sending you to ___ with a heart monitor 
-in case you have another event where you lose consciousness so 
-that the doctors ___ if there were any odd heart rhythms 
-which may have brought on the event. The results of the monitor 
-will be sent to Dr. ___. When the monitoring is complete you 
-can mail the instrument back to ___ via the packaging 
-provided.
-.
-On admission, you were also found to have a urinary tract 
-infection.  We treated you with an antibiotic which you need to 
-keep taking for 10 days.
-
-Medications started:
-Cephalexin 500mg every 6hours, last day ___
-
-Medications stopped:
-TAMSULOSIN (FLOMAX)
-DOXAZOSIN
- 
-
-###RESPONSE: loss of 
-consciousness {Loss of consciousness}, monitored your blood pressures {Blood pressure monitoring}, lying {Recumbent body position}, standing {Orthostatic body position}, heart {Heart structure}, heart {Heart structure}, echocardiogram {Echocardiography}, dehydrated {Dehydration}, improved {Patient's condition improved}, IV fluids {Administration of intravenous fluids}, standing {Orthostatic body position}, lying {Recumbent body position}, heart {Heart structure}, lose consciousness {Loss of consciousness}, heart {Heart structure}, urinary tract 
-infection {Urinary tract infectious disease}, antibiotic {Antibiotic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___             Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-heparin
- 
-Attending: ___.
- 
-Chief Complaint:
-Altered Mental Status, admitted to MICU for hypotension
- 
-Major Surgical or Invasive Procedure:
-Suprapubic catheter exchange ___
-
- 
-
-###RESPONSE: heparin {Allergy to heparin}, Altered Mental Status {Altered mental status}, hypotension {Low blood pressure}, Suprapubic catheter exchange {Procedure involving suprapubic catheter}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with a history of vascular dementia, DM and ESRD on HD on 
-___ was found down in his facility covered in feces 
-and vomit. His tunneled dialysis catheter had been dislodged and 
-was reportedly pushed back in. Per his family, he continues to 
-be more confused than his baseline. He usually is alert, 
-disoriented, and can follow simple instructions. He is 
-non-ambulatory. He has no other symptoms or deficits.
-
-He initially presented to ___ for evaluation of his AMS. He 
-had a NCHCT and CXR which were unremarkable. Labs were notable 
-for a mild leukocytosis, anemia, thrombocytopenia, lactate of 4, 
-and likely contaminated UA from a suprapubic catheter. Without 
-an obvious source, he was started on vancomycin and cefepime for 
-presumed sepsis. 
-
- 
-
-He was transferred to ___ for replacement of his TDC by ___. He 
-has been intermittently hypotensive since presenting to ___ 
-with one BP recorded at 84/42 here. His pressures have come back 
-up spontaneously without any pressors or fluids.
-
- 
-
-On arrival to the MICU, pt was alert, oriented to self, with 
-stable vital signs. He denies any pain or other symptoms. 
-
- 
-
-###RESPONSE: vascular dementia {Vascular dementia}, DM {Diabetes mellitus}, ESRD on HD {End stage renal failure on dialysis}, dialysis catheter had been dislodged {Complication associated with dialysis catheter}, confused {Clouded consciousness}, baseline {Baseline state}, alert {Mentally alert}, evaluation {Evaluation procedure}, NCHCT {Computed tomography of head without contrast}, CXR {Plain chest X-ray}, unremarkable {No abnormality detected}, mild {Symptom mild}, leukocytosis {Leukocytosis}, anemia {Anemia}, thrombocytopenia {Thrombocytopenic disorder}, sepsis {Sepsis}, replacement of his TDC {Replacement of peritoneal dialysis catheter}, hypotensive {Low blood pressure}, pressures {Blood pressure finding}, pressors {Hypotensive therapy}, alert {Mentally alert}, oriented {Oriented to person}, stable vital signs {Normal vital signs}, pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Vascular dementia
-T2DM
-ESRD on HD
-Anemia
-BPH
-Glaucoma
-Blindness
-Asthma
-
- 
-
-###RESPONSE: Vascular dementia {Vascular dementia}, T2DM {Diabetes mellitus type 2}, ESRD on HD {End stage renal failure on dialysis}, Anemia {Anemia}, BPH {Benign prostatic hyperplasia}, Glaucoma {Glaucoma}, Asthma {Asthma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Unable to obtain given dementia
- 
-
-###RESPONSE: dementia {Dementia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VITALS: 98.5, 106/62, 86 bpm, 19, 100% RA
-GENERAL: Alert, oriented, no acute distress  
-HEENT: Sclera anicteric, MMM, oropharynx clear  
-NECK: supple, JVP not elevated, no LAD  
-LUNGS: Clear to auscultation bilaterally, no wheezes, rales, 
-rhonchi  
-CV: Regular rate and rhythm, normal S1 S2, no murmurs, rubs, 
-gallops  
-ABD: soft, non-tender, non-distended, bowel sounds present, no 
-rebound tenderness or guarding, no organomegaly  
-EXT: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-SKIN: No erythema, drainage, or fluctuance at ___ site 
-NEURO: Rousable to voice, A&Ox1, follows commands, normal 
-strength and sensation in all ext
-
-DISCHARGE PHYSICAL EXAM:
-VS: 97.3 116/47 101 20 96 Ra 
-GENERAL: NAD
-HEENT: AT/NC
-CV: RRR; S1/S2; murmur upon auscultation that is not associated
-with either beat, thought likely to be radiation from his RUE
-fistula
-PULM: CTAB on front, breathing comfortably without use of
-accessory muscles
-GI: abdomen soft, nondistended, nontender in all quadrants,
-suprapubic catheter c/d/i with no surrounding erythema
-EXTREMITIES: no cyanosis, clubbing, or edema. Enlarged R arm
-fistula with palpable thrill and bruit present
-NEURO: Alert, moving all 4 extremities with purpose, face
-symmetric. Oriented to person and knows he's in the hospital. 
-Says the date is ___
-DERM: Warm and well perfused, dry skin over bilateral calves.
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VITALS {Vital signs finding}, RA {Breathing room air}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, SKIN {Examination of skin}, erythema {Erythema}, drainage {Wound discharge}, NEURO {Neurological examination}, sensation {Normal sensation}, ext {Examination of limb}, VS {Vital signs finding}, RA {Breathing room air}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, AT/NC {Normal head}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmur {Heart murmur}, auscultation {Auscultation}, RUE
-fistula {Arteriovenous fistula of right upper extremity}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, GI {Examination of digestive system}, abdomen soft {Abdomen soft}, suprapubic catheter {Procedure involving suprapubic catheter}, erythema {Erythema}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, R arm
-fistula {Arteriovenous fistula of right upper extremity}, thrill {Thrill}, bruit {Bruit}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face
-symmetric {Facial symmetry}, Oriented to person {Oriented to person}, DERM {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, dry skin {Xeroderma}, calves {Structure of calf of leg}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 02:20AM BLOOD WBC-11.3* RBC-2.37* Hgb-7.3* Hct-22.2* 
-MCV-94 MCH-30.8 MCHC-32.9 RDW-15.1 RDWSD-51.8* Plt ___
-___ 02:20AM BLOOD Neuts-84.7* Lymphs-9.0* Monos-5.6 
-Eos-0.0* Baso-0.2 Im ___ AbsNeut-9.60* AbsLymp-1.02* 
-AbsMono-0.63 AbsEos-0.00* AbsBaso-0.02
-___ 02:20AM BLOOD ___ PTT-22.9* ___
-___ 02:20AM BLOOD Glucose-131* UreaN-45* Creat-6.4* Na-133* 
-K-5.2 Cl-94* HCO3-23 AnGap-16
-___ 02:20AM BLOOD ALT-12 AST-22 AlkPhos-66 TotBili-0.3
-___ 02:20AM BLOOD Albumin-3.4* Calcium-8.4 Phos-4.3 Mg-2.0
-___ 02:20AM BLOOD HBsAg-NEG HBsAb-POS HBcAb-POS*
-___ 02:20AM BLOOD HCV Ab-NEG
-___ 02:32AM BLOOD Lactate-4.0*
-
-PERTINENT INTERVAL LABS:
-========================
-___ 03:19AM BLOOD ___ 08:42AM BLOOD Ret Aut-3.1* Abs Ret-0.07
-___ 03:19AM BLOOD ALT-13 AST-28 LD(LDH)-168 AlkPhos-61 
-TotBili-0.5
-___ 08:42AM BLOOD calTIBC-148* Ferritn-1513* TRF-114*
-
-DISCHARGE LABS:
-===============
-___ 08:38AM BLOOD WBC-5.5 RBC-2.60* Hgb-8.1* Hct-25.0* 
-MCV-96 MCH-31.2 MCHC-32.4 RDW-16.6* RDWSD-55.3* Plt ___
-___ 08:38AM BLOOD Glucose-93 UreaN-9 Creat-3.8* Na-138 
-K-3.8 Cl-96 HCO3-30 AnGap-12
-___ 08:38AM BLOOD Calcium-8.6 Phos-2.5* Mg-2.0
-
-MICROBIOLOGY:
-=============
-___ 3:40 am URINE
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___: 
-      ESCHERICHIA COLI.    >100,000 CFU/mL. 
-         Ertapenem Susceptibility testing requested per 
-___ ___) 
-         ___.  Ertapenem = SENSITIVE. 
-         Ertapenem test result performed by ___. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |   
-AMIKACIN--------------   <=2 S
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--    16 I
-CEFAZOLIN-------------  =>64 R
-CEFEPIME--------------  =>64 R
-CEFTAZIDIME-----------    16 R
-CEFTRIAXONE-----------  =>64 R
-CIPROFLOXACIN---------   =>4 R
-GENTAMICIN------------  =>16 R
-MEROPENEM-------------<=0.25 S
-NITROFURANTOIN--------   256 R
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------     8 I
-TRIMETHOPRIM/SULFA----   <=1 S
-__________________________________________________________
-___ 2:20 am BLOOD CULTURE
-
-   Blood Culture, Routine (Pending):    No growth to date. 
-__________________________________________________________
-___ 2:25 am BLOOD CULTURE
-
-   Blood Culture, Routine (Pending):    No growth to date.
-
-KEY IMAGING:
-============
-___ CXR: Hazy opacity of the central right apex could 
-represent focal 
-consolidation/pneumonia or soft tissue lesion, though it could 
-merely be a 
-manifestation external, overlying material.. Left central line 
-terminating 
-within the right atrium and endovascular graft material 
-projecting over the 
-right apex. 
-
-___ CT Chest: Ectasia of ascending aorta measuring 3.9 x 
-4.1cm. Punctuate bilateral pulmonary nodules likely 
-postinflammatory.
-
-___ Ct Abd and Pelvis w/o Contrast: 
-No evidence of retroperitoneal hemorrhage.
-Cholelithiasis
-Atrophy bilateral kidneys and moderate left-sided 
-hydrouteronephrosis with no obstructive lesion or calculus 
-noted. Fluid and gas filled tract extending from bladder to the 
-anterior abdominal wall, likely from recent placement of a 
-suprapubic catheter.
-
-___ CT Chest: OSH - Image only, official report not 
-available
-___ CT Head: OSH - Image only, per report no acute 
-intracranial abnormality
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, HCV {Viral hepatitis type C}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE {Urine culture}, URINE CULTURE {Urine culture}, SENSITIVITIES {Antimicrobial susceptibility test}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, BLOOD CULTURE {Blood culture}, Blood Culture {Blood culture}, CXR {Plain chest X-ray}, opacity {Abnormally opaque structure}, right apex {Structure of apex of right lung}, consolidation {Consolidation}, pneumonia {Pneumonia}, soft tissue lesion {Soft tissue lesion}, right atrium {Right atrial structure}, endovascular graft {Percutaneous transluminal procedure on blood vessel}, right apex {Structure of apex of right lung}, CT Chest {Computed tomography of chest}, Ectasia {Dilatation}, ascending aorta {Ascending aorta structure}, pulmonary nodules {Nodule of lung}, Ct Abd {Computed tomography of abdomen}, Pelvis w/o Contrast {Computed tomography of pelvis without contrast}, No evidence {No abnormality detected}, retroperitoneal hemorrhage {Retroperitoneal hemorrhage}, Cholelithiasis {Calculus in biliary tract}, Atrophy {Atrophy}, bilateral kidneys {Both kidneys}, obstructive lesion {Obstructive lesion}, calculus {Calculus}, Fluid {Accumulation of fluid}, bladder {Urinary bladder structure}, anterior abdominal wall {Anterior abdominal wall structure}, placement {Implantation procedure}, CT Chest {Computed tomography of chest}, CT Head {Computed tomography of head}, intracranial {Intracranial structure}, abnormality {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-========
-SUMMARY
-========
-___ yo M with hx of vascular dementia, h/o ESBL UTIs, T2DM, ESRD 
-on HD TTS, found down in his facility, who was admitted for 
-altered mental status/hypotension and concern for dislodged 
-tunneled dialysis catheter, found to have E. coli UTI, was 
-transferred to MICU for hypotension responsive to fluids, then 
-transferred to the floor once his hypotension resolved. He did 
-well on meropenem and completed a course on ___.
-
-ACTIVE ISSUES
-=============
-#Sepsis/UTI/Suprapubic catheter
-Patient was found to be hypotensive ___ E. coli UTI that was 
-sensitive to Bactrim, Zosyn, Meropenem, Ertapenem, Amikacin. Had 
-leukocytosis to 11.9 on admission that became normal on ___. 
-CT Chest was negative for pneumonia, CT Abdomen negative for any 
-other infectious source. We were unable to confirm when 
-patient's last suprapubic catheter exchange was, so it was 
-exchanged here on ___. He was started on IV meropenem on 
-___ for a 7-day course (last ___. His BCx showed no 
-growth to date on discharge. A midline was placed on ___ so 
-patient could complete his antibiotic course at his facility; 
-however, patient's daughter preferred that he completed his 
-antibiotic course in the hospital. Patient completed his 7-day 
-course of meropenem on ___, and his midline was pulled prior 
-to discharge. 
-
-#Encephalopathy/Vascular dementia
-Thought likely ___ sepsis iso vascular dementia. Non-con CT Head 
-negative for acute intracranial process. Electrolytes were WNL, 
-and patient had not started any new medications recently. He was 
-at baseline per his daughter prior to discharge.
-
-#ESRD on HD TTS/Dislodged tunneled dialysis catheter
-There was a question of whether patient's catheter became 
-dislodged. ___ evaluated the catheter on ___, reported not 
-dislodged, added sutures with no concern for contamination, and 
-stated that it was working properly. Patient continued on his 
-regular HD schedule. 
-
-#Normocytic normochromic anemia
-Patient received 1 unit of pRBCs n ___ for Hgb of 5.8. Thought 
-likely anemia of chronic disease ___ ESRD. There was no evidence 
-of acute blood loss and CT Abdomen was negative for bleed. He 
-had a normal total bilirubin so hemolysis thought to be 
-unlikely. There were no schistocytes on his smear. Iron studies 
-were done, but they were thought to be unreliable as they were 
-done after patient received a unit of blood. His absolute 
-reticulocyte count was 0.07, so he had inappropriate response to 
-anemia. He continued to receive Epogen with HD. His Hgb 
-uptrended and remained in 7's upon discharge.
-
-#Thrombocytopenia
-Patient's platelets intermittently dropped, thought likely ___ 
-ESRD. Upon discharge they were WNL.
-
-#Constipation
-Patient given bowel regimen. 
-
-CHRONIC ISSUES
-==============
-#Type 2 Diabetes Mellitus
-His Humalog ISS was continued.
-
-#Asthma
-His albuterol nebs PRN were continued.
-
-#Glaucoma
-His latanoprost and bimatoprost were continued.
-
-TRANSITIONAL ISSUES
-===================
-[] Goals of care - Please re-assess family and patient's desire 
-for hospice care; unclear if daughter fully understands what 
-hospice care means, especially since patient is still full code.
-[] Suprapubic catheter - Catheter was exchanged by urology on 
-___.
-[] Please repeat CBC on ___. Discharge Hgb: 8.1
-
-CORE MEASURES
-=============
-#CONTACT: ___ (Daughter) ___
-#CODE: Full, confirmed
- 
-
-###RESPONSE: vascular dementia {Vascular dementia}, UTIs {Urinary tract infectious disease}, T2DM {Diabetes mellitus type 2}, ESRD 
-on HD {End stage renal failure on dialysis}, altered mental status {Altered mental status}, hypotension {Low blood pressure}, dislodged 
-tunneled dialysis catheter {Complication associated with dialysis catheter}, E. coli UTI {Urinary tract infection caused by Escherichia coli}, hypotension {Low blood pressure}, hypotension {Low blood pressure}, Sepsis {Sepsis}, UTI {Urinary tract infectious disease}, hypotensive {Low blood pressure}, E. coli UTI {Urinary tract infection caused by Escherichia coli}, leukocytosis {Leukocytosis}, CT Chest {Computed tomography of chest}, pneumonia {Pneumonia}, CT Abdomen {Computed tomography of abdomen}, infectious {Infectious disease}, antibiotic {Antibiotic therapy}, antibiotic {Antibiotic therapy}, Encephalopathy {Disorder of brain}, Vascular dementia {Vascular dementia}, sepsis {Sepsis}, vascular dementia {Vascular dementia}, Non-con CT Head {Computed tomography of head without contrast}, intracranial {Intracranial structure}, baseline {Baseline state}, ESRD on HD {End stage renal failure on dialysis}, Dislodged tunneled dialysis catheter {Complication associated with dialysis catheter}, HD {Hemodialysis}, Normocytic normochromic anemia {Normocytic normochromic anemia}, anemia of chronic disease {Anemia of chronic disorder}, ESRD {End-stage renal disease}, no evidence {No abnormality detected}, acute blood loss {Acute hemorrhage}, CT Abdomen {Computed tomography of abdomen}, bleed {Hemorrhage}, total bilirubin {Bilirubin, total measurement}, hemolysis {Hemolysis}, reticulocyte count {Reticulocyte count}, anemia {Anemia}, HD {Hemodialysis}, Thrombocytopenia {Thrombocytopenic disorder}, platelets {Platelet}, ESRD {End-stage renal disease}, Constipation {Constipation}, regimen {Therapeutic regimen}, CHRONIC ISSUES {Chronic disease}, Type 2 Diabetes Mellitus {Diabetes mellitus type 2}, Asthma {Asthma}, Glaucoma {Glaucoma}, hospice care {Hospice care}, hospice care {Hospice care}, CBC {Complete blood count}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever  
-2. Ascorbic Acid ___ mg PO DAILY  
-3. LORazepam 0.5 mg PO Q8H:PRN anxiety  
-4. Bimatoprost 0.03% Ophth (*NF*) 1 drop Other QHS  
-5. Ferrous GLUCONATE 240 mg PO DAILY  
-6. Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES QHS  
-7. Calcium Carbonate 1250 mg PO DAILY  
-8. Miralax (polyethylene glycol 3350) 17 gram oral DAILY:PRN  
-9. Albuterol Inhaler 2 PUFF IH Q4H:PRN asthma  
-10. Ondansetron 4 mg PO Q8H:PRN Nausea/Vomiting - First Line  
-11. LORazepam 0.5 mg PO 3X/WEEK (___)  
-12. Melatin (melatonin) 3 mg oral QPM  
-
- 
-Discharge Medications:
-1.  Influenza Vaccine Quadrivalent 0.5 mL IM NOW ___.  LORazepam 0.5 mg PO Q8H:PRN teeth grinding 
-use sparingly and hold if somnolent  
-3.  Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever  
-4.  Albuterol Inhaler 2 PUFF IH Q4H:PRN asthma  
-5.  Ascorbic Acid ___ mg PO DAILY  
-6.  Bimatoprost  0.03%  Ophth  (*NF*) 1 drop Other QHS  
-7.  Calcium Carbonate 1250 mg PO DAILY  
-8.  Ferrous GLUCONATE 240 mg PO DAILY  
-9.  Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES QHS  
-10.  Melatin (melatonin) 3 mg oral QPM  
-11.  Miralax (polyethylene glycol 3350) 17 gram oral DAILY:PRN  
-12.  Ondansetron 4 mg PO Q8H:PRN Nausea/Vomiting - First Line  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSES
-=================
-Urinary tract infection
-Delirium
-
-SECONDARY DIAGNOSES
-===================
-End stage renal disease
-Anemia of chronic disease
-Type 2 Diabetes Mellitus
-Vascular dementia
-Asthma
-Glaucoma
-
- 
-Discharge Condition:
-Mental Status: Confused - always - knows his name and that he's 
-in a hospital.
-Level of Consciousness: Lethargic but arousable.
-Activity Status: Bedbound.
-
- 
-
-###RESPONSE: Urinary tract infection {Urinary tract infectious disease}, Delirium {Delirium}, End stage renal disease {End-stage renal disease}, Anemia of chronic disease {Anemia of chronic disorder}, Type 2 Diabetes Mellitus {Diabetes mellitus type 2}, Vascular dementia {Vascular dementia}, Asthma {Asthma}, Glaucoma {Glaucoma}, Mental Status {Neurological mental status determination}, Confused {Clouded consciousness}, Level of Consciousness {Assessment of consciousness level}, Lethargic {Lethargy}, Activity Status {Physical functional dependency}, Bedbound {Bed-ridden}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure taking care of you here at ___ 
-___.
-
-WHY WAS I ADMITTED TO THE HOSPITAL?
-You were admitted to the hospital because you had an infection 
-in your urinary system, and you were more confused than usual.
-
-WHAT WAS DONE WHILE I WAS HERE?
--You were given antibiotics to treat the infection in your 
-urinary system.
--Your foley catheter was exchanged.
--You continued on your regular hemodialysis schedule of ___, 
-___.
--A new line was placed in your left arm so you could receive the 
-rest of your antibiotics.
--You were given some blood to increase your blood counts.
-
-WHAT DO I NEED TO DO ONCE I LEAVE?
--Please continue taking your medications as before.
--Please continue on your regular hemodialysis schedule.
-
-Be well,
-
-Your ___ Care Team
- 
-
-###RESPONSE: infection {Infectious disease}, urinary system {Urinary system structure}, confused {Clouded consciousness}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, urinary system {Urinary system structure}, foley catheter {Urinary catheter in situ}, hemodialysis {Hemodialysis}, left arm {Left upper arm structure}, antibiotics {Antibiotic therapy}, given some blood {Transfusion of blood product}, blood counts {Blood test}, hemodialysis {Hemodialysis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROSURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-ICH
- 
-Major Surgical or Invasive Procedure:
-___ Diagnostic cerebral angiogram
-___ Diagnostic cerebral angiogram
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, ICH {Cerebral hemorrhage}, cerebral angiogram {Angiography of cerebral arteries}, cerebral angiogram {Angiography of cerebral arteries}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old right-handed woman with no significant 
-past medical history who last night around 8pm while she was at 
-work began feeling dizzy and nauseous, and per a co-worker was 
-""walking sideways"" and almost fell.  She felt better when 
-sitting down, but every time she stood back up her
-symptoms would return.  She also had a severe headache.  She 
-went to ___, and was discharged from the 
-ED after a head CT was done.  This morning she felt worse and 
-went back to the ED, where the original CT was re-read as having 
-a posterior fossa hyperdensity along the left lateral aspect of 
-the midbrain. A CTA was done that reportedly showed no stenosis 
-or
-occlusion.  She was transferred to ___ for further management. 
-
-
-The patient states that since this morning she has felt numbness 
-in her right arm and leg.  This morning her right face also felt 
-numb, although this has since resolved.  She thinks her right 
-leg is a little weaker as well.  She states she has been having 
-headaches for the past 2 months that are at times severe and 
-that she treats by taking ___ aspirin (600mg) at a time.  These 
-occur in the evening and have been happening nearly daily 
-according to
-her boyfriend.  She has been trying to decrease her use of 
-aspirin, and thinks she may have had ___ over this past week.  
-She denies any visual symptoms, other paresthesias or weakness, 
-tinnitus or hearing problems.  Last night she felt that sounds 
-were abnormally distant sounding but this has since resolved. 
-She hasn't been able to drink or eat over the past 2 days due to 
-the nausea and vomiting.
-
- 
-
-###RESPONSE: right-handed {Right handed}, dizzy {Dizziness}, nauseous {Nausea}, ""walking sideways"" {Abnormal gait}, sitting {Sitting position}, headache {Headache}, head CT {Computed tomography of head}, CT {Computed tomography}, posterior fossa {Structure of posterior fossa meninges}, midbrain {Midbrain structure}, CTA {Computed tomography}, stenosis {Stenosis}, occlusion {Complete obstruction}, numbness {Numbness}, right arm {Right upper arm structure}, leg {Lower limb structure}, right face {Structure of right half of face}, numb {Numbness}, resolved {Problem resolved}, right 
-leg {Structure of right lower leg}, headaches {Headache}, visual symptoms {Visual symptoms}, paresthesias {Paresthesia}, weakness {Asthenia}, tinnitus {Tinnitus}, hearing problems {Hearing problem}, resolved {Problem resolved}, able to drink {Able to drink}, nausea and vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-hypertension during pregnancy
-s/p biopsy of cervical lesion ___ - results were negative
-s/p right elbow surgery for fracture
-
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, pregnancy {Pregnancy}, biopsy {Biopsy}, cervical {Malignant tumor of cervix}, lesion {Lesion}, right elbow {Right elbow region structure}, surgery {Surgical procedure}, fracture {Fracture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-maternal grandfather - died of MI
-maternal grandmother - died of breast cancer
-father - history of severe MRSA infection
-paternal side - two cousins with cancer, unknown type
-
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}, died {Dead}, breast cancer {Malignant neoplasm of breast}, MRSA {Methicillin resistant Staphylococcus aureus infection}, infection {Infectious disease}, cancer {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On admission:
-PHYSICAL EXAM:
-T:99.1  BP: 133/77 HR:106   R 16       O2Sats 100% on RA
-WD/WN, comfortable, NAD.
-Mental status: Awake and alert, cooperative with exam, normal
-affect.
-Orientation: Oriented to person, place, and date.
-Language: Speech fluent with good comprehension.
-
-Cranial Nerves:
-I: Not tested
-II: Pupils equally round and reactive to light, to
-mm bilaterally. Visual fields are full to confrontation.
-III, IV, VI: Extraocular movements intact bilaterally without
-nystagmus.
-V, VII: Facial strength and sensation intact and symmetric.
-VIII: Hearing intact to voice.
-XI: Sternocleidomastoid and trapezius normal bilaterally.
-XII: Tongue midline without fasciculations.
-
-Motor: Normal bulk and tone bilaterally. No abnormal movements,
-tremors. Strength full power ___ throughout. No pronator drift
-
-Sensation: Intact to light touch, propioception, bilaterally.
-
-Reflexes: 2+ throughout
-
-Toes downgoing bilaterally
-
-Coordination: normal on finger-nose-finger, rapid alternating
-movements
-
-Handedness: Right
-
-On discharge:
-Neurologically intact
- 
-
-###RESPONSE: BP {Blood pressure finding}, HR {Finding of heart rate}, RA {Breathing room air}, NAD {No abnormality detected}, Mental status {Neurological mental status determination}, Awake {Awake}, alert {Mentally alert}, exam {Physical examination procedure}, affect {Mood finding}, Orientation {Finding related to orientation}, Oriented to person, place, and date {Oriented to person, time and place}, Speech fluent {Does speak fluently}, good comprehension {Able to comprehend language}, II {Optic nerve structure}, Pupils equally round {Pupil size and shape normal}, reactive to light {Finding of pupil reaction to light}, Visual fields {Full to confrontation visual fields}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, intact {Normal sensation}, nystagmus {Nystagmus}, VII {Facial nerve structure}, Facial {Face structure}, sensation intact {Normal sensation}, VIII {Vestibulocochlear nerve structure}, Hearing intact {Hearing normal}, XI {Accessory nerve structure}, trapezius {Structure of trapezius muscle}, XII {Hypoglossal nerve structure}, Tongue {Tongue structure}, Motor {Motor testing}, abnormal movements {Abnormal movement}, tremors {Tremor}, pronator drift {Downward drift of outstretched supinated arm}, Sensation {Normal sensation}, Intact to light touch {Light touch sensation present}, propioception {Normal joint position sense}, Reflexes {Reflex finding}, Toes {Structure of all toes}, Coordination {Finding related to coordination / incoordination}, normal on finger-nose-finger {Finger-nose test normal}, Right {Right upper arm structure}, Neurologically intact {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ Cerebral Angiogram
-This diagnostic cerebral angiography confirmed the presence of a 
-left superior cerebellar artery spontaneous dissection, which 
-including its second (ambient segment) and first half of the 
-second (quadrigeminal segment). This is the long dissection 
-along the superior cerebellar artery and The length of 
-dissection was measured about 2.5 cm, without focal aneurysmal 
-formation. We will discuss with the patient regarding different 
-treatment strategies. 
-
-___ CTA head:
-Ectasia of the perimesencephalic portion of left superior 
-cerebellar artery without appreciable intraluminal filling 
-defect, unchanged from recent cerebral angiogram.
-
-CEREBRAL/RECHECK ___ 
-This diagnostic cerebral angiography showed a stable size and 
-appearance of previously known left superior cerebellar artery 
-dissection.  No 
-thromboembolic complication is noted in this diagnostic 
-cerebellar 
-angiography.  No other vascular abnormality was detected. ___ 
-was consulted for dispo planning. 
-
-___ MRI head w/ & w/o contrast
-Partially thrombosed dissecting left superior cerebellar artery 
-aneurysm which 
-indents the adjacent midbrain-pontine junction, resulting in 
-mass effect and a 
-small amount of fluid signal seen within this region. 
-
- 
-
-###RESPONSE: Cerebral Angiogram {Angiography of cerebral arteries}, angiography {Angiography}, superior cerebellar artery {Structure of superior cerebellar artery}, dissection {Dissection of artery}, dissection {Dissection of artery}, superior cerebellar artery {Structure of superior cerebellar artery}, dissection {Dissection of artery}, Ectasia {Dilatation}, superior 
-cerebellar artery {Structure of superior cerebellar artery}, filling 
-defect {Filling defect}, cerebral angiogram {Angiography of cerebral arteries}, angiography {Angiography}, left {Left cerebral hemisphere structure}, superior cerebellar artery {Structure of superior cerebellar artery}, dissection {Dissection of artery}, angiography {Angiography}, vascular {Blood vessel structure}, abnormality {No abnormality detected}, MRI head {Magnetic resonance imaging of head}, left {Left cerebral hemisphere structure}, superior cerebellar artery {Structure of superior cerebellar artery}, aneurysm {Aneurysm}, midbrain {Midbrain structure}, fluid {Effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ was evaluated in the ER by Neurosurgery and admitted to 
-the ICU with a left pontine ICH. She remained intact 
-neurologically. On ___ she was taken to the Angio suite for a 
-diagnostic cerebral angiogram which showed a left superior 
-cerebellar artery dissection. Post-angio she was transferred to 
-the ICU. She continued ASA 325mg. In the evening she had two 
-episodes of SVT to the 180s which were likely related to 
-anxiety. 
-
-On ___ she remained stable and was awaiting furhter care 
-planning. HEr BP goals remained less than 130 systolic and her 
-neuro exam was stable
-
-On ___ she underwent a CTA which showed stable left superior 
-cerebellar artery. her blood pressure remained within the 
-appropriate window and her neurologic exam was stable. 
-
-On ___,  A physical and occupational therapy consultation was 
-placed.  The patients foley catheter will discontinued.  
-increased activity.  On exam the patient was neurologically 
-intact.  
-
-On ___, The patient was neurologically stable. 
-
-On ___, the patient remained stable on neurologic examination. 
-Her Ativan was changed from IV to PO for anxiety control.
-
-On ___, the patient remained neurologically stable on 
-examination.
-
-On ___, the patient remained neurologically stable on 
-examination. She was consented for an angiogram the following 
-day. She was made NPO after midnigt.
-
-On ___, the patient remained neurologically stable. She 
-underwent a diagnostic angiogram which showed stable SCA 
-dissection. 
-
-On ___, patient was stable on exam. Blood pressure was 
-liberalized and she was transferred to the floor. Neuro stroke 
-was consulted for further management of SCA dissection. On ___ 
-she remained stable and continued to c/o headache. 
-
-On ___ she was seen and evaluated and deemed fit for discharge. 
-Prior to discharge all treatment options were discussed with the 
-patient including open clipping. Her case was discussed at 
-length with Neurosurgical experts across the country and after 
-weighing all risks and benefits of the options, conservative 
-management was decided to be the best course of action. 
- 
-
-###RESPONSE: ER {Emergency treatment}, ICU {Patient transfer to intensive care unit}, intact {Normal sensation}, cerebral angiogram {Angiography of cerebral arteries}, superior 
-cerebellar artery {Structure of superior cerebellar artery}, dissection {Dissection of artery}, ICU {Patient transfer to intensive care unit}, SVT {Supraventricular tachycardia}, anxiety {Anxiety}, stable {Patient's condition stable}, BP {Blood pressure finding}, neuro exam {Neurological examination}, stable {Patient's condition stable}, CTA {Computed tomography angiography with contrast}, superior 
-cerebellar artery {Structure of superior cerebellar artery}, blood pressure {Blood pressure finding}, neurologic exam {Neurological examination}, stable {Patient's condition stable}, occupational therapy consultation {Occupational therapy assessment}, foley catheter {Urinary catheter in situ}, exam {Physical examination procedure}, neurologically 
-intact {Normal nervous system function}, stable {Patient's condition stable}, stable {Patient's condition stable}, neurologic examination {Neurological examination}, IV {Administration of drug or medicament via intravenous route}, anxiety {Anxiety}, stable {Patient's condition stable}, stable {Patient's condition stable}, angiogram {Angiography}, NPO {Nil by mouth}, stable {Patient's condition stable}, diagnostic angiogram {Angiography}, dissection {Dissection of artery}, stable {Patient's condition stable}, exam {Physical examination procedure}, Blood pressure {Blood pressure monitoring}, Neuro {Neurology service}, dissection {Dissection of artery}, stable {Patient's condition stable}, headache {Headache}, clipping {Closure by clip}, conservative 
-management {Conservative therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-ASA prn
- 
-Discharge Medications:
-1. Acetaminophen-Caff-Butalbital ___ TAB PO Q4H:PRN headache 
-RX *butalbital-acetaminophen-caff 50 mg-325 mg-40 mg ___ 
-tablet(s) by mouth Every 6 hours as needed Disp #*75 Tablet 
-Refills:*0
-2. Aspirin 325 mg PO DAILY 
-RX *aspirin 325 mg 1 tablet(s) by mouth Daily Disp #*30 Tablet 
-Refills:*12
-3. Bisacodyl 10 mg PO/PR DAILY Constipation 
-RX *bisacodyl [Dulcolax (bisacodyl)] 5 mg 1 tablet(s) by mouth 
-daily as needed Disp #*30 Tablet Refills:*0
-4. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth Every 6 hours as 
-needed Disp #*40 Tablet Refills:*0
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Left pontine ICH
-Left superior cerebellar artery dissection
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Left {Left upper arm structure}, superior cerebellar artery {Structure of superior cerebellar artery}, dissection {Dissection of artery}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Discharge Instructions
-
-Surgery/ Procedures:
-•You had a diagnostic cerebral angiogram. You may experience 
-some mild tenderness and bruising at the puncture site (groin).
-
-Activity
-•We recommend that you avoid heavy lifting, running, climbing, 
-or other strenuous exercise until your follow-up appointment.
-•You make take leisurely walks and slowly increase your 
-activity at your own pace. ___ try to do too much all at once.
-•You make take a shower. 
-•No driving while taking any narcotic or sedating medication. 
-•If you experienced a seizure while admitted, you must refrain 
-from driving. 
-
-Medications
-•Resume your normal medications and begin new medications as 
-directed.
-
-•You may be instructed by your doctor to take one 325mg Aspirin 
-a day. Do not take any other products that have aspirin in them. 
-If you are unsure of what products contain Aspirin, as your 
-pharmacist or call our office. 
-
-•Please do NOT take any other blood thinning medication 
-(Plavix, Coumadin) until cleared by the neurosurgeon. 
-
-•You may use Acetaminophen (Tylenol) for minor discomfort if 
-you are not otherwise restricted from taking this medication.
-
-What You ___ Experience:
-•Mild to moderate headaches that last several days to a few 
-weeks.
-•Difficulty with short term memory. 
-•Fatigue is very normal
-•Constipation is common. Be sure to drink plenty of fluids and 
-eat a high-fiber diet. If you are taking narcotics (prescription 
-pain medications), try an over-the-counter stool softener.
-
-When to Call Your Doctor at ___ for:
-•Severe pain, swelling, redness or drainage from the incision 
-site or puncture site. 
-•Fever greater than 101.5 degrees Fahrenheit
-•Constipation
-•Blood in your stool or urine
-•Nausea and/or vomiting
-•Extreme sleepiness and not being able to stay awake
-•Severe headaches not relieved by pain relievers
-•Seizures
-•Any new problems with your vision or ability to speak
-•Weakness or changes in sensation in your face, arms, or leg
-
-Call ___ and go to the nearest Emergency Room if you experience 
-any of the following:
-•Sudden numbness or weakness in the face, arm, or leg
-•Sudden confusion or trouble speaking or understanding
-•Sudden trouble walking, dizziness, or loss of balance or 
-coordination
-•Sudden severe headaches with no known reason
-
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, cerebral angiogram {Angiography of cerebral arteries}, mild {Symptom mild}, tenderness {Tenderness}, bruising {Contusion}, puncture site {Insertion site}, groin {Inguinal region structure}, Activity {Functional activity education}, exercise {Exercises}, shower {Able to shower self}, narcotic {Narcotherapy}, seizure {Seizure}, Do not take {Patient medication education}, do NOT take {Patient medication education}, discomfort {Discomfort}, Mild {Symptom mild}, moderate {Moderate pain}, headaches {Headache}, memory {Memory finding}, Fatigue {Fatigue}, Constipation {Constipation}, common {Iliac lymphadenopathy}, high-fiber diet {High residue diet}, narcotics {Narcotherapy}, Severe pain {Severe pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, puncture site {Insertion site}, Fever {Fever}, Constipation {Constipation}, Blood in your stool {Hematochezia}, urine {Urinary incontinence}, Nausea {Nausea}, vomiting {Vomiting}, sleepiness {Drowsy}, awake {Awake}, headaches {Headache}, Seizures {Seizure}, problems with your vision {Abnormal vision}, ability to speak {Difficulty using language}, Weakness {Asthenia}, sensation {Altered sensation of skin}, face {Face structure}, arms {Upper limb structure}, leg {Lower limb structure}, numbness {Numbness}, weakness {Asthenia}, face {Face structure}, arm {Upper limb structure}, leg {Lower limb structure}, confusion {Clouded consciousness}, dizziness {Dizziness}, loss of balance {Unable to balance}, coordination {Finding related to coordination / incoordination}, headaches {Headache}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal pain and hypotension
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, abdominal pain {Abdominal pain}, hypotension {Low blood pressure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with pmh of DM, HLD, HTN, depression/anxiety/schizophrenia 
-(currently off psych meds), asthma, and fibroids who presents 
-with 3 days of crampy abdominal pain associated with anorexia. 
-Abdominal pain started ___, described as ""someone punching 
-me,"" ___ in intensity, located centrally but diffusely sore 
-throughout abdomen, comes and goes, and associated with diarrhea 
-(soft stools, 9/day). BMs relieve pain; exacerbated by movement. 
-Denies constipation, denies melena/BRBPR. Denies sick contacts. 
-Denies f/c, lightheadedness. Associated with mild nausea (no 
-vomiting) and decreased appetitie (only taking in PO liquids). 
-No fam hx of Crohns. She was seen at her PCP's office today 
-where she was reportedly hypotensive to 90/66 with HR 100. 
-Referred to ED for further eval. Of note, last PCP notes state 
-that pt has been off psych meds for months (includes Paroxetine, 
-Zyprexa; Dr ___ at ___. Denies depression, SI/HI, 
-ingestion of dangerous substances. Occassional Motrin, no 
-Aspirin.  
-In the ED intial vitals were: 7 98.2 82 123/65 18 99%. Exam 
-notable for benign abdominal exam, guaiac postive stool, 
-hemorrhoids on rectal exam. Labs significant for Na 132, K 3.0, 
-Cr 1.8 from normal baseline. Bicarb 18. Lactate 1.5. Wet read of 
-CT abdomen showed fat stranding, fascial thickening and 
-prominent lymph nodes in the right lower quadrant which may be 
-due to a terminal ileitis and/or cecitis; however, assessment is 
-limited without IV or oral contrast. The presence of intramural 
-fat within the terminal ileum and cecum also suggests underlying 
-chronic inflammation of these regions. Patient was given 1L NS, 
-1L LR. Dilaudid for pain. Vitals on transfer: 98 78 125/88 15 
-99% RA  
-On the floor, abdominal pain is ___ and slightly better however 
-she feels like she needs to have a BM.  
- 
-
-###RESPONSE: DM {Diabetes mellitus}, HLD {Hyperlipidemia}, HTN {Hypertensive disorder, systemic arterial}, depression {Depressive disorder}, anxiety {Anxiety}, schizophrenia {Schizophrenia}, off psych meds {Not on psychotropic medication}, asthma {Asthma}, fibroids {Uterine leiomyoma}, crampy {Stomach cramps}, abdominal pain {Abdominal pain}, anorexia {Loss of appetite}, Abdominal pain {Abdominal pain}, sore {Soreness}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, diarrhea {Diarrhea}, soft stools {Soft stool}, pain {Abdominal pain}, constipation {Constipation}, melena {Melena}, BRBPR {Hematochezia}, f/c {Fever with chills}, lightheadedness {Lightheadedness}, mild {Symptom mild}, nausea {Nausea}, vomiting {Vomiting}, decreased appetitie {Decrease in appetite}, taking in PO liquids {Tolerating oral fluid}, PCP {Primary care management}, hypotensive {Low blood pressure}, HR {Finding of heart rate}, PCP {Primary care management}, off psych meds {Not on psychotropic medication}, depression {Depressive disorder}, SI {Suicidal thoughts}, HI {Homicidal thoughts}, ingestion of dangerous substances {Ingestion of toxic substance}, Aspirin {Administration of aspirin}, vitals {Vital signs finding}, Exam {Physical examination procedure}, abdominal exam {Examination of abdomen}, guaiac postive stool, {Occult blood detected in feces}, hemorrhoids {Hemorrhoids}, rectal exam {Rectal examination}, Labs {Laboratory test}, normal {No abnormality detected}, baseline {Baseline state}, Lactate {Lactic acid measurement}, CT abdomen {Computed tomography of abdomen}, fat {Structure of adipose tissue}, stranding {Increased thickness}, fascial {Structure of fascia}, thickening {Increased thickness}, lymph nodes {Structure of lymph node}, right lower quadrant {Structure of right lower quadrant of abdomen}, terminal ileitis {Terminal ileitis}, cecitis {Typhlitis}, assessment {Evaluation procedure}, intramural {Structure of intramural part of myometrium}, fat {Structure of adipose tissue}, terminal ileum {Structure of distal portion of ileum}, cecum {Cecum structure}, chronic inflammation {Chronic inflammation}, pain {Pain management}, Vitals {Vital signs finding}, abdominal pain {Abdominal pain}, BM {Desire for stool}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Asthma  
-2. HLD  
-3. Diabetes mellitus  
-4. Depression/Anxiety/Schizophrenia  
-5. HTN  
-6. Chronic low back pain  
-7. Fibroids  
-8. DMII  
-9. H/o PID  
- 
-
-###RESPONSE: Asthma {Asthma}, HLD {Hyperlipidemia}, Diabetes mellitus {Diabetes mellitus}, Depression {Depressive disorder}, Anxiety {Anxiety}, Schizophrenia {Schizophrenia}, HTN {Hypertensive disorder, systemic arterial}, Chronic low back pain {Chronic low back pain}, Fibroids {Uterine leiomyoma}, DMII {Diabetes mellitus type 2}, PID {Female pelvic inflammatory disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father- ___, unknown  
-Mother- Cancer of unknown type, HTN  
-Siblings- DM, HTN  
-Children- Mental Illness  
- 
-
-###RESPONSE: Cancer {Malignant neoplasm of colon}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, Mental Illness {Mental disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-Vitals- 98.5 132/60 81 18 100%RA  
-General- Alert, oriented, no acute distress  
-HEENT- Muddy clera, MMM, oropharynx clear  
-Neck- Supple, JVP not elevated, no LAD  
-Lungs- CTAB, no wheezes, rales, ronchi  
-CV- Regular rate and rhythm, normal S1 + S2, systolic ejection 
-murmu, rubs, gallops  
-Abdomen- Soft, TTP in RLQ, non-distended, bowel sounds present, 
-no rebound tenderness or guarding, no organomegaly  
-GU- No foley  
-Ext- Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro- CNs2-12 intact, motor function grossly normal  
-
-DISCHARGE PHYSICAL EXAM:
-VS: 98.3 130/63 81 18 100% RA
-GEN: No acute distress, very pleasant and conversant
-HEENT: anicteric, EOMI
-NECK: supple without adenopathy
-CHEST: clear to auscultation bilaterally without adventitious 
-sounds
-HEART: RRR with normal S1 and S2, ___ systolic ejection murmur 
-noted along left sternal border without radiation, no rub or 
-gallop
-ABDOMEN: soft, nondistended, +BS diffusely, no tenderness to 
-percussion, minimal tenderness to palpation in mid abdomen 
-without rebound tenderness or guarding
-EXT: WWP, 2+ radial and DP pulses, no edema
-NEURO: grossly normal
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, clera {Scleral structure}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, systolic ejection 
-murmu {Systolic murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Soft {Abdomen soft}, TTP {Tenderness}, RLQ {Structure of right lower quadrant of abdomen}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, GU {Examination of genitourinary system}, foley {Urinary catheter in situ}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, CNs2-12 intact {Normal nervous system function}, motor function grossly normal {Normal motor response to command}, VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, No acute {No abnormality detected}, distress {Distress}, anicteric {White sclera}, EOMI {Normal ocular motility}, supple {Normal movement of neck}, adenopathy {Lymphadenopathy}, clear to auscultation bilaterally {Normal breath sounds}, adventitious 
-sounds {Added respiratory sounds}, HEART {Examination of heart}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, systolic ejection murmur {Systolic murmur}, left sternal border {Structure of left lateral border of body of sternum}, gallop {Gallop rhythm}, ABDOMEN {Examination of abdomen}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, +BS {Normal bowel sounds}, tenderness {Tenderness}, percussion {Percussion}, minimal {Symptom mild}, tenderness to palpation {Abdominal tenderness}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, WWP {Normal tissue perfusion}, radial {Structure of radial artery}, DP pulses {Dorsalis pulse present}, edema {Edema}, NEURO {Neurological examination}, normal {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-PERTINENT LABS:
-
-___ 07:30PM BLOOD WBC-6.6 RBC-3.50* Hgb-11.8* Hct-36.6 
-MCV-105* MCH-33.6* MCHC-32.2 RDW-13.3 Plt ___
-___ 07:30PM BLOOD Neuts-68 Bands-1 Lymphs-17* Monos-10 
-Eos-4 Baso-0 ___ Myelos-0
-___ 07:30PM BLOOD Hypochr-NORMAL Anisocy-NORMAL 
-Poiklo-OCCASIONAL Macrocy-OCCASIONAL Microcy-NORMAL 
-Polychr-NORMAL
-___ 07:30AM BLOOD WBC-5.8 RBC-3.12* Hgb-10.7* Hct-32.3* 
-MCV-104* MCH-34.2* MCHC-33.0 RDW-13.8 Plt ___
-___ 07:20AM BLOOD WBC-4.4 RBC-3.09* Hgb-10.5* Hct-32.2* 
-MCV-104* MCH-33.9* MCHC-32.6 RDW-13.2 Plt ___
-
-___ 07:30PM BLOOD Glucose-133* UreaN-15 Creat-1.8* Na-132* 
-K-3.0* Cl-94* HCO3-18* AnGap-23*
-___ 07:20AM BLOOD Glucose-198* UreaN-6 Creat-0.6 Na-136 
-K-4.0 Cl-101 HCO3-25 AnGap-14
-___ 07:30PM BLOOD Osmolal-271*
-___ 07:30AM BLOOD Calcium-8.3* Phos-2.6*# Mg-1.7
-___ 07:20AM BLOOD Mg-1.9
-
-___ 07:30PM BLOOD ALT-15 AST-33 AlkPhos-67 TotBili-0.4
-___ 07:30PM BLOOD Lipase-144*
-___ 07:30PM BLOOD Albumin-4.0
-
-___ 07:30PM BLOOD VitB___-___
-
-___ 07:30AM BLOOD CRP-179.3*
-___ 07:20AM BLOOD CRP-76.8*
-
-___ 08:49PM BLOOD Lactate-1.5
-
-IMAGING:
-___ CT AP without contrast
-IMPRESSION:  
-1. Fat stranding, fascial thickening and prominent lymph nodes 
-in the right
-lower quadrant may be due to a terminal ileitis and/or cecitis; 
-however,
-assessment of the bowel is limited without IV or oral contrast. 
-The presence
-of intramural fat within the terminal ileum and cecum also 
-suggests underlying
-chronic inflammation of these regions.  No free fluid or free 
-air.  
- 
-2. Chronic findings include hepatic steatosis, atherosclerois 
-and fibroid
-uterus.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, NORMAL {No abnormality detected}, NORMAL {No abnormality detected}, NORMAL {No abnormality detected}, NORMAL {No abnormality detected}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Mg {Blood magnesium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Lipase {Triacylglycerol lipase measurement}, Albumin {Albumin measurement}, CRP {C-reactive protein measurement}, CRP {C-reactive protein measurement}, Lactate {Lactic acid measurement}, without contrast {Computed tomography of abdomen and pelvis without contrast}, Fat {Structure of adipose tissue}, stranding {Increased thickness}, fascial {Structure of fascia}, thickening {Increased thickness}, lymph nodes {Structure of lymph node}, right
-lower quadrant {Structure of right lower quadrant of abdomen}, terminal ileitis {Terminal ileitis}, cecitis {Typhlitis}, assessment {Evaluation procedure}, bowel {Intestinal structure}, intramural {Structure of intramural part of myometrium}, fat {Structure of adipose tissue}, terminal ileum {Structure of distal portion of ileum}, cecum {Cecum structure}, chronic inflammation {Chronic inflammation}, free fluid {Effusion}, free 
-air {Pneumoperitoneum}, Chronic {Chronic disease}, hepatic steatosis {Steatosis of liver}, atherosclerois {Atherosclerosis}, fibroid
-uterus {Uterine leiomyoma}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with DM, HLD, HTN, and history of multiple psychiatric 
-issues currently not prescribed any medications who presents 
-with abdominal pain associated with peritoneal signs on exam 
-without fever or leukocytosis and improved with bowel movements, 
-several diarrhea bowel movements per day and CT findings 
-consistent with ileitis/cecitis.
-
-# Gastroenteritis
-Differential initially broad and included viral and bacterial 
-gastroenteritis, appendicitis, inflammatory bowel disease and 
-irritable bowel syndrome. She was initially started on admission 
-on flagyl, but this was held given lack of fever, leukocytosis 
-or bloody diarrhea. Normal colonoscopy in ___ argued 
-against IBD and colonic malignancy, and acute appendicitis was 
-also felt unlikely given lack of fever or leukocytosis. CRP 
-noted to be 179.3, concerning for severe infection, 
-rheumatologic disease or infection. Clinical picture of 
-abdominal pain improved with bowel movement could be suggestive 
-of IBS. CT imaging only revealed terminal ileitis/cecitis, with 
-possible chronic inflammation in that area. After IVF and pain 
-management with 2.5-5 mg oral oxycodone, Ms. ___ abdominal 
-pain, diarrhea and abdominal exam improved rapidly over the 
-course of two days. Her CRP downtrended to 77 in two days. Given 
-her overall improvement, and stable vital signs and labs 
-throughout her inpatient stay, she was discharged to home with 
-instructions to call her PCP for close ___ as an 
-outpatient or if her symptoms became worse.
-
-# Hypotension
-Resolved upon admission, IV fluids were administered over the 
-course of her inpatient stay.
-
-# ___
-Labs consistent with pre-renal etiology in the setting of poor 
-PO intake over past few days. Cr improved with IVF and was back 
-to her baseline at the time of discharge. She was tolerating 
-adequate fluid intake at the time of discharge and was 
-instructed to continue this.
-
-# anion gap metabolic acidosis
-Noted on chemistry panel upon admission, etiology not entirely 
-clear given negative urine ketones and normal serum lactate, 
-lack of uremia, no serum osmolar gap and no history of 
-salicylate use. Gap presumed to be from undetected ketones in 
-the setting of recent poor PO intake. Anion gap improved with 
-fluid resuscitation.
-
-# Macrocytic anemia
-This is a chronic issue that was stable during her inpatient 
-stay. 
-
-# Hypertension
-Lisinopril held in setting ___ and reports of hypotension. 
-This was restarted upon discharge. 
-
-# Hyperlipidemia
-Her home dose of rosuvastatin was continued while inpatient.
-
-# Transitional issues
-- needs CRP rechecked to ensure that it continues to trend down
- 
-
-###RESPONSE: DM {Diabetes mellitus}, HLD {Hyperlipidemia}, HTN {Hypertensive disorder, systemic arterial}, not prescribed any medications {Not on psychotropic medication}, abdominal pain {Abdominal pain}, peritoneal signs {Disorder of peritoneum}, exam {Examination of abdomen}, fever {Fever}, leukocytosis {Leukocytosis}, improved {Patient's condition improved}, diarrhea {Diarrhea}, bowel movements {Altered bowel function}, CT {Computed tomography}, ileitis {Ileitis}, cecitis {Typhlitis}, Gastroenteritis {Inflammation of stomach and intestine}, viral {Viral gastroenteritis}, bacterial 
-gastroenteritis {Bacterial gastroenteritis}, appendicitis {Appendicitis}, inflammatory bowel disease {Inflammatory bowel disease}, irritable bowel syndrome {Irritable bowel syndrome}, fever {Fever}, leukocytosis {Leukocytosis}, bloody diarrhea {Hemorrhagic diarrhea}, Normal {No abnormality detected}, colonoscopy {Colonoscopy}, IBD {Inflammatory bowel disease}, colonic malignancy {Malignant neoplasm of colon}, acute appendicitis {Acute appendicitis}, fever {Fever}, leukocytosis {Leukocytosis}, CRP {C-reactive protein above reference range}, infection {Infectious disease}, rheumatologic disease {Rheumatoid arthritis}, infection {Infectious disease}, abdominal pain {Abdominal pain}, improved {Patient's condition improved}, IBS {Irritable bowel syndrome}, CT imaging {Computed tomography}, terminal ileitis {Terminal ileitis}, cecitis {Typhlitis}, chronic inflammation {Chronic inflammation}, IVF {Administration of intravenous fluids}, pain 
-management {Pain management}, oral {Administration of drug or medicament via oral route}, abdominal 
-pain {Abdominal pain}, diarrhea {Diarrhea}, abdominal exam {Examination of abdomen}, improved {Patient's condition improved}, CRP {C-reactive protein measurement}, improvement {Patient's condition improved}, stable vital signs {Normal vital signs}, labs {Laboratory test}, inpatient stay {Inpatient stay}, instructions {Recommendation to}, PCP {Primary care management}, worse {Patient's condition worsened}, Hypotension {Low blood pressure}, Resolved {Problem resolved}, IV fluids {Administration of intravenous fluids}, inpatient stay {Inpatient stay}, Labs {Laboratory test}, poor 
-PO intake {Inadequate oral intake}, improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, baseline {Baseline state}, tolerating 
-adequate fluid {Finding of fluid intake}, anion gap {Anion gap measurement}, metabolic acidosis {Metabolic acidosis}, negative {No abnormality detected}, urine {Urinalysis}, normal {No abnormality detected}, lactate {Lactic acid measurement}, uremia {Uremia}, poor PO intake {Inadequate oral intake}, Anion gap {Anion gap measurement}, improved {Patient's condition improved}, fluid resuscitation {Resuscitation using intravenous fluid}, Macrocytic anemia {Macrocytic anemia}, chronic issue {Chronic disease}, stable {Patient's condition stable}, inpatient 
-stay {Inpatient stay}, Hypertension {Hypertensive disorder, systemic arterial}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}, hypotension {Low blood pressure}, restarted {Restart of medication}, Hyperlipidemia {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Rosuvastatin Calcium 40 mg PO DAILY 
-2. Lisinopril 5 mg PO DAILY 
-
- 
-Discharge Medications:
-1. Rosuvastatin Calcium 40 mg PO DAILY 
-2. Lisinopril 5 mg PO DAILY 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary Diagnosis:
-Viral Gastroenteritis
-Secondary Diagnosis:
-Schizophrenia
-Hyperlipidemia
-Diabetes Mellitus
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Viral Gastroenteritis {Viral gastroenteritis}, Schizophrenia {Schizophrenia}, Hyperlipidemia {Hyperlipidemia}, Diabetes Mellitus {Diabetes mellitus}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms ___, 
-
-You were admitted with abdominal pain and diarrhea. We performed 
-a CT scan, which showed inflammation in your intestines. Lab 
-testing did not show any evidence of bacterial infection and 
-your symptoms rapidly improved. You likely had a viral 
-gastroenteritis - in accordance with your wishes you are being 
-discharged home to complete your recovery. Thank you for 
-allowing us to participate in your care. 
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, CT scan {Computed tomography}, inflammation {Inflammatory disorder}, intestines {Intestinal structure}, bacterial infection {Bacterial infectious disease}, improved {Patient's condition improved}, viral 
-gastroenteritis {Viral gastroenteritis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: PSYCHIATRY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfa (Sulfonamide Antibiotics)
- 
-Attending: ___
- 
-Chief Complaint:
-“My head is still a bit cloudy...”
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Sulfonamide Antibiotics {Allergy to sulfonamide antibiotic}, head {Head structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with no formal psychiatric history, with history of 
-polysubstance abuse, presented as transfer from OSH.  Events at 
-OSH are well-documented, but briefly, patient presented with c/o 
-SI, then stabbed himself with a pen, was restrained, sustained a 
-left humerus fracture, had respiratory depression from sedating 
-meds.  Currently arm is splinted, he has been evaluated by ortho 
-and trauma surgery, and no intervention is necessary for pen 
-fragments left in the posterior neck.  
-This morning, patient recalls that for approximately the past 
-year (since ___, in context of daily marijuana use and 
-one-time use of salvia, he has been experiencing “perceptual 
-changes inside [him]self.”  He reports that he has been “reading 
-symbols as being related to” him, for example interpreting what 
-people say, actions they take, signs, colors, the TV, etc, as 
-having meaning for himself.  He believes that there is a “higher 
-power” that may know what he is thinking, and that is sending 
-messages to him through the symbols related above.  He will 
-often “develop a theory” about the symbols’ meaning, and then 
-“feel menaced,” or “feel the fear of death.”  He has had fears 
-that people are “talking about [him] behind [his] back,” that 
-his friends are “demonic,” etc.  He denies somatic concerns.  He 
-denies AH, VH.  He has noticed that his thoughts “come faster.”  
-
-Patient denies changes in mood, denies depressed or elevated or 
-irritable periods.  He has had decreased sleep, but does sleep 
-nightly, and feels tired.  He describes energy, appetite, and 
-concentration as relatively normal.  He denies impulsive or 
-unusual actions, denies spending sprees.  He reports developing 
-suicidal ideation over the past approximately three months, “on 
-and off.”  He had been contemplating methods for suicide when he 
-called his friend on the night of presentation, and says, “I 
-guess I was still uncertain about it, because I called him.”  He 
-denies having taken steps to make a plan or execute a plan for 
-suicide.  He denies SI now, says, “not at all, there’s something 
-telling me to keep going.”  He denies HI.  
-Patient reports daily marijuana use since approximately ___, 
-he smokes once a day.  He also has used oxycontin off and on 
-since ___, but reports he had been abstinent from this since 
-___, until using one pill again on the night of admission. 
- He smoked salvia about ___ years ago, and reports he had 
-hallucinogenic experiences.  He denies other illicit drug use, 
-denies alcohol use.  
-
- 
-
-###RESPONSE: polysubstance abuse {Polysubstance abuse}, SI {Suicidal thoughts}, left humerus {Bone structure of left humerus}, fracture {Fracture}, respiratory depression {Decreased respiratory function}, arm {Upper limb structure}, trauma {Traumatic injury}, surgery {Surgical procedure}, posterior neck {Cervical region back structure}, fear of death {Fear of death}, fears {Fear}, AH {Auditory hallucinations}, VH {Visual hallucinations}, changes in mood {Disturbance in mood}, depressed {Depressed mood}, elevated {Elevated mood}, irritable {Feeling irritable}, tired {Tired}, suicidal ideation {Suicidal thoughts}, SI {Suicidal thoughts}, HI {Homicidal thoughts}, marijuana use {Marijuana user}, smokes {Smoker}, hallucinogenic {Hallucinosis}, illicit drug use {Illicit drug use}, denies alcohol use {Denies alcohol use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Past Psychiatric History:  
-Diagnoses: None.  Denies prior affective illness or psychotic 
-episodes.
-Hospitalizations:  None
-Suicide attempts: None previously
-Self-injury:  None
-Medication Trials:None
-No current providers.
-
-Medical History:
-Left arm fracture sustained in recent restraint, now splinted
-Has foreign body in neck, no surgical intervention deemed 
-necessary
-No chronic illness.  No past surgeries.
-
- 
-
-###RESPONSE: Suicide attempts {Suicidal intent}, Self-injury {Self-injurious behavior}, Medication {Patient medication education}, Left arm {Left upper arm structure}, fracture {Fracture of bone}, foreign body in neck {Foreign body of neck}, surgical intervention {Surgical procedure}, surgeries {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father with depression.  Paternal grandfather with alcoholism.
- 
-
-###RESPONSE: depression {Depressive disorder}, alcoholism {Alcoholism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PE: notable for left arm in sling secondary to humerus fracture.
-MENTAL STATUS EXAM:
-APPEARANCE & FACIAL EXPRESSION:  Young Caucasian male, sitting 
-up
-on gurney.  Splint on L arm, wrapped with guaze around his neck
-for support.  Visible abrasions on R aspect of neck.  Hair 
-neatly groomed.  
-BEHAVIOR: No abnormal behaviors
-ATTITUDE: Cooperative
-SPEECH: Regular rate and rhythm, fluent speech
-MOOD: ""Pretty terrible.""
-AFFECT (NOTE RANGE, REACTIVITY, APPROPRIATENESS, ETC.): Slightly
-dysphoric, anxious
-THOUGHT FORM: Generally linear
-THOUGHT CONTENT: Evidence of delusional thought, ideas of
-reference, some religious preoccupation
-ABNORMAL PERCEPTIONS: Denies; no evidence of AH or VH
-NEUROVEGETATIVE SYMPTOMS: Denies
-SUICIDALITY/HOMICIDALITY: Please see HPI; denies HI
-INSIGHT AND JUDGMENT: Poor/poor
-
-COGNITIVE ASSESSMENT: 
-SENSORIUM (E.G., ALERT, DROWSY, SOMNOLENT): Alert
-ORIENTATION: to person, place and time
-ATTENTION (DIGIT SPAN, SERIAL SEVENS, ETC.): Able to do WORLD
-backwards
-MEMORY: ___ registration; ___ recall but with some
-mistunderstanding of instructions
-CALCULATIONS:  $1.75 = ""750... wait, no, 7""
-FUND OF KNOWLEDGE: Average
-PROVERB INTERPRETATION: Book/cover = don't think you know 
-someone
-SIMILARITIES/ANALOGIES: N/A
-
- 
-
-###RESPONSE: left arm {Left upper arm structure}, in sling {Application of sling}, humerus fracture {Fracture of humerus}, sitting {Sitting position}, L arm {Left upper arm structure}, neck {Neck structure}, abrasions {Abrasion}, R aspect of neck {Structure of right half of neck}, Hair {Hair structure}, No abnormal behaviors {Normal behavior}, dysphoric {Dysphoric mood}, anxious {Anxiety}, delusional thought {Delusions}, ideas of
-reference {Ideas of reference}, religious {Has religious belief}, preoccupation {Preoccupation}, ABNORMAL PERCEPTIONS {Abnormal perception}, no evidence {No abnormality detected}, AH {Auditory hallucinations}, VH {Visual hallucinations}, SUICIDALITY {Suicidal thoughts}, HOMICIDALITY {Homicidal thoughts}, HI {Homicidal thoughts}, COGNITIVE ASSESSMENT {Assessment and interpretation of higher cerebral function, cognitive testing}, Alert {Mentally alert}, person, place and time {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:30PM   GLUCOSE-95 UREA N-9 CREAT-0.8 SODIUM-141 
-POTASSIUM-4.1 CHLORIDE-100 TOTAL CO2-31 ANION GAP-14
-___ 07:30PM   ALT(SGPT)-43* AST(SGOT)-95* ALK PHOS-50 TOT 
-BILI-0.8
-___ 07:30PM   CALCIUM-9.6 PHOSPHATE-3.1 MAGNESIUM-2.1
-___ 07:30PM   WBC-8.2 RBC-4.55* HGB-14.8 HCT-40.5 MCV-89 
-MCH-32.6* MCHC-36.6* RDW-12.6
-___ 07:30PM   PLT COUNT-270
-___ 10:21AM   K+-3.8
-___ 07:10AM BLOOD ALT-36 AST-36 AlkPhos-38* TotBili-0.9
-___ 07:10AM BLOOD Cholest-127
-___ 07:10AM BLOOD Triglyc-126 HDL-32 CHOL/HD-4.0 LDLcalc-70
-___ 06:55AM BLOOD Lithium-1.2
-.
-___: HUMERUS (AP & LAT) LEFT
-LEFT HUMERUS TWO VIEWS: There is a spiral fracture involving the 
-distal 
-metaphysis of the humerus. The distal fragment is distracted 
-about 1 cm 
-inferiorly. It is also displaced laterally by about half shaft 
-width. 
-.
-___: HUMERUS (AP & LAT) LEFT
-LEFT HUMERUS, THREE VIEWS: Again seen are the comminuted 
-fractures of the 
-mid/distal left humeral shaft. There is less distraction of the 
-fracture 
-fragments with now only one shaft width lateral displacement of 
-the distal fragment. The 6.9 cm butterfly fragment is unchanged. 
-There is no 
-appreciable callus formation or bridging. 
-.  
-IMPRESSION: Comminuted left humeral fracture with improved 
-alignment; 
-however, no significant callus or osseous bridging. 
-
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Cholest {Cholesterol measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, LDLcalc {Calculated low density lipoprotein cholesterol level}, HUMERUS (AP & LAT) LEFT {Plain X-ray of left humerus}, LEFT HUMERUS {Bone structure of left humerus}, spiral fracture {Fracture, spiral}, distal 
-metaphysis of the humerus {Bone structure of distal humerus}, HUMERUS (AP & LAT) LEFT {Plain X-ray of left humerus}, LEFT HUMERUS {Bone structure of left humerus}, comminuted 
-fractures {Fracture, comminuted}, mid {Structure of midshaft of humerus}, distal {Structure of distal shaft of humerus}, left humeral shaft {Bone structure of shaft of left humerus}, fracture {Fracture}, lateral displacement {Lateral displacement}, callus {Callosity}, Comminuted {Fracture, comminuted}, left humeral {Structure of bone marrow of left humerus}, fracture {Fracture}, improved {Patient's condition improved}, callus {Callosity}, osseous {Bone structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-1. Psychiatric-Patient was admitted to the unit without 
-incident. He initially presented with more insight into his 
-disordered thinking. He felt that it was likely due to the 
-recreational drugs he was using. Midway through his hospital 
-course, he experienced a panic attack; worrying about having a 
-similar attack along with his elevated bed increased his overall 
-anxiety level, and led to significant difficulty sleeping. At 
-this time he began to exhibit symptoms concerning for mania 
-including agitation, pressured speech, grandiose statements, and 
-increased paranoid ideation. The patient reported that the staff 
-were conspiring to ""test him"" with a variety of methods: 8 hour 
-changes in nursing shifts, delays/confusion in medication 
-delivery, and interruptions during interviews.  He frequently 
-became very agitated during interviews, which often preceded 
-paranoid accusations; similarly, he became agitated during a 
-phone conversation with his mother and later during a family 
-meeting, accusing his mother of siding with the hospital staff 
-to keep him in the hospital indefinitely.  
-
-Above written by Dr. ___ M.D.; remainder of 
-hospital course below written by ___ M.D.
-.
-On ___ he became acutely anxious about not being discharged 
-from the hospital, and made some superficial stab injuries to 
-his neck with the use of a pen; which did not require any suture 
-repair.  
-
-Psychopharmacology-Risperdal was initiated and titrated up to 6 
-mg PO qHS without side effects in order to target his sx's of 
-psychosis. Patient was educated on risk and benefits including 
-weight gain and a fasting lipid panel was check for a baseline. 
-Patient reported increasingly organized thoughts and the ability 
-to reality test regarding his ideas of reference. He denied any 
-further thoughts of suicidality.  Based on potential mood 
-symptoms, the team discussed with the patient the possibility of 
-adding a mood stabilizer to his treatment; and eventually agreed 
-to being started on lithium; and was titrated up to 600mg PO 
-bid; and was found to have a level of 1.2 on ___.  With the 
-therapeutic level of lithium, the mood related sx's above along 
-with his pressured speech, grandiosity, irritability, and 
-agitation resolved.  Upon discharge, his ibuprofen was 
-discontinued as well, given his prn vicodin was managing his 
-pain, and to avoid potential interactions between ibuprofen and 
-lithium.  Mr. ___ was agreeable to outpatient psychiatric 
-followup; continuation of these meds, and also to the idea of 
-transitioning to a partial hospital program. 
-
-Behavioral/Mileu-Patient was cooperative and in good behavioral 
-control on the unit. He attended groups and was motivated.
-
-2. Medical- Patient was followed by orthopedic surgery service. 
-Physical therapy was consulted. He received Vicodin PRN with 
-good pain control, which was successfully tapered. His left 
-humerus was re X-rayed and orthopedics followed up the result, 
-which showed improved alignment of the fragments, but needed 
-another film in a few weeks to observe if further healing 
-occurs. He should follow up with Dr. ___ as an outpatient 
-in 2 weeks.  He should continue to utilize his sling/brace as 
-instructed until then, and continue to sleep upright in bed, and 
-be non-weight bearing for his left arm.
-
-3. Legal- Patient was admitted to Deac 4 on a ___ from 
-the ED; and he signed in on a conditional voluntary basis upon 
-arrival. 
-
-4. Dispo-Patient was discharged to his mother's home; with 
-aftercare at ___, and outpatient psychiatric providers. 
- 
-
-###RESPONSE: panic attack {Panic attack}, anxiety {Anxiety}, difficulty sleeping {Difficulty sleeping}, mania {Mania}, agitation {Feeling agitated}, pressured speech {Pressure of speech}, paranoid ideation {Paranoid ideation}, confusion {Clouded consciousness}, agitated {Feeling agitated}, agitated {Feeling agitated}, anxious {Anxiety}, injuries {Traumatic or non-traumatic injury}, neck {Neck structure}, without side effects {Has shown no side effects from medication}, psychosis {Psychotic disorder}, weight gain {Weight gain}, ideas of reference {Ideas of reference}, suicidality {Suicidal thoughts}, pressured speech {Pressure of speech}, grandiosity {Inflated self-opinion}, irritability {Feeling irritable}, agitation {Feeling agitated}, pain {Pain}, left 
-humerus {Bone structure of left humerus}, improved {Patient's condition improved}, non-weight bearing {Non-weight-bearing}, left arm {Left upper arm structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-none
- 
-Discharge Medications:
-1. Lithium Carbonate 600 mg Capsule Sig: One (1) Capsule PO 
-twice a day.
-Disp:*30 Capsule(s)* Refills:*0*
-2. Lorazepam 1 mg Tablet Sig: One (1) Tablet PO twice a day as 
-needed for acute anxiety and insomnia.
-Disp:*30 Tablet(s)* Refills:*0*
-3. Hydrocodone-Acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q6H (every 6 hours) as needed for pain.
-Disp:*60 Tablet(s)* Refills:*0*
-4. Risperdal 3 mg Tablet Sig: Two (2) Tablet PO at bedtime.
-Disp:*30 Tablet(s)* Refills:*0*
-5. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2) 
-Tablet PO DAILY (Daily).
-Disp:*30 Tablet(s)* Refills:*0*
-6. Calcium Carbonate 500 mg Tablet, Chewable Sig: Two (2) 
-Tablet, Chewable PO DAILY (Daily).
-Disp:*30 Tablet, Chewable(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-AXIS I: Bipolar Disorder, Acute Mania with psychotic features.
-AXIS II: Deferred
-AXIS III:  fractured left humerus
-AXIS IV: Unemployed, socially isolate.
-AXIS V: 51
-
- 
-Discharge Condition:
-Vitals: afebrile, vitals stable
-MSE: Caucasian M, in hospital gown, and L arm in sling, speech 
-not pressured mood:'better', Affect: euthymic, pleasant, 
-related. TP: far less ruminative than past week.  TC: denies 
-SI/HI, does not appear to be responding to internal stimuli.  
-I/J: fair/fair.  Condition improved; pt. stable, appropriate for 
-discharge. 
-
- 
-
-###RESPONSE: AXIS I {Axis I diagnosis}, Bipolar Disorder {Bipolar disorder}, Mania {Mania}, AXIS II {Axis II diagnosis}, AXIS III {Axis III diagnosis}, fractured {Fracture of bone}, left humerus {Bone structure of left humerus}, AXIS IV {Axis IV diagnosis}, Unemployed {Unemployed}, socially isolate {Social isolation}, AXIS V {Axis V diagnosis}, Vitals {Vital signs finding}, afebrile {Fever}, vitals stable {Normal vital signs}, L arm {Left upper arm structure}, in sling {Application of sling}, euthymic {Euthymic mood}, SI {Suicidal thoughts}, HI {Homicidal thoughts}, improved {Patient's condition improved}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. If you are having thoughts of wanting to hurt yourself or 
-others, please call ___ or come to the Emergency Department 
-immediately.
-.
-2. Please continue to take your medications as prescribed
-.
-3. Please keep all your appointments with your outpatient 
-treaters as detailed below.
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___
- 
-Chief Complaint:
-Dypnea on exertion
- 
-Major Surgical or Invasive Procedure:
-Cardiac catheterization
-
- 
-
-###RESPONSE: Dypnea on exertion {Dyspnea on exertion}, Cardiac catheterization {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o gentleman with HTN has experienced cold and minimally 
-productive cough for the last couple of months.  Patient has 
-experienced dyspnea on exertion in the last week.  Patient was 
-able to walk for approx 1 mile asymptomatic prior to last week.  
-He gets SOB with less than 0.5 block this week.  Peripheral 
-edema around his ankle for the last week.  Now has improved.  2 
-pillows orhtopnea in the last week.  No PND.  Denies any chest 
-pain, palpitations, nausea, vomitting, diapheresis, chills.  Has 
-not seen a doctor for ___ years.
-Patient went to ___ and was found to have ST 
-elevations in anterior leads.  He was started on heparin and NTG 
-drip and transfered here. 
-In the ED at ___ patient recieved plavix of 600 mg PO.  VSS 
-and patient was chest pain free.  He was transfered to the floor 
-for further management.
-.
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, cold {Common cold}, productive cough {Productive cough}, dyspnea on exertion {Dyspnea on exertion}, able to walk {Able to walk}, asymptomatic {Asymptomatic}, SOB {Dyspnea}, Peripheral 
-edema {Peripheral edema}, ankle {Ankle region structure}, improved {Patient's condition improved}, orhtopnea {Orthopnea}, PND {Paroxysmal nocturnal dyspnea}, chest 
-pain {Chest pain}, palpitations {Palpitations}, nausea {Nausea}, vomitting {Vomiting}, diapheresis {Excessive sweating}, chills {Chill}, ST 
-elevations {ST segment elevation}, heparin {Heparin therapy}, VSS {Vital signs finding}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Uncontrolled hypertension
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father MI ___.  Mother with CAD.
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: 97.7  ___  97% RA
-Gen: Alert and awake.  NAD. Pleasant gentleman.  Follows 
-commands
-HEENT: PERRL, MMM, OP clear, JVP flat
-Heart: S1S2 RRR, no MRG
-Lungs: CTAB
-Abdomen: Soft NTND, no organomegaly, no bruit, aorta nonpalpable
-Ext: WWP, no edema
-Neuro:  Spontaneously moves all 4 extremities
-Pulses: Femoral and DP 2+ b/l, no femoral bruit
-.
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, Alert {Mentally alert}, awake {Awake}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, PERRL {Pupils equal and reacting to light}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, JVP {Finding of jugular venous pressure}, Heart {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, organomegaly {Abdominal organomegaly}, bruit {Bruit}, aorta {Aortic structure}, Ext {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, Neuro {Neurological examination}, Spontaneously moves all 4 extremities {Does move all four limbs}, Femoral {Structure of femoral artery}, DP 2+ b/l {Peripheral pulses normal}, femoral bruit {Femoral bruit}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-At OSH: CK 64, Trop 0.032, BNP 713
-INR 1.1, BUN 13, Cr 0.9
-WBC 8.1, HCT 50.4, Plt 211
-please see below for labs here
-.
-Labs here:
-___ 03:00PM BLOOD WBC-9.5 RBC-5.51 Hgb-15.8 Hct-46.1 MCV-84 
-MCH-28.6 MCHC-34.2 RDW-15.7* Plt ___
-___ 03:00PM BLOOD Neuts-91.0* Lymphs-5.2* Monos-3.5 Eos-0.2 
-Baso-0.1
-___ 03:00PM BLOOD Plt ___
-___ 05:45AM BLOOD ___ PTT-28.2 ___
-___ 05:45AM BLOOD Glucose-87 UreaN-13 Creat-0.9 Na-143 
-K-3.9 Cl-103 HCO3-29 AnGap-15
-___ 03:00PM BLOOD Calcium-9.4 Phos-4.2 Mg-2.1
-___ 05:45AM BLOOD %HbA1c-5.9
-___ 05:45AM BLOOD Triglyc-85 HDL-52 CHOL/HD-2.9 LDLcalc-83
-___ 03:00PM BLOOD CK(CPK)-145
-___ 09:25PM BLOOD ALT-20 AST-14 CK(CPK)-52
-___ 05:45AM BLOOD CK(CPK)-41
-___ 07:50AM BLOOD CK(CPK)-99
-___ 03:00PM BLOOD CK-MB-4 proBNP-6133*
-___ 03:00PM BLOOD cTropnT-<0.01
-___ 09:25PM BLOOD CK-MB-NotDone cTropnT-0.01 proBNP-8584*
-___ 05:45AM BLOOD CK-MB-NotDone cTropnT-<0.01
-.
-CHEST (PA & LAT)  ___:
-Acute cardiogenic failure characterized by interstitial edema, 
-cardiomegaly, and pleural effusion.
-.
-ECG ___:
-Sinus rhythm at upper limits of normal rate. Consider left 
-atrial abnormality. Q waves in leads II, III and aVF. Consider 
-inferior myocardial infarction of undetermined age. R wave 
-reversal in leads V2-V3 with Q waves through lead V6 with ST 
-segment elevation. Consider acute anterior myocardial 
-infarction. No previous tracing available for comparison. 
-Clinical correlation is suggested. 
-.
-TTE ___:
-The left atrium is moderately dilated. The estimated right 
-atrial pressure is ___. Left ventricular wall thicknesses 
-are normal. The left ventricular cavity is severely dilated with 
-akinesis of the distal half of the ventricle with an apical 
-aneurysm. The basal segments are hypokinetic (LVEF <20 %). Left 
-ventricular cardiac index is severely depressed (<2.0L/min/m2). 
-No masses or thrombi are seen in the left ventricle, but the 
-apex is heavily trabeculated. The right ventricular cavity is 
-mildly dilated with focal hypokinesis of the mid free wall. The 
-aortic root is moderately dilated at the sinus level. The aortic 
-arch is mildly dilated. The aortic valve leaflets appear 
-structurally normal with good leaflet excursion. Trace aortic 
-regurgitation is seen. The mitral leaflets appear structurally 
-normal. Mild to moderate (___) mitral regurgitation is seen. 
-There is a small pericardial effusion most prominent around the 
-right atrium without evidence of diastolic collapse/tamponade 
-physiology.
-IMPRESSION: Severe left ventricular cavity enlargement with 
-regional and global systolic dysfunction c/w diffuse process 
-(multivessel CAD most likely, but cannot exclude toxin, 
-metabolic, etc.). Mild moderate mitral regurgitation. Dilated 
-ascending aorta and arch.
-If clinically indicated, a cardiac MR may be more sensitive for 
-detection of a left ventricular thrombus. 
-.
-Cardiac Catheterization ___: Prelim:
-1. Selective coronary angiography of this left dominant system 
-demonstrated three vessel coronary artery disease. The LMCA had 
-diffuse 
-___ stenosis. The LAD was heavily calcified with diffuse mild 
-
-plaquing proximally, severe disease after S1 with total 
-occlusion. The 
-disetal vessel was not visualized. The S1 had 50% stenosis at 
-its 
-origin. The LCX was heavily calcified with mid 85% stenosis 
-after modest 
-OM1. The OM2 and OM3 were small. The upper pole of OM1 was 
-occluded and 
-filled retrograde by left to left collaterals. The OM3 had 
-subtotal 
-occlusion proximally. The distal AV groove CX had 90% stenosis 
-before 
-LPDA and collaterals to distal RCA. The RCA was moderately 
-calcified 
-with mid ___ stenosis. There was diffuse plaquing in the distal 
-AV 
-groove RCA supplying the RPLs with faint filling of very disstal 
-AVG 
-groove RCA. 
-2. Resting hemodynamics were performed. The right sided filling 
-pressures were within normal range (mean RA pressure was 6mmHg 
-and RVEDP 
-was 9mmHg). The pulmonary artery pressures were elevated 
-measuring 
-42/23mmHg. The left sided filling pressures were elevated (mean 
-PCW 
-pressure was 25mmHg and LVEDP was 28mmHg). The systemic arterial 
-
-pressures were within normal range measuring 105/75mmHg. There 
-was no 
-significant gradient across the aortic valve upon pull back of 
-the 
-catheter from the left ventricle into the ascending aorta. The 
-cardiac 
-index calculated using an assumed oxygen consumption rate was 
-normal at 
-2.4 l/min/m2.   
-FINAL DIAGNOSIS:     
-1. Three vessel coronary artery disease. 
-2. Elevated left sided filling pressures. 
-3. Normal cardiac index. 
-.
-CTA CORONARY ARTERIES W/QUANTITATIVE CALCIUM  ___: Prelim:
-CTA CORONARY ARTERIES W/QUANTI; CT HEART W&W/O CONTRAST;GATING
-1. Moderate bibasal effusions with atelectasis at the lung 
-bases.
-2. Extensive coronary atherosclerosis.
-Please note further details of the CT coronary angiography will 
-be added as an addendum once reconstructions have been performed 
-in the 3D imaging lab.
-.
- 
-
-###RESPONSE: BNP {Brain natriuretic peptide measurement}, WBC {White blood cell count}, HCT {Hematocrit determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, LDLcalc {Calculated low density lipoprotein cholesterol level}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cardiogenic failure {Heart failure}, interstitial edema {Edema}, cardiomegaly {Cardiomegaly}, pleural effusion {Pleural effusion}, Sinus rhythm {Sinus rhythm}, upper limits of normal rate {Measurement finding above reference range}, left 
-atrial abnormality {Left atrial abnormality}, leads II {Lead II}, III {Lead III}, inferior myocardial infarction {Inferior myocardial infarction on electrocardiogram}, ST 
-segment elevation {ST segment elevation}, acute anterior myocardial 
-infarction {Acute myocardial infarction of anterior wall}, left atrium is moderately dilated {Left atrial dilatation}, right 
-atrial {Right atrial structure}, pressure {Pressure}, Left ventricular wall {Left cardiac ventricular structure}, thicknesses 
-are normal {Normal thickness}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, dilated {Dilatation}, akinesis {Akinesia}, ventricle {Cardiac ventricular structure}, apical {Structure of apex of heart}, cardiac index is severely depressed {Decreased cardiac index}, masses {Mass}, thrombi {Thrombus}, left ventricle {Left cardiac ventricular structure}, apex {Structure of apex of heart}, heavily trabeculated {Abnormal trabeculation}, right ventricular cavity is 
-mildly dilated {Dilatation of right cardiac ventricle}, hypokinesis of the mid free wall {Hypokinetic right ventricular wall}, aortic root {Supraaortic valve area structure}, dilated {Dilatation}, sinus {Structure of sinus of Valsalva}, aortic 
-arch {Aortic arch structure}, dilated {Dilatation}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of leaflet of tricuspid valve}, aortic 
-regurgitation {Aortic valve regurgitation}, mitral leaflets {Structure of leaflet of mitral valve}, structurally 
-normal {Mitral valve normal}, mitral regurgitation {Mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, right atrium {Right atrial structure}, collapse {Collapse}, tamponade {Cardiac tamponade}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, enlargement {Enlargement}, systolic dysfunction {Systolic dysfunction}, CAD {Coronary arteriosclerosis}, moderate mitral regurgitation {Moderate mitral valve regurgitation}, Dilated 
-ascending aorta {Ascending aorta dilatation}, arch {Aortic arch structure}, cardiac MR {Magnetic resonance imaging of heart}, left ventricular thrombus {Left ventricular thrombus}, coronary angiography {Angiography of coronary artery}, three vessel coronary artery disease {Triple vessel disease of the heart}, LMCA {Structure of left coronary artery main stem}, diffuse 
-___ stenosis {Diffuse supravalvar aortic stenosis}, LAD {Structure of anterior descending branch of left coronary artery}, calcified {Pathologic calcification, calcified structure}, disease {Disease}, total 
-occlusion {Complete obstruction}, disetal {Structure of distal portion of circumflex branch of left coronary artery}, vessel {Blood vessel structure}, stenosis {Stenosis}, LCX {Structure of circumflex branch of left coronary artery}, calcified {Pathologic calcification, calcified structure}, stenosis {Stenosis}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, OM2 {Structure of second obtuse marginal branch of circumflex branch of left coronary artery}, OM1 {Structure of first obtuse marginal branch of circumflex branch of left coronary artery}, occlusion {Complete obstruction}, distal {Structure of distal portion of circumflex branch of left coronary artery}, AV groove {Structure of anterior interventricular sulcus}, stenosis {Stenosis}, distal RCA {Structure of distal portion of right coronary artery}, RCA {Right coronary artery structure}, calcified {Pathologic calcification, calcified structure}, stenosis {Stenosis}, AV 
-groove {Structure of right coronary sulcus}, RCA {Right coronary artery structure}, RCA {Right coronary artery structure}, filling 
-pressures were within normal range {Normal cardiac flow}, RA {Right atrial structure}, pressure {Pressure}, pulmonary artery pressures were elevated {Pulmonary arterial pressure increased}, filling pressures were elevated {Increased pressure}, pressure {Pressure}, pressures were within normal range {Normal blood pressure}, aortic valve {Aortic valve structure}, left ventricle {Left cardiac ventricular structure}, ascending aorta {Ascending aorta structure}, cardiac 
-index {Normal cardiac index}, Three vessel coronary artery disease {Triple vessel disease of the heart}, Elevated left sided filling pressures {Left ventricular diastolic dysfunction}, Normal cardiac index {Normal cardiac index}, CTA CORONARY ARTERIES {Computed tomography angiography of coronary artery with contrast}, CT HEART {Computed tomography of heart}, effusions {Pleural effusion}, atelectasis {Atelectasis}, lung 
-bases {Structure of base of lung}, coronary atherosclerosis {Atherosclerosis of coronary artery}, coronary angiography {Angiography of coronary artery}, imaging {Imaging}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ year old gentleman with uncontrolled hypertension has 
-experienced dyspnea on exertion for one week.
-.
-# Coronary artery disease:  EKG suggests ischemic cardiomyopathy 
-with aneurysm.  Cardiac enzymes were negative.  Patient's 
-presentation is consistent with old ischemic episodes.  Cardiac 
-catheterization showed three vessel disease.  Appreciated 
-cardiac surgery evaluation for possible CABG.  Given his 
-comorbidities and no benefit to be gained from LAD bypass, CABG 
-was not recommended.  Patient was treated medically with full 
-dose Aspirin, Lipitor 80 mg daily, carvedilol and lisinopril.  
-Echocardiogram showed EF < 20% with hypokinesis and aneurysmal 
-apex.  Patient was started on heparin drip.  Patient was 
-discharged on lovenox bridge to coumadin.  Stress MIBI results 
-reviewed with cardiologists suggest that there may be some 
-viability in lateral and inferior walls.  Patient was 
-recommended Percutaneous coronary intervention.  Patient wanted 
-to go home and decide later.  
-.
-# Pump: Admitted with acute systolic heart failure.  Most likely 
-due to multivessel coronary artery disease and/or severe 
-uncontrolled hypertension.  Patient was diureses with lasix and 
-spiranolactone.  Patient responded to this treatement.  He was 
-also started on carvedilol and lisinopril as above.  Patient 
-will follow up with ___ as out patient.  He will need 
-a repeat echocardiogram in 4 to 5 weeks to reassess for possible 
-ICD placment for primary prevention.  Patient will decide 
-whether to get PCI and notify ___.  Anticoagulation as 
-above.  His functional status improved prior to discharge.
-.
-# Contact: Wife ___ ___
-.
-# Code: Full confirmed with patient
-.
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, dyspnea on exertion {Dyspnea on exertion}, Coronary artery disease {Coronary arteriosclerosis}, EKG {Electrocardiographic procedure}, ischemic cardiomyopathy {Generalized ischemic myocardial dysfunction}, aneurysm {Aneurysm}, Cardiac enzymes were negative {Cardiac enzymes within reference range}, ischemic {Ischemia}, Cardiac 
-catheterization {Cardiac catheterization}, three vessel disease {Triple vessel disease of the heart}, evaluation {Evaluation procedure}, CABG {Coronary artery bypass grafting}, LAD {Structure of anterior descending branch of left coronary artery}, bypass {Construction of shunt}, CABG {Coronary artery bypass grafting}, Aspirin {Administration of aspirin}, Echocardiogram {Echocardiography}, hypokinesis {Hypokinesis of cardiac wall}, apex {Structure of apex of heart}, Percutaneous coronary intervention {Percutaneous coronary intervention}, acute systolic heart failure {Acute systolic heart failure}, coronary artery disease {Coronary arteriosclerosis}, hypertension {Hypertensive disorder, systemic arterial}, diureses {Diuresis}, lasix {Diuretic therapy}, echocardiogram {Echocardiography}, ICD placment {Insertion of cardiac biventricular implantable cardioverter defibrillator using fluoroscopic guidance}, primary prevention {Primary prevention}, PCI {Percutaneous coronary intervention}, Anticoagulation {Anticoagulant therapy}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Home Medications:
-none
-.
-Medications on Transfer:
-ASA 325 mg daily
-Heparin gtt
-NTG gtt
-Lasix 40 mg IV once
-Lopressor 5 mg IV three times today
-.
-
- 
-Discharge Medications:
-1. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).
-Disp:*60 Tablet(s)* Refills:*2*
-2. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-3. Furosemide 40 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day).
-Disp:*60 Tablet(s)* Refills:*2*
-4. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
-Disp:*60 Tablet(s)* Refills:*2*
-5. Spironolactone 25 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).
-Disp:*60 Tablet(s)* Refills:*2*
-6. Carvedilol 12.5 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).
-Disp:*60 Tablet(s)* Refills:*2*
-7. Lovenox 80 mg/0.8 mL Syringe Sig: One (1)  Subcutaneous twice 
-a day.
-Disp:*30 * Refills:*2*
-8. Outpatient Lab Work
-Please check INR on ___ and ___. 
- Please send results to the office of Dr. ___ 
-___  phone: ___ fax: ___.
-
-9. Warfarin 1 mg Tablet Sig: One (1) Tablet PO once a day: take 
-with 2mg pills to total 5mg per day (dose will be adjusted by 
-Dr. ___ based on your blood level).
-Disp:*60 Tablet(s)* Refills:*2*
-10. Warfarin 2 mg Tablet Sig: Two (2) Tablet PO once a day: take 
-in combination with 1mg pills to total 5 mg per day (dose will 
-be adjusted by Dr. ___ based on your blood level).
-Disp:*60 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Acute systolic heart failure
-Coronary artery disease status post myocardial infarction
-Uncontrolled hypertension
-
- 
-Discharge Condition:
-Asymptomatic and hemodynamically stable.
-
- 
-
-###RESPONSE: Acute systolic heart failure {Acute systolic heart failure}, Coronary artery disease {Coronary arteriosclerosis}, status post {Postoperative state}, myocardial infarction {Myocardial infarction}, hypertension {Hypertensive disorder, systemic arterial}, Asymptomatic {Asymptomatic}, hemodynamically stable {Hemodynamically stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ with 
-heart failure.  Your heart failure is most likely due to 
-previous heart attacks.  You recieved diuretics to improve heart 
-failure.  You had a procedure called cardiac catheterization 
-which showed multiple obstruction in the arteries supplying 
-blood to your heart.  Cardiac surgeons evaluated you but advised 
-against bypass surgery as risks outweighed benefits.  You may 
-benefit from coronary angioplasty with stents but you wanted to 
-go home and come back later to get the procedure done.  
-.
-Please take all of the medications as written.  You are started 
-on full dose aspirin, atorvastatin, carvedilol and lisinopril.  
-You were also started on lasix (furosemide) and aldactone to 
-take extra fluid off of your body.  You were started on blood 
-thinner called lovenox as you are at risk for developing blood 
-clots due to poor heart structure/function.
-.
-Please check your weight every day first thing in the morning 
-after urinating.  Please call Dr. ___ if weight is 
-increasing by greater than 3 pounds.  Weight on discharge 78.6kg 
-or 173 pounds.
-.
-Please keep all of the follow up appointments.  You need a 
-repeat Echocardiogram in four weeks to assess your heart 
-function.  If your heart function is still depressed, you may 
-need an ICD.  Please discuss this with your cardiologist.
-.
-If you develop chest pain, shortness of breath or any other 
-concerning sympotms, please call your primary care doctor or 
-come to the Emergency Department.
- 
-
-###RESPONSE: heart failure {Heart failure}, heart failure {Heart failure}, heart attacks {Myocardial infarction}, diuretics {Diuretic therapy}, heart 
-failure {Heart failure}, procedure {Procedure}, cardiac catheterization {Cardiac catheterization}, obstruction {Obstruction}, arteries {Coronary artery structure}, heart {Heart structure}, coronary angioplasty with stents {Percutaneous transluminal balloon angioplasty with insertion of stent into coronary artery}, lasix {Diuretic therapy}, blood 
-thinner {Anticoagulant therapy}, blood 
-clots {Blood clot}, heart structure {Heart structure}, weight {Weight finding}, weight is 
-increasing {Weight increasing}, Weight {Weight finding}, Echocardiogram {Echocardiography}, heart {Heart structure}, heart {Heart structure}, depressed {Decreased vascular flow}, ICD {Implantation of automatic cardiac defibrillator}, chest pain {Chest pain}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Bactrim
- 
-Attending: ___.
- 
-Chief Complaint:
-Hyperkalemia
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Bactrim {Allergy to sulfamethoxazole and/or trimethoprim}, Hyperkalemia {Hyperkalemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old female with a history of CKD with nephrotic 
-syndrome, CREST syndrome and chronic hyperkalemia who was sent 
-for delerium and hyperkalemia. Per NH report she was answering 
-questions inappropriately. Routine labs done on ___ also 
-showed a K of 5.7. They had recently increased her daily 
-kayexelate to 15g as she has a long history of chronic 
-hyperkalemia. She does note that she has had a decreased 
-appetite recently but has been drinking adequate fluids.  
-
-In the ED, initial vs were: 96, 64, 124/66, 98% RA. Her mental 
-status was normal on eval there. Her K was 5.4. An EKG showed no 
-change from prior. She received 30g of kayexelate and 1L NS.  
-
-Currently only complaining of a headache on her left side, which 
-mildly radiates down her neck. otherwise she had a large dinner 
-and feels better.
-
- 
-
-###RESPONSE: CKD {Chronic kidney disease}, nephrotic 
-syndrome {Nephrotic syndrome}, CREST syndrome {Calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia syndrome}, chronic hyperkalemia {Chronic hyperkalemia}, delerium {Delirium}, hyperkalemia {Hyperkalemia}, chronic 
-hyperkalemia {Chronic hyperkalemia}, decreased 
-appetite {Decrease in appetite}, vs {Vital signs finding}, RA {Breathing room air}, EKG {Electrocardiographic procedure}, headache {Headache}, radiates down her neck {Pain radiating to neck}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Type 2 Diabetes
-CKD with nephrotic range proteinuria (Cr ~ 2.8)
-benign Hypertension
-Biliary cirrhosis
-Crest syndrome
-GERD
-Panic disorder
-s/p radioiodine ablative therapy for hyperthyroidism
-depression
-asthma with COPD
-peripheral neuropathy
-nephrotic syndrome
-ischemic cardiomyopathy--EF ___ s/p ICD
-s/p coronary stents to RCA
-h/o low back pain
-nausea
-iron deficiency anemia
-vitamin D deficiency
-h/o R leg DVT
-seizure disorder
-hypothyroidism
-Unstented 90% L circ
- 
-
-###RESPONSE: Type 2 Diabetes {Diabetes mellitus type 2}, CKD {Chronic kidney disease}, nephrotic range proteinuria {Nephrotic range proteinuria}, benign Hypertension {Benign hypertension}, Biliary cirrhosis {Biliary cirrhosis}, Crest syndrome {Calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia syndrome}, GERD {Gastroesophageal reflux disease}, Panic disorder {Panic disorder}, radioiodine ablative therapy {Radionuclide ablation therapy of thyroid using iodine 131}, hyperthyroidism {Hyperthyroidism}, depression {Depressive disorder}, asthma {Asthma}, COPD {Chronic obstructive lung disease}, peripheral neuropathy {Peripheral nerve disease}, nephrotic syndrome {Nephrotic syndrome}, ischemic cardiomyopathy {Generalized ischemic myocardial dysfunction}, ICD {Implantation of automatic cardiac defibrillator}, coronary stents to RCA {Stent in branch of right coronary artery}, low back pain {Low back pain}, nausea {Nausea}, iron deficiency anemia {Iron deficiency anemia}, vitamin D deficiency {Vitamin D deficiency}, R leg {Structure of right lower leg}, DVT {Deep venous thrombosis}, seizure disorder {Seizure disorder}, hypothyroidism {Hypothyroidism}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-Contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ROS:
-GEN: - fevers, - Chills, - Weight Loss
-EYES: - Photophobia, - Visual Changes
-HEENT: - Oral/Gum bleeding
-CARDIAC: - Chest Pain, - Palpitations, - Edema
-GI: - Nausea, - Vomitting, - Diarhea, - Abdominal Pain, - 
-Constipation, - Hematochezia, + 2 pillow Orthopnea (chronic)
-PULM: - Dyspnea, - Cough, - Hemoptysis
-HEME: - Bleeding, - Lymphadenopathy
-GU: - Dysuria, - hematuria, - Incontinence
-SKIN: - Rash
-ENDO: - Heat/Cold Intolerance
-MSK: - Myalgia, - Arthralgia, - Back Pain
-NEURO: - Numbness, - Weakness, - Vertigo, + Headache
- 
-PHYSICAL EXAM:
-VSS: 97.5, 147/72, 65, 20, 100%
-GEN: NAD
-Pain: ___
-HEENT: EOMI, MMM, - OP Lesions
-PUL: CTA B/L
-COR: RRR, S1/S2, - MRG
-ABD: NT/ND, +BS, - CVAT
-EXT: - CC, 1+ edema
-NEURO: CAOx3, Non-Focal
- 
-
-###RESPONSE: GEN {General examination of patient}, fevers {Fever}, Chills {Chill}, Weight Loss {Weight loss}, Photophobia {Photophobia}, HEENT {Physical examination procedure}, Oral {Oral cavity structure}, Gum {Gingival structure}, bleeding {Bleeding}, CARDIAC {Cardiovascular physical examination}, Chest {Examination of respiratory system}, Palpitations {Palpitations}, Edema {Edema}, GI {Examination of digestive system}, Nausea {Nausea}, Vomitting {Vomiting}, Diarhea {Diarrhea}, Abd {Examination of abdomen}, Constipation {Constipation}, Hematochezia {Hematochezia}, Orthopnea {Orthopnea}, PULM {Examination of respiratory system}, Dyspnea {Dyspnea}, Cough {Cough}, Hemoptysis {Hemoptysis}, Bleeding {Bleeding}, Lymphadenopathy {Lymphadenopathy}, GU {Examination of genitourinary system}, Dysuria {Dysuria}, hematuria {Blood in urine}, Incontinence {Incontinence}, SKIN {Examination of skin}, Rash {Eruption of skin}, ND {Swollen abdomen}, Heat {Intolerant of heat}, Cold Intolerance {Intolerant of cold}, MSK {Musculoskeletal system physical examination}, Myalgia {Muscle pain}, Arthralgia {Joint pain}, Back Pain {Backache}, NEURO {Neurological examination}, Numbness {Numbness}, Weakness {Asthenia}, Vertigo {Vertigo}, Headache {Headache}, VSS {Vital signs finding}, GEN {General examination of patient}, NAD {No abnormality detected}, Pain {Chest pain}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, OP {Oropharyngeal structure}, Lesions {Oral lesion}, PUL {Examination of respiratory system}, CTA B/L {Normal breath sounds}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, S1/S2 {Heart sounds normal}, ABD {Examination of abdomen}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS {Normal bowel sounds}, EXT {Examination of limb}, edema {Edema}, NEURO {Neurological examination}, CAOx3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:47AM BLOOD WBC-5.0 RBC-3.48* Hgb-10.4* Hct-32.0* 
-MCV-92 MCH-30.0 MCHC-32.6 RDW-14.3 Plt ___
-___ 06:20PM BLOOD Neuts-49.5* ___ Monos-5.9 
-Eos-4.9* Baso-0.4
-___ 07:47AM BLOOD ___ PTT-32.5 ___
-___ 07:47AM BLOOD Glucose-90 UreaN-77* Creat-2.8* Na-139 
-K-4.6 Cl-106 HCO3-22 AnGap-16
-___ 06:20PM BLOOD Glucose-280* UreaN-81* Creat-3.0* Na-135 
-K-5.3* Cl-102 HCO3-23 AnGap-15
-___ 07:47AM BLOOD Calcium-8.1* Phos-6.3* Mg-2.6
-___ 05:49AM URINE Color-Straw Appear-Hazy Sp ___
-___ 05:49AM URINE Blood-NEG Nitrite-NEG Protein-100 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-6.5 Leuks-LG
-___ 05:49AM URINE RBC-3* WBC-35* Bacteri-FEW Yeast-NONE 
-Epi-0
-___ 05:49AM URINE Hours-RANDOM UreaN-404 Creat-34 Na-83
-___ 05:49AM URINE Osmolal-356
-
-___ 5:49 am URINE      Source: Catheter. 
-
-   URINE CULTURE (Pending): 
-
-CT L-SPINE W/O CONTRAST Study Date of ___ 3:25 ___ 
-IMPRESSION: 
-1. Severe degenerative changes at multiple levels in the lumbar 
-spine. 
-Retrolisthesis and posterior disc protrusion at L5-S1 result in 
-moderate 
-narrowing of the spinal canal at this level. 
-2. Degenerative disease at other levels as above 
-3. Calcified, atrophic pancreas. 
- 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, URINE Color-Straw {Normal urine color}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, RBC {Red blood cell count}, WBC {White blood cell count}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, URINE CULTURE {Urine culture}, AST {Aspartate aminotransferase measurement}, degenerative changes {Degenerative abnormality}, lumbar 
-spine {Structure of lumbar vertebral column}, Retrolisthesis {Retrolisthesis}, disc protrusion {Intervertebral disc prolapse}, L5-S1 {Structure of intervertebral disc of L5 and S1}, narrowing {Narrowing}, spinal canal {Spinal canal structure}, disease {Disease}, Calcified {Pathologic calcification, calcified structure}, atrophic {Atrophy}, pancreas {Pancreatic structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-1. Hyperkalemia
-- Resolved with hydration and kayexelate
-- Maintain on kayexelate and lasix
-
-2. Acute Renal Failure on CKD Stage IV
-- Renal Dosing
-- Mild Hydration
-
-3. Benign Hypertension
-- lasix
-- Hydralazine
-- Metoprolol
-- Doxazosin
-- Isosorbide
-- Clonidine Patch, increased dose to 0.3 as patient persistently 
-hypertensive
-
-4. Type 2 Diabetes Uncontrolled with Complications
-- Lantus, ISS
-- patient would likely benefit from improved glucose control, 
-would reccomend consideration of uptitration of basal insulin as 
-per patient's PCP
-
-5. Delerium
-- Resolved Spontaneously, patient AAO x3 on discharge
-
-6. Epilepsy
-- Dilantin
-
-7. Depression
-- ___ be cause of delerium
-
-8. CAD Native Vessle
-- Aspirin, Plavix, Metoprolol, zocor
-
-9. Headache
-- Tylenol, d/c Percoset given that patient was complaining of 
-nausea
-
-10. Asymptomatic UTI
-- txt with Cefpodoxime as Cipro contraindicated given patient's 
-history of borderline prolonged QTc
-
- 
-
-###RESPONSE: Hyperkalemia {Hyperkalemia}, Resolved {Problem resolved}, hydration {Administration of fluid therapy}, lasix {Diuretic therapy}, Acute Renal Failure {Acute kidney injury}, CKD Stage IV {Chronic kidney disease stage 4}, Hydration {Administration of fluid therapy}, Benign Hypertension {Benign hypertension}, lasix {Diuretic therapy}, hypertensive {Finding of increased blood pressure}, Type 2 Diabetes {Diabetes mellitus type 2}, improved {Patient's condition improved}, uptitration {Increasing dosage of medication}, Delerium {Delirium}, Resolved {Problem resolved}, AAO x3 {Oriented to person, time and place}, Epilepsy {Epilepsy}, Depression {Depressive disorder}, delerium {Delirium}, CAD {Coronary arteriosclerosis}, Headache {Headache}, nausea {Nausea}, Asymptomatic {Asymptomatic}, UTI {Urinary tract infectious disease}, prolonged QTc {Prolonged QT interval}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Heparin 5000 units SQ TID  
-Clonidine patch 0.2 mg q TH  
-Calcium carbonate 500 BID  
-Vit D daily  
-Plavix 75 daily  
-Isosorbide mononitrate 90 daily  
-Doxazosin 8 mg qhs  
-Percocet ___ tabs PO q4 PRN  
-Metoprolol 50 mg q12  
-Fluticasone inhaler 2 puffs BID  
-Phenytoin 150 mg QAM, 300mg PO qHS  
-Aspirin 81 mg daily  
-Omeprazole 20 mg BID  
-Hydralazine 25 BID, then 50 at MN  
-Lantus 5 units QPM  
-HISS  
-___ 75mg PO daily  
-Simvastatin 10mg PO daily  
-Lasix 20mg PO BID  
-Kayexelate 15mg PO daily
- 
-Discharge Medications:
-1. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1)  
-Injection TID (3 times a day).  
-2. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO BID (2 times a day).  
-3. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-4. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-5. Doxazosin 4 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). 
- 
-6. Tylenol ___ mg Tablet Sig: Two (2) Tablet PO every four (4) 
-hours as needed for pain.  
-7. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO once a day: 
-please hold for SBP < 100 and HR < 55.  
-8. Isosorbide Mononitrate 60 mg Tablet Sustained Release 24 hr 
-Sig: 1.5 Tablet Sustained Release 24 hrs PO once a day.  
-9. Clonidine 0.3 mg/24 hr Patch Weekly Sig: One (1) patch 
-Transdermal ___.  
-10. Fluticasone 110 mcg/Actuation Aerosol Sig: Two (2) Puff 
-Inhalation BID (2 times a day).  
-11. Phenytoin Sodium Extended 100 mg Capsule Sig: 1.5 Capsules 
-PO QAM (once a day (in the morning)).  
-12. Phenytoin Sodium Extended 100 mg Capsule Sig: Three (3) 
-Capsule PO QPM (once a day (in the evening)).  
-13. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-14. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO twice a day.  
-15. Hydralazine 25 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-16. Hydralazine 25 mg Tablet Sig: Two (2) Tablet PO QHS (once a 
-day (at bedtime)).  
-17. Bupropion 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-18. Simvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-19. Furosemide 20 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).  
-20. Sodium Polystyrene Sulfonate 15 g/60 mL Suspension Sig: One 
-(1)  PO DAILY (Daily).  
-21. Lantus 100 unit/mL Solution Sig: Five (5) Units Subcutaneous 
-qPM.  
-22. Cefpodoxime 100 mg Tablet Sig: One (1) Tablet PO Q24H (every 
-24 hours) for 2 days.  
-23. Insulin Regular Human 300 unit/3 mL Insulin Pen Sig: as per 
-sliding scale  Subcutaneous qachs.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary: hyperkalemia/UTI
-.
-Secondary:
-chronic renal insufficiency baseline 2.7-3.0
-diabetes
-HTN
-biliary cirrhosis
-crest syndrome
-GERD
-s/p nuclear therapy for hyperthyroidism
-depression
-asthma with COPD
-peripheral neuropathy
-nephrotic syndrome
-ischemic cardiomyopathy - EF ___
-cad s/p stnets to RCA
-low back pain
-iron deficiency anemia
-vit D deficiency
-h/o right leg DVT
-h/o hypocalcemia
-s/p PCM
-seizure disorder
-hypothyroidism
- 
-Discharge Condition:
-afebrile, hypertensive to 170/78, clinically stable, K 5.1, Cr 3
- 
-
-###RESPONSE: hyperkalemia {Hyperkalemia}, UTI {Urinary tract infectious disease}, chronic renal insufficiency {Chronic renal insufficiency}, diabetes {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, biliary cirrhosis {Biliary cirrhosis}, crest syndrome {Calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia syndrome}, GERD {Gastroesophageal reflux disease}, therapy {Therapy}, hyperthyroidism {Hyperthyroidism}, depression {Depressive disorder}, asthma {Asthma}, COPD {Chronic obstructive lung disease}, peripheral neuropathy {Peripheral nerve disease}, nephrotic syndrome {Nephrotic syndrome}, ischemic cardiomyopathy {Generalized ischemic myocardial dysfunction}, cad {Coronary arteriosclerosis}, stnets to RCA {Stent in branch of right coronary artery}, low back pain {Low back pain}, iron deficiency anemia {Iron deficiency anemia}, vit D deficiency {Vitamin D deficiency}, right leg {Structure of right lower leg}, DVT {Deep venous thrombosis}, hypocalcemia {Hypocalcemia}, seizure disorder {Seizure disorder}, hypothyroidism {Hypothyroidism}, afebrile {Fever}, hypertensive {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital with hyperkalemia without any 
-associated EKG changes. You were treated with an extra dose of 
-kayexelate and IV fluids. You potassium has improved.  It is 
-important to remember that given your chronic renal failure, we 
-can tolerate a slightly higher potassium than we would in 
-someone without renal failure.  You should continue to follow up 
-with your nephrologist and your primary care doctor regularly. 
-It is important that you keep yourself well hydrated especially 
-because the kayexelate that you take to keep your potassium down 
-gives you diarrhea and makes you lose water.  As we have noted 
-that you were persistently hypertensive during your admission we 
-increased the dose of your clonidine patch. You should continue 
-to titrate your anti-hypertensives as per your primary care 
-physician.  You also were noted to have an asymptomatic UTI for 
-which you were treated with Cefpodoxime. You will complete an 
-additional two day course for this at rehab. You also underwent 
-a CT of your spine to evaluate your incontinence which 
-demonstrated severe degenerative disc disease but no evidence of 
-cord compression or tumor. 
-.
-You should return to the hospital if you experience potassium 
-greater than 6 with EKG changes, otherwise you can likely be 
-managed by contacting your nephrologist. You should return to 
-the ER if you experience any worsening shortness of breath, 
-chest pain, high fevers or uncontrolled nausea and vomiting.
-.
-It has been a pleasure taking care of you at ___ 
-___.
- 
-
-###RESPONSE: hyperkalemia {Hyperkalemia}, EKG changes {Electrocardiogram abnormal}, IV fluids {Administration of intravenous fluids}, improved {Patient's condition improved}, chronic renal failure {Chronic renal failure syndrome}, diarrhea {Diarrhea}, hypertensive {Finding of increased blood pressure}, anti-hypertensives {On treatment for hypertension}, asymptomatic {Asymptomatic}, UTI {Urinary tract infectious disease}, CT of your spine {Computed tomography of spine}, incontinence {Incontinence}, degenerative disc disease {Degeneration of intervertebral disc}, cord compression {Spinal cord compression}, tumor {Neoplasm of spinal cord}, EKG changes {Electrocardiogram abnormal}, shortness of breath {Dyspnea}, chest pain {Chest pain}, fevers {Fever}, nausea and vomiting {Nausea and vomiting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Sulfonamides / Shellfish
- 
-Attending: ___.
- 
-Chief Complaint:
-Cellulitis, Nephrotic Syndrome
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Sulfonamides {Allergy to sulfonamide}, Shellfish {Allergy to shellfish}, Cellulitis {Cellulitis}, Nephrotic Syndrome {Nephrotic syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ y/o F with a history of CAD s/p CABG ___, PVD s/p stenting 
-___, IDDM, HTN, HLD, hep C, hypothyroidism, and chronic 
-bronchitis who presented to ___ ED complaining of ___ R knee 
-pain s/p fall 2wks PTA, ~50lb weight gain over the past 6 weeks 
-as she has noted swelling in her ankles and feet, along with 
-worsening orthopnea, and painful skin ulcers ___ sunburn also 
-2wks ago. 
-.
-Knee pain is due to a fall Ms. ___ took when trying to step up 
-and onto a curb--she explained that she missed her step, fell, 
-and spent 30 minutes lying on the ground waiting for someone to 
-come help her. This fall was her third in the last few months, 
-having previously fallen on her face while walking outside her 
-apartment ~6 weeks ago, along with a fall ~4 weeks ago when she 
-was trying to swing a bag of garbage into the dumpster, during 
-which she landed on her L arm and skinned her elbow. Ms. ___ 
-denies syncope, palpitations, and confusion leading up to these 
-falls, explaining instead that she has felt some general loss of 
-balance over the past several months, most apparent when walking 
-(i.e. balance issues not present without exertion).
-.
-Following the fall in which she injured her knee, Ms. ___ 
-presented to her PCP with pain and erythema over her right 
-pretibia, which was suspicious for cellulitis. Ms. ___ was 
-started on Cephalexin 500mg PO TID, but her erythema and 
-tenderness ahve not decreased with this treatment.
-.
-As far as the rash on her legs, Ms. ___ related that several 
-weeks ago she was sitting outside for several hours in the yard 
-of her apartment complex, wearing shorts, when she developed a 
-bad sunburn on her anterior distal thighs, just proximal to her 
-knees. This was unusual for her--she doesn't usually burn and 
-appears to have type 4 or 5 skin, but on this occasion she 
-developed a burn that, over the course of ___ days, developed 
-into large blisters on either leg, which popped shortly after 
-they appeared. Since then, she has had persistent erosions, the 
-remnants of her bullae, which are tender, but have not wept any 
-fluid.
-.
-Finally, in terms of her swelling, dyspnea, orthopnea and cough, 
-Ms. ___ explained that for the past ~six weeks, she has gained 
-approximately 10lbs each week and noted a concomitant increase 
-in DOE, along with a cough which has been productive of some 
-sputum but no blood. She visited her PCP on ___ with 
-complaints of DOE and cough, as well as bilateral lower 
-extremity swelling. According to her PCP's note, Ms. ___ had 
-previously been treated with furosemide 20mg BID which she had 
-self-terminated, and her PCP advised her to resume taking 
-Furosemide 20mg BID, which she has done with approximately 50% 
-adherence. Ms. ___ was also prescribed prednisone 10mg daily, 
-which Ms. ___ says she took faithfully, but has recently 
-finished (she can't remember when she took her last dose).
-.
-On presentation to the ED today VS were 97.5 142/98 68 20 
-100%RA, with a fingerstick glucose of 236. Her chief complaint 
-on presentation was ___ knee pain with fluid drainage, in 
-addition to the above dyspnea/swelling and ulcers from sunburn. 
-Workup in the ED for her dyspnea included PA and Lateral CXR, 
-which showed bilateral pleural effusions and a left basilar 
-opacity, which has increased since her previous CXR on ___. Leg 
-erythema/pain was treated as presumed cellulitis with 1g IV 
-vancomycin, and a Knee xray showed no fracture, dislocation or 
-effusion.
-.
-Since coming up to the floor Ms. ___ has continued to complain 
-of ___ pain, although she has not appeared to be in such pain. 
-She has been fatigued, which she ascribes to lots of activity 
-coming here and in the ED. 
-
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, CABG {Coronary artery bypass grafting}, PVD {Peripheral vascular disease}, stenting {Insertion of arterial stent}, IDDM {Diabetes mellitus type 1}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, hep C {Viral hepatitis type C}, hypothyroidism {Hypothyroidism}, chronic 
-bronchitis {Chronic bronchitis}, R knee {Structure of right knee region}, pain {Pain of knee region}, fall {Falls}, weight gain {Weight gain}, swelling {Swelling}, ankles {Ankle region structure}, feet {Foot structure}, orthopnea {Orthopnea}, skin ulcers {Skin ulcer}, sunburn {Solar erythema}, Knee pain {Pain of knee region}, fall {Falls}, fell {Falls}, fall {Falls}, face {Face structure}, fall {Falls}, L arm {Left upper arm structure}, elbow {Left elbow region structure}, syncope {Syncope}, palpitations {Palpitations}, confusion {Clouded consciousness}, falls {Falls}, loss of 
-balance {Unable to balance}, fall {Falls}, knee {Structure of left knee region}, pain {Abdominal pain}, erythema {Erythema}, right {Structure of right lower limb}, cellulitis {Cellulitis}, erythema {Erythema}, tenderness {Tenderness}, rash {Eruption of skin}, legs {Lower limb structure}, sunburn {Solar erythema}, anterior distal thighs {Skin structure of anterior surface of thigh}, knees {Knee region structure}, burn {Burn injury}, blisters {Blister}, erosions {Superficial ulcer}, bullae {Blister}, tender {Tenderness}, swelling {Swelling}, dyspnea {Dyspnea}, orthopnea {Orthopnea}, cough {Cough}, DOE {Dyspnea on exertion}, cough {Cough}, productive of some 
-sputum {Productive cough}, DOE {Dyspnea on exertion}, cough {Cough}, bilateral lower 
-extremity swelling {Swelling of bilateral lower limbs}, VS {Vital signs finding}, RA {Breathing room air}, knee pain {Pain of knee region}, dyspnea {Dyspnea}, swelling {Swelling}, ulcers {Ulcer}, sunburn {Solar erythema}, dyspnea {Dyspnea}, PA {Plain x-ray of chest posteroanterior view}, CXR {Plain chest X-ray}, bilateral pleural effusions {Bilateral pleural effusion}, left basilar {Structure of lower lobe of left lung}, opacity {Abnormally opaque structure}, CXR {Plain chest X-ray}, Leg {Skin structure of lower leg}, erythema {Erythema}, pain {Pain}, cellulitis {Cellulitis}, Knee xray {Radiologic examination of knee}, fracture {Fracture}, dislocation {Dislocation}, effusion {Knee joint effusion}, pain {Pain}, pain {Pain}, fatigued {Fatigue}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother- CAD, MI, deceased of endocarditis, age uncertain (pt in 
-___ at time)
-Father- unknown to pt
-Son- ___ Obese, HTN
-Grandson- 7 healthy
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, deceased {Dead}, endocarditis {Endocarditis}, Obese {Obese}, HTN {Hypertensive disorder, systemic arterial}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: Tm: Tc: 97.1 BP: 160/90 HR: 68 RR: 16 02sat 100% RA
-GENERAL: Obese, ill-appearing woman in pain, somewhat fatigued, 
-often closing eyes during encounter
-HEENT: EOMI, PERRL, sclera anicteric, no LAD. JVD difficult to 
-assess given body habitus but none visualized.
-CHEST: CTAB anteriorly with crackles on LLL posteriorly
-CV: RRR, nl S1, split S2, no M/R/G. Non-displaced PMI.
-ABD: Obese, active BS, NT, somewhat distended but resonant to 
-percussion with no fluid wave.
-NEURO: CN2-12 intact. Cutaneous sensation and vibratory sense 
-intact in upper extremities. Decreased cutaneous sensation below 
-the knee with complete loss of vibratory sensation. Strength ___ 
-in upper extremities and lower extremities. Normal tone 
-throughout.
-SKIN: Healing scab on L elbow, symmetric ulcers on R and L 
-distal thigh. larger on R than left. Keloid on chest over 
-incision site for CABG.
- 
-
-###RESPONSE: Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, Obese {Obese}, in pain {Pain}, fatigued {Fatigue}, HEENT {Physical examination procedure}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, sclera anicteric {White sclera}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, CHEST {Examination of respiratory system}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, LLL {Structure of lower lobe of left lung}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, nl S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, ABD {Examination of abdomen}, Obese {Obese abdomen}, active BS {Bowel sounds hyperactive}, NT {Abdominal tenderness}, distended {Swollen abdomen}, resonant to 
-percussion {Normal abdominal resonance}, NEURO {Neurological examination}, CN2-12 {Cranial nerve structure}, Cutaneous {Skin structure}, sensation {Normal sensation}, vibratory sense 
-intact {Normal vibration sensation}, upper extremities {Upper limb structure}, Decreased cutaneous sensation {Altered sensation of skin}, below 
-the knee {Structure of below knee region}, loss of vibratory sensation {Absence of vibratory sense}, upper extremities {Upper limb structure}, lower extremities {Lower limb structure}, SKIN {Examination of skin}, Healing {Structure resulting from tissue repair process}, scab {Scab}, L elbow {Left elbow region structure}, ulcers {Ulcer}, R {Structure of skin of right thigh}, L 
-distal thigh {Structure of skin of left thigh}, R {Structure of skin of right thigh}, left {Structure of skin of left thigh}, Keloid {Keloid}, chest {Skin structure of chest}, incision site {Surgical incision wound}, CABG {Coronary artery bypass grafting}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:40AM BLOOD WBC-7.3 RBC-3.72* Hgb-11.5* Hct-34.6* 
-MCV-93 MCH-31.0 MCHC-33.3 RDW-14.6 Plt ___
-___ 05:12AM BLOOD WBC-8.0 RBC-4.00* Hgb-12.4 Hct-36.7 
-MCV-92 MCH-31.0 MCHC-33.8 RDW-14.6 Plt ___
-___ 11:40AM BLOOD Neuts-61.6 ___ Monos-3.5 Eos-2.7 
-Baso-0.6
-___ 07:40PM BLOOD ___ PTT-30.3 ___
-___ 05:12AM BLOOD ___ PTT-34.2 ___
-___ 11:40AM BLOOD Glucose-269* UreaN-26* Creat-1.8* Na-136 
-K-4.7 Cl-104 HCO3-26 AnGap-11
-___ 05:12AM BLOOD Glucose-79 UreaN-24* Creat-1.6* Na-136 
-K-3.7 Cl-103 HCO3-28 AnGap-9
-___ 11:40AM BLOOD ALT-50* AST-69* LD(___)-438* AlkPhos-187* 
-TotBili-0.3
-___ 05:12AM BLOOD ALT-52* AST-87* LD(LDH)-358* AlkPhos-160* 
-TotBili-0.3
-___ 11:40AM BLOOD proBNP-5780*
-___ 05:12AM BLOOD TotProt-5.1* Albumin-2.1* Globuln-3.0 
-Calcium-8.2* Phos-3.8 Mg-1.8 Cholest-346*
-___ 07:40PM BLOOD Mg-1.8 Cholest-348*
-___ 06:00AM BLOOD Hapto-230*
-___ 07:40PM BLOOD Triglyc-231* HDL-50 CHOL/HD-7.0 
-LDLcalc-252*
-___ 05:12AM BLOOD Triglyc-214* HDL-56 CHOL/HD-6.2 
-LDLcalc-247*
-
-IMAGING
-___ Renal US:
-IMPRESSION: Mild increase in renal echogenicity bilaterally 
-consistent with chronic renal disease. No hydronephrosis. Small 
-bilateral pleural effusion and scant trace of ascites in the 
-abdomen. 
-
-___ ECHO:
-The left atrium is normal in size. Left ventricular wall 
-thicknesses and cavity size are normal. Overall left ventricular 
-systolic function is low normal (LVEF 50-55%). There is no 
-ventricular septal defect. Right ventricular chamber size and 
-free wall motion are normal. The aortic valve leaflets (3) are 
-mildly thickened but aortic stenosis is not present. Mild (1+) 
-aortic regurgitation is seen. The mitral valve leaflets are 
-mildly thickened. Trivial mitral regurgitation is seen. There is 
-borderline pulmonary artery systolic hypertension. There is no 
-pericardial effusion. 
-
-Compared with the prior study (images reviewed) of ___, 
-there is very mild global hypokinesis on the current study. The 
-degree of aortic regurgittaion has incresed slightly. Estimated 
-pulmonary pressures were lower on the current study.  
-
-___ Knees 2 views:
-IMPRESSION: No fracture or dislocation.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Albumin {Albumin measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Cholest {Cholesterol measurement}, Mg {Blood magnesium measurement}, Cholest {Cholesterol measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, IMAGING {Imaging}, renal {Kidney structure}, chronic renal disease {Chronic kidney disease}, hydronephrosis {Hydronephrosis}, bilateral pleural effusion {Bilateral pleural effusion}, ascites {Ascites}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, left atrium {Left atrial structure}, normal in size {Normal size}, Left ventricular wall {Left cardiac ventricular structure}, thicknesses {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, left ventricular 
-systolic function is low normal {Depression of left ventricular systolic function}, ventricular septal defect {Ventricular septal defect}, Right ventricular chamber {Structure of cavity of right cardiac ventricle}, wall motion are normal {Normal ventricular wall motion}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Mild (1+) 
-aortic regurgitation {Mild aortic valve regurgitation}, mitral valve leaflets are 
-mildly thickened {Thickened mitral leaflet}, mitral regurgitation {Mitral valve regurgitation}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, mild global hypokinesis {Mild hypokinesis of cardiac wall}, aortic regurgittaion {Aortic valve regurgitation}, fracture {Fracture}, dislocation {Dislocation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-On presentation to the ED VS 97.5 142/98 68 20 100%RA, with FSBS 
-236. Her chief complaint on presentation was ___ knee pain 
-with erythema and fluid drainage, in addition to 
-dyspnea/swelling and ulcers from sunburn. Workup in the ED for 
-her dyspnea included PA and Lateral CXR, which showed bilateral 
-pleural effusions and a left basilar opacity, which has 
-increased since her previous CXR on ___. Leg erythema/pain was 
-treated as presumed cellulitis with 1g IV vancomycin, and a Knee 
-xray showed no fracture, dislocation or effusion.
-.
-On the floor Ms. ___ continued to complain of ___ pain 
-during her first day, in addition to fatigue. Initial treatment 
-for her cellulitis was vancomycin 1g Q24H and cefepime 2g IV 
-q24h. This was switched to PO clindamycin Q6H 300mg Q6H on ___ 
-evening, following a discussion with PCP ___, and in 
-accordance to a feeling that the infection was superficial and 
-less likely to be pseudamonas.
-.
-Workup of edema started from ddx of CHF (favored by edema, risk 
-factors including HTN, HLD, CAD, BNP 5780, disfavored by lack of 
-JVD and pulmonary edema) / liver disease (favored by chronic Hep 
-C, chronic hypoalbuminemia) and nephrotic syndrome (favored by 
-hypoalbuminemia, hypertriglyceridemia, and chronic hepC). Spot 
-urine protein:Cr 15.8 on ___ suggestive of nephrotic syndrome. 
-Will continue diuresis and salt restrict (already on heart 
-healthy diet).  Pt had high protein creatinine ratio and 
-hypoalbuminemic.  Pt slowly improved and biopsy was not done 
-while pt was inpatient.  She slowly improved and her symptoms 
-resolved.  Renal was considering a renal biopsy, but felt that 
-her symptoms were likely related to diabetic nephropathy.  In 
-the course of this discussion, the patient refused to stay in 
-the hospital and demanded to leave.  We scheduled outpatient 
-follow up with Dr. ___ in order to further work up possible 
-liver disease in lieu of her hepatitis C.  
-.
-Diabetes - Pt was admitted to the floor hyperglycemic with a ___ 
-of 321.  She was started on an insulin sliding scale, but her 
-sugars were difficult to control.  We adjusted her sliding scale 
-as necessary and at time of discharge her finger sticks were 
-within an acceptable range.  Pt gabapentin was also continued 
-for her diabetic neuropathy.
-.  
-Asthma - patient was currently asymptomatic.  Continued daily 
-advair therapy 500 mcg-50 mcg/Dose 1 puff twice a day and will 
-order Albuterol nebulizer treatment PRN for exacerbation.  Pt 
-did not have asthmatic symptoms throughout the course of her 
-hospital stay.
-.   
-Bronchitis - Patient is currently asymptomatic. Will not give 
-Prednisone in the hospital as patient bronchitis seems to have 
-resolved. Will discuss with patient the last dose and taper 
-accordingly.  
-.
-Depression - Asymptomatic at this time.  Pt was not expressing 
-any signs of depression.  Continued Bupropion and Escitalopram 
-during the course of her hospital stay.
-.  
-Hypothyroidism - Pt was asymptomatic throughout the course of 
-her hospital stay and was continued on levothyroxine.
-.
-Pt was demanding to leave the hospital at the time of discharge. 
- We recommended that she stayed in the hospital, but she was 
-refusing and we felt that at this point in her medical treatment 
-she was stable for discharge with further work up in the 
-outpatient setting.
-
- 
-
-###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, FSBS {Glucose measurement, blood, test strip}, knee pain {Pain of knee region}, erythema {Erythema}, dyspnea {Dyspnea}, swelling {Swelling}, ulcers {Ulcer}, sunburn {Solar erythema}, Workup {Evaluation procedure}, dyspnea {Dyspnea}, PA {Plain x-ray of chest posteroanterior view}, CXR {Plain chest X-ray}, bilateral 
-pleural effusions {Bilateral pleural effusion}, left basilar {Structure of lower lobe of left lung}, opacity {Abnormally opaque structure}, CXR {Plain chest X-ray}, Leg {Structure of left lower leg}, erythema {Erythema}, pain {Pain}, cellulitis {Cellulitis}, Knee 
-xray {Radiologic examination of knee}, fracture {Fracture}, dislocation {Dislocation}, effusion {Knee joint effusion}, pain {Pain}, fatigue {Fatigue}, cellulitis {Cellulitis}, infection {Infectious disease}, edema {Edema}, CHF {Congestive heart failure}, edema {Edema}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, BNP {Brain natriuretic peptide measurement}, JVD {Jugular venous engorgement}, pulmonary edema {Pulmonary edema}, liver disease {Disorder of liver}, chronic Hep 
-C {Chronic hepatitis C}, chronic {Chronic disease}, hypoalbuminemia {Hypoalbuminemia}, nephrotic syndrome {Nephrotic syndrome}, hypoalbuminemia {Hypoalbuminemia}, hypertriglyceridemia {Hypertriglyceridemia}, chronic hepC {Chronic hepatitis C}, nephrotic syndrome {Nephrotic syndrome}, diuresis {Diuresis}, salt restrict {Low sodium diet}, healthy diet {Healthy diet}, protein creatinine ratio {Protein/creatinine ratio measurement}, hypoalbuminemic {Hypoalbuminemia}, improved {Patient's condition improved}, biopsy {Biopsy}, improved {Patient's condition improved}, renal biopsy {Kidney biopsy}, diabetic nephropathy {Disorder of kidney due to diabetes mellitus}, outpatient 
-follow up {Outpatient care management}, liver disease {Disorder of liver}, hepatitis C {Viral hepatitis type C}, Diabetes {Diabetes mellitus}, hyperglycemic {Hyperglycemia}, insulin sliding scale {Sliding scale insulin regime}, finger sticks {Glucose measurement, blood, test strip}, diabetic neuropathy {Neuropathy due to diabetes mellitus}, Asthma {Asthma}, asymptomatic {Asymptomatic}, nebulizer treatment {Nebulizer therapy}, Bronchitis {Bronchitis}, asymptomatic {Asymptomatic}, bronchitis {Bronchitis}, Depression {Depressive disorder}, Asymptomatic {Asymptomatic}, signs of depression {Symptoms of depression}, Hypothyroidism {Hypothyroidism}, asymptomatic {Asymptomatic}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
- - Lisinopril 10mg PO daily
- - Atenolol 75mg daily
- - Furosemide 20mg BID
- - ASA 81mg daily
- - Spironolactone 25mg daily
- - Albuterol Sulfate 0.83% neb Q4H PRN
- - Albuterol Sulfate 90mcg HFA inhaler 2 puffs QID PRN
- - Fluticasone-Salmeterol 500mcg/50mcg 1 puff BID
- - Prednisone 10mg daily
- - Gabapentin 600mg daily
- - Insulin Lispro 10u with breakfast with sliding scale at 
-dinner
- - NPH insulin 35 units QAM and 30 units QPM
- - Levothyroxine 200mcg PO daily
- - Calcium Carbonate/Vitamin D3 600mg/200unit PO daily
- - Cephalexin 500mg PO QID
- - Citalopram 20mg QHS
- - Buproprion HCL 100mg PO daily
- - Nitroglycerin O.3 mg SL PRN
-
- 
-Discharge Medications:
- - Lisinopril 10mg PO daily
- - Atenolol 75mg daily
- - Furosemide 20mg IV (once)
- - Furosemide 20mg PO (starting tomorrow AM)
- - Spironolactone 25mg daily
- - Albuterol Sulfate 0.83% neb Q4H PRN
- - Albuterol Sulfate 90mcg HFA inhaler 2 puffs QID PRN
- - Fluticasone-Salmeterol 500mcg/50mcg 1 puff BID
- - Gabapentin 600mg daily
- - Insulin Sliding Scale
- - Levothyroxine 200mcg PO daily
- - Calcium Carbonate/Vitamin D3 500mg/400unit PO daily
- - Cephalexin 500mg PO QID
- - Citalopram 20mg QHS
- - Buproprion HCL 100mg PO daily
- - Nitroglycerin O.3 mg SL PRN
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Cellulitis, Nephrotic syndrome
- 
-Discharge Condition:
-Pt is currently stable, her cellulitis is improving, and she is 
-in negative fluid balance.  A & O x3.  Ambulated with a cane.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Cellulitis {Cellulitis}, Nephrotic syndrome {Nephrotic syndrome}, stable {Patient's condition stable}, cellulitis {Cellulitis}, negative fluid balance {Negative fluid balance}, A {Mentally alert}, O x3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___ is currently stable and has had a stable hospital 
-course.  She is on day ___ of her clindamycin 300mg 4 times a 
-day.  She will be discharged on this medication which should be 
-competed by ___.  In addition, she was being worked up for 
-her diagnosis of nephrotic syndrome vs. severe diabetic 
-nephropathy.  Please continue her lasix 40mg twice a day.  Ms 
-___ please do not take any NSAIDs over the counter such as 
-Alleve.  You should have your potassium checked next week. You 
-should follow up with Dr. ___ a possible kidney biopsy. 
- It is very important that you follow up with your primary care 
-physician.
-.
-The following medications were started:
--clindamycin 300 four times a day (every 6 hrs-please set an 
-alarm if this helps you remember)
-.
-The following medications were increased in dose:
--lasix increased to 40mg twice a day
--lisinopril increased to 20mg once a day
-.
-The following medication was discontinued:
--spironolactone
--prednisone
--(we know you are no longer taking citalopram)
-.
-The following medications were continued at their previous dose:
--atenolol 75mg daily
--aspirin 81mg daily
--albuterol nebs and inhaler at previous dose
--fluticasone-salmeterol 1 puff twice a day
--gabapentin 600mg daily
--pls continue previous home dosing of insulin
--levothyroxine 200mcg daily
--continue home doses of calcium and vit D
--buproprion 100mg daily
--nitroglycerin 0.3mg sl prn
- 
-
-###RESPONSE: nephrotic syndrome {Nephrotic syndrome}, diabetic 
-nephropathy {Disorder of kidney due to diabetes mellitus}, lasix {Diuretic therapy}, kidney biopsy {Kidney biopsy}, lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Episodes of unresponsiveness
- 
-Major Surgical or Invasive Procedure:
-___ omental nodule biopsy - ___
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, unresponsiveness {Unresponsive}, omental {Omentum structure}, nodule {Nodule}, biopsy {Biopsy of omentum}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ is a ___ ___ male with a PMHx of HTN, HL, 
-obesity,
-multiple acute small bilateral ischemic strokes (___), 
-and
-possible OSA (no formal diagnosis) who presents with four
-episodes of unresponsiveness. 
-
-He was in his USOH when he woke up this morning (___). His
-family drove him to ___ for his son's wedding at 3pm. He
-made it through the ceremony without incident. 
-While sitting down at the reception at 8pm, his family noticed
-this his eyes rolled in a circle and then deviated off to one
-side (but family not sure which side). He was also leaning to 
-one
-side (but didn't fall, family not sure which side). He had LOC
-and was unresponsive to questions, but his eyes remained open. 
-He
-also had diaphoresis, drooling, and pursed lips. His ""whole body
-tensed"" during this event, which his son identified when he put
-his arms on his dad's shoulders and noticed that they were 
-tense.
-This entire event lasted 2 minutes, and the patient was
-subsequently back at baseline. The patient only recalls the
-vomiting; he does not recall the other symptoms above. 
-
-A second event occurred that was just the like the first and
-again lasted 2 minutes or so. Subsequently, the patient became
-dysarthric, had N/V, and his lids drooped as though he was 
-sleepy
-(but his lids would open up if called). There was no confusion
-after the event, per his son, and the patient knew who he was,
-where he was, and what the date was (family asked him these
-questions). A third similar event with vomiting afterward
-occurred in the car on the way to ___ around 9pm. A fourth
-similar event occurred in the ___ ED. At the time of 
-interview,
-the son felt that his father was still dysarthric but otherwise
-back to baseline. The patient still reports a little nausea but
-otherwise denies new symptoms or deficits including dysarthria.
-
-He had a similar episode 2 months ago while standing and talking
-to his wife. ___ see MD at that time. No prior similar
-episodes. No auras, ___, no gastric rising, no rhythmic
-shaking, no TB, and no incontinence with these episodes. 
-Normally
-sleeps well, last night went to bed at 2am (atypical) and awoke
-at 7am. Didn't wake up in between these times. Drank 1 beer on
-___. Normally drinks ___ beers daily (closer to 4, per son). No
-problems during delivery or pregnancy. Normal development. No
-febrile seizures. No FHx seizures. No new substances or 
-illicits.
-No antecedent infections or traumas. 
-
-Also reports lightheadedness for ___ months (also in PCP ___
-when standing only. Intermittent, not every time he stands up. 
-No
-LH today. Denies vertigo or dysequelibrium. He has also
-intermittently had CP, which can occur at rest, including the 
-day
-prior to his episodes of unresponsiveness. The CP is a
-pressure-like along the midline and non-radiating. There is no
-associated nausea or sweating, no jaw pain, no arm pain. No CP 
-on
-day of unresponsiveness episodes. Denies palpitations and SOB.
-
-Of note, in ___, he presented with right sided weakness;
-specifically, his writing was clumsy, he had difficulty lifting
-his right arm, and he was dragging his RLE. On admission exam, 
-he
-had dysathria, subtle R NLFF, and right arm and leg weakness
-(mostly 4+ and 5- range). He was admitted to the ___ neurology
-service, and he was found to have multiple small acute ischemic
-strokes which were thought to be secondary to an embolic shower
-given the bilateral, scattered appearance (although etiology
-unconfirmed). Son also noted a ""change in speech."" He was 
-started
-on aspirin 81mg daily, lisinopril 30mg daily, and atorvastatin
-80mg daily. Empiric Apixiban was discussed with him, but he
-declined this. LDL 149. 
-
-A TTE did not show PFO or thrombus, nor did follow-up TEE. He 
-was
-discharged with 30 days of cardiac monitoring, which did not 
-show
-any evidence of arrhythmia. He was seen by Dr. ___ in ___, at which time his exam was only notable for residual right
-hand clumsiness. Dr. ___ a CT torso to evaluate
-for malignancy, but at his last PCP visit, the patient declined
-this. Dr. ___ planned to refer for contious heart 
-monitor
-implantation if the CT torso was normal. He was also seen in
-follow-up by his PCP ___ ___, at which time he noted
-""dizziness."" 
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HL {Hyperlipidemia}, obesity {Obesity}, ischemic strokes {Ischemic stroke}, OSA {Obstructive sleep apnea syndrome}, unresponsiveness {Unresponsive}, sitting {Sitting position}, eyes rolled {Rolling of eyes}, fall {Falls}, LOC {Loss of consciousness}, unresponsive {Unresponsive}, diaphoresis {Excessive sweating}, drooling {Dribbling from mouth}, tensed {Stiffness}, arms {Upper limb structure}, shoulders {Shoulder region structure}, tense {Shoulder stiff}, baseline {Baseline state}, vomiting {Vomiting}, dysarthric {Dysarthria}, N/V {Nausea and vomiting}, lids drooped {Has drooping eyelids}, sleepy {Drowsy}, lids {Eyelid structure}, confusion {Clouded consciousness}, vomiting {Vomiting}, dysarthric {Dysarthria}, baseline {Baseline state}, nausea {Nausea}, dysarthria {Dysarthria}, standing {Orthostatic body position}, auras {Aura}, gastric {Stomach structure}, shaking {Tremor}, TB {Tuberculosis}, incontinence {Incontinence}, problems during delivery or pregnancy {Complication of pregnancy, childbirth and/or puerperium}, febrile seizures {Febrile convulsion}, seizures {Seizure}, infections {Infectious disease}, traumas {Traumatic injury}, lightheadedness {Lightheadedness}, PCP {Primary care management}, standing {Orthostatic body position}, stands up {Does stand up}, LH {Labile essential hypertension}, vertigo {Vertigo}, dysequelibrium {Dysequilibrium syndrome}, CP {Chest pain}, unresponsiveness {Unresponsive}, CP {Chest pain}, pressure {Tight chest}, radiating {Radiating pain}, nausea {Nausea}, sweating {Sweating}, jaw pain {Jaw pain}, arm pain {Pain in upper limb}, CP {Chest pain}, unresponsiveness {Unresponsive}, palpitations {Palpitations}, SOB {Dyspnea}, right sided weakness {Right hemiparesis}, difficulty lifting {Difficulty lifting}, right arm {Right upper arm structure}, dragging {Dragging leg}, RLE {Structure of right lower limb}, exam {Physical examination procedure}, dysathria {Dysarthria}, right arm {Right upper arm structure}, leg weakness {Monoparesis of lower limb}, neurology
-service {Neurology service}, ischemic
-strokes {Ischemic stroke}, embolic {Embolus}, appearance {General symptom}, speech {Speech finding}, aspirin {Administration of aspirin}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, TTE {Transthoracic echocardiography}, PFO {Patent foramen ovale}, thrombus {Thrombus}, TEE {Transesophageal echocardiography}, cardiac monitoring {Cardiac monitoring}, arrhythmia {Cardiac arrhythmia}, exam {Physical examination procedure}, right
-hand {Structure of right hand}, clumsiness {Clumsiness}, CT {Computed tomography of abdomen}, malignancy {Malignant neoplasm}, PCP {Primary care management}, heart 
-monitor {Cardiac monitoring}, CT {Computed tomography of abdomen}, torso {Trunk structure}, PCP {Primary care management}, dizziness {Dizziness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-*Cards: HTN, HLD
-*Neurologic/Psych: Admission in ___ for multiple ischemic 
-embolic shower events, p/w R sided weakness.
-*Derm: Vitiligo
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, ischemic {Ischemia}, embolic {Embolus}, R sided weakness {Right hemiparesis}, Vitiligo {Vitiligo}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Denies Heart Attack or strokes. No neurological problems or 
-seizures.
- 
-
-###RESPONSE: Heart Attack {Myocardial infarction}, strokes {Cerebrovascular accident}, problems {Problem}, seizures {Seizure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-**ADMISSION EXAM**
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T: 97.5 P: 77 R: 18  BP: 134/84 SaO2: 100RA
-General: Awake, cooperative, NAD.
-HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in
-oropharynx
-Neck: Supple, no carotid bruits appreciated. No nuchal rigidity
-Pulmonary: Lungs CTA bilaterally without R/R/W
-Cardiac: RRR, nl. S1S2, no M/R/G noted
-Abdomen: soft, NT/ND, normoactive bowel sounds, no masses or
-organomegaly noted.
-Extremities: No C/C/E bilaterally, 2+ radial, DP pulses
-bilaterally.
-Skin: no rashes or lesions noted.
-
-Neurologic:
-
--Mental Status: Alert, oriented x 3. Only remembers vomiting,
-otherwise unable to provide details of history. Mild speech
-latency. Attentive, able to name ___ backward without 
-difficulty.
-Language is fluent with intact repetition and comprehension.
-Normal prosody. There were no paraphasic errors. Pt was able to
-name both high and most low frequency objects(could not name
-watch face).  Speech was mildly dysarthric (lingual sounds). 
-Able
-to follow both midline and appendicular commands. Pt was able to
-register 3 objects and recall ___ at 5 minutes ___ with
-categorical prompts, ___ with MC). There was no evidence of
-apraxia or neglect.
-
--Cranial Nerves:
-II, III, IV, VI:  PERRL 3 to 2mm and brisk. EOMI without
-nystagmus. Normal saccades. VFF to confrontation. Visual acuity
-___ bilaterally. Fundoscopic exam revealed no papilledema,
-exudates, or hemorrhages.
-V: Facial sensation intact to light touch.
-VII: No facial droop, facial musculature symmetric. Mild
-dysarthria to lingual sounds.
-VIII: Hearing intact to finger-rub bilaterally.
-IX, X: Palate elevates symmetrically.
-XI: ___ strength in trapezii and SCM bilaterally.
-XII: Tongue protrudes in midline.
-
--Motor: Normal bulk and tone. Mild pronation of RUE but no 
-drift.
-No adventitious movements, such as tremor, noted. No asterixis
-noted.  
-[___]  
- [C5] [C5] [C7] [C6] [C7]  [T1][L2] [L3] [L5] [L4] [S1][L5]  
- L 5   5    5    5    5     5   5    5    5    5    5   5 
- R 5   5    5    5    5-    5   5    5    5    5    5   5
-
--Sensory: No deficits to light touch, sensation, proprioception
-throughout. No extinction to DSS.
-
--DTRs:
-  Bi Tri ___ Pat Ach
-L  2  2    2    3   1
-R  3  3    3    3   1
-Plantar response was flexor bilaterally.
-
--Coordination: Finger tap slow on right. Difficult to assess
-cadence due to O2 stat probe on right second finger. No 
-intention
-tremor, no dysdiadochokinesia noted. No dysmetria on FNF or HKS
-bilaterally.
-
--Gait: Good initiation. Narrow-based, normal stride and arm
-swing.  Able to walk in tandem without difficulty. Romberg
-absent.
-
-**DISCHARGE EXAM**
-*VS: 98.7 118/66 66 16 99RA
-*General: Patient resting comfortably in bed.  Interactive.  
-Marked vitiligo present throughout. No acute distress.  
-*HEENT: Normocephalic. Atraumatic. No scleral icterus. Moist 
-mucous membranes with no visible lesions. 
-*Neck: Supple. Trachea midline. No palpable lymphadenopathy. No 
-JVD. 
-*Cardiovascular: Regular rate and rhythm. No rubs, murmurs, or 
-gallops.
-*Respiratory: Clear to auscultation bilaterally with no wheezes, 
-rales, or rhonchi.
-*Abdominal: Nondistended. Soft. Nontender to palpation 
-throughout.  No rebound or guarding. Liver not palpable.  Spleen 
-not palpable.
-*Extremities: Warm and well-perfused.  Peripheral pulses 
-palpable.  No edema.
-*Neurologic: CN II-XII grossly intact,  Awake, alert, oriented 
-to person, place, time. Moving all extremities.
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, T {Body temperature finding}, P {Finding of pulse rate}, R {Respiratory rate AND/OR rhythm finding}, BP {Blood pressure finding}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Awake {Awake}, cooperative {Cooperative mental state}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, scleral icterus {Scleral icterus}, MMM {Moist oral mucosa}, lesions {Lesion}, oropharynx {Oropharyngeal structure}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, carotid bruits {Carotid bruit}, nuchal rigidity {Nuchal rigidity}, Pulm {Examination of respiratory system}, Lungs {Examination of respiratory system}, CTA {Normal breath sounds}, without R/R/W {No abnormality detected}, Cardiac {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no M/R/G {Heart sounds normal}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, normoactive bowel sounds {Normal bowel sounds}, masses {Abdominal mass}, organomegaly {Abdominal organomegaly}, Extremities {Examination of limb}, 2+ radial {Radial pulse present}, DP pulses {Dorsalis pulse present}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, oriented x 3 {Oriented to person, time and place}, vomiting {Vomiting}, Mild {Symptom mild}, speech
-latency {Lack of fluency in speech}, Attentive {Well controlled integrated attention}, fluent {Does speak fluently}, intact {No abnormality detected}, repetition {Verbal repetition}, comprehension {Able to comprehend language}, prosody {Able to use prosody in speech}, paraphasic {Paraphasia}, Speech {Speech finding}, dysarthric {Dysarthria}, no evidence {No abnormality detected}, apraxia {Apraxia}, neglect {Neglect of part of body}, II {Optic nerve structure}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, nystagmus {Nystagmus}, VFF {Normal visual field}, Visual acuity {Visual acuity finding}, Fundoscopic exam {Ophthalmoscopy}, papilledema {Edema of optic disc}, exudates {Exudate}, hemorrhages {Hemorrhage}, V {Trigeminal nerve structure}, Facial {Face structure}, sensation intact to light touch {Light touch sensation present}, VII {Facial nerve structure}, facial droop {Weakness of face muscles}, facial musculature symmetric {Facial symmetry}, Mild {Symptom mild}, dysarthria {Dysarthria}, VIII {Vestibulocochlear nerve structure}, Hearing intact {Hearing normal}, IX {Glossopharyngeal nerve structure}, X {Vagus nerve structure}, Palate elevates {Able to elevate soft palate}, XI {Accessory nerve structure}, SCM {Structure of sternocleidomastoid muscle}, XII {Hypoglossal nerve structure}, Tongue protrudes in midline {Able to protrude tongue fully}, Motor {Motor testing}, Mild {Symptom mild}, RUE {Structure of right upper limb}, adventitious movements {Involuntary movement}, tremor {Tremor}, asterixis {Asterixis}, Sensory {Sensory testing}, light touch {Light touch sensation present}, sensation {Altered sensation of skin}, proprioception {Normal joint position sense}, DTRs {Tendon structure}, Bi {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, Plantar response was flexor {Flexor plantar response finding}, Coordination {Finding related to coordination / incoordination}, right {Structure of finger of right hand}, finger {Finger structure}, intention
-tremor {Intention tremor}, dysdiadochokinesia {Dysdiadochokinesis}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}, HKS {Heel-to-knee test}, Gait {Examination of gait}, Good initiation {Able to initiate gait}, Narrow-based {Narrow base of support}, arm {Upper limb structure}, Able to walk {Able to walk}, Romberg {Romberg sign}, VS {Vital signs finding}, General {General examination of patient}, Interactive {Does communicate}, vitiligo {Vitiligo}, distress {Distress}, Normocephalic {Normal head}, Atraumatic {No injuries apparent}, scleral icterus {Scleral icterus}, Moist 
-mucous membranes {Moist oral mucosa}, lesions {Oral lesion}, Supple {Normal movement of neck}, Trachea {Tracheal structure}, palpable {Finding by palpation}, lymphadenopathy {Lymphadenopathy}, JVD {Jugular venous engorgement}, Cardiovascular {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, rubs {Pericardial friction rub}, murmurs {Murmur}, gallops {Gallop rhythm}, Respiratory {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abdominal {Examination of abdomen}, Nondistended {Normal abdominal contour}, Soft {Abdomen soft}, Nontender {Abdominal tenderness}, palpation {Palpation}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, Liver {Liver structure}, Spleen {Splenic structure}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Peripheral pulses 
-palpable {Peripheral pulse palpable}, edema {Edema}, Neurologic {Neurological examination}, CN II-XII grossly intact {Normal central nervous system}, Awake {Awake}, alert {Mentally alert}, oriented 
-to person, place, time {Oriented to person, time and place}, Moving all extremities {Does move all four limbs}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-================
-ADMISSION LABS
-================
-___ 12:17AM BLOOD WBC-7.7 RBC-4.41* Hgb-8.4*# Hct-30.0* 
-MCV-68*# MCH-19.0*# MCHC-28.0* RDW-18.5* RDWSD-44.6 Plt ___
-___ 12:17AM BLOOD Neuts-79.5* Lymphs-13.4* Monos-5.7 
-Eos-0.5* Baso-0.4 Im ___ AbsNeut-6.15*# AbsLymp-1.04* 
-AbsMono-0.44 AbsEos-0.04 AbsBaso-0.03
-___ 05:30PM BLOOD Hypochr-1+ Anisocy-1+ Poiklo-2+ 
-Macrocy-NORMAL Microcy-3+ Polychr-OCCASIONAL Ovalocy-1+ 
-Pencil-OCCASIONAL Tear ___
-___ 12:17AM BLOOD ___ PTT-27.5 ___
-___ 06:05AM BLOOD Ret Aut-1.6 Abs Ret-0.06
-___ 06:05AM BLOOD Lupus-PND
-___ 12:17AM BLOOD Glucose-158* UreaN-17 Creat-1.1 Na-137 
-K-4.2 Cl-102 HCO3-25 AnGap-14
-___ 12:17AM BLOOD ALT-18 AST-17 AlkPhos-147* TotBili-0.5
-___ 04:55PM BLOOD GGT-112*
-___ 04:55PM BLOOD CK-MB-1 cTropnT-<0.01
-___ 12:17AM BLOOD Albumin-4.1 Calcium-9.6 Phos-3.8 Mg-2.0
-___ 04:55PM BLOOD TotProt-6.9 Albumin-4.0 Globuln-2.9 
-Cholest-126
-___ 06:05AM BLOOD calTIBC-372 ___ Ferritn-9.1* 
-TRF-286
-___ 06:05AM BLOOD ___ 04:55PM BLOOD %HbA1c-5.6 eAG-114
-___ 04:55PM BLOOD Triglyc-58 HDL-52 CHOL/HD-2.4 LDLcalc-62
-___ 04:55PM BLOOD TSH-2.5
-___ 04:55PM BLOOD CRP-10.6*
-___ 12:17AM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG 
-Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
-___ 12:42AM BLOOD Lactate-1.8
-___ 10:00PM URINE Color-Straw Appear-Clear Sp ___
-___ 10:00PM URINE Blood-NEG Nitrite-NEG Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-4* pH-7.0 Leuks-NEG
-___ 10:00PM URINE RBC-4* WBC-<1 Bacteri-NONE Yeast-NONE 
-Epi-0
-================
-KEY INTERIM LABS
-================
-___ 06:05AM BLOOD Ret Aut-1.6 Abs Ret-0.06
-___ 06:05AM BLOOD Lupus-NEG
-___ 06:05AM BLOOD ___ 06:05AM BLOOD calTIBC-372 ___ Ferritn-9.1* 
-TRF-286
-___ 05:50AM BLOOD AMA-NEGATIVE
-___ 06:05AM BLOOD ___ * Titer-1:1280
-___ 06:05AM BLOOD CRP-6.5*
-___ 04:55PM BLOOD CRP-10.6*
-___ 06:05AM BLOOD SED RATE-Test      
-___ 06:05AM BLOOD CARDIOLIPIN ANTIBODIES (IGG, IGM)-Test    
-  
-___ 06:05AM BLOOD BETA-2-GLYCOPROTEIN 1 ANTIBODIES (IGA, 
-IGM, IGG)-Test      
-___ 04:55PM BLOOD SED RATE-Test      
-___ 11:55AM OTHER BODY FLUID IPT-DONE
-___ 11:55AM OTHER BODY FLUID LYMPHOMA PANEL (TUBES 1 & 
-2)-TEST      
-
-================
-DISCHARGE LABS
-================
-___ 05:35AM BLOOD WBC-5.1 RBC-4.03* Hgb-7.5* Hct-27.2* 
-MCV-68* MCH-18.6* MCHC-27.6* RDW-18.1* RDWSD-43.8 Plt ___
-___ 05:35AM BLOOD Plt ___
-___ 05:35AM BLOOD ___ PTT-36.3 ___
-___ 05:35AM BLOOD Glucose-97 UreaN-16 Creat-1.0 Na-139 
-K-4.2 Cl-104 HCO3-24 AnGap-15
-___ 05:35AM BLOOD ALT-26 AST-29 AlkPhos-147* TotBili-0.3
-___ 05:35AM BLOOD Calcium-9.2 Phos-4.2 Mg-2.2
-
-================
-MICROBIOLOGY
-================
-___ CULTURE-FINAL no growth
-___ CULTUREBlood Culture, 
-Routine-PENDING  no growth to date
-
-================
-DIAGNOSTICS
-================
-___ CTA HEAD AND NECK
-1. Compared to ___, there is a new infarct involving the 
-right inferior parietal, lateral temporal, and superolateral 
-occipital lobe.  This infarct has a substantial chronic 
-component, with interim enlargement of the atrium of the right 
-lateral ventricle indicating parenchymal volume loss. 
-2. Multiple small chronic infarcts in the supratentorial white 
-matter, basal ganglia, and right thalamus. 
-3. No evidence for flow-limiting arterial stenosis in the neck. 
-4. Unchanged 2 short-segment foci of narrowing of the distal V4 
-segment of the right vertebral artery. 
-5. High-grade stenosis of the proximal P1 segment of the left 
-posterior 
-cerebral artery has progressed since ___. 
-6. Hypoplasia versus occlusion of the P1 segment of the right 
-posterior 
-cerebral artery.  Small patent right posterior communicating 
-artery.  Chronic occlusion of the P2 segment of the right 
-posterior cerebral artery.  These findings are unchanged since 
-___. 
-7. Postsurgical changes and chronic inflammation in the 
-paranasal sinuses. 
-8. Multiple periapical lucencies in the left maxilla.  Please 
-correlate 
-clinically whether active dental inflammation may be present. 
-When 3D reformatted images of finalized by the imaging lab, an 
-addendum to 
-this report will be issued. 
-
-___ MRI HEAD
-Compared to ___, there is a new infarction involving the 
-inferior right parietal, lateral right temporal, and 
-superior/lateral right occipital lobes.  Portions of the right 
-temporal and occipital infarction appear late subacute to 
-chronic, with associated new ex vacuo enlargement of the 
-occipital and temporal horns of the right lateral ventricle.  
-Other portions of the infarction appear early subacute.  No mass 
-effect. 
-Expected evolution of the multiple small white matter and 
-cortical infarcts in the right cerebral hemisphere and left 
-centrum semiovale compared to ___. Additional more 
-chronic chronic basal ganglia and white matter infarcts, as well 
-as presumed sequela of chronic small vessel ischemic disease in 
-the supratentorial white matter, are also again seen. 
-
-___ TTE
-The left atrial volume index is mildly increased. Left 
-ventricular wall thickness, cavity size and regional/global 
-systolic function are normal (LVEF >55%). Right ventricular 
-chamber size and free wall motion are normal. The aortic valve 
-leaflets (3) appear structurally normal with good leaflet 
-excursion and no aortic stenosis or aortic regurgitation. The 
-mitral valve leaflets are mildly thickened. Trivial mitral 
-regurgitation is seen. The estimated pulmonary artery systolic 
-pressure is normal. There is no pericardial effusion. There is 
-an anterior space which most likely represents a prominent fat 
-pad. 
-IMPRESSION: Normal global and regional biventricular systolic 
-function. No clinically-significant valvular disease seen.  
-
-___ CT-TORSO
-1. Findings are concerning for gastric carcinoma with 
-___ lymph node metastases and omental metastasis. 
-2. No evidence of malignant disease in the thorax.  Mild 
-enlargement of the left thigh thyroid lobe could be further 
-clarified by ultrasound.  The upper abdomen is described in 
-detail in the abdominal part of the CT report. 
-
-___ cytology
-DIAGNOSIS:
- TOUCH PREP OF CORE, INTRA ABDOMINAL LYMPH NODE: POSITIVE FOR 
-MALIGNANT CELLS.
- Consistent with undifferentiated malignant tumor.
- See concurrent core biopsy ___ for further 
-characterization 
-
-___ interventional radiology
-FINDINGS:
- 1. Successful CT-guided biopsy of an omental nodule. Pathology 
-pending.
- IMPRESSION:
- Successful CT-guided of an omental nodule. Pathology pending.
- 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, Triglyc {Triglycerides measurement}, HDL {High density lipoprotein measurement}, CHOL/HD {Cholesterol/High density lipoprotein ratio measurement}, LDLcalc {Calculated low density lipoprotein cholesterol level}, TSH {Thyroid stimulating hormone measurement}, URINE Color-Straw {Normal urine color}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, IGG {Immunoglobulin G measurement}, IGG {Immunoglobulin G measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, MICROBIOLOGY {Microbiology}, CULTURE {Microbial culture}, CULTURE {Microbial culture}, infarct {Cerebral infarction}, right {Right cerebral hemisphere structure}, inferior parietal {Inferior parietal lobule structure}, temporal {Right temporal lobe structure}, occipital lobe {Right occipital lobe structure}, infarct {Infarct}, chronic {Chronic disease}, enlargement {Enlargement}, right 
-lateral ventricle {Right lateral ventricle structure}, volume loss {Decreased size}, chronic {Chronic disease}, infarcts {Infarct}, supratentorial {Supratentorial brain structure}, white 
-matter {Cerebral white matter structure}, basal ganglia {Basal ganglion structure}, thalamus {Thalamic structure}, No evidence {No abnormality detected}, arterial stenosis {Stenosis of artery}, neck {Structure of artery of neck}, narrowing {Narrowing}, right vertebral artery {Structure of right vertebral artery}, stenosis {Stenosis}, left 
-posterior 
-cerebral artery {Structure of left posterior cerebral artery}, Hypoplasia {Hypoplasia}, occlusion {Complete obstruction}, right 
-posterior 
-cerebral artery {Structure of right posterior cerebral artery}, right posterior communicating 
-artery {Structure of right posterior communicating artery}, occlusion of the P2 segment of the right 
-posterior cerebral artery {Occlusion of right posterior cerebral artery}, chronic {Chronic disease}, paranasal sinuses {Nasal sinus structure}, left maxilla {Left maxillary sinus structure}, inflammation {Inflammatory disorder}, imaging {Imaging}, MRI HEAD {Magnetic resonance imaging of head}, infarction {Cerebral infarction}, inferior {Inferior parietal lobule structure}, right parietal {Right parietal lobe structure}, right temporal {Right temporal lobe structure}, right occipital lobes {Right occipital lobe structure}, right 
-temporal {Right temporal lobe structure}, occipital {Right occipital lobe structure}, infarction {Cerebral infarction}, chronic {Chronic disease}, enlargement {Enlargement}, occipital {Structure of posterior horn of lateral ventricle}, temporal horns {Structure of inferior horn of lateral ventricle}, right lateral ventricle {Right lateral ventricle structure}, infarction {Infarct}, mass {Mass}, white matter {Cerebral white matter structure}, infarcts in the right cerebral {Right sided cerebral infarction}, left {Left cerebral hemisphere structure}, centrum semiovale {Structure of centrum semiovale}, chronic {Chronic disease}, chronic {Chronic disease}, basal ganglia {Infarction of basal ganglia}, white matter {Cerebral white matter structure}, infarcts {Infarct}, chronic {Chronic disease}, small vessel {Structure of small blood vessel (organ)}, ischemic {Ischemia}, disease {Disease}, supratentorial {Supratentorial brain structure}, white matter {Cerebral white matter structure}, TTE {Transesophageal echocardiography}, left atrial {Left atrial structure}, Left 
-ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, regional/global 
-systolic function are normal {Normal left ventricular systolic function and wall motion}, Right ventricular 
-chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aortic valve 
-leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, Trivial mitral 
-regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, systolic 
-pressure is normal {Normal systolic arterial pressure}, pericardial effusion {Pericardial effusion}, fat 
-pad {Structure of normal fat pad}, Normal global and regional biventricular systolic 
-function {Normal left ventricular systolic function and wall motion}, disease {Disease}, gastric carcinoma {Carcinoma of stomach}, lymph node metastases {Metastatic malignant neoplasm to lymph node}, omental metastasis {Metastatic malignant neoplasm to omentum}, No evidence {No abnormality detected}, disease {Disease}, enlargement {Enlargement}, left thigh thyroid lobe {Structure of left lobe of thyroid gland}, ultrasound {Ultrasonography}, upper abdomen {Upper abdomen structure}, TOUCH PREP {Touch preparation of specimen}, CORE {Core needle biopsy}, INTRA ABDOMINAL LYMPH NODE {Biopsy of abdominal lymph node}, MALIGNANT CELLS {Tumor cells, malignant}, malignant tumor {Malignant neoplasm}, core biopsy {Core needle biopsy}, CT-guided biopsy {Computed tomography guided biopsy}, omental {Omentum structure}, nodule {Nodule}, CT-guided {Computed tomography guided biopsy}, omental {Omentum structure}, nodule {Nodule}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ is a ___ RH male with a PMHx of HTN, HL, 
-obesity, multiple acute small bilateral ischemic strokes (___), and possible OSA (no formal diagnosis) who presents with 
-four episodes of unresponsiveness c/f seizures.
-
-**NEUROLOGY FLOOR COURSE**
-#UNRESPONSIVENESS
-The four spells were thought to be most probably complex partial 
-seizures with secondary generalization and were likely triggered 
-by either the recent stroke or the ___ stroke. Head 
-imaging showed a new infarct involving the right inferior 
-parietal, lateral temporal, and superolateral occipital lobe 
-which appeared to be superimposed on chronic infarcts. 
-Continuous EEG did not disclose evidence of ongoing seizures or 
-identifiable foci, although given the high suspicion for 
-seizures, we started levetiracetam which was titrated to 1000mg 
-twice daily. He did not have any further events while on the 
-floor. No definitive cause of the possible seizures were 
-identified; likely, the infarcts may have had triggered them. 
-Moreover, given the recurrence of embolic strokes, we were 
-concerned about hypercoagulability and occult malignancy, 
-especially given the marked weight loss and new-onset microcytic 
-anemia present on admission. A TTE was unremarkable. D-dimer was 
-elevated concerning for underlying inflammatory state. Patient 
-was also not up to date on cancer screening. Therefore, we 
-obtained a CT-torso which revealed thickening of the stomach and 
-suspicious lymph nodes in the abdomen concerning for gastric 
-malignancy. 
-
-AHA/ASA Core Measures for Ischemic Stroke and Transient Ischemic 
-Attack  
-1. Dysphagia screening before any PO intake? (x) Yes, confirmed 
-done - () Not confirmed – () No  
-2. DVT Prophylaxis administered? (x) Yes - () No
-3. Antithrombotic therapy administered by end of hospital day 2? 
-(x) Yes - () No  
-4. LDL documented? (x) Yes (LDL = 62) - () No  
-5. Intensive statin therapy administered? (simvastatin 80mg, 
-simvastatin 80mg/ezetemibe 10mg, atorvastatin 40mg or 80 mg, 
-rosuvastatin 20mg or 40mg, for LDL > 100) (x) Yes - () No [if 
-LDL >100, reason not given: ]  
-6. Smoking cessation counseling given? (x) Yes - () No [reason 
-() non-smoker - () unable to participate]  
-7. Stroke education (personal modifiable risk factors, how to 
-activate EMS for stroke, stroke warning signs and symptoms, 
-prescribed medications, need for followup) given (verbally or 
-written)? (x) Yes - () No  
-8. Assessment for rehabilitation or rehab services considered? 
-(x) Yes - () No - not needed  
-9. Discharged on statin therapy? () Yes - (x) No [if LDL >100, 
-reason not given: ]  
-10. Discharged on antithrombotic therapy? () Yes [Type: () 
-Antiplatelet - () Anticoagulation] - () No  
-11. Discharged on oral anticoagulation for patients with atrial 
-fibrillation/flutter? () Yes - () No - (x) N/A  
-
-#ANEMIA
-Microcytic on presentation, which was new since admission in 
-___ (baseline 11, normocytic). Haptoglobin 114, Fe 25, 
-ferritin 9.1, TIBC 372. CT-torso, as above. Given the imaging 
-findings, patient was transferred to the Medicine service.
-
-**MEDICINE FLOOR COURSE**
-Pt evaluated with omental biopsy with ___ on ___, path still 
-pending at discharge. Course complicated by anemia, likely 
-secondary to GIB from mass, H/H has been stable. Telemetry was 
-discontinued per neurology recommendations. Patient received 
-ferrlicet x 1 dosage, followed by prescription for iron tablets 
-for iron deficiency anemia. Started on lovenox for 
-anticoagulation given stroke, and keppra for prophylaxis.
-
-TRANSITIONAL ISSUES
-# Started lovenox 80mg BID and keppra prophylaxis per neuro 
-recommendation. 
-# patient received dosage of ferrlicet and was started on iron 
-tablets 325 mg qd given evidence of microcytic anemia.
-# patient had elevated alkaline phosphatase of unclear etiology, 
-without revealing CT explanation. AMA was pending at time of 
-discharge.
--Patient had evidence of microscopic hematuria during admission. 
-Please repeat a UA in follow-up. Should this be recurrent over 
-time, patient may need referral for cystoscopy.
-- Systolic BP goal long term should be <140 per neurology
-# Holding home ASA given anticoagulation
-# Discharge hemoglobin 7.5. 
-# Discharge with ___ teaching for lovenox
-# Heme/onc to follow-up omental nodule biopsy results and 
-coordinate appropriate follow-up 
-Code: FULL
-Contact: HCP ___ (son) (___)
- 
-___ on Admission:
-The Preadmission Medication list is accurate and complete.
-1. amLODIPine 5 mg PO DAILY 
-2. Atorvastatin 80 mg PO QPM 
-3. Lisinopril 40 mg PO DAILY 
-4. Aspirin 81 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Enoxaparin Sodium 80 mg SC BID 
-Start: ___, First Dose: Next Routine Administration Time 
-RX *enoxaparin 80 mg/0.8 mL 80 mg Subcutaneous every twelve (12) 
-hours Disp #*90 Syringe Refills:*0 
-2.  Ferrous Sulfate 325 mg PO DAILY 
-RX *ferrous sulfate 325 mg (65 mg iron) 1 tablet(s) by mouth 
-daily Disp #*45 Tablet Refills:*0 
-3.  LevETIRAcetam 1000 mg PO BID 
-RX *levetiracetam 1,000 mg 1 tablet(s) by mouth twice a day Disp 
-#*90 Tablet Refills:*0 
-4.  amLODIPine 5 mg PO DAILY  
-5.  Atorvastatin 80 mg PO QPM  
-6.  Lisinopril 40 mg PO DAILY  
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, HL {Hyperlipidemia}, obesity {Obesity}, ischemic strokes {Ischemic stroke}, OSA {Obstructive sleep apnea syndrome}, unresponsiveness {Unresponsive}, seizures {Seizure}, UNRESPONSIVENESS {Unresponsive}, partial 
-seizures {Focal onset epileptic seizure}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, Head {Imaging of head}, imaging {Imaging}, infarct {Cerebral infarction}, right {Right atrial structure}, inferior 
-parietal {Inferior parietal lobule structure}, temporal {Temporal lobe structure}, occipital lobe {Occipital lobe structure}, chronic {Chronic disease}, infarcts {Cerebral infarction}, EEG {Electroencephalogram}, seizures {Seizure}, seizures {Seizure}, seizures {Seizure}, infarcts {Cerebral infarction}, embolic strokes {Embolic stroke}, hypercoagulability {Hypercoagulability state}, malignancy {Malignant neoplasm}, weight loss {Weight loss}, microcytic 
-anemia {Microcytic anemia}, TTE {Transthoracic echocardiography}, unremarkable {No abnormality detected}, D-dimer was 
-elevated {D-dimer above reference range}, inflammatory {Inflammatory disorder}, cancer screening {Screening for cancer}, CT {Computed tomography of abdomen}, thickening {Increased thickness}, stomach {Stomach structure}, lymph nodes in the abdomen {Structure of abdominal lymph node}, gastric 
-malignancy {Carcinoma of stomach}, Ischemic Stroke {Ischemic stroke}, Transient Ischemic 
-Attack {Transient ischemic attack}, Dysphagia screening {Screening for dysphagia}, DVT Prophylaxis {Prevention of deep vein thrombosis}, Antithrombotic therapy {Anticoagulant therapy}, LDL {Low density lipoprotein cholesterol measurement}, LDL {Low density lipoprotein cholesterol measurement}, statin therapy {Administration of prophylactic statin}, LDL {Low density lipoprotein cholesterol measurement}, LDL {Low density lipoprotein cholesterol measurement}, Smoking cessation counseling {Smoking cessation education}, non-smoker {Non-smoker}, Stroke education {Education about cerebrovascular accident}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, warning signs and symptoms {Discussion about clinical red flag warning sign}, prescribed medications {Prescription of drug}, Assessment for rehabilitation {Assessment for rehabilitation}, statin therapy {Administration of prophylactic statin}, LDL {Low density lipoprotein cholesterol measurement}, antithrombotic therapy {Anticoagulant therapy}, Anticoagulation {Anticoagulant therapy}, oral {Administration of drug or medicament via oral route}, anticoagulation {Anticoagulant therapy}, atrial 
-fibrillation {Atrial fibrillation}, flutter {Atrial flutter}, ANEMIA {Anemia}, Microcytic {Microcytic anemia}, baseline {Baseline state}, normocytic {Normocytosis, red cells}, CT {Computed tomography of abdomen}, imaging 
-findings {Imaging finding}, omental {Omentum structure}, biopsy {Biopsy}, anemia {Anemia}, GIB {Gastrointestinal hemorrhage}, mass {Mass}, stable {Patient's condition stable}, Telemetry {Electroencephalogram telemetry}, prescription {Prescription}, iron deficiency anemia {Iron deficiency anemia}, anticoagulation {Anticoagulant therapy}, stroke {Cerebrovascular accident}, prophylaxis {Preventive procedure}, prophylaxis {Preventive procedure}, neuro {Neurology service}, microcytic anemia {Microcytic anemia}, elevated alkaline phosphatase {Alkaline phosphatase above reference range}, CT {Computed tomography of abdomen}, microscopic hematuria {Microscopic hematuria}, UA {Urinalysis}, referral {Patient referral}, cystoscopy {Transurethral cystoscopy}, BP {Blood pressure monitoring}, anticoagulation {Anticoagulant therapy}, hemoglobin {Hemoglobin finding}, teaching {Education}, Heme {Hematology test}, follow-up {Follow-up arranged}, omental {Omentum structure}, nodule {Nodule}, biopsy {Biopsy}, Lisinopril {Angiotensin converting enzyme inhibitor therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS: 
-—————————————
-TIA or Stroke (Ischemic or Hemorrhagic)
-Seizure
-Likely Gastric Carcinoma
-
-SECONDARY DIAGNOSIS: 
-—————————————
-Hypertension
-Iron Deficiency Anemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, TIA {Transient ischemic attack}, Stroke {Cerebrovascular accident}, Ischemic {Ischemic stroke}, Hemorrhagic {Cerebrovascular accident with intracranial hemorrhage}, Seizure {Seizure}, Gastric Carcinoma {Carcinoma of stomach}, Hypertension {Hypertensive disorder, systemic arterial}, Iron Deficiency Anemia {Iron deficiency anemia}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure to be involved with your care at ___ 
-___.
-
-You were admitted to the hospital after you experienced several 
-episodes of seizures during an important family event.  You 
-received a neurologic evaluation for these seizures which 
-included a workup for stroke.  There was evidence of a new 
-stroke that was thought to be secondary to another medical 
-cause. You received a workup for conditions that can cause clots 
-that included imaging of your abdomen, which demonstrated 
-findings concerning for cancer of the stomach.  There was 
-evidence of thickening of your stomach as well as suspicious 
-lymph nodes as well as an omental nodule that was biopsied.  The 
-results of this biopsy are pending at the time of discharge, but 
-you will most likely will have follow-up in outpatient ___ 
-clinic to best determine the course of care from here on.
-
-When you go home it will be very important for you to continue 
-your previous medications for blood pressure.  We have also 
-started you on a medication to thin your blood and reduce the 
-chance that you may have a repeat stroke.  This medication he 
-will take twice a day by injection.  It is called Lovenox.  You 
-also should continue on the antiseizure medication called 
-Keppra.  You should continue both of these new medications until 
-you see your new Dr. ___ in ___ to follow-up on the 
-stroke.  We also recommend that you see your primary care doctor 
-within ___ few weeks of discharge from the hospitalization.
-
-We wish you all the best,
-Your ___ ___ Team
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, seizures {Seizure}, neurologic {Neurological examination}, evaluation {Evaluation procedure}, seizures {Seizure}, workup {Evaluation procedure}, stroke {Cerebrovascular accident}, stroke {Cerebrovascular accident}, workup {Evaluation procedure}, clots {Blood clot}, imaging {Imaging}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, cancer of the stomach {Malignant tumor of stomach}, thickening {Increased thickness}, stomach {Stomach structure}, lymph nodes {Biopsy of abdominal lymph node}, omental {Omentum structure}, nodule {Nodule}, biopsied {Biopsy}, biopsy {Biopsy}, blood pressure {On treatment for hypertension}, medication to thin your blood {Anticoagulant therapy}, stroke {Cerebrovascular accident}, medication {Administration of drug or medicament}, injection {Injection}, antiseizure medication {Anticonvulsant therapy}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-L flank and subcostal pain, mediastinal mass on MRI
- 
-Major Surgical or Invasive Procedure:
-None.
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, flank {Flank structure}, subcostal pain {Subcostal pain}, mediastinal mass {Mass of mediastinum}, MRI {Magnetic resonance imaging of brain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ F presents with L subcostal and flank pain, 
-epidural lesions on OSH MRI and a mediastinal mass on CTA. Pt 
-first experienced flank pain on ___ three days prior to 
-admission. The pain increased in intensity over the following 
-day into the night. The pain was left subcostal and flank pain 
-that did not radiate at the level of T9 with accompanying left 
-flank pain that was ___ in severity made worse with deep 
-inhalation. She does not have a history of trauma or strain. She 
-had no chest pain or shortness of breath with this pain. She 
-endorses having some nausea and reduced appetite, but no 
-vomiting or diarrhea. She has had chills and sweats but 
-associates this with menopausal symptoms. She has been afebrile. 
-Because of her pain, she visited her PCP who prescribed her 
-vicodin to little relief. Her PCP referred the patient to an OSH 
-ED for further evaluation. At OSH, an CT abdomen and pelvis w/o 
-contrast was obtained which was obtained with question of a 
-spinal lesion and a mediastinal mass. A follow-up MRI of the 
-spine at the hospital was read as having an inflammatory lesion 
-at the level of the lower thoracic spine, with a question of 
-possible infection. She received toradol, dilaudid, zofran and 
-ciprofloxacin at OSH before transfer to BI ED.
-.
-In the ED, initial VS were: T 98.8, HR 108, BP 140/89, RR 16, 
-SaO2 95% RA. Nuerosurgery was consulted. A wet read of the OSH 
-MRI by neurosurg suggested posterior epidural lesions that were 
-posited to be hematomas vs artifact from a poor study. A CTA 
-performed in the ED has a wet read that shows an anterior 
-mediastinal mass that is likely residual thymic tissue. Labs in 
-the ED were significant for an Hct of 32.3, a U/A wnl and normal 
-chem 7. Patient then came to the floor.  
-.  
-On the floor, pt was experiencing ___ flank pain. Otherwise, 
-she had a mild headache and no evolution of symptoms. 
-.  
-Review of systems:  
-(+) Per HPI; also recent weight gain, 2 day h/o constipation
-(-) Denies fever. Denies headache, sinus tenderness, rhinorrhea 
-or congestion. Denied cough, shortness of breath. Denied chest 
-pain or tightness, palpitations. Denied vomiting, diarrhea, or 
-abdominal pain. No recent change in bowel or bladder habits. No 
-dysuria. Denied arthralgias or myalgias.  
-
- 
-
-###RESPONSE: L {Structure of left side of abdomen}, subcostal {Structure of subcostal region}, flank pain {Flank pain}, epidural {Structure of epidural space}, lesions {Lesion}, MRI {Magnetic resonance imaging of brain}, mediastinal mass {Mass of mediastinum}, CTA {Computed tomography}, flank pain {Flank pain}, pain increased {Increased pain}, pain {Pain}, left {Structure of left side of abdomen}, subcostal {Structure of subcostal region}, flank pain {Flank pain}, left 
-flank pain {Left flank pain}, trauma {Traumatic injury}, strain {Muscle strain}, chest pain {Chest pain}, shortness of breath {Dyspnea}, pain {Pain}, nausea {Nausea}, reduced appetite {Decrease in appetite}, diarrhea {Diarrhea}, chills {Chill}, sweats {Sweating}, menopausal symptoms {Menopausal symptom}, afebrile {Fever}, pain {Pain}, CT abdomen {Computed tomography of abdomen}, pelvis w/o 
-contrast {Computed tomography of pelvis without contrast}, spinal {Structure of vertebral column}, lesion {Lesion}, mediastinal mass {Mass of mediastinum}, MRI {Magnetic resonance imaging of brain}, spine {Structure of vertebral column}, inflammatory lesion {Inflammatory lesion}, thoracic spine {Structure of thoracic vertebral column}, infection {Infectious disease}, VS {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, MRI {Magnetic resonance imaging of brain}, epidural {Structure of epidural space of spine}, lesions {Lesion}, hematomas {Hematoma}, artifact {Artifact}, study {Evaluation procedure}, CTA {Computed tomography angiography with contrast}, anterior 
-mediastinal mass {Mass of anterior mediastinum}, thymic {Thymus gland structure}, tissue {Body tissue structure}, normal {No abnormality detected}, flank pain {Flank pain}, mild {Symptom mild}, headache {Headache}, recent weight gain {Recent weight gain}, constipation {Constipation}, fever {Fever}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, cough {Cough}, shortness of breath {Dyspnea}, chest 
-pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, vomiting {Vomiting}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Osteoarthritis - shoulder, cervical spine; Rx flexeril
-Diverticulitis s/p colectomy ___ years ago
-L ovarian cyst s/p L oophorectomy ___ years ago
-Mitral Prolapse
-.
-Medications:
-Flexiril 10mg BID
-.  
-
-###RESPONSE: Osteoarthritis {Osteoarthritis}, shoulder {Structure of left shoulder region}, cervical spine {Structure of cervical vertebral column}, Diverticulitis {Diverticulitis}, colectomy {Excision of colon}, L {Structure of left ovary}, ovarian cyst {Cyst of ovary}, L {Structure of left ovary}, oophorectomy {Oophorectomy}, Mitral Prolapse {Mitral valve prolapse}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: NKDA
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History: Has an uncle dx with lung CA with spinal mets at 
-age of ___. Mother, d. ___, had schleroderma with Raynaud's 
-syndrome. Grandfather had COPD and was a heavy smoker.
- 
-
-###RESPONSE: lung CA {Malignant tumor of lung}, spinal {Structure of vertebral column}, schleroderma {Scleroderma}, Raynaud's 
-syndrome {Raynaud's disease}, COPD {Chronic obstructive lung disease}, heavy smoker {Heavy cigarette smoker}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:  
-Vitals: T: 99.1 BP: 142/96 P: 98 R: 16 O2: 100% 2L NC  
-General: Pt is alert, lying on her R side due to pain on her L. 
-HEENT: Sclera anicteric, PERRL, EOMI 
-Neck: supple, no JVD, no LAD 
-Lungs: CTAB, no wheezes, rales, ronchi  
-CV: RRR, normal S1 + S2, holosystolic murmur best heard on LLSB, 
-no rubs or gallops 
-Abdomen: soft, non-tender, slightly distended, bowel sounds 
-present, no rebound tenderness or guarding, no HSM
-Back: tender to palpation in approximately the T9 dermatome to 
-light and deep touch.  no rash. 
-MSK: No point tenderness along the spine, no paraspinal 
-tenderness. Range of motion wnl, pain limited.
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema  
-Neuro:  A+Ox3. No focal deficits.  
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, NC {Normal head}, General {General examination of patient}, alert {Mentally alert}, lying {Lateral decubitus position}, R side {Structure of right half of body}, pain {Pain}, L {Structure of left half of body}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, LLSB {Structure of lower parasternal region}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds 
-present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, HSM {Hepatosplenomegaly}, Back {Structure of back of trunk}, tender {Abdominal tenderness}, palpation {Palpation}, T9 {Structure of T9 spinal nerve proper}, dermatome {Dermatome}, touch {Touch}, rash {Eruption of skin}, MSK {Musculoskeletal system physical examination}, tenderness {Tenderness}, spine {Structure of vertebral column}, paraspinal {Structure of paravertebral region}, tenderness {Tenderness}, pain {Pain}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, No focal deficits {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 08:45PM   PLT COUNT-280
-___ 08:45PM   NEUTS-73.0* ___ MONOS-3.5 EOS-0.6 
-BASOS-0.3
-
-___ 08:45PM   WBC-9.6 RBC-4.32 HGB-10.0* HCT-32.3* MCV-75* 
-MCH-23.2* MCHC-31.0 RDW-13.4
-___ 08:45PM   estGFR-Using this
-___ 08:45PM   GLUCOSE-99 UREA N-7 CREAT-0.6 SODIUM-138 
-POTASSIUM-3.5 CHLORIDE-100 TOTAL CO2-27 ANION GAP-15
-___ 03:45AM URINE  MUCOUS-FEW
-___ 03:45AM URINE  RBC-1 WBC-4 BACTERIA-FEW YEAST-NONE 
-EPI-3 TRANS EPI-<1
-___ 03:45AM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-TR BILIRUBIN-NEG UROBILNGN-NEG PH-5.5 LEUK-TR
-___ 03:45AM URINE  COLOR-Yellow APPEAR-Hazy SP ___
-
-CTA  - 
-FINDINGS: The heart size is normal, and there is no pericardial 
-effusion.
-The great vessels are patent and normal in caliber. There is no 
-pulmonary
-embolus detected to the subsegmental levels. The lungs are 
-clear. There is
-no pulmonary nodule or mass. Residual thymic tissue is present 
-(4:113).
-There is no axillary or mediastinal lymphadenopathy.
- 
-Included views of the upper abdomen demonstrate a 
-normal-appearing liver,
-gallbladder, stomach, pancreas, adrenal glands, kidneys, spleen, 
-and splenic
-flexure.
- 
-OSSEOUS STRUCTURES: There is no acute fracture. No concerning 
-blastic or
-lytic lesions are identified.
- 
-IMPRESSION: Residual thymic tissue. No concerning masses 
-detected.
- 
-The study and the report were reviewed by the staff radiologist.
- 
-
- 
-
-MRI T spine 
-Final Report
-INDICATION: ___ woman with left flank/subcostal pain, 
-mild dyspnea,
-concern for possible mass or discitis per outside hospital 
-report.
- 
-COMPARISON: Outside hospital MR from ___.
- 
-TECHNIQUE: MR images were obtained through the thoracic spine 
-using sagittal
-T1, T2, STIR and sagittal T1 post-contrast images. Axial T1- and 
-T2-weighted
-images were obtained and reviewed.
- 
-FINDINGS:
- 
-There is preservation of normal thoracic kyphosis with normal 
-vertebral body
-height and signal morphology. The intervertebral disc spaces are 
-preserved
-with normal signal intensity and morphology. The spinal cord is 
-normal in
-signal intensity and morphology. No epidural, prevertebral or 
-paravertebral
-abnormalities are noted. There are small left greater than right 
-simple
-pleural effusions. Partially imaged abdomen is unremarkable. The 
-partially
-imaged aorta is unremarkable as well.
- 
-IMPRESSION:
- 
-1. Normal thoracic spine MRI, except for some anterior 
-osteophytes. No
-epidural abscess, discitis or osteomyelitis.
- 
-2. Small bilateral pleural effusions.
- 
-The study and the report were reviewed by the staff radiologist.
- 
- 
-
-###RESPONSE: NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, URINE {Urine culture}, URINE {Urine culture}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, PROTEIN {Measurement of protein in urine}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Urine culture}, COLOR {Color finding}, heart {Heart structure}, size is normal {Normal size}, pericardial 
-effusion {Pericardial effusion}, great vessels {Structure of great blood vessel (organ)}, normal {No abnormality detected}, pulmonary
-embolus {Pulmonary embolism}, lungs are 
-clear {Normal lung}, pulmonary nodule {Nodule of lung}, mass {Mass}, thymic {Thymus gland structure}, tissue {Body tissue structure}, axillary {Axillary lymph node structure}, mediastinal lymphadenopathy {Mediastinal lymphadenopathy}, upper abdomen {Upper abdomen structure}, normal {No abnormality detected}, liver {Liver structure}, gallbladder {Gallbladder structure}, stomach {Stomach structure}, pancreas {Pancreatic structure}, adrenal glands {Bilateral adrenal glands}, kidneys {Kidney structure}, spleen {Splenic structure}, splenic
-flexure {Entire left colic flexure}, no acute {No abnormality detected}, fracture {Fracture}, lytic lesions {Lytic lesion of bone on X-ray}, thymic {Thymus gland structure}, tissue {Body tissue structure}, mass {Mass}, MRI T spine {Magnetic resonance imaging of thoracic spine}, flank {Flank pain}, subcostal pain {Subcostal pain}, mild {Symptom mild}, dyspnea {Dyspnea}, mass {Mass}, discitis {Discitis}, thoracic spine {Structure of thoracic vertebral column}, normal {No abnormality detected}, thoracic kyphosis {Kyphosis deformity of thoracic spine}, normal {No abnormality detected}, vertebral body {Structure of body of vertebra}, height {Height / growth finding}, intervertebral disc spaces {Structure of intervertebral space}, normal {No abnormality detected}, spinal cord {Spinal cord structure}, normal {No abnormality detected}, epidural {Structure of epidural space of spine}, paravertebra {Structure of paravertebral region}, abnormalities {No abnormality detected}, left {Left thorax structure}, right {Right thorax structure}, pleural effusions {Pleural effusion}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, unremarkable {No abnormality detected}, aorta {Aortic structure}, unremarkable {No abnormality detected}, Normal {No abnormality detected}, thoracic spine {Structure of thoracic vertebral column}, MRI {Magnetic resonance imaging of brain}, osteophytes {Osteophyte}, epidural abscess {Epidural abscess}, discitis {Discitis}, osteomyelitis {Osteomyelitis}, Small {Symptom mild}, bilateral pleural effusions {Bilateral pleural effusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ F, otherwise healthy, presenting with L 
-subcostal and flank pain and a question of epidural spine 
-lesions on CT from OSH.
-.  
-#  Epidural lesions: From the outside hospital, there was a 
-concern for a posterior mediastinal mass along the level of 
-T8-T12 with a question of inflammation and possible disk 
-herniation.  Due to poor quality of OSH MRI, MR was repeated at 
-___.  Repeat MRI in house was normal without did not show any 
-spinal or paraspinal pathologies.
-.  
-#  Left subcostal and flank pain: Pt came in with ___ sharp, 
-constant flank pain made worse with deep inhalation that does 
-not radiate. After the epidural pathologies were ruled out, we 
-reviewed OSH records and ED workup to rule out other etiologies 
-of flank pain. Workup was unimpressive for nephrolithiasis (no 
-hydronephrosis or L renal stones on CT abdomen) and 
-pylonephritis (bland U/A, afebrile). Read of the OSH pelvic U/S 
-given at transfer show evidence of uterine myomas that do not 
-appear changed, but no cystic adnexal process and indicated in 
-the CT abdomen and pelvis. Given the history and physical, pain 
-is likely due to muskuloskeletal strain vs shingles with lesions 
-that are not yet manifest. She was treated supportively with 
-pain control and will follow up with her PCP for ongoing care. 
-.
-# Constipation: Pt has been constipated for last two days with 
-some discomfort and bowel distention. She was given milk of 
-magnesia, colace and senna PRN. She did not have a bowel 
-movement in house.
-.
-#Transitions of care: Pt still has L flank pain upon discharge.
-- L flank pain: Pt is being prescribed percocet ___ tabs Q4H:PRN 
-for pain. She should follow up with her PCP to have ___ further 
-workup of the flank pain. Of note: OSH pelvic U/S revealed 
-uterine myomas that do not appear changed, but no cystic adnexal 
-process.
-- Constipation: Patient should take a bowel regimen at home to 
-relieve her constipation and follow up with her PCP.
- 
-
-###RESPONSE: subcostal {Subcostal pain}, flank pain {Flank pain}, epidural spine {Structure of epidural space of spine}, lesions {Lesion}, CT {Computed tomography}, Epidural {Structure of epidural space of spine}, lesions {Lesion}, mediastinal mass {Mass of mediastinum}, inflammation {Inflammatory disorder}, herniation {Herniated structure}, MRI {Magnetic resonance imaging}, MRI {Magnetic resonance imaging}, spinal {Structure of vertebral column}, paraspinal {Structure of paravertebral region}, pathologies {Abnormal histology findings}, Left {Structure of left half of body}, subcostal {Subcostal pain}, flank pain {Flank pain}, sharp {Sharp pain}, constant {Constant pain}, flank pain {Flank pain}, radiate {Radiating pain}, epidural {Epidural anesthesia}, pathologies {Abnormal histology findings}, flank pain {Flank pain}, nephrolithiasis {Kidney stone}, hydronephrosis {Hydronephrosis}, L renal {Left kidney structure}, stones {Kidney stone}, CT abdomen {Computed tomography of abdomen}, pylonephritis {Pyelonephritis}, afebrile {Fever}, pelvic {Structure of pelvis}, uterine {Uterine structure}, myomas {Myoma}, CT abdomen {Computed tomography of abdomen}, pelvis {Structure of pelvis}, pain {Abdominal pain}, muskuloskeletal strain {Muscle strain}, shingles {Herpes zoster}, lesions {Skin lesion}, pain control {Pain control}, Constipation {Constipation}, constipated {Constipation}, discomfort {Discomfort}, bowel distention {Swollen abdomen}, did not have a bowel 
-movement {Constipation}, Transitions of care {Transition of care}, flank pain {Flank pain}, flank pain {Flank pain}, pain {Pain}, flank pain {Flank pain}, pelvic {Structure of pelvis}, uterine {Uterine structure}, myomas {Myoma}, Constipation {Constipation}, bowel regimen {Bowel care}, constipation {Constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Flexeril 10mg BID
- 
-Discharge Medications:
-1. oxycodone-acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-every six (6) hours as needed for pain for 5 days: Please take 
-this for breakthrough pain between Ibuprofen doses.
-Disp:*15 Tablet(s)* Refills:*0*
-2. ibuprofen 600 mg Tablet Sig: One (1) Tablet PO every six (6) 
-hours as needed for pain for 2 weeks.
-Disp:*30 Tablet(s)* Refills:*0*
-3. cyclobenzaprine 10 mg Tablet Sig: One (1) Tablet PO twice a 
-day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary- 
-left flank pain
-
-Secondary:
-Constipation
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Constipation {Constipation}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You came to the hospital because you had pain on your left back 
-and under your ribs, and also because you had some scans from 
-your outside hospital that were concerning. We had our 
-nuerosurgeons see you and review your MRI and they thought the 
-MRI scan looked abnormal because of motion during the study. 
-Your repeat MRI came back normal. You also got a CT scan while 
-in the ED to make sure you didn't have any clots in your lungs, 
-called a pulmonary embolism. That CT came back normal. You also 
-got some blood and urine tests, all of which were reassuring. 
-While you were here, we gave you pain medication for your back 
-pain which seemed to help. We do not think that your back pain 
-is caused by kidney stones, infection or any masses. You are 
-able to go home with some pain medication. 
-
-While you are taking Percocet for your back pain you should 
-avoid driving and making important decisions because Percocet 
-can make you drowsy. Percocet can make you very constipated, so 
-you should take docusate and senna to avoid constipation. These 
-can be bought in any drug store. Please be sure to also drink 
-plenty of fluids. You can also try drinking prune juice. If you 
-are still constipated after this, you should try stronger 
-laxatives, like lactulose and then dulcolax. Also, try to use 
-your percocet less to see if this helps you get a bowel 
-movement.
- 
-
-###RESPONSE: pain {Pain}, left {Structure of left half of body}, back {Structure of back of trunk}, ribs {Bone structure of rib}, MRI {Magnetic resonance imaging}, MRI {Magnetic resonance imaging}, MRI {Magnetic resonance imaging}, normal {No abnormality detected}, CT scan {Computed tomography}, clots {Blood clot}, lungs {Lung structure}, pulmonary embolism {Pulmonary embolism}, normal {No abnormality detected}, urine {Urine culture}, pain medication {Administration of analgesic}, back 
-pain {Backache}, back pain {Backache}, kidney stones {Kidney stone}, infection {Infectious disease}, masses {Lung mass}, pain medication {Administration of analgesic}, back pain {Backache}, drowsy {Drowsy}, constipated {Constipation}, constipation {Constipation}, constipated {Constipation}, bowel 
-movement {Hematochezia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Lisinopril / Clindamycin
- 
-Attending: ___.
- 
-Chief Complaint:
-cough
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Lisinopril {Non-allergic hypersensitivity to lisinopril}, Clindamycin {Allergy to clindamycin}, cough {Cough}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ h/o asthma vs. copd, h/o past stroke, HTN hospitalized with 
-one day of rapid onset shortness of breath in the context of one 
-week of increased dry cough and generally poor breathing for the 
-past two weeks.  She has not had fevers, purulent sputum, chest 
-pain, rhinorrhea, headache or nasal congestion.  Last night 
-began gasping for breath and did not have sufficient improvement 
-with use of nebulizers and then went to the ED.  She was on 
-BIPAp for 3 hours and received Mg, IV solumedrol and nebs and 
-did not have significant hypoxemia or acute respiratory 
-acidosis.  She improved to the point were bipap was discontinued 
-and arrived to the floor feeling significantly better than last 
-night.  She also received iv ceftriaxone and azithromycin for 
-possible pneumonia as she had WBC 18 and a portable CXR that 
-showed Subtly increased opacity at the base of the right lung.  
-
-She has chronic arthritis related pain in hips and knees, but 
-denies other new acute pain.   No recent sick contacts or 
-hospital admission or travel.  13pt ROS is otherwise described 
-above
- 
-
-###RESPONSE: asthma {Asthma}, copd {Chronic obstructive lung disease}, stroke {Cerebrovascular accident}, HTN {Hypertensive disorder, systemic arterial}, shortness of breath {Dyspnea}, dry cough {Dry cough}, fevers {Fever}, purulent sputum {Purulent sputum}, chest 
-pain {Chest pain}, rhinorrhea {Nasal discharge}, headache {Headache}, nasal congestion {Nasal congestion}, gasping for breath {Gasping for breath}, nebulizers {Nebulizer therapy}, BIPAp {Bilevel positive airway pressure titration}, IV {Intravenous therapy}, hypoxemia {Hypoxemia}, acute respiratory 
-acidosis {Acute respiratory acidosis}, improved {Patient's condition improved}, bipap {Bilevel positive airway pressure titration}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, opacity {Abnormally opaque structure}, base of the right lung {Structure of base of right lung}, chronic arthritis {Chronic arthritis}, pain in hips {Hip pain}, knees {Pain of knee region}, acute pain {Acute pain}, travel {Travel abroad}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-2 strokes (R MCA in ___ likely embolic, and L subcortical ___ 
-likely small vessel)
-HTN
-High chol
-DM-II, controlled off metformin now
-Emphysema vs. asthma
-___ aneurysm s/p repair ___ yrs ago per pt
-
-Stress incontinence
-Hydronephrosis secondary to stones
-S/p oophorectomy for ovarian cancer
-
-**CT chest from ___ showed  
-1. 2 mm right upper lobe nodule. Given the patient's risk 
-factors, per 
-___ guidelines, recommend followup in ___ year. 
-2. Severe centrilobular apical predominant emphysema. 
-
- 
-
-###RESPONSE: strokes {Cerebrovascular accident}, R MCA {Structure of right middle cerebral artery}, embolic {Embolus}, small vessel {Structure of small blood vessel (organ)}, HTN {Hypertensive disorder, systemic arterial}, High chol {Hypercholesterolemia}, DM-II {Diabetes mellitus type 2}, Emphysema {Emphysema}, asthma {Asthma}, aneurysm {Aneurysm}, repair {Repair of aneurysm}, Stress incontinence {Genuine stress incontinence}, Hydronephrosis {Hydronephrosis}, stones {Calculus}, oophorectomy {Oophorectomy}, ovarian cancer {Malignant tumor of ovary}, CT chest {Computed tomography of chest}, right upper lobe {Structure of upper lobe of right lung}, nodule {Nodule}, emphysema {Emphysema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother deceased with lung ca, father with ""heart disease"". 
-Multiple aunts with DM.
-
- 
-
-###RESPONSE: deceased {Dead}, lung ca {Malignant tumor of lung}, heart disease {Heart disease}, DM {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-98 126/76 89 18 100% 2L
-does not appear unstable or in resp distress
-lying on side with oxygen tubing not in her nose
-she can speakin in full sentences and no observed accessory 
-muscle use
-very diminished breath sounds, only w forced exp do I hear exp 
-wheeze, loudest in LUL
-regular s1 and s2, no audible murmurs, also distant and quite
-soft abdomen, no hepatomegaly
-no peripheral edema
-moves all extremities, did not test gait
-calm, not confused, fluent speech, facial features symmetric
-
-normotensive HR 76 100% RA
-appears well
-not coughing
-not using accessory muccles
-substantial improvement with louder and clearer breath sounds, a 
-few scattered wheezes
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, distress {Distress}, lying {Lying in bed}, nose {Nasal structure}, speakin {Does speak}, accessory 
-muscle {Accessory skeletal muscle}, diminished breath sounds {Decreased breath sounds}, exp 
-wheeze {Expiratory wheezing}, LUL {Structure of upper lobe of left lung}, regular {Normal heart rate}, s1 and s2 {Heart sounds normal}, murmurs {Murmur}, soft {Abdomen soft}, hepatomegaly {Large liver}, edema {Edema}, all extremities {All extremities}, gait {Gait normal}, calm {Feeling calm}, not confused {Not confused}, fluent speech {Finding of fluency of speech}, facial {Face structure}, normotensive {Normal blood pressure}, HR {Finding of heart rate}, RA {Breathing room air}, coughing {Cough}, accessory muccles {Accessory skeletal muscle}, wheezes {Wheezing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 01:55AM BLOOD WBC-18.5*# RBC-4.41 Hgb-13.1 Hct-42.8 
-MCV-97 MCH-29.7 MCHC-30.6* RDW-12.3 RDWSD-43.6 Plt ___
-___ 01:55AM BLOOD Glucose-154* UreaN-15 Creat-1.1 Na-140 
-K-4.1 Cl-109* HCO3-19* AnGap-16
-___ 01:55AM BLOOD Neuts-83.5* Lymphs-9.7* Monos-5.6 
-Eos-0.4* Baso-0.3 Im ___ AbsNeut-15.45* AbsLymp-1.80 
-AbsMono-1.03* AbsEos-0.08 AbsBaso-0.05
-___ 02:30AM BLOOD ___ pO2-38* pCO2-45 pH-7.30* 
-calTCO2-23 Base XS--4
-___ 02:29AM BLOOD Lactate-2.1*
-___ 02:30AM BLOOD O2 Sat-67
-
-cxr: subtle RLL infiltrate
-___ 07:00AM BLOOD WBC-13.0* RBC-3.94 Hgb-11.8 Hct-37.6 
-MCV-95 MCH-29.9 MCHC-31.4* RDW-12.1 RDWSD-42.4 Plt ___
-___ 07:00AM BLOOD Glucose-116* UreaN-19 Creat-0.9 Na-142 
-K-4.2 Cl-111* HCO3-21* AnGap-14
-
-FINDINGS:  
-  
-The thyroid is normal. Supraclavicular, axillary, mediastinal 
-and hilar lymph 
-nodes are not enlarged. Aorta and pulmonary arteries are normal 
-size. Cardiac 
-configuration is normal and there is no appreciable coronary 
-calcification.  
-There is no pleural or pericardial effusion.  Respiratory motion 
-limits the 
-evaluation of the lungs worse in the lower lobes bilaterally.  
-Moderate to 
-severe upper lobe predominant centrilobular emphysema is 
-unchanged.  Sub 
-pleural micro nodule left lower lobe (5:255), micronodule left 
-lower lobe 
-(5:244), lingular atelectasis and or scarring, atelectasis or 
-scarring in the 
-right middle lobe with a calcified granuloma are unchanged.  
-There are no new 
-lung nodules.  Previously described nodule in the right upper 
-lobe is not 
-clearly visualized in this exam 
-This examination is not tailored for subdiaphragmatic 
-evaluation.  A catheter 
-projecting in the upper abdomen runs from the thecal sac to the 
-peritoneum, is 
-incompletely imaged.  Enlarged left kidney with severe 
-hydronephrosis and 
-thinning of the left renal cortex is again noted incompletely 
-imaged.  
-Multiple stones are seen in the right kidney as before. 
-There are no bone findings of malignancy.  Spinal hardware is 
-present in the 
-posterior cervical spine. 
-  
-IMPRESSION:  
-  
-No evidence of pneumonia, opacity described in the right lower 
-hemi thorax 
-correspond to chronic right middle lobe atelectasis and/or scar 
-Stable less than 4 mm lung nodules,  scarring or atelectasis in 
-the right 
-middle lobe and lingula and resolution of previously described 
-right upper 
-lobe lung nodule.  No further followup is recommended 
-Centrilobular emphysema. 
-  
-___, MD electronically signed on ___ ___ 
-4:19 ___ 
- 
-
-  Imaging Lab 
- 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, pH {pH measurement}, cxr {Plain chest X-ray}, RLL {Structure of lower lobe of right lung}, infiltrate {Infiltration}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, thyroid {Thyroid structure}, Supraclavicular {Structure of supraclavicular lymph node}, axillary {Axillary lymph node structure}, mediastinal {Mediastinal lymph node structure}, hilar lymph 
-nodes {Mediastinal lymph node structure}, enlarged {Localized enlarged lymph nodes}, Aorta {Aortic structure}, pulmonary arteries {Pulmonary artery structure}, normal 
-size {Normal size}, Cardiac {Heart structure}, coronary 
-calcification {Calcification of coronary artery}, pleural {Pleural effusion}, pericardial effusion {Pericardial effusion}, Respiratory {Examination of respiratory system}, evaluation {Evaluation procedure}, lungs {Lung structure}, lower lobes {Structure of lower lobe of lung}, upper lobe {Structure of upper lobe of lung}, centrilobular emphysema {Centriacinar emphysema}, Sub 
-pleural {Structure of subpleural tissue}, nodule {Nodule}, left lower lobe {Structure of lower lobe of left lung}, left 
-lower lobe {Structure of lower lobe of left lung}, lingular {Structure of segment of lingula}, atelectasis {Atelectasis}, scarring {Scar}, atelectasis {Atelectasis}, scarring {Scar}, right middle lobe {Structure of middle lobe of right lung}, calcified granuloma {Calcified granuloma}, lung nodules {Nodule of lung}, nodule {Nodule}, right upper 
-lobe {Structure of upper lobe of right lung}, evaluation {Evaluation procedure}, upper abdomen {Upper abdomen structure}, peritoneum {Peritoneum (serous membrane) structure}, Enlarged {Large kidney}, left kidney {Left kidney structure}, hydronephrosis {Hydronephrosis}, thinning {Decreased thickness}, left {Left kidney structure}, renal cortex {Structure of cortex of kidney}, stones {Calculus}, right kidney {Right kidney structure}, bone findings {Bone finding}, malignancy {Malignant neoplasm}, cervical spine {Structure of cervical vertebral column}, No evidence {No abnormality detected}, pneumonia {Pneumonia}, opacity {Abnormally opaque structure}, right {Right pleura structure}, thorax {Thoracic structure}, chronic {Chronic disease}, right middle lobe {Structure of middle lobe of right lung}, atelectasis {Atelectasis}, scar {Scar}, Stable {Patient's condition stable}, lung nodules {Nodule of lung}, scarring {Scar}, atelectasis {Atelectasis}, right 
-middle lobe {Structure of middle lobe of right lung}, right upper 
-lobe {Structure of upper lobe of right lung}, lung nodule {Nodule of lung}, Centrilobular emphysema {Centriacinar emphysema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ gold stage II COPD w acute exacerbation of COPD.  Although 
-she has leukocytosis, less convincing evidence for acute 
-bacterial pneumonia clinically.
-She is due for ___ year f/u CT chest to track an incidental 2mm 
-pulmonary nodule, I obtained CT chest that showed resolution of 
-this lesion/nodule and no need for further imaging follow up.  
-She also did not have pneumonia on CXR.
-
-She received standard care for AECOPD and improved clinically 
-without substantial dyspnea, wheezing and no hypoxemia.  On 
-discharge she will take prednisone 40mg for 1 week, complete a 
-course of azithromycin and continue ___ steroid, 
-Spiriva and use PRN bronchodilators.  We discussed smoking 
-cessation.
-
-HTN: stable: continue amlodipine and valsartan
-h/o stroke and ___ aneurysm repair: atorvastatin, aspirin 325 
-and Aggrenox
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, acute exacerbation of COPD {Acute exacerbation of chronic obstructive airways disease}, leukocytosis {Leukocytosis}, bacterial pneumonia {Bacterial pneumonia}, CT chest {Computed tomography of chest}, pulmonary nodule {Nodule of lung}, CT chest {Computed tomography of chest}, lesion {Lesion}, nodule {Nodule}, imaging {Imaging}, pneumonia {Pneumonia}, CXR {Plain chest X-ray}, AECOPD {Acute exacerbation of chronic obstructive airways disease}, improved {Patient's condition improved}, dyspnea {Dyspnea}, wheezing {Wheezing}, hypoxemia {Hypoxemia}, steroid {Steroid therapy}, smoking 
-cessation {Smoking cessation education}, HTN {Hypertensive disorder, systemic arterial}, stable {Stable blood pressure}, stroke {Cerebrovascular accident}, aneurysm repair {Repair of aneurysm}, aspirin {Administration of aspirin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. AcetaZOLamide 250 mg PO Q6H 
-2. Albuterol Inhaler ___ PUFF IH Q4H:PRN wheezing 
-3. Amlodipine 5 mg PO DAILY 
-4. Aspirin (Buffered) 325 mg PO DAILY 
-5. Dipyridamole-Aspirin 1 CAP PO BID 
-6. Valsartan 320 mg PO DAILY 
-7. ammonium lactate 12 % topical BID 
-8. Lactulose 15 mL PO DAILY:PRN constipation 
-9. potassium citrate 10 mEq ORAL DAILY 
-10. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN sob 
-11. Symbicort (budesonide-formoterol) 160-4.5 mcg/actuation 
-inhalation BID 
-12. ProAir HFA (albuterol sulfate) 90 mcg/actuation inhalation 
-Q4H:PRN sob 
-13. Atorvastatin 10 mg PO QPM 
-14. Tiotropium Bromide 1 CAP IH DAILY 
-15. Nicotine Patch 21 mg TD DAILY 
-
- 
-Discharge Medications:
-1. AcetaZOLamide 250 mg PO Q6H 
-2. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN sob 
-3. Amlodipine 5 mg PO DAILY 
-4. Aspirin (Buffered) 325 mg PO DAILY 
-5. Atorvastatin 10 mg PO QPM 
-6. Dipyridamole-Aspirin 1 CAP PO BID 
-7. Nicotine Patch 21 mg TD DAILY 
-8. Tiotropium Bromide 1 CAP IH DAILY 
-9. Valsartan 320 mg PO DAILY 
-10. Azithromycin 250 mg PO Q24H Duration: 5 Days 
-RX *azithromycin 250 mg 1 tablet(s) by mouth daily Disp #*3 
-Tablet Refills:*0
-11. PredniSONE 40 mg PO DAILY Duration: 7 Days 
-RX *prednisone 20 mg 2 tablet(s) by mouth once a day Disp #*7 
-Tablet Refills:*0
-12. Albuterol Inhaler ___ PUFF IH Q4H:PRN wheezing 
-13. ammonium lactate 12 % topical BID 
-14. Lactulose 15 mL PO DAILY:PRN constipation 
-15. potassium citrate 10 mEq ORAL DAILY 
-16. ProAir HFA (albuterol sulfate) 90 mcg/actuation INHALATION 
-Q4H:PRN sob 
-17. Symbicort (budesonide-formoterol) 160-4.5 mcg/actuation 
-INHALATION BID 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-acute copd exacerbation
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: acute copd exacerbation {Acute exacerbation of chronic obstructive airways disease}, Mental Status {Neurological mental status determination}, Clear {Chest clear}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-you were hospitalized for treatment of actue exacerbation of 
-your copd
-
-take antibiotics and steroids as prescribed
-
-do not smoke
- 
-
-###RESPONSE: actue exacerbation of 
-your copd {Acute exacerbation of chronic obstructive airways disease}, antibiotics {Antibiotic therapy}, steroids {Steroid therapy}, do not smoke {Smoking cessation education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-BRBPR
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, BRBPR {Hematochezia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Interview conducted in ___.
-___ w HFpEF, CKD w FLC elevation, diverticulosis with GIB in 
-past p/w BRBPR. On day PTA pt noted 4 episodes of loose stools 
-with small amounts of blood. No fevers, chills, nausea, 
-vomiting, other bleeding, abdominal pain. He has had an episode 
-like this years ago, and his ___ later showed diverticulosis. 
-He most recently (late ___ had ___ with diverticulosis and 
-a polyp x2 which were removed (poor prep). He recently returned 
-from ___ about a month ago and since then has been feeling 
-a little dehydrated, and rarely orthostatic. He does not check 
-his weight but says that his normal weight is about 215-220lbs, 
-though he was lower when checked at cardiologist's office day 
-PTA (see below). He denies CP/SOB/cough/rash/joint pain. 
-He denies NSAID use, recent procedures/contrast, but he does 
-endorse poor po of late since coming back to ___. 
-12 pt ROS otherwise negative.
-
-Of note, saw his cardiologist on ___, found to have Cr 2.0 
-(higher than recent baseline of 1.4) so planned for holding 
-diuretics x1d, 40mg po torsemide the next two days, then restart 
-60mg po qd (all from his previous dose of 80mg). He also saw 
-hematology on ___ for his chronic low level kappa/lambda ratio 
-elevation, with plans for a BMBx in the near future. 
-
-He presented to the ED, where vitals were 99.1 62 146/69 16 
-96%RA. Exam showed scant red blood in the vault without masses 
-or fissures and rectum was non-tender. His labs showed Cr at 2.0 
-with BUN 86 and hct at baseline. K was 3.1. He was ordered for 
-500cc NS (which he received) and 40K IV which had just started 
-with his transfer to the floor (and which he has therefore 
-received almost none of). 
-
- 
-
-###RESPONSE: HFpEF {Heart failure with normal ejection fraction}, CKD {Chronic kidney disease}, FLC elevation {Free immunoglobulin light chain above reference range}, diverticulosis {Multiple diverticula of intestine}, GIB {Gastrointestinal hemorrhage}, BRBPR {Hematochezia}, loose stools {Loose stool}, small amounts of blood {Stool flecked with blood}, fevers {Fever}, chills {Chill}, nausea, 
-vomiting {Nausea and vomiting}, bleeding {Bleeding}, abdominal pain {Abdominal pain}, diverticulosis {Multiple diverticula of intestine}, diverticulosis {Multiple diverticula of intestine}, polyp {Polyp}, removed {Removal}, dehydrated {Dehydration}, orthostatic {Orthostatic body position}, weight {Weight finding}, normal weight {Normal weight}, CP {Chest pain}, SOB {Dyspnea}, cough {Cough}, rash {Eruption of skin}, joint pain {Joint pain}, procedures {Surgical procedure}, ROS {Review of systems}, Cr {Finding of creatinine level}, baseline {Baseline state}, diuretics {Diuretic therapy}, restart {Restart of medication}, BMBx {Bone marrow sampling}, RA {Breathing room air}, Exam {Physical examination procedure}, blood in the vault {Rectal hemorrhage}, masses {Mass of body structure}, fissures {Fissure}, rectum {Rectum structure}, non-tender {Tenderness}, labs {Laboratory test}, BUN {Blood urea nitrogen measurement}, baseline {Baseline state}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HLD
-DM A1c 6.9 recently
-HTN
-HFpEF
-potential hypertrophic cardiomyopathy: no clear family history, 
-evaluated to have low SCD risk
-LBBB
-etoh use, stopped about ___ years ago
-diverticulosis episode of GIB
-CKD: previously seen by ___, but has not yet returned; 
-had a slightly elevated K/L ratio with mild K and L elevations; 
-he has also had proteinuria (albumin primarily) with normal 
-SPEP/UPEP/CBC/Ca/renal us/
-obesity
-glaucoma
-colonic polyps: removed on colonoscopy ___, plan for ___ 
-repeat given ""fair prep""
-
- 
-
-###RESPONSE: HLD {Hyperlipidemia}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, HFpEF {Heart failure with normal ejection fraction}, hypertrophic cardiomyopathy {Hypertrophic cardiomyopathy}, SCD {Sudden cardiac death}, etoh use, stopped {Ex-drinker}, diverticulosis {Multiple diverticula of intestine}, GIB {Gastrointestinal hemorrhage}, CKD {Chronic kidney disease}, K/L ratio {Kappa/lambda light chain ratio measurement}, proteinuria {Proteinuria}, normal {No abnormality detected}, SPEP {Serum protein electrophoresis}, UPEP {Urine protein electrophoresis}, CBC {Complete blood count}, renal us {Echography of kidney}, obesity {Obesity}, glaucoma {Glaucoma}, colonic polyps {Polyp of colon}, removed {Removal}, colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-no GI or kidney disorders
-per chart, no SCD
- 
-
-###RESPONSE: GI {Disorder of gastrointestinal tract}, kidney disorders {Kidney disease}, SCD {Sudden cardiac death}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-98.1 134/62 62 18 96%RA wt 198.5lbs (standing, in patient gown)
-pleasant, lying in bed, NAD
-MMM, no oral lesions or enlarged tongue
-RRR, II/VI HSM, JVP <7cm
-CTAB
-NABS, sntnd
-wwp, trace ___
-grossly oriented, fluent, ___ BUE/BLE, sensation intact to LT 
-BUE/BLE
-no rash
-no foley
-
-Exam on discharge
-Vitals: 98.9 BP: 133/87 HR: 90 R: 18 O2: 95%RA
-Weight 88.8 (195 lbs)
-Gen: NAD, lying in bed in NAD
-Eyes: EOMI, sclerae anicteric 
-ENT: MMM, OP clear
-___: RRR, no MRG, full pulses, no edema
-Resp: normal effort, clear b/l on auscultation
-GI: obese, distended, soft, NT, ND, BS+
-Skin: No visible rash. No jaundice.
-Neuro: AAOx3. No facial droop.
-Psych: Full range of affect
-
- 
-
-###RESPONSE: RA {Breathing room air}, lying in bed {Lying in bed}, NAD {No abnormality detected}, MMM {Moist oral mucosa}, lesions {Lesion}, enlarged tongue {Enlargement of tongue}, RRR {Normal heart rate}, HSM {Hepatosplenomegaly}, JVP {Finding of jugular venous pressure}, CTAB {Normal breath sounds}, NABS {Normal bowel sounds}, wwp {Normal tissue perfusion}, oriented {Orientated}, fluent {Does speak fluently}, BUE {Upper limb structure}, BLE {Lower limb structure}, sensation intact to LT {Normal light touch sensation}, BUE {Upper limb structure}, BLE {Lower limb structure}, rash {Eruption of skin}, foley {Catheterization of urinary bladder}, Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RA {Breathing room air}, Weight {Weight finding}, Gen {General examination of patient}, NAD {No abnormality detected}, lying in bed {Lying in bed}, NAD {No abnormality detected}, Eyes {Ophthalmic examination and evaluation}, EOMI {Normal ocular motility}, sclerae anicteric {White sclera}, ENT {Abdominal tenderness}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, pulses {Normal pulse}, edema {Edema}, Resp {Examination of respiratory system}, normal {No abnormality detected}, clear b/l on auscultation {Normal breath sounds}, GI {Examination of digestive system}, obese {Obese abdomen}, distended {Swollen abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS {Normal bowel sounds}, Skin {Examination of skin}, rash {Eruption of skin}, jaundice {Jaundice}, Neuro {Neurological examination}, Ox3 {Oriented to person, time and place}, facial droop {Weakness of face muscles}, Psych {Psychiatry procedure or service}, affect {Mood finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 10:23PM   ___ PTT-26.1 ___
-___ 07:05PM   GLUCOSE-203* UREA N-86* CREAT-2.0* SODIUM-140 
-POTASSIUM-3.1* CHLORIDE-90* TOTAL CO2-35* ANION GAP-18
-___ 07:05PM   WBC-8.0 RBC-5.07 HGB-12.9* HCT-41.1 MCV-81* 
-MCH-25.4* MCHC-31.4* RDW-18.9* RDWSD-54.5*
-___ 07:05PM   NEUTS-52 BANDS-0 ___ MONOS-9 EOS-0 
-BASOS-0 ATYPS-6* ___ MYELOS-0 AbsNeut-4.16 AbsLymp-3.12 
-AbsMono-0.72 AbsEos-0.00* AbsBaso-0.00*
-
-Labs from clinic day prior
-___ 03:25PM URINE  U-PEP-NO PROTEIN
-___ 01:10PM   UREA N-90* CREAT-2.0*
-___ 01:10PM   ALT(SGPT)-13 AST(SGOT)-18 LD(LDH)-152 TOT 
-BILI-0.4
-___ 01:10PM   TOT PROT-7.9 ALBUMIN-4.1 GLOBULIN-3.8 
-CALCIUM-10.3
-___ 01:10PM   ___ *
-___ 01:10PM   RHEU FACT-<10
-___ 01:10PM   PEP-NO SPECIFI
-___ 01:10PM   C3-126 C4-33
-___ 01:10PM   WBC-7.2 RBC-5.32 HGB-13.7 HCT-43.6 MCV-82 
-MCH-25.8* MCHC-31.4* RDW-18.9* RDWSD-55.2*
-___ 01:10PM   NEUTS-39.9 ___ MONOS-13.0 EOS-1.7 
-BASOS-0.6 IM ___ AbsNeut-2.90 AbsLymp-3.22 AbsMono-0.94* 
-AbsEos-0.12 AbsBaso-0.04
-
-Labs on discharge:
-
-___ 06:15AM BLOOD WBC-7.6 RBC-3.65* Hgb-9.4* Hct-29.7* 
-MCV-81* MCH-25.8* MCHC-31.6* RDW-18.7* RDWSD-55.3* Plt ___
-___ 06:15AM BLOOD Glucose-125* UreaN-25* Creat-1.3* Na-140 
-K-4.0 Cl-99 HCO3-34* AnGap-___ w HFpEF, CKD (baseline cr 1.4), DM, HTN and elevated K/L 
-ratio, diverticulosis p/w BRBPR and acute renal failure.
-
-# Gastrointestinal bleeding
-# Anemia, acute blood loss
-The patient presented with BRPBR. He was hemodynamically stable, 
-with negative orthostatics.  Last ___ ___ with diverticulosis 
-and polyp (poor prep) but otherwise unremarkable. The patient's 
-subsequent HCT dropped to 28 but remained stable. He was seen by 
-gastroenterology who recommended outpatient colonoscopy. 
-Bleeding self resolved prior to discharge.
-
-# Acute renal failre
-# Stage 3 CKD: 
-The patient presented with ___ with creatinine of 1.9. This was 
-in most likely hypovolemic given aggressive diuretic regimen, 
-progressive weight loss and lack of obvious volume overload. 
-Diuretics were held and the patient was given 2L of IVF. His 
-creatinine improved to 1.1 which is better than recent baseline. 
-The patient's Torsemide was resumed at 60mg daily after 
-discussion with his cardiologist. His lisinopril was also 
-resumed and creatinine on discharge is 1.3. The patient should 
-follow up with nephrology as an outpatient. 
-
-#Foot pain
-The patient complained of foot pain. He was seen by ___ who 
-recommended home ___ and rolling walker. The patient was also 
-started on low dose gabapentin at HS. 
-
-# Chronic Diastolic CHF:
-# Hypertension
-#?HOCM
-The patient has chronic diastolic CHF and presented with volume 
-depletion and ___ in the setting of increased torsemide and 
-metolazone as an outpatient. The patient was given gentle IVF as 
-above. Once creatinine improved, he was resumed on Torsemide 
-60mg daily.  Antihypertesives were held in setting of 
-hypotension on admission but resumed in hospital prior to 
-discharge. The patient's Atenolol was changed to Metoprolol 
-given reduced renal function. Weight on discharge 88.8kgs.
-
-# Elevated Free light ___/ Kappa:Lamda ratio: 
-Followed by hematology who have resent levels and a further 
-rheum w/u to r/o autoimmune phenomena. Planning for a BMBx as an 
-outpatient. Has outpatient follow up scheduled.
-
-#Glaucoma
-Continue home eyedrops
-
-# DM: 
-Well controlled. Resumed home medications on discharge
-
-Transitional issues:
-- Atenolol changed to metoprolol
-- Torsemide dose: 60mg daily, discharge weight 88.8kgs
-- Should have repeat Chem-7 on ___ with results sent to Dr. 
-___
-- ___ outpatient colonoscopy for evaluation of 
-gastrointestinal bleeding
-- Should follow up with nephrology, hematology and rheumatology
-HCP: daughter ___ ___
-
- 
-
-###RESPONSE: PTT {Partial thromboplastin time, activated}, GLUCOSE {Glucose measurement, blood}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, Labs {Laboratory test}, URINE {Urinalysis}, UREA N {Blood urea nitrogen measurement}, CREAT {Creatinine measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum total lactate dehydrogenase measurement}, TOT 
-BILI {Bilirubin, total measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, MONOS {Monocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, HFpEF {Heart failure with normal ejection fraction}, CKD {Chronic kidney disease}, baseline {Baseline state}, DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}, K/L 
-ratio {Kappa/lambda light chain ratio measurement}, diverticulosis {Multiple diverticula of intestine}, BRBPR {Hematochezia}, acute renal failure {Acute kidney injury}, Gastrointestinal bleeding {Gastrointestinal hemorrhage}, Anemia {Anemia}, acute blood loss {Acute hemorrhage}, BRPBR {Hematochezia}, hemodynamically stable {Hemodynamically stable}, diverticulosis {Multiple diverticula of intestine}, polyp {Polyp}, unremarkable {No abnormality detected}, HCT {Hematocrit determination}, stable {Patient's condition stable}, colonoscopy {Colonoscopy}, Bleeding {Bleeding}, resolved {Problem resolved}, Acute renal failre {Acute kidney injury}, Stage 3 CKD {Chronic kidney disease stage 3}, creatinine {Creatinine measurement}, hypovolemic {Hypovolemia}, diuretic {Diuretic therapy}, regimen {Therapeutic regimen}, progressive weight loss {Weight decreasing}, volume overload {Hypervolemia}, Diuretics {Diuretic therapy}, IVF {Administration of intravenous fluids}, creatinine {Creatinine measurement}, improved {Patient's condition improved}, baseline {Baseline state}, creatinine {Creatinine measurement}, Foot pain {Foot pain}, foot pain {Foot pain}, walker {Uses zimmer frame}, Hypertension {Hypertensive disorder, systemic arterial}, HOCM {Hypertrophic obstructive cardiomyopathy}, chronic diastolic CHF {Chronic diastolic heart failure}, volume 
-depletion {Decreased blood volume}, increased {Increasing dosage of medication}, IVF {Administration of intravenous fluids}, creatinine {Creatinine measurement}, improved {Patient's condition improved}, hypotension {Low blood pressure}, reduced renal function {Decreased renal function}, Weight {Weight finding}, Kappa:Lamda ratio {Kappa/lambda light chain ratio measurement}, BMBx {Bone marrow sampling}, Glaucoma {Glaucoma}, DM {Diabetes mellitus}, Well controlled {Disease condition determination, well controlled}, weight {Weight finding}, colonoscopy {Colonoscopy}, evaluation {Evaluation procedure}, gastrointestinal bleeding {Gastrointestinal hemorrhage}, hematology {Hematology test}, rheumatology {Rheumatology service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list may be inaccurate and requires 
-futher investigation.
-1. Atenolol 100 mg PO DAILY 
-2. Aspirin 81 mg PO DAILY 
-3. Doxazosin 1 mg PO HS 
-4. Lisinopril 40 mg PO DAILY 
-5. HydrALAZINE 25 mg PO TID 
-6. GlyBURIDE 5 mg PO DAILY 
-7. Torsemide 80 mg PO DAILY 
-8. Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES QHS 
-
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. Doxazosin 1 mg PO HS 
-3. HydrALAZINE 25 mg PO TID 
-4. Latanoprost 0.005% Ophth. Soln. 1 DROP BOTH EYES QHS 
-5. Lisinopril 40 mg PO DAILY 
-6. Torsemide 60 mg PO DAILY 
-7. Acetaminophen 1000 mg PO TID 
-Do not take more than 4gm of acetaminophen in 24hrs 
-8. Gabapentin 100 mg PO QHS 
-RX *gabapentin 100 mg 1 capsule(s) by mouth at bedtime Disp #*30 
-Capsule Refills:*0
-9. Metoprolol Succinate XL 100 mg PO DAILY 
-RX *metoprolol succinate 100 mg 1 tablet(s) by mouth Daily Disp 
-#*30 Tablet Refills:*0
-10. GlyBURIDE 5 mg PO DAILY 
-11. MetFORMIN (Glucophage) 1000 mg PO BID 
-12. Vitamin D 1000 UNIT PO DAILY 
-13. Outpatient Lab Work
-Please check Chem-7 on ___ and fax results to Dr: ___: 
-___
-14. Rolling walker
-Rolling walker
-Diagnosis: Gait instability
-Prognosis: Good
-___: 13 months
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Gastrointestinal bleeding
-Acute blood loss anemia
-Acute renal failure
-Chronic diastolic Congestive heart failure
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Gastrointestinal bleeding {Gastrointestinal hemorrhage}, Acute blood loss anemia {Acute posthemorrhagic anemia}, Acute renal failure {Acute kidney injury}, Chronic diastolic Congestive heart failure {Chronic diastolic heart failure}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}, walker {Uses zimmer frame}, cane {Uses single walking stick}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted with gastrointestinal bleeding which stopped 
-without treatment. You were seen by the gastroenterologists who 
-recommended you have an outpatient colonoscopy to search for a 
-cause for your bleeding. You were also found to have worsening 
-of your kidney function. This improved with intravenous fluids. 
-
-You should continue Torsemide 60mg daily, weigh yourself daily 
-and call your doctor if your weight increases by more than 3 
-pounds. You will need follow up lab studies checked on ___.
-
-Your Atenolol was stopped and was replaced with Metoprolol for 
-your heart. You were also started on a medication for your foot 
-pain.
-
-Please follow up with your cardiologist, hematologist and 
-gastroenterologist as scheduled.
- 
-
-###RESPONSE: gastrointestinal bleeding {Gastrointestinal hemorrhage}, colonoscopy {Colonoscopy}, bleeding {Bleeding}, worsening {Patient's condition worsened}, kidney function {Renal function monitoring}, improved {Patient's condition improved}, intravenous fluids {Intravenous infusion}, weight {Weight finding}, checked {Monitoring procedure}, stopped {Recommendation to stop drug treatment}, heart {Finding of heart rate}, medication {Administration of analgesic}, foot 
-pain {Foot pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Morphine / Doxycycline / Novocain
- 
-Attending: ___.
- 
-Chief Complaint:
-AAA
- 
-Major Surgical or Invasive Procedure:
-EAVR
-
- 
-
-###RESPONSE: Morphine {Allergy to morphine}, Doxycycline {Allergy to doxycycline}, Novocain {Allergy to procaine}, AAA {Abdominal aortic aneurysm}, EAVR {Endovascular repair of abdominal aortic aneurysm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ female with
-approximately 5.4 cm asymptomatic infrarenal abdominal aortic
-aneurysm with aneurysm anatomy conducive to endograft
-exclusion. An aorto-uni-iliac device was chosen with a fem-
-fem bypass because there were several areas of her aortic
-neck that were small in diameter and would constrain a
-bifurcated graft. Given this, she was consented for endograft
-exclusion with an aorto-uni-iliac device.
-
- 
-
-###RESPONSE: asymptomatic {Asymptomatic}, infrarenal abdominal aortic
-aneurysm {Aneurysm of infrarenal abdominal aorta}, aneurysm {Aneurysm}, fem-
-fem bypass {Femoral-femoral artery vascular bypass}, aortic {Aortic structure}, graft {Structure of transplant}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-hypercholesterolemia, hypertension, cerebral artery aneurysm, 
-carotid artery stenosis, urinary incontinence, macular 
-degeneration, and osteopenia, Right carotid endarterectomy and 
-Dacron patch angioplasty.
-
- 
-
-###RESPONSE: hypercholesterolemia {Hypercholesterolemia}, hypertension {Hypertensive disorder, systemic arterial}, cerebral artery aneurysm {Cerebral arterial aneurysm}, carotid artery stenosis {Carotid artery stenosis}, urinary incontinence {Urinary incontinence}, macular 
-degeneration {Degenerative disorder of macula}, osteopenia {Osteopenia}, carotid endarterectomy {Carotid endarterectomy}, angioplasty {Angioplasty of blood vessel}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-n/c
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PE:
-
-AFVSS
-
-NEURO:
-
-PERRL / EOMI
-
-MAE equally
-
-Answers simple commands
-
-Neg pronator drift
-
-Sensation intact to ST
-
-2 plus DTR
-
-___
-
-___:
-
-NCAT 
-
-Neg lesions nares, oral pharnyx, auditory
-
-Supple / FAROM
-
-neg lyphandopathy, supra clavicular nodes
-
-LUNGS: CTA b/l
-
-CARDIAC: RRR without murmers
-
-ABDOMEN: Soft, NTTP, ND, pos BS, neg CVA tenderness
-
-EXT:
-
-rle - palp fem, pop, pt, dp
-
-lle - palp fem, pop, pt, dp
-
- 
-
- 
-
-###RESPONSE: PE {Physical examination procedure}, VS {Vital signs finding}, NEURO {Neurological examination}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, MAE {Does move all four limbs}, pronator drift {Downward drift of outstretched supinated arm}, Sensation intact {Normal sensation}, NCAT {Normal head}, Neg lesions {No pathologic diagnosis}, nares {Structure of naris}, oral {Oral cavity structure}, pharnyx {Pharyngeal structure}, auditory {Structure of auditory system}, Supple {Normal movement of neck}, lyphandopathy {Lymphadenopathy}, supra clavicular nodes {Supraclavicular lymphadenopathy}, LUNGS {Examination of respiratory system}, CTA b/l {Normal breath sounds}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, murmers {Murmur}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, NTTP {Pain in abdominal region on palpation}, ND {Swollen abdomen}, BS {Normal bowel sounds}, CVA tenderness {Renal angle tenderness}, EXT {Examination of limb}, rle {Structure of right lower limb}, palp {Finding of pulse taking by palpation}, lle {Structure of left lower limb}, palp {Finding of pulse taking by palpation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 01:12PM   GLUCOSE-154* UREA N-19 CREAT-0.6 SODIUM-137 
-POTASSIUM-3.4 CHLORIDE-108 TOTAL CO2-25 ANION GAP-7*
-___ 01:12PM   GLUCOSE-154* UREA N-19 CREAT-0.6 SODIUM-137 
-POTASSIUM-3.4 CHLORIDE-108 TOTAL CO2-25 ANION GAP-7*
-___ 01:12PM   CALCIUM-7.2* PHOSPHATE-3.3 MAGNESIUM-1.4*
-___ 01:12PM   WBC-6.4 RBC-2.67*# HGB-8.5*# HCT-25.5*# 
-MCV-96 MCH-31.7 MCHC-33.2 RDW-12.9
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mrs. ___ was admitted on ___ with AAA. She agreed to 
-have an elective surgery. Pre-operatively, she was consented. A 
-CXR, EKG, UA, CBC, Electrolytes, T/S - were obtained,  all other 
-preperations were made.
- 
-It was decided that she would undergo a:
-
-OPERATIONS:
-1. Bilateral catheter placement in the abdominal aorta.
-2. Abdominal aortogram.
-3. Exclusion of abdominal aortic aneurysm with a Zenith
-    aorto-uni-iliac 24 x ___ mm and a 16 x ___. Embolization of the left common iliac artery with a 14-
-    mm Amplatzer plug.
-5. Right to left common femoral artery to common femoral
-    artery bypass with 8 mm externally supported PTFE.
-
-She was prepped, and brought down to the operating room for 
-surgery. Intra-operatively, she was closely monitored and 
-remained hemodynamically stable. She tolerated the procedure 
-well without any difficulty or complication.
- 
-Post-operatively, she was extubated and transferred to the PACU 
-for further stabilization and monitoring. 
- 
-She was then transferred to the VICU for further recovery. While 
-in the VICU she recieved monitered care. When stable she was 
-delined. Her diet was advanced. A ___ consult was obtained. When 
-she was stabalized from the acute setting of post operative 
-care, she was transfered to floor status. 
- 
-On the floor, she remained hemodynamically stable with his pain 
-controlled. She progressed with physical therapy to improve her 
-strength and mobility. She continues to make steady progress 
-without any incidents. She was discharged home in stable 
-condition.
- 
-To note she did have a post op ileus and constipation. She was 
-started on a bowel regime. On Dc she id having BM. Ileus 
-resolved. 
-
-Her lisinopril was discontinued prior to discharge for SBP's in 
-the ___. She should follow up with her PCP to address her 
-antihypertensive medication regimen. She required supplemental 
-02 and nebulizer treatments for saturations in the ___. She 
-received lasix and was able to ambulate on the day of discharge 
-with an 02 sat of 90% and 94% at rest. This met criteria for 
-discharge. O2 saturations should be rechecked by the PCP at the 
-___ appointment as well. 
- 
-
-###RESPONSE: AAA {Abdominal aortic aneurysm}, elective surgery {Optional surgery}, CXR {Plain chest X-ray}, EKG {Electrocardiographic procedure}, UA {Urinalysis}, CBC {Complete blood count}, Electrolytes {Electrolytes measurement}, catheter placement {Catheterization}, abdominal aorta {Abdominal aorta structure}, Abdominal aortogram {Abdominal aortogram}, abdominal aortic aneurysm {Abdominal aortic aneurysm}, Embolization {Embolization procedure}, left common iliac artery {Structure of left common iliac artery}, Right {Structure of right common femoral artery}, left common femoral artery {Structure of left common femoral artery}, common femoral {Structure of common femoral artery}, bypass {Construction of shunt}, surgery {Surgical procedure}, monitored {Monitoring procedure}, hemodynamically stable {Hemodynamically stable}, procedure {Procedure}, Post-operatively {Postoperative state}, extubated {Removal of endotracheal tube}, PACU {Postanesthesia care}, stabilization {Stabilization}, monitoring {Monitoring procedure}, monitered {Postoperative monitoring}, stable {Patient's condition stable}, diet was advanced {Advance diet as tolerated}, post operative {Postoperative state}, hemodynamically stable {Hemodynamically stable}, pain {Pain}, physical therapy {Physical therapy procedure}, stable 
-condition {Patient's condition stable}, post op {Postoperative state}, ileus {Intestinal obstruction co-occurrent and due to decreased peristalsis}, constipation {Constipation}, bowel {Intestinal structure}, Ileus {Intestinal obstruction co-occurrent and due to decreased peristalsis}, resolved {Problem resolved}, lisinopril {Non-allergic hypersensitivity to angiotensin-converting enzyme inhibitor}, discontinued {Recommendation to stop drug treatment}, SBP {Decreased systolic arterial pressure}, antihypertensive medication {Antihypertensive therapy}, regimen {Therapeutic regimen}, nebulizer treatments {Nebulizer therapy}, lasix {Diuretic therapy}, able to ambulate {Able to walk}, 02 sat {Oxygen saturation measurement}, O2 saturations {Oxygen saturation measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-ezetimibe 10, lisinopril 40, metoprolol succinate 25 mg M  
-potassium chloride, premarin, Crestor 20 mg, 
-triamterene-hydrochlorothiazid 37.5 mg-25, aspirin 81, vitamin 
-A-vitamin C-vit E-min [Ocuvite]  
-
- 
-Discharge Medications:
-1. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-2. rosuvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-3. triamterene-hydrochlorothiazid 37.5-25 mg Capsule Sig: One 
-(1) Capsule PO DAILY (Daily).  
-4. ezetimibe 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).  
-
-5. metoprolol succinate 25 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-6. Premarin 0.3 mg Tablet Sig: One (1) Tablet PO once a day.  
-7. Klor-Con 8 8 mEq Tablet Sustained Release Sig: One (1) Tablet 
-Sustained Release PO once a day.  
-8. Ocuvite     Tablet Sig: One (1) Tablet PO once a day.  
-9. Senna Lax 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed for constipation.
-Disp:*60 Tablet(s)* Refills:*0*
-10. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).
-Disp:*60 Capsule(s)* Refills:*2*
-11. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H 
-(every 6 hours) as needed for pain: prn for pain.
-Disp:*60 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-AAA
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: AAA {Abdominal aortic aneurysm}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Division of Vascular and Endovascular Surgery
-Endovascular Abdominal Aortic Aneurysm (AAA) Discharge 
-Instructions
-
-Medications:
-•Take Aspirin 325mg (enteric coated) once daily 
-•Do not stop Aspirin unless your Vascular Surgeon instructs you 
-to do so. 
-•Continue all other medications you were taking before surgery, 
-unless otherwise directed
-•You make take Tylenol or prescribed pain medications for any 
-post procedure pain or discomfort
-
-What to expect when you go home:
-It is normal to have slight swelling of the legs:
-•Elevate your leg above the level of your heart (use ___ 
-pillows or a recliner) every ___ hours throughout the day and at 
-night
-•Avoid prolonged periods of standing or sitting without your 
-legs elevated
-It is normal to feel tired and have a decreased appetite, your 
-appetite will return with time 
-•Drink plenty of fluids and eat small frequent meals
-•It is important to eat nutritious food options (high fiber, 
-lean meats, vegetables/fruits, low fat, low cholesterol) to 
-maintain your strength and assist in wound healing
-•To avoid constipation: eat a high fiber diet and use stool 
-softener while taking pain medication
-
-What activities you can and cannot do:
-•When you go home, you may walk and go up and down stairs
-•You may shower (let the soapy water run over groin incision, 
-rinse and pat dry)
-•Your incision may be left uncovered, unless you have small 
-amounts of drainage from the wound, then place a dry dressing or 
-band aid over the area that is draining, as needed
-•No heavy lifting, pushing or pulling (greater than 5 lbs) for 
-1 week (to allow groin puncture to heal)
-•After 1 week, you may resume sexual activity
-•After 1 week, gradually increase your activities and distance 
-walked as you can tolerate
-•No driving until you are no longer taking pain medications
-•Call and schedule an appointment to be seen in ___ weeks for 
-post procedure check and CTA 
-
-What to report to office:
-•Numbness, coldness or pain in lower extremities 
-•Temperature greater than 101.5F for 24 hours
-•New or increased drainage from incision or white, yellow or 
-green drainage from incisions
-•Bleeding from groin puncture site
-
-SUDDEN, SEVERE BLEEDING OR SWELLING (Groin puncture site or 
-incision)
-•Lie down, keep leg straight and have someone apply firm 
-pressure to area for 10 minutes. If bleeding stops, call 
-vascular office. If bleeding does not stop, call ___ for 
-transfer to closest Emergency Room. 
-
- 
-
-###RESPONSE: Division {Division}, Vascular {Vascular surgery procedure}, Surgery {Surgical procedure}, Abdominal Aortic Aneurysm {Abdominal aortic aneurysm}, AAA {Abdominal aortic aneurysm}, swelling {Swelling}, legs {Lower limb structure}, leg {Lower limb structure}, heart {Heart structure}, standing {Orthostatic body position}, sitting {Sitting position}, legs {Lower limb structure}, elevated {Elevation}, tired {Tired}, decreased appetite {Decrease in appetite}, wound healing {Structure resulting from tissue repair process}, constipation {Constipation}, high fiber diet {High residue diet}, stool 
-softener {Administration of laxative}, while taking pain medication {Patient medication education}, walk {Does walk}, may shower {Wound treatment education}, groin {Inguinal region structure}, incision {Surgical incision wound}, incision {Surgical incision wound}, drainage {Wound discharge}, wound {Wound}, dressing {Application of dressing}, draining {Wound discharge}, No heavy lifting {Functional activity education}, groin {Inguinal region structure}, sexual activity {Finding of frequency of sexual activity}, activities {Functional activity education}, walked {Does walk}, pain medications {Administration of analgesic}, CTA {Computed tomography angiography with contrast}, Numbness {Numbness}, coldness or pain in lower extremities {Painful and cold lower limb}, Temperature {Body temperature finding}, drainage {Wound discharge}, incision {Surgical incision wound}, drainage {Wound discharge}, incisions {Surgical incision wound}, Bleeding {Bleeding}, groin {Inguinal region structure}, BLEEDING {Bleeding}, SWELLING {Swelling}, Groin {Inguinal region structure}, incision {Surgical incision wound}, leg {Lower limb structure}, pressure {Application of dressing, pressure}, bleeding {Bleeding}, bleeding {Bleeding}, Emergency {Emergency treatment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Pancreatic mass seen on CT
- 
-Major Surgical or Invasive Procedure:
-___:
-1. Diagnostic laparoscopy.
-2. Exploratory laparotomy.
-3. ___ maneuver with mobilization of the right 
-colon, hepatic flexure, duodenum and head of pancreas with 
-exploration of the distal superior mesenteric vein.
-4. Intraoperative ultrasound.
-5. Placement of gold fiducials for possible CyberKnife.
-6. Cholecystectomy.
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Pancreatic mass {Mass of pancreas}, CT {Computed tomography}, laparoscopy {Laparoscopy}, Exploratory laparotomy {Exploratory laparotomy}, mobilization {Mobilization of intestine}, right 
-colon {Right colon structure}, hepatic flexure {Structure of right colic flexure}, duodenum {Duodenal structure}, head of pancreas {Structure of head of pancreas}, exploration {Exploration procedure}, superior mesenteric vein {Structure of superior mesenteric vein}, Intraoperative ultrasound {Intraoperative ultrasonography}, Placement of gold fiducials {Insertion of fiducial marker into pancreas using endoscopic ultrasonography guidance}, Cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with no significant PMHx who was found to have a pancreatic 
-mass during work-up for fevers in ___ after returning 
-from a trip to the ___. During his work-up, he 
-was found to have a pancreatic head mass (2 x 1.3 cm) with 
-features concerning for carcinoma which was followed by 
-Pancreatic Protocol CT Scan on ___. The patient denied any
-weight loss, loss of appetite, nausea/vomiting, jaundice, 
-itching, any h/o pancreatitis or any family h/o pancreatic 
-cancer. He also had abnormal LFTs during his this medicine 
-admission for fever work-up (TBili max - 2.5, Alk Phos - 280), 
-which had normalized at the time of discharge. EUS was performed 
-on ___ and was non-diagnostic, biopsy was nondiagnostic as well. 
-Secondary to risk of pancreatic malignancy, patient was 
-evaluated by Dr. ___ in her ___ ___ clinic following 
-his discharge for possible resection of pancreatic mass.
- 
-
-###RESPONSE: pancreatic 
-mass {Mass of pancreas}, fevers {Fever}, pancreatic head {Structure of head of pancreas}, mass {Mass}, carcinoma {Carcinoma}, Pancreatic {Pancreatic structure}, CT Scan {Computed tomography}, weight loss {Weight loss}, loss of appetite {Loss of appetite}, nausea/vomiting {Nausea and vomiting}, jaundice {Jaundice}, itching {Itching}, pancreatitis {Pancreatitis}, pancreatic 
-cancer {Malignant tumor of pancreas}, abnormal LFTs {Abnormal liver function}, fever {Fever}, biopsy {Biopsy}, pancreatic malignancy {Malignant tumor of pancreas}, clinic {Outpatient care management}, resection {Excision}, pancreatic mass {Mass of pancreas}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Disc protusions C4-C5, C5-C6  
-Rotator cuff repair s/p arthroscopy  
-
- 
-
-###RESPONSE: Disc protusions {Intervertebral disc prolapse}, C4-C5 {Intervertebral disc structure of fourth cervical vertebra}, C5-C6 {Intervertebral disc structure of fifth cervical vertebra}, Rotator cuff repair {Repair of musculotendinous cuff of shoulder}, arthroscopy {Arthroscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with ""heart disease""
- 
-
-###RESPONSE: heart disease {Heart disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITALS: Temp 99.8, HR 89, BP 139/80, RR 18, SpO2 93% on Room Air
-
-GEN: NAD, well appearing and pleasant
-HEENT: NCAT, PERRLA, EOMI, no scleral icterus
-CV: RRR
-RESP: breathing comfortably on room air
-GI: soft, mild distension and appropriate post-operative TTP, 
-midline laparotomy is well healing and appropriately covered 
-with steri-stips with no purulent drainage or active bleeding, 
-no masses, hernias, R/G/D
-EXT: well perfused, no edema
-NEURO: A&OX3
- 
-
-###RESPONSE: VITALS {Vital signs finding}, Temp {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, on Room Air {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, well appearing {Well cared for appearance}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, scleral icterus {Scleral icterus}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, RESP {Examination of respiratory system}, breathing comfortably on room air {Breathing room air}, GI {Examination of digestive system}, soft {Abdomen soft}, mild {Symptom mild}, distension {Swollen abdomen}, post-operative {Postoperative state}, TTP {Tenderness}, laparotomy {Laparotomy}, healing {Structure resulting from tissue repair process}, purulent drainage {Purulent discharge}, bleeding {Bleeding}, masses {Abdominal mass}, hernias {Herniated structure}, EXT {Examination of limb}, well perfused {Normal tissue perfusion}, edema {Edema}, NEURO {Neurological examination}, OX3 {Oriented to person, time and place}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-PATHOLOGY: Gallbladder - Pending 
-
-Imaging:
-
-Final Report
-EXAMINATION:  US INTRA-OP ___ MINS
- 
-INDICATION:  ___ year old man with pancreatic mass  // evaluate 
-questionable pancreatic mass, ? open biopsy
- 
-TECHNIQUE:  Open intraoperative ultrasound
- 
-COMPARISON:  CT ___.
- 
-FINDINGS: 
- 
-High-resolution grayscale and color flow Doppler imaging of the 
-pancreas was performed using the drop-in probe imaging at 12 
-megahertz frequency.  The pancreas was not well visualized and 
-normal in uniform and echotexture throughout with no focal mass 
-identified.  The pancreatic duct is mildly dilated in the body 
-and tail, less dilated in the head.  No duct stones or 
-parenchymal calcifications were seen.  Both grayscale and 
-color-flow Doppler imaging show no evidence of a pancreatic head 
-mass.
- 
-IMPRESSION: 
- 
-Normal-appearing pancreatic parenchyma with no focal mass 
-identified.
-
-Final Report
-EXAMINATION:  CHEST (PORTABLE AP)
- 
-INDICATION:  ___ year old man POD1 with temp 101.9, tachy 110s  
-// r/o PNA
- 
-TECHNIQUE:  Chest single view
- 
-COMPARISON:  ___
- 
-FINDINGS: 
- 
-There is shallow inspiration.  Bibasilar opacities, new since 
-prior exam, favor atelectasis; consider pneumonitis in the 
-appropriate clinical setting. 
-Suggestion of tiny left pleural effusion.  Catheter projected 
-over paraspinal soft tissues.  Surgical clips in the upper 
-abdomen.  Few mildly distended loops of colon in the upper 
-abdomen.  Mildly distended stomach.  Postoperative changes in 
-the left shoulder.
- 
-IMPRESSION: 
- 
-New bibasilar opacities in the setting of very shallow 
-inspiration, favor
-atelectasis ; consider pneumonitis in the appropriate clinical 
-setting.
- 
-
-CBC:
-___ 04:42AM BLOOD WBC-8.8 RBC-3.52* Hgb-10.0* Hct-31.9* 
-MCV-91 MCH-28.4 MCHC-31.3* RDW-13.6 RDWSD-44.9 Plt ___
-___ 07:56PM BLOOD Glucose-113* UreaN-10 Creat-0.9 Na-135 
-K-3.8 Cl-100 HCO3-27 AnGap-12
-___ 05:54AM BLOOD WBC-10.5*# RBC-3.60* Hgb-10.5* Hct-32.7* 
-MCV-91 MCH-29.2 MCHC-32.1 RDW-13.8 RDWSD-45.9 Plt ___
-
-UA:
-___ 06:50PM URINE Blood-MOD Nitrite-NEG Protein-30 
-Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-4* pH-6.5 Leuks-SM 
-
-Urine Culture:
-___ 6:50 pm URINE      Source: Catheter. 
-
-                            **FINAL REPORT ___
-
-   URINE CULTURE (Final ___:    NO GROWTH. 
-
-Back
- 
-
-###RESPONSE: Gallbladder {Gallbladder structure}, US INTRA-OP {Intraoperative ultrasonography}, pancreatic mass {Mass of pancreas}, pancreatic mass {Mass of pancreas}, open biopsy {Open biopsy}, intraoperative ultrasound {Intraoperative ultrasonography}, grayscale {Gray scale ultrasonic Doppler}, color flow Doppler imaging {Color Doppler ultrasound}, pancreas {Pancreatic structure}, imaging {Imaging}, pancreas {Pancreatic structure}, mass {Mass}, pancreatic duct {Pancreatic duct structure}, dilated {Dilatation}, dilated {Dilatation}, head {Structure of head of pancreas}, duct stones {Calculus of bile duct}, calcifications {Pathologic calcification, calcified structure}, grayscale {Gray scale ultrasonic Doppler}, color-flow Doppler imaging {Color Doppler ultrasound}, no evidence {No abnormality detected}, pancreatic head {Structure of head of pancreas}, mass {Mass}, pancreatic {Pancreatic structure}, mass {Mass}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, temp {Body temperature finding}, tachy {Tachycardia}, PNA {Pneumonia}, Chest {Plain chest X-ray}, Bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, pneumonitis {Pneumonitis}, left {Left pleura structure}, pleural effusion {Pleural effusion}, paraspinal {Structure of paravertebral region}, soft tissues {Structure of soft tissue}, Surgical {Surgical procedure}, upper 
-abdomen {Upper abdomen structure}, distended {Swollen abdomen}, colon {Colon structure}, upper 
-abdomen {Upper abdomen structure}, distended {Swollen abdomen}, stomach {Stomach structure}, left shoulder {Structure of left shoulder region}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, pneumonitis {Pneumonitis}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Protein {Measurement of protein in urine}, Ketone {Urinalysis, acetone or ketone bodies measurement}, pH {pH measurement}, URINE CULTURE {Urine culture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with pancreatic mass seen on CT was admitted to the Surgical 
-Oncology Service same day for elective Whipple procedure on 
-___. The patient was taken to the OR for diagnostic 
-laparoscopy and planned Whipple procedure with possible vascular 
-reconstruction. During the operation pancreatic mass was not 
-identified by intraoperative examination or ultrasound, patient 
-underwent open cholecystectomy and placement of gold fiducials 
-for possible radiation therapy, which went well without 
-complication (reader referred to the Operative Note for 
-details). After a brief, uneventful stay in the PACU, the 
-patient arrived on the floor on sips of clears, on IV fluids, 
-with a foley catheter, and epidural for pain control. The 
-patient was hemodynamically stable.
-
-Post-operative pain was initially well controlled with epidural, 
-which was converted to oral pain medication on POD 2. The Diet 
-was progressively advanced as tolerated to a regular diet by 
-POD# 1. The foley catheter was discontinued at midnight of POD# 
-2. The patient subsequently voided without problem. 
-
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs. The patient was tolerating a regular 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled. The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
-
- 
-
-###RESPONSE: pancreatic mass {Mass of pancreas}, CT {Computed tomography}, Whipple procedure {Pancreaticoduodenectomy}, laparoscopy {Laparoscopy}, Whipple procedure {Pancreaticoduodenectomy}, vascular 
-reconstruction {Cardiovascular system reconstruction}, operation {Surgical procedure}, pancreatic mass {Mass of pancreas}, ultrasound {Intraoperative ultrasonography}, cholecystectomy {Cholecystectomy}, placement of gold fiducials {Insertion of fiducial marker into pancreas using endoscopic ultrasonography guidance}, radiation therapy {Radiation oncology AND/OR radiotherapy}, IV fluids {Administration of intravenous fluids}, foley catheter {Urinary catheter in situ}, epidural {Epidural anesthesia}, pain control {Pain control}, hemodynamically stable {Hemodynamically stable}, Post-operative pain {Postoperative pain}, epidural {Epidural anesthesia}, oral {Administration of drug or medicament via oral route}, pain medication {Administration of analgesic}, Diet {Dietary finding}, regular diet {Normal diet}, voided without problem {Normal micturition}, stable vital signs {Normal vital signs}, regular 
-diet {Normal diet}, ambulating {Fully mobile}, voiding without assistance {Continence independent}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Patient education}, discharge plan {Discharge planning}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-None
- 
-Discharge Medications:
-1.  Acetaminophen 650 mg PO Q6H:PRN Pain - Mild/Fever 
-RX *acetaminophen 500 mg 1 tablet(s) by mouth every four (4) 
-hours Disp #*30 Tablet Refills:*0 
-2.  Docusate Sodium 100 mg PO BID 
-RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice 
-a day Disp #*20 Capsule Refills:*0 
-3.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - 
-Moderate 
-RX *oxycodone [Oxaydo] 5 mg 1 tablet(s) by mouth every four (4) 
-hours Disp #*20 Tablet Refills:*0 
-4.  Senna 8.6 mg PO BID:PRN constipation 
-RX *sennosides [Evac-U-Gen (sennosides)] 8.6 mg 1 tablet by 
-mouth twice a day Disp #*10 Tablet Refills:*0 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Pancreatic mass, question cancer, with no evidence of mass on 
-intraoperative ultrasound or intraoperative examination (final 
-pathology pending)
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Pancreatic mass {Mass of pancreas}, cancer {Malignant neoplasm}, no evidence {No abnormality detected}, mass {Mass}, intraoperative ultrasound {Intraoperative ultrasonography}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Mr. ___
-
-___ were admitted to the surgery service at ___ for planned 
-Whipple procedure, during the operation, the pancreatic mass was 
-not identified despite repeated intra-operative imaging with 
-ultrasound. ___ underwent a diagnostic laparotomy, 
-intraoperative ultrasound and open cholecystectomy. ___ have 
-done well in the post operative period and are now safe to 
-return home to complete your recovery with the following 
-instructions:
-.
-Please resume all regular home medications , unless specifically 
-advised not to take a particular medication.  Also, please take 
-any new medications as prescribed.
-
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids.  Avoid lifting 
-weights greater than ___ lbs until ___ follow-up with your 
-surgeon, who will instruct ___ further regarding activity 
-restrictions.
-
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-Please follow-up with your surgeon and Primary Care Provider 
-(PCP) as advised.
-.
-Incision Care:
-*Please call your doctor or nurse practitioner if ___ have 
-increased pain, swelling, redness, or drainage from the incision 
-site.
-*Avoid swimming and baths until your follow-up appointment.
-___ may shower, and wash surgical incisions with a mild soap 
-and warm water.  Gently pat the area dry.
-*If ___ have steri-strips, they will fall off on their own.  
-Please remove any remaining strips ___ days after surgery.
-
-Good Luck
- 
-
-###RESPONSE: Whipple procedure {Pancreaticoduodenectomy}, operation {Surgical procedure}, pancreatic mass {Mass of pancreas}, intra-operative imaging with 
-ultrasound {Intraoperative ultrasonography}, laparotomy {Laparotomy}, intraoperative ultrasound {Intraoperative ultrasonography}, cholecystectomy {Cholecystectomy}, post operative {Postoperative state}, drink adequate amounts of fluids {Fluid intake education}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Discharge}, incision 
-site {Surgical incision wound}, surgical incisions {Surgical incision wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-gluten / tramadol
- 
-Attending: ___
- 
-Chief Complaint:
-right hip osteoarthritis 
- 
-Major Surgical or Invasive Procedure:
-right hip replacement ___, ___
-
- 
-
-###RESPONSE: right hip osteoarthritis {Osteoarthritis of right hip joint}, right hip replacement {Prosthetic arthroplasty of right hip}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ year old female with a history of right hip osteoarthritis 
-who has failed conservative treatments and is now here for 
-definitive surgery.
- 
-
-###RESPONSE: right hip osteoarthritis {Osteoarthritis of right hip joint}, surgery {Surgical procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-mild MVP/MR, hypothyroidism, hx of kidney stones, lichen 
-sclerosis, hemorrhoids s/p hemorrhoidectomy, posterior vitreous 
-detachment, mild hearing loss/bilateral tinnitus, anxiety, s/p 
-LEEP 
- 
-
-###RESPONSE: MR {Mitral valve regurgitation}, hypothyroidism {Hypothyroidism}, kidney stones {Kidney stone}, lichen 
-sclerosis {Lichen sclerosus}, hemorrhoids {Hemorrhoids}, hemorrhoidectomy {Hemorrhoidectomy}, posterior vitreous 
-detachment {Posterior vitreous detachment}, hearing loss {Hearing loss}, bilateral tinnitus {Bilateral tinnitus}, anxiety {Anxiety}, LEEP {Loop electrosurgical excision procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Well appearing in no acute distress  
-Afebrile with stable vital signs  
-Pain well-controlled  
-Respiratory: CTAB  
-Cardiovascular: RRR  
-Gastrointestinal: NT/ND  
-Genitourinary: Voiding independently  
-Neurologic: Intact with no focal deficits  
-Psychiatric: Pleasant, A&O x3  
-Musculoskeletal Lower Extremity:  
-* Aquacel dressing with scant serosanguinous drainage  
-* Thigh full but soft  
-* No calf tenderness  
-* ___ strength  
-* SILT, NVI distally  
-* Toes warm
- 
-
-###RESPONSE: distress {Distress}, stable vital signs {Normal vital signs}, Pain well-controlled {Demonstrates adequate pain control}, Respiratory {Examination of respiratory system}, CTAB {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, RRR {Normal heart rate}, Gastrointestinal {Examination of digestive system}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Gen {General examination of patient}, Neurologic {Neurological examination}, no focal deficits {Normal nervous system function}, Musculoskeletal {Musculoskeletal system physical examination}, Lower Extremity {Lower limb structure}, Thigh {Thigh structure}, soft {Abdomen soft}, tenderness {Tenderness}, SILT {Light touch sensation present}, NVI distally {Normal peripheral neurovascular function}, Toes {Structure of all toes}, warm {Warm skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:10AM BLOOD WBC-10.8* RBC-3.22* Hgb-9.7* Hct-30.2* 
-MCV-94 MCH-30.1 MCHC-32.1 RDW-13.6 RDWSD-47.0* Plt ___
-___ 06:10AM BLOOD Glucose-108* UreaN-12 Creat-0.8 Na-143 
-K-4.5 Cl-105 HCO3-25 AnGap-13
-___ 06:10AM BLOOD Calcium-8.7 Phos-3.3 Mg-1.9
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient was admitted to the orthopedic surgery service and 
-was taken to the operating room for above described procedure. 
-Please see separately dictated operative report for details. The 
-surgery was uncomplicated and the patient tolerated the 
-procedure well. Patient received perioperative IV antibiotics.
-
-Postoperative course was remarkable for the following:
-POD #1, patient was administered 500 mL IV fluid bolus for 
-orthostasis with appropriate response. Patient cleared ___ 
-without further issues.
-
-Otherwise, pain was controlled with a combination of IV and oral 
-pain medications.  The patient received Aspirin 81 mg twice 
-daily for DVT prophylaxis starting on the morning of POD#1.  The 
-surgical dressing will remain on until POD#7 after surgery.  The 
-patient was seen daily by physical therapy. Labs were checked 
-throughout the hospital course and repleted accordingly. At the 
-time of discharge the patient was tolerating a regular diet and 
-feeling well.  The patient was afebrile with stable vital signs. 
- The patient's hematocrit was acceptable and pain was adequately 
-controlled on an oral regimen. The operative extremity was 
-neurovascularly intact and the dressing was intact.
- 
-The patient's weight-bearing status is weight bearing as 
-tolerated on the operative extremity with anterior precautions. 
-No hip bridging or no repetitive resistant hip flexion. Walker 
-or two crutches, wean as able.
-
-Ms. ___ is discharged to home with services in stable 
-condition.
- 
-
-###RESPONSE: procedure {Surgical procedure}, surgery {Surgical procedure}, procedure {Surgical procedure}, IV antibiotics {Intravenous antibiotic therapy}, IV fluid bolus {Administration of intravenous fluid bolus}, orthostasis {Orthostatic body position}, pain {Pain}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, Aspirin {Administration of aspirin}, DVT prophylaxis {Prevention of deep vein thrombosis}, surgical dressing {Application of dressing}, after surgery {Postoperative state}, physical therapy {Physical therapy procedure}, tolerating a regular diet {Tolerating normal diet}, stable vital signs {Normal vital signs}, hematocrit was acceptable {Stable hematocrit}, pain was adequately 
-controlled {Demonstrates adequate pain control}, oral regimen {Administration of drug or medicament via oral route}, operative {Surgical procedure}, extremity {All extremities}, neurovascularly intact {Normal peripheral neurovascular function}, dressing {Application of dressing}, weight-bearing {Weight-bearing}, weight bearing {Weight-bearing}, operative {Surgical procedure}, extremity {Limb structure}, precautions {Safety precautions}, hip {Hip region structure}, hip {Hip region structure}, flexion {Flexion test}, stable 
-condition {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Levothyroxine Sodium 88 mcg PO 5 DAYS A WEEK; HOLD WED AND 
-SUN 
-2. Betamethasone Dipro 0.05% Cream 1 Appl TP 2X PER WEEK 
-3. Nicotine Polacrilex 2 mg PO DAILY 
-4. biotin 5,000 mcg oral DAILY 
-5. Vitamin D 1000 UNIT PO DAILY 
-6. lactobacillus combination ___ billion cell oral DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H 
-2.  Aspirin EC 81 mg PO BID 
-3.  Docusate Sodium 100 mg PO BID 
-4.  Gabapentin 300 mg PO TID 
-5.  OxyCODONE (Immediate Release) 2.5-5 mg PO Q4H:PRN Pain - 
-Moderate 
-6.  Pantoprazole 40 mg PO Q24H 
-Continue while on 4-week course of ASA 81 mg twice daily. 
-7.  Senna 8.6 mg PO BID 
-8.  Betamethasone Dipro 0.05% Cream 1 Appl TP 2X PER WEEK  
-9.  biotin 5,000 mcg oral DAILY  
-10.  lactobacillus combination ___ billion cell oral DAILY  
-11.  Levothyroxine Sodium 88 mcg PO 5 DAYS A WEEK; HOLD WED AND 
-SUN  
-12.  Nicotine Polacrilex 2 mg PO DAILY  
-13.  Vitamin D 1000 UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-right hip osteoarthritis 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, right hip osteoarthritis {Osteoarthritis of right hip joint}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-1. Please return to the emergency department or notify your 
-physician if you experience any of the following: severe pain 
-not relieved by medication, increased swelling, decreased 
-sensation, difficulty with movement, fevers greater than 101.5, 
-shaking chills, increasing redness or drainage from the incision 
-site, chest pain, shortness of breath or any other concerns.
- 
-2. Please follow up with your primary physician regarding this 
-admission and any new medications and refills. 
- 
-3. Resume your home medications unless otherwise instructed.
- 
-4. You have been given medications for pain control. Please do 
-not drive, operate heavy machinery, or drink alcohol while 
-taking these medications. As your pain decreases, take fewer 
-tablets and increase the time between doses. This medication can 
-cause constipation, so you should drink plenty of water daily 
-and take a stool softener (such as Colace) as needed to prevent 
-this side effect.  Call your surgeons office 3 days before you 
-are out of medication so that it can be refilled.  These 
-medications cannot be called into your pharmacy and must be 
-picked up in the clinic or mailed to your house.  Please allow 
-an extra 2 days if you would like your medication mailed to your 
-home.
- 
-5. You may not drive a car until cleared to do so by your 
-surgeon.
- 
-6. Please call your surgeon's office to schedule or confirm your 
-follow-up appointment.
- 
-7. SWELLING: Ice the operative joint 20 minutes at a time, 
-especially after activity or physical therapy. Do not place ice 
-directly on the skin. Please DO NOT take any non-steroidal 
-anti-inflammatory medications (NSAIDs such as Celebrex, 
-ibuprofen, Advil, Aleve, Motrin, naproxen etc) until cleared by 
-your physician.
- 
-8. ANTICOAGULATION: Please continue your Aspirin 81 mg twice 
-daily with food for four (4) weeks to help prevent deep vein 
-thrombosis (blood clots).  Continue Pantoprazole daily while on 
-Aspirin to prevent GI upset (x 4 weeks).  If you were taking 
-Aspirin prior to your surgery, take it at 81 mg twice daily 
-until the end of the 4 weeks, then you can go back to your 
-normal dosing. 
- 
-9. WOUND CARE: Please remove Aquacel dressing on POD#7 after 
-surgery. It is okay to shower after surgery after 5 days but no 
-tub baths, swimming, or submerging your incision until after 
-your four (4) week checkup. Please place a dry sterile dressing 
-on the wound after aqaucel is removed each day if there is 
-drainage, otherwise leave it open to air. Check wound regularly 
-for signs of infection such as redness or thick yellow drainage. 
- 
- 
-10. ___ (once at home): Home ___, dressing changes as 
-instructed,  and wound checks.
-
-11. ACTIVITY: Weight bearing as tolerated with walker or 2 
-crutches.  Wean assistive device as able.  Anterior precautions. 
-No hip bridging. No repetitive resistant hip flexion. No 
-strenuous exercise or heavy lifting until follow up appointment. 
- Mobilize frequently. 
-
-Physical Therapy:
-WBAT RLE
-Anterior hip precautions
-No hip bridging and no repetitive resistant hip flexion
-Wean assistive device as able (i.e. 2 crutches or walker)
-Mobilize frequently
-Treatments Frequency:
-remove aquacel POD#7 after surgery
-apply dry sterile dressing daily if needed after aquacel 
-dressing is removed
-wound checks daily after aquacel removed
- 
-
-###RESPONSE: severe pain {Severe pain}, medication {Patient medication education}, increased {Patient's condition worsened}, swelling {Swelling}, sensation {Normal sensation}, difficulty with movement {Difficulty moving}, fevers {Fever}, shaking {Tremor}, chills {Chill}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision 
-site {Surgical incision wound}, chest pain {Chest pain}, shortness of breath {Dyspnea}, pain control {Pain control}, pain decreases {Sensation of pain reduced}, constipation {Constipation}, take a stool softener {Administration of laxative}, SWELLING {Swelling}, operative joint {Operative site}, ANTICOAGULATION {Anticoagulant therapy}, prevent deep vein 
-thrombosis {Prevention of deep vein thrombosis}, blood clots {Blood clot}, GI upset {Gastrointestinal irritation}, surgery {Surgical procedure}, WOUND CARE {Wound treatment education}, remove Aquacel dressing {Removal of dressing}, wound {Wound}, removed {Removal of dressing}, drainage {Wound discharge}, Check wound {Wound assessment}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, drainage {Wound discharge}, dressing changes {Change of dressing}, wound checks {Wound assessment}, ACTIVITY {Recommendation to avoid activity}, Weight bearing {Weight-bearing}, precautions {Safety precautions}, hip {Left hip region structure}, hip {Left hip region structure}, Mobilize {Mobilizing}, RLE {Structure of right lower limb}, hip {Left hip region structure}, hip {Left hip region structure}, hip {Left hip region structure}, Mobilize {Mobilizing}, sterile dressing {Application of dressing, sterile}, dressing is removed {Removal of dressing}, wound checks {Wound assessment}, aquacel removed {Removal of dressing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Keflex / Vioxx / Codeine / Iodinated Contrast Media - IV Dye / 
-ceftriaxone
- 
-Attending: ___
- 
-Chief Complaint:
-dislodged foley, ___
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Keflex {Allergy to cefalexin}, Codeine {Allergy to codeine}, Contrast Media {Allergy to contrast media}, ceftriaxone {Allergy to ceftriaxone}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with history of diastolic CHF, DM, chronic Foley, and recent 
-ventral hernia repair c/b recurrent mesh infection who presents 
-from home for a dislodged Foley.
-
-Patient's history significant for recent hospitalization 
-___ for abdominal wound infection.  Was being treated 
-with IV unasyn but patient left AMA so discharged on po 
-Augmentin (per ID note ___, course indefinite so as to 
-suppress organisms such as strep and MSSA).  Also team was 
-managing IV diuresis and blood sugars.  As stated patient left 
-AMA on ___.
-
-Patient presented to ED ___ as his Foley fell out.  He also 
-complains of constipation and pain in bilateral legs on 
-posterior sides.  Endorses good po intake since discharge.  
-Endorses compliance with all meds, including insulin, diuretics, 
-and abx.  No fevers/chills at home.  No abd pain.  No cough.
-
-ED course significant for:
-Foley replaced
-Continuing home meds including Augmentin
-No IVF or diuresis given
-BS of 591 (no gap on chem-7)
-
-Transfer VS were: 97.8 58 101/48 16 93% RA 
-
-On arrival to the floor, patient endorses above story.  He feels 
-like he needs to get tuned up a bit before he leaving again.  
-When asked specifically what we can do for him, he believes his 
-pain can get under better control and we can improve his 
-constipation.
- 
-REVIEW OF SYSTEMS:  
-10 point ROS reviewed and negative except as per HPI  
- 
-
-###RESPONSE: diastolic CHF {Heart failure with normal ejection fraction}, DM {Diabetes mellitus}, chronic Foley {Foley catheter long term use}, ventral hernia repair {Repair of ventral hernia}, mesh infection {Infected hernioplasty mesh}, abdominal wound {Wound of abdomen}, infection {Infectious disease}, IV {Administration of drug or medicament via intravenous route}, IV {Administration of drug or medicament via intravenous route}, diuresis {Diuresis}, blood sugars {Blood sugar management}, constipation {Constipation}, pain {Pain}, legs {Lower limb structure}, diuretics {Diuretic therapy}, abx {Antibiotic therapy}, fevers {Fever}, chills {Chill}, abd pain {Abdominal pain}, cough {Cough}, IVF {Administration of intravenous fluids}, diuresis {Diuresis}, BS {Normal bowel sounds}, VS {Vital signs finding}, RA {Breathing room air}, pain {Pain}, constipation {Constipation}, REVIEW OF SYSTEMS {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
--HFpEF  
--Insulin-dependent diabetes mellitus  
--Hypertension  
--Hyperlipidemia  
--Alcohol abuse  
--Anxiety/Depression  
--Back pain  
--Gastroparesis  
--Obesity  
--PUD  
--Rectal fissure  
--Restrictive lung disease/COPD  
--Vitamin D deficiency   
--Abdominal hernia status post multiple repairs  
--BPH  
--Penile lesion s/p biopsy revealing mild squamous epithelial 
-hyperplasia ___  
--chronic pain
--chronic indwelling Foley
- 
-
-###RESPONSE: HFpEF {Heart failure with normal ejection fraction}, Insulin-dependent diabetes mellitus {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Alcohol abuse {Alcohol abuse}, Anxiety/Depression {Mixed anxiety and depressive disorder}, Back pain {Backache}, Gastroparesis {Gastroparesis}, Obesity {Obesity}, PUD {Peptic ulcer}, Rectal fissure {Anal fissure}, Restrictive lung disease {Restrictive lung disease}, COPD {Chronic obstructive lung disease}, Vitamin D deficiency {Vitamin D deficiency}, Abdominal hernia {Hernia of abdominal cavity}, repairs {Surgical repair}, BPH {Benign prostatic hyperplasia}, Penile lesion {Lesion of penis}, biopsy {Biopsy of lesion of penis}, squamous epithelial 
-hyperplasia {Squamous epithelial hyperplasia}, chronic pain {Chronic pain}, chronic indwelling Foley {Foley catheter long term use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died at ___ years from MI. Mother is alive and well. No 
-other pertinent FH. 
- 
-
-###RESPONSE: died {Dead}, MI {Myocardial infarction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM: 
-VS:  97.8 100/64  62 20 96 Ra 
-GENERAL: NAD  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM  
-NECK: supple, no LAD, no JVD  
-HEART: RRR, S1/S2, no murmurs, gallops, or rubs   
-LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortably 
-without use of accessory muscles  
-ABDOMEN: large opening in ___ abdomen with deep wound 
-purulence; no TTP 
-EXTREMITIES: tense edema bilaterally 
-NEURO: A&Ox3, moving all 4 extremities with purpose  
-SKIN: warm and well perfused, no excoriations or lesions, no 
-rashes 
-
-DISCHARGE EXAM
-VS: AF 100-140/60-80S ___ 96% RA
-GENERAL: obese male in NAD
-NECK: supple, no LAD. Difficult to assess JVD  
-HEART: RRR, S1/S2, no murmurs, gallops, or rubs   
-LUNGS: CTAB, no wheezes, rales, rhonchi, breathing comfortably
-without use of accessory muscles  
-ABDOMEN: large opening in ___ abdomen with minimal
-surrounding erythema. Mild exudate without purulence. No TTP 
-EXTREMITIES: tense edema bilaterally c/w chronic venous stasis
-NEURO: A&Ox3, moving all 4 extremities with purpose  
-SKIN: warm and well perfused, no excoriations or lesions, no
-rashes other than findings above
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctiva normal}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, deep wound {Deep wound}, purulence {Purulent discharge from wound}, TTP {Tenderness}, EXTREMITIES {Examination of limb}, tense {Feeling tense}, edema {Edema}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, moving all 4 extremities {Does move all four limbs}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}, VS {Vital signs finding}, AF {Atrial fibrillation}, RA {Breathing room air}, GENERAL {General examination of patient}, obese {Obese}, NAD {No abnormality detected}, NECK {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, ABDOMEN {Examination of abdomen}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, erythema {Erythema}, exudate {Exudate}, purulence {Purulent discharge from wound}, TTP {Tenderness}, EXTREMITIES {Examination of limb}, tense {Feeling tense}, edema {Edema}, venous stasis {Venous stasis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, moving all 4 extremities {Does move all four limbs}, SKIN {Examination of skin}, warm {Warm skin}, well perfused {Normal tissue perfusion}, excoriations {Excoriation}, lesions {Lesion}, rashes {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION/PERTINENT LABS:
-___ 09:43PM BLOOD WBC-9.9 RBC-4.33* Hgb-10.8* Hct-35.5* 
-MCV-82 MCH-24.9* MCHC-30.4* RDW-14.9 RDWSD-44.9 Plt ___
-___ 09:43PM BLOOD Neuts-75.4* Lymphs-16.8* Monos-5.6 
-Eos-1.4 Baso-0.5 Im ___ AbsNeut-7.49*# AbsLymp-1.67 
-AbsMono-0.56 AbsEos-0.14 AbsBaso-0.05
-___ 06:00PM BLOOD Glucose-629* UreaN-29* Creat-1.6* Na-130* 
-K-4.8 Cl-88* HCO3-25 AnGap-17
-___ 05:10AM BLOOD Glucose-157* UreaN-30* Creat-1.7* Na-135 
-K-4.5 Cl-92* HCO3-25 AnGap-18
-___ 04:57AM BLOOD CK(CPK)-59
-___ 06:00PM BLOOD proBNP-690*
-___ 06:00PM BLOOD Calcium-8.7 Phos-3.6 Mg-1.6
-___ 06:12PM BLOOD Glucose-GREATER TH Lactate-2.2*
-___ 06:18PM BLOOD Lactate-1.7
-___ 04:57AM BLOOD cTropnT-0.02*
-___ 05:12AM BLOOD CK-MB-2 cTropnT-0.03*
-___ 09:08AM BLOOD cTropnT-0.02*
-
-DISCHARGE LABS:
-___ 07:05AM BLOOD WBC-5.9 RBC-4.33* Hgb-10.9* Hct-36.1* 
-MCV-83 MCH-25.2* MCHC-30.2* RDW-15.0 RDWSD-45.6 Plt ___
-___ 07:05AM BLOOD Glucose-279* UreaN-29* Creat-1.0 Na-137 
-K-4.5 Cl-95* HCO3-30 AnGap-12
-
-MICRO:
-URINE CX: negative
-BLOOD CX: ___ no growth to date
-
-IMAGING:
-CXR ___: No acute thoracic process.  No significant pulmonary 
-edema.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Glucose {Glucose measurement, blood}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, URINE CX {Urine culture}, BLOOD CX {Blood culture}, CXR {Plain chest X-ray}, pulmonary 
-edema {Pulmonary edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with history of dCHF, DM, ventral hernia repair and 
-recurrent skin/soft tissue infections who presents for dislodged 
-foley, found to have ___.
-
-___
-Patient with admission Cr of 1.7 with normal baseline Cr of 1.0. 
-___ likely secondary to glucosuria from uncontrolled DM causing 
-osmotic diuresis. He was given 2L IVF with improvement of his 
-renal function to baseline. Lisinopril held in setting ___ 
-and hypotension. He was discharged on reduced dose of 10mg 
-lisinopril.
-
-#Hypotension
-Patient hypotensive to low ___ at on ___, but 
-asymptomatic. Likely hypovolemia as he responded to fluid bolus 
-and was normotensive. He was discharged on reduced dose of 10mg 
-lisinopril and amlodipine was held.
-
-#Ventral hernia repair
-#Soft tissue infection: 
-Per ID note ___, he is on indefinite course of Augmentin to 
-suppress bugs for SSI. Exam with putative prurulence of deep 
-tissue which was concerning for potential infection vs poor 
-wound care. He had had MDR organisms grown from his wound in the 
-past. Concern for sepsis, as he was hypotensive temporarily, and 
-he was broadened temporarily to daptomycin/cefepime 
-(___) and transitioned back to PO augmentin when there 
-was no sign of active infection. Surgery saw patient and 
-reassured that wound is better than previously. Wound team saw 
-patient and gave additional wound care recs. Discharged with ___ 
-services. 
-
-#Chronic diastolic CHF: 
-Difficult to assess volume status given his obesity. He was 
-hypovolemic initially as evidenced by hypotension and ___ which 
-improved with fluids while holding diuretics. He diuresed 
-significantly without diuretic likely ___ glucosuria at home. 
-Home dose of torsemide 60mg BID. After fluid resuscitation 
-initially, he was trialed on torsemide 40mg with stable weight. 
-Discharge weight: 176 kg. 
-
-#DM, hyperglycemia: 
-Patient only using lantus BID with sliding scale insulin. He has 
-poorly controlled DM and would benefit from standing Humalog as 
-what he was instructed to do on his last discharge. ___ 
-consulted titrated his insulin. On discharge on lantus 72u BID, 
-and Humalog ___ with meals.
-
-#Constipation: 
-In setting of opioid use. He was given aggressive bowel regimen: 
-lactulose, miralax, bisacodyl, senna with improvement.
-
-#Pyuria
-UA on ___ initially concerning for infection although Ucx 
-without growth. He was again advised that his elective 
-indwelling foley catheter put him at risk for infection, sepsis, 
-multidrug resistance and possibly death. 
-
-CHRONIC ISSUES:
-
-#COPD: Continued home albuterol, advair
-
-#Hyperlipidemia: Continued home statin
-
-#Anxiety, depression: Continued home BusPIRone, Citalopram 
-
-#GERD: Continued home omeprazole
-
-#Chronic generalized pain: Continued home methadone, oxycodone, 
-gabapentin. Per recent MassPMP: on gabapentin 600mg TID
-
-For billing purposes only: >30 minutes spent on patient care and 
-coordination on day of discharge. 
-
-TRANSITIONAL ISSUES
-===========================
-[]Discharge weight: 176kg
-[]Discharge diuretic: 40mg torsemide daily
-[]Please get weight as outpatient. Titrate diuretics as 
-appropriate.
-[]Amlodipine held on discharge and lisinopril reduced to 10mg as 
-pt normotensive. Consider restarting if hypertensive.
-[]Please continue to address patient's chronic hip and leg pain 
-as outpatient.
-[]Please encourage compliance with insulin. Discharged on lantus 
-72u BID, and Humalog ___ with meals.
-
-Wound Care: 
--Please irrigate into undermining on distal wound edge and 
-entire
-wound with commercial wound cleanser.
--Using dry gauze -> pat undermining dry as well as remaining
-wound bed.
--Fill wound bed with dry AMD kerlix (___ ___
--Apply No Sting barrier Wipe to ___ skin to protect from
-drainage and adhesive.
--Cover with softsorb dressing - secure with medipore soft cloth
-tape.
--Change once daily
-
- 
-
-###RESPONSE: dCHF {Chronic diastolic heart failure}, DM {Diabetes mellitus}, ventral hernia repair {Repair of ventral hernia}, skin {Examination of skin}, soft tissue infections {Soft tissue infection}, glucosuria {Glycosuria}, DM {Diabetes mellitus}, osmotic diuresis {Osmotic diuresis}, IVF {Administration of intravenous fluids}, improvement {Patient's condition improved}, renal function {Renal function monitoring}, baseline {Baseline state}, hypotension {Low blood pressure}, Hypotension {Low blood pressure}, hypotensive {Low blood pressure}, asymptomatic {Asymptomatic}, hypovolemia {Hypovolemia}, fluid bolus {Intravenous injection}, normotensive {Normal blood pressure}, Ventral hernia repair {Repair of ventral hernia}, Soft tissue infection {Soft tissue infection}, SSI {Sliding scale insulin regime}, prurulence {Purulent discharge from wound}, tissue {Body tissue structure}, infection {Local infection of wound}, wound care {Wound care}, wound {Wound}, sepsis {Sepsis}, hypotensive {Low blood pressure}, sign {Sign}, infection {Infectious disease}, wound {Wound}, wound care {Wound care}, Chronic diastolic CHF {Chronic diastolic heart failure}, obesity {Obesity}, hypovolemic {Hypovolemia}, hypotension {Low blood pressure}, improved {Patient's condition improved}, fluids {Administration of fluid therapy}, diuretics {Diuretic therapy}, diuretic {Diuretic therapy}, glucosuria {Glycosuria}, weight {Weight finding}, DM {Diabetes mellitus}, hyperglycemia {Hyperglycemia}, sliding scale insulin {Sliding scale insulin regime}, poorly controlled DM {Diabetic - poor control}, standing {Orthostatic body position}, Constipation {Constipation}, Pyuria {Pyuria}, UA {Urinalysis}, infection {Infectious disease}, Ucx {Urine culture}, at risk for infection {At increased risk for infection}, sepsis {Sepsis}, COPD {Chronic obstructive lung disease}, Hyperlipidemia {Hyperlipidemia}, Anxiety, depression {Mixed anxiety and depressive disorder}, GERD {Gastroesophageal reflux disease}, Chronic {Chronic disease}, generalized pain {Generalized aches and pains}, weight {Weight finding}, diuretic {Diuretic therapy}, diuretics {Diuretic therapy}, normotensive {Normal blood pressure}, hypertensive {Finding of increased blood pressure}, hip {Hip pain}, leg pain {Pain in lower limb}, Wound Care {Wound care}, wound {Wound}, wound {Wound}, drainage {Discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Albuterol Inhaler 2 PUFF IH Q4H:PRN wheezing/sob 
-2. amLODIPine 10 mg PO DAILY 
-3. Aspirin 81 mg PO DAILY 
-4. Atorvastatin 80 mg PO QPM 
-5. Fluticasone-Salmeterol Diskus (250/50)  2 INH IH BID 
-6. Gabapentin 600 mg PO TID 
-7. HydrOXYzine 75 mg PO TID 
-8. Lidocaine 5% Ointment 1 Appl TP ___ DAILY 
-9. Lisinopril 40 mg PO DAILY 
-10. Methadone 10 mg PO QHS 
-11. Metoprolol Succinate XL 200 mg PO DAILY 
-12. Nicotine Patch 21 mg TD DAILY 
-13. Omeprazole 20 mg PO DAILY 
-14. Senna 8.6 mg PO BID:PRN constipation 
-15. TraZODone 50 mg PO QHS:PRN insomnia 
-16. Triamcinolone Acetonide 0.1% Cream 1 Appl TP BID 
-17. Vitamin D 1000 UNIT PO DAILY 
-18. Citalopram 40 mg PO DAILY 
-19. BusPIRone 12.5 mg PO TID 
-20. MetFORMIN (Glucophage) 1000 mg PO BID 
-21. Torsemide 60 mg PO BID 
-22. Amoxicillin-Clavulanic Acid ___ mg PO Q12H 
-23. Dakins ___ Strength 1 Appl TP ASDIR 
-24. OxyCODONE (Immediate Release) 10 mg PO TID 
-25. Glargine 68 Units Breakfast
-Glargine 78 Units Bedtime
-Humalog 30 Units Breakfast
-Humalog 25 Units Lunch
-Humalog 30 Units Dinner
-
- 
-Discharge Medications:
-1.  Bisacodyl 10 mg PO DAILY 
-RX *bisacodyl 5 mg 2 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0 
-2.  Polyethylene Glycol 17 g PO DAILY 
-RX *polyethylene glycol 3350 [Miralax] 17 gram 1 powder(s) by 
-mouth daily Disp #*30 Packet Refills:*0 
-3.  Glargine 72 Units Breakfast
-Glargine 72 Units Bedtime
-Humalog 30 Units Breakfast
-Humalog 25 Units Lunch
-Humalog 30 Units Dinner
-Insulin SC Sliding Scale using HUM Insulin 
-4.  Lisinopril 10 mg PO DAILY 
-RX *lisinopril 10 mg 1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0 
-5.  Torsemide 40 mg PO DAILY 
-RX *torsemide 20 mg 2 tablet(s) by mouth daily Disp #*60 Tablet 
-Refills:*0 
-6.  Albuterol Inhaler 2 PUFF IH Q4H:PRN wheezing/sob  
-7.  Amoxicillin-Clavulanic Acid ___ mg PO Q12H  
-8.  Aspirin 81 mg PO DAILY  
-9.  Atorvastatin 80 mg PO QPM  
-10.  BusPIRone 12.5 mg PO TID  
-11.  Citalopram 40 mg PO DAILY  
-12.  Fluticasone-Salmeterol Diskus (250/50)  2 INH IH BID  
-13.  Gabapentin 600 mg PO TID  
-14.  HydrOXYzine 75 mg PO TID  
-15.  Lidocaine 5% Ointment 1 Appl TP ___ DAILY  
-16.  MetFORMIN (Glucophage) 1000 mg PO BID  
-17.  Methadone 10 mg PO QHS  
-18.  Metoprolol Succinate XL 200 mg PO DAILY  
-19.  Nicotine Patch 21 mg TD DAILY  
-20.  Omeprazole 20 mg PO DAILY  
-21.  OxyCODONE (Immediate Release) 10 mg PO TID  
-22.  Senna 8.6 mg PO BID:PRN constipation  
-23.  TraZODone 50 mg PO QHS:PRN insomnia  
-24.  Triamcinolone Acetonide 0.1% Cream 1 Appl TP BID  
-25.  Vitamin D 1000 UNIT PO DAILY  
-26. HELD- amLODIPine 10 mg PO DAILY  This medication was held. 
-Do not restart amLODIPine until told by your doctor
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-___ Diagnosis:
-PRIMARY: 
-Acute Kidney Injury
-
-SECONDARY:
-Diabetes Mellitus 
-s/p Ventral hernia repair
-Chronic diastolic heart failure
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Acute Kidney Injury {Acute kidney injury}, Diabetes Mellitus {Diabetes mellitus}, Ventral hernia repair {Repair of ventral hernia}, Chronic diastolic heart failure {Chronic diastolic heart failure}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure taking care of you.
-
-Why you were admitted? 
- - You were admitted because you had an injury to your kidney.
-
-What we did for you? 
- - You were dehydrated likely because of your uncontrolled 
-diabetes, which leads to you urinating too much fluid out.
- - You were given fluids through the IV with improvement in your 
-kidney function.
- - You were seen by the surgeons and wound care team, who said 
-that your wound does not look infected.
-
-What should you do when you leave the hospital?
- - We lowered your torsemide dose to 20mg daily. Please weigh 
-yourself every morning, and call MD if weight goes up more than 
-3 lbs. 
- - We lowered the dose of your lisinopril as well and are 
-holding your amlodipine, since your blood pressure was not high 
-in the hospital.
- - Please take all your medications as prescribed including your 
-insulin which you should take standing with meals.
- - Please attend your follow up appointments.
-
-We wish you the best,
-Your ___ team.
- 
-
-###RESPONSE: injury to your kidney {Acute kidney injury}, dehydrated {Dehydration}, fluids {Administration of fluid therapy}, IV {Administration of drug or medicament via intravenous route}, improvement {Patient's condition improved}, wound care {Wound care}, wound {Wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-fever
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-A ___ year old female with PMH cholelithiasis presented to the 
-___ ED with complaints of intermittent epigastric abdominal 
-pain. Three days ago she had multiple episodes of non-bloody 
-emesis and epigastric pain which resolved with acetaminophen. 
-She states that she had lower back pain 6 days ago which 
-resolved with ibuprofen. Ibuprofen also caused stomach upset.  
-She denied shortness of breath, chest pain, diarrhea, dysuria, 
-joint or muscular pain.  She reported she was constipated.  She 
-reported that at least 4 family members had symptoms of 
-nausea/vomiting/diarrhea/fever.
-.
-In the ED, initial vs were: T96.7 ___ bp107/68 rr18 SaO2 100% 
-RA . Labs were remarkable for WBC 18.6 with 91.9 %PMN. Cr 1.3 
-(baseline 0.8 ___. UA was grossly positive and she was 
-started on Cipro 500mg PO, Ceftriaxone 1g IV, she became 
-hyoptensive to 94/51, she was given 2L IVNS with blood pressure 
-increased to 120's. Patient was given famotidine 20 mg, 
-Aluminum-Magnesium Hydrox.-Simethicone 30 mL, Donnatol 5mL, 
-Lidocaine Viscous 2% 20mL, with no effect. Also given 
-ondansetron 8mg and acetaminophen 1000mg. She was admitted for 
-further work up with admitting diagnosis of UTI. Vitals on 
-transfer 99.9ax, bp121/66 p95 rr16 SaO299% RA
- 
-
-###RESPONSE: cholelithiasis {Calculus in biliary tract}, epigastric abdominal 
-pain {Epigastric pain}, bloody 
-emesis {Hematemesis}, epigastric pain {Epigastric pain}, resolved {Problem resolved}, lower back pain {Low back pain}, resolved {Problem resolved}, stomach upset {Stomach ache}, shortness of breath {Dyspnea}, chest pain {Chest pain}, diarrhea {Diarrhea}, dysuria {Dysuria}, joint {Joint pain}, muscular pain {Muscle pain}, constipated {Constipation}, nausea/vomiting/diarrhea {Nausea, vomiting and diarrhea}, fever {Fever}, bp {Blood pressure finding}, rr {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, WBC {White blood cell count}, Cr {Finding of creatinine level}, baseline {Baseline state}, UA {Urinalysis}, IV {Administration of drug or medicament via intravenous route}, hyoptensive {Low blood pressure}, blood pressure 
-increased {Finding of increased blood pressure}, UTI {Urinary tract infectious disease}, Vitals {Vital signs finding}, bp {Blood pressure finding}, rr {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Rheumatoid arthritis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-diet control HL
-asymptomatic gall stones
- 
-
-###RESPONSE: diet {Normal diet}, HL {Hyperlipidemia}, asymptomatic {Asymptomatic}, gall stones {Gallbladder calculus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-father still alive at ___.
- 
-
-###RESPONSE: alive {Alive}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On Admission:
-Vitals: 99.9ax, bp12___/66 p95 rr16 SaO299% RA
-General: Alert, oriented, no acute distress
-HEENT: Sclera anicteric, MMM, oropharynx clear
-Neck: supple, JVP not elevated, no LAD
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops
-Abdomen: soft, ttp diffuse greatest in epigastric region, 
-non-distended, bowel sounds present, no rebound tenderness or 
-guarding, no organomegaly
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-Neuro: non-focal
-Back: no flank pain 
-
-On Discharge:
-Vitals: 98.5 173/79 68 20 96%on RA
-General: Alert, oriented, no acute distress
-HEENT: Sclera anicteric, MMM, oropharynx clear
-Neck: supple, JVP not elevated, no LAD
-Lungs: Clear to auscultation bilaterally, no wheezes, rales, 
-ronchi
-CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, 
-gallops
-Abdomen: soft, NT, non-distended, bowel sounds present, no 
-rebound tenderness or guarding, no organomegaly
-Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or 
-edema
-Neuro: non-focal
-Back: no flank pain 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, bp {Blood pressure finding}, rr {Finding of rate of respiration}, SaO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, ttp {Tenderness}, epigastric region {Epigastric region structure}, distended {Swollen abdomen}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, Back {Structure of back of trunk}, pain {Pain}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Oriented to person}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, Lungs {Lung structure}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, ronchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 + S2 {Heart sounds normal}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds present {Normal bowel sounds}, rebound tenderness {Rebound tenderness}, guarding {Abdominal guarding}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Neuro {Neurological examination}, Back {Structure of back of trunk}, flank pain {Flank pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-On Admission:
-
-___ 03:55PM BLOOD WBC-18.6*# RBC-3.82* Hgb-12.0 Hct-33.7* 
-MCV-88# MCH-31.3 MCHC-35.5*# RDW-12.5 Plt ___
-___ 03:55PM BLOOD Neuts-91.9* Lymphs-4.4* Monos-3.2 Eos-0.1 
-Baso-0.3
-___ 03:55PM BLOOD Glucose-154* UreaN-20 Creat-1.3* Na-136 
-K-3.9 Cl-104 HCO3-22 AnGap-14
-___ 03:55PM BLOOD ALT-46* AST-36 AlkPhos-146* TotBili-0.9
-___ 06:35AM BLOOD ALT-20 AST-19 LD(LDH)-228 AlkPhos-128* 
-TotBili-0.5
-___ 07:15PM BLOOD Amylase-21
-___ 07:33AM BLOOD Calcium-7.7* Phos-1.6* Mg-1.8
-___ 06:35AM BLOOD Albumin-2.5* Calcium-7.8* Phos-1.5* 
-Mg-1.9
-
-___
-Liver Ultrasound:
-
-FINDINGS: The liver shows mildly increased echogenicity 
-consistent with fatty
-infiltration, but no focal lesion or intrahepatic biliary 
-dilatation. The
-portal vein is patent with directionally appropriate flow. 
-Within the neck of
-the gallbladder is a 2 cm shadowing stone. There is no wall 
-edema or
-pericholecystic fluid; hypoechogenicity in the gallbladder fossa 
-is more
-compatible with fatty sparing as opposed to pericholecystic 
-fluid. No
-sonographic ___ sign was elicited. The CBD measures 6 mm in 
-caliber.
- 
-IMPRESSION:
-1. Cholelithiasis secondary findings to suggest acute 
-cholecystitis; top
-normal CBD without intrahepatic biliary dilatation.
-2. Mild fatty infiltration of the liver.
-
-___
-CXR:
-FINDINGS: The cardiomediastinal and hilar contours are normal. 
-The lungs are clear. There is no pleural effusion or 
-pneumothorax. No subdiaphragmatic free air is demonstrated.
- 
-IMPRESSION: No acute cardiopulmonary process.
-
-___
-Renal Ultrasound:
-FINDINGS: The right kidney measures 10.4 cm and the left kidney 
-10.2 cm
-without evidence of hydronephrosis, stones or obstructing 
-masses. Mild
-pelviectasis of the left kidney of unclear significance. There 
-is no renal or perirenal fluid collection. The urinary bladder 
-is normal.
- 
-IMPRESSION:
-1. Mild left pelviectasis of unclear clinical significance. CT 
-would be more sensitive in detecting ureteral stone.
-2. No ___ hydronephrosis.
-3. No renal or perirenal fluid collection. 
-
-___
-CT ABDOMEN AND PELVIS
-
-CT ABDOMEN: There is ___ consolidation in the 
-right base
-which could represent developing or resolving infection. There 
-is bilateral
-moderate right greater than left pleural effusions associated 
-with compressive atelectasis. The heart is normal in size 
-without pericardial effusion.
- 
-The liver demonstrates no focal lesion. Trace ___ 
-fatty
-infiltration may be present. The gallbladder is distended, 
-containing a large 2-cm stone near the neck. There is, however, 
-no pericholecystic stranding or fluid. The CBD measures 7 mm. 
-Trace simple perihepatic fluid is noted. The spleen, pancreas, 
-and adrenal glands are unremarkable. Small and large bowel loops 
-are normal in caliber and opacify normally with contrast.
- 
-The left kidney is enlarged and demonstrates delayed nephrogram 
-with respect to the right kidney, with mild perinephric 
-stranding and transcortical bands of hypoenhancement, for 
-example (601B, 33), overall appearance suggestive of 
-pyelonephritis. Similarly in the right kidney, along the upper 
-pole, there is ill-defined hypoattenuation (601B, 32), raising 
-question of involvement of the right as well. There is no 
-hydronephrosis or hydroureter. There is no free air. Great 
-vessels are patent. Atherosclerotic calcifications are seen in 
-the infrarenal aorta extending into branching vessels.
- 
-CT PELVIS: The bladder, distal ureters, uterus, adnexa, and 
-rectum appear
-within normal limits. There is no inguinal or pelvic side wall 
-adenopathy.
-No free fluid in pelvis.
- 
-BONE WINDOW: No focal concerning lesion. Multilevel thoracic and 
-lumbar
-spondylosis is present, a large almost bridging osteophyte is 
-present anterior
-to L3-4.
- 
-IMPRESSION:
-1. Findings highly concerning for bilateral pyelonephritis, left 
-worse than
-right.
-2. Small ___ right lower lung consolidation 
-with moderate
-right greater than left pleural effusion. Question evolving or 
-resolving
-infection.
-3. Cholelithiasis without CT evidence to suggest cholecystitis.
-4. Trace perihepatic fluid.
-
-On Discharge:
-
-___ 06:30AM BLOOD WBC-11.9* RBC-3.24* Hgb-9.9* Hct-27.7* 
-MCV-86 MCH-30.6 MCHC-35.8* RDW-13.0 Plt ___
-___ 06:30AM BLOOD Glucose-100 UreaN-10 Creat-0.7 Na-140 
-K-3.4 Cl-107 HCO3-25 AnGap-11
-___ 06:30AM BLOOD Calcium-8.1* Phos-2.4* Mg-2.1
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, liver {Liver structure}, fatty
-infiltration {Fatty infiltration}, lesion {Lesion}, intrahepatic {Intrahepatic biliary tract structure}, biliary 
-dilatation {Cholangiectasis}, portal vein {Portal vein structure}, neck of
-the gallbladder {Structure of neck of gallbladder}, shadowing stone {Gallbladder calculus}, wall 
-edema {Hypertrophy of gallbladder}, pericholecystic {Gallbladder structure}, fluid {Effusion}, gallbladder fossa {Structure of gallbladder fossa of liver}, fatty sparing {Lipomatosis}, pericholecystic {Gallbladder structure}, fluid {Effusion}, sign {Sign}, CBD {Common bile duct structure}, Cholelithiasis {Calculus in biliary tract}, acute 
-cholecystitis {Acute cholecystitis}, CBD {Common bile duct structure}, intrahepatic {Intrahepatic biliary tract structure}, biliary dilatation {Cholangiectasis}, Mild {Symptom mild}, fatty infiltration {Fatty infiltration}, liver {Liver structure}, cardiomediastinal {Mediastinal structure}, hilar {Structure of hilum of lung}, lungs are clear {Normal lung}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, subdiaphragmatic free air {Pneumoperitoneum}, right kidney {Right kidney structure}, left kidney {Left kidney structure}, hydronephrosis {Hydronephrosis}, stones {Calculus}, obstructing {Obstruction}, masses {Renal mass}, pelviectasis {Dilatation of renal pelvis}, left kidney {Left kidney structure}, renal {Kidney structure}, perirenal {Structure of perirenal region}, fluid {Effusion}, urinary bladder {Urinary bladder structure}, Mild {Symptom mild}, left {Left kidney structure}, pelviectasis {Dilatation of renal pelvis}, ureteral stone {Ureteric stone}, hydronephrosis {Hydronephrosis}, renal {Kidney structure}, perirenal {Structure of perirenal region}, fluid {Effusion}, CT ABDOMEN {Computed tomography of abdomen}, CT ABDOMEN {Computed tomography of abdomen}, consolidation {Consolidation}, right base {Structure of right side of abdomen}, resolving {Patient's condition improved}, infection {Infectious disease}, right {Right pleura structure}, left {Left pleura structure}, pleural effusions {Pleural effusion}, compressive atelectasis {Compression atelectasis}, heart {Heart structure}, normal in size {Normal size}, pericardial effusion {Pericardial effusion}, liver {Liver structure}, lesion {Lesion}, fatty
-infiltration {Fatty infiltration}, gallbladder is distended {Gallbladder enlarged}, stone {Gallbladder calculus}, neck {Structure of neck of gallbladder}, pericholecystic {Gallbladder structure}, stranding {Increased thickness}, fluid {Effusion}, CBD {Common bile duct structure}, perihepatic {Structure of perihepatic region}, fluid {Effusion}, spleen {Splenic structure}, pancreas {Pancreatic structure}, adrenal glands {Bilateral adrenal glands}, unremarkable {No abnormality detected}, Small {Structure of small intestine}, large bowel {Structure of large intestine}, left kidney {Left kidney structure}, enlarged {Enlargement}, right kidney {Right kidney structure}, mild {Symptom mild}, perinephric {Structure of perirenal region}, stranding {Edema}, pyelonephritis {Pyelonephritis}, right kidney {Right kidney structure}, upper 
-pole {Structure of superior pole of kidney}, hydronephrosis {Hydronephrosis}, hydroureter {Hydroureter}, free air {Pneumoperitoneum}, Great 
-vessels {Structure of great blood vessel (organ)}, Atherosclerotic {Atherosclerosis of artery}, calcifications {Pathologic calcification, calcified structure}, infrarenal aorta {Structure of infrarenal aorta}, vessels {Blood vessel structure}, CT PELVIS {Computed tomography of pelvis}, bladder {Urinary bladder structure}, ureters {Ureteric structure}, uterus {Uterine structure}, adnexa {Structure of uterine adnexa}, rectum {Rectum structure}, pelvic side wall {Pelvic lymphadenopathy}, adenopathy {Lymphadenopathy}, free fluid {Effusion}, pelvis {Structure of pelvis}, lesion {Lesion}, thoracic {Thoracic structure}, lumbar
-spondylosis {Lumbar spondylosis}, osteophyte {Osteophyte}, L3 {Bone structure of L3}, 4 {Bone structure of L4}, pyelonephritis {Pyelonephritis}, left {Left kidney structure}, right {Right kidney structure}, right lower {Structure of lower lobe of right lung}, lung consolidation {Lung consolidation}, right {Right pleura structure}, left {Left pleura structure}, pleural effusion {Pleural effusion}, resolving {Patient's condition improved}, infection {Infectious disease}, Cholelithiasis {Calculus in biliary tract}, cholecystitis {Cholecystitis}, perihepatic {Structure of perihepatic region}, fluid {Effusion}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is a ___ yo female with asymptomatic cholelithiasis present 
-with epigastric abdominal pain for likely gastroenteritis and 
-pyelonephritis/UTI. 
-.
-# Urinary tract infection/Pyelonephritis. The patient presented 
-with a fever to 103, WBC to 18.6 with 91.9 %PMN, and complaining 
-of abdominal pain.  Her UA was grossly positive, although she 
-was asymptomatic.  She was started on Cipro 500mg PO and 
-Ceftriaxone 1g IV in the ED.  She became borderline hypotensive 
-to 94/51 and she was given 2L NS with blood pressure increased 
-to 120's. Patient was also given famotidine, maalox, Donnatol, 
-and Viscous Lidocaine in the ED with no effect.  After 
-admission, the patient was continued on ceftriaxone for coverage 
-of her UTI, but continued to spike fevers and had a rising WBC 
-up to 21.6 for two days after admission. Although her vitals 
-remained stable throughout her hospital stay. Additional imaging 
-was obtained which revealed bilateral pyelonephritis with L>R 
-via CT scan.    Her antibiotic were switch from ceftriaxone to 
-Zosyn on day 2 after she continued to spike fever.  Her initial 
-urine culture grew back pan-sensitive E. coli, but a repeat 
-culture 48 hours after admission was negative.  After the 
-patient defervesced and her initial culture came back, her 
-antibiotics were narrowed to Cipro.  She was discharge with 9 
-additional days of Cipro, to complete a 14 day course of 
-antibiotics for pyelonephritis.
-.
-# Abdominal pain: The patient was asymptomatic from her UTI, but 
-complained of abdominal pain for 4 days after admission.  She 
-presented after multiple episodes of nb/nb emesis a few days 
-prior to admission.  She had multiple family member who were 
-also sick, and it was speculated that the patient had succumb to 
-the current outbreak of norovirus.  Patient with history of 
-cholelithiasis, u/s did not show signs of cholecystits.  Lipase 
-negative.  She also constipated on admission and she was given 
-an aggressive bowel regime and stooled daily after admission, 
-but this did not improve her abdominal pain.  It is also 
-possible she had referred pain from her bilateral 
-pyelonephritis.
-.
-# Acute kidney injury secondary to hypovolemia- The patient 
-presented with a slightly elevated Cr to 1.3, which improve to 
-her baseline of 0.7-0.9 after IVF hydration. 
- 
-
-###RESPONSE: asymptomatic {Asymptomatic}, cholelithiasis {Calculus in biliary tract}, epigastric abdominal pain {Epigastric pain}, gastroenteritis {Inflammation of stomach and intestine}, pyelonephritis {Pyelonephritis}, UTI {Urinary tract infectious disease}, Urinary tract infection {Urinary tract infectious disease}, Pyelonephritis {Pyelonephritis}, fever {Fever}, WBC {White blood cell count}, abdominal pain {Abdominal pain}, UA {Urinalysis}, asymptomatic {Asymptomatic}, IV {Administration of drug or medicament via intravenous route}, hypotensive {Low blood pressure}, blood pressure {Blood pressure finding}, UTI {Urinary tract infectious disease}, fevers {Fever}, WBC {White blood cell count}, vitals 
-remained stable {Normal vital signs}, imaging {Imaging}, pyelonephritis {Pyelonephritis}, CT scan {Computed tomography}, antibiotic {Antibiotic therapy}, fever {Fever}, urine culture {Urine culture}, culture {Microbial culture}, negative {No abnormality detected}, culture {Microbial culture}, antibiotics {Antibiotic therapy}, antibiotics {Antibiotic therapy}, pyelonephritis {Pyelonephritis}, Abdominal pain {Abdominal pain}, asymptomatic {Asymptomatic}, UTI {Urinary tract infectious disease}, abdominal pain {Abdominal pain}, emesis {Vomiting}, cholelithiasis {Calculus in biliary tract}, u/s {Ultrasonography}, signs {Sign}, cholecystits {Cholecystitis}, negative {No abnormality detected}, constipated {Constipation}, abdominal pain {Abdominal pain}, referred pain {Referred pain}, pyelonephritis {Pyelonephritis}, Acute kidney injury {Acute kidney injury}, hypovolemia {Hypovolemia}, elevated Cr {Serum creatinine above reference range}, baseline {Baseline state}, IVF {Administration of intravenous fluids}, hydration {Administration of fluid therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-tylenol as need for fever
- 
-Discharge Medications:
-1. ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q12H 
-(every 12 hours) for 9 days.
-Disp:*18 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-pyelonephritis
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: pyelonephritis {Pyelonephritis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Ms. ___,
-
-It was a pleasure taking care of you at ___ 
-___.  You were admitted for an urinary tract 
-infection that also infected both of your kidneys.  You will 
-need to take 9 more days of Ciprofloxacin, an antibiotic, to 
-treat this infection.  We also believe that you had a viral 
-gastrointestinal tract infection that should get better with 
-time.  Please follow up with your primary care doctor within 2 
-weeks of dicharge
-
-Medication Changes:
-Please start taking Cipro 500mg twice daily for 9 days
- 
-
-###RESPONSE: urinary tract 
-infection {Urinary tract infectious disease}, kidneys {Kidney structure}, antibiotic {Antibiotic therapy}, infection {Infectious disease}, viral {Viral disease}, gastrointestinal tract infection {Infection of gastrointestinal tract}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: SURGERY {Seen by general surgery service}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-Abdominal pain.
- 
-Major Surgical or Invasive Procedure:
-Laparoscopic cholecystectomy
-
- 
-
-###RESPONSE: Abdominal pain {Abdominal pain}, Laparoscopic cholecystectomy {Laparoscopic cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ presented to ___ with epigastric abd pain x 
-several hours following eating bacon.  This occurred ___ 
-night.  Laboratory values ppeared consistent with biliary 
-obstruction and he was transferred here. Currently he is 
-asymptomatic. This was his first attack of biliary colic.  
-Denies fever or chills.  No chest pain or SOB.  He has had 
-recent history of blood with bowel movements which he has blamed 
-on hemorrhoids. His last colonoscopy was ___ years ago.
-
- 
-
-###RESPONSE: epigastric abd pain {Epigastric pain}, Laboratory {Laboratory test}, biliary 
-obstruction {Obstruction of biliary tree}, asymptomatic {Asymptomatic}, biliary colic {Biliary colic}, fever {Fever}, chills {Chill}, chest pain {Chest pain}, SOB {Dyspnea}, blood with bowel movements {Hematochezia}, hemorrhoids {Hemorrhoids}, colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. Cardiac arrest ___ and ___
-2. AICD placed 
-3. Paroxsymal atrial fibrillation - on coumadin 
-4. Hypertension 
-5. Pre-cancerous facial lesions 
-6. Appendectomy
-7. CABG 
-8. Hyperlipidemia 
- 
-
-###RESPONSE: Cardiac arrest {Cardiac arrest}, AICD placed {Implantation of automatic cardiac defibrillator}, Paroxsymal atrial fibrillation {Paroxysmal atrial fibrillation}, coumadin {Anticoagulant therapy}, Hypertension {Hypertensive disorder, systemic arterial}, Pre-cancerous {Pre-cancerous dysplasia}, facial lesions {Lesion of face}, Appendectomy {Excision of appendix}, CABG {Coronary artery bypass grafting}, Hyperlipidemia {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-NC
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PE: 100 74 118/70 16 97RA
-A&Ox4, NAD
-RRR, CTAB
-Abd soft, no hernias
-Ext no edema
-
- 
-
-###RESPONSE: PE {Physical examination procedure}, RA {Breathing room air}, NAD {No abnormality detected}, RRR {Normal heart rate}, CTAB {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, hernias {Herniated structure}, Ext {Examination of limb}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Labs:
-___ ___ - 
-___ \ 84
-
-131 / 97 / 25   / 196
-4.1 \ 25 \ 1.41 \ 
-
-LFTs 
-497 / 92 / Ib 3.5 / Lip 20
-462 \    \ Tb 7.7 \ 
-
-trop < 0.06
-
-Inr 2.3 
-
-UA negative
-
- 
-
-###RESPONSE: Labs {Laboratory test}, LFTs {Hepatic function panel}, UA {Urinalysis}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Patient was admitted on ___.  A RUQ US on that day showed 
-gallstones, a non-distended gallbladder with marked wall 
-thickening and edema.  He was kept NPO and medications were 
-given for pain control. Cardiology was consulted for clearance 
-for surgery.  They recommended restarting spironolactone, 
-beta-blockade, and restarting coumadin as soon as possible after 
-surgery.  
-
-On ___ the patient underwent surgery for a laparoscopic 
-cholecystectomy. After a brief, uneventful stay in the PACU, the 
-patient arrived on the flooron clear liquids, to advance as 
-tolerated to a regular diet, with percocets and IV morphine for 
-pain control. The patient was hemodynamically stable.
-
-Neuro: The patient received percocets and IV fluids with good 
-effect and adequate pain control. 
-
-CV: The patient remained stable from a cardiovascular 
-standpoint; vital signs were routinely monitored.
-
-Pulmonary: The patient remained stable from a pulmonary 
-standpoint; vital signs were routinely monitored. Good pulmonary 
-toilet, early ambulation and incentive spirrometry were 
-encouraged throughout hospitalization.
-
-GI/GU/FEN: Post-operatively, the patient was placed on a clear 
-diet to advance as tolerated to a regular diet.  
-
-ID: The patient's white blood count and fever curves were 
-closely watched for signs of infection. 
-
-Endocrine: The patient's blood sugar was monitored throughout 
-his stay; insulin dosing was adjusted accordingly.
-
-Hematology: The patient's complete blood count was examined 
-routinely; no transfusions were required.
-
-Prophylaxis: The patient received subcutaneous heparin and 
-venodyne boots were used during this stay; was encouraged to get 
-up and ambulate as early as possible.
-
-At the time of discharge, the patient was doing well, afebrile 
-with stable vital signs. The patient was tolerating a regular 
-diet, ambulating, voiding without assistance, and pain was well 
-controlled. The patient received discharge teaching and 
-follow-up instructions with understanding verbalized and 
-agreement with the discharge plan.
-   
- 
-
-###RESPONSE: RUQ US {Ultrasonography of abdomen, right upper quadrant and epigastrium}, gallstones {Gallbladder calculus}, gallbladder {Gallbladder structure}, marked wall 
-thickening {Increased thickness}, edema {Edema}, NPO {Nil by mouth}, medications {Administration of analgesic}, pain control {Pain control}, Cardiology was consulted {Referral to cardiology service}, surgery {Surgical procedure}, restarting {Restart of medication}, restarting {Restart of medication}, coumadin {Anticoagulant therapy}, after 
-surgery {Postoperative state}, surgery {Surgical procedure}, laparoscopic 
-cholecystectomy {Laparoscopic cholecystectomy}, PACU {Postanesthesia care}, clear liquids {Clear fluid diet}, regular diet {Normal diet}, IV {Intravenous therapy}, pain control {Pain control}, hemodynamically stable {Hemodynamically stable}, Neuro {Neurological examination}, IV fluids {Administration of intravenous fluids}, good {Good therapeutic response}, adequate pain control {Demonstrates adequate pain control}, CV {Cardiovascular physical examination}, stable {Patient's condition stable}, cardiovascular {Cardiovascular physical examination}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, stable {Patient's condition stable}, pulmonary {Examination of respiratory system}, vital signs were routinely monitored {Monitoring of blood pressure, temperature, pulse rate and respiratory rate}, Good {Good therapeutic response}, pulmonary 
-toilet {Airway toilet}, ambulation {Ambulation training}, incentive spirrometry {Incentive spirometry}, GU {Examination of genitourinary system}, FEN {Nutrition management}, Post-operatively {Postoperative state}, diet {Clear fluid diet}, regular diet {Normal diet}, ID {Infection protection}, white blood count {White blood cell count}, fever {Fever}, watched for signs of infection {Monitoring for signs and symptoms of infection}, blood sugar was monitored {Blood glucose monitoring}, complete blood count {Complete blood count}, transfusions {Transfusion}, Prophylaxis {Preventive procedure}, subcutaneous {Administration of drug or medicament via subcutaneous route}, heparin {Heparin therapy}, ambulate {Ambulation training}, stable vital signs {Normal vital signs}, tolerating {Tolerating diet}, regular 
-diet {Normal diet}, ambulating {Fully mobile}, voiding {Micturition finding}, pain was well 
-controlled {Demonstrates adequate pain control}, teaching {Education}, follow-up {Follow-up consultation}, instructions {Education}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-1. Aspirin 81mg qday 
-2. Freestyle lite BID 
-3. Metoprolol 25mg qday 
-4. Simvastatin 10mg qday 
-5. Vitalet BID 
-6. Warfarin - alternating ___ qday 
-
- 
-Discharge Medications:
-1. Simvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. Oxycodone-Acetaminophen ___ mg Tablet Sig: ___ Tablets PO 
-Q4H (every 4 hours) as needed for pain.
-Disp:*40 Tablet(s)* Refills:*0*
-3. Colace 100 mg Capsule Sig: ___ Capsules PO once a day as 
-needed for constipation: Take as needed with narcotic pain 
-medications for narcotic-induced constipation.
-Disp:*50 Capsule(s)* Refills:*0*
-4. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.  
-5. Warfarin 3 mg Tablet Sig: Three (3) Tablet PO once a day: 
-Adjust dose as needed for therapeutic INR.  
-6. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO once a day.  
-7. Januvia 50 mg Tablet Sig: One (1) Tablet PO once a day.  
-8. Metoprolol Succinate 25 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-1. Choledocholithiasis
-2. Acute cholecystitis
-
- 
-Discharge Condition:
-Patient is in good condition.  Tolerating regular diet and oral 
-pain medications.  Also having bowel function.
-
- 
-
-###RESPONSE: Choledocholithiasis {Common bile duct calculus}, Acute cholecystitis {Acute cholecystitis}, good {Patient's condition satisfactory}, Tolerating {Tolerating diet}, regular diet {Normal diet}, oral {Administration of drug or medicament via oral route}, pain medications {Administration of analgesic}, bowel function {Normal bowel habits}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Please call your doctor or nurse practitioner or return to the 
-Emergency Department for any of the following:
-
-*You experience new chest pain, pressure, squeezing or 
-tightness.
-
-*New or worsening cough, shortness of breath, or wheeze.
-
-*If you are vomiting and cannot keep down fluids or your 
-medications.
-
-*You are getting dehydrated due to continued vomiting, diarrhea, 
-or other reasons. Signs of dehydration include dry mouth, rapid 
-heartbeat, or feeling dizzy or faint when standing.
-
-*You see blood or dark/black material when you vomit or have a 
-bowel movement.
-
-*You experience burning when you urinate, have blood in your 
-urine, or experience a discharge.
-
-*Your pain is not improving within ___ hours or is not gone 
-within 24 hours. Call or return immediately if your pain is 
-getting worse or changes location or moving to your chest or 
-back.
-
-*You have shaking chills, or fever greater than 101.5 degrees 
-Fahrenheit or 38 degrees Celsius.
-
-*Any change in your symptoms, or any new symptoms that concern 
-you.
-
-Please resume all regular home medications , unless specifically 
-advised not to take a particular medication. Also, please take 
-any new medications as prescribed.
-
-Please get plenty of rest, continue to ambulate several times 
-per day, and drink adequate amounts of fluids. Avoid lifting 
-weights greater than ___ lbs until you follow-up with your 
-surgeon.
-
-Avoid driving or operating heavy machinery while taking pain 
-medications.
-
-Incision Care:
-
-*Please call your doctor or nurse practitioner if you have 
-increased pain, swelling, redness, or drainage from the incision 
-site.
-
-*Avoid swimming and baths until your follow-up appointment.
-
-*You may shower, and wash surgical incisions with a mild soap 
-and warm water. Gently pat the area dry.
-
-*If you have staples, they will be removed at your follow-up 
-appointment.
-
-*If you have steri-strips, they will fall off on their own. 
-Please remove any remaining strips ___ days after surgery.
-
-Weigh yourself every morning, call MD if weight goes up more 
-than 3 lbs.
-Adhere to 2 gm sodium diet
-
- 
-
-###RESPONSE: call your doctor {Informing doctor}, nurse {Informing nurse}, return to the 
-Emergency {Emergency treatment education}, chest pain {Chest pain}, pressure {Pressure}, squeezing {Squeezing chest pain}, tightness {Tight chest}, worsening {Patient's condition worsened}, cough {Cough}, shortness of breath {Dyspnea}, wheeze {Wheezing}, vomiting {Vomiting}, dehydrated {Dehydration}, vomiting {Vomiting}, diarrhea {Diarrhea}, Signs {Sign}, dehydration {Dehydration}, dry mouth {Xerostomia}, rapid 
-heartbeat {Tachycardia}, dizzy {Dizziness}, faint {Feeling faint}, standing {Orthostatic body position}, blood or dark/black material when you vomit {Vomit contains blood}, bowel movement {Hematochezia}, burning {Burning sensation}, urinate {Micturition finding}, blood in your 
-urine {Blood in urine}, pain {Pain}, improving {Patient's condition improved}, pain {Pain}, worse {Increased pain}, chest {Thoracic structure}, back {Backache}, shaking {Tremor}, chills {Chill}, fever {Fever}, resume all regular home medications {Restart of medication}, advised not to take a particular medication {Patient medication education}, take 
-any new medications {Patient medication education}, continue to ambulate {Functional activity education}, drink adequate amounts of fluids {Fluid intake education}, Avoid lifting 
-weights {Functional activity education}, follow-up {Follow-up consultation}, Avoid driving or operating heavy machinery {Recommendation to avoid activity of daily living}, while taking pain 
-medications {Patient medication education}, call your doctor {Informing doctor}, nurse {Informing nurse}, increased pain {Increased pain}, swelling {Swelling}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision 
-site {Surgical incision wound}, Avoid swimming and baths {Recommendation to avoid activity}, may shower {Wound treatment education}, wash surgical incisions {Wound treatment education}, pat the area dry {Wound treatment education}, removed {Removal of staples}, after surgery {Postoperative state}, Weigh yourself every morning {Weight monitoring}, call MD {Informing doctor}, weight goes up {Weight increased}, sodium diet {Low sodium diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Clotted dialysis fistula
- 
-Major Surgical or Invasive Procedure:
-___  AV FISTULOGRAM with mechanical and chemical 
-thrombectomy
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Clotted dialysis fistula {Arteriovenous fistula thrombosis}, mechanical and chemical 
-thrombectomy {Removal of thrombus of arteriovenous fistula}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ is a ___ year old woman with a history of ESRD ___ 
-IDDM (on HD ___, HCV, who presented for evaluation of left 
-arm fistula that was clotted since yesterday at HD. Because of 
-this, she was unable to complete HD. 
-
-In the ED, initial VS were T 97.8 HR 74 BP 163/70 RR 18 O2 93% 
-on RA
-
-Exam was unremarkable in the ED. 
-  
-Labs showed normal CBC. CHEM7 consistent with dialysis patient. 
-
-Imaging showed  
-1. Complete thrombosis of the left upper extremity AV graft to 
-the level of 
-the outflow vein. 
-2. Outflow vein stenosis within the previously placed stent with 
-improvement 
-following angioplasty to 8 mm. 
-3. Satisfactory appearance of the arterial anastomosis. 
-  
-IMPRESSION:  
-  
-Satisfactory restoration of flow following chemical and 
-mechanical 
-thrombolysis with a good angiographic and clinical result. 
-
-Received nothing  
-
-Transfer VS were stable
-
-___ and nephrology were consulted and recommended fistulogram and 
-admission for HD in the morning. 
- 
-Decision was made to admit to medicine for further management.  
-
-On arrival to the floor, patient reports feeling well. 
-
-REVIEW OF SYSTEMS:  
-(+) Negative
-(-) Fever, chills, night sweats, headache, vision changes, 
-rhinorrhea, congestion, sore throat, cough, shortness of breath, 
-chest pain, abdominal pain, nausea, vomiting, diarrhea, 
-constipation, BRBPR, melena, hematochezia, dysuria, hematuria. 
- 
-All other 10-system review negative in detail.  
-
- 
-
-###RESPONSE: ESRD {End-stage renal disease}, IDDM {Diabetes mellitus type 1}, HCV {Viral hepatitis type C}, evaluation {Evaluation procedure}, left 
-arm fistula {Arteriovenous fistula of left upper extremity}, was clotted {Arteriovenous fistula thrombosis}, HD {Hemodialysis care}, HD {Hemodialysis care}, Exam {Physical examination procedure}, unremarkable {No abnormality detected}, Labs {Laboratory test}, normal CBC {Full blood count within reference range}, Imaging {Imaging}, thrombosis {Arteriovenous fistula thrombosis}, left upper extremity AV graft {Arteriovenous fistula of left upper extremity}, vein {Venous structure}, vein {Venous structure}, stenosis {Stenosis}, placed {Implantation procedure}, stent {Insertion of arterial stent}, improvement {Patient's condition improved}, angioplasty {Angioplasty of blood vessel}, appearance {Normal appearance}, arterial anastomosis {Arterial anastomosis}, chemical and 
-mechanical 
-thrombolysis {Thrombolysis of arteriovenous fistula}, good {Prognosis good}, stable {Patient's condition stable}, HD {Hemodialysis care}, feeling well {Well in self}, REVIEW OF SYSTEMS {Review of systems}, Negative {No abnormality detected}, Fever {Fever}, chills {Chill}, night sweats {Night sweats}, headache {Headache}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, BRBPR {Hematochezia}, melena {Melena}, hematochezia {Hematochezia}, dysuria {Dysuria}, hematuria {Blood in urine}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- ESRD due to HTN and DM on HD ___ (LUE AV graft placed 
-___ complicated by multiple episodes of fistula 
-thrombosis  
--- ___: Thrombectomy, angioplasty (Faintouch)  
--- ___: Angioplasty (___)  
--- ___: fistulogram with thrombectomy  
--- ___: Fistulogram  
--- ___: Fistulogram and thrombectomy  
-- DMII  
-- Hypothyroidism  
-- Hyperparathyroidism  
-- Hypertension  
-- Hepatitis C  
-- GERD  
-- Osteoarthritis  
-- Osteomyelitis  
-- Chronic Back Pain  
-- Venous Stasis  
-- Psoriasis  
-- Substance Abuse on Methadone  
-- Obesity  
-- Cataracts  
- 
-
-###RESPONSE: ESRD {End-stage renal disease}, HTN {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, HD {Hemodialysis care}, LUE AV graft placed {Creation of upper limb arteriovenous fistula}, fistula 
-thrombosis {Arteriovenous fistula thrombosis}, Thrombectomy {Removal of thrombus}, angioplasty {Angioplasty of blood vessel}, Angioplasty {Angioplasty of blood vessel}, thrombectomy {Removal of thrombus}, thrombectomy {Removal of thrombus}, DMII {Diabetes mellitus type 2}, Hypothyroidism {Hypothyroidism}, Hyperparathyroidism {Hyperparathyroidism}, Hypertension {Hypertensive disorder, systemic arterial}, Hepatitis C {Viral hepatitis type C}, GERD {Gastroesophageal reflux disease}, Osteoarthritis {Osteoarthritis}, Osteomyelitis {Osteomyelitis}, Chronic Back Pain {Chronic back pain}, Venous Stasis {Venous stasis}, Psoriasis {Psoriasis}, Substance Abuse {Substance abuse}, Obesity {Obesity}, Cataracts {Cataract}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Denies family history of renal disease.  
- 
-
-###RESPONSE: renal disease {Kidney disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:  
-VS: T 98.1 BP 190/80 HR 87 RR 18 O2 97% On RA 
-GENERAL: NAD, pleasant elderly woman  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM, good dentition  
-NECK: Supple 
-HEART: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNGS: CTAB
-ABDOMEN: nondistended nontender in all quadrants, obese 
-EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 
-extremities with purpose, tree barking of lower extremity 
-bilateral, covered in stockings. 
-NEURO: CN II-XII grossly intact  
-SKIN: warm, dry, intact
-
-DISCHARGE PHYSICAL EXAM: 
-VS: T 97.9 BP 145/68 HR 59 RR 18 O2 94% on RA
-GENERAL: NAD, pleasant elderly woman  
-HEENT: AT/NC, EOMI, PERRL, anicteric sclera, pink conjunctiva, 
-MMM, good dentition  
-NECK: Supple 
-HEART: RRR, S1/S2, no murmurs, gallops, or rubs  
-LUNGS: CTAB
-ABDOMEN: nondistended nontender in all quadrants, obese 
-EXTREMITIES: no cyanosis, clubbing or edema, moving all 4 
-extremities with purpose, tree barking of lower extremity 
-bilateral, covered in stockings. 
-NEURO: CN II-XII grossly intact  
-SKIN: warm, dry, intact
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, obese {Obese}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, moving all 4 
-extremities {Does move all four limbs}, lower extremity {Lower limb structure}, stockings {Application of antithromboembolic stockings}, NEURO {Neurological examination}, grossly intact {Normal nervous system function}, SKIN {Examination of skin}, warm {Warm skin}, intact {Normal sensation}, PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, anicteric sclera {White sclera}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, good dentition {Normal dentition}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, nondistended {Normal abdominal contour}, nontender {Abdominal tenderness}, obese {Obese}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, moving all 4 
-extremities {Does move all four limbs}, lower extremity {Lower limb structure}, stockings {Application of antithromboembolic stockings}, NEURO {Neurological examination}, grossly intact {Normal nervous system function}, SKIN {Examination of skin}, warm {Warm skin}, intact {Normal sensation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS: 
-=================================
-___ 10:11AM BLOOD WBC-4.2 RBC-3.99 Hgb-12.1 Hct-38.9 MCV-98 
-MCH-30.3 MCHC-31.1* RDW-14.5 RDWSD-51.8* Plt Ct-87*
-___ 07:50AM BLOOD ___ PTT-32.0 ___
-___ 07:50AM BLOOD Glucose-95 UreaN-73* Creat-7.5*# Na-145 
-K-5.1 Cl-106 HCO3-21* AnGap-23*
-___ 07:50AM BLOOD Calcium-8.8 Phos-7.2* Mg-2.0
-
-IMAGING: 
-=================================
-___ AV FISTULOGRAM
-  
-1. Complete thrombosis of the left upper extremity AV graft to 
-the level of 
-the outflow vein. 
-2. Outflow vein stenosis within the previously placed stent with 
-improvement 
-following angioplasty to 8 mm. 
-3. Satisfactory appearance of the arterial anastomosis. 
-  
-IMPRESSION:  
-  
-Satisfactory restoration of flow following chemical and 
-mechanical 
-thrombolysis with a good angiographic and clinical result. 
-
-DISCHARGE LABS: 
-=================================
-___ 07:45AM BLOOD WBC-3.1* RBC-3.45* Hgb-11.4 Hct-32.9* 
-MCV-95 MCH-33.0* MCHC-34.7 RDW-14.3 RDWSD-49.6* Plt Ct-71*
-___ 07:45AM BLOOD Glucose-64* UreaN-89* Creat-9.2* Na-137 
-K-5.4* Cl-99 HCO3-18* AnGap-25*
-___ 07:45AM BLOOD Calcium-8.6 Phos-6.9* Mg-2.___ with a history of ESRD (on HD ___, HCV, who presented 
-with clotted fistula, now patent s/p ___, who stayed overnight 
-for HD before discharge. 
-
-ACTIVE PROBLEMS:
-===================================
-
-#CLOTTED FISTULA
-Now s/p fistulogram with mechanical and chemical thrombectomy, 
-no complications, patent now, was clotted off before and patient 
-couldn't have HD on ___. Had HD ___. 
-
-#ESRD
-Secondary to DM2 (although DM2 is now diet controlled). HD on 
-___.- CONTINUED home Vitamin D 1000 UNIT PO DAILY, Calcitriol 
-0.25 mcg PO DAILY, Nephrocaps 1 CAP PO DAILY - CONTINUED home 
-Torsemide 20 mg PO DAILY ON NON HD DAYS THSS 
-
-STABLE/CHRONIC PROBLEMS:
-===================================
-
-#HYPOTHYROIDISM
-- CONTINUED Levothyroxine Sodium 100 mcg PO DAILY 
-
-#PREVENTION:
-- CONTINUED Aspirin 81 mg PO DAILY 
-
-#CHRONIC PAIN
-- CONTINUED Methadone (Oral Solution)  2 mg/1 mL 115 mg PO DAILY 
-
-- CONTINUED Acetaminophen 500 mg PO Q6H:PRN Pain - Mild 
-- CONTINUED Lidocaine 5% Patch 1 PTCH TD QPM 
-
-#HYPERTENSION
-- CONTINUED Felodipine 5 mg PO DAILY 
-
-#RASH
-- CONTINUED ammonium lactate 12 % topical BID 
-- CONTINUED Triamcinolone Acetonide 0.1% Ointment 1 Appl TP BID 
-rash
-
-#DIARRHEA
-- CONTINUED LOPERamide 4 mg PO DAILY:PRN diarrhea 
-
-TRANSITIONAL ISSUES:
-===================================
-o Received dialysis on ___ 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, IMAGING {Imaging}, thrombosis {Arteriovenous fistula thrombosis}, left upper extremity AV graft {Arteriovenous fistula of left upper extremity}, vein {Venous structure}, vein {Venous structure}, stenosis {Stenosis}, placed {Implantation procedure}, stent {Insertion of arterial stent}, improvement {Patient's condition improved}, angioplasty {Angioplasty of blood vessel}, appearance {Normal appearance}, arterial anastomosis {Arterial anastomosis}, chemical and 
-mechanical 
-thrombolysis {Thrombolysis of arteriovenous fistula}, good {Prognosis good}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, ESRD (on HD {End stage renal failure on dialysis}, HCV {Chronic hepatitis C}, clotted fistula {Arteriovenous fistula thrombosis}, HD {Hemodialysis care}, CLOTTED FISTULA {Arteriovenous fistula thrombosis}, mechanical and chemical thrombectomy {Removal of thrombus of arteriovenous fistula}, HD {Hemodialysis care}, HD {Hemodialysis care}, ESRD {End-stage renal disease}, DM2 {Diabetes mellitus type 2}, DM2 {Diabetes mellitus type 2}, diet controlled {Type 2 diabetes mellitus controlled by diet}, HD {Hemodialysis care}, HYPOTHYROIDISM {Hypothyroidism}, CHRONIC PAIN {Chronic pain}, Oral {Administration of drug or medicament via oral route}, Pain - Mild {Mild pain}, HYPERTENSION {Hypertensive disorder, systemic arterial}, RASH {Eruption of skin}, rash {Eruption of skin}, DIARRHEA {Diarrhea}, diarrhea {Diarrhea}, dialysis {Dialysis procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Vitamin D 1000 UNIT PO DAILY 
-2. Calcitriol 0.25 mcg PO DAILY 
-3. Nephrocaps 1 CAP PO DAILY 
-4. Levothyroxine Sodium 100 mcg PO DAILY 
-5. Aspirin 81 mg PO DAILY 
-6. Methadone (Oral Solution)  2 mg/1 mL 115 mg PO DAILY 
-7. Torsemide 20 mg PO DAILY ON NON HD DAYS THSS 
-8. lactobacillus combination ___ billion cell oral TID 
-W/MEALS 
-9. Felodipine 5 mg PO DAILY 
-10. ammonium lactate 12 % topical BID 
-11. Lidocaine 5% Patch 1 PTCH TD QPM 
-12. LOPERamide 4 mg PO DAILY:PRN diarrhea 
-13. Triamcinolone Acetonide 0.1% Ointment 1 Appl TP BID rash 
-14. Acetaminophen 500 mg PO Q6H:PRN Pain - Mild 
-
- 
-Discharge Medications:
-1.  Acetaminophen 500 mg PO Q6H:PRN Pain - Mild  
-2.  ammonium lactate 12 % topical BID  
-3.  Aspirin 81 mg PO DAILY  
-4.  Calcitriol 0.25 mcg PO DAILY  
-5.  Felodipine 5 mg PO DAILY  
-6.  lactobacillus combination ___ billion cell oral TID 
-W/MEALS  
-7.  Levothyroxine Sodium 100 mcg PO DAILY  
-8.  Lidocaine 5% Patch 1 PTCH TD QPM  
-9.  LOPERamide 4 mg PO DAILY:PRN diarrhea  
-10.  Methadone (Oral Solution)  2 mg/1 mL 115 mg PO DAILY  
-11.  Nephrocaps 1 CAP PO DAILY  
-12.  Torsemide 20 mg PO DAILY ON NON HD DAYS THSS  
-13.  Triamcinolone Acetonide 0.1% Ointment 1 Appl TP BID rash  
-14.  Vitamin D 1000 UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSES: 
-- Clotted fistula
-- End stage renal disease
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Clotted fistula {Arteriovenous fistula thrombosis}, End stage renal disease {End-stage renal disease}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-WHY YOU WERE ADMITTED:
-- Your fistula was clogged, so you could not have dialysis
-
-WHAT WAS DONE: 
-- We unclogged your fistula and did dialysis
-
-WHAT YOU SHOULD DO: 
-- Go to dialysis as you were
-- Follow up with your doctor appointments below
-- ___ you feel heart palpitations, faint, weak, fevers, or 
-chills, seek medical care
-
-It was a pleasure taking care of you,
-Your ___ Team
-
- 
-
-###RESPONSE: fistula {Fistula}, dialysis {Dialysis procedure}, fistula {Fistula}, dialysis {Dialysis procedure}, dialysis {Dialysis procedure}, heart {Heart structure}, palpitations {Palpitations}, faint {Feeling faint}, weak {Asthenia}, fevers {Fever}, chills {Chill}, medical care {Medical care}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p MVC
- 
-Major Surgical or Invasive Procedure:
-None
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ year old male s/p MVC vs tree admitted on 
-___.  He stated he had a positive loss of consciousness.  He was 
-intoxicated on arrival. He was found to have a right ___ 
-fractures.  , L distal ___ minimally displaced ulnar fx, R 
-distal ___
-open wound with tibial fracture
- 
-
-###RESPONSE: loss of consciousness {Loss of consciousness}, intoxicated {Alcohol intoxication}, right ___ 
-fractures {Fracture of right foot}, ulnar fx {Fracture of shaft of ulna}, open wound {Open wound}, tibial fracture {Fracture of tibia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-On admission (in ED):
-
-HR: 87 BP: 125/p Resp: 12 O(2)Sat: 97% Normal
- 
-Constitutional: Comfortable
-HEENT: Normocephalic, atraumatic, Pupils equal, round and
-reactive to light, Extraocular muscles intact
-Oropharynx within normal limits
-Chest: Clear to auscultation
-Cardiovascular: Regular Rate and Rhythm, Normal first and
-second heart sounds
-Abdominal: Soft, Nontender
-GU/Flank: No costovertebral angle tenderness
-Extr/Back: No cyanosis, clubbing or edema
-Skin: 4 x 5 cm ragged laceration on the anterior aspect of
-the right ankle. Neurovascular intact distally
-Neuro: Speech fluent
-
-On discharge:
-
-VS 98.7, 67, 113/70, 14, 98% on room air
-Neuro: AAO x 3, ___ strength in all extremities.
-Pulm:  Lungs clear bilaterally.
-Extrem:  LUE in short-arm cast.  Sensation intact.  Full ROM in 
-digits.  RLE shin wound with most superior portion more deeply 
-injured.  Wound approximated with some scant bleeding noted.  
-Inferior wound more superficial and dry.  
- 
-
-###RESPONSE: HR {Finding of heart rate}, BP {Blood pressure finding}, Resp {Examination of respiratory system}, HEENT {Physical examination procedure}, atraumatic {No injuries apparent}, Pupils equal, round and
-reactive to light {Pupils equal and reacting to light}, Extraocular muscles intact {Normal ocular motility}, Oropharynx within normal limits {Pharynx normal}, Chest {Examination of respiratory system}, Clear to auscultation {Normal breath sounds}, Cardiovascular {Cardiovascular physical examination}, Regular Rate and Rhythm {Normal heart rate}, Normal first and
-second heart sounds {Heart sounds normal}, Abd {Examination of abdomen}, Soft {Abdomen soft}, tender {Abdominal tenderness}, GU {Examination of genitourinary system}, Flank {Flank structure}, tenderness {Tenderness}, Extr {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, Skin {Examination of skin}, laceration {Laceration}, right ankle {Structure of right ankle}, Neuro {Neurological examination}, Neuro {Neurological examination}, Speech fluent {Does speak fluently}, VS {Vital signs finding}, Neuro {Neurological examination}, all extremities {All extremities}, Pulm {Examination of respiratory system}, Lungs clear bilaterally {Normal breath sounds}, Extrem {Examination of limb}, LUE {Structure of left upper limb}, short-arm cast {Application of short arm cast}, Sensation intact {Normal sensation}, Full ROM {Range of joint movement normal}, digits {Digit structure}, RLE {Structure of right lower limb}, shin {Shin structure}, wound {Wound}, Wound {Wound}, bleeding {Bleeding}, wound {Wound}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:30AM BLOOD WBC-5.6 RBC-3.98* Hgb-11.0* Hct-36.0* 
-MCV-90 MCH-27.5 MCHC-30.5* RDW-12.6 Plt ___
-___ 06:30AM BLOOD WBC-7.1# RBC-4.11* Hgb-11.1* Hct-37.1* 
-MCV-90 MCH-27.1 MCHC-30.1* RDW-12.7 Plt ___
-___ 10:15AM BLOOD WBC-15.2* RBC-4.47* Hgb-12.8* Hct-40.3 
-MCV-90 MCH-28.6 MCHC-31.8 RDW-12.4 Plt ___
-___ 08:24AM BLOOD WBC-18.1* RBC-4.77 Hgb-13.2* Hct-43.0 
-MCV-90 MCH-27.7 MCHC-30.8* RDW-12.4 Plt ___
-___ 10:15AM BLOOD Neuts-87.3* Lymphs-8.6* Monos-3.2 Eos-0.5 
-Baso-0.3
-___ 08:24AM BLOOD Neuts-82* Lymphs-13* Monos-5 Eos-0 Baso-0
-___ 06:30AM BLOOD ___ PTT-30.2 ___
-___ 06:30AM BLOOD Glucose-82 UreaN-14 Creat-1.2 Na-140 
-K-4.0 Cl-104 HCO3-25 AnGap-15
-___ 08:20AM BLOOD Glucose-98 UreaN-14 Creat-1.3* Na-137 
-K->10 Cl-102 HCO3-24
-___ 06:30AM BLOOD Calcium-8.6 Phos-3.5 Mg-2.0
-___ 06:30AM BLOOD Calcium-8.7 Phos-3.1 Mg-1.9
-___ 07:04AM BLOOD ASA-NEG ___ Acetmnp-NEG 
-Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
-
-Pertinent Imaging:
-
-___ CT chest, abdomen, pelvis
-1.  Minimally displaced fractures of the right fourth, fifth, 
-and sixth ribs. 
-2.  Pulmonary contusions in the anterior right upper, middle, 
-and lower lobes. No evidence of pneumothorax or pleural fluid. 
-3.  No evidence of intra-abdominal trauma. 
-
-___ Right tib/fib
-Cortical irregularity of the tibial diaphysis anteriorly with 
-overlying soft tissue air, likely secondary to lacerated 
-bone/open fracture. 
-
-___ Left radius/ulna
-Three views of the left forearm were reviewed. 
-  
-Non-displaced horizontal fracture of the distal ulna is 
-demonstrated with 
-associated soft tissue swelling.  No other abnormalities in the 
-imaged portion of the skeleton seen. 
-
-  
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CT chest, abdomen, pelvis {Computed tomography of chest, abdomen and pelvis}, displaced fractures {Fracture with displacement}, fourth {Bone structure of fourth rib}, fifth {Bone structure of fifth rib}, sixth ribs {Bone structure of sixth rib}, Pulmonary contusions {Contusion of lung}, right upper, middle, 
-and lower lobes {Right lung structure}, pneumothorax {Pneumothorax}, pleural fluid {Pleural effusion}, intra-abdominal trauma {Internal injury of abdominal organ}, tib/fib {Tibia and fibula (combined site)}, tibial diaphysis {Bone structure of shaft of tibia}, soft tissue {Structure of soft tissue}, bone/open fracture {Open fracture of bone}, Left radius/ulna {Structure of bone marrow of right radius and/or ulna}, left forearm {Structure of left forearm}, fracture of the distal ulna {Fracture of distal end of ulna}, soft tissue swelling {Soft tissue swelling}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted to the Acute Care Surgery service after 
-he was admitted status post motor vehicle collision with a tree. 
- There was a prolonged extrication time.  He was transferred to 
-___ for evaluation and further management.  On admission, he 
-alcohol level was 188.  Imaging of his spine and head were 
-negative for any acute process.  He was found to have 
-right-sided rib fractures (___), a left distal ulnar fracture 
-and questionable left tibial fracture.  That lower extremity 
-injury was later found to be a cortical diaphysis disruption (no 
-fracture) with soft tissue injury (open laceration).  The 
-patient was admitted to the inpatient ward for continued 
-management and observation.
-
-Mr. ___ left upper extremity was placed in a short-arm 
-cast by the orthopedic surgery service.  His right lower 
-extremity wound was irrigated and required no operative 
-management.  The patient was given IV cefazolin for the RLE 
-injury.  He was initially kept NPO until it was determined that 
-he would not need operative intervention.  After that time, he 
-was started on a regular diet, which he tolerated without issue. 
- He was given parenteral and enteral analgesics.  He required 
-little to no opioid analgesics during his admission.  In 
-preparation for discharge, his IV antibiotics were discontinued 
-and per Orthopedics recommendations, he was given a prescription 
-for a seven day course of cephalexin.
-
-Prior to discharge, Mr. ___ was seen by Physical Therapy and 
-Occupational Therapy.  The patient was weight bearing as 
-tolerated to his lower extremities.  He ambulated well and 
-required no devices for assistance.  He was instructed to bear 
-no weight to his LUE until follow up with Orthopedics.  
-Occupational therapy felt that he had no cognitive issues nor 
-impairments of his tactile/physical functioning of the LUE.  
-Both services recommended discharge to home.
-
-At the time of discharge, Mr. ___ was a febrile, 
-hemodynamically stable and in no acute distress. Appointments 
-were scheduled for the patient to follow-up with ACS and 
-Orthpedics.  Instructions included care for the patient's LUE 
-cast.
- 
-
-###RESPONSE: evaluation {Evaluation procedure}, alcohol level {Alcohol measurement}, spine {Imaging of spine}, head {Imaging of head}, rib fractures {Fracture of multiple ribs}, distal ulnar fracture {Fracture of distal end of ulna}, left {Structure of left lower limb}, tibial fracture {Fracture of tibia}, lower extremity {Lower limb structure}, injury {Traumatic or non-traumatic injury}, diaphysis {Structure of diaphysis}, disruption {Disruption}, fracture {Fracture}, soft tissue injury {Soft tissue injury}, open laceration {Open laceration}, left upper extremity {Structure of left upper limb}, short-arm 
-cast {Application of short arm cast}, right lower 
-extremity wound {Injury of right lower limb}, RLE {Structure of right lower limb}, injury {Traumatic or non-traumatic injury}, NPO {Nil by mouth}, regular diet {Normal diet}, IV antibiotics {Intravenous antibiotic therapy}, Physical Therapy {Physical therapy procedure}, Occupational Therapy {Occupational therapy}, weight bearing {Weight-bearing}, lower extremities {Lower limb structure}, LUE {Structure of left upper limb}, Occupational therapy {Occupational therapy}, impairments {Impairment}, LUE {Structure of left upper limb}, febrile {Fever}, hemodynamically stable {Hemodynamically stable}, distress {Distress}, follow-up {Follow-up arranged}, LUE {Structure of left upper limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. This patient is not taking any preadmission medications
-
- 
-Discharge Medications:
-1. Acetaminophen 650 mg PO Q6H:PRN pain 
-2. Cephalexin 500 mg PO QID Duration: 7 Days 
-RX *cephalexin 500 mg 1 capsule(s) by mouth four times a day 
-Disp #*28 Capsule Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-- Right ___ minimally displaced rib fractures
-- Right pulmonary contusion
-- Non-displaced left ulna fracture
-- Right tibial fracture 
-- Anterior right upper, middle, and lower lobe pulmonary 
-contusions
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
- 
-
-###RESPONSE: rib fractures {Fracture of rib}, pulmonary contusion {Contusion of lung}, ulna fracture {Fracture of ulna}, tibial fracture {Fracture of tibia}, right upper, middle, and lower lobe {Right lung structure}, pulmonary 
-contusions {Contusion of lung}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to ___ on 
-___ after you were involved in an automobile accident.  You 
-also lost consciousness.  You were transferred to ___ for 
-further evaluation and observation.  Specifically, you were 
-found to have the following injuries:
-
-- Right ___ minimally displaced rib fractures
-- Right pulmonary contusion
-- Non-displaced left ulna fracture
-- Right tibial fracture 
-
-Prior to discharge, you were seen by physical therapy and 
-occupational therapy.  Both services recommend that you could be 
-discharged safely to home.
-
-In regards to your rib fractures, they can cause you to take 
-shallow breaths because of the pain. You should take your pain 
-medicine as as directed to stay ahead of the pain otherwise you 
-won't be able to take deep breaths.  
-
-Pneumonia is a complication of rib fractures. In order to 
-decrease your risk you must use your incentive spirometer 4 
-times every hour while awake. This will help expand the small 
-airways in your lungs and assist in coughing up secretions that 
-pool in the lungs. 
-
-Symptomatic relief with ice packs or heating pads for short 
-periods may ease the pain.
-
-Do NOT smoke.
-
-Return to the ED right away for any acute shortness of breath, 
-increased pain or crackling sensation around your rips 
-(crepitus).
-
-You may take non-steriodal anti-inflammatory drugs to control 
-the pain (i.e. Ibuprofen, Motrin, Advil, Aleve, Naprosyn) or 
-Tylenol.
-
-In regards to your Orthopedic injuries:
-You were seen by the orthopedics service.  Your left arm was 
-placed in a short arm case but required no operative fixation.  
-Your right leg also required no surgical intervention.  Your 
-soft tissue/skin wound was covered with gauze and treated 
-conservatively.
-
-CAST CARE
-- Do not bear any weight with your left arm until you follow up 
-with the orthopedic service (appointment below).
-- Cast care:  Do not remove the splint.  
-Check your cast every day: Contact your primary healthcare 
-provider if you notice cracks, dents, holes, or flaking. 
-
-Keep your cast clean and dry: Cover your cast with a towel when 
-you eat. You may have a small piece of cast that can be removed 
-to check on incisions under your cast. Make sure the small piece 
-of cast is kept tightly closed. If your cast gets dirty, use a 
-mild detergent and a damp washcloth to wipe off the outside of 
-your cast. Continue to cover your cast with trash bags to keep 
-it dry while you bathe. 
-
-Care for the edges of your cast: Cover the cast edges to keep 
-them smooth. Use 4 inch pieces of waterproof tape. Place one end 
-of the tape under the inside edge of your cast and fold it over 
-to the outside surface. Overlap tape strips until the edges are 
-completely covered. Change the tape as directed. Do not pull or 
-repair any of the padding from inside the cast. This could cause 
-blisters and sores on the skin under your cast. 
-
-Keep weight off your cast: Do not let anyone push down or lean 
-on your cast. This may cause it to break.
-
-Do not use sharp objects: Do not use a sharp or pointed object 
-to scratch under your cast. This may cause wounds that can get 
-infected, or you may lose the item inside the cast. If your skin 
-itches, blow cool air under the cast. You may also gently 
-scratch your skin outside the cast with a cloth. 
-
-Contact your primary healthcare provider ___: 
-
-Something falls into your cast and gets stuck.
-
-You have itching, pain, burning, or weakness in the casted body 
-area. 
-
-You have a fever. 
-
-You have sores, blisters, or breaks on the skin around the edges 
-of the cast.
-
-You have questions or concerns about your condition or care.
-
-Seek care immediately or call ___ if: 
-
-Your cast breaks or gets damaged. 
-
-You see drainage, or your cast is stained or smells bad. 
-
-Your skin turns blue or pale. 
-
-Your skin tingles, burns, or is cold or numb. 
-
-You have severe pain that is getting worse and does not go away 
-after you take pain medicine. 
-
-There is no space between your skin and the cast, and your cast 
-looks or feels tighter than it has before. 
-
-You have trouble breathing and chest pain. 
-
- 
-
-###RESPONSE: lost consciousness {Loss of consciousness}, evaluation {Evaluation procedure}, rib fractures {Fracture of rib}, pulmonary contusion {Contusion of lung}, ulna fracture {Fracture of ulna}, tibial fracture {Fracture of tibia}, physical therapy {Physical therapy procedure}, occupational therapy {Occupational therapy}, discharged safely to home {Fracture of tibia}, rib fractures {Fracture of rib}, pain {Pain}, Pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, airways {Airway structure}, lungs {Lung structure}, lungs {Lung structure}, relief {Feeling relief}, ice packs {Application of ice}, heating pads {Heat therapy}, shortness of breath {Dyspnea}, increased pain {Increased pain}, crepitus {Bone crepitus}, left arm {Left upper arm structure}, fixation {Fixation}, right leg {Structure of right lower leg}, soft tissue {Structure of soft tissue}, skin wound {Wound of skin}, CAST CARE {Cast care}, left arm {Left upper arm structure}, Cast care {Cast care}, incisions {Surgical incision wound}, blisters {Blister}, sores {Soreness}, skin {Skin structure}, wounds {Wound}, skin {Skin structure}, itches {Itching}, skin {Skin structure}, itching {Itching}, pain {Pain}, burning {Burning sensation}, weakness {Asthenia}, fever {Fever}, sores {Soreness}, blisters {Blister}, skin {Skin structure}, skin {Skin structure}, skin {Skin structure}, burns {Burn injury}, cold {Common cold}, numb {Numbness}, severe pain {Severe pain}, skin {Skin structure}, trouble breathing {Difficulty breathing}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-ETOH related Seizure 
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, ETOH related Seizure {Alcohol withdrawal-induced convulsion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo M w/ h/o ETOH abuse and seizures in setting of ETOH 
-w/drawal (never admitted to ICU) bought to ED s/p episode of 
-seizure and ETOH withdrawal. ___ endorses drinking ___ pints 
-Gin daily as well as occasional beer, last drink at about 8 pm 
-the day prior to admission.  He reports at approximately noon 
-the day of admission he was lying in his bed when he had a 
-seizure and fell forward to the floor hitting his head.  He does 
-not remember the actual seizure but awoke to find that his 
-mother had called EMS. He denies biting his tongue but does note 
-he had been incontinent of urine. He states prior to the episode 
-he was feeling ill with fatigue and nausea, abdominal pain, but 
-no vomiting and ___ diarrhea. He denied preceding 
-shortness of breath, palpitations, fevers or chest pain. 
-Afterwards he reports feeling fatigued as well as a bit 
-nauseous. He has had several similar seizures in the past, last 
-2 weeks ago all in the setting of alcohol withdrawal and in most 
-cases also associated with preceding nausea. He states that the 
-seizures usually subside after a few days of not drinking. He 
-had been on phenytoin last ___ yrs ago for about a month 
-prescribed by his PCP but has not taken this medication since. 
-.
-In terms of his alcohol use the ___ reports he has been 
-drinking 2 pints of gin a day for the past several years.  He 
-states every few weeks he will attempt stopping for 1 day and 
-generally will have a seizure. He did attend an ___ rehab 
-a few years ago at which time he was able to stop drinking for a 
-few months. He now states he is interested in quitting.  
-.
-In the ED, VS were T 96, HR 108, BP 143/98, RR 20, O2 98%.  On 
-exam he was A&Ox3.  On arrival, he received ativan 1mg iv, 
-valium 5mg po, and bannana bag.  His labs were notable for HCO3 
-of 14 and ETOH level of 20.  While in the ED, his CIWA scale was 
-less then 10. CT head and ___ showed no acute processes.  
-.  
-Currently, the ___ notes fatigue as well as mild nausea and 
-a L frontal HA associated with where he hit his head on falling. 
-He also notes that it feels as though his hands are ""clamping 
-shut"" and he has to pry them open intermittently. He denies any 
-visual changes, auditory or visual hallucinations.   
-.  
-ROS: Denies fever, chills, night sweats, vision changes, 
-rhinorrhea, congestion, sore throat, cough, shortness of breath, 
-chest pain, abdominal pain, vomiting, constipation, dysuria.  
- 
-
-###RESPONSE: ETOH abuse {Alcohol abuse}, seizures in setting of ETOH 
-w/drawal {Alcohol withdrawal-induced convulsion}, seizure {Seizure}, ETOH withdrawal {Alcohol withdrawal syndrome}, lying in his bed {Lying in bed}, seizure {Seizure}, fell {Falls}, hitting his head {Head-hitting}, seizure {Seizure}, biting his tongue {Biting own tongue}, incontinent of urine {Urinary incontinence}, feeling ill {Malaise}, fatigue {Fatigue}, nausea {Nausea}, abdominal pain {Abdominal pain}, vomiting {Vomiting}, diarrhea {Diarrhea}, shortness of breath {Dyspnea}, palpitations {Palpitations}, fevers {Fever}, chest pain {Chest pain}, fatigued {Fatigue}, nauseous {Nausea}, seizures {Seizure}, alcohol withdrawal {Alcohol withdrawal syndrome}, nausea {Nausea}, seizures {Seizure}, not drinking {Does not drink}, seizure {Seizure}, VS {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, CIWA scale {Assessment using alcohol withdrawal scale}, CT head {Computed tomography of head}, fatigue {Fatigue}, nausea {Nausea}, frontal HA {Frontal headache}, head {Head structure}, hands {Hand structure}, visual changes {Visual disturbance}, auditory {Structure of auditory system}, visual hallucinations {Visual hallucinations}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, vision changes {Visual disturbance}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, sore throat {Sore throat}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, abdominal pain {Abdominal pain}, vomiting {Vomiting}, constipation {Constipation}, dysuria {Dysuria}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-ETOH abuse
-seizure in the setting of withdrawal
- 
-
-###RESPONSE: ETOH abuse {Alcohol abuse}, seizure in the setting of withdrawal {Alcohol withdrawal-induced convulsion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
- Denies family history of seizure disorders otherwise 
-___  
- 
-
-###RESPONSE: seizure disorders {Seizure disorder}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM
-VS - Temp 97.7F, BP 190/105, HR 79, R 20 , ___ 100 % RA  
-GENERAL - drowsy appearing man in NAD, comfortable, appropriate  
-
-HEENT - NC, palpable 5 cm by 5 cm area of tenderness to 
-palpation at left frontal region, PERRL ___ bilaterally, 
-EOMI, mild conjunctival injection, MMM, OP clear  
-NECK - supple, no thyromegaly, no JVD  
-LUNGS - CTA bilat, no r/rh/wh, good air movement, resp 
-unlabored, no accessory muscle use  
-HEART - PMI ___, RRR, no MRG, nl ___  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, DPs) 
- 
-SKIN - no rashes or lesions  
-LYMPH - no cervical, axillary, or inguinal LAD  
-NEURO - awake, A&Ox3, speech fluent, CNs ___ grossly intact, 
-mild tremor in bilateral hands, normal tone, muscle strength ___ 
-throughout, no pronator drift, sensation grossly intact 
-throughout, DTRs 2+ and symmetric, slow but coordinated on 
-finger nose finger testing, toes downgoing bilaterally on 
-babinski. 
-.
-DISCHARGE EXAM
-VS - Temp 97.7, BP 147/95, HR 79, R 20 , ___ 100 % RA  
-GENERAL - drowsy appearing man in NAD, comfortable, appropriate  
-
-HEENT - NC, palpable PERRL ___ bilaterally, EOMI, mild 
-conjunctival injection, MMM, OP clear  
-NECK - supple, no thyromegaly, no JVD  
-LUNGS - CTA bilat, no r/rh/wh, good air movement, resp 
-unlabored, no accessory muscle use  
-HEART - PMI ___, RRR, no MRG, nl ___  
-ABDOMEN - NABS, soft/NT/ND, no masses or HSM, no 
-rebound/guarding  
-EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses (radials, DPs) 
- 
-NEURO - awake, A&Ox3, speech fluent, CNs ___ grossly intact, 
-mild tremor in bilateral hands, normal tone, muscle strength ___ 
-throughout, sensation grossly intact throughout, DTRs 2+ and 
-symmetric 
-
- 
-
-###RESPONSE: VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, R {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, drowsy {Drowsy}, NAD {No abnormality detected}, comfortable {Comfortable appearance}, HEENT {Physical examination procedure}, NC {Normal head}, palpable {Palpation}, tenderness {Tenderness}, palpation {Palpation}, left {Structure of left half of face}, frontal region {Structure of frontal region of scalp}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, conjunctival injection {Conjunctival hyperemia}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, supple {Normal movement of neck}, thyromegaly {Goiter}, JVD {Jugular venous engorgement}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, r {Respiratory crackles}, rh/wh {Wheeze - rhonchi}, good air movement {Breath normal}, accessory muscle {Accessory skeletal muscle}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, c {Cyanosis}, c {Finger clubbing}, e {Edema}, 2+ peripheral pulses {Peripheral pulses normal}, radials {Structure of radial artery}, DPs {Structure of dorsalis pedis artery}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, LYMPH {Lymphatic system physical examination}, cervical {Cervical lymph node structure}, axillary {Axillary lymph node structure}, LAD {Lymphadenopathy}, NEURO {Neurological examination}, awake {Awake}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, speech fluent {Does speak fluently}, grossly intact {Normal nervous system function}, tremor {Tremor}, hands, normal {Hands normal}, muscle {Skeletal and/or smooth muscle structure}, pronator drift {Downward drift of outstretched supinated arm}, sensation grossly intact {Normal sensation}, DTRs 2 {Normal tendon reflex}, nose {Nasal structure}, toes {Structure of all toes}, VS {Vital signs finding}, Temp {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, R {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, drowsy {Drowsy}, NAD {No abnormality detected}, comfortable {Comfortable appearance}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, conjunctival injection {Conjunctival hyperemia}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, thyromegaly {Goiter}, JVD {Jugular venous engorgement}, LUNGS {Examination of respiratory system}, CTA {Normal breath sounds}, r {Respiratory crackles}, rh/wh {Wheeze - rhonchi}, resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, no MRG {Heart sounds normal}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, masses {Mass}, HSM {Hepatosplenomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, WWP {Normal tissue perfusion}, c {Cyanosis}, c {Finger clubbing}, e {Edema}, 2+ peripheral pulses {Peripheral pulses normal}, radials {Structure of radial artery}, DPs {Dorsalis pulse present}, NEURO {Neurological examination}, awake {Awake}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, speech fluent {Does speak fluently}, grossly intact {Normal nervous system function}, tremor {Tremor}, hands, normal {Hands normal}, sensation grossly intact {Normal sensation}, DTRs 2 {Normal tendon reflex}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-LABORATORY DATA 
-CBC
-___ 02:00PM BLOOD ___ 
-___ Plt ___
-___ 05:05AM BLOOD ___ 
-___ Plt ___
-___ 06:15AM BLOOD ___ 
-___ Plt ___
-.
-CHEMISTRY
-___ 02:00PM BLOOD ___ 
-___
-___ 05:05AM BLOOD ___ 
-___
-___ 06:15AM BLOOD ___ 
-___
-.
-LFTs
-___ 05:05AM BLOOD ___ LD(LDH)-262* ___ 
-___
-.
-HEME
-___ 05:05AM BLOOD ___ TH
-.
-HEPATITIS 
-___ 05:05AM BLOOD ___ HAV 
-___ IgM ___
-.
-TOXICOLOGY
-___ 02:00PM BLOOD ___ 
-___
-.
-VBG
-___ 09:16PM BLOOD ___ 
-___ Base ___
-.
-STUDIES 
-EKG ___ rhythm. Indeterminate axis. Mild J point and 
-ST segment elevation
-in leads ___. Other ___ wave abnormalities. Since the 
-previous tracing
-of ___ the axis is now indeterminate. ___ wave 
-abnormalities are more
-prominent. Clinical correlation is suggested.
-.
-Chest Xray (___):
-There is no focal consolidation to suggest pneumonia. There is 
-no pleural
-effusion or pneumothorax. The pleural surfaces are smooth, and 
-the hilar and cardiomediastinal contours are normal. There is no 
-pulmonary vascular
-congestion or edema. However, there is increased density in the 
-right lower
-paraspinal region, projecting behind the heart, with a 
-___ convex
-right lateral margin, of indeterminate etiology.
- 
-IMPRESSION:
- 
-1. No evidence of pneumonia.
- 
-2. Atypical right lower paraspinal density, which may represent 
-a tortuous
-descending aorta, though other etiologies including paraspinal 
-masses cannot
-be excluded. Comparison with prior imaging would be helpful if 
-available
-elsewhere. Alternatively, this could be further evaluated with a 
-___
-chest CT.
-.
-Chest CT w/ contrast (___)
-1. No spinal or paraspinal mass. Prominent osteophyte at the 
-right ___
-costovertebral junction corresponds to the abnormality noted on 
-recent chest
-radiograph.
- 
-2. 2 mm right upper lung nodule for which no further follow up 
-is necessary
-if the ___ is at low risk for malignancy. If the ___ is 
-at high risk
-for malignancy, 12 month follow up CT is recommended.
- 
-3. ___ left thyroid lobe nodule, for which ___ 
-ultrasound
-evaluation is recommended if this has not been previously 
-characterized.
- 
-4. Borderline fatty deposition in the liver.
-
-CT Head w/o contrast (___):
-There is no intracranial hemorrhage. There is no parenchymal 
-edema, mass
-effect, or CT evidence of territorial infarct. Ventricles and 
-sulci are of
-greater than expected prominence for the ___ age, 
-suggesting atrophy.
-There is no shift of midline structures, and the basal cisterns 
-are patent.
-There is left frontotemporal soft tissue swelling, without 
-underlying
-fracture. There are no lytic or sclerotic osseous lesions. 
-Visualized
-paranasal sinuses and mastoids are normally aerated.
- 
-IMPRESSION: No intracranial hemorrhage. Mild global atrophy. 
-Left
-frontotemporal scalp soft tissue swelling. 
-.
-CT ___ w/o contrast (___):
-There is no cervical spine fracture. Vertebral bodies are 
-preserved in
-height, and the alignments are normal. The atlantoaxial and 
-___
-articulations are maintained. There is no prevertebral soft 
-tissue swelling.
- 
-There is multilevel degenerative change, though this is 
-characterized
-primarily by anterior osteophyte formation and results in only 
-mild central
-canal stenosis. Similarly, neural foraminal narrowing is only 
-mild in
-severity.
- 
-Included soft tissues are unremarkable. Calcification of the 
-nuchal ligament
-is noted. The thyroid is homogeneous, and there is no 
-adenopathy.
-Visualized lung apices are clear.
- 
-IMPRESSION: No cervical spine fracture or traumatic 
-malalignment. Multilevel
-degenerative change, without critical canal narrowing.
- 
-
-###RESPONSE: CBC {Complete blood count}, EKG {Electrocardiographic procedure}, ST segment elevation {ST segment elevation}, wave abnormalities {Electrocardiogram abnormal}, wave 
-abnormalities {Electrocardiogram abnormal}, Chest Xray {Plain chest X-ray}, consolidation {Consolidation}, pneumonia {Pneumonia}, pleural
-effusion {Pleural effusion}, pneumothorax {Pneumothorax}, pleural surfaces {Pleural membrane structure}, hilar {Structure of hilum of lung}, normal {Normal appearance}, pulmonary vascular {Structure of pulmonary blood vessel}, congestion {Congestion}, edema {Edema}, increased density {Density above reference range}, paraspinal region {Structure of paravertebral region}, heart {Heart structure}, pneumonia {Pneumonia}, paraspinal {Structure of paravertebral region}, density {Abnormally opaque structure}, tortuous {Tortuosity}, descending aorta {Descending aorta structure}, paraspinal {Structure of paravertebral region}, masses {Mass}, imaging {Imaging}, chest CT {Computed tomography of chest}, Chest CT w/ contras {Computed tomography of chest without contrast}, spinal {Structure of vertebral column}, paraspinal {Structure of paravertebral region}, mass {Mass}, osteophyte {Osteophyte}, costovertebral junction {Costovertebral joint structure}, abnormality noted on 
-recent chest
-radiograph {Plain X-ray result abnormal}, right upper lung {Structure of upper lobe of right lung}, risk for malignancy {At increased risk of malignancy}, risk
-for malignancy {At increased risk of malignancy}, thyroid lobe nodule {Thyroid nodule}, ultrasound {Ultrasonography}, evaluation {Evaluation procedure}, fatty deposition {Fatty deposition}, liver {Liver structure}, CT Head {Computed tomography of head}, intracranial hemorrhage {Intracranial hemorrhage}, edema {Edema}, mass {Mass}, infarct {Infarct}, Ventricles {Brain ventricle structure}, sulci {Structure of sulcus of brain}, atrophy {Atrophy}, shift of midline {Midline shift of brain}, cisterns {Structure of subarachnoid cistern}, left {Structure of left half of head}, soft tissue swelling {Soft tissue swelling}, fracture {Fracture}, lytic {Lysis}, sclerotic {Sclerosis}, osseous lesions {Lesion of bone}, paranasal sinuses {Nasal sinus structure}, mastoids {Mastoid structure}, intracranial hemorrhage {Intracranial hemorrhage}, atrophy {Atrophy}, Left {Structure of left half of head}, scalp {Scalp structure}, soft tissue swelling {Soft tissue swelling}, cervical spine {Structure of cervical vertebral column}, fracture {Fracture}, Vertebral bodies {Structure of body of vertebra}, normal {Normal appearance}, soft 
-tissue swelling {Soft tissue swelling}, degenerative change {Degenerative abnormality}, osteophyte {Osteophyte}, central
-canal {Central cord canal structure}, stenosis {Spinal stenosis}, neural foraminal narrowing {Stenosis of intervertebral foramina}, soft tissues {Structure of soft tissue}, unremarkable {No abnormality detected}, Calcification {Pathologic calcification, calcified structure}, nuchal ligament {Structure of ligamentum nuchae}, thyroid {Thyroid structure}, adenopathy {Lymphadenopathy}, lung apices {Structure of apex of lung}, are clear {Normal appearance}, cervical spine {Structure of cervical vertebral column}, fracture {Fracture}, traumatic {Traumatic injury}, malalignment {Misalignment}, degenerative change {Thoracic spondylosis}, canal {Spinal canal structure}, narrowing {Narrowing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ yo male with a history of ETOH withdrawal seizures presents 
-after a seizure today after abstaining from alcohol for one day, 
-labs notable for an anion gap acidosos.   
-.
-# ETOH withdrawal, seizure: Pt has history of several seizures 
-in the past all in the setting of alcohol withdrawal with 
-similar presentaions. Loss of consciousness and incontinence of 
-urine were both suggestive of a true seizure.  He had no history 
-of unprovoked seizures to suggest a seizure disorder.  Head CT 
-was not concerning for intracranial lesions. There was no 
-signs/symptoms on exam to suggest CNS infection. Both EKG and 
-telemetry were unremarkable.  The ___ was given IV thiamine 
-and folate and maintained on a CIWA scale in addition to 
-scheduled valium BID. He did not experience any seizures while 
-admitted. On HD 1 scheduled valium was discontinued and the 
-___ continued to do well without evidence of seizure. At the 
-time of discharge he also had improvement in his hand tremor.  
-However he was discharged with a short course of PO valium PRN 
-should tremor recur.  
-.
-# Hypertension- ___ was hypertensive to SBP of 190 on 
-admission in the setting of withdrawal.  He was treated 
-intermittently with PO labetalol with improvement in blood 
-pressure. Blood pressure improved as withdrawal symptoms 
-improved. 
-.
-# Alcohol/ Cocaine abuse- Pt has long history of alchohol abuse 
-as documented above.  He had one unsuccessful trip to ___ 
-rehab several years ago.  On this admission the ___ endorsed 
-a desire to quit drinking. SW was consulted and provided the 
-___ with materials related to rehabilitation centers as well 
-as sources of support.
-.
-# Low Bicarb- ___ noted to have a bicarb of 14 on admission 
-concerning for a metobolic acidosis.  However VBG showed a 
-normal pH and Bicarb normalized without intervention.
-.
-Macrocytosis- ___ noted to have an elevated MCV (100) in the 
-setting of extensive alcohol use.  Folate were given as above. 
-Folate and B12 levels indicated he was not deficient. 
-.    
-#Elevated LFTs- ___ noted to have mildly elevated LFTs.  
-This is possible related to alcohol use however AST/ALT ratio 
-not the expected pattern. CT was suggestive of fatty liver 
-infiltration.  Hepatitis serologies were negative, ___ with 
-no hepatotoxic medications.  Recommend ___ f/u with PCP 
-regarding monitoring of LFTs.
-.
-# Paraspinal Mass- Chest Xray initially concerning for 
-paraspinal mass however f/u CT did not show a mass.  
-. 
-# Thyroid nodule- Noted incidently on CT done to evaluate 
-possible paraspinal mass as above.  Recommend ___ have 
-thyroid US as an outpatient.
-.
-#Transitional Issues:
-- ___ remained full code throughout this hospitalization
-- ___ will ___ with his PCP
-- ___ should have US as an outpatient to evaluate the 
-thyroid nodule seen on CT. 
- 
-
-###RESPONSE: ETOH withdrawal seizures {Alcohol withdrawal-induced convulsion}, seizure {Seizure}, abstaining from alcohol {Stopped drinking alcohol}, labs {Laboratory test}, anion gap acidosos {Metabolic acidosis}, ETOH withdrawal, seizure {Alcohol withdrawal-induced convulsion}, seizures {Seizure}, alcohol withdrawal {Alcohol withdrawal syndrome}, Loss of consciousness {Loss of consciousness}, incontinence of 
-urine {Urinary incontinence}, seizure {Seizure}, seizures {Seizure}, seizure disorder {Seizure disorder}, Head CT {Computed tomography of head}, intracranial lesions {Localized cranial lesion}, signs {Sign}, CNS infection {Infectious disease of central nervous system}, EKG {Electrocardiographic procedure}, telemetry {Electroencephalogram telemetry}, unremarkable {No abnormality detected}, CIWA scale {Assessment using alcohol withdrawal scale}, seizures {Seizure}, seizure {Seizure}, hand {Hand structure}, tremor {Tremor}, tremor {Tremor}, Hypertension {Hypertensive disorder, systemic arterial}, hypertensive {Hypertensive disorder, systemic arterial}, blood 
-pressure {Blood pressure monitoring}, Blood pressure {Blood pressure monitoring}, improved {Patient's condition improved}, withdrawal symptoms {Withdrawal symptom}, improved {Patient's condition improved}, Alcohol {Alcohol abuse}, Cocaine abuse {Cocaine abuse}, alchohol abuse {Alcohol abuse}, Low Bicarb {Serum bicarbonate below reference range}, metobolic acidosis {Metabolic acidosis}, Macrocytosis {Macrocytosis}, elevated MCV {Mean corpuscular volume above reference range}, alcohol use {Current drinker of alcohol}, Elevated LFTs {Liver function test above reference range}, elevated LFTs {Liver function test above reference range}, alcohol use {Current drinker of alcohol}, CT {Computed tomography}, fatty liver {Steatosis of liver}, infiltration {Infiltration}, LFTs {Hepatic function panel}, Paraspinal {Structure of paravertebral region}, Mass {Mass}, Chest Xray {Plain chest X-ray}, paraspinal {Structure of paravertebral region}, mass {Mass}, CT {Computed tomography}, mass {Mass}, Thyroid nodule {Thyroid nodule}, CT {Computed tomography}, paraspinal {Structure of paravertebral region}, mass {Mass}, thyroid US {Ultrasound scan of thyroid}, thyroid nodule {Thyroid nodule}, CT {Computed tomography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Folic Acid 
-Multivitamin 
- 
-Discharge Medications:
-1. diazepam 5 mg Tablet Sig: One (1) Tablet PO every six (6) 
-hours as needed for 2 days: take 1 pill every 6 hours as needed 
-for tremor.
-Disp:*8 Tablet(s)* Refills:*0*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Alcohol withdrawal seizures 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Alcohol withdrawal seizures {Alcohol withdrawal-induced convulsion}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-It was a pleasure taking care of you while you were admitted to 
-___.  As you know you were 
-admitted to the hospital after you had a seizure. You hit your 
-head when you fell but a CT of your head was not concerning.  
-Your seizure occurred because you were withdrawing from alcohol. 
- You were given medications to prevent seizures from occurring 
-while you were withdrawing.  
-
-You expressed a desire to stop drinking.  We provided you with 
-information regarding rehab facilities that can help in your 
-recovery.
-
-No changes were made to your medications, but we did provide you 
-with some Valium for you to take if you begin to have a tremor.
-
-You had a CT of your chest which showed a nodule in your 
-thyroid. You should see your doctor about having an ___ 
-done to evaluate this further.  
-
-Please feel free to call if you have any questions or concerns
- 
-
-###RESPONSE: seizure {Seizure}, hit your 
-head {Head-hitting}, fell {Falls}, CT of your head {Computed tomography of head}, seizure {Seizure}, withdrawing from alcohol {Alcohol withdrawal syndrome}, seizures {Seizure}, medications {Medication education}, tremor {Tremor}, CT of your chest {Computed tomography of chest}, nodule in your 
-thyroid {Thyroid nodule}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Levaquin / Doxycycline / Augmentin
- 
-Attending: ___.
- 
-Chief Complaint:
-Right upper lobe nodule
- 
-Major Surgical or Invasive Procedure:
-___ - Video assisted thoracoscopic surgery right upper lobe 
-wedge resection and mediastinal lymph node dissection
-
- 
-
-###RESPONSE: Doxycycline {Allergy to doxycycline}, Right upper lobe {Structure of upper lobe of right lung}, nodule {Nodule}, Video assisted thoracoscopic {Video assisted thoracotomy}, surgery {Surgical procedure}, right upper lobe {Structure of upper lobe of right lung}, wedge resection {Wedge resection}, mediastinal lymph node {Mediastinal lymph node structure}, dissection {Dissection of lymph node}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ who we have been following for lung nodules since ___. 
-Initially he was followed for LUL nodules. Then he was followed 
-for a RML lesion, bronchoscopy and BAL with biopsy did not show 
-malignancy. The RUL nodule was noted in ___ to be 4 mm which 
-has increased in size and is 8x12 mm on CT ___. His PET-CT 
-___ showed FDG avidity( 2.31) of the lesion. Since his prior 
-visit in ___, he reported improvement in his breathing and 
-denies SOB, DOE, cough, sweats, wt loss, HA,or bony pain.
-
- 
-
-###RESPONSE: lung nodules {Nodule of lung}, LUL {Structure of upper lobe of left lung}, nodules {Nodule}, RML {Structure of middle lobe of right lung}, lesion {Lesion}, bronchoscopy {Bronchoscopy}, BAL {Bronchoscopy and bronchoalveolar lavage}, biopsy {Biopsy}, malignancy {Malignant neoplasm}, RUL {Structure of upper lobe of right lung}, nodule {Nodule}, CT {Computed tomography}, PET-CT {Positron emission tomography}, lesion {Lesion}, improvement {Patient's condition improved}, SOB {Dyspnea}, DOE {Dyspnea on exertion}, cough {Cough}, sweats {Sweating}, wt loss {Weight loss}, bony pain {Bone pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-severe COPD
-lung nodules
-tobacco abuse
-
- 
-
-###RESPONSE: COPD {Chronic obstructive lung disease}, lung nodules {Nodule of lung}, tobacco abuse {Tobacco dependence syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother
-Father
-___: brother TB
-___
- 
-
-###RESPONSE: TB {Tuberculosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-UPON DISCHARGE:
-Vitals: 97.8  95  98/58  18  99%RA
-Gen: NAD 
-CV: RRR +S1/S2
-Resp: CTAB with distant lung sounds throughout, symmetric 
-expansion and normal excursion, no rhonchi/wheezes/crackles
-Inc: healing well, clean/dry/intact with no 
-erythema/induration/drainage
-Abd: soft, NT/ND, +BS
-Neuro: CN2-12 grossly intact, ___ motor strength throughout 
- 
-
-###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, NAD {No abnormality detected}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, Resp {Examination of respiratory system}, CTAB {Normal breath sounds}, rhonchi {Wheeze - rhonchi}, wheezes {Wheezing}, crackles {Respiratory crackles}, healing well {Wound healing well}, erythema {Erythema}, induration {Induration}, drainage {Discharge}, Abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS {Normal bowel sounds}, Neuro {Neurological examination}, CN2-12 {Cranial nerve structure}, grossly intact {Normal nervous system function}, motor {Motor testing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-CHEST X-RAY (___): The left lung is well expanded and 
-clear.  The right lung shows a new upper lobe opacity.  There is 
-a probable small pneumothorax.  The right chest tube is present. 
- A small amount of subcutaneous emphysema is noted in the right 
-chest wall. 
-
-CHEST X-RAY (___): 1. After the right chest tube removal, a 
-small right apical pneumothorax has slightly increased in size 
-in comparison to the prior exam one day earlier. 2. Stable 
-opacity in the right upper lobe, likely related to a small 
-amount of hemorrhage. 
-
-OPERATIVE PATHOLOGY: Pending at time of discharge
-
- 
-
-###RESPONSE: CHEST X-RAY {Plain chest X-ray}, left lung {Left lung structure}, clear {Chest clear}, right lung {Right lung structure}, upper lobe {Structure of upper lobe of lung}, opacity {Abnormally opaque structure}, pneumothorax {Pneumothorax}, subcutaneous emphysema {Subcutaneous emphysema}, chest wall {Chest wall structure}, CHEST X-RAY {Plain chest X-ray}, chest tube removal {Intercostal drain removal}, right apical {Structure of apex of right lung}, pneumothorax {Pneumothorax}, opacity {Abnormally opaque structure}, right upper lobe {Structure of upper lobe of right lung}, hemorrhage {Hemorrhage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ was admitted to the Thoracic Surgery Service on 
-___ for a right VATS, wedge resection of RUL nodule and 
-mediastinal lymph node dissection. The procedure went well, 
-without complication; the reader is referred to the Operative 
-Note for details. After a brief stay in the Post-Anesthesia Care 
-Unit, he was transferred to the general surgical floor for 
-further care. He was on a clear liquid diet to advance as 
-tolerated to a regular diet, with oral medications for pain 
-control, with a chest drain in place to waterseal, with a foley 
-catheter in place. The foley catheter was removed at midnight.
-
-On POD#1 (___) he was able to void independently, although 
-he did express some sensation of initial urinary retention. He 
-was able to ambulate, expressed good pain control on oral 
-medications, was easily weaned off supplemental oxygen, and was 
-tolerating a regular diet. He expressed interest in completing 
-his recovery at home. He was explained and expressed 
-understanding (by means of translation by his son), of the 
-discharge plan, and was discharged home in good condition. He is 
-scheduled to follow up with Dr. ___ on ___ 
-with a chest x-ray on that same morning. 
- 
-
-###RESPONSE: VATS {Video assisted thoracotomy}, wedge resection {Wedge resection}, RUL {Structure of upper lobe of right lung}, nodule {Nodule}, mediastinal lymph node {Mediastinal lymph node structure}, dissection {Dissection of lymph node}, procedure {Procedure}, clear liquid diet {Clear liquid diet}, regular diet {Normal diet}, oral medications {Administration of drug or medicament via oral route}, pain 
-control {Pain control}, removed {Removal}, able to void {Normal micturition}, urinary retention {Retention of urine}, able to ambulate {Able to walk}, good pain control on oral 
-medications {Demonstrates adequate pain control with oral analgesics}, regular diet {Normal diet}, chest x-ray {Plain chest X-ray}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-2. Albuterol-Ipratropium ___ PUFF IH Q6H 
-
- 
-Discharge Medications:
-1. Albuterol-Ipratropium ___ PUFF IH Q6H 
-2. Fluticasone-Salmeterol Diskus (250/50)  1 INH IH BID 
-3. Acetaminophen 650 mg PO Q6H 
-RX *acetaminophen 650 mg 1 tablet(s) by mouth every six (6) 
-hours Disp #*40 Tablet Refills:*0
-4. Docusate Sodium 100 mg PO BID 
-RX *docusate sodium 100 mg 1 tablet(s) by mouth twice a day Disp 
-#*40 Tablet Refills:*0
-5. OxycoDONE (Immediate Release)  ___ mg PO Q4H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth every four (4) hours 
-Disp #*40 Tablet Refills:*0
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Right upper lobe pulmonary nodule
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Right upper lobe pulmonary {Structure of upper lobe of right lung}, nodule {Nodule}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-* You were admitted to the hospital where you underwent a right 
-VATS, wedge resection of RUL nodule and mediastinal lymph node 
-dissection. You have recovered well in the hospital, and are now 
-ready for discharge.
-* Continue to use your incentive spirometer 10 times an hour 
-while awake.
-* Check your incisions daily and report any increased redness or 
-drainage. Cover the area with a gauze pad if it is draining.
-* Your chest tube dressing may be removed in 48 hours. If it 
-starts to drain, cover it with a clean dry dressing and change 
-it as needed to keep site clean and dry.
-* You will continue to need pain medication once you are home 
-but you can wean it over a few weeks as the discomfort resolves. 
-Make sure that you have regular bowel movements while on 
-narcotic pain medications as they are constipating which can 
-cause more problems. Use a stool softener or gentle laxative to 
-stay regular.
-* No driving while taking narcotic pain medication.
-* Take Tylenol ___ mg every 6 hours in between your narcotic. If 
-your doctor allows you may also take Ibuprofen to help relieve 
-the pain.
-* Continue to stay well hydrated and eat well to heal your 
-incisions
-* Shower daily. Wash incision with mild soap & water, rinse, pat 
-dry
-* No tub bathing, swimming or hot tubs until incision healed
-* No lotions or creams to incision site
-* Walk ___ times a day and gradually increase your activity as 
-you can tolerate.
-
-Call the Thoracic Clinic at ___ if you experience:
--Fevers > 101 or chills
--Increased shortness of breath, chest pain or any other symptoms 
-that concern you.
-
- 
-
-###RESPONSE: right {Structure of upper lobe of right lung}, VATS {Video assisted thoracotomy}, wedge resection {Wedge resection}, RUL {Structure of upper lobe of right lung}, nodule {Nodule}, mediastinal lymph node {Mediastinal lymph node structure}, dissection {Dissection of lymph node}, ready for discharge {Ready for discharge}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, removed {Removal}, drain {Wound discharge}, narcotic {Narcotherapy}, pain medications {Administration of analgesic}, constipating {Constipation}, stool softener {Administration of laxative}, narcotic {Narcotherapy}, pain {Pain}, incisions {Surgical incision wound}, incision {Surgical incision wound}, incision {Surgical incision wound}, incision site {Surgical incision wound}, Fevers {Fever}, chills {Chill}, shortness of breath {Dyspnea}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROSURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___
- 
-Chief Complaint:
-Cervical spinal stenosis
- 
-Major Surgical or Invasive Procedure:
-S/p C5-7 laminectomies
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Cervical spinal stenosis {Spinal stenosis in cervical region}, C5 {Structure of body of fifth cervical vertebra}, 7 {Bone structure of C7}, laminectomies {Excision of lamina of cervical vertebra}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-(HPI from Dr. ___ clinic note):
-A ___ female who had seen a couple
-of years ago for cervical spondylosis.  She has a history of
-neuromyelitis optica and potentially multiple sclerosis.  She is
-coming here after she has some symptoms of right upper extremity
-with difficulty using her arms and dropping things.  The patient
-was reexamined and she definitely has some weakness on the left
-side of ___ universally in the upper extremity.  Right side
-seems to be relatively okay.  She has difficulty using her hands
-and she is dropping things.  She has proprioception issues as
-well with the right upper extremity more than the left.
-
-At this point, we suggested that the patient gets an MRI which
-was reviewed.  The MRI was showing a central stenosis at C5-C6,
-C6-C7 with myelomalacia, but also shows what lesions seem to be
-MS plaques higher in the cervical spine that may be causing her
-symptomatology or part of it.
-
- 
-
-###RESPONSE: cervical spondylosis {Cervical spondylosis}, neuromyelitis optica {Neuromyelitis optica}, multiple sclerosis {Multiple sclerosis}, right upper extremity {Structure of right upper limb}, arms {Upper limb structure}, dropping things {Drops things}, weakness {Asthenia}, left {Structure of left upper limb}, upper extremity {Upper limb structure}, Right {Structure of right upper limb}, hands {Hand structure}, dropping things {Drops things}, right upper extremity {Structure of right upper limb}, left {Structure of left upper limb}, MRI {Magnetic resonance imaging}, MRI {Magnetic resonance imaging}, stenosis {Spinal stenosis in cervical region}, C5-C6 {Structure of intervertebral foramen of fifth cervical vertebra}, C6-C7 {Structure of intervertebral foramen of sixth cervical vertebra}, myelomalacia {Myelomalacia}, lesions {Lesion}, MS {Multiple sclerosis}, plaques {Plaque}, cervical spine {Structure of cervical vertebral column}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-GASTROINTESTINAL BLEEDING
-BACK PAIN
-NEUROMYELITIS OPTICA
- 
-
-###RESPONSE: GASTROINTESTINAL BLEEDING {Gastrointestinal hemorrhage}, BACK PAIN {Backache}, NEUROMYELITIS OPTICA {Neuromyelitis optica}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-No MS/autoimmune disorders in family. Mother had gastric/liver 
-cancer.
-
- 
-
-###RESPONSE: MS {Multiple sclerosis}, autoimmune disorders {Autoimmune disease}, gastric {Malignant tumor of stomach}, liver 
-cancer {Malignant neoplasm of liver}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Upon discharge:
-Opens eyes: [x]spontaneous [ ]to voice [ ]to noxious
-
-Orientation: [x]Person [x]Place [x]Time
-
-Follows commands: [ ]Simple [x]Complex [ ]None
-
-Motor:
-
- Delt Bic Tri DIO Grip
-Right ___ 5 5
-Left ___ 5 5
-
-IP Quad Ham AT ___
-Right ___
-Left ___
-
-[-]Clonus [x]Sensation intact to light touch
-[x]Proprioception intact
-[x]Patient endorses mild numbness and tingling on volar aspect 
-of right hand, unchanged from preop 
- 
-
-###RESPONSE: eyes {Ophthalmic examination and evaluation}, Orientation {Finding related to orientation}, [x]Person [x]Place [x]Time {Oriented to person, time and place}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, Grip {Assessment using grip ability test}, Right {Structure of right upper limb}, Left {Structure of left upper limb}, IP {Posterior muscle of thigh structure}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, AT {Tibialis anterior muscle structure}, Right {Structure of right upper limb}, Left {Structure of left upper limb}, Clonus {Clonus}, Sensation intact to light touch {Light touch sensation present}, Proprioception intact {Normal joint position sense}, numbness and tingling {Numbness and tingling sensation of skin}, volar {Palm (region) structure}, right hand {Structure of right hand}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Please see OMR for pertinent results
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented as a same day admission for surgery. The 
-patient was taken to the operating room on ___ for C5-7 
-posterior laminectomies, which the patient tolerated well. For 
-full details of the procedure please see the separately dictated 
-operative report. The patient was taken from the OR to the PACU 
-in stable condition and after satisfactory recovery from 
-anesthesia was transferred to the floor. The patient was 
-initially given IV fluids and IV pain medications, and 
-progressed to a regular diet and oral medications by POD#1. The 
-patient was given ___ antibiotics and anticoagulation 
-per routine. The patient's home medications were continued 
-throughout this hospitalization. The ___ hospital course 
-was otherwise unremarkable.
-
-At the time of discharge the patient's pain was well controlled 
-with oral medications, incisions were clean/dry/intact, and the 
-patient was voiding/moving bowels spontaneously. The patient 
-will follow up with Dr. ___ routine. A thorough 
-discussion was had with the patient regarding the diagnosis and 
-expected post-discharge course including reasons to call the 
-office or return to the hospital, and all questions were 
-answered. The patient was also given written instructions 
-concerning precautionary instructions and the appropriate 
-follow-up care. The patient expressed readiness for discharge.
- 
-
-###RESPONSE: surgery {Surgical procedure}, C5 {Bone structure of C5}, 7 {Bone structure of C7}, laminectomies {Excision of lamina of cervical vertebra}, procedure {Procedure}, operative {Surgical procedure}, PACU {Postanesthesia care}, stable condition {Patient's condition stable}, anesthesia {Administration of general anesthetic}, given IV fluids {Administration of intravenous fluids}, IV {Intravenous therapy}, pain medications {Administration of analgesic}, regular diet {Normal diet}, oral medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, medications {Administration of drug or medicament}, unremarkable {No abnormality detected}, pain was well controlled 
-with oral medications {Demonstrates adequate pain control with oral analgesics}, incisions {Surgical incision wound}, clean/dry/intact {Wound healing well}, voiding {Normal micturition}, moving bowels {Finding of defecation}, follow up {Follow-up arranged}, discussion {Patient education}, instructions {Patient education}, instructions {Patient education}, follow-up care {Postoperative follow-up visit}, readiness for discharge {Ready for discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Carbamazepine (Extended-Release) 300 mg PO BID 
-2. Gabapentin 300 mg PO TID 
-3. linaCLOtide 290 mcg oral DAILY 
-4. Pantoprazole 40 mg PO Q12H 
-5. Vitamin D 4000 UNIT PO DAILY 
-6. Docusate Sodium 200 mg PO BID 
-7. Magnesium Oxide 400 mg PO BID 
-
- 
-Discharge Medications:
-1.  Acetaminophen 650 mg PO 5X/DAY  
-2.  Bisacodyl 10 mg PO/PR DAILY:PRN constipation  
-3.  Diazepam 2 mg PO Q8H:PRN muscle spasm 
-RX *diazepam 2 mg 1 by mouth q8 PRN Disp #*10 Tablet Refills:*0 
-4.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN pain 
-RX *oxycodone 5 mg ___ tablet(s) by mouth q4 PRN Disp #*15 
-Tablet Refills:*0 
-5.  Senna 17.2 mg PO QHS  
-6.  Carbamazepine (Extended-Release) 300 mg PO BID  
-7.  Docusate Sodium 200 mg PO BID  
-8.  Gabapentin 300 mg PO TID  
-9.  linaCLOtide 290 mcg oral DAILY  
-10.  Magnesium Oxide 400 mg PO BID  
-11.  Pantoprazole 40 mg PO Q12H  
-12.  Vitamin D 4000 UNIT PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Cervical spinal stenosis
-
- 
-Discharge Condition:
-Opens eyes: [x]spontaneous [ ]to voice [ ]to noxious
-
-Orientation: [x]Person [x]Place [x]Time
-
-Follows commands: [ ]Simple [x]Complex [ ]None
-
-Motor:
-
-        Delt    Bic     Tri     DIO     Grip
-Right   5       5       5       5       5
-Left    5       5       5       5       5
-
-IPQuadHamATEHLGast
-___
-
-[-]Clonus [x]Sensation intact to light touch
-[x]Proprioception intact
-[x]Patient endorses mild numbness and tingling on volar aspect 
-of right hand, unchanged from preop 
-
- 
-
-###RESPONSE: Cervical spinal stenosis {Spinal stenosis in cervical region}, eyes {Ophthalmic examination and evaluation}, Orientation {Finding related to orientation}, [x]Person [x]Place [x]Time {Oriented to person, time and place}, Motor {Motor testing}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, Grip {Assessment using grip ability test}, Right {Structure of right upper limb}, Left {Structure of left upper limb}, Clonus {Clonus}, Sensation intact to light touch {Light touch sensation present}, Proprioception intact {Normal joint position sense}, numbness and tingling {Numbness and tingling sensation of skin}, volar {Palm (region) structure}, right hand {Structure of right hand}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Surgery
--Your dressing may come off on the second day after surgery. 
--Your incision is closed with staples. You will need staple 
-removal. Please keep your incision dry until suture/staple 
-removal.
--Do not apply any lotions or creams to the site. 
--Please avoid swimming for two weeks after suture/staple 
-removal.
--Call your surgeon if there are any signs of infection like 
-redness, fever, or drainage. 
-
-Activity
--We recommend that you avoid heavy lifting, running, climbing, 
-or other strenuous exercise until your follow-up appointment.
--You make take leisurely walks and slowly increase your activity 
-at your own pace. ___ try to do too much all at once.
--No driving while taking any narcotic or sedating medication. 
--No contact sports until cleared by your neurosurgeon. 
-
-Medications
-***Please do NOT take any blood thinning medication (Aspirin, 
-Ibuprofen, Plavix, Coumadin) until cleared by the neurosurgeon. 
--You may use Acetaminophen (Tylenol) for minor discomfort if you 
-are not otherwise restricted from taking this medication.
--It is important to increase fluid intake while taking pain 
-medications. We also recommend a stool softener like Colace. 
-Pain medications can cause constipation. 
- 
-
-###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, dressing {Application of dressing}, surgery {Surgical procedure}, incision {Surgical incision wound}, staple 
-removal {Removal of staples}, incision {Surgical incision wound}, suture {Removal of suture}, staple 
-removal {Removal of staples}, suture {Removal of suture}, staple 
-removal {Removal of staples}, signs of infection {Monitoring for signs and symptoms of infection}, redness {Redness of skin over lesion}, fever {Fever}, drainage {Discharge}, Activity {Functional activity education}, exercise {Exercises}, activity {Functional activity education}, narcotic {Narcotherapy}, medication {Medication education}, Medications {Medication education}, blood thinning medication {Administration of anticoagulant}, Aspirin {Administration of aspirin}, discomfort {Discomfort}, medication {Administration of drug or medicament}, increase fluid intake {Increased fluid diet}, pain 
-medications {Administration of analgesic}, stool softener {Administration of laxative}, Pain medications {Administration of analgesic}, constipation {Constipation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-PCP: Dr. ___
-
-CC: left knee erythema and pain
- 
-Major Surgical or Invasive Procedure:
-Arthrocentesis left knee ___
-
- 
-
-###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, PCP {Primary care management}, left knee {Structure of left knee region}, erythema {Erythema}, pain {Pain of knee region}, Arthrocentesis {Arthrocentesis}, left knee {Structure of left knee region}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a ___ M with a medical history notable for diabetes 
-and gout. He presented to the ___ with knee pain since ___. 
-
-He reports striking his left knee on a car on ___ in the 
-morning while walking. On ___ he noted erythema and swelling at 
-the knee and presented to the ___. He was prescribed 
-Keflex and discharged to home. He was able to fill the 
-prescription and took the medication as prescribed. However, on 
-___ (1 day prior to admission) he noted progressive pain, 
-swelling, and erythema on his knee. He also noted subjective 
-fevers and was unable to walk due to the pain.
-
-Vitals on arrival to ___: T 98.8, P 80, BP 150/90, 93%RA. His 
-evaluation in the ___ was notable for an arthrocentesis that 
-revealed 50WBC and no crystals. In the ___ he received Vancomycin 
-and Unasyn.
-
-ROS: included in HPI. Other systems reviewed and otherwise 
-negative.
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, gout {Inflammatory disorder due to increased blood urate level}, knee pain {Pain of knee region}, striking {Does hit}, left knee {Structure of left knee region}, walking {Does walk}, erythema {Erythema}, swelling {Swelling}, knee {Structure of left knee region}, Keflex {Antibiotic therapy}, prescription {Prescription}, medication {Administration of drug or medicament}, progressive {Patient's condition worsened}, pain {Pain of knee region}, swelling {Swollen knee}, erythema {Erythema}, knee {Knee region structure}, fevers {Fever}, unable to walk {Unable to walk}, pain {Pain of knee region}, Vitals {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, evaluation {Evaluation procedure}, arthrocentesis {Arthrocentesis}, WBC {White blood cell count}, Vancomycin {Antibiotic therapy}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Diabetes mellitus, type 2
-Hypertension
-Chronic kidney disease, stage II
-History of gout
-
- 
-
-###RESPONSE: Diabetes mellitus, type 2 {Diabetes mellitus type 2}, Hypertension {Hypertensive disorder, systemic arterial}, Chronic kidney disease, stage II {Chronic kidney disease stage 2}, gout {Inflammatory disorder due to increased blood urate level}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Multiple family members with diabetes.
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vital Signs: T 99.4, P 65, BP 150/82, 97% on RA.
-
-Physical examination:
-- Gen: Well-appearing in NAD.
-- Chest: Normal respirations and breathing comfortably on room 
-air. Lungs clear to auscultation bilaterally.
-- CV: PMI non-palpable. Regular rhythm. Normal S1, S2. No 
-murmurs or gallops. 
-- Abdomen: Normal bowel sounds. Soft, nontender, nondistended. 
-- Extremeties: left knee with mild swelling but unable to flex 
-knee due to pain
-- Neuro: Alert, oriented x3. Good fund of knowledge. Able to 
-discuss current events and memory is intact. CN ___ intact. 
-Speech and language are normal.
- 
-
-###RESPONSE: Vital Signs {Vital signs finding}, BP {Blood pressure finding}, RA {Breathing room air}, Gen {General examination of patient}, Well-appearing {Well cared for appearance}, NAD {No abnormality detected}, Chest {Examination of respiratory system}, Normal respirations {Normal respiratory function}, breathing comfortably on room 
-air {Normal respiratory function}, Lungs {Examination of respiratory system}, clear to auscultation bilaterally {Normal breath sounds}, CV {Cardiovascular physical examination}, palpable {Finding by palpation}, Regular rhythm {Normal sinus rhythm}, Normal S1 {Normal first heart sound, S>1<}, murmurs {Murmur}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, Normal bowel sounds {Normal bowel sounds}, Soft {Abdomen soft}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, Extremeties {Examination of limb}, left knee {Structure of left knee region}, mild {Symptom mild}, swelling {Swollen knee}, unable to flex {Unable to bend}, knee {Knee region structure}, pain {Pain of knee region}, Neuro {Neurological examination}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, memory is intact {Memory function normal}, CN {Cranial nerve structure}, intact {No abnormality detected}, Speech and language {Speech and language finding}, normal {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-  - ___ 08:15PM   GLUCOSE-182* UREA N-27* CREAT-1.7* 
-SODIUM-140 POTASSIUM-3.7 CHLORIDE-100 TOTAL CO2-31 ANION GAP-___
- - ___ 08:15PM   WBC-12.3* (NEUTS-75.4* LYMPHS-18.3 
-MONOS-4.1 EOS-1.3 BASOS-0.9) RBC-4.91 HGB-14.9 HCT-43.4 MCV-88 
-MCH-30.3 MCHC-34.3 RDW-13.9
-PLT COUNT-168
- - ___ 01:20AM JOINT FLUID  WBC-50 RBC-675* No crystals
- 
-
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, WBC {White blood cell count}, LYMPHS {Lymphocyte count}, EOS {Eosinophil count}, BASOS {Basophil count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, JOINT {Joint structure}, WBC {White blood cell count}, RBC {Red blood cell count}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-1. Polyarticular arthritis involving left knee and ankle - 
-initially appeared to ___ MD to be superficial cellulitis 
-overlying knee, which had failed outpt Keflex. He was started on 
-empiric Vancomycin with no improvement. Joint fluid cultures 
-remained negative, and, interestingly there were no crystals. 
-The patiennt has a history of gout and his uric acid level was 
-elevated (though he does have mild renal failure). It is 
-possible that this was osteoarthritis but there was more 
-inflammation clinically than one would expect with that 
-disorder. He also developed left ankle pain, swelling, 
-tenderness and inflammation (significant). This, he stated, was 
-the usual course and location of his gouty attacks. So he was 
-started on an empiric regimen of colchicine, carefully dosed for 
-his renal dysfunction. NSAIDS were avoided due to his renal 
-failure. On the colchicine he improved, without side effects. 
-His dose was increased per his request because in the past, he 
-had required higher doses of colchicine for control of his gout. 
-___ tolerated this quite well. Thiazide diuretics were 
-discontinued. Potassium and magnesium were repleted. Physical 
-therapy saw him and cleared him for home discharge.
-
-2. Chronic kidney disease, stage II
- - Baseline Cr 1.5, down to 1.3 by discharge.
-
-3. Hypertension
- - HCTZ was discontinued given the renal failure and acute gout. 
-Atenolol and Amlodipine were continued.
-
-4. Diabetes mellitus, type II, uncontrolled with complications 
-(renal disease)
- - continued Lantus, glyburide was changed to glipizide.
-
-5. Hyperlipidemia
- - continue atorvastatin
-
-Discharge disposition - home with services; clinically improved
- 
-
-###RESPONSE: arthritis {Arthritis}, left knee {Structure of left knee region}, ankle {Structure of left ankle}, cellulitis {Cellulitis}, knee {Structure of left knee region}, outpt {Outpatient care management}, Keflex {Antibiotic therapy}, Vancomycin {Antibiotic therapy}, no improvement {Patient condition unchanged}, Joint {Joint structure}, cultures {Microbial culture}, negative {No abnormality detected}, gout {Inflammatory disorder due to increased blood urate level}, uric acid level was 
-elevated {Uric acid level above reference range}, mild {Symptom mild}, renal failure {Renal failure syndrome}, osteoarthritis {Osteoarthritis}, inflammation {Inflammatory disorder}, disorder {Disease}, left ankle {Structure of left ankle}, pain {Chest pain}, swelling {Swollen ankle}, tenderness {Tenderness of ankle joint}, inflammation {Inflammatory disorder}, gouty attacks {Acute gout}, regimen {Therapeutic regimen}, renal dysfunction {Renal impairment}, renal 
-failure {Renal failure syndrome}, improved {Patient's condition improved}, without side effects {Has shown no side effects from medication}, gout {Inflammatory disorder due to increased blood urate level}, diuretics {Diuretic therapy}, discontinued {Recommendation to stop drug treatment}, Potassium {Potassium measurement}, Physical 
-therapy {Physical therapy assessment}, Chronic kidney disease, stage II {Chronic kidney disease stage 2}, Baseline {Baseline state}, Cr {Finding of creatinine level}, Hypertension {Hypertensive disorder, systemic arterial}, discontinued {Recommendation to stop drug treatment}, renal failure {Renal failure syndrome}, acute gout {Acute gout}, Diabetes mellitus, type II, uncontrolled {Type II diabetes mellitus uncontrolled}, renal disease {Chronic kidney disease due to type 2 diabetes mellitus}, Hyperlipidemia {Hyperlipidemia}, with services {Home health aide service management}, improved {Patient's condition improved}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
--confirmed doses with patient-
-Keflex ___ QID
-Percocet ___ tabs every 4 hours as needed for pain
-Lipitor 40mg daily
-Atenolol/HCTZ 100/25 daily
-Amlodipine 10mg daily
-Glyburide 5mg BID
-Lantus 22U qam
- 
-Discharge Medications:
-1. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-2. Atenolol 50 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-3. Amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).  
-
-4. Insulin Glargine 100 unit/mL Solution Sig: ___ (22) 
-units Subcutaneous once a day.
-Disp:*660 units* Refills:*2*
-5. Colchicine 0.6 mg Tablet Sig: One (1) Tablet PO BID (2 times 
-a day).
-Disp:*60 Tablet(s)* Refills:*2*
-6. Glipizide 2.5 mg Tablet Extended Rel 24 hr Sig: One (1) 
-Tablet Extended Rel 24 hr PO once a day.
-Disp:*30 Tablet Extended Rel 24 hr(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Polyarticular arthritis involving left knee and ankle - probable 
-gout
-CKD, Stage II - stable
-DM II with complications (rnal failure)
-HTN
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent with crutches. 
-Weightbearing as tolerated on left leg.
-
- 
-
-###RESPONSE: arthritis {Arthritis}, left knee {Structure of left knee region}, ankle {Structure of left ankle}, gout {Inflammatory disorder due to increased blood urate level}, CKD, Stage II {Chronic kidney disease stage 2}, stable {Patient's condition stable}, DM II {Diabetes mellitus type 2}, rnal failure {Renal failure syndrome}, HTN {Hypertensive disorder, systemic arterial}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}, Weightbearing {Weight-bearing}, left leg {Structure of left lower leg}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were diagnosed with gout of your left knee and ankle. 
-
-STOP Colchicine if you are taking any of the following 
-medications: erythromycin, clarithromycin, fluconazole, 
-itraconazole, ketoconazole, verapamil, diltiazem, amprenavir, 
-aprepitant, fosamprenavir, atazanavir, nefazodone, nelfinavir, 
-ritonavir, saquinavir, telithromycin. Do NOT drink grapefruit 
-juice while taking colchicine. Taking these medications or 
-grapefruit juice with colchicine can cause a serious, even fatal 
-reaction.
-
-We stopped one of your medications called hydrochlorothiazide 
-(HCTZ) because it can cause gouty attacks. Your primary care 
-doctor may need to adjust your other blood pressure medications 
-to compensate.
-
-We also changed your diabetic oral medication from glyburide to 
-glipizide due to the fact that glipizide may be better for 
-patients with kidney problems like you. Continue to eat a 
-diabetic diet, avoid alcohol, and check your blood sugar levels 
-at least twice a day - preferably before each meal and at 
-bedtime. Keep a log of your blood sugars and bring it with you 
-to your appointments with your primary care doctor.
-
- 
-
-###RESPONSE: gout {Inflammatory disorder due to increased blood urate level}, left knee {Structure of left knee region}, ankle {Structure of left ankle}, STOP Colchicine {Recommendation to stop drug treatment}, medications {Administration of drug or medicament}, Do NOT drink grapefruit {Recommendation to change food and drink intake}, medications {Administration of drug or medicament}, can cause {Drug interaction}, stopped one of your medications {Recommendation to stop drug treatment}, gouty attacks {Acute gout}, primary care {Primary care management}, blood pressure {Blood pressure monitoring}, medications {Administration of drug or medicament}, changed {Change of medication}, diabetic {Diabetes mellitus}, oral medication {Administration of drug or medicament via oral route}, kidney {Transplant of kidney}, diabetic diet {Diabetic diet}, blood sugar levels {Glucose measurement, blood}, blood sugars {Blood glucose monitoring}, primary care {Primary care management}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: ORTHOPAEDICS
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Allergies/ADRs on File
- 
-Attending: ___.
- 
-Chief Complaint:
-Right lower extremity pain
- 
-Major Surgical or Invasive Procedure:
-Open Reduction and internal fixation with IMN of right tibia 
-
- 
-
-###RESPONSE: Right lower extremity pain {Pain in right lower limb}, Open Reduction and internal fixation {Open reduction of fracture of tibia and fibula with internal fixation}, IMN {Intramedullary nailing of tibia}, right tibia {Bone structure of right tibia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is a relatively healthy ___ who p/w RLE pain and 
-deformity after being struck by a truck. He states he was 
-standing behind the truck assisting his wife back up with a boat 
-and hitch on their way to ___ when he believes his wife's 
-foot slipped from the brake and he was struck. He denies HS or 
-LOC but did go through a fence. He had a small anterior leg 
-wound and immediate pain and deformity of his RLE. He was 
-brought in by EMS for further eval and management. Tetanus UTD. 
-Denies any numbness or tingling in the RLE. 
- 
-
-###RESPONSE: p/w RLE pain {Pain in right lower limb}, deformity {Deformity of lower limb}, standing {Orthostatic body position}, foot {Foot structure}, LOC {Loss of consciousness}, pain {Pain in right lower limb}, deformity {Deformity of lower limb}, RLE {Structure of right lower limb}, numbness or tingling {Paresthesia of lower extremity}, RLE {Structure of right lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hyperlipidemia
- 
-
-###RESPONSE: Hyperlipidemia {Hyperlipidemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-None-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-PHYSICAL EXAMINATION ON ADMISSION:
-General: NAD, AxOx3
-Vitals:
-HR: 58 BP: 120/73 RR: 16 O2: 98% RA 
-Right lower extremity:
-- small, approx. 1.5-2cm wound over anterior tibia just distal 
-to
-knee joint
-- TTP over ___ anterior tibia
-- ___ fire
-- SILT SPN/DPN/TN/saphenous/sural distributions
-- 1+ ___ pulses, foot warm and well-perfused
-- no pain w/ passive stretch, compartments soft and compressible
-
-PHYSICAL EXAMINATION ON DISCHARGE:
-General: NAD, AxOx3
-Vitals: vital signs stable
-Right lower extremity:
-CV: S1S2 normal, RRR, no m/r/g
-Chest: normal bilateral breath sounds
-Abd: soft, nontender, nondistended
-- Knee immobilizer
-- Mild tenderness to palpation over anterior tibia
-- ___ fire
-- SILT SPN/DPN/TN/saphenous/sural distributions
-- 1+ ___ pulses, foot warm and well-perfused
-- no pain w/ passive stretch, compartments soft and compressible
-
- 
-
-###RESPONSE: PHYSICAL EXAMINATION {Physical examination procedure}, General {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, RA {Breathing room air}, wound {Wound}, anterior tibia {Structure of anterior tibial compartment of right lower leg}, knee joint {Knee joint structure}, TTP {Tenderness}, anterior tibia {Structure of anterior tibial compartment of right lower leg}, SPN {Structure of superficial peroneal nerve}, DPN {Structure of deep peroneal nerve}, TN {Structure of tibial nerve}, saphenous {Structure of saphenous nerve}, sural {Structure of sural nerve}, foot {Foot structure}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, pain {Pain}, compressible {Compressible}, General {General examination of patient}, NAD {No abnormality detected}, Ox3 {Oriented to person, time and place}, Vitals {Vital signs finding}, vital signs {Vital signs finding}, Right lower extremity {Structure of right lower limb}, CV {Cardiovascular physical examination}, S1 {Normal first heart sound, S>1<}, RRR {Normal heart rate}, Chest {Examination of respiratory system}, normal bilateral breath sounds {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, Knee immobilizer {Application of knee immobilizer}, tenderness {Tenderness}, palpation {Palpation}, anterior tibia {Structure of anterior tibial compartment of right lower leg}, SPN {Structure of superficial peroneal nerve}, DPN {Structure of deep peroneal nerve}, TN {Structure of tibial nerve}, saphenous {Structure of saphenous nerve}, sural {Structure of sural nerve}, foot {Foot structure}, warm {Warm skin}, well-perfused {Normal tissue perfusion}, pain {Pain}, compressible {Compressible}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-LABS
-
-___ 10:40AM BLOOD WBC-8.3 RBC-4.08* Hgb-13.3* Hct-37.2* 
-MCV-91 MCH-32.6* MCHC-35.8 RDW-12.3 RDWSD-40.1 Plt ___
-___ 04:10AM BLOOD WBC-10.0 RBC-3.16* Hgb-10.2* Hct-29.1* 
-MCV-92 MCH-32.3* MCHC-35.1 RDW-12.3 RDWSD-41.1 Plt ___
-___ 12:44PM BLOOD Neuts-87.8* Lymphs-7.0* Monos-3.5* 
-Eos-0.6* Baso-0.4 Im ___ AbsNeut-14.24* AbsLymp-1.13* 
-AbsMono-0.56 AbsEos-0.09 AbsBaso-0.06
-___ 10:40AM BLOOD ___ PTT-26.7 ___
-___ 04:10AM BLOOD Plt ___
-___ 10:40AM BLOOD ___ 12:44PM BLOOD Glucose-129* UreaN-17 Creat-0.8 Na-139 
-K-4.7 Cl-106 HCO3-23 AnGap-15
-___ 04:10AM BLOOD Glucose-131* UreaN-16 Creat-0.8 Na-135 
-K-3.9 Cl-100 HCO3-26 AnGap-13
-___ 12:44PM BLOOD ALT-24 AST-28 AlkPhos-49 TotBili-0.6 
-DirBili-<0.2 IndBili-0.6
-___ 04:10AM BLOOD Calcium-8.3* Phos-3.0 Mg-2.3
-___ 10:51AM BLOOD Glucose-116* Lactate-2.0 Na-138 K-3.9 
-Cl-111* calHCO3-23
-___ 10:51AM BLOOD Hgb-14.1 calcHCT-42 O2 Sat-88 COHgb-2 
-MetHgb-0
-
-IMAGING
-
-KNEE XRAY
-IMPRESSION:
-There is a comminuted, angulated, moderately displaced fracture 
-through the superior tibial diaphysis.  There is a bayonetted, 
-transversely oriented fracture through the superior fibular 
-diaphysis.  There is significant soft  tissue swelling around 
-these fractures. 
-The knee and ankle are otherwise unremarkable.  No suspicious 
-lytic or 
-sclerotic lesion is identified.  No soft tissue calcification is 
-detected. 
-
-OR TIB/FIB
-IMPRESSION:
-Intra medullary rod across proximal tibial diaphysis fracture.  
-Again seen is proximal fibular diaphysis fracture.  For further 
-details please see the intraoperative note. 
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Glucose {Glucose measurement, blood}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Hgb {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, IMAGING {Imaging}, KNEE XRAY {Radiologic examination of knee}, comminuted {Fracture, comminuted}, angulated {Angulated fracture}, displaced fracture {Fracture with displacement}, superior tibial diaphysis {Structure of proximal shaft of tibia}, transversely oriented fracture {Fracture, transverse}, superior fibular 
-diaphysis {Structure of proximal shaft of fibula}, soft  tissue swelling {Soft tissue swelling}, fractures {Fracture}, knee {Knee region structure}, ankle {Ankle region structure}, unremarkable {No abnormality detected}, us 
-lytic {Lysis}, sclerotic {Sclerosis}, lesion {Lesion}, soft tissue {Structure of soft tissue}, calcification {Calcinosis}, Intra medullary rod {Internal fixation of tibia}, proximal {Structure of proximal shaft of tibia}, tibial diaphysis fracture {Fracture of shaft of tibia}, proximal {Structure of proximal shaft of fibula}, fibular diaphysis fracture {Fracture of shaft of fibula}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-The patient presented to the emergency department and was 
-evaluated by the orthopedic surgery team. The patient was found 
-to have a right grade I open tibial shaft fracture and was 
-admitted to the orthopedic surgery service. The patient was 
-taken to the operating room on ___ for open reduction and 
-internal fixation of the right tibia, which the patient 
-tolerated well. For full details of the procedure please see the 
-separately dictated operative report. The patient was taken from 
-the OR to the PACU in stable condition and after satisfactory 
-recovery from anesthesia was transferred to the floor. The 
-patient was initially given IV fluids and IV pain medications, 
-and progressed to a regular diet and oral medications by POD#1. 
-The patient was given ___ antibiotics and 
-anticoagulation per routine. The patient's home medications were 
-continued throughout this hospitalization. The patient worked 
-with ___ who determined that discharge to home with ___ ___ home 
-visits was appropriate. The ___ hospital course was 
-otherwise unremarkable.
-
-At the time of discharge the patient's pain was well controlled 
-with oral medications, incisions were clean/dry/intact, and the 
-patient was voiding/moving bowels spontaneously. The patient is 
-weight bearing as tolerated in the right lower extremity, and 
-will be discharged on lovenox 40mg SC for DVT prophylaxis. The 
-patient will follow up with Dr. ___ routine. A 
-thorough discussion was had with the patient regarding the 
-diagnosis and expected post-discharge course including reasons 
-to call the office or return to the hospital, and all questions 
-were answered. The patient was also given written instructions 
-concerning precautionary instructions and the appropriate 
-follow-up care. The patient expressed readiness for discharge.
-
- 
-
-###RESPONSE: open tibial shaft fracture {Open fracture of shaft of tibia}, open reduction and 
-internal fixation {Open reduction of fracture of tibia with internal fixation}, right tibia {Bone structure of right tibia}, stable condition {Patient's condition stable}, given IV fluids {Administration of intravenous fluids}, IV {Administration of drug or medicament via intravenous route}, pain medications {Administration of analgesic}, regular diet {Normal diet}, and oral medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, home 
-visits {Home visit}, unremarkable {No abnormality detected}, pain {Pain}, oral medications {Administration of drug or medicament via oral route}, incisions {Surgical incision wound}, weight bearing {Weight-bearing}, right lower extremity {Structure of right lower limb}, DVT {Deep venous thrombosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Statins 
-Aspirin 81mg
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H:PRN Pain - Mild  
-2.  Docusate Sodium 100 mg PO BID  
-3.  Enoxaparin Sodium 40 mg SC Q12H 
-Start: Today - ___, First Dose: Next Routine Administration 
-Time 
-RX *enoxaparin 40 mg/0.4 mL 40 mg sc Daily Disp #*14 Syringe 
-Refills:*0 
-4.  OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain 
-RX *oxycodone 10 mg 1 tablet(s) by mouth Q4H:PRN Disp #*80 
-Tablet Refills:*0 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Right grade I open tibial shaft fracture
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent, weight bearing as 
-tolerated in right lower extremity.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, fracture {Fracture}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}, weight bearing {Weight-bearing}, right lower extremity {Structure of right lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-INSTRUCTIONS AFTER ORTHOPAEDIC SURGERY:
-
-- You were in the hospital for orthopedic surgery. It is normal 
-to feel tired or ""washed out"" after surgery, and this feeling 
-should improve over the first few days to week. 
-- Resume your regular activities as tolerated, but please follow 
-your weight bearing precautions strictly at all times.
-
-ACTIVITY AND WEIGHT BEARING:
-- Weight bearing as tolerated
-
-MEDICATIONS:
-- Please take all medications as prescribed by your physicians 
-at discharge.
-- Continue all home medications unless specifically instructed 
-to stop by your surgeon.
-- Do not drink alcohol, drive a motor vehicle, or operate 
-machinery while taking narcotic pain relievers.
-- Narcotic pain relievers can cause constipation, so you should 
-drink eight 8oz glasses of water daily and take a stool softener 
-(colace) to prevent this side effect.
-
-ANTICOAGULATION:
-- Please take lovenox 40mg SC daily for 2 weeks
-
-WOUND CARE:
-- You may shower. No baths or swimming for at least 4 weeks.
-- Any stitches or staples that need to be removed will be taken 
-out at your 2-week follow up appointment.
-- No dressing is needed if wound continues to be non-draining.
-
-Physical Therapy:
-Activity:  Ambulate
-Right lower extremity:  Weight bearing as tolerated
-Encourage turn, cough and deep breathe q2h when awake
-
-Treatments Frequency:
-Wound care: 
-Site: Incision 
-Type:  Surgical
-Dressing:  Gauze - dry
-Description: ace wrap c small sang stain
-Care: Monitor s/s of infection
-
- 
-
-###RESPONSE: surgery {Surgical procedure}, tired {Tired}, washed out {Exhaustion}, surgery {Surgical procedure}, Weight bearing {Weight-bearing}, constipation {Constipation}, and take a stool softener {Administration of laxative}, dressing {Application of dressing}, wound {Wound}, draining {Wound discharge}, Right lower extremity {Structure of right lower limb}, Weight bearing {Weight-bearing}, cough and deep breathe {Deep breathing and coughing exercises}, awake {Awake}, Site: Incision {Surgical incision wound}, Surgical {Surgical procedure}, Dressing {Application of dressing}, Monitor s/s of infection {Monitoring for signs and symptoms of infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-fever
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
- ___ yo M HIV (CD4 390, VL UD ___, hep C cirrhosis, hep B 
-presents with HA, neck stiffness for the past 2 wks. He's had 
-fevers over past day up to 102. Also c/o sore throat, 
-non-productive cough, myalgias, chest congestion, chills, 
-nausea, abdominal discomfort for the past 2 days. He also has 
-noted increased forgetfulness, and ataxic gait with dizziness. 
-Has had decreased po's. no sick contacts. No dysuria or urinary 
-frequency. No diarrhea. Had head CT yesterday which was 
-negative.  
-.  
-In the ED, VS: t99.5, tm 100.9, p70-80s, 100-110s, 99%RA. CXR 
-negataive. Pt had an LP which was negative. He was given CXT 2gm 
-IV, morphine, tylenol. Found to be Influenza B positive  
-
- 
-
-###RESPONSE: HIV {Human immunodeficiency virus infection}, hep C cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, hep B {Viral hepatitis type B}, HA {Headache}, neck stiffness {Stiff neck}, fevers {Fever}, sore throat {Sore throat}, non-productive cough {Dry cough}, myalgias {Muscle pain}, chest {Thoracic structure}, chills {Chill}, nausea {Nausea}, abdominal discomfort {Abdominal discomfort}, forgetfulness {Forgetful}, ataxic gait {Ataxic gait}, dizziness {Dizziness}, dysuria {Dysuria}, urinary 
-frequency {Increased frequency of urination}, diarrhea {Diarrhea}, head CT {Computed tomography of head}, negative {No abnormality detected}, VS {Vital signs finding}, RA {Breathing room air}, CXR {Plain chest X-ray}, negataive {No abnormality detected}, LP {Lumbar puncture}, negative {No abnormality detected}, IV {Intravenous therapy}, Influenza B positive  {Influenza B virus present}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-HIV positive since ___ (CD4 390, VL undetectable ___  
-diabetes type 2  
-HBV  
-HCV with liver cirrhosis,  
-MRSA abscesses  
-anemia.  
-
- 
-
-###RESPONSE: HIV positive {Human immunodeficiency virus detected}, diabetes type 2 {Diabetes mellitus type 2}, HBV {Viral hepatitis type B}, HCV with liver cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, MRSA {Methicillin resistant Staphylococcus aureus infection}, abscesses {Abscess}, anemia {Anemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-nc
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Temp 100, VSS
-Gen -- pleasant, ambulatory, NAD
-HEENT -- glasses, otherwise unremarkable
-Heart -- regular
-Lungs -- clear
-Abd -- soft, benign
-Ext -- no edema, rash or lesion
-Neuro -- grossly intact, ambulates with normal gait
-
- 
-
-###RESPONSE: Temp {Body temperature finding}, VSS {Vital signs finding}, Gen {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, glasses {Wears glasses}, unremarkable {No abnormality detected}, Heart {Cardiovascular physical examination}, Lungs -- clear {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, Ext {Examination of limb}, edema {Edema}, rash {Eruption of skin}, lesion {Lesion}, Neuro {Neurological examination}, grossly intact {Normal nervous system function}, normal gait {Gait normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:25AM BLOOD WBC-3.1* RBC-4.07* Hgb-12.8* Hct-38.1* 
-MCV-94 MCH-31.5 MCHC-33.6 RDW-14.7 Plt ___
-___ 09:00AM BLOOD ___ PTT-30.0 ___
-___ 07:25AM BLOOD Glucose-103 UreaN-9 Creat-1.0 Na-135 
-K-3.8 Cl-104 HCO3-26 AnGap-9
-___ 07:25AM BLOOD ALT-55* AST-100* AlkPhos-214* TotBili-0.5
-___ 07:25AM BLOOD Mg-1.8
-___ 09:13AM BLOOD Lactate-1.3
-___ 01:40PM CEREBROSPINAL FLUID (CSF) WBC-0 RBC-0 Polys-0 
-___ ___ 01:40PM CEREBROSPINAL FLUID (CSF) TotProt-24 Glucose-72
-
-Test Name                        Result           Reference 
-Range
----------                        ------           
----------------
-Herpes Simplex Virus ___ Detection and Diff, PCR
-   HSV 1 DNA                   Not Detected        Not Detected
-   HSV 2 DNA                   Not Detected        Not Detected
-
-   DIRECT INFLUENZA A ANTIGEN TEST (Final ___: 
-      Negative for Influenza A viral antigen. 
-
-   DIRECT INFLUENZA B ANTIGEN TEST (Final ___: 
-      POSITIVE FOR INFLUENZA B VIRAL ANTIGEN. 
-      REPORTED BY PHONE TO ___ ON ___ AT 16:11. 
-
-CRYPTOCOCCAL ANTIGEN (Final ___: 
-      CRYPTOCOCCAL ANTIGEN NOT DETECTED. 
-
-___ 1:40 pm CSF;SPINAL FLUID
-
-                            **FINAL REPORT ___
-
-   GRAM STAIN (Final ___: 
-      NO POLYMORPHONUCLEAR LEUKOCYTES SEEN. 
-      NO MICROORGANISMS SEEN. 
-
-   FLUID CULTURE (Final ___:    NO GROWTH.
-
-CT HEAD W/ & W/O CONTRAST
-
-Reason: bleed, mass, stroke 
-Contrast: OPTIRAY
-
-UNDERLYING MEDICAL CONDITION:
-___ year old man with chronic hep C and HIV with new headache, 
-confusion and gait ataxia 
-REASON FOR THIS EXAMINATION:
-bleed, mass, stroke 
-CONTRAINDICATIONS for IV CONTRAST: None.
-
-INDICATION: Chronic hepatitis C and HIV with headache.
-
-COMPARISON: None.
-
-TECHNIQUE: Non-contrast and contrast-enhanced axial CT of the 
-head.
-
-FINDINGS: There is no intracranial hemorrhage, mass effect, or 
-shift of normally midline structures. The ventricles, cisterns, 
-and sulci maintain a normal configuration. The gray-white matter 
-differentiation is preserved without evidence for a large 
-territorial infarction. The brain enhances normally without 
-abnormal mass or fluid collection. The major intracranial 
-vessels opacify normally. The osseous structures are 
-unremarkable. The visualized paranasal sinuses are clear. The 
-mastoid air cells are clear. Incidental note was made of a right 
-concha bullosa.
-
-IMPRESSION: No evidence for hemorrhage, mass effect, or abnormal 
-enhancement. MR is more sensitive for meningitis.
-
-CHEST (PA & LAT)
-
-Reason: r/o consolidation, infiltrates, effusions 
-
-UNDERLYING MEDICAL CONDITION:
-___ year old man with HIV (CD4 390, VL UD ___, hep C cirrhosis 
-p/w fevers, cough, HA. 
-REASON FOR THIS EXAMINATION:
-r/o consolidation, infiltrates, effusions 
-INDICATION: Fevers and cough and headache.
-
-COMPARISON: None available. 
-
-CHEST, TWO VIEWS: Heart size, mediastinal and hilar contours are 
-normal. There is no focal airspace opacification but there is 
-linear atelectasis in the right upper lobe. There is no 
-pneumothorax or pleural effusion. Pulmonary vasculature is 
-normal. No gross osseous abnormality.
-
-IMPRESSION: No acute cardiopulmonary process.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Glucose {Glucose measurement, blood}, Herpes Simplex Virus ___ Detection and Diff, PCR {Polymerase chain reaction test for Herpes simplex}, INFLUENZA A ANTIGEN TEST {Serologic test for Influenza A virus}, Influenza {Influenza}, INFLUENZA B VIRAL ANTIGEN {Influenza B virus antigen assay}, CRYPTOCOCCAL ANTIGEN {Cryptococcus species antigen assay}, GRAM STAIN {Gram stain method}, CULTURE {Microbial culture}, AST {Aspartate aminotransferase measurement}, bleed {Bleeding}, mass {Mass}, stroke {Cerebrovascular accident}, chronic hep C {Chronic hepatitis C}, HIV {Human immunodeficiency virus infection}, headache {Headache}, confusion {Clouded consciousness}, gait ataxia {Ataxic gait}, bleed {Bleeding}, mass {Mass}, stroke {Cerebrovascular accident}, IV {Intravenous therapy}, Chronic hepatitis C {Chronic hepatitis C}, HIV {Human immunodeficiency virus infection}, headache {Headache}, Non-contrast {Computed tomography of head without contrast}, contrast-enhanced axial CT of the 
-head {Computed tomography of head with contrast}, intracranial hemorrhage {Intracranial hemorrhage}, mass {Mass}, shift of normally midline structures {Midline shift of brain}, ventricles {Brain ventricle structure}, cisterns {Structure of subarachnoid cistern}, sulci {Structure of sulcus of brain}, gray {Structure of cerebral cortex}, infarction {Infarct}, brain {Brain structure}, mass {Mass}, fluid collection {Accumulation of fluid}, intracranial 
-vessels {Intracranial vascular structure}, osseous structures {Bone structure}, unremarkable {No abnormality detected}, paranasal sinuses {Nasal sinus structure}, are clear {No abnormality detected}, mastoid air cells {Structure of mastoid cell}, are clear {No abnormality detected}, concha bullosa {Concha bullosa}, hemorrhage {Hemorrhage}, mass {Mass}, meningitis {Meningitis}, CHEST (PA & LAT {Diagnostic radiography of chest, combined posteroanterior and lateral}, consolidation {Consolidation}, infiltrates {Infiltration}, effusions {Pleural effusion}, HIV {Human immunodeficiency virus infection}, hep C cirrhosis {Cirrhosis of liver due to chronic hepatitis C}, fevers {Fever}, cough {Cough}, HA {Headache}, consolidation {Consolidation}, infiltrates {Infiltration}, effusions {Pleural effusion}, Fevers {Fever}, cough {Cough}, headache {Headache}, CHEST {Thoracic structure}, Heart {Heart structure}, mediastinal {Mediastinal structure}, hilar {Structure of hilum of lung}, normal {No abnormality detected}, opacification {Abnormally opaque structure}, linear atelectasis {Linear atelectasis}, right upper lobe {Structure of upper lobe of right lung}, pneumothorax {Pneumothorax}, pleural effusion {Pleural effusion}, Pulmonary vasculature {Structure of pulmonary blood vessel}, osseous {Bone structure of thorax}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-1. influenza B -- Initiated treatment with tamiflu during 
-hospital stay.  No other source of infection identified with 
-CSF, CXR, CT head, blood and urine cultures.  As he was able to 
-eat a regular diet, he was discharged home.  There was some 
-difficulty for him to fill his tamiflu after discharge, so I am 
-unsure if he was able to finish the last three days.  He was 
-clinically stable, however, and I do not think it will change 
-his course of illness.
-
-2. headache -- Further history reveals the onset of his symptoms 
-after lifting an armoir.  His pain is likely musculoskeletal, 
-and we discussed using heat and ice packs as well as tylenol for 
-relief.  If the pain does not improve over the next days to 
-weeks, he should follow up with his primary physician for more 
-evaluation.
-
-3. HIV -- continued Atripla.
- 
-
-###RESPONSE: influenza B {Influenza B virus present}, infection {Infectious disease}, CXR {Plain chest X-ray}, CT head {Computed tomography of head}, urine cultures {Urine culture}, able to 
-eat {Able to eat}, regular diet {Normal diet}, stable {Patient's condition stable}, headache {Headache}, pain is likely musculoskeletal, {Musculoskeletal pain}, pain {Pain}, follow up {Follow-up status}, evaluation {Evaluation procedure}, HIV {Human immunodeficiency virus infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Atipla
-Lactulose
-
- 
-Discharge Medications:
-1. Lactulose 10 gram/15 mL Syrup Sig: Thirty (30) ML PO TID (3 
-times a day).  
-2. Oseltamivir Phosphate 75 mg Capsule Sig: One (1) Capsule PO 
-BID (2 times a day) for 3 days.
-Disp:*6 Capsule(s)* Refills:*0*
-3. ATRIPLA ___ mg Tablet Sig: One (1) Tablet PO once a 
-day.  
-4. Tylenol ___ mg Tablet Sig: ___ Tablets PO three times a day 
-as needed for headache: do not take more than 2000mg per 24 
-hours.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-1. influenza B
-2. headache, tension
-
- 
-Discharge Condition:
-stable, on room air 
-
- 
-
-###RESPONSE: influenza B {Influenza caused by Influenza B virus}, headache, tension {Tension-type headache}, stable {Patient's condition stable}, on room air {Breathing room air}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were hospitalized for influenza.  You also have a headache, 
-likely unrelated to the flu, probably a musculoskeletal injury.  
-Please follow up with your doctors as previously ___, and 
-call them with questions/concerns.  Return to the hospital with 
-fever to 101, mental status changes, persistent diarrhea, cough, 
-shortness of breath, or other alarming symptoms.
- 
-
-###RESPONSE: influenza {Influenza}, headache {Headache}, flu {Influenza}, musculoskeletal injury {Injury of musculoskeletal system}, follow up {Follow-up status}, fever {Fever}, mental status {Altered mental status}, diarrhea {Diarrhea}, cough {Cough}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   ___ No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-morphine
- 
-Attending: ___.
- 
-Chief Complaint:
-abdominal pain, back pain
- 
-Major Surgical or Invasive Procedure:
-ERCP, ___
-ERCP, ___
-
- 
-
-###RESPONSE: morphine {Allergy to morphine}, abdominal pain {Abdominal pain}, back pain {Backache}, ERCP {Endoscopic retrograde cholangiopancreatography}, ERCP {Endoscopic retrograde cholangiopancreatography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with HBV, afib, prior cholecystectomy ___, prior 
-cholangitis with ERCP in ___ who was seen at ___ for 
-abdominal and back pain, with CT evidence of retained stones in 
-the biliary ducts. He reports that the pain started a couple of 
-days ago and has become progressively worse. It originates in 
-his back and occasionally radiates around to his right upper 
-abdomen. The pain has no exacerbating or alleviating factors. He 
-is also reporting subjective chills, headache and weakness. He 
-denies SOB, N&V, decreased appetite, or changes in bowel habits.
-
-At the outside facility he had hyperbilirubinemia. CT noted 
-pneumobilia and hyperdense structures in the biliary ducts that 
-may represent retained stones. One of the stones is 15 x 14 mm, 
-one 11 x 9 mm. 
- 
-In the ED, initial VS were 98.5 81 117/55 16 99% RA.
--Labs notable for CBC with WBC of 11.6, H/H of 14.7/44.4, Plt 
-144. BMP WNL. Troponin negative x 1. UA with moderate blood, 
-negative leuk esterase, no epis. 
--RUQ ultrasound significant for 1.7 biliary stone without 
-intrahepatic biliary dilatation suggests that it resides in a 
-cystic duct.
--He received IV fluids, IV Tylenol ___ mg, and IV ketorolac 30 
-mg IV.
- 
-Upon arrival to the floor, the patient appears well. His 
-daughter is at bedside and translates for us. He reports that he 
-has had chronic chills over the past ___ years which has been 
-evaluated by his PCP. He reports he occasionally gets flank 
-pain.  Approximately two days ago, he developed worsening right 
-sided flank pain which radidated to the right upper quadrant and 
-epigastrium. He endorses fever at home. He otherwise denies 
-chest pain, dyspnea, nausea, vomiting, decreased appetite, 
-diarrhea, dysuria. He endorses myalgias. 
-
-ROS: Pertinent positives and negatives as noted in the HPI.  All 
-other systems were reviewed and are negative. 
- 
-
-###RESPONSE: HBV {Viral hepatitis type B}, afib {Atrial fibrillation}, cholecystectomy {Cholecystectomy}, cholangitis {Cholangitis}, ERCP {Endoscopic retrograde cholangiopancreatography}, abdominal {Abdominal pain}, back pain {Backache}, CT {Computed tomography}, stones {Calculus}, biliary ducts {Bile duct structure}, pain {Pain}, worse {Increased pain}, radiates {Radiating pain}, right upper 
-abdomen {Structure of right upper quadrant of abdomen}, pain {Pain}, chills {Chill}, headache {Headache}, weakness {Asthenia}, SOB {Dyspnea}, N&V {Nausea and vomiting}, decreased appetite {Decrease in appetite}, changes in bowel habits {Altered bowel function}, hyperbilirubinemia {Hyperbilirubinemia}, CT {Computed tomography}, biliary ducts {Bile duct structure}, stones {Calculus}, stones {Calculus}, RA {Breathing room air}, Labs {Laboratory test}, CBC {Complete blood count}, WBC {White blood cell count}, WNL {No abnormality detected}, Troponin {Troponin measurement}, UA {Urinalysis}, RUQ ultrasound {Ultrasonography of abdomen, right upper quadrant and epigastrium}, biliary stone {Calculus in biliary tract}, intrahepatic {Intrahepatic biliary tract structure}, biliary dilatation {Cholangiectasis}, cystic duct {Cystic duct structure}, IV fluids {Administration of intravenous fluids}, chills {Chill}, flank 
-pain {Flank pain}, worsening {Increased pain}, right 
-sided flank pain {Right flank pain}, radidated {Radiating pain}, right upper quadrant {Structure of right upper quadrant of abdomen}, epigastrium {Epigastric region structure}, fever {Fever}, chest pain {Chest pain}, dyspnea {Dyspnea}, nausea, vomiting {Nausea and vomiting}, decreased appetite {Decrease in appetite}, diarrhea {Diarrhea}, dysuria {Dysuria}, myalgias {Muscle pain}, ROS {Review of systems}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST MEDICAL/SURGICAL HISTORY:
-- Hepatitis B
-- HTN
-- Choledocholithiasis and prior ERCP w/ sphincteroplasty
-- Prior cholangtitis 
-- Atrial fibrillation with RVR
-
- 
-
-###RESPONSE: Hepatitis B {Viral hepatitis type B}, HTN {Hypertensive disorder, systemic arterial}, Choledocholithiasis {Common bile duct calculus}, ERCP {Endoscopic retrograde cholangiopancreatography}, cholangtitis {Cholangitis}, Atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-FAMILY HISTORY: Father with gallbladder disease and 
-cholecystectomy
- 
-
-###RESPONSE: gallbladder disease {Disorder of gallbladder}, cholecystectomy {Cholecystectomy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION EXAM
--VITALS: 97.6 PO 138 / 88 76 18 96 ra 
--GENERAL: Alert and in no apparent distress
--EYES: Anicteric, pupils equally round, no jaundice
--ENT: Ears and nose without visible erythema, masses, or trauma. 
- Oropharynx without visible lesion, erythema or exudate Mucous 
-membranes moist
--CV: Heart regular, no murmur, no S3, no S4
--RESP: Lungs clear to auscultation with good air movement 
-bilaterally
--GI: Abdomen soft, non-distended, tender to deep palpation in 
-the epigastrium
--GU: No suprapubic fullness or tenderness to palpation, no CVA 
-tenderness
--MSK: Neck supple, moves all extremities, strength grossly full 
-and symmetric bilaterally in all limbs
--SKIN: No rashes or ulcerations noted
--NEURO: Alert, oriented, face symmetric, gaze conjugate with 
-EOMI, speech fluent, moves all limbs
--PSYCH: pleasant, appropriate affect
-
-DISCHARGE EXAM
--Vitals: reviewed in OMR
--General: NAD, sitting up comfortably in bed, sweaty
--HEENT: moist mucus membranes
--Cardio: RRR, no murmur
--Respiratory: clear b/l, no wheeze
--Gastrointestinal: soft, nontender, non distended, bowel sounds 
-present 
--GU: no foley, no CVA tenderness
--Extremities: no pedal edema, no joint swelling
--Neuro: no focal neurological deficits, AAOx3
--Psych: appropriate mood and affect 
- 
-
-###RESPONSE: VITALS {Vital signs finding}, GENERAL {General examination of patient}, Alert {Mentally alert}, distress {Distress}, EYES {Ophthalmic examination and evaluation}, Anicteric {White sclera}, pupils equally round {Pupil size and shape normal}, jaundice {Jaundice}, ENT {Abdominal tenderness}, Ears {Ear structure}, nose {Nasal structure}, erythema {Erythema}, trauma {Traumatic injury}, Oropharynx {Oropharyngeal structure}, lesion {Lesion}, erythema {Erythema}, exudate {Exudate}, Mucous 
-membranes {Mucous membrane structure}, CV {Cardiovascular physical examination}, Heart {Cardiovascular physical examination}, murmur {Murmur}, no S3 {Third heart sound, S>3<, inaudible}, no S4 {Fourth heart sound, S>4<, inaudible}, RESP {Examination of respiratory system}, Lungs {Examination of respiratory system}, GI {Examination of digestive system}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, tender {Abdominal tenderness}, palpation {Palpation}, epigastrium {Epigastric region structure}, GU {Examination of genitourinary system}, suprapubic {Hypogastric region structure}, tenderness {Tenderness}, palpation {Palpation}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, MSK {Musculoskeletal system physical examination}, supple {Normal movement of neck}, all extremities {All extremities}, limbs {Limb structure}, SKIN {Examination of skin}, rashes {Eruption of skin}, ulcerations {Ulcer}, NEURO {Neurological examination}, Alert {Mentally alert}, oriented {Orientated}, face symmetric {Facial symmetry}, gaze {Gaze}, EOMI {Normal ocular motility}, speech fluent {Does speak fluently}, moves all limbs {Does move all four limbs}, PSYCH {Initial psychiatric assessment}, affect {Mood finding}, Vitals {Vital signs finding}, General {General examination of patient}, NAD {No abnormality detected}, sitting {Sitting position}, HEENT {Physical examination procedure}, moist mucus membranes {Moist oral mucosa}, Cardio {Cardiovascular physical examination}, RRR {Normal heart rate}, murmur {Murmur}, Respiratory {Examination of respiratory system}, clear {Normal breath sounds}, b/l {Normal breath sounds}, wheeze {Wheezing}, Gastrointestinal {Examination of digestive system}, soft {Abdomen soft}, nontender {Abdominal tenderness}, distended {Swollen abdomen}, bowel sounds 
-present {Normal bowel sounds}, GU {Examination of genitourinary system}, foley {Catheterization of urinary bladder}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, Extremities {Examination of limb}, edema {Edema}, joint swelling {Joint swelling}, Neuro {Neurological examination}, neurological deficits {Neurological deficit}, Ox3 {Oriented to person, time and place}, Psych {Initial psychiatric assessment}, mood {Level of mood - normal}, affect {Mood finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 03:12PM BLOOD WBC-11.6*# RBC-5.03 Hgb-14.7 Hct-44.4 
-MCV-88 MCH-29.2 MCHC-33.1 RDW-13.2 RDWSD-42.5 Plt ___
-___ 03:12PM BLOOD Neuts-88.7* Lymphs-5.3* Monos-4.6* 
-Eos-0.3* Baso-0.2 Im ___ AbsNeut-10.30* AbsLymp-0.61* 
-AbsMono-0.53 AbsEos-0.03* AbsBaso-0.02
-
-___ 08:37AM BLOOD ___
-___ 02:09PM BLOOD ___
-___ 02:09PM BLOOD Hapto-170
-___ 05:21AM BLOOD Ret Aut-1.1 Abs Ret-0.04
-
-___ 03:12PM BLOOD Glucose-102* UreaN-9 Creat-0.9 Na-143 
-K-3.7 Cl-105 HCO3-23 AnGap-15
-___ 08:37AM BLOOD ALT-24 AST-29 AlkPhos-84 TotBili-2.4* 
-DirBili-1.1* IndBili-1.3
-___ 02:09PM BLOOD Calcium-7.9* Phos-2.0* Mg-1.6
-
-DISCHARGE LABS
-___ 08:40AM BLOOD WBC-8.6 RBC-5.00 Hgb-14.7 Hct-43.6 MCV-87 
-MCH-29.4 MCHC-33.7 RDW-14.1 RDWSD-45.1 Plt ___
-___ 04:56AM BLOOD Neuts-70.2 Lymphs-13.7* Monos-12.1 
-Eos-2.4 Baso-0.3 Im ___ AbsNeut-4.31 AbsLymp-0.84* 
-AbsMono-0.74 AbsEos-0.15 AbsBaso-0.02
-
-___ 08:40AM BLOOD Glucose-109* UreaN-10 Creat-0.8 Na-139 
-K-4.1 Cl-96 HCO3-30 AnGap-13
-___ 08:40AM BLOOD ALT-22 AST-26 LD(LDH)-199 AlkPhos-180* 
-TotBili-1.1
-
-ERCP ___:
-The scout film revealed cholecystectomy clips.
-Evidence of widely patent prior sphincterotomy was noted.
-The bile duct was deeply cannulated with a Rx Sphincterotome.
-Contrast was injected and there was brisk flow through the 
-ducts.
-Contrast extended to the entire biliary tree.
-Cholangiogram showed moderate diffuse dilation but no filling 
-defects.
-Cystic duct did not opacify.
-Several balloon sweeps were performed with no sludge or pus.
-Although there was no endoscopic evidence of cholangitis, given 
-the sudden clinical decompensation and instability, a 10FX5cm 
-double pigtail stent was placed to ensure a biliary source is 
-not contributing to the overall clinical picture.
-Excellent bile and contrast drainage was seen endoscopically and 
-fluoroscopically.
-I supervised the acquisition and interpretation of the 
-fluoroscopic images.
-The quality of the fluoroscopic images was good
-Otherwise normal ercp to third part of the duodenum
-
-ERCP ___:
-The scout film showed a plastic stent in the RUQ.
-A plastic stent was emerging from the major papilla. The stent 
-was successfully removed using a snare. Evidence of previous 
-sphincterotomy was seen at the major papilla as well as small 
-amounts of pus and a small diverticulum next to the papilla.
-The CBD was successfully cannulated by using a sphincterotome Rx 
-preloaded with a 0.035in guidewire.
-Contrast injection revealed no filling defect however the right 
-hepatic ducts were difficult to visualize.  
-Spyglass cholangioscopy was performed. The bile duct was 
-examined. The bifurcation was visualized and was normal. The 
-main right hepatic duct was seen and was normal. A large stone 
-was seen completely obstructing the takeoff of the posterior 
-right hepatic duct.
-Electro hydraulic lithotripsy (___) was done for fragmentation 
-of the large stone. Large amonts of pus were seen as the stone 
-was being fragmented. The stone was eventually completely 
-fragmented and a guidewire passed into the posterior right 
-hepatic duct. Minimal contrast injection showed dilated 
-intrahepatic ducts, proximal to the previous location of the 
-stone.  
-The CBD was swept multiple times using a Rx extraction balloon. 
-Multiple stone fragments and pus were successfully removed.
-The decision was made to place a stent into the posterior right 
-hepatic duct to help with biliary drainage. A ___ x 5cm plastic 
-double pigtail biliary stent was successfully placed. There was 
-excellent contrast and bile drainage at the end of the 
-procedure.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cholecystectomy {Cholecystectomy}, sphincterotomy {Endoscopic incision of sphincter of Oddi}, bile duct {Bile duct structure}, ducts {Bile duct structure}, biliary tree {Biliary tract structure}, Cholangiogram {Cholangiogram}, dilation {Dilatation}, filling 
-defects {Filling defect}, Cystic duct {Cystic duct structure}, opacify {Abnormally opaque structure}, sludge {Sludge}, pus {Pus}, cholangitis {Cholangitis}, decompensation {Decompensation}, stent was placed {Placement of stent}, normal {Normal appearance}, ercp {Endoscopic retrograde cholangiopancreatography}, third part of the duodenum {Structure of inferior portion of duodenum}, ERCP {Endoscopic retrograde cholangiopancreatography}, RUQ {Structure of right upper quadrant of abdomen}, sphincterotomy {Endoscopic incision of sphincter of Oddi}, pus {Pus}, diverticulum {Diverticulum}, CBD {Common bile duct structure}, Contrast injection {Injection of contrast media for imaging procedure}, filling defect {Filling defect}, right 
-hepatic ducts {Structure of right hepatic duct}, cholangioscopy {Cholangioscopy}, bile duct {Bile duct structure}, normal {Normal appearance}, right hepatic duct {Structure of right hepatic duct}, normal {Normal appearance}, stone {Calculus}, obstructing {Obstruction}, right hepatic duct {Structure of right intrahepatic bile duct branches}, Electro hydraulic lithotripsy {Electrohydraulic lithotripsy}, fragmentation 
-of the large stone {Percutaneous fragmentation of bile duct stone}, pus {Pus}, stone {Calculus}, stone {Calculus}, right 
-hepatic duct {Structure of right intrahepatic bile duct branches}, contrast injection {Injection of contrast media for imaging procedure}, dilated {Dilatation}, intrahepatic ducts {Intrahepatic biliary tract structure}, stone {Calculus}, CBD {Common bile duct structure}, stone {Calculus}, pus {Pus}, removed {Bile duct stone removal}, place a stent {Placement of stent}, right 
-hepatic duct {Structure of right hepatic duct}, biliary drainage {Biliary drainage}, procedure {Procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-This is a ___ year old ___ man with A Fib not on 
-anticoagulation, chronic HBV infection, HTN, & history of 
-cholangitis s/p cholecystectomy in ___ who presented with 
-abdominal pain & septic shock with evidence of acute ascending 
-cholangitis. 
-
-ACUTE/ACTIVE PROBLEMS:
-======================
-1. Ascending cholangitis:
--Patient started on ceftriaxone+flagyl on admission w/ ERCP ___ 
-w/placement of stent followed by repeat ERCP ___ w/ stone 
-removal and replacement of stent w/ overall improvement of his 
-symptoms.  Following ERCP he had a short stay in the ICU due to 
-transient septic shock, respiratory failure, A fib RVR, and 
-lactic acidosis requiring vasopressors and broadening of 
-antibiotics to meropenem.  With overall clinical improvement and 
-stability he was transitioned to PO ciprofloxacin with plans for 
-total 5 days antibiotics post-ERCP through ___.  
-
-2. A fib RVR
--Patient with paroxysmal A fib with development of A fib RVR 
-following ERCP with septic shock.  HR improved with resolution 
-of sepsis but his home metoprolol succinate was uptitrated from 
-25mg daily to 100mg daily.  He has continued to decline 
-anticoagulation; recommend continued discussion with PCP.  
-Continued on aspirin 81mg daily. 
-
-CHRONIC/STABLE PROBLEMS:
-========================
-1. Chronic HBV infection: continued tenofovir. Follow up with 
-___, MD.
-2. HTN: continue metoprolol  
-3. Thrombocytopenia: stable, since ___. Mild. No signs of 
-bleeding. Negative parasite smear; low suspicion for malaria. 
-
->30 minutes spent on discharge planning 
-
-RESOLVED INPATIENT PROBLEMS: 
-============================
-# Lactic acidosis 
-# Concern for congestive heart failure, unspecified type: 
-pro-BNP elevated and dypsneic, though suspect hypervolemia 
-secondary to fluid resuscitation in setting of cholangitis. 
-Respirations improved after single dose, 20 mg IV furosemide. 
-TTE normal
-study, ___.  
-
-MICU COURSE:
-===========
-The patient was transferred to the MICU for airway monitoring 
-given tachypnea, wheezing, and lactic acidosis. Shortly after 
-transfer, the patient became hypentensive and tachycardic. EKG 
-demonstrated Afib with RVR. He was started on Phenylephrine and 
-Metoprolol. Initially concern for PE. However, CTA was negative 
-for PE. Troponin was mildly elevated to 0.04, but downtrending. 
-The tachypnea and wheezing resolved shortly after transfer. 
-Phenylephrine was weaned within a few hours after transfer, 
-lactate was downtrending. Per the patient's family, he has had 
-similar episodes over the last ___ years. The underlying cause 
-is not known.
-
-The patient experienced a similar episode overnight. He became 
-acutely tachycardic to 150s-160s, was rigoring and having upper 
-respiratory wheezing. He was given a total 10mg IV metoprolol 
-and his HR came down to ___. He was also given 1mg IV 
-Ativan for agitation and relaxed a little. Lactate 5.9 from 1.8. 
-No STE on EKG. CXR unchanged. Rigoring stopped, never spiked a 
-fever. When acute episode resolved he was very confused 
-afterwards. 1L given during acute episode
-
-Given that his respiratory distress has resolved and he remains 
-hemodynamically stable, he can be transferred to a regular 
-nursing floor for further care.
-
-TRANSITIONAL ISSUES
-===================
-
- 
-
-###RESPONSE: A Fib {Atrial fibrillation}, anticoagulation {Anticoagulant therapy}, chronic HBV infection {Chronic type B viral hepatitis}, HTN {Hypertensive disorder, systemic arterial}, cholangitis {Cholangitis}, cholecystectomy {Cholecystectomy}, abdominal pain {Abdominal pain}, septic shock {Septic shock}, ascending 
-cholangitis {Ascending cholangitis}, ERCP {Endoscopic retrograde cholangiopancreatography}, placement of stent {Placement of stent}, ERCP {Endoscopic retrograde cholangiopancreatography}, stone 
-removal {Bile duct stone removal}, replacement of stent {Replacement of stent}, improvement {Patient's condition improved}, ERCP {Endoscopic retrograde cholangiopancreatography}, septic shock {Septic shock}, respiratory failure {Respiratory failure}, A fib RVR {Paroxysmal atrial fibrillation with rapid ventricular response}, lactic acidosis {Lactic acidosis}, antibiotics {Antibiotic therapy}, improvement {Patient's condition improved}, antibiotics {Antibiotic therapy}, ERCP {Endoscopic retrograde cholangiopancreatography}, A fib RVR {Paroxysmal atrial fibrillation with rapid ventricular response}, paroxysmal A fib {Paroxysmal atrial fibrillation}, A fib RVR {Paroxysmal atrial fibrillation with rapid ventricular response}, ERCP {Endoscopic retrograde cholangiopancreatography}, septic shock {Septic shock}, HR {Finding of heart rate}, improved {Patient's condition improved}, sepsis {Sepsis}, anticoagulation {Anticoagulant therapy}, Chronic HBV infection {Chronic type B viral hepatitis}, HTN {Hypertensive disorder, systemic arterial}, Thrombocytopenia {Thrombocytopenic disorder}, stable {Patient's condition stable}, bleeding {Bleeding}, malaria {Malaria}, Lactic acidosis {Lactic acidosis}, congestive heart failure {Congestive heart failure}, pro-BNP {N-terminal pro-brain natriuretic peptide measurement}, dypsneic {Dyspnea}, hypervolemia {Hypervolemia}, fluid resuscitation {Intraoperative fluid overload}, cholangitis {Cholangitis}, improved {Patient's condition improved}, TTE {Transthoracic echocardiography}, transferred to the MICU {Patient transfer to intensive care unit}, airway monitoring {Airway pressure monitoring}, tachypnea {Tachypnea}, wheezing {Wheezing}, lactic acidosis {Lactic acidosis}, hypentensive {Finding of increased blood pressure}, tachycardic {Tachycardia}, EKG {Electrocardiographic procedure}, Afib with RVR {Paroxysmal atrial fibrillation with rapid ventricular response}, PE {Pulmonary embolism}, CTA {Computed tomography angiography with contrast}, PE {Pulmonary embolism}, Troponin {Troponin measurement}, tachypnea {Tachypnea}, wheezing {Wheezing}, lactate {Lactic acid measurement}, tachycardic {Tachycardia}, upper 
-respiratory {Upper respiratory tract structure}, wheezing {Wheezing}, HR {Finding of heart rate}, agitation {Feeling agitated}, STE {ST segment elevation}, EKG {Electrocardiographic procedure}, CXR {Plain chest X-ray}, fever {Fever}, confused {Clouded consciousness}, respiratory distress {Respiratory distress}, hemodynamically stable {Hemodynamically stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Metoprolol Succinate XL 25 mg PO DAILY 
-2. Tenofovir Disoproxil (Viread) 300 mg PO DAILY 
-3. Clobetasol Propionate 0.05% Cream 1 Appl TP BID 
-4. Loratadine 10 mg PO DAILY 
-
- 
-Discharge Medications:
-1.  Acetaminophen 1000 mg PO Q8H:PRN Pain - Mild 
-RX *acetaminophen 500 mg ___ tablet(s) by mouth Q8 hours PRN 
-Disp #*60 Tablet Refills:*0 
-2.  Aspirin 81 mg PO DAILY  
-3.  Ciprofloxacin HCl 500 mg PO Q12H 
-x1 dose the evening ___ 
-RX *ciprofloxacin HCl [Cipro] 500 mg 1 tablet(s) by mouth twice 
-a day Disp #*1 Tablet Refills:*0 
-4.  Heatwraps Back and Hip Pads (activated 
-charcoal-iron-NaCl;<br>heating pads) 1 pack miscellaneous 
-TID:PRN 
-RX *heating pads  1 pack TID PRN Disp #*30 Each Refills:*0 
-5.  Metoprolol Succinate XL 100 mg PO DAILY 
-RX *metoprolol succinate 100 mg 1 tablet(s) by mouth Qday Disp 
-#*30 Tablet Refills:*0 
-6.  Clobetasol Propionate 0.05% Cream 1 Appl TP BID  
-7.  Loratadine 10 mg PO DAILY  
-8.  Tenofovir Disoproxil (Viread) 300 mg PO DAILY  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
--Primary diagnoses: acute ascending cholangitis, atrial 
-fibrillation with RVR
--Secondary diagnoses: chronic HBV infection, hypertension, 
-thrombocytopenia 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: ascending cholangitis {Ascending cholangitis}, atrial 
-fibrillation with RV {Paroxysmal atrial fibrillation with rapid ventricular response}, chronic HBV infection {Chronic type B viral hepatitis}, hypertension {Hypertensive disorder, systemic arterial}, thrombocytopenia {Thrombocytopenic disorder}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Finding of level of consciousness}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___,
-
-You were hospitalized for abdominal pain. You were found to have 
-a stone blocking your bile ducts. You had an ERCP twice to 
-remove the blockage. You were quite sick, and briefly needed to 
-stay in the intensive care unit. We treated you with IV 
-antibiotics, and switched to oral antibiotics to finish. 
-
-You were also found to have a fast heart rate. It was irregular 
-(""atrial fibrillation"", which you had before). You should talk 
-with your doctor about blood thinner medication to lower your 
-risk for stroke in the future. 
-
-Please take your medications as prescribed on the attached sheet 
-& follow up with your doctors, as below. 
-
-We wish you best wishes in your recovery.
-Your ___ team
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, stone {Calculus}, blocking your bile ducts {Obstruction of biliary tree}, ERCP {Endoscopic retrograde cholangiopancreatography}, blockage {Obstruction of biliary tree}, IV 
-antibiotics {Intravenous antibiotic therapy}, oral antibiotics {Oral antibiotic therapy}, fast heart rate {Tachycardia}, irregular {Irregular heart beat}, atrial fibrillation {Atrial fibrillation}, blood thinner medication {Anticoagulant therapy}, risk for stroke {At increased risk of cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                     Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: NEUROLOGY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Right sided numbness
-
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Right sided {Structure of right half of body}, numbness {Numbness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ yo right handed woman who presents for
-evaluation of intermittant right sided sensory symptoms.  The
-patient reports 2 months ago she woke up in the morning with the
-entire right side of her body feeling numb, as if it has fallen
-alseep.  The typical tingling/pin sensation never came and it
-remained numb for nearly 6 hours.  She was at home and did not
-feel terribly concerned by the symptoms.  Since that time,
-similar episodes have occured only not as dramatic.  She is
-unable to give a clear number of events as she was mostly
-ignoring them beacuse they mostly occured at home.  Last week,
-however, she was at work when she noticed the sudden onset of
-numbness in her right hand and face along with a dull right 
-sided
-headache.  The symptoms were also accompianied by an inability 
-to
-hold her pen to write, and she felt unsteady when walking.  She
-had a tight feeling in her throat.  These symptoms fightened her
-to the point she sought medical attention at the hospital close
-to her work (she lives in ___).  There she was 
-evaluated
-and the possible diagnosis of a TIA was given.  Head imaging (CT
-per patient) was felt to be normal and she was sent home.
-
-The patient is currently visiting her sister here in ___. 
-This morning, she reported to he sister that her right face was
-begining to fell numb at which time her sister encouraged her to
-come to the emergency room.
-
-Currently, the patient continues to have numbness over her lower
-right jaw.  She endorses the right sided headache which has been
-present for the last week without much relief.  She has denies
-loss of vision, blurred vision, diplopia, dysarthria, dysphagia,
-lightheadedness, vertigo.   She reports decreased hearing in her
-right ear for several months as well as occasional ringing. She
-states she occasionally mixes up her words and doesn't say what
-she means to say (though she is often unaware unless told).  She
-has no difficulties producing or comprehending speech. No bowel
-or bladder incontinence or retention. Denied difficulty with
-gait.
- 
-On general review of systems, the patient denied recent fever or
-chills.  No night sweats or recent weight loss or gain. Denied
-cough, shortness of breath.  Denied chest pain or tightness,
-palpitations.  Denied nausea, vomiting, diarrhea, constipation 
-or
-abdominal pain.  No dysuria.  Denied arthralgias or myalgias.
-Denied rash.
-
- 
-
-###RESPONSE: right handed {Right handed}, evaluation {Evaluation procedure}, right sided {Structure of right half of body}, sensory symptoms {Sensory symptoms}, right side of her body {Structure of right half of body}, numb {Numbness}, tingling {Pins and needles}, pin sensation {Pins and needles}, numb {Numbness}, numbness {Numbness of hand}, right hand {Structure of right hand}, face {Structure of right half of face}, dull {Dull pain}, right 
-sided
-headache {Unilateral headache on right side of head}, unsteady when walking {Unsteady when walking}, tight feeling in her throat {Tightness in throat}, evaluated {Evaluation procedure}, TIA {Transient ischemic attack}, Head imaging {Imaging of head}, CT {Computed tomography of head}, right face {Structure of right half of face}, numb {Numbness of face}, numbness {Numbness}, right {Structure of right half of body}, jaw {Jaw region structure}, right sided headache {Unilateral headache on right side of head}, relief {Feeling relief}, loss of vision {Functional visual loss}, blurred vision {Blurring of visual image}, diplopia {Diplopia}, dysarthria {Dysarthria}, dysphagia {Dysphagia}, lightheadedness {Lightheadedness}, vertigo {Vertigo}, decreased hearing {Decreased hearing}, right ear {Right ear structure}, difficulties producing {Has difficulty with speech}, comprehending speech {Difficulty comprehending speech}, bowel {Incontinence of feces}, bladder incontinence {Urinary incontinence}, retention {Urine retention}, difficulty with
-gait {Abnormal gait}, general {General examination of patient}, review of systems {Review of systems}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, cough {Cough}, shortness of breath {Dyspnea}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}, rash {Eruption of skin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Migraines- has had ""really"" bad migraines over last ___ years. 
-They can last anywhere from hours to days.  No sensory aura but
-she knows when they are coming, can start in the back of her 
-neck
-or she may wake up with them in the morning.  +
-phono/photophobia, + nausea. Throbbing type pain.  Takes advil,
-icepacks with some relief.   They tend to cluster but on average
-she as 1 every month.  She states she has not had one on nearly 
-3
-months.
-
- 
-
-###RESPONSE: Migraines {Migraine}, migraines {Migraine}, sensory {Abnormal sensation}, aura {Aura}, back of her 
-neck {Cervical region back structure}, phono {Phonophobia}, photophobia {Photophobia}, nausea {Nausea}, Throbbing type pain {Throbbing pain}, relief {Feeling relief}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with ___ cancer
-father with cirrhosis
-Niece with possible MELAS, sister also with possible symptoms or
-mitochondrial disorder?
-
- 
-
-###RESPONSE: cancer {Malignant neoplasm}, cirrhosis {Cirrhosis of liver}, MELAS {Juvenile myopathy, encephalopathy, lactic acidosis, stroke}, mitochondrial disorder {Mitochondrial cytopathy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-98.8 60 140/89 RR 14 100% on RA
-General: Awake, cooperative, NAD.Thin.
-Head and Neck: no cranial abnormalities, no scleral icterus
-noted, mmm, no lesions noted in oropharynx .  Right ear with
-cerumen impaction.
-Neck: Supple, no carotid bruits appreciated. No nuchal rigidity 
-Pulmonary: Lungs clear to auscultation bilaterally  
-Cardiac: regular rate and rhythm, normal s1/s2. No murmurs, 
-rubs,
-or gallops appreciated.
-Abdomen: soft, non-tender, normoactive bowel sounds, no masses 
-or
-organomegaly noted. 
-Extremities: 2+ radial, DP pulses bilaterally. 
-Skin: no rashes or lesions noted.
- 
-Neurologic: 
--Mental Status: Alert, oriented x 3.  Able to relate history
-without difficulty.  Attentive.  Language is fluent with intact
-repetition and comprehension.  Normal prosody.  There were no
-paraphasic errors.  Pt. was able to name both high and low
-frequency objects.  Able to read without difficulty.  Speech was
-not dysarthric. The pt. had good knowledge of current events. 
-There was no evidence of apraxia or neglect, calculations 
-intact.
-Registered ___ and recalled ___ at 5 minutes.
- 
--Cranial Nerves: 
-I: Olfaction not tested.  
-II: PERRL 4 to 2mm and brisk.  Visual fields full on bedside
-testing with red pin. Funduscopic exam revealed no papilledema,
-exudates, or hemorrhages. 
-III, IV, VI: EOMI without nystagmus.  Normal saccades. 
-V: Facial sensation intact to light touch. 
-VII: No facial droop, facial musculature symmetric. 
-VIII: Hearing intact to finger-rub bilaterally.  
-IX, X: Palate elevates symmetrically.  
-XI: ___ strength in trapezii and sternocleidomastoid 
-bilaterally.
-
-XII: Tongue protrudes in midline.
- 
--Motor: Normal bulk, tone throughout. No pronator drift
-bilaterally. No rigidity. No adventitious movements, such as
-tremors, noted. No asterixis. 
- 
-  Delt Bic Tri WrE FFl FE IO IP Quad Ham TA ___ 
-L  5    ___   ___  5   5    5  5    5     5    5 
-R  5    ___   ___  5   5    5  5    5     5    5 
- 
--Sensory: No deficits to light touch, pinprick, cold sensation,
-vibratory sense, proprioception throughout. No extinction to
-double simultaneous stimuli.
- 
--Deep tendon reflexes: 
-    Bi Tri ___ Pat Ach 
-L   2   2    2    2   2
-R   2   2    2    2   2
-Plantar response was flexor bilaterally. 
- 
--Coordination: No intention tremor, no dysdiadochokinesia noted.
-No dysmetria on FNF or HKS bilaterally. 
- 
--Gait: Good initiation. Narrow-based, normal stride and arm
-swing.  Able to walk in tandem without difficulty. Romberg
-absent.
-
- 
-
-###RESPONSE: RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, Awake {Awake}, cooperative {Cooperative mental state}, NAD {No abnormality detected}, Thin {Thin build}, Neck {Physical examination procedure}, cranial {Cranial nerve structure}, abnormalities {No abnormality detected}, scleral icterus {Scleral icterus}, mmm {Moist oral mucosa}, lesions {Lesion}, oropharynx {Oropharyngeal structure}, Right ear {Right ear structure}, cerumen impaction {Impacted cerumen}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, carotid bruits {Carotid bruit}, nuchal rigidity {Nuchal rigidity}, Pulm {Examination of respiratory system}, Lungs {Examination of respiratory system}, clear to auscultation bilaterally {Normal breath sounds}, Cardiac {Cardiovascular physical examination}, regular rate and rhythm {Normal heart rate}, normal s1/s2 {Heart sounds normal}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, normoactive bowel sounds {Normal bowel sounds}, masses {Abdominal mass}, organomegaly {Abdominal organomegaly}, Extremities {Examination of limb}, radial {Radial pulse present}, DP pulses {Dorsalis pulse present}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, Neurologic {Neurological examination}, Mental Status {Neurological mental status determination}, Alert {Mentally alert}, oriented {Orientated}, Attentive {Well controlled integrated attention}, fluent {Does speak fluently}, repetition {Verbal repetition}, comprehension {Does comprehend language}, prosody {Able to use prosody in speech}, paraphasic {Paraphasia}, able to name both high and low
-frequency objects {Able to recognize objects}, Able to read {Able to read}, Speech {Speech finding}, dysarthric {Dysarthria}, no evidence {No abnormality detected}, apraxia {Apraxia}, calculations 
-intact {Able to use arithmetic reasoning}, Cranial Nerves {Cranial nerve structure}, I {Olfactory nerve structure}, Olfaction {Structure of olfactory system}, II {Optic nerve structure}, PERRL {Pupils equal and reacting to light}, brisk {Brisk pupil movement}, Visual fields full {Normal visual field}, bedside
-testing {Bedside testing}, Funduscopic exam {Ophthalmoscopy}, edema {Edema}, exudates {Exudate}, hemorrhages {Hemorrhage}, III {Oculomotor nerve structure}, IV {Trochlear nerve structure}, VI {Abducens nerve structure}, EOMI {Normal ocular motility}, nystagmus {Nystagmus}, Normal saccades {Normal ocular motility}, Facial {Face structure}, sensation intact to light touch {Light touch sensation present}, VII {Facial nerve structure}, facial {Face structure}, facial musculature symmetric {Facial symmetry}, VIII {Vestibulocochlear nerve structure}, Hearing intact {Hearing normal}, finger {Finger structure}, IX {Glossopharyngeal nerve structure}, Palate elevates {Able to elevate soft palate}, XI {Accessory nerve structure}, trapezii {Structure of trapezius muscle}, sternocleidomastoid {Structure of sternocleidomastoid muscle}, XII {Hypoglossal nerve structure}, Tongue protrudes in midline {Able to protrude tongue fully}, Motor {Motor testing}, Normal bulk, tone {Normal tone in skeletal muscle}, pronator drift {Downward drift of outstretched supinated arm}, rigidity {Muscle rigidity}, adventitious movements {Involuntary movement}, tremors {Tremor}, asterixis {Asterixis}, Delt {Structure of deltoid muscle}, Bic {Biceps brachii muscle structure}, Tri {Triceps brachii muscle structure}, WrE {Structure of extensor of wrist joint}, FFl {Structure of flexor of interphalangeal joint of finger}, FE {Structure of extensor muscle of forearm}, IO {Structure of intrinsic muscle of hand}, IP {Structure of iliopsoas muscle}, Quad {Structure of quadriceps femoris muscle}, Ham {Posterior muscle of thigh structure}, TA {Tibialis anterior muscle structure}, Sensory {Sensory testing}, No deficits {No abnormality detected}, light touch {Light touch sensation present}, pinprick {Finding of pin prick discrimination}, cold sensation {Sensation of being cold}, vibratory sense {Normal vibration sensation}, proprioception {Normal joint position sense}, tendon {Tendon structure}, reflexes {Reflex finding}, Bi {Biceps reflex finding}, Tri {Triceps reflex finding}, Pat {Knee reflex finding}, Ach {Ankle reflex finding}, Plantar response was flexor {Flexor plantar response finding}, Coordination {Finding related to coordination / incoordination}, intention tremor {Intention tremor}, dysdiadochokinesia {Dysdiadochokinesis}, dysmetria {Dysmetria}, FNF {Finger-to-nose test}, HKS {Heel-to-knee test}, Gait {Finding of gait}, Good initiation {Able to initiate gait}, Narrow-based {Narrow base of support}, arm {Upper limb structure}, walk in tandem without difficulty {Normal straight line walking test}, Romberg {Romberg sign}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 07:55PM URINE  HOURS-RANDOM
-___ 07:55PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-___ 07:55PM URINE  COLOR-Yellow APPEAR-Clear SP ___
-___ 07:55PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 
-LEUK-NEG
-___ 05:31PM   LACTATE-1.1
-___ 05:20PM   ALT(SGPT)-47* AST(SGOT)-62* LD(LDH)-156 
-CK(CPK)-144 TOT BILI-0.3
-___ 05:20PM   CRP-3.7
-___ 05:20PM   CRP-3.7
-___ 05:20PM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG 
-bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
-___ 05:20PM   SED RATE-45*
-___ 01:40PM   GLUCOSE-76 UREA N-9 CREAT-0.7 SODIUM-139 
-POTASSIUM-4.3 CHLORIDE-103 TOTAL CO2-27 ANION GAP-13
-___ 01:40PM   estGFR-Using this
-___ 01:40PM   cTropnT-<0.01
-___ 01:40PM   WBC-11.4* RBC-5.06 HGB-13.6 HCT-40.7 MCV-80* 
-MCH-26.9* MCHC-33.4 RDW-14.2
-___ 01:40PM   NEUTS-43.6* LYMPHS-43.9* MONOS-7.0 EOS-3.9 
-BASOS-1.6
-___ 01:40PM   PLT COUNT-386
-___ 01:40PM   ___ PTT-22.9 ___
- 
-
-###RESPONSE: URINE {Evaluation of urine specimen}, URINE {Evaluation of urine specimen}, COLOR {Color finding}, URINE {Evaluation of urine specimen}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, TOT BILI {Bilirubin, total measurement}, CRP {C-reactive protein measurement}, CRP {C-reactive protein measurement}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ yo right handed woman with no past medical
-history of hypertension and migraines with presents with
-intermittant episodes of right sided numbness without clear
-reports of weakness.  These events are not always associated 
-with
-headache, but the most recent symptoms have been.  She has a
-strong history of migraine headaches, though they are a bit
-different in quality from her current, dull, right sided
-headache.  She has not had a typical migraine in several months
-but has had these events in that time period.  It is possible
-that these events are a migranious varient for this patient. 
-That said, the patient does have a family history of possible
-MELAS which raises the possibility ther her symptoms may be a
-manifestation of this disorder.  The patient is currently
-visiting from out of town and because of the inability to
-expidite neurologic evaluation in ___, we will complete this work
-up with imaging at this time.
-
-upon further questioning patient described the ""numbness"" as a 
-""pins and needles"" sensation more consistant with positive 
-symptoms that spread up her arm over the course of minutes.  
-These symtpoms along with the headache appear most likely to the 
-diagnosis of complicated migraines. 
-
-Patient was instructed to start on verapamil for migraine 
-prophylaxis and continue with tylenol and or over the counter 
-motrin for her breakthrough headaches. She was instructed to 
-follow up in the ___ for further follow 
-up.  She was also given instructions to start with a migraine 
-diary.  
-
-Patient did have an MRI/A performed to rule out any vascular 
-component to these symptoms.  Both studies were unreveiling.  On 
-exam she also demonstrated some weakness in C4 and C7 and 
-therefore a cervalgia component to the headaches an symptoms is 
-also likely.  Patient was recommended a hard wheat pillow and a 
-cervical soft collar to sleep with.   
-
-MRI
-IMPRESSION: No evidence of acute infarct. Minimal nonspecific 
-foci of T2 
-hyperintensity in the white matter. 
-  
-MRA HEAD: 
-  
-Head MRA demonstrates normal flow signal within the arteries of 
-anterior and 
-posterior circulation. No evidence of vascular occlusion, 
-stenosis or an 
-aneurysm greater than 3 mm in size seen. 
-  
-IMPRESSION: Normal MRA of the head. 
-  
-MRA NECK: 
-  
-Neck MRA demonstrates normal flow signal in the carotid and 
-vertebral 
-arteries. No evidence of stenosis or occlusion seen. 
-
- 
-
-###RESPONSE: right handed {Right handed}, hypertension {Hypertensive disorder, systemic arterial}, migraines {Migraine}, right sided {Structure of right half of body}, numbness {Numbness}, weakness {Asthenia}, headache {Headache}, migraine headaches {Migraine}, dull {Dull pain}, right sided
-headache {Unilateral headache on right side of head}, migraine {Migraine}, time {Oriented to time}, migranious varient {Migraine variants}, MELAS {Juvenile myopathy, encephalopathy, lactic acidosis, stroke}, disorder {Disease}, neurologic evaluation {Neurological examination}, work
-up {Evaluation procedure}, imaging {Imaging}, numbness {Numbness}, pins and needles"" sensation {Pins and needles}, arm {Upper limb structure}, headache {Headache}, complicated migraines {Complicated migraine}, migraine 
-prophylaxis {Migraine prophylaxis}, headaches {Headache}, follow 
-up {Management procedure}, instructions {Patient education}, MRI {Magnetic resonance imaging}, vascular {Blood vessel structure}, exam {Physical examination procedure}, weakness {Weakness of neck}, C4 {Bone structure of C4}, C7 {Bone structure of C7}, cervalgia {Neck pain}, headaches {Headache}, cervical soft collar {Application of cervical collar}, MRI {Magnetic resonance imaging of head}, No evidence {No abnormality detected}, acute infarct {Acute infarct}, white matter {Cerebral white matter structure}, MRA HEAD {Magnetic resonance angiography of vascular structure of head}, Head MRA {Magnetic resonance angiography of vascular structure of head}, normal flow {Normal vascular flow}, arteries {Structure of intracranial artery}, No evidence {No abnormality detected}, vascular {Blood vessel structure}, occlusion {Complete obstruction}, stenosis {Stenosis}, aneurysm {Aneurysm}, MRA of the head {Magnetic resonance angiography of vascular structure of head}, MRA NECK {Magnetic resonance angiography of neck without contrast}, Neck MRA {Magnetic resonance angiography of neck without contrast}, normal flow {Normal vascular flow}, carotid {Carotid artery structure}, vertebral 
-arteries {Structure of vertebral artery}, No evidence {No abnormality detected}, stenosis {Stenosis}, occlusion {Complete obstruction}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Aspirin 81 mg PO daily
- 
-Discharge Medications:
-1. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-2. verapamil 120 mg Tablet Sustained Release Sig: One (1) Tablet 
-Sustained Release PO once a day: hold for SBP <100.
-Disp:*90 Tablet Sustained Release(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Complex Migraine
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Complex Migraine {Complicated migraine}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You presented with repeated episodes of right sided numbness and 
-tingling sensation.  An MRI and MRA was which was unreveiling 
-for any parenchymal or vascular abnormality.  Therefore, it 
-appears likely that these symptoms are related to a complex 
-migraine syndrome.  You were started on low dose verapamil to be 
-taken in the morning for migraine prophylaxis.  As you blood 
-pressure is low, if you begin to feel light headed you should 
-stop taking the medication and notify your PCP. 
-
-You were also found to have a weakness in your C5 and C7 
-distribution.  This is most likely related to an underlying 
-cervical cephalgia.  You were given a cervical soft collar and 
-instructed to use a hard wheat pillow in correction of this.
-
-You should follow up with Drs ___ for further 
-follow up.
- 
-
-###RESPONSE: right sided {Structure of right half of body}, numbness and 
-tingling sensation {Numbness and tingling sensation of skin}, MRI {Magnetic resonance imaging of head}, MRA {Magnetic resonance angiography of vascular structure of head}, vascular {Blood vessel structure}, abnormality {No abnormality detected}, complex 
-migraine {Complicated migraine}, syndrome {Disease}, migraine prophylaxis {Migraine prophylaxis}, blood 
-pressure is low {Low blood pressure}, feel light headed {Lightheadedness}, should 
-stop taking the medication {Patient medication education}, notify {Informing doctor}, PCP {Primary care management}, weakness {Weakness of neck}, C5 {Bone structure of C5}, C7 {Bone structure of C7}, cervical cephalgia {Cervicogenic headache}, cervical soft collar {Application of cervical collar}, follow up {Management procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-asparatame / vancomycin / Zosyn / gemcitabine / green peppers
- 
-Attending: ___
- 
-Chief Complaint:
-Fever
- 
-Major Surgical or Invasive Procedure:
-None 
-
- 
-
-###RESPONSE: vancomycin {Allergy to vancomycin}, Fever {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is a ___ year old male with PMH significant for pancreatic 
-adenocarcinoma, s/p Whipple as well as metal stenting to the 
-biliary tract, who presents to ___ with a 2 day history of 
-fever up to ___. He reports that he has been more fatigued in 
-the last ___ months and has had an increase of his markers 
-suggesting recurrence of his malignancy, undergoing outpatient 
-workup. 
-
-In the last ___ weeks he has had 10 pounds of weight loss as 
-well as decreased appetite, and low grade temps (___). Per 
-the patient and his wife, he began having high fevers, as high 
-as ___ today, while at home. He denies dysuria, n/v/d, cp, sob, 
-cough, rash, or any other complaints. Has had recent travel to 
-___ about 1 month ago. No sick contacts, but is exposed 
-to his ___ year old grandson who has been in good health 
-recently. 
-
-He has a history of recurrent C diff and has been taken off PO 
-vancomycin recently, and remains only on Bactrim for 
-prophylaxis. No diarrhea, no nausea/vomiting. Does report 
-significant weakness in the last few weeks along with decreased 
-energy, and states that he fell yesterday while trying to lift a 
-heavy object (did not sustain any injury). Rest ROS negative 
-unless stated above. 
-
- 
-
-###RESPONSE: pancreatic 
-adenocarcinoma {Adenocarcinoma of pancreas}, Whipple {Pancreaticoduodenectomy}, stenting {Insertion of arterial stent}, biliary tract {Biliary tract structure}, fever {Fever}, fatigued {Fatigue}, markers {Laboratory test}, recurrence of his malignancy {Recurrent malignant neoplasm}, weight loss {Weight loss}, decreased appetite {Decrease in appetite}, low grade temps {Low grade pyrexia}, high fevers {Hyperpyrexia}, dysuria {Dysuria}, n/v/d {Nausea, vomiting and diarrhea}, cp {Chest pain}, sob {Dyspnea}, cough {Cough}, rash {Eruption of skin}, complaints {General problem AND/OR complaint}, travel {Travel abroad}, sick {Illness}, good {Patient's condition satisfactory}, recurrent C diff {Recurrent infection caused by Clostridioides difficile}, prophylaxis {Preventive procedure}, diarrhea {Diarrhea}, nausea/vomiting {Nausea and vomiting}, weakness {Asthenia}, decreased 
-energy {Lack of energy}, injury {Traumatic injury}, negative {No abnormality detected}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Pancreatic adenocarcinoma, s/p ___ in ___, with 
-recurrence in ___ s/p cyberknife
-- Pylorus preserving pancreaticoduodenectomy with superior  
-mesenteric vein venorrhaphy ___ followed by revision with 
-___ duodenojejunostomy in ___, also with 2 CBD stents  
-- Cholangitis
-- Multiple episodes of bacteremia of undetermined origin (E. 
-coli, enterococcus), possibly related to abscesses/bilomas 
-requiring PTBD (last drained ___ 
-- recurrent C. diff on suppressive therapy 
-- CAD s/p MI ___ s/p PCI
-- HTN
-- Hyperlipidemia
-- OSA on CPAP
-- SMV Thrombus, complicated by GI bleed (no clear source of 
-bleed found, and now off a/c) 
- 
-
-###RESPONSE: Pancreatic adenocarcinoma {Adenocarcinoma of pancreas}, recurrence {Local recurrence of malignant tumor of rectum}, Pylorus preserving pancreaticoduodenectomy {Pylorus-sparing Whipple operation}, superior  
-mesenteric vein {Structure of superior mesenteric vein}, venorrhaphy {Repair of vein with suture}, revision {Revision}, duodenojejunostomy {Duodenojejunostomy}, CBD {Common bile duct structure}, stents {Placement of stent}, Cholangitis {Cholangitis}, bacteremia {Bacteremia}, abscesses {Abscess}, bilomas {Biliary tract structure}, PTBD (last drained {Percutaneous transhepatic insertion of biliary drain}, recurrent C. diff {Recurrent infection caused by Clostridioides difficile}, suppressive therapy {Suppression treatment}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, PCI {Percutaneous coronary intervention}, HTN {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, OSA {Obstructive sleep apnea syndrome}, on CPAP {Dependence on continuous positive airway pressure ventilation}, SMV Thrombus {Superior mesenteric vein thrombosis}, GI bleed {Gastrointestinal hemorrhage}, bleed {Bleeding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mom - heart disease. Father, sister, and paternal uncle with MS. 
-
- 
-___ Exam:
-Admission physical exam: 
-T 98.6, BP 120/64, HR 78, RR 18, O2 98% RA
-Gen - no distress, sitting up in bed, appears fatigued but well
-HEENT - nc/at, eomi, perrla, op clear/no exudates, mmm
-Neck - supple, no LAD
-___ - RRR, S1/2, no m/r/g
-Lungs - CTA b/l, no w/r/r, +left chest port c/d/I
-Abd - soft, NT, ND, +BS, +left lower rib protruding anteriorly 
-without tenderness/ecchymosis, negative ___ sign, no 
-rebound, no guarding, no rigidity
-Ext - no c/c/e
-Skin - warm, dry, no rashes
-Psych - calm, appropriate mood and affect 
-
------------
-
-Discharge physical exam: 
-
-T97.7, BP 111/68, HR 57, RR 18, O2 99% RA
-
-PO 111 / 68 57 18 99   
-Gen - no distress, lying in bed and well appearing
-HEENT - nc/at, mmm, op clear
-Neck - supple, no lad
-___ - RRR, s1/2, no m/r/g
-Lungs - cta b/l, no w/r/r
-Abd - soft, NT, ND, +BS
-Ext - no c/c/e
-Skin - warm, dry, no rashes
-Psych - calm, appropriate mood and affect 
- 
-
-###RESPONSE: heart disease {Heart disease}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, distress {Distress}, sitting {Sitting position}, fatigued {Fatigue}, HEENT {Physical examination procedure}, eomi {Normal ocular motility}, perrla {Pupils equal, react to light and accommodation}, op clear {Pharynx normal}, exudates {Exudate}, mmm {Moist oral mucosa}, Neck - supple {Normal movement of neck}, LAD {Lymphadenopathy}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, Lungs {Examination of respiratory system}, CTA b/l {Normal breath sounds}, no w/r/r {Normal breath sounds}, left chest {Structure of left half of chest wall}, Abd - soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS {Normal bowel sounds}, left lower {Structure of inferior left thorax}, rib {Bone structure of rib}, tenderness {Tenderness}, ecchymosis {Ecchymosis}, negative {No abnormality detected}, sign {Sign}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, rigidity {Abdominal rigidity}, Ext {Examination of limb}, no c/c/e {No abnormality detected}, Skin {Examination of skin}, warm {Warm skin}, dry {Xeroderma}, rashes {Eruption of skin}, Psych {Psychological assessment}, calm {Feeling calm}, appropriate mood {Level of mood - normal}, affect {Appropriate affect}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, distress {Distress}, lying in bed {Lying in bed}, well appearing {Well cared for appearance}, HEENT {Physical examination procedure}, op clear {Pharynx normal}, Neck - supple {Normal movement of neck}, lad {Lymphadenopathy}, RRR {Normal heart rate}, no m/r/g {Heart sounds normal}, Lungs {Examination of respiratory system}, cta b/l {Normal breath sounds}, no w/r/r {Normal breath sounds}, Abd - soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, BS {Normal bowel sounds}, Ext {Examination of limb}, no c/c/e {No abnormality detected}, Skin {Examination of skin}, warm {Warm skin}, dry {Xeroderma}, rashes {Eruption of skin}, Psych {Psychological assessment}, calm {Feeling calm}, appropriate mood {Level of mood - normal}, affect {Appropriate affect}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:16PM   ___
-___ 06:00PM   ___ UREA ___ 
-___ TOTAL ___ ANION ___
-___ 06:00PM   ALT(SGPT)-34 AST(SGOT)-38 ALK ___ TOT 
-___
-___ 06:00PM   ___ 
-___ PLT ___
-
-CXR ___
-FINDINGS:  
-  
-Left chest wall port is seen with catheter tip in the right 
-atrium. Lungs are 
-well inflated and clear without consolidation, effusion, or 
-edema.  Nodules 
-projecting over the lung bases on both sides are most compatible 
-with nipple 
-shadows.  Cardiomediastinal silhouette is within normal limits.  
-Old healed 
-left posterolateral rib fractures are noted. 
-  
-IMPRESSION:  
-  
-No acute cardiopulmonary process. 
-
-----
-Labs & Imaging during hospitalization and on discharge:
- 
-
-___ 06:30AM BLOOD ___ 
-___ Plt ___
-___ 06:30AM BLOOD ___ 
-___
-___ 06:30AM BLOOD ___
-
-BCX ___ E. coli
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--     4 S
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CIPROFLOXACIN---------<=0.25 S
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----  =>16 R
-BCX ___ NGTD
-BCX ___hest ___
-IMPRESSION: 
-  
-  
--No acute intra thoracic abnormalities. 
--Stable ___ and micro nodules measuring 
-less than 6 mm.  
-Nodules have predominantly centrilobular distribution and are 
-likely 
-inflammatory, less likely infectious given stability.  No new 
-nodules. 
--No focal consolidation. 
-
-CT A/P ___
-IMPRESSION: 
-  
-  
-1. Soft tissue mass adjacent to SMA, SMV, portal confluence, 
-which measures 
-slightly smaller.  Attenuated and probably occluded confluence 
-of the portal 
-vein, SMV, similar to prior.  Soft tissue fullness about bowel 
-side margin of 
-the stents is similar. 
-2. Persistent intrahepatic biliary dilatation, similar to prior 
-with interval 
-increase in the degree of pneumobilia compared to ___, 
-consistent 
-with patent biliary stents. 
-
- 
-
-###RESPONSE: ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, CXR {Plain chest X-ray}, Left chest wall {Structure of left half of chest wall}, catheter {Insertion of central venous catheter}, right 
-atrium {Right atrial structure}, Lungs {Lung structure}, clear {Normal breath sounds}, consolidation {Consolidation}, effusion {Pleural effusion}, edema {Edema}, Nodules {Nodule}, lung bases {Structure of base of lung}, nipple {Nipple structure}, shadows {Shadow}, within normal limits {Measurement finding within reference range}, left {Bone structure of left rib}, rib fractures {Fracture of rib}, No acute {No abnormality detected}, cardiopulmonary {Cardiovascular physical examination}, BCX {Blood culture}, BCX {Blood culture}, BCX {Blood culture}, No acute {No abnormality detected}, intra thoracic {Structure of thoracic cavity and/or content}, abnormalities {No abnormality detected}, Stable {Patient's condition stable}, nodules {Nodule}, Nodules {Nodule}, inflammatory {Inflammatory disorder}, infectious {Infectious disease}, nodules {Nodule}, consolidation {Consolidation}, CT A/P {Computed tomography of abdomen and pelvis}, Soft tissue mass {Soft tissue mass}, SMA {Superior mesenteric artery structure}, SMV {Structure of superior mesenteric vein}, portal 
-vein {Portal vein structure}, SMV {Structure of superior mesenteric vein}, Soft tissue {Structure of soft tissue}, bowel {Intestinal structure}, stents {Placement of stent}, intrahepatic {Intrahepatic biliary tract structure}, biliary dilatation {Hypertrophy of bile duct}, biliary stents {Bile duct prosthesis procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-A/P
-
-___ with history of pancreatic adenocarcinoma s/p Whipple, 
-cholangitis, CBD stenting, bacteremia, DM, HLD, Htn presents to 
-___ with 2 day history of fever as well as ___ week history of 
-weakness, weight loss and fatigue found to have e. coli 
-bacteremia now stable on cefepime. ID was consulted and 
-recommended transition to PO cipro for total of 14 days of 
-therapy from last negative blood culture, patient with 12 days 
-remaining of treatment. No further fevers, and abdominal pain is 
-chronic/stable. 
-
-#Fever: 
-Blood cultures drawn on ___ returned with e coli bacteremia. 
-Infectious disease was consulted and initially he was on 
-cefepime and flagyl. A CT abdomen was obtained to determine 
-where the bacteremia seeded from. His CT was unchanged from 
-prior with no signs of obstruction in the right up quadrant and 
-patent stents. His UA was negative and kidneys were normal. His 
-bowel was unremarkable. Spoke with ERCP to determine if his 
-stents needed to be exchanged but given they are widely patent 
-felt that they did not. He will need to complete 2 weeks of 
-antibiotics and was discharge on cipro 500mg po q12hrs x 12 
-days. He will need to be placed back on suppressive therapy 
-decided on by ID; his Bactrim was held at the time of discharge. 
-The ___ clinic plans to call him to schedule his follow up 
-appointment within the next 2 weeks. 
-
-#Anion gap metabolic acidosis (AG 21)
-#Lactic acidosis (3.5)
-Improved with IVF and returned to normal 
-
-#Fatigue, weakness
-#Fall
--fall likely in the setting of fatigue and weakness
--has also had dec PO intake
--improving with rest, continued encouragement of po nutrition as 
-outpatient
--has close oncologic follow up
-
-#Hyponatremia -Improved with IVF  
-
-#History of pancreatic ca
--c/w home regimen: creon, hyoscyamine (new for patient), Bactrim 
-for ppx is on hold as patient is being treated with cipro, 
-ursodiol
-
-#Anemia - on IV iron as outpatient, no longer on PO ferrous 
-sulfate ___ absorption, monitor. Hg 9.5 and stable, did not 
-require transfusion while in the hospital. To resume IV iron 
-infusions as outpatient. 
-
-#Htn - c/w furosemide, metoprolol
-#DM - metformin held while in the hospital (ISS was used), 
-transition back to metformin upon discharge. 
-#HLD - held crestor ___ monitor liver function while in the 
-hospital. Okay to resume upon discharge. 
-#Hx GI bleed - c/w protonix. Now off aspirin in spite of hx CAD 
-w/ stenting given bleed.
-#Hx SMV thrombus - as above, off anticoagulation
-#CAD - off aspirin. Crestor as above. C/w metoprolol, Lasix. 
-#Code status - full
-#Dispo - d/c home with 12 days of PO cipro. Has oncology 
-appointment this ___, will have ID appointment within 
-2 weeks. 
-
- 
-
-###RESPONSE: pancreatic adenocarcinoma {Adenocarcinoma of pancreas}, Whipple {Pancreaticoduodenectomy}, cholangitis {Cholangitis}, CBD {Common bile duct structure}, stenting {Insertion of arterial stent}, bacteremia {Bacteremia}, DM {Diabetes mellitus}, HLD {Hyperlipidemia}, Htn {Hypertensive disorder, systemic arterial}, fever {Fever}, weakness {Asthenia}, weight loss {Weight loss}, fatigue {Fatigue}, e. coli 
-bacteremia {Bacteremia caused by Coliform}, stable {Patient's condition stable}, therapy {Therapy}, negative {No abnormality detected}, blood culture {Blood culture}, fevers {Fever}, abdominal pain {Abdominal pain}, chronic {Chronic disease}, stable {Patient's condition stable}, Fever {Fever}, Blood cultures {Blood culture}, bacteremia {Bacteremia}, Infectious disease {Infectious disease}, CT abdomen {Computed tomography of abdomen}, bacteremia {Bacteremia}, CT {Computed tomography}, signs {Sign}, obstruction {Obstruction}, right up quadrant {Structure of right upper quadrant of abdomen}, stents {Placement of stent}, negative {No abnormality detected}, kidneys {Kidney structure}, normal {No abnormality detected}, bowel {Intestinal structure}, unremarkable {No abnormality detected}, ERCP {Endoscopic retrograde cholangiopancreatography}, stents {Placement of stent}, exchanged {Replacement procedure}, antibiotics {Antibiotic therapy}, placed {Implantation procedure}, suppressive therapy {Suppression treatment}, metabolic acidosis {Metabolic acidosis}, Lactic acidosis {Lactic acidosis}, Improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, normal {No abnormality detected}, Fatigue {Fatigue}, weakness {Asthenia}, Fall {Falls}, fall {Falls}, fatigue {Fatigue}, weakness {Asthenia}, nutrition {Nutritional finding}, Hyponatremia {Hyponatremia}, Improved {Patient's condition improved}, IVF {Administration of intravenous fluids}, pancreatic {Pancreatic structure}, regimen {Therapeutic regimen}, Anemia {Anemia}, IV iron {Intravenous infusion of iron}, transfusion {Transfusion}, IV iron {Intravenous infusion of iron}, infusions {Infusion chemotherapy for malignant neoplasm}, Htn {Hypertensive disorder, systemic arterial}, DM {Diabetes mellitus}, ISS {Sliding scale insulin regime}, HLD {Hyperlipidemia}, monitor {Monitoring for signs and symptoms of infection}, liver {Disorder of liver}, GI bleed {Gastrointestinal hemorrhage}, CAD {Coronary arteriosclerosis}, stenting {Insertion of arterial stent}, bleed {Hemorrhage}, SMV thrombus {Superior mesenteric vein thrombosis}, anticoagulation {Anticoagulant therapy}, CAD {Coronary arteriosclerosis}, aspirin {Administration of aspirin}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Sulfameth/Trimethoprim DS 1 TAB PO DAILY 
-2. Zolpidem Tartrate 10 mg PO QHS:PRN sleep 
-3. Creon 12 6 CAP PO TID W/MEALS 
-4. Creon 12 1 CAP PO WITH SNACKS 
-5. Furosemide 40 mg PO DAILY 
-6. MetFORMIN (Glucophage) 1000 mg PO BID 
-7. Metoprolol Tartrate 50 mg PO BID 
-8. Multivitamins 1 TAB PO DAILY 
-9. Pantoprazole 40 mg PO Q24H 
-10. Rosuvastatin Calcium 20 mg PO QPM 
-11. Ursodiol 300 mg PO BID 
-12. Vitamin D 1000 UNIT PO DAILY 
-13. Hyoscyamine 0.375 mg PO BID 
-14. Iron Dextran Dose is Unknown  IV Frequency is Unknown 
-
- 
-Discharge Medications:
-1.  Ciprofloxacin HCl 500 mg PO Q12H Duration: 12 Days 
-to start tonight ___ at 9pm 
-RX *ciprofloxacin HCl 500 mg 1 tablet(s) by mouth q12hrs Disp 
-#*24 Tablet Refills:*0 
-2.  Creon 12 6 CAP PO TID W/MEALS  
-3.  Creon 12 1 CAP PO WITH SNACKS  
-4.  Furosemide 40 mg PO DAILY  
-5.  Hyoscyamine 0.375 mg PO BID  
-6.  Iron Dextran As prior mg IV AS PRIOR  
-7.  MetFORMIN (Glucophage) 1000 mg PO BID  
-8.  Metoprolol Tartrate 50 mg PO BID  
-9.  Multivitamins 1 TAB PO DAILY  
-10.  Pantoprazole 40 mg PO Q24H  
-11.  Rosuvastatin Calcium 20 mg PO QPM  
-12.  Ursodiol 300 mg PO BID  
-13.  Vitamin D 1000 UNIT PO DAILY  
-14.  Zolpidem Tartrate 10 mg PO QHS:PRN sleep  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-GNR Bacteremia 
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: GNR Bacteremia {Bacteremia caused by Gram-negative bacteria}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Mr. ___, 
-
-You were admitted to the hospital after you were found to have 
-fevers at home. Blood cultures were sent and you were found to 
-have bacteria in your blood stream. Infectious disease 
-specialists were consulted and you were started on IV 
-antibiotics. With this you improved and have been switched to 
-Cipro (pill form) for 12 additional days. A CT scan was obtained 
-to determine how the bacteria got in you blood stream. This CT 
-scan looked similar to your CT scan in ___. ID recommended 
-Cipro 500mg orally, twice a day, for 12 additional days. 
-
-A we discussed you should have close follow up with your 
-oncologist, your appointment is scheduled for this ___.  
-
- 
-
-###RESPONSE: fevers {Fever}, Blood cultures {Blood culture}, bacteria {Finding of presence of bacteria}, Infectious disease 
-specialists {Under care of infectious diseases physician}, IV 
-antibiotics {Intravenous antibiotic therapy}, improved {Patient's condition improved}, CT scan {Computed tomography}, bacteria {Finding of presence of bacteria}, CT 
-scan {Computed tomography}, CT scan {Computed tomography}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                 Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-Dyspnea on exertion
- 
-Major Surgical or Invasive Procedure:
-Left heart cath ___
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Dyspnea on exertion {Dyspnea on exertion}, Left heart cath {Catheterization of left heart}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Mr. ___ is an ___ with hypertension, hyperlipidemia, 
-chronic systolic heart failure, type 2 diabetes, valvular heart 
-disease, history of MRSA UTI who presented to ___ 
-___ with exertional dyspnea. 
-
-He was initially treated for congestive heart failure/acute 
-pulmonary edema with diuretics. He was seen in evaluation by 
-cardiology service-Dr. ___ had recommended 
-diuresis and an elective cardiac pacer for decompensated 
-congestive heart failure. Echocardiogram on ___ showed global 
-hypokinesis with severe hypokinesis of the inferoseptum, severe 
-aortic stenosis and significant mitral stenosis. Also noted was 
-pulmonary hypertension with estimated PA pressure of 85 mmHg. 
-
-He then underwent cardiac catheterization on ___ which showed 
-90% occlusion of the LAD, 30% stenosis of the midcircumflex, RCA 
-with 40% ostial stenosis, third obtuse marginal ostial 60% 
-stenosis. RCA also had proximal 50% stenosis. It was recommended 
-that he be transferred to a tertiary facility for intervention 
-of the above and valve repair. 
-
-While he was awaiting transfer, he had acute worsening of his 
-respiratory symptoms overnight (___), requiring transfer to 
-the ICU, intubated and mechanically ventilated for acute on 
-chronic systolic heart failure. Chest x-ray consistent with 
-acute pulmonary edema. Notably, per hospital records the patient 
-received over 2L fluid on ___ around time of left heart 
-cath.
-
-Additional doses of Lasix was administered, and he was 
-hypotensive post-intubation requiring Neo infusion (significant 
-tachycardia was noted with dopamine infusion). Tertiary care 
-facilities contacted for transfer.
-
-Patient also treated for UTI and pneumonia at OSH, had been on 
-Zosyn and Vancomycin started ___.
-
-Most recently at ___ on furosemide 80 mg twice a day IV. 
-Dobutamine infusion and Neo-Synephrine infusion at 150 mcg/min. 
-
-On arrival to the CCU, patient intubated and sedated, unable to 
-provide additional history.
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, chronic systolic heart failure {Chronic systolic heart failure}, type 2 diabetes {Diabetes mellitus type 2}, valvular heart 
-disease {Heart valve disorder}, MRSA {Methicillin resistant Staphylococcus aureus infection}, UTI {Urinary tract infectious disease}, exertional dyspnea {Dyspnea on exertion}, congestive heart failure {Congestive heart failure}, acute 
-pulmonary edema {Acute pulmonary edema}, diuretics {Diuretic therapy}, evaluation {Evaluation procedure}, cardiology service {Cardiology service}, diuresis {Diuretic therapy}, cardiac pacer {Implantation of cardiac pacemaker}, congestive heart failure {Congestive heart failure}, Echocardiogram {Echocardiography}, hypokinesis {Behavior showing reduced motor activity}, hypokinesis {Behavior showing reduced motor activity}, aortic stenosis {Aortic valve stenosis}, mitral stenosis {Mitral valve stenosis}, pulmonary hypertension {Pulmonary hypertension}, PA pressure of 85 mmHg {Pulmonary arterial pressure increased}, cardiac catheterization {Cardiac catheterization}, occlusion of the LAD {Occlusion of anterior descending branch of left coronary artery}, stenosis of the midcircumflex {Stenosis of mid portion of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, stenosis {Stenosis of right coronary artery}, obtuse marginal {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, stenosis {Stenosis of obtuse marginal branch of circumflex branch of left coronary artery}, RCA {Right coronary artery structure}, proximal {Structure of proximal portion of right coronary artery}, stenosis {Stenosis of right coronary artery}, repair {Surgical repair}, respiratory {Examination of respiratory system}, transfer to 
-the ICU {Patient transfer to intensive care unit}, intubated {Intubation}, acute on 
-chronic systolic heart failure {Acute on chronic systolic heart failure}, Chest x-ray {Plain chest X-ray}, acute pulmonary edema {Acute pulmonary edema}, fluid {Administration of intravenous fluids}, left heart 
-cath {Catheterization of left heart}, hypotensive {Low blood pressure}, intubation {Intubation}, infusion {Infusion}, tachycardia {Tachycardia}, infusion {Infusion of drug or medicament via intravenous route}, UTI {Urinary tract infectious disease}, pneumonia {Pneumonia}, Vancomycin {Antibiotic therapy}, infusion {Infusion of drug or medicament via intravenous route}, infusion {Infusion of drug or medicament via intravenous route}, intubated {Intubation}, sedated {Sedated}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-1. CARDIAC RISK FACTORS
-- Diabetes - yes
-- Hypertension - yes
-- Dyslipidemia - yes
-2. CARDIAC HISTORY
-- Coronaries: 
-Mid LAD: 90% stenosis. 
-RCA: 50% stenosis.
-LCx:
--Lesion on Mid CX: 30% stenosis.
--Lesion on ___ Ob Marg: Ostial.40% stenosis.
--Lesion on ___ Ob Marg: Ostial.60% stenosis.
-- Pump: Chronic systolic congestive heart failure
-- Rhythm: NSR prior to current hospitalization
-3. OTHER PAST MEDICAL HISTORY
-Chronic systolic congestive heart failure
-Hypertension
-Diabetes
-Diabetic neuropathy
-Dyslipidemia
-Restless leg syndrome
-History of skin cancer
-Possible history of stomach cancer
-Spinal stenosis
-
- 
-
-###RESPONSE: CARDIAC RISK FACTORS {Assessment for risk of cardiovascular disease}, Diabetes {Diabetes mellitus}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, CARDIAC {Heart disease}, Mid LAD {Structure of mid portion of anterior descending branch of left coronary artery}, stenosis {Stenosis}, RCA {Right coronary artery structure}, stenosis {Stenosis}, LCx {Structure of circumflex branch of left coronary artery}, Lesion {Lesion}, Mid CX {Structure of mid portion of circumflex branch of left coronary artery}, stenosis {Stenosis}, Lesion {Lesion}, Ob Marg {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, stenosis {Stenosis}, Lesion {Lesion}, Ob Marg {Structure of obtuse marginal branch of circumflex branch of left coronary artery}, stenosis {Stenosis}, Chronic systolic congestive heart failure {Chronic congestive heart failure}, NSR {Normal sinus rhythm}, Chronic systolic congestive heart failure {Chronic congestive heart failure}, Hypertension {Hypertensive disorder, systemic arterial}, Diabetes {Diabetes mellitus}, Diabetic neuropathy {Neuropathy due to diabetes mellitus}, Dyslipidemia {Dyslipidemia}, Restless leg syndrome {Restless legs}, skin cancer {Malignant neoplasm of skin}, stomach cancer {Malignant tumor of stomach}, Spinal stenosis {Spinal stenosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father died at age of ___ due to heart attack
-Mother died at age ___ due to old age
-Daughter died due to probably lung cancer
- 
-
-###RESPONSE: died {Dead}, heart attack {Myocardial infarction}, died {Dead}, old age {Old-age}, died {Dead}, lung cancer {Malignant tumor of lung}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Admission exam:
-VS: T 98.6 BP 117/59  HR 82 RR 16 O2 SAT 90% on CMV 450V, 
-rate=16, FoP2 40%, PEEP 5
-GENERAL: Intubated, sedated.
-HEENT: Normocephalic atraumatic. Sclera anicteric. PERRL. 
-NECK: Supple. JVP of not elevated (lying flat). R IJ in place.
-CARDIAC: PMI located in ___ intercostal space, midclavicular 
-line. Regular rate and rhythm. Normal S1, S2. ___ systolic 
-murmur loudest at LUSB.
-LUNGS: No chest wall deformities or tenderness. Respiration is 
-unlabored on ventilator. Slight rales in bases; no wheezes or 
-rhonchi.
-ABDOMEN: Soft, non-tender, non-distended. No hepatomegaly. No 
-splenomegaly. Bruise at sites of heparin injections at flanks 
-and umbilicus.
-EXTREMITIES: Warm, well perfused. No clubbing, cyanosis; minimal 
-peripheral edema in ankles. 
-SKIN: No significant skin lesions or rashes.
-PULSES: Distal pulses not palpable but dopplerable.
-LINES: Right IJ. Peripherals.
-
-Discharge exam:
-Patient deceased
- 
-
-###RESPONSE: VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 SAT {Oxygen saturation measurement}, CMV {Invasive mechanical ventilation}, GENERAL {General examination of patient}, Intubated {Intubation}, sedated {Sedated}, HEENT {Physical examination procedure}, Normocephalic {Normal head}, atraumatic {No injuries apparent}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, lying {Lying in bed}, R IJ {Structure of right internal jugular vein}, in place {Intravenous catheter in situ}, CARDIAC {Cardiovascular physical examination}, intercostal space {Structure of intercostal space}, midclavicular 
-line {Midclavicular line}, Regular rate and rhythm {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, LUSB {Structure of upper parasternal region}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, tenderness {Tenderness}, Respiration {Examination of respiratory system}, rales {Respiratory crackles}, bases {Structure of base of lung}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, hepatomegaly {Large liver}, splenomegaly {Splenomegaly}, Bruise at sites of heparin injections {Injection site bruising}, flanks {Flank structure}, umbilicus {Umbilical structure}, EXTREMITIES {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, SKIN {Examination of skin}, lesions {Lesion}, rashes {Eruption of skin}, Distal pulses not palpable {Peripheral pulses impalpable}, Right IJ {Structure of right internal jugular vein}, deceased {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission results:
-___ 09:22PM   TYPE-CENTRAL VE
-___ 09:22PM   LACTATE-1.6
-___ 09:22PM   O2 SAT-62
-___ 07:23PM URINE  COLOR-Yellow APPEAR-Hazy SP ___
-___ 07:23PM URINE  BLOOD-SM  NITRITE-NEG PROTEIN-30 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 
-LEUK-NEG
-___ 07:23PM URINE  RBC-4* WBC-6* BACTERIA-FEW YEAST-OCC 
-EPI-0
-___ 07:23PM URINE  HYALINE-6*
-___ 07:23PM URINE  AMORPH-OCC
-___ 07:23PM URINE  MUCOUS-RARE
-___ 06:04PM   GLUCOSE-220* UREA N-35* CREAT-1.4* SODIUM-136 
-POTASSIUM-4.1 CHLORIDE-99 TOTAL CO2-27 ANION GAP-14
-___ 06:04PM   estGFR-Using this
-___ 06:04PM   ALT(SGPT)-4475* AST(SGOT)-6516* LD(LDH)-6980* 
-CK(CPK)-69 ALK PHOS-103 TOT BILI-1.4
-___ 06:04PM   CK-MB-2 cTropnT-0.06*
-___ 06:04PM   ALBUMIN-3.4* CALCIUM-8.2* PHOSPHATE-5.2* 
-MAGNESIUM-1.9
-___ 06:04PM   WBC-11.1* RBC-2.94* HGB-8.0* HCT-27.6* MCV-94 
-MCH-27.2 MCHC-29.0* RDW-15.4 RDWSD-53.1*
-___ 06:04PM   PLT COUNT-354
-___ 06:04PM   ___ PTT-30.8 ___
-___ 05:18PM   TYPE-ART PO2-251* PCO2-43 PH-7.39 TOTAL 
-CO2-27 BASE XS-1
-
-Discharge Exam:
-
-___ 06:05AM BLOOD WBC-27.9* RBC-2.51* Hgb-7.0* Hct-24.1* 
-MCV-96 MCH-27.9 MCHC-29.0* RDW-19.6* RDWSD-66.0* Plt ___
-___ 06:05AM BLOOD Neuts-84* Bands-0 Lymphs-2* Monos-14* 
-Eos-0 Baso-0 ___ Myelos-0 NRBC-2* AbsNeut-23.44* 
-AbsLymp-0.56* AbsMono-3.91* AbsEos-0.00* AbsBaso-0.00*
-___ 06:05AM BLOOD Hypochr-1+ Anisocy-2+ Poiklo-1+ 
-Macrocy-2+ Microcy-1+ Polychr-1+ Ovalocy-1+ Schisto-OCCASIONAL 
-Burr-OCCASIONAL Tear Dr-1+ Pappenh-OCCASIONAL Ellipto-1+
-___ 06:05AM BLOOD Plt Smr-LOW Plt ___
-___ 06:05AM BLOOD Glucose-198* UreaN-96* Creat-1.6* Na-133 
-K-3.5 Cl-96 HCO3-21* AnGap-20
-___ 06:05AM BLOOD ALT-736* AST-956* LD(LDH)-1261* 
-AlkPhos-111 TotBili-4.2*
-___ 06:05AM BLOOD Calcium-7.2* Phos-6.1* Mg-2.2
-___ 06:05AM BLOOD Vanco-19.3
-___ 06:12AM BLOOD Type-ART Temp-38.0 Rates-30/ Tidal V-450 
-PEEP-8 FiO2-70 pO2-125* pCO2-37 pH-7.41 calTCO2-24 Base XS-0 
-As/Ctrl-ASSIST/CON Intubat-INTUBATED
-___ 06:12AM BLOOD Lactate-2.4*
- 
-
-###RESPONSE: O2 SAT {Oxygen saturation measurement}, URINE {Evaluation of urine specimen}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, URINE {Evaluation of urine specimen}, RBC {Red blood cell count}, WBC {White blood cell count}, AST {Aspartate aminotransferase measurement}, URINE {Evaluation of urine specimen}, URINE {Evaluation of urine specimen}, URINE {Evaluation of urine specimen}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, PHOS {Phosphate, total measurement}, TOT BILI {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, PH {pH measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Temp {Body temperature finding}, pH {pH measurement}, INTUBATED {Intubation}, Lactate {Lactic acid measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Mr. ___ is an ___ with hypertension, hyperlipidemia, 
-chronic systolic heart failure, valvular heart disease, who 
-presented to ___ ___ with exertional dyspnea. 
-Found to have severe AS and three vessel disease on LHC, 
-developed pulmonary edema requiring intubation. He was 
-transferred to ___ for PCI and underwent a repeat LHC w/ 
-successful DES to the LAD. Patient also had posturing that was 
-initially concerning for a seizure vs. stroke. However, both CT 
-head and an MRI showed no acute process and an EEG showed no 
-evidence of a seizure.Patient was unable to be weaned off 
-pressors subsequently developed a mixed septic/cardiogenic shock 
-___ to severe MR and HCAP which were treated with broad spectrum 
-antibiotics and aggressive diuresis with minimal improvement. He 
-continued to spike fevers without a clear source. Imaging was 
-not revealing. He also developed a new onset of atrial 
-fibrillation for which he was rate-controlled and 
-anticoagulated. Mechanical ventilation could also not be weaned 
-as the patient developed ___ respirations without full 
-ventilation support. Despite being on multiple pressors, 
-patient's pressures continued to downtrend and the patient 
-eventually passed. 
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, chronic systolic heart failure {Chronic systolic heart failure}, valvular heart disease {Heart valve disorder}, exertional dyspnea {Dyspnea on exertion}, three vessel disease {Coronary occlusion}, LHC {Catheterization of left heart}, pulmonary edema {Pulmonary edema}, intubation {Intubation}, PCI {Percutaneous coronary intervention}, LHC {Catheterization of left heart}, LAD {Structure of anterior descending branch of left coronary artery}, seizure {Seizure}, stroke {Cerebrovascular accident}, CT 
-head {Computed tomography of head}, MRI {Magnetic resonance imaging of head}, EEG {Electroencephalogram}, seizure {Seizure}, pressors {Hypotensive therapy}, septic {Septic shock}, cardiogenic shock {Cardiogenic shock}, MR {Mitral valve regurgitation}, HCAP {Nosocomial pneumonia}, antibiotics {Antibiotic therapy}, diuresis {Diuretic therapy}, fevers {Fever}, Imaging {Imaging}, atrial 
-fibrillation {Atrial fibrillation}, anticoagulated {Anticoagulant therapy}, Mechanical ventilation {Invasive mechanical ventilation}, full 
-ventilation support {Invasive mechanical ventilation}, pressors {Hypotensive therapy}, pressures {Blood pressure monitoring}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. Gabapentin 300 mg PO BID 
-3. SAXagliptin 5 mg oral DAILY 
-4. Simvastatin 40 mg PO QPM 
-5. amLODIPine 10 mg PO DAILY 
-6. GlipiZIDE 10 mg PO BID 
-7. Carvedilol 6.25 mg PO BID 
-8. melatonin 3 mg oral QHS:PRN 
-9. Potassium Chloride Dose is Unknown  PO DAILY 
-10. Torsemide 40 mg PO BID 
-
- 
-Discharge Medications:
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Expired
- 
-Discharge Diagnosis:
-# Shock: mixed cardiogenic, septic
-# Fevers of unknown origin: 
-___
-# Hypoxic resp failure: .... thoracics was gonna do trach peg
-  # Acute on chronic systolic CHF EF 25% with 3+ MR: Lasix
-  # HCAP: meropenem 500mg IV q12hx14d, ___. 
-# Toxic metabolic encephalopathy
-# Hyponatremia 
-# Congestive Hepatopathy
-# AFib w/ RVR: hep gtt+/- warfarin 
-# ___: stable
-
- 
-Discharge Condition:
-Deceased
- 
-                             ___ MD ___
- 
-Completed by: ___
-
-###RESPONSE: Shock {Shock}, cardiogenic {Cardiogenic shock}, septic {Septic shock}, Fevers of unknown origin {Pyrexia of unknown origin}, Hypoxic resp failure {Hypoxemic respiratory failure}, chronic systolic CHF {Acute on chronic systolic heart failure}, MR {Mitral valve regurgitation}, HCAP {Nosocomial pneumonia}, Toxic metabolic encephalopathy {Toxic metabolic encephalopathy}, Hyponatremia {Hyponatremia}, Hepatopathy {Disorder of liver}, AFib w/ RVR {Atrial fibrillation with rapid ventricular response}, stable {Patient's condition stable}, Deceased {Dead}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___              Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Penicillins / morphine / Imitrex
- 
-Attending: ___.
- 
-Chief Complaint:
-Bright Red Blood per Rectum
- 
-Major Surgical or Invasive Procedure:
-Esophagogastroduodenoscopy & Colonoscopy on ___
-
- 
-
-###RESPONSE: Penicillins {Allergy to penicillin}, morphine {Allergy to morphine}, Bright Red Blood per Rectum {Hematochezia}, Esophagogastroduodenoscopy {Esophagogastroduodenoscopy}, Colonoscopy {Colonoscopy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ y/o woman with
-history of HFpEF, mitral valve disease s/p mechanical MVR on
-high-dose warfarin due to warfarin resistance, ___, CAD, HTN,
-HLD, DMII, COPD, pyloric channel ulcer with upper GIB in ___
-who presents with bright red blood per rectum.
-
-The patient was recently admitted to ___ for
-acute on chronic diastolic heart failure exacerbation, and was
-discharged to rehab on ___. 
-
-She then developed nausea, vomiting, diarrhea, and severe
-right-sided lower abdominal pain on ___. The pain worsened on
-___, so she presented to ___. CT 
-abdomen/pelvis
-at that time showed ileocolitis. C. diff per notes was negative.
-Gastroenterology was consulted, and the patient was treated with
-a 14-day course of ceftriaxone/Flagyl (Last day: ___. The
-patient tells me that her abdominal pain resolved, and she felt
-much better.
-
-The patient has a history of warfarin resistance and requires
-high doses of warfarin to maintain a therapeutic INR. During 
-this
-admission and ___, she received low doses of warfarin (5
-mg) and her INR was subtherapeutic, so she was initiated on a
-heparin gtt as bridging therapy. At approximately 0200 on 
-___
-she awoke with abdominal cramping and had a large amount of
-bright red blood per rectum with clots. She reports that
-throughout the days she continued to have more than 10 bloody
-bowel movements with clots. She denies any lightheadedness,
-dizziness, chest pain, palpitations, shortness of breath. Her
-heparin gtt was stopped and warfarin was held.
-
-Hb downtrended to 7.6 a time of discharge; transfusion was
-planned prior to transport but given blood antibodies patient 
-not
-able to be matched expeditiously so transferred without
-transfusion. INR was 2.5 at time of transfer.
-
-On arrival, the patient reports that she feels ""awful."" She
-recounts the above history, and reports a cramping bilateral
-lower abdominal pain. This pain feels different in quality to 
-the
-right-sided lower abdominal pain that brought her to ___
-originally. Denies nausea, vomiting. No fevers or chills. 
-Reports
-nonexertional substernal chest discomfort that she attributes to
-anxiety regarding her current clinical condition. No shortness 
-of
-breath or cough. No other complaints at this time.
-
- 
-
-###RESPONSE: HFpEF {Heart failure with normal ejection fraction}, mitral valve disease {Mitral valve disorder}, mechanical MVR {Mechanical prosthetic mitral valve replacement}, on
-high-dose warfarin {Warfarin therapy}, CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, DMII {Diabetes mellitus type 2}, COPD {Chronic obstructive lung disease}, pyloric channel ulcer {Prepyloric ulcer}, upper GIB {Upper gastrointestinal hemorrhage}, bright red blood per rectum {Hematochezia}, acute on chronic diastolic heart failure {Acute on chronic diastolic heart failure}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, right-sided lower abdominal pain {Right lower quadrant pain}, pain {Pain}, CT 
-abdomen/pelvis {Computed tomography of abdomen and pelvis}, ileocolitis {Regional ileocolitis}, abdominal pain {Abdominal pain}, INR was subtherapeutic {International normalized ratio below reference range}, heparin gtt as bridging therapy {Heparin therapy}, abdominal cramping {Stomach cramps}, bright red blood per rectum {Hematochezia}, clots {Blood clot}, bloody
-bowel movements {Hematochezia}, clots {Blood clot}, lightheadedness {Lightheadedness}, dizziness {Dizziness}, chest pain {Chest pain}, palpitations {Palpitations}, shortness of breath {Dyspnea}, heparin {Heparin therapy}, transfusion {Transfusion}, matched {Major crossmatch}, transfusion {Transfusion}, lower abdominal pain {Lower abdominal pain}, pain {Pain}, right-sided lower abdominal pain {Right lower quadrant pain}, nausea, vomiting {Nausea and vomiting}, fevers {Fever}, chills {Chill}, substernal {Structure of substernal region}, chest discomfort {Chest discomfort}, anxiety {Anxiety}, shortness 
-of
-breath {Dyspnea}, cough {Cough}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-Hypertension  
-Diabetes mellitus (A1c 7.3 in ___  
-Pulmonary Hypertension  
-Possible Rheumatic heart disease  
-Paroxysmal Afib  
-Morbid obesity  
-Asthma  
-Chronic obstructive pulmonary disease  
-Migraines  
-Obstructive sleep apnea (not using CPAP at home)  
-Depression/Bipolar disorder  
-Possible Fibromyalgia on Percocet  
-Osteoarthritis  
-History of Bells Palsy  
-s/p mechanical mitral valve replacement/closure foramen 
-ovale/resection left atrial appendage/talon closure sternum 
-___  
-s/p cervical spine surgery in ___ at ___  
-s/p ___ for excessive bleeding in ___  
-s/p C-section x 2  
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Diabetes mellitus {Diabetes mellitus}, Pulmonary Hypertension {Pulmonary hypertension}, Rheumatic heart disease {Rheumatic heart disease}, Paroxysmal Afib {Paroxysmal atrial fibrillation}, Morbid obesity {Morbid obesity}, Asthma {Asthma}, Chronic obstructive pulmonary disease {Chronic obstructive lung disease}, Migraines {Migraine}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, CPAP {Continuous positive airway pressure ventilation treatment}, Depression {Depressive disorder}, Bipolar disorder {Bipolar disorder}, Fibromyalgia {Fibromyalgia}, Osteoarthritis {Osteoarthritis}, Bells Palsy {Bell's palsy}, mechanical mitral valve replacement {Mechanical prosthetic mitral valve replacement}, closure foramen 
-ovale {Closure of patent foramen ovale}, resection {Excision}, left atrial appendage {Structure of left auricular appendage}, closure {Reparative closure}, sternum {Bone structure of sternum}, cervical spine surgery {Surgical procedure on cervical spine}, bleeding {Bleeding}, C-section {Cesarean section}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Significant for fibromyalgia in her brother, mother and maternal 
-aunt. History of ovarian, breast, and colon cancer in maternal 
-side. Congenital heart disease in niece. Mother with RHD and MVR 
-as well as MI in her ___. MGF with stroke in ___. 
- 
-
-###RESPONSE: fibromyalgia {Fibromyalgia}, ovarian {Malignant tumor of ovary}, breast {Malignant neoplasm of breast}, colon cancer {Malignant neoplasm of colon}, Congenital heart disease {Congenital heart disease}, RHD {Rheumatic heart disease}, MVR {Replacement of mitral valve}, MI {Myocardial infarction}, stroke {Cerebrovascular accident}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL EXAM:
-========================
-VS: 97.7 122/79 73 18 93 Ra 
-GEN: Alert, lying in bed, appears mildly uncomfortable
-HEENT: Moist MM, anicteric sclerae, no conjunctival pallor, 
-right
-pupil 5mm and reactive, left pupil 4 mm and reactive, EOMI  
-NECK: Supple without LAD; neck veins flat  
-PULM: CTAB, no w/r/r
-COR: RRR, loud mechanical S1
-ABD: Obese, BS+, soft, diffusely tender in lower abdomen without
-rebound or guarding 
-EXTREM: Warm, well-perfused, no pitting edema
-SKIN: Venous stasis changes on bilateral lower extremities  
-NEURO: AOx3 CN II-XII grossly intact, motor function grossly
-normal
-PSYCH: Anxious mood and affect 
-
-DISCHARGED PHYSICAL EXAM:
-=========================
-GEN: Alert, laying flat in bed, appears more comfortable, put on 
-make-up
-NECK: Supple without LAD; neck veins flat  
-PULM: CTAB, COR: RRR, loud mechanical S1
-ABD: Obese, BS+, soft, tenderness to palpation in RUQ and RLQ 
-without rebound or guarding 
-EXTREM: Warm, well-perfused, no pitting edema, 
-SKIN: Venous stasis changes on bilateral lower extremities  
-PSYCH: Calm mood and affect
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VS {Vital signs finding}, GEN {General examination of patient}, Alert {Mentally alert}, lying in bed {Lying in bed}, HEENT {Physical examination procedure}, Moist MM {Moist oral mucosa}, anicteric sclerae {White sclera}, pallor {Pallor of skin of face}, right
-pupil {Structure of pupil of right eye}, left pupil {Structure of pupil of left eye}, EOMI {Normal ocular motility}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, neck veins {Structure of vein of neck}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, no w/r/r {Normal breath sounds}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, loud {Heart sounds exaggerated}, ABD {Examination of abdomen}, Obese {Obese}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, tender {Abdominal tenderness}, lower abdomen {Lower abdomen structure}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREM {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, edema {Edema}, SKIN {Examination of skin}, Venous stasis {Venous stasis}, lower extremities {Lower limb structure}, NEURO {Neurological examination}, AOx3 {Oriented to person, time and place}, grossly intact {Normal nervous system function}, motor function grossly
-normal {Normal motor response to command}, PSYCH {Psychological assessment}, Anxious mood {Anxiety}, affect {Mood finding}, GEN {General examination of patient}, Alert {Mentally alert}, laying flat in bed {Lying in bed}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, neck veins {Structure of vein of neck}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, loud {Heart sounds exaggerated}, ABD {Examination of abdomen}, Obese {Obese}, BS+ {Normal bowel sounds}, soft {Abdomen soft}, tenderness to palpation in RUQ {Tenderness of right upper quadrant of abdomen}, RLQ {Tenderness of right lower quadrant of abdomen}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREM {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, pitting edema {Pitting edema}, SKIN {Examination of skin}, Venous stasis {Venous stasis}, bilateral lower extremities {Both lower extremities}, PSYCH {Psychological assessment}, Calm {Feeling calm}, mood {Level of mood - normal}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 07:07PM   HGB-8.2* calcHCT-25
-___ 06:18PM   ___ PTT-41.0* ___
-___ 06:18PM   WBC-5.9 RBC-3.11* HGB-7.7* HCT-26.0* MCV-84 
-MCH-24.8* MCHC-29.6* RDW-21.3* RDWSD-64.3*
-___ 06:18PM   ALT(SGPT)-24 AST(SGOT)-14 LD(LDH)-191 ALK 
-PHOS-109* TOT BILI-<0.2
-
-DISCHARGE LABS:
-===============
-___ 04:47AM BLOOD WBC-6.4 RBC-3.45* Hgb-8.5* Hct-28.8* 
-MCV-84 MCH-24.6* MCHC-29.5* RDW-20.7* RDWSD-62.4* Plt ___
-___ 04:47AM BLOOD ___ PTT-40.5* ___
-
-EGD ___
-IMPRESSION:
-Normal mucosa in the whole esophagus. 
-Erosions in the antrum. 
-Normal mucosa in the whole examined duodenum. 
-
-COLONOSCOPY ___:
-IMPRESSION:
-High residue material was noted throughout. Multiple attempts 
-were made to irrigate the colon but the mucosa could not be 
-visualized adequately. 
-Severe diverticulosis of the sigmoid colon. 
-No evidence of active GI bleeding 
- 
-
-###RESPONSE: HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, PTT {Partial thromboplastin time, activated}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TOT BILI {Bilirubin, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, EGD {Esophagogastroduodenoscopy}, Normal mucosa in the whole esophagus {Esophagus normal}, Erosions {Gastroesophageal erosion}, antrum {Pyloric antrum structure}, mucosa {Mucous membrane structure}, duodenum {Duodenal structure}, irrigate the colon {Irrigation of colon}, mucosa {Mucous membrane structure}, diverticulosis of the sigmoid colon {Diverticulosis of sigmoid colon}, GI bleeding {Gastrointestinal hemorrhage}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ y/o woman with history of HFpEF, mitral 
-valve disease s/p mechanical MVR on high-dose warfarin due to 
-warfarin resistance, CAD, HTN, HLD, DMII, COPD who presents with 
-bright red blood per rectum.
-
-#Diverticulosis, GI bleed, acute blood loss anemia:
-Patient presented with bright red blood per rectum. CT A/P with 
-contrast at OSH on ___ showed sigmoid diverticulosis but no 
-evidence of active bleeding. Patient also has history of 
-mechanical MVR and warfarin resistance requiring high dose 
-warfarin (35mg) for target INR of 2.5-3.5. On presentation, INR 
-was 3.7 and Hgb was 7.9. Hgb remained stable throughout 
-hospitalization, she required no blood transfusion while at 
-___, and patient received EGD (which was significant for 
-antral erosions) and colonoscopy that revealed extensive 
-diverticulosis but no active bleeding. She had a stool h.pylori 
-ordered that was not resulted at the time of discharge. Patient 
-then remained without active bleeding for the rest of her 
-hospitalization and Hgb trended upward- was 8.5 on day of 
-discharge.
-
-#Abdominal Pain: Presented with cramping abdominal pain after 2 
-weeks of antibiotics for ileocolitis and resolution of original 
-pain. CT on ___ showed no signs of ongoing colitis, but patient 
-continued to have new pain. Pain was treated with home 
-medications, including tramadol, in an otherwise opioid-sparing 
-pain regimen, given patient's history of hospital-enabled opioid 
-use disorder.
-
-#Opioid Use Disorder: Patient had been previously started on 
-tramadol iso of osteoarthritis. Patient has multiple other 
-stressors in her life including recent divorce and loneliness. 
-Made mentions of helplessness while inpatient. All of this may 
-be compounding her experience of physical pain and creating her 
-want for more medications. Following up possible solutions to 
-opioid use will be necessary to ensure optimal outcomes in the 
-future.
-
-#Mitral Regurgitation s/p Mechanical MVR:
-Given warfarin resistance is maintained on ___ of warfarin 
-daily. Presented with INR of 3.0. She was given smaller doses of 
-warfarin as inpatient to have INR brought down to 2.5 for 
-___. Had an INR of 2.3 (subtherapeutic) on day of 
-discharge. Was thus bridged with Lovenox, given home dose of 
-warfarin, and discharged with instructions for daily INR at 
-___ rehab facility. Once INR 2.5 or higher, can 
-discontinue Lovenox.
-
-CHRONIC ISSUES:
-================
-#Paroxysmal Afib: Maintained normal sinus rhythm while 
-inpatient. Continued home metoprolol and warfarin.
-
-#Chronic HFpEF: Euvolemic at presentation. Home furosemide, 
-lisinopril, and metoprolol continued. 
-
-#Chest Pain: Patient w/ history of single-vessel CAD- presented 
-initially with atypical chest pain. Pain was non-exertional (had 
-normal ekg and negative enzymes). Resolved with home Lorazepam. 
-Chest pain free for several days prior to discharge
-
-#CAD: Continued home statin, metoprolol, and asa while 
-inpatient. 
-
-#COPD: No evidence of acute exacerbation while inpatient. 
-
-#HTN: Home BP medications continued. 
-
-#DMII: ISS continued in house. Metformin held inpatient but OK 
-to resume on discharge.
-
-#Anxiety: Continued home Ativan. 
-
-#Obstructive Sleep Apnea: Continued CPAP at night. 
-
-#OA of the R knee: Continued home gabapentin and tramadol. 
-
-TRANSITIONAL ISSUES:
-=====================
-[] Patient will need daily INR checks to ensure that her INR is 
-between 2.5-3.5. If her INR is 2.5 or above, can discontinue 
-Lovenox, and continue to titrate warfarin as necessary for INR 
-goal. Of note, history of warfarin resistance requiring very 
-high doses.
-[] Avoid Narcotics for pain relief as possible
-[] F/u w/ PCP after discharge from Rehab
-[] F/u H. pylori antigen test
- 
-
-###RESPONSE: HFpEF {Heart failure with normal ejection fraction}, mitral 
-valve disease {Mitral valve disorder}, mechanical MVR {Mechanical prosthetic mitral valve replacement}, on high-dose warfarin {Warfarin therapy}, CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, DMII {Diabetes mellitus type 2}, COPD {Chronic obstructive lung disease}, bright red blood per rectum {Hematochezia}, bright red blood per rectum {Hematochezia}, CT A/P with 
-contrast {Computed tomography of abdomen and pelvis with contrast}, sigmoid diverticulosis {Diverticulitis of sigmoid colon}, bleeding {Bleeding}, mechanical MVR {Mechanical prosthetic mitral valve replacement}, blood transfusion {Transfusion of blood product}, EGD {Esophagogastroduodenoscopy}, antral {Pyloric antrum structure}, erosions {Gastroesophageal erosion}, colonoscopy {Colonoscopy}, diverticulosis {Diverticulosis of large intestine}, bleeding {Bleeding}, stool h.pylori {Helicobacter pylori antigen assay}, bleeding {Bleeding}, Abdominal Pain {Abdominal pain}, cramping {Stomach cramps}, abdominal pain {Abdominal pain}, antibiotics {Antibiotic therapy}, ileocolitis {Regional ileocolitis}, pain {Abdominal pain}, CT {Computed tomography}, colitis {Colitis}, pain {Pain}, Pain {Pain}, pain regimen {Pain management}, opioid 
-use disorder {Opioid dependence}, Opioid Use Disorder {Opioid dependence}, osteoarthritis {Osteoarthritis}, divorce {Divorce, life event}, loneliness {Feeling lonely}, pain {Pain}, Paroxysmal Afib {Paroxysmal atrial fibrillation}, normal sinus rhythm {Normal sinus rhythm}, Chronic {Chronic disease}, HFpEF {Heart failure with normal ejection fraction}, Euvolemic {Normal blood volume}, lisinopril {Angiotensin converting enzyme inhibitor therapy}, Chest Pain {Chest pain}, single-vessel CAD {Single coronary vessel disease}, atypical chest pain {Atypical chest pain}, Pain {Chest pain}, ekg {Electrocardiographic procedure}, Chest pain {Chest pain}, CAD {Coronary arteriosclerosis}, COPD {Chronic obstructive lung disease}, acute exacerbation {Acute exacerbation of chronic obstructive airways disease}, HTN {Hypertensive disorder, systemic arterial}, DMII {Diabetes mellitus type 2}, Anxiety {Anxiety}, Obstructive Sleep Apnea {Obstructive sleep apnea syndrome}, CPAP at night {Nocturnal continuous positive airway pressure}, OA of the R knee {Osteoarthritis of right knee joint}, pain relief {Pain relief}, PCP {Primary care management}, H. pylori antigen test {Helicobacter pylori antigen assay}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Acetaminophen-Caff-Butalbital ___ TAB PO Q8H:PRN Headache 
-2. Aspirin 81 mg PO DAILY 
-3. Atorvastatin 80 mg PO QPM 
-4. Fluticasone Propionate 110mcg 2 PUFF IH BID 
-5. Furosemide 80 mg PO BID 
-6. Gabapentin 1200 mg PO TID 
-7. Lidocaine 5% Patch 1 PTCH TD DAILY 
-8. Lisinopril 2.5 mg PO DAILY 
-9. LORazepam 1 mg PO Q6H:PRN anxiety 
-10. Nicotine Patch 21 mg TD DAILY 
-11. TraMADol 75 mg PO Q6H:PRN Pain - Moderate 
-12. Venlafaxine XR 150 mg PO QPM 
-13. Metoprolol Succinate XL 25 mg PO DAILY 
-14. MetFORMIN (Glucophage) 500 mg PO DAILY 
-15. Warfarin 35 mg PO DAILY16 
-16. Benzonatate 100 mg PO TID 
-17. Simethicone 40-80 mg PO QID:PRN Gas 
-18. Potassium Chloride 20 mEq PO DAILY 
-19. TraZODone 150 mg PO QHS 
-20. DICYCLOMine 20 mg PO TID 
-21. Tolterodine 4 mg PO DAILY 
-22. Pantoprazole 40 mg PO Q24H 
-23. Sucralfate 1 gm PO QID 
-24. Albuterol Inhaler 2 PUFF IH Q6H:PRN Wheezing 
-25. Nitroglycerin SL 0.4 mg SL Q5MIN:PRN Chest pain 
-26. nystatin 100,000 unit/gram topical TID:PRN 
-
- 
-Discharge Medications:
-1.  Enoxaparin Sodium 140 mg SC BID 
-Start: Today - ___, First Dose: Next Routine Administration 
-Time  
-2.  Prochlorperazine 10 mg PO Q6H:PRN nausea  
-3.  Acetaminophen-Caff-Butalbital ___ TAB PO Q8H:PRN Headache 
-RX *butalbital-acetaminophen-caff 50 mg-325 mg-40 mg ___ 
-tablet(s) by mouth every 8 hours Disp #*12 Tablet Refills:*0 
-4.  Albuterol Inhaler 2 PUFF IH Q6H:PRN Wheezing  
-5.  Aspirin 81 mg PO DAILY  
-6.  Atorvastatin 80 mg PO QPM  
-7.  Benzonatate 100 mg PO TID  
-8.  DICYCLOMine 20 mg PO TID  
-9.  Fluticasone Propionate 110mcg 2 PUFF IH BID  
-10.  Furosemide 80 mg PO BID  
-11.  Gabapentin 1200 mg PO TID  
-12.  Lidocaine 5% Patch 1 PTCH TD DAILY  
-13.  Lisinopril 2.5 mg PO DAILY  
-14.  LORazepam 1 mg PO Q6H:PRN anxiety 
-RX *lorazepam 1 mg 1 tablet by mouth every 6 hours Disp #*8 
-Tablet Refills:*0 
-15.  MetFORMIN (Glucophage) 500 mg PO DAILY  
-16.  Metoprolol Succinate XL 25 mg PO DAILY  
-17.  Nicotine Patch 21 mg TD DAILY  
-18.  Nitroglycerin SL 0.4 mg SL Q5MIN:PRN Chest pain  
-19.  nystatin 100,000 unit/gram topical TID:PRN  
-20.  Pantoprazole 40 mg PO Q24H  
-21.  Potassium Chloride 20 mEq PO DAILY 
-Hold for K >  
-22.  Simethicone 40-80 mg PO QID:PRN Gas  
-23.  Sucralfate 1 gm PO QID  
-24.  Tolterodine 4 mg PO DAILY  
-25.  TraMADol 75 mg PO Q6H:PRN Pain - Moderate 
-RX *tramadol 50 mg 1.5 tablet(s) by mouth every 6 hours Disp 
-#*18 Tablet Refills:*0 
-26.  TraZODone 150 mg PO QHS  
-27.  Venlafaxine XR 150 mg PO QPM  
-28.  Warfarin 35 mg PO DAILY16 Duration: 1 Dose  
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___ 
- 
-Discharge Diagnosis:
-Diverticulosis and acute ___ anemia
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - requires assistance or aid (walker 
-or cane).
- 
-
-###RESPONSE: Diverticulosis {Diverticulosis of large intestine}, anemia {Anemia}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,  
-It was a pleasure caring for you at ___.
-
-WHY WAS I IN THE HOSPITAL?  
-- You were transferred to ___ for severe bleeding in your GI 
-tract. 
-
-WHAT HAPPENED TO ME IN THE HOSPITAL?  
-- You had an endoscopy and colonoscopy done to find the source 
-of the bleeding.  Fortunately, by the time we did the procedure, 
-there was no longer any active bleeding.
-
-WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL?
-- Continue to take all your medicines and keep your 
-appointments.
-
-We wish you the best!
-
-Sincerely,  
-Your ___ Team 
- 
-
-###RESPONSE: bleeding in your GI {Gastrointestinal hemorrhage}, endoscopy {Endoscopy}, colonoscopy {Colonoscopy}, bleeding {Bleeding}, bleeding {Bleeding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-cough, hemoptysis and L sided chest pain
- 
-Major Surgical or Invasive Procedure:
-CT-guided biopsy of lung
- 
-
-###RESPONSE: cough {Cough}, hemoptysis {Hemoptysis}, L sided chest pain {Left sided chest pain}, CT-guided biopsy of lung {Biopsy of lung using computed tomography guidance}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo M with h/o GERD, bipolar disorder, and stable lung lesion 
-(followed outpt by ___ p/w chest pain and cough. Pt 
-has had cough for a number of years. However, over the past 2 
-weeks pt has had occasional blood in his sputum. For the past 
-four days he has also had L-sided chest pain just below his 
-axilla that is brought on by coughing, deep breaths and 
-standing. Patients CP is described as ___, nonradiating. Pt 
-seen by PCP and encouraged to come into ED. 
- 
-In the ED: 98.5, hr 72, 138/80, rr 16, 98% ra. hct 37 (slightly 
-below baseline). CXR: mass in LUL. EKG nsr twi III (no priors). 
-CTA: 3 cm mass in LUL with paucity of vasculature though no 
-thrombus identified, worsened small airway infection, small L 
-effusion. Pt given levoflox 750 mg iv, hep gtt, morphine for L 
-chest wall pain. 
-
-ROS: he denies associated dyspnea/n/v/diaphoresis/f/c, recent 
-travel, sick contacts, allergies, weight loss, decrease PO, poor 
-sleep. Notes GERD causing cough most nights. 
- 
-
-###RESPONSE: GERD {Gastroesophageal reflux disease}, bipolar disorder {Bipolar disorder}, lung lesion {Lesion of lung}, chest pain {Chest pain}, cough {Cough}, cough {Cough}, blood in his sputum {Sputum: contains blood}, L-sided chest pain {Left sided chest pain}, axilla {Axillary region structure}, coughing {Cough}, deep breaths {Deep breathing}, standing {Orthostatic body position}, CP {Chest pain}, nonradiating {Radiating pain}, hr {Finding of heart rate}, rr {Finding of rate of respiration}, ra {Finding of oxygen saturation}, hct {Finding of hematocrit - packed cell volume level}, baseline {Baseline state}, CXR {Plain chest X-ray}, mass {Nodule of lung}, LUL {Structure of upper lobe of left lung}, EKG {Electrocardiographic procedure}, nsr {Normal sinus rhythm}, twi {Inverted T wave}, CTA {Computed tomography angiography with contrast}, mass {Nodule of lung}, LUL {Structure of upper lobe of left lung}, paucity of vasculature {Vascular insufficiency}, thrombus {Thrombus}, small airway infection {Bronchiolitis}, small {Structure of small intestine}, effusion {Pleural effusion}, chest wall pain {Chest wall pain}, dyspnea {Dyspnea}, n/v {Nausea and vomiting}, diaphoresis {Excessive sweating}, f/c {Fever with chills}, weight loss {Weight loss}, decrease PO {Inadequate oral intake}, poor 
-sleep {Difficulty sleeping}, GERD {Gastroesophageal reflux disease}, cough {Cough}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-BPD  
-GERD
-Stable lung lesion
-Atypical chest pain, cardiac cath ___
- 
-
-###RESPONSE: BPD {Bipolar disorder}, GERD {Gastroesophageal reflux disease}, Stable {Patient's condition stable}, lung lesion {Lesion of lung}, Atypical chest pain {Atypical chest pain}, cardiac cath {Cardiac catheterization}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother died of ovarian cancer in late ___. 
- 
-
-###RESPONSE: died {Dead}, ovarian cancer {Malignant tumor of ovary}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-Vitals: T98 HR68 BP144/80 RR20 O2% 96%RA
-
-Gen: pleasant, well appearing gentleman in NAD.
-HEENT: NCAT, PERRLA, pink conjunctiva, MMM, no oral lesions
-Neck: supple, no thyromegaly, no LAD
-CV: RRR S1S2 no m/r/g nondisplaced PMI
-Pulm: clear bilaterally no r/c/r
-Chest: non-tender to palpation over left chest/axilla, no 
-rashes, hematoma, lesions
-Abd:soft, nontender, nondistended, good BS
-Ext:WWP, 2+pedal pulses
-Skin: no rashes, edema
-
- 
-
-###RESPONSE: Vitals {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, Gen {General examination of patient}, well appearing {Well cared for appearance}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, PERRLA {Pupils equal, react to light and accommodation}, pink conjunctiva {Conjunctival hyperemia}, MMM {Moist oral mucosa}, lesions {Lesion}, Neck {Physical examination procedure}, supple {Normal movement of neck}, thyromegaly {Goiter}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Pulm {Examination of respiratory system}, clear {Normal breath sounds}, Chest {Examination of respiratory system}, non-tender {Abdominal tenderness}, palpation {Palpation}, left chest {Structure of left half of chest wall}, axilla {Axillary region structure}, rashes {Eruption of skin}, hematoma {Hematoma}, lesions {Lesion}, Abd {Examination of abdomen}, soft {Abdomen soft}, nontender {Abdominal tenderness}, nondistended {Normal abdominal contour}, BS {Normal bowel sounds}, WWP {Normal tissue perfusion}, pulses {Normal pulse}, Skin {Examination of skin}, rashes {Eruption of skin}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:05PM   PLT COUNT-195
-___ 06:05PM   NEUTS-77.5* LYMPHS-14.3* MONOS-6.2 EOS-1.6 
-BASOS-0.3
-___ 06:05PM   WBC-9.5# RBC-4.43* HGB-13.1* HCT-37.9* MCV-86 
-MCH-29.6 MCHC-34.7 RDW-13.4
-___ 06:05PM   GLUCOSE-89 UREA N-14 CREAT-1.0 SODIUM-139 
-POTASSIUM-4.2 CHLORIDE-105 TOTAL CO2-24 ANION GAP-14
-
-CXR (PA,LAT): IMPRESSION: Rapid development of large peripheral 
-mass-like opacity in left 
-upper lobe, with probable adjacent area of loculated pleural 
-fluid. Major 
-diagnostic considerations include pulmonary infarction and acute 
-pulmonary 
-infection. As discussed with Dr. ___, as the patient currently 
-does not 
-have infectious symptoms, CTA of the chest is suggested to 
-evaluate for 
-possible infarct. Although a neoplastic process could produce 
-similar 
-findings, the rapid development since ___ would be 
-unusual for a 
-primary lung malignancy. 
-
-CTA CHEST W&W/O C&RECONS, NON-CORONARY:
-IMPRESSION: 
-1. Rounded 3 cm mass in the left upper lobe abutting the pleural 
-surface, 
-with a relative paucity of vasculature in this area. This could 
-represent an 
-infarcted lung, which is now evolving. However, no current 
-pulmonary 
-embolism/thrombus is identified. This lesion is unlikely to be a 
-primary lung 
-neoplasm given its rapid development since ___. 
-Additionally, a 
-necrotic malignant metastatic lesion is also thought to be less 
-likely given 
-that this is a solitary finding. 
-  
-2. Small airways disease, progressed from ___. 
-  
-3. Area of distortion and soft tissue density along the right 
-minor fissure, 
-which likely reflects scarring. However, interval followup is 
-recommended to 
-assess stability. 
-  
-4. Small left pleural effusion. 
-  
-5. Hiatal hernia with a patulous fluid filled distal esophagus. 
-  
-Findings posted to the ED dashboard at the time of 
-interpretation.  
-The study and the report were reviewed by the staff radiologist. 
-
-
- 
-
-###RESPONSE: NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, CXR {Plain chest X-ray}, PA {Plain x-ray of chest posteroanterior view}, LAT {Diagnostic radiography of chest, lateral}, mass {Mass}, opacity {Abnormally opaque structure}, left 
-upper lobe {Structure of upper lobe of left lung}, pleural 
-fluid {Pleural effusion}, pulmonary infarction {Pulmonary infarction}, infection {Infectious disease}, infectious {Infectious disease}, chest {Plain chest X-ray}, infarct {Cerebral infarction}, lung malignancy {Malignant tumor of lung}, mass {Nodule of lung}, left upper lobe {Structure of upper lobe of left lung}, pleural {Pleural effusion}, paucity of vasculature {Vascular insufficiency}, infarcted lung {Pulmonary infarction}, pulmonary 
-embolism {Pulmonary embolism}, thrombus {Thrombus}, lesion {Lesion}, lung 
-neoplasm {Neoplasm of lung}, necrotic {Necrosis}, malignant metastatic lesion {Metastatic malignant neoplasm}, Small airways disease {Bronchiolar disease}, soft tissue {Structure of soft tissue}, density {Density finding}, fissure {Fissure}, scarring {Healing scar}, Small {Structure of small intestine}, left {Left lung structure}, pleural effusion {Pleural effusion}, Hiatal hernia {Hiatal hernia}, fluid {Effusion}, distal esophagus {Structure of lower thoracic esophagus}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Cough w/hemoptysis: Patient was kept on respiratory precautions 
-for TB. CXR showed a mass-like opacity in left upper lobe, with 
-probable adjacent area of loculated pleural fluid. Levofloxacin 
-was started to cover possible community-acquired pneumonia. 
-Flagyl was added to cover GN bacteria, as patient has 
-long-standing cough likely due to GERD. Pulmonary service was 
-consulted and recommended biopsy of lesion. Heparin drip was 
-discontinued as suspicion of pulmonary embolus, infarct was low. 
-Induced sputum was collected for microbiology and AFB cultures. 
-CT guided biopsy of the lung provided 8ml of fluctuant fluid 
-which, on gram stain showed 3+ Gram + cocci in pairs and 1+ 
-leukocytes. PPD was placed on day of admission. AFB cultures 
-were pending on discharge, however no AFB was seen on smear. The 
-patient did not experience hemoptysis during his admission and 
-his cough symptoms improved. He was encouraged to ___ with 
-his PCP for ___ of his PPD. A scheduled appointment was made 
-with his pulmonologist for further work-up of his lung lesion.
-
-GERD: Patient has history of GERD and Barretts esophagitis. He 
-noted chronic cough occurring mostly at night. His outpatient 
-PPI was continued during admission. A ___ appointment was 
-made with his gastroenterologist for further work-up of cough 
-and GERD. 
- 
-Bipolar: Patient remained stable on lamictal and celexa together 
-without mood switch. He remained stable throught his stay. 
-
- 
-
-###RESPONSE: Cough {Cough}, hemoptysis {Hemoptysis}, respiratory {Examination of respiratory system}, precautions {Safety precautions}, TB {Tuberculosis}, CXR {Plain chest X-ray}, mass {Nodule of lung}, opacity {Abnormally opaque structure}, left upper lobe {Structure of upper lobe of left lung}, pleural fluid {Pleural effusion}, community-acquired pneumonia {Community acquired pneumonia}, long-standing cough {Persistent cough}, GERD {Gastroesophageal reflux disease}, Pulmonary {Examination of respiratory system}, biopsy {Biopsy}, lesion {Lesion}, pulmonary embolus {Pulmonary embolism}, infarct {Infarct}, Induced sputum {Collection of induced sputum}, microbiology {Microbiology}, AFB cultures {Acid fast bacilli culture}, CT guided biopsy {Computed tomography guided biopsy}, lung {Metastatic malignant neoplasm to lung}, fluctuant {Fluctuant}, fluid {Effusion}, gram stain {Gram stain method}, PPD {Mantoux: positive}, AFB cultures {Acid fast bacilli culture}, hemoptysis {Hemoptysis}, cough {Cough}, improved {Patient's condition improved}, PPD {Mantoux: positive}, lung lesion {Lesion of lung}, GERD {Gastroesophageal reflux disease}, GERD {Gastroesophageal reflux disease}, Barretts esophagitis {Barrett's esophagus with esophagitis}, chronic cough {Chronic cough}, cough {Cough}, GERD {Gastroesophageal reflux disease}, Bipolar {Bipolar disorder}, stable {Patient's condition stable}, mood {Mood swings}, stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-citalopram 60mg PO daily
-lamictal 200mg po daily
-omeprazole 20mg po daily
- 
-Discharge Medications:
-1. Levofloxacin 750 mg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily) for 12 days.
-Disp:*12 Tablet(s)* Refills:*0*
-2. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO twice a day.
-Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
-3. Lamotrigine 100 mg Tablet Sig: Two (2) Tablet PO QHS (once a 
-day (at bedtime)).
-Disp:*60 Tablet(s)* Refills:*1*
-4. Citalopram 20 mg Tablet Sig: Three (3) Tablet PO DAILY 
-(Daily).
-Disp:*30 Tablet(s)* Refills:*2*
-5. Acetaminophen 325 mg Tablet Sig: ___ Tablets PO Q6H (every 6 
-hours) as needed for pain.
-Disp:*30 Tablet(s)* Refills:*2*
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Primary: 
-Lung infection, lung lesion
-
-Secondary:
-BPD  
-GERD
-Stable lung lesion 
-atypical chest pain, cardiac cath ___
-
- 
-Discharge Condition:
-stable, afebrile.
-
- 
-
-###RESPONSE: Lung infection {Infectious disease of lung}, lung lesion {Lesion of lung}, BPD {Bipolar disorder}, GERD {Gastroesophageal reflux disease}, Stable {Patient's condition stable}, lung lesion {Lesion of lung}, atypical chest pain {Atypical chest pain}, cardiac cath {Cardiac catheterization}, stable {Patient's condition stable}, afebrile {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital for cough and chest pain for 
-which you were treated with antibiotics. Please complete the 
-entire course of antibiotics (levofloxacin). 
-
-Please follow up with your scheduled appointments below with 
-your PCP for ___ chest x-ray and CT. 
-
-If you have worsening cough with bloody sputum, shortness of 
-breath, worsening chest pain or fever, chills, please call your 
-doctor or return to the hospital.
- 
-
-###RESPONSE: cough {Cough}, chest pain {Chest pain}, treated with antibiotics {Antibiotic therapy}, antibiotics {Antibiotic therapy}, chest x-ray {Plain chest X-ray}, CT {Computed tomography}, cough {Cough}, bloody {Hematochezia}, sputum {No sputum}, shortness of 
-breath {Dyspnea}, chest pain {Chest pain}, fever {Fever}, chills {Chill}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___.                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   M
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Amoxicillin / Adhesive Bandage / Dicloxacillin / Linezolid
- 
-Attending: ___
- 
-___ Complaint:
-altered mental status
- 
-Major Surgical or Invasive Procedure:
-none
- 
-
-###RESPONSE: Amoxicillin {Allergy to amoxicillin}, Adhesive Bandage {Allergic reaction caused by adhesive}, altered mental status {Altered mental status}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-This is ___ yo m w/ hx cirrhosis secondary to EtOH + HCV, OSA, 
-PAH and hypothyroidism, w/ recurrent episodes of severe 
-enceophalopathy and ascites well-known to the MICU who was 
-transferred from the Liver service for encephalopathy.  
-.  
-Mr. ___ has been at rehab since discharge from ___ on 
-___. Per his mother he has been having more frequent 
-encephalopathic episodes this month. Over the past few days she 
-reports that ___ has been in good health without fevers, night 
-sweats, n/v, or abdominal pain. Over the last few days he has 
-been having ~6BMs/day. Notably, she reports the rehab would not 
-increase the lactulose frequency from Q4hr which ___ often 
-requires when he is becoming encephalopathic.  
-.  
-Notably, patient's most recent admission ___ was also for 
-changes in mental status. He was found to have a Klebsiella 
-bacteremia and UTI treated with 3 weeks of ceftriaxone ___, 
-to complete on ___. Neurologic work-up demonstrated that he 
-has a comunicating hydrocephalus, etiology of which remains 
-unclear.  
-.  
-In the ED Vitals: 78 98/63 18 99% RA. He received 30mL of PO 
-lactulose as well as Vanc/Cipro/Flagyl for question of 
-infection.He received 2L NS. CXR with mild atelectasis. Duplex 
-U/S showed flow in L portal vein, pt combative and this could 
-not be completed.  
-.  
-In the ICU, patient able to follow directions though continued 
-to have agitated outbursts. Denied any pain or discomfort.  
-
- 
-
-###RESPONSE: cirrhosis secondary to EtOH {Alcoholic cirrhosis}, HCV {Cirrhosis of liver due to chronic hepatitis C}, OSA {Obstructive sleep apnea syndrome}, PAH {Pulmonary hypertensive arterial disease}, hypothyroidism {Hypothyroidism}, enceophalopathy {Disorder of brain}, ascites {Ascites}, encephalopathy {Disorder of brain}, fevers {Fever}, night 
-sweats {Night sweats}, n/v {Nausea and vomiting}, abdominal pain {Abdominal pain}, changes in mental status {Altered mental status}, Klebsiella 
-bacteremia {Infection caused by Klebsiella}, UTI {Urinary tract infection caused by Klebsiella}, Neurologic {Neurological examination}, work-up {Evaluation procedure}, comunicating hydrocephalus {Communicating hydrocephalus}, Vitals {Vital signs finding}, RA {Breathing room air}, infection {Infectious disease}, CXR {Plain chest X-ray}, atelectasis {Atelectasis}, Duplex 
-U/S {Duplex ultrasonography}, L portal vein {Structure of left main branch of portal vein}, combative {Feeling aggressive}, agitated {Feeling agitated}, pain {Pain}, discomfort {Discomfort}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- End Stage Liver Disease ___ alcohol and hepatitis C. Currently 
-on the transplant list. Course complicated by recurrent ascites, 
-SBP, pulmonary hypertension. Currently on the transplant list 
-(s/p aborted liver transplant given elevated pulmonary pressures 
-in OR ___  
-- Sepsis w/ Enterococcus Avium and Group B Step, recent 
-discharge on ___  
-- Spontaneous bacterial peritonitis early ___ on Cipro 
-prophylaxis  
-- Grade II esophageal varices  
-- Recurrent hepatic encephalopathy on vegetarian diet  
-- Pulmonary hypertension  
-- Hypothyroidism  
-- Anxiety disorder  
-- History of alcohol and IVDU  
-- Osteoporosis of hip and spine per pt  
-- Anemia with history of guaiac positive stool  
-
- 
-
-###RESPONSE: End Stage Liver Disease {End stage liver disease}, alcohol {Alcoholic cirrhosis}, hepatitis C {Cirrhosis of liver due to chronic hepatitis C}, ascites {Ascites}, SBP {Primary bacterial peritonitis}, pulmonary hypertension {Pulmonary hypertension}, liver transplant {Transplantation of liver}, elevated pulmonary pressures {Pulmonary arterial pressure increased}, Sepsis {Sepsis}, Spontaneous bacterial peritonitis {Primary bacterial peritonitis}, prophylaxis {Preventive procedure}, esophageal varices {Esophageal varices}, hepatic encephalopathy {Hepatic encephalopathy}, vegetarian diet {Vegetarian diet}, Pulmonary hypertension {Pulmonary hypertension}, Hypothyroidism {Hypothyroidism}, Anxiety disorder {Anxiety disorder}, alcohol {Alcohol abuse}, IVDU {Intravenous drug user}, Osteoporosis {Osteoporosis}, hip {Hip region structure}, spine {Structure of vertebral column}, Anemia {Anemia}, guaiac {Guaiac test for occult blood in feces specimen}, positive stool  {Occult blood detected in feces}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Mother with diabetes and hypertension. Father with rheumatic 
-heart disease. 
- 
-
-###RESPONSE: diabetes {Diabetes mellitus}, hypertension {Hypertensive disorder, systemic arterial}, rheumatic 
-heart disease {Rheumatic heart disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-In MICU:
-Gen: Awake, alert, agitated intermittently  
-HEENT: dry MM, + scleral icterus  
-Pulm: lungs clear bilaterally, no wheezes or rhonchi  
-CV: S1 & S2 regular without murmur  
-Abd: +BS, soft, non-tender, mildly-distended  
-Ext: no lower extremity edema  
-Neuro: Alert, unable to comply with neuro exam  
-
- 
-
-###RESPONSE: Gen {General examination of patient}, Awake {Awake}, alert {Mentally alert}, agitated {Feeling agitated}, HEENT {Physical examination procedure}, dry MM {Mucous membrane dryness}, scleral icterus {Scleral icterus}, Pulm {Examination of respiratory system}, lungs clear bilaterally {Normal breath sounds}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, Abd {Examination of abdomen}, BS {Normal bowel sounds}, soft {Abdomen soft}, tender {Abdominal tenderness}, distended {Swollen abdomen}, Ext {Examination of limb}, edema {Edema}, Neuro {Neurological examination}, Alert {Mentally alert}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 11:07PM   GLUCOSE-100 UREA N-39* CREAT-1.2 SODIUM-154* 
-POTASSIUM-3.7 CHLORIDE-122* TOTAL CO2-25 ANION GAP-11
-___ 11:07PM   ALT(SGPT)-20 AST(SGOT)-47* LD(LDH)-208 ALK 
-PHOS-120* TOT BILI-7.8*
-___ 11:07PM   ALBUMIN-3.3* CALCIUM-9.8 PHOSPHATE-2.8 
-MAGNESIUM-1.7
-___ 11:07PM   WBC-3.7* RBC-2.17* HGB-6.7* HCT-22.7* 
-MCV-104* MCH-31.0 MCHC-29.7* RDW-21.5*
-___ 11:07PM   NEUTS-76.5* LYMPHS-13.9* MONOS-6.7 EOS-2.7 
-BASOS-0.2
-___ 11:07PM   PLT COUNT-32*
-___ 11:07PM   ___ PTT-53.0* ___
-___ 05:09PM   LACTATE-1.3
-___ 05:05PM URINE  BLOOD-SM NITRITE-NEG PROTEIN-NEG 
-GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 
-LEUK-NEG
-___ 05:05PM URINE  ___ BACTERIA-FEW YEAST-NONE 
-___
-
-Imaging/
-###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, TOT BILI {Bilirubin, total measurement}, ALBUMIN {Albumin measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}, PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, AST {Aspartate aminotransferase measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Studies:  
-CXR: Left and right mid lung subsegmental atelectasis. No focal  
-
-consolidation or pulmonary edema.  
-.  
-ABD U/S: 1. Cirrhosis, ascites, splenomegaly.  
-2. Limited doppler exam without evaluation of the main portal 
-vein. If there is high clinical concern for vascular thrombosis, 
-a CT is suggested. 3. Cholelithiasis.  
-.  
-ABD US ___. Flow within the main portal vein, now demonstrates a 
-hepatofugal  
-(reversed) directionality (as demonstrated on a prior study from 
-___ although patent. Flow within the left portal vein 
-could not be obtained no doppler evaluation either secondary to 
-occlusion or very slow flow in this uncooperative patient.  
-2. Shrunken cirrhotic liver consistent with known cirrhosis. 
-Cholelithiasis with gallbladder wall edema/thickening unchanged 
-over multiple comparisons likely secondary to third spacing from 
-decompensated liver disease rather than acute cholecystitis.  
-3. Large amount of intra-abdominal ascites.  
-.  
-Head CT ___: No interval change in moderate ventriculomegaly. 
-No evidence of intracranial hemorrhage.  
-.  
-MRI Head ___: 1. Prominent lateral ventricles with evidence for 
-transependymal CSF flow suggestive of communicating 
-hydrocephalus; also prominence of the sulci suggestive of 
-atrophy.  
-2. No acute intracranial process.  
-Unchanged diffuse hydrocephalus since ___ (new since ___ 
-with mild transependymal CSF flow.  
-.  
-CSF Fluid: neg cryptococcal, fungal  
-WBC ___, Polys 0, Lymphs ___ year old man with cirrhosis secondary to EtOH and HCV, 
-complicated by recurrent ascites, history of SBP and esophageal 
-varices, who has been hospital w/ recurrent episodes of 
-encephalopathy presents with an episode of encephalopathy.
- .
-# Recurrent encephalopathy:  Presentation secondary to 
-inadequate bowel regimen while at rehab facility. Work up 
-negative for infection (stool, blood, urine), GI bleed, and U/S 
-failed to show significant ascites.  A CT of abdomen was done to 
-evaluate questionable poor flow through the portal vein seen on 
-US.  The CT was sig for patent portal vein.  Patient was treated 
-with rifaximin and Q2hr lactulose and produced ~4L of stools per 
-day.  Mental status improved to baseline on discharge.  Cipro 
-was continued for SBP prophylaxis. He was also continued on his 
-vegetarian diet.  A decision was made to discharge patient home 
-w/ services as mother felt that she could provide better care at 
-home.  Physical therapy was consulted who agreed that the 
-patient could be discharged home.
-.  
-# Hypernatremia: Secondary to reduced access to free water in 
-the setting of encephalopathy and high stool output. Resolved 
-with free water replacement.
-.  
-# ESLD. Secondary EtOH and HCV. Patient initially presented with 
-improved ascites and edema. An ultrasound of the abdomen showed 
-poor flow through the portal vein, and CT of the abdomen was 
-done for further assessment.  The CT demonstrated patent portal 
-vein.  Patient was continued on his lactulose and rifaximin as 
-above.  He was also continued on cipro for SBP ppx, his home 
-diuretics and ppi.  Octreotide and midodrine were discontinued 
-while in the ICU.  The patient's creatine remained stable off 
-treatments.  Patient was ultimately disharged to home (see 
-above).
-.  
-# H/o HRS: Octreotide and midodrine discontinued while in the 
-ICU and were held throughout his hospital course. Creatinine 
-stable off octreotide and midodrine.
-.
-# Anemia: Initial hct of 23 lower than baseline of ___. 
-Patient hcts were followed throughout hospitalization and were 
-stable. 
-.  
-# Thrombocytopenia: Stable and secondary to liver disease. 
-.  
-# Hypothyroidism: Stable, patient was continued on home 
-levothyroxine.  
-.  
-# Pulmonary HTN: There were no active issues during his 
-hospitalization and the patient was continued iloprost.
-.
-# Osteoporosis: Patient was continued on his home regimen of Vit 
-D and Calcium   
-
- 
-
-###RESPONSE: CXR {Plain chest X-ray}, Left {Left lung structure}, right mid lung {Structure of middle lobe of right lung}, atelectasis {Atelectasis}, consolidation {Consolidation}, edema {Edema}, ABD U/S {Ultrasonography of abdomen}, Cirrhosis {Cirrhosis of liver}, ascites {Ascites}, splenomegaly {Splenomegaly}, doppler exam {Doppler ultrasound}, evaluation {Evaluation procedure}, portal 
-vein {Portal vein structure}, vascular {Blood vessel structure}, thrombosis {Thrombosis}, CT {Computed tomography}, Cholelithiasis {Calculus in biliary tract}, ABD US {Ultrasonography of abdomen}, portal vein {Portal vein structure}, left portal vein {Structure of left main branch of portal vein}, doppler evaluation {Doppler ultrasound}, occlusion {Complete obstruction}, uncooperative {Uncooperative behavior}, cirrhotic liver {Cirrhosis of liver}, cirrhosis {Cirrhosis of liver}, Cholelithiasis {Calculus in biliary tract}, gallbladder {Gallbladder structure}, edema {Edema}, thickening {Increased thickness}, disease {Disease}, acute cholecystitis {Acute cholecystitis}, intra-abdominal {Structure of intraabdominal region}, ascites {Ascites}, CT {Computed tomography}, ventriculomegaly {Cerebral ventriculomegaly}, No evidence {No abnormality detected}, intracranial hemorrhage {Intracranial hemorrhage}, MRI Head {Magnetic resonance imaging of head}, lateral ventricles {Lateral ventricle structure}, communicating 
-hydrocephalus {Communicating hydrocephalus}, sulci {Structure of sulcus of brain}, atrophy {Atrophy}, intracranial {Intracranial structure}, hydrocephalus {Hydrocephalus}, CSF Fluid {Finding related to cerebrospinal fluid}, WBC {White blood cell count}, cirrhosis {Cirrhosis of liver}, EtOH {Alcohol abuse}, HCV {Viral hepatitis type C}, ascites {Ascites}, SBP {Primary bacterial peritonitis}, esophageal 
-varices {Esophageal varices}, encephalopathy {Disorder of brain}, encephalopathy {Disorder of brain}, encephalopathy {Disorder of brain}, inadequate bowel regimen {Infrequent bowel action}, Work up {Evaluation procedure}, negative {No abnormality detected}, infection {Infectious disease}, GI bleed {Gastrointestinal hemorrhage}, U/S {Ultrasonography}, ascites {Ascites}, CT {Computed tomography}, portal vein {Portal vein structure}, US {Ultrasonography}, CT {Computed tomography}, portal vein {Portal vein structure}, Mental status {Altered mental status}, improved {Patient's condition improved}, baseline {Baseline state}, SBP {Primary bacterial peritonitis}, prophylaxis {Preventive procedure}, vegetarian diet {Vegetarian diet}, Hypernatremia {Hypernatremia}, encephalopathy {Disorder of brain}, Resolved {Problem resolved}, ESLD {End stage liver disease}, EtOH {Alcohol abuse}, HCV {Viral hepatitis type C}, improved {Patient's condition improved}, ascites {Ascites}, edema {Edema}, ultrasound of the abdomen {Ultrasonography of abdomen}, portal vein {Portal vein structure}, CT {Computed tomography}, assessment {Evaluation procedure}, CT {Computed tomography}, portal 
-vein {Portal vein structure}, SBP {Primary bacterial peritonitis}, ppx {Preventive procedure}, diuretics {Diuretic therapy}, ppi {Proton pump inhibitor therapy}, stable {Patient's condition stable}, HRS {Hepatorenal syndrome}, stable {Patient's condition stable}, Anemia {Anemia}, stable {Patient's condition stable}, Thrombocytopenia {Thrombocytopenic disorder}, disease {Disease}, Hypothyroidism {Hypothyroidism}, HTN {Hypertensive disorder, systemic arterial}, Osteoporosis {Osteoporosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Clotrimazole 10 mg Troche Sig: One (1) Troche Mucous membrane  
-5X/DAY (5 Times a Day).  
-Ursodiol 300 mg Capsule Sig: Two (2) Capsule PO DAILY  
-Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical TID  
-(3 times a day) as needed for candidiasis.  
-Levothyroxine 88 mcg Tablet Sig: One (1) Tablet PO DAILY  
-Rifaximin 200 mg Tablet Sig: Two (2) Tablet PO TID (3 times a  
-day).  
-Zinc Sulfate 220 mg Capsule Sig: One (1) Capsule PO DAILY  
-Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2)  
-Tablet PO DAILY (Daily).  
-Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)  
-Tablet, Chewable PO DAILY (Daily).  
-Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig:PO DAILY  
-Lactulose 10 gram/15 mL Syrup Sig: ___ MLs PO QID  
-Octreotide Acetate 100 mcg/mL Solution Sig:Q8H  
-Iloprost 10 mcg/mL Solution for Nebulization Sig:Inhalation 
-6x/day  
-Furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY  
-Spironolactone 25 mg Tablet Sig: One (1) Tablet PO DAILY  
-Midodrine 10 mg Tablet Sig: TID  
-Simethicone 80 mg Tablet, Chewable Sig: ___ Tablet,  
-
- 
-Discharge Medications:
-1. Clotrimazole 10 mg Troche Sig: One (1) Troche Mucous membrane 
-QID (4 times a day): No script given.
-Disp:*0 Troche(s)* Refills:*0*
-2. Ursodiol 300 mg Capsule Sig: Two (2) Capsule PO QAM (once a 
-day (in the morning)): No script given.
-Disp:*0 Capsule(s)* Refills:*0*
-3. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical TID 
-(3 times a day): No script given.
-Disp:*0 bottle* Refills:*0*
-4. Levothyroxine 88 mcg Tablet Sig: One (1) Tablet PO DAILY 
-(Daily): No script given.
-Disp:*0 Tablet(s)* Refills:*0*
-5. Rifaximin 200 mg Tablet Sig: Two (2) Tablet PO TID (3 times a 
-day): No script given.
-Disp:*0 Tablet(s)* Refills:*0*
-6. Zinc Sulfate 220 mg Capsule Sig: One (1) Capsule PO DAILY 
-(Daily): No script given.
-Disp:*0 Capsule(s)* Refills:*0*
-7. Simethicone 80 mg Tablet, Chewable Sig: One (1) Tablet, 
-Chewable PO QID (4 times a day) as needed for bloating: No 
-script given.
-Disp:*0 Tablet, Chewable(s)* Refills:*0*
-8. Iloprost 10 mcg/mL Solution for Nebulization Sig: One (1) ML 
-Inhalation q4hr (): No script given.
-Disp:*0 ML(s)* Refills:*0*
-9. Lactulose 10 gram/15 mL Syrup Sig: ___ MLs PO Q2H (every 2 
-hours) as needed for encephalopathy: For ___ Bowel Movements per 
-day.
-Disp:*0 ML(s)* Refills:*0*
-10. Ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H 
-(every 24 hours): No script given.
-Disp:*0 Tablet(s)* Refills:*0*
-11. Zinc Sulfate 220 mg Tablet Sig: One (1) Tablet PO once a 
-day: No script given.
-Disp:*0 Tablet(s)* Refills:*0*
-12. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day: No script given.
-Disp:*0 Capsule, Delayed Release(E.C.)(s)* Refills:*0*
-13. Calcium Carbonate-Vitamin D3 500 mg(1,250mg) -400 unit 
-Tablet Sig: One (1) Tablet PO once a day.  
-14. Tubefeeding
-Tubefeeding: Nutren 2.0 Full strength
-Rate: 35 ml/hr; Do not advance rate
-Goal rate: 35 ml/hr
-Flush w/ 250 ml water q2H
-15. Outpatient Physical Therapy
-To continue with home physical therapy
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary: Hepatic Encephalopathy
-Secondary: history of SBP, Grade II esophageal varices, 
-Pulmonary hypertension, Hypothyroidism, Osteoporosis, Anemia
-
- 
-Discharge Condition:
-Stable
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Hepatic Encephalopathy {Hepatic encephalopathy}, SBP {Primary bacterial peritonitis}, esophageal varices {Esophageal varices}, Pulmonary hypertension {Pulmonary hypertension}, Hypothyroidism {Hypothyroidism}, Osteoporosis {Osteoporosis}, Anemia {Anemia}, Stable {Patient's condition stable}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were seen in the hospital for your confusion.  This was 
-because of your liver disease and we treated you with lactulose. 
- We did an ultrasound of your abdomen that did not show 
-worsening ascites but showed poor flow through the portal vein. 
-CT of your abdomen however showed a patent portal vein.  While 
-you were in the hospital, we replaced your feeding tube.  Your 
-mental status improved to baseline on discharge.
-
-We have made the changes to your home medications:
-1. You do not need to take lasix, midodrine and octreotide
-2. Please continue the rest of your home medications.
-
-Please return to the emergency room if you should experience 
-further confusion, severe abdominal pain, fevers > 101, or any 
-concerning symptoms. 
- 
-
-###RESPONSE: confusion {Clouded consciousness}, liver disease {Disorder of liver}, ultrasound of your abdomen {Ultrasonography of abdomen}, ascites {Ascites}, portal vein {Portal vein structure}, CT of your abdomen {Computed tomography of abdomen}, portal vein {Portal vein structure}, mental status {Altered mental status}, improved {Patient's condition improved}, baseline {Baseline state}, lasix {Diuretic therapy}, confusion {Clouded consciousness}, abdominal pain {Abdominal pain}, fevers {Fever}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-No Known Allergies / Adverse Drug Reactions
- 
-Attending: ___.
- 
-Chief Complaint:
-dyspnea
- 
-Major Surgical or Invasive Procedure:
-none
-
- 
-
-###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, dyspnea {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ with hypertension, hypothyroidism, and no prior CHF history 
-intially presented to ___ with dyspnea at rest for 1 day. She 
-was found to have CHF exacerbation with proBNP 4000 and SBP 200. 
-UA at ___ with many bacteria, nitrite positive and she had 
-lactate 4.2. She was given ceftriaxone, aspirin 81mg, Lasix 80mg 
-IV, and started on NTG drip. She was transferred from ___ on 
-BiPAP and transitioned to CPAP by EMS. Both BiPAP/CPAP and NTG 
-drip were discontinued on arrival to ___.  
-In the ED, initial vitals were 97.6 60 ___ 99%. She was on 
-3L NC satting well, no respiratory distress and unlabored 
-breathing. Foley from OSH draining clear yellow urine. Labs here 
-notable for BNP 4357, lactate 2.1, troponin 0.08->0.06, and Cr 
-1.0. EKG without acute findings. In the ED, she was given 
-ceftriaxone 1g IV, HCTZ 12.5mg, and lisinopril 10mg.  
-On the floor, patient is feeling much better without acute 
-complaints. She reports she had a blood clot diagnosed in her 
-LLE several weeks prior. She was not started on treatment but 
-asked to elevate her legs. 
- 
-
-###RESPONSE: hypertension {Hypertensive disorder, systemic arterial}, hypothyroidism {Hypothyroidism}, CHF {Congestive heart failure}, dyspnea at rest {Dyspnea at rest}, CHF exacerbation {Exacerbation of congestive heart failure}, UA {Urinalysis}, IV {Administration of drug or medicament via intravenous route}, vitals {Vital signs finding}, respiratory distress {Respiratory distress}, clear yellow urine {Urine looks clear}, BNP {Brain natriuretic peptide measurement}, troponin {Troponin measurement}, EKG {Electrocardiographic procedure}, IV {Administration of drug or medicament via intravenous route}, blood clot {Blood clot}, LLE {Structure of left lower limb}, elevate her legs {Elevation of lower limb}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH:  
--Hypertension  
--Hypothyroidism  
--Osteoporosis  
--Hearing loss  
- 
-
-###RESPONSE: Hypertension {Hypertensive disorder, systemic arterial}, Hypothyroidism {Hypothyroidism}, Osteoporosis {Osteoporosis}, Hearing loss {Hearing loss}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Father with heart problems. Brother with prostate cancer. 
- 
-
-###RESPONSE: heart problems {Heart disease}, prostate cancer {Carcinoma of prostate}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ADMISSION PHYSICAL:
-VS: T97.5 148/63 68 16 100% on 4L NC, 46.9kg  
-GENERAL: Elderly woman, hard of hearing, no acute distress  
-HEENT: anicteric sclera, MMM  
-NECK: JVP elevated to 12 cm  
-HEART: RRR, normal S1/S2, no murmurs, gallops, or rubs  
-LUNG: Bibasilar rales R>L halfway up lung, no wheezing, 
-unlabored and easy breathing  
-ABD: nondistended, +BS, nontender, no rebound/guarding  
-EXT: 2+ pitting edema in ___ up calves, LLE slightly pink and 
-tender to touch, calves are symmetric size, L foot slightly 
-cool, R warm  
-PULSES: nonpalpable, but DP and ___ have strong Dopplers 
-bilaterally  
-NEURO: alert and oriented 
-
-DISCHARGE PHYSICAL:
-98.8 128/50-163/49  ___ RA
-W: 44.4  I/O: 1041/2360
-GEN: NAD, breathing comfortably on 3L NC
-HEENT: conjunctiva pink, sclera anicteric
-NECK: supple, from, no LAD, JVP <8cm
-CV: rrr, no m/r/g, nml s1/s2
-LUNG: faint crackles b/l in both 
-ABD: benign
-EXT: wwp, 1+ pitting edema to shins b/l
-NEURO: grossly intact
- 
-
-###RESPONSE: VS {Vital signs finding}, NC {Normal head}, GENERAL {General examination of patient}, distress {Distress}, HEENT {Physical examination procedure}, anicteric sclera {White sclera}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, LUNG {Examination of respiratory system}, Bibasilar {Structure of base of lung}, rales {Respiratory crackles}, lung {Lung structure}, wheezing {Wheezing}, unlabored {Breathing easily}, ABD {Examination of abdomen}, nondistended {Normal abdominal contour}, +BS {Normal bowel sounds}, nontender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXT {Examination of limb}, edema {Edema}, calves {Structure of calf of leg}, LLE {Structure of left lower limb}, tender {Abdominal tenderness}, calves {Structure of calf of leg}, L foot {Structure of left foot}, cool {Cool skin}, R {Structure of right foot}, warm {Warm skin}, PULSES {Pulse finding}, nonpalpable {Peripheral pulse palpable}, NEURO {Neurological examination}, alert {Mentally alert}, oriented {Orientated}, RA {Breathing room air}, GEN {General examination of patient}, NAD {No abnormality detected}, breathing comfortably {Breathing easily}, conjunctiva pink {Conjunctiva normal}, sclera anicteric {White sclera}, LAD {Lymphadenopathy}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, rrr {Normal heart rate}, no m/r/g {Heart sounds normal}, s1/s2 {Heart sounds normal}, LUNG {Lung structure}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, EXT {Examination of limb}, wwp {Normal tissue perfusion}, 1+ pitting edema {1+ pitting edema}, shins {Shin structure}, NEURO {Neurological examination}, grossly intact {Normal nervous system function}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS
-___ 09:00AM BLOOD Glucose-113* UreaN-26* Creat-1.0 Na-143 
-K-3.7 Cl-105 HCO3-24 AnGap-18
-___ 09:00AM BLOOD proBNP-4357*
-___ 09:00AM BLOOD cTropnT-0.08*
-___ 04:25PM BLOOD cTropnT-0.06*
-___ 07:20AM BLOOD CK-MB-2 cTropnT-0.04*
-___ 09:07AM BLOOD Lactate-2.1*
-___ 08:17AM BLOOD Lactate-1.8
-
-DISCHARGE LABS
-___ 07:25AM BLOOD WBC-4.7 RBC-3.25* Hgb-9.0* Hct-28.5* 
-MCV-88 MCH-27.8 MCHC-31.7 RDW-15.6* Plt ___
-___ 07:25AM BLOOD Plt ___
-___ 07:25AM BLOOD ___ PTT-29.6 ___
-___ 07:25AM BLOOD Glucose-86 UreaN-45* Creat-1.1 Na-140 
-K-3.7 Cl-102 HCO3-29 AnGap-13
-___ 07:25AM BLOOD Calcium-8.7 Phos-3.5 Mg-1.7
-
-TTE: 
-Conclusions  
-The left atrium is elongated. The left atrial volume index is 
-severely increased. The estimated right atrial pressure is ___ 
-mmHg. Normal left ventricular wall thickness, cavity size, and 
-regional/global systolic function (biplane LVEF = 65 %). Tissue 
-Doppler imaging suggests an increased left ventricular filling 
-pressure (PCWP>18mmHg). Right ventricular chamber size and free 
-wall motion are normal. The diameters of aorta at the sinus, 
-ascending and arch levels are normal. The aortic valve leaflets 
-(3) are mildly thickened but aortic stenosis is not present. 
-Moderate (2+) aortic regurgitation is seen. The mitral valve 
-leaflets are mildly thickened. There is no mitral valve 
-prolapse. Moderate (2+) mitral regurgitation is seen. There is 
-moderate pulmonary artery systolic hypertension. Significant 
-pulmonic regurgitation is seen. The end-diastolic pulmonic 
-regurgitation velocity is increased suggesting pulmonary artery 
-diastolic hypertension. There is a small pericardial effusion. 
-The effusion is echo dense, consistent with blood, inflammation 
-or other cellular elements. There is no echocardiographic 
-evidence of tamponade. 
-
-IMPRESSION: Normal biventricular cavity size and global/regional 
-systolic function. Moderate aortic regurgitation. Moderate 
-mitral regurgitation. Moderate pulmonary artery hypertension. 
-Small, echodense circumferential pericardial effusion.   
-
-___:
-IMPRESSION:  
-  
-No evidence of deep venous thrombosis in the bilateral lower 
-extremity veins. 
-
-CXR
-IMPRESSION:  
-  
-Low lung volumes. Moderate cardiomegaly. Signs of mild to 
-moderate chronic interstitial edema, combined 9 by small 
-bilateral pleural effusions and subsequent areas of atelectasis. 
- No evidence of pneumonia. Old healed rib fractures.  No 
-pneumothorax. 
-
- 
-
-###RESPONSE: Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, left atrial {Left atrial structure}, right atrial {Right atrial structure}, left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, Tissue 
-Doppler imaging {Doppler ultrasonography of heart tissue}, left ventricular {Left cardiac ventricular structure}, Right ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, aorta at the sinus {Structure of sinus of Valsalva}, ascending {Ascending aorta structure}, arch {Aortic arch structure}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, Moderate (2+) aortic regurgitation {Moderate aortic valve regurgitation}, mitral valve 
-leaflets are mildly thickened {Thickened mitral leaflet}, mitral valve 
-prolapse {Mitral valve prolapse}, Moderate (2+) mitral regurgitation {Moderate mitral valve regurgitation}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, pulmonic regurgitation {Pulmonic valve regurgitation}, pulmonic 
-regurgitation {Pulmonic valve regurgitation}, pulmonary artery {Pulmonary artery structure}, diastolic hypertension {Diastolic hypertension}, pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, inflammation {Mild inflammation}, echocardiographic {Echocardiography}, tamponade {Cardiac tamponade}, biventricular cavity size {Cardiac ventricular structure}, systolic function {Normal cardiac function}, Moderate aortic regurgitation {Moderate aortic valve regurgitation}, Moderate 
-mitral regurgitation {Moderate mitral valve regurgitation}, Moderate pulmonary artery hypertension {Moderate pulmonary hypertension}, pericardial effusion {Pericardial effusion}, deep venous thrombosis {Deep venous thrombosis}, lower 
-extremity veins {Structure of venous system of lower limb}, CXR {Plain chest X-ray}, lung volumes {Finding of respiratory volume}, cardiomegaly {Cardiomegaly}, Signs {Sign}, interstitial edema {Edema}, bilateral pleural effusions {Bilateral pleural effusion}, atelectasis {Atelectasis}, pneumonia {Pneumonia}, rib fractures {Fracture of multiple ribs}, pneumothorax {Pneumothorax}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-___ with h/o HTN and hypothyroidism p/w DOE x1 day found to have 
-elevated pro-BNP to 4000 and elevated lactate in the context of 
-htn urgency with SBPs in 200s and UA grossly positive for 
-infection leading to flash pulmonary edema. 
-
-ACTIVE ISSUES:
-
-#acute dCHF: The pt presented with dyspnea, evidence of volume 
-overload on exam most noteably for pulmonary edema and a CXR c/w 
-acute CHF. An ECHO showed preserved ventricular function 
-(LVEF>65%) thereby qualifying this as dCHF. It was likely 
-precipitated by htn urgency with a component of demand from her 
-UTI. She was given lasix 40 mg IV x1 and diuresed very well 
-(~2L). She had subsequent decreases in her O2 requirement and 
-she was weaned to room air. Her lisinopril was increased to 20 
-mg PO BID. Discharged on 20 mg PO lasix and supplemental Mg, 
-with d/c weight of 44.4 kg.
-
-#HTN Urgency: upon presentation at the OSH, the pt had SBP in 
-200s and was placed on a nitro gtt. Upon arrival to ___, her 
-blood pressures were more stable and did not require a nitro 
-gtt. Her lisinopril was increased to 20 mg PO BID. Home HCTZ was 
-stopped.
-
-#UTI: grossly positive UA at OSH and she was given 1 dose of 
-ceftriaxone. Urine cultures speciated to E coli sensitive to 
-ceftriaxone and bactrim. She was continued on ceftriaxone while 
-she was an in patient and finished a 5d course.
-
-#Anemia: Hb/Hct 8.7/27.3. Stable here, but at OSH was 10.3. No 
-s/s of GIB, stool per nursing was not melanotic. This was 
-trended here.
-
-___: Cr up to 1.3 from baseline 1.0. In context of diuresis, 
-likely pre-renal. Resolved prior to d/c.
-
-CHRONIC ISSUES:
-
-#Hypothyroidism: continued on home levothyroxine
-
-TRANSITIONAL ISSUES:
--Blood Pressure: ensure pt is adequately treated as her 
-hypertensive urgency likely precipitated her flash pulmonary 
-edema.
-TRANSITIONAL ISSUES:
--Blood Pressure: ensure pt is adequately treated as her 
-hypertensive urgency likely precipitated her flash pulmonary 
-edema
--Needs electrolyte monitoring, next check should be on ___
--D/c'd on supplemental Mg
--Continue to assess volume status with daily weights, need for 
-lasix titration; discharged on 20 mg PO lasix 
--Can start 5 mg of amlodipine if blood pressures are sustained 
-greater than 150 mm Hg
--Lisinopril dose increased, HCTZ stopped
-
- 
-
-###RESPONSE: HTN {Hypertensive disorder, systemic arterial}, hypothyroidism {Hypothyroidism}, DOE {Dyspnea on exertion}, elevated {Finding of increased blood pressure}, htn urgency {Hypertensive urgency}, UA {Urinalysis}, infection {Infectious disease}, flash pulmonary edema {Acute pulmonary edema}, dCHF {Decompensated chronic heart failure}, dyspnea {Dyspnea}, volume 
-overload {Hypervolemia}, pulmonary edema {Pulmonary edema}, CXR {Plain chest X-ray}, acute CHF {Acute exacerbation of chronic congestive heart failure}, ECHO showed preserved ventricular function {Echocardiogram shows normal left ventricular function}, dCHF {Decompensated chronic heart failure}, htn urgency {Hypertensive urgency}, UTI {Urinary tract infectious disease}, lasix {Diuretic therapy}, IV {Administration of drug or medicament via intravenous route}, lasix {Diuretic therapy}, weight {Weight finding}, HTN Urgency {Hypertensive urgency}, UTI {Urinary tract infectious disease}, UA {Urinalysis}, Urine cultures {Urine culture}, Anemia {Anemia}, GIB {Gastrointestinal hemorrhage}, Resolved {Problem resolved}, Hypothyroidism {Hypothyroidism}, Blood Pressure {Blood pressure monitoring}, hypertensive urgency {Hypertensive urgency}, flash pulmonary 
-edema {Acute pulmonary edema}, Blood Pressure {Blood pressure monitoring}, hypertensive urgency {Hypertensive urgency}, flash pulmonary 
-edema {Acute pulmonary edema}, electrolyte monitoring {Electrolyte monitoring}, lasix {Diuretic therapy}, lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Aspirin 81 mg PO DAILY 
-2. alendronate 35 mg oral QWEEKLY 
-3. Lisinopril 10 mg PO BID 
-4. Hydrochlorothiazide 12.5 mg PO DAILY 
-5. Levothyroxine Sodium 150 mcg PO DAILY 
-6. Gabapentin 100 mg PO QHS 
-7. Timolol Maleate 0.25% 1 DROP BOTH EYES BID 
-8. Vitamin B Complex 1 CAP PO DAILY 
-9. Calcium with Vitamin D (calcium carbonate-vitamin D3) 600 
-mg(1,500mg) -400 unit oral DAILY 
-
- 
-Discharge Medications:
-1. Aspirin 81 mg PO DAILY 
-2. Gabapentin 100 mg PO QHS 
-3. Levothyroxine Sodium 150 mcg PO DAILY 
-4. Timolol Maleate 0.25% 1 DROP BOTH EYES BID 
-5. alendronate 35 mg oral QWEEKLY 
-6. Calcium with Vitamin D (calcium carbonate-vitamin D3) 600 
-mg(1,500mg) -400 unit oral DAILY 
-7. Vitamin B Complex 1 CAP PO DAILY 
-8. Lisinopril 20 mg PO BID 
-9. Furosemide 20 mg PO DAILY 
-10. Magnesium Oxide 400 mg PO DAILY 
-do not take within two hours of levothyroxine or alendronate 
-11. Docusate Sodium 100 mg PO DAILY:PRN constipation 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-ACTIVE ISSUES:
-#Hypertensive Urgency
-#Acute dCHF exacerbation
-#UTI
-___
-
-CHRONIC:
-#hypothyroidism
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Hypertensive Urgency {Hypertensive urgency}, dCHF {Decompensated chronic heart failure}, UTI {Urinary tract infectious disease}, hypothyroidism {Hypothyroidism}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, 
-
-You were transferred from an outside hospital to ___ because 
-you were found to have extremely high blood pressures and fluid 
-in your lungs causing your shortness of breath. You were also 
-found to have a urinary tract infection. You were treated with a 
-medication to lower your blood pressure, and another medication 
-to remove fluid from your lungs. You were given a course of 
-antibiotics to treat your UTI. 
-
-An ultrasound of your heart called a echocardiogram revealed 
-your heart is function is normal. 
-
-All the best for a speedy recovery!
-
-Sincerely,
-___ Treatment Team 
- 
-
-###RESPONSE: high blood pressures {Hypertensive disorder, systemic arterial}, fluid 
-in your lungs {Pleural effusion}, shortness of breath {Dyspnea}, urinary tract infection {Urinary tract infectious disease}, lungs {Lung structure}, antibiotics {Antibiotic therapy}, UTI {Urinary tract infectious disease}, ultrasound {Ultrasonography}, heart {Heart structure}, echocardiogram {Echocardiography}, heart {Heart structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-choked on cough drop, cough and URI symptoms
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: cough {Cough}, URI {Upper respiratory infection}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ yo female with pmhx of PAF on coumadin, htn, ___, s/p lung 
-resection for CA, anxiety and DM, type 2 was laying in bed 
-supine last night and choked on cough drop, she felt anxious and 
-called EMS and went to ___. She was thought to be in 
-heart failure and given IV lasix and nitro patch and was 
-transferred to ___.
-.
-On arrival to ED, 97.8 83 180/54 100% on 2L --> 94% on RA. She 
-was noted to have bibasilar crackles and CXR shows volume 
-overload as well as possible bilateral lower lobe infiltrates. 
-Leukocytosis with left shift. Remains afebrile. Levofloxacin 
-750mg x1. 
-.
-On arrival to floor she states ""I don't feel sick"". She endorses 
-~2day hx of cough productive of whitish, tan sputum, with dry 
-throat, rhinorrhea and hoarse voice. Denies fevers or chills. 
-Last night she 
-felt mildly SOB while at ___. Possibly some 
-decreased PO intake over the last day. Had mild diarrhea 
-yesterday that is now resolved and mild nausea in ER. No 
-vomiting, constipation. Reports frequent epistaxis ___ coumadin 
-use. Denies dysuria, frequency. Denies myalgias although reports 
-chronic bony pain from Pagets. 
-.
-Reports stable 2 pillow orthopnea, no PND, stable ___ edema. Had 
-5 lb weight gain from baseline 168lb to 173lb 3 days ago and 
-took extra dose of lasix.  Has occasional chest tightness for 
-which she takes nitro ___ weekly but has not required any 
-recently. 
-
- 
-
-###RESPONSE: lung 
-resection {Lung excision}, anxiety {Anxiety}, DM, type 2 {Diabetes mellitus type 2}, laying in bed {Lying in bed}, heart failure {Heart failure}, lasix {Diuretic therapy}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CXR {Plain chest X-ray}, bilateral lower lobe infiltrates {Multilobar lung infiltrate}, Leukocytosis with left shift {Left shifted white blood cells}, cough productive {Productive cough}, whitish, tan sputum {White sputum}, dry 
-throat {Pharyngeal dryness}, rhinorrhea {Nasal discharge}, hoarse {Hoarse}, fevers {Fever}, chills {Chill}, SOB {Dyspnea}, diarrhea {Diarrhea}, nausea {Nausea}, vomiting {Vomiting}, constipation {Constipation}, epistaxis {Bleeding from nose}, dysuria {Dysuria}, frequency {Increased frequency of urination}, myalgias {Muscle pain}, pain {Pain}, orthopnea {Orthopnea}, stable {Patient's condition stable}, edema {Edema}, weight gain {Weight gain}, baseline {Baseline state}, lasix {Diuretic therapy}, chest tightness {Tight chest}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-- Paget's disease - The patient follows with Dr. ___ at ___. 
-She provides the patient IV zoledronic acid therapy.
-- CRI, ___ Cr. 1.2-1.4  
-- Paroxysmal atrial fibrillation - on coumadin
-- CAD ___ MIBI: Mild reversible anterolateral and 
-inferolateral 
-defect, new in comparison to ___ exam) 
-- diastolic CHF (EF 70%)
-- moderate AS ___ ___ 1.0-1.2cm2, peak/mean gradient ___ 
-mmHG)
-- pulmonary htn ___ TR gradient 60 to 68 mm Hg + RA pressure)
-- diabetes mellitus
-- Dyslipidemia ___ TC 151, LDL 91, HDL 42)
-- hypertension
-- anxiety
-- history of thyroid nodule
-- diverticulitis
-- Left lung adenocarcinoma with unknown primary but possible 
-colonic s/p resection of left lung in ___
-- h/o TIAs x2
-- h/o CVA
-- recurrent UTI's
-- s/p fall with left finger fracture requiring rod placement - 
-___
-- h/o C. difficile - ___
-
-PAST SURGICAL HISTORY:
-- s/p cholecystectomy
-- s/p inguinal hernia repair
-- s/p bilateral leg vein stripping
-- s/p resection of left lung mass, adenocarcinomna likely colon 
-primary but primary never found
- 
-
-###RESPONSE: Paget's disease {Osteitis deformans}, zoledronic acid therapy {Zoledronic acid therapy}, Paroxysmal atrial fibrillation {Paroxysmal atrial fibrillation}, CAD {Coronary arteriosclerosis}, htn {Hypertensive disorder, systemic arterial}, pressure {Pressure}, diabetes mellitus {Diabetes mellitus}, Dyslipidemia {Dyslipidemia}, hypertension {Hypertensive disorder, systemic arterial}, anxiety {Anxiety}, thyroid nodule {Thyroid nodule}, diverticulitis {Diverticulitis}, Left lung adenocarcinoma {Adenocarcinoma of left lung}, colonic {Colon structure}, resection of left lung {Lung excision}, CVA {Cerebrovascular accident}, UTI {Urinary tract infectious disease}, fall {Falls}, finger fracture requiring rod placement  {Open reduction of fracture of phalanges of hand with internal fixation}, cholecystectomy {Cholecystectomy}, inguinal hernia repair {Repair of inguinal hernia}, leg vein stripping {Stripping of vein}, resection of left lung {Lung excision}, mass {Mass}, adenocarcinomna {Adenocarcinoma of left lung}, colon {Colon structure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-noncontributory 
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VITAL SIGNS:
-T=97.2 BP=162/64 HR=96 RR=20 O2=96% on 2L, 93% on RA
-.
-.
-PHYSICAL EXAM
-GENERAL: Very pleasant, well appearing elderly female in NAD
-HEENT: No conjunctival pallor. PERRLA/EOMI. MMM. OP clear. No 
-LAD
-CARDIAC: RRR. Normal S1, S2. ___ crescendo decrescendo murmur at 
-LUSB c/w AS.  JVP=10cm
-LUNGS: Bibasilar crackles, good air movement. No resp distress
-ABDOMEN: NABS. Soft, NT, ND.  
-EXTREMITIES: Asymmetry of lower extremity noted with R>L. No ttp 
-of calves. 1+ pitting edema to knees bilaterally. 5cm x5cm area 
-of edema on dorsum of right foot.
-SKIN: No rashes/lesions, ecchymoses. 
-NEURO: A&Ox3. Appropriate. Gait assessment deferred
-PSYCH: Listens and responds to questions appropriately, 
-pleasant. Non-anxious appearing
-
- 
-
-###RESPONSE: VITAL SIGNS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, RA {Breathing room air}, PHYSICAL EXAM {Physical examination procedure}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, LAD {Lymphadenopathy}, CARDIAC {Cardiovascular physical examination}, RRR {Normal heart rate}, Normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, JVP {Finding of jugular venous pressure}, LUNGS {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, distress {Distress}, ABDOMEN {Examination of abdomen}, NABS {Normal bowel sounds}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, EXTREMITIES {Examination of limb}, lower extremity {Lower limb structure}, calves {Structure of calf of leg}, edema {Edema}, knees {Knee region structure}, edema {Edema}, right foot {Structure of soft tissue of dorsum of right foot}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, Gait assessment {Gait evaluation}, PSYCH {Initial psychiatric assessment}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-Admission labs:
-
-___ 09:11AM BLOOD WBC-10.4 RBC-4.12* Hgb-10.7* Hct-33.5* 
-MCV-81* MCH-25.9* MCHC-31.8 RDW-17.0* Plt ___
-___ 09:11AM BLOOD ___
-___ 09:11AM BLOOD Glucose-179* UreaN-24* Creat-1.2* Na-139 
-K-4.5 Cl-101 HCO3-27 AnGap-16
-___ 09:11AM BLOOD CK(CPK)-73
-___ 09:11AM BLOOD cTropnT-0.08*
-___ 09:11AM BLOOD Albumin-4.0 Calcium-10.3* Phos-3.7 Mg-2.1
-___ 11:15AM BLOOD Lactate-2.3*
-.
-Urinalysis (___): 
-Type Color ___ 
-    Straw Clear 1.005 
-Blood Nitrite Protein Glucose Ketone Bilirub Urobiln pH Leuks 
- NEG NEG NEG NEG NEG NEG NEG 5.0 MOD 
-RBC WBC Bacteri Yeast Epi 
-___ MOD NONE ___ 
-.
-Urine culture (___): 
-URINE CULTURE (Final ___: 
-      ESCHERICHIA COLI.    >100,000 ORGANISMS/ML.. 
-         PRESUMPTIVE IDENTIFICATION. 
-
-                              SENSITIVITIES: MIC expressed in 
-MCG/ML
-                      
-_________________________________________________________
-                             ESCHERICHIA COLI
-                             |   
-AMPICILLIN------------  =>32 R
-AMPICILLIN/SULBACTAM--  =>32 R
-CEFAZOLIN-------------   <=4 S
-CEFEPIME--------------   <=1 S
-CEFTAZIDIME-----------   <=1 S
-CEFTRIAXONE-----------   <=1 S
-CEFUROXIME------------     4 S
-CIPROFLOXACIN---------<=0.25 S
-GENTAMICIN------------   <=1 S
-MEROPENEM-------------<=0.25 S
-NITROFURANTOIN--------  <=16 S
-PIPERACILLIN----------    32 I
-PIPERACILLIN/TAZO-----   <=4 S
-TOBRAMYCIN------------   <=1 S
-TRIMETHOPRIM/SULFA----  =>16 R
-.
-Chest X-ray (___): The heart is enlarged. There are small 
-bibasal effusions. There is also probable infiltrate in the 
-lower lobes. There are multilevel degenerative changes present 
-in the thoracic spine. The 
-bones overall are osteopenic. 
-.
-Video swallow: report pending
-.
-Discharge labs:
-
-___ 06:33AM BLOOD WBC-7.9 RBC-3.69* Hgb-9.9* Hct-29.5* 
-MCV-80* MCH-26.8* MCHC-33.5 RDW-16.7* Plt ___
-___ 08:55AM BLOOD ___
-___ 06:33AM BLOOD Glucose-111* UreaN-27* Creat-1.3* Na-139 
-K-3.7 Cl-99 HCO3-31 AnGap-___SSESSMENT AND PLAN: ___ yo female with hx of PAF, htn, dCHF, s/p 
-lung resection for CA, anxiety and diabetes presents with 
-bilateral pneumonia and heart failure exacerbation
-.
-#. Pneumonia: Patient presented with some URI symptoms and 
-slightly productive cough and was found to have bibasilar 
-opacities on chest X-ray consistent with pneumonia. Oxygen 
-saturations were slightly lower than baseline, but she was never 
-oxygen dependent. She was treated with a 7 day course of 
-levofloxacin (renally dosed) for community-acquired pneumonia. 
-At discharge she was advised to monitor closely for diarrhea 
-given recent hx of C. Diff. Given the history of choking on 
-cough drop and medications at home, she was evaluated with a 
-speech and swallow to look for evidence of aspiration. While 
-there was evidence of aspiration on bedside swallow eval, a 
-follow-up video swallow was negative for aspiration and she was 
-discharged home with nor restrictions/aspiration precautions
-.
-#. CHF, diastolic: Patient with evidence of volume overload by 
-admission exam and on chest X-ray. She also gives history of 
-recent weight gain at home. Received 20mg IV lasix at OSH with 
-slightly improvement in her chest X-ray. She received BID IV 
-lasix while inpatient with improvement of her volume status. She 
-will resume regular dose of lasix at discharge.
-.
-#. UTI: Patient has history of recurrent asymptomatic UTI's at 
-home. U/A on admission with pyuria, bacturia and mod ___. Looking 
-back at her records, she has persistent pyuria bacturia on all 
-U/A', but never has organism cultured. Urine culture sent from 
-Foley and grew greater than 100K CFU of E coli. She was 
-continued on levofloxacin for a 7 day course.
-.
-#. Diabetes Mellitus: On oral hypoglycemic at home but this was 
-held while in hospital. Blood sugars in 100's which were managed 
-with sliding scale insulin regimen.
-.
-#. CAD: Stable. No evidence of active ischemia and no episode of 
-chest pain during admission. Has stable angina requiring nitro 
-___ times weekly and a known fixed defect for which she does not 
-want intervention. She was continued on ASA, statin, BB, Imdur.
-.
-#. Hypertension: Remained well- controlled on home regimen of 
-amlodipine 5mg, hydralazine 37.5mg TID, imdur 90mg qhs, 
-metoprolol 100mg BID with systolics in 120's-130's. 
-.
-#. PAF: Patient remained in sinus rhythm (bradycardia) with 
-metoprolol and disopyramide. She remained therapeutic on 
-coumadin. INR carefully monitored when quinolones were initiated 
-and coumadin dose was reduced to 1mg until she can follow-up in 
-___ clinic on ___. INR at discharge 
-was 2.1
-.
-#. CRI: Pt with chronic renal insufficiency likely ___ diabetes 
-and hypertension with baseline creatinine of 1.2-1.4. Creatinine 
-remained stable in 1.2-1.4 range during admission
-.
-#. Hyperlipidemia:She was continued on statin
-.
-#. Anemia: Patient with history of prior malignancy with 
-probable colonic primary therefore relatively new iron 
-deficiency anemia was concerning for possible recurrence. This 
-is was discussed with patient and outpatient provider about 
-whether to pursue further work-up such as outpatient colonoscopy 
-and this was deferred by patient and her family. Stools were 
-guaiac negative. She was continued on iron supplementation with 
-bowel regimen to prevent constipation and tolerated this well.
-.
-#. Pagets: Stable. Managed with zoledronic acid as outpatient
-.
-#. Hypercalcemia: Calcium was elevated to 10.3 on admission 
-likely from Paget's disease
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Urinalysis {Urinalysis}, Color {Color finding}, WBC {White blood cell count}, Urine culture {Urine culture}, URINE CULTURE {Urine culture}, Chest X-ray {Plain chest X-ray}, heart is enlarged {Cardiomegaly}, effusions {Pleural effusion}, infiltrate in the 
-lower lobes {Multilobar lung infiltrate}, degenerative changes {Degeneration of spine}, thoracic spine {Structure of thoracic vertebral column}, osteopenic {Osteopenia}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, SSESSMENT {Evaluation procedure}, lung resection {Lung excision}, anxiety {Anxiety}, diabetes {Diabetes mellitus}, bilateral pneumonia {Bilateral pneumonia}, heart failure {Heart failure}, Pneumonia {Pneumonia}, URI {Upper respiratory infection}, productive cough {Productive cough}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, chest X-ray {Plain chest X-ray}, pneumonia {Pneumonia}, baseline {Baseline state}, community-acquired pneumonia {Community acquired pneumonia}, diarrhea {Diarrhea}, choking on 
-cough drop {Cough when swallowing}, aspiration {Aspiration}, aspiration {Aspiration}, aspiration {Aspiration}, aspiration precautions {Aspiration precautions}, chest X-ray {Plain chest X-ray}, recent weight gain {Recent weight gain}, lasix {Diuretic therapy}, chest X-ray {Plain chest X-ray}, lasix {Diuretic therapy}, lasix {Diuretic therapy}, UTI {Urinary tract infectious disease}, asymptomatic {Asymptomatic}, UTI {Urinary tract infectious disease}, pyuria {Pyuria}, pyuria {Pyuria}, Urine culture {Urine culture}, Foley {Catheterization of urinary bladder}, Diabetes Mellitus {Diabetes mellitus}, Blood sugars {Blood sugar management}, CAD {Coronary arteriosclerosis}, Stable {Patient's condition stable}, ischemia {Ischemia}, chest pain {Chest pain}, stable angina {Stable angina}, Hypertension {Hypertensive disorder, systemic arterial}, sinus rhythm {Sinus rhythm}, bradycardia {Bradycardia}, chronic renal insufficiency {Chronic renal insufficiency}, diabetes {Diabetes mellitus}, hypertension {Hypertensive disorder, systemic arterial}, baseline {Baseline state}, stable {Patient's condition stable}, Hyperlipidemia {Hyperlipidemia}, Anemia {Anemia}, malignancy {Malignant neoplasm}, colonic {Colon structure}, iron 
-deficiency anemia {Iron deficiency anemia}, colonoscopy {Colonoscopy}, bowel {Intestinal structure}, constipation {Constipation}, Stable {Patient's condition stable}, Hypercalcemia {Hypercalcemia}, Paget's disease {Osteitis deformans}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-- amlodipine 5mg qhs
-- disopyramide 100mg q12h
-- lasix 40mg daily
-- glipizide 5mg daily
-- hydralazine 37.5mg TID
-- isosorbide mononitrate 90mg qhs
-- metoprolol tartrate 100mg BID
-- mirtazapine 30mg daily
-- nitro 0.4mg prn
-- simvastatin 20mg daily
-- coumadin 2mg daily
-- ASA 81mg daily
-- Calcium carbonate 
-- colace 100mg BID
-- senna 3tabs EOD
-- Vitamin D 800U daily
-- ferrous sulfate 325mg daily
-- MVI
- 
-Discharge Medications:
-1. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-2. Disopyramide 100 mg Capsule Sig: One (1) Capsule PO Q12H 
-(every 12 hours).  
-3. Furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 
- 
-4. Glipizide 5 mg Tablet Sustained Release 24 hr Sig: One (1) 
-Tablet Sustained Release 24 hr PO once a day.  
-5. Hydralazine 25 mg Tablet Sig: 1.5 Tablets PO TID (3 times a 
-day).  
-6. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr 
-Sig: Three (3) Tablet Sustained Release 24 hr PO QHS (once a day 
-(at bedtime)).  
-7. Metoprolol Tartrate 50 mg Tablet Sig: Two (2) Tablet PO BID 
-(2 times a day).  
-8. Mirtazapine 30 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-9. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) Tablet, 
-Sublingual Sublingual PRN (as needed) as needed for chest pain.  
-
-10. Simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY 
-(Daily).  
-11. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable 
-PO DAILY (Daily).  
-12. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO BID (2 times a day).  
-13. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID 
-(2 times a day).  
-14. Senna 8.6 mg Tablet Sig: Three (3) Tablet PO QOD ().  
-15. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2) 
-Tablet PO DAILY (Daily).  
-16. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO DAILY (Daily).  
-17. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY 
-(Daily).  
-18. Levofloxacin 750 mg Tablet Sig: One (1) Tablet PO Q48H 
-(every 48 hours) for 1 days: Take one tablet on ___.
-Disp:*1 Tablet(s)* Refills:*0*
-19. Warfarin 2 mg Tablet Sig: One (1) Tablet PO as directed: 
-Please take 2mg tablet on ___ then take a 2mg tablet on ___.  
-
- 
-
-###RESPONSE: lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary:
-Bilateral Community Acquired Pneumonia
-Acute Diastolic Congestive Heart Failure
-Urinary Tract Infection
-.
-Secondary:
-Diabetes Mellitus
-Paroxysmal Atrial Fibrillation
-Coronary Artery Disease
-Pulmonary Hypertension
-Chronic Kidney Disease
-Aortic stenosis
-Anxiety
-Hypertension
-
- 
-Discharge Condition:
-Hemodynamically stable and afebrile. Oxygen saturations in mid 
-90's on room air. 
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Community Acquired Pneumonia {Community acquired pneumonia}, Diastolic Congestive Heart Failure {Heart failure with normal ejection fraction}, Urinary Tract Infection {Urinary tract infectious disease}, Diabetes Mellitus {Diabetes mellitus}, Paroxysmal Atrial Fibrillation {Paroxysmal atrial fibrillation}, Coronary Artery Disease {Coronary arteriosclerosis}, Pulmonary Hypertension {Pulmonary hypertension}, Chronic Kidney Disease {Chronic kidney disease}, Aortic stenosis {Aortic valve stenosis}, Anxiety {Anxiety}, Hypertension {Hypertensive disorder, systemic arterial}, Hemodynamically stable {Hemodynamically stable}, on room air {Breathing room air}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital and found to have a pneumonia, 
-urinary tract infection and heart failure. You were started on 
-antibiotics to treat the infection. You were also given extra 
-dose of lasix to remove some of the extra fluid. 
-.
-The following changes were made to your medications:
-1) Levofloxacin 750mg every 48 hours for a total of 7 days - 
-take one dose on ___ Please take coumadin 2mg on ___, then no coumadin on ___, 
-then 2mg on ___
-.
-Please weigh yourself every morning, call MD if weight > 3 lbs 
-as you may need to take an extra dose of lasix.
-.
-The antibiotics you are taking can lead to an infection called C 
-Difficile that causes diarrhea. Plase return to the emergency 
-department or call your PCP if you experience abdominal pain, 
-diarrhea, nausea, vomiting, difficulty breathing or any other 
-symptoms that are concerning to you. 
- 
-
-###RESPONSE: pneumonia {Pneumonia}, urinary tract infection {Urinary tract infectious disease}, heart failure {Heart failure}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, lasix {Diuretic therapy}, lasix {Diuretic therapy}, antibiotics {Antibiotic therapy}, infection {Infectious disease}, diarrhea {Diarrhea}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, nausea, vomiting {Nausea and vomiting}, difficulty breathing {Difficulty breathing}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                   Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-___
- 
-Attending: ___.
- 
-Chief Complaint:
-Admission for allo SCT
- 
-Major Surgical or Invasive Procedure:
-Allogeneic Hematopoietic Stem Cell Transplant - ___
-
- 
-
-###RESPONSE: allo SCT {Allogeneic peripheral blood stem cell transplant}, Allogeneic Hematopoietic Stem Cell Transplant {Allogeneic peripheral blood stem cell transplant}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old woman otherwise healthy woman who was 
-diagnosed with AML in ___ with complex unfavorable 
-cytogenetics s/p induction with 7+3 and one cycle of HiDAC, 
-admitted today for myeloablative allogeneic transplantion with 
-sibling donor.  
-
-She initially presented to ___ ED on ___ with gingival 
-hyperplasia and fevers, and found to have WBC 49.5 with 60% 
-blasts. Hgb was 7.6 and platelets of 17k. Peripheral blood flow 
-cytometry showed 50% blasts of monocyte lineage. Peripheral 
-cytogenetics showed monosomy 7, MLL rearrangement. There were 
-two related neoplastic clones, and one clone had trisomy 8. Bone 
-marrow biopsy confirmed AML with similar cytogenetics as 
-peripheral blood. She was initiated on 7+3 daunorubicin and 
-cytarabine. Day +14 and subsequent BM bx confirmed morphological 
-remission. On ___ she initiated HiDAC consolidation 1 cycle as 
-inpatient which she tolerated well. BM Bx on ___ confirmed 
-remission with FISH negative for both monosomy 7 and MLL 
-rearrangements. 
-
-She reports generally feeling well following HiDAC. Her energy 
-level has slowly improved. She is able to walk longer distances 
-without fatigue. She has not had any recent illnesses. She 
-denies fevers, chills, nausea, vomiting, cough, dyspnea, chest 
-pain, diarrhea, constipation, bleeding or bruising.
-
- 
-
-###RESPONSE: AML {Acute myeloid leukemia}, HiDAC {Chemotherapy}, allogeneic transplantion {Allogeneic transplantation}, hyperplasia {Hyperplasia}, fevers {Fever}, WBC {White blood cell count}, platelets {Platelet finding}, flow 
-cytometry {Flow cytometry}, monosomy 7 {Monosomy 7 syndrome}, trisomy 8 {Trisomy 8}, Bone 
-marrow biopsy {Bone marrow sampling}, AML {Acute myeloid leukemia}, BM bx {Bone marrow sampling}, remission {Acute myeloid leukemia in remission}, HiDAC consolidation {Administration of consolidation antineoplastic agent}, BM Bx {Bone marrow sampling}, monosomy 7 {Monosomy 7 syndrome}, HiDAC {Chemotherapy}, improved {Patient's condition improved}, able to walk {Able to walk}, fatigue {Fatigue}, illnesses {Illness}, fevers {Fever}, chills {Chill}, nausea, vomiting {Nausea and vomiting}, cough {Cough}, dyspnea {Dyspnea}, chest 
-pain {Chest pain}, diarrhea {Diarrhea}, constipation {Constipation}, bleeding {Bleeding}, bruising {Contusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PAST ONCOLOGY HISTORY
-___: Presented to ___ ED with several week history of 
-gingival hyperplasia and fevers. WBC 49.5 with 60% blasts. MLL 
-rearranagement, monosomy 7, trisomy 8.
-___: BM biopsy confirmed AML (100% hypercellularity, 93% 
-blasts
-with AML monocytic phenotype). 
-BM cytogenetics were similar to PB findings.
-FLT3, NMP1, CEBPA mutations not detected.
-Echo demonstrated normal EF.
-___: 7+3 initiated with daunorubicin 90 and cytarabine.
-___: Day +14 BM demonstrated aplasia with no blasts. 
-___: BM biopsy performed after recovery of counts demonstrated
-morphologic remission. 
-FISH studies detected the previously observed monosomy 7 in 7% 
-of
-interphase cells and the previously observed MLL rearrangement 
-in
-5% of interphase cells.
-___: Received HiDAC consolidation cycle 1 as inpatient.
-Tolerated well without any complications.
-___: ___ confirms remission with FISH negative for both
-monosomy 7 and MLL rearrangement both previously observed on
-___ and ___.
-
-PAST MEDICAL HISTORY:
-None
- 
-
-###RESPONSE: hyperplasia {Hyperplasia}, fevers {Fever}, WBC {White blood cell count}, monosomy 7 {Monosomy 7 syndrome}, trisomy 8 {Trisomy 8}, BM biopsy {Bone marrow sampling}, AML {Acute myeloid leukemia}, hypercellularity {Hyperplasia}, AML {Acute myeloid leukemia}, phenotype {Phenotype finding}, 
-BM {Bone marrow structure}, CEBPA mutations {Acute myeloid leukemia with CEBPA mutation}, Echo {Echocardiography}, aplasia {Aplasia}, BM biopsy {Bone marrow sampling}, remission {Acute myeloid leukemia in remission}, monosomy 7 {Monosomy 7 syndrome}, cells {Cell structure}, cells {Cell structure}, HiDAC consolidation {Administration of consolidation antineoplastic agent}, remission {Acute myeloid leukemia in remission}, monosomy 7 {Monosomy 7 syndrome}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Her parents are alive and in good overall health. Her father has 
-hypertension. She does not know of any family members who have 
-had cancer. 
- 
-
-###RESPONSE: alive {Alive}, hypertension {Hypertensive disorder, systemic arterial}, cancer {Malignant neoplasm}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-*ADMISSION PHYSICAL EXAM*
-Vitals: 97.5  100/80  98  16  100%ra  83.7lb
-Gen: Very pleasant, thin young woman in no acute distress, alert 
-and oriented
-HEENT: No conjunctival pallor. No icterus. MMM. OP clear.  
-NECK: JVP not elevated Normal carotid upstroke without bruits. 
-LYMPH: No cervical or supraclav LAD
-CV: Normocardic, regular. Normal S1,S2. No MRG.   
-LUNGS: No incr WOB. CTAB. No wheezes, rales, or rhonchi.  
-ABD: NABS. Soft, NT, ND.  
-EXT: WWP. No ___ edema. 
-SKIN: No rashes/lesions, petechiae/purpura ecchymoses.  
-NEURO: A&Ox3. Muscle strength ___ ___ bl
-LINES: L PICC
-
-*DISCHARGE PHYSICAL EXAM*
-Vitals: 98.1 100s/60s ___ 18 100 RA
-Today's Weight: 82
-Admission Weight: 83.7lb
-Gen: well appearing
-HEENT: No conjunctival pallor. No icterus. MMM. OP clear, no e/o 
-mucositis, oral ulcers or lesions. 
-NECK: JVP not elevated
-CV: Normocardic, regular. Normal S1,S2. No MRG.   
-LUNGS: No incr WOB. CTAB. No wheezes, rales, or rhonchi.  
-ABD: +bowel sounds. Non tender, non distended, soft.
-EXT: WWP. trace ___ edema, non pitting.
-SKIN: No rashes/lesions, petechiae/purpura ecchymoses.  Area of 
-thickened skin and hyperpigmentation over left elbow, not seen 
-elsewhere on body 
-NEURO: A&Ox3. 
-LINES: R tunneled subclavian w/out surrounding erythema 
-
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, Gen {General examination of patient}, distress {Distress}, alert {Mentally alert}, oriented {Orientated}, HEENT {Physical examination procedure}, conjunctival pallor {Pale conjunctiva}, icterus {Jaundice}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, NECK {Physical examination procedure}, JVP not elevated {Normal jugular venous pressure}, carotid {Carotid artery structure}, bruits {Bruit}, LYMPH {Lymphatic system physical examination}, cervical {Cervical lymphadenopathy}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, regular {Normal heart rate}, S2 {Normal second heart sound, S>2<}, No MRG {Heart sounds normal}, LUNGS {Examination of respiratory system}, WOB {Breathing easily}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, NABS {Normal bowel sounds}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, EXT {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, petechiae {Petechiae}, purpura {Purpura}, ecchymoses {Ecchymosis}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, Muscle {Skeletal and/or smooth muscle structure}, PICC {Peripherally inserted central venous catheter in situ}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, Weight {Weight finding}, Weight {Weight finding}, Gen {General examination of patient}, well appearing {Well cared for appearance}, HEENT {Physical examination procedure}, pallor {Pallor of skin of face}, icterus {Jaundice}, MMM {Moist oral mucosa}, OP clear {Pharynx normal}, mucositis {Inflammatory disease of mucous membrane}, ulcers {Ulcer}, lesions {Lesion}, NECK {Physical examination procedure}, JVP not elevated {Normal jugular venous pressure}, CV {Cardiovascular physical examination}, regular {Normal heart rate}, S2 {Normal second heart sound, S>2<}, No MRG {Heart sounds normal}, LUNGS {Examination of respiratory system}, WOB {Breathing easily}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, bowel sounds {Normal bowel sounds}, Non tender {Abdominal tenderness}, non distended {Swollen abdomen}, soft {Abdomen soft}, EXT {Examination of limb}, WWP {Normal tissue perfusion}, edema {Edema}, pitting {Pitting edema}, SKIN {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, petechiae {Petechiae}, purpura {Purpura}, ecchymoses {Ecchymosis}, thickened skin {Thick skin}, hyperpigmentation {Hyperpigmentation}, left elbow {Left elbow region structure}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, erythema {Erythema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-*ADMISSION LABS*
-
-___ 08:40AM BLOOD WBC-3.4* RBC-3.29* Hgb-10.3* Hct-31.7* 
-MCV-96 MCH-31.3 MCHC-32.5 RDW-18.9* RDWSD-64.7* Plt ___
-___ 08:40AM BLOOD Neuts-62.8 Lymphs-18.7* Monos-17.3* 
-Eos-0.0* Baso-0.6 Im ___ AbsNeut-2.15 AbsLymp-0.64* 
-AbsMono-0.59 AbsEos-0.00* AbsBaso-0.02
-___ 08:40AM BLOOD ___ PTT-34.5 ___
-___ 08:40AM BLOOD UreaN-14 Creat-0.5 Na-138 K-4.3 Cl-102 
-HCO3-28 AnGap-12
-___ 08:40AM BLOOD ALT-23 AST-47* LD(LDH)-222 AlkPhos-141* 
-TotBili-0.2 DirBili-0.1 IndBili-0.1
-___ 08:40AM BLOOD TotProt-7.6 Albumin-4.5 Globuln-3.1 
-Calcium-10.3 Phos-5.4* Mg-1.9 UricAcd-6.0*
-
-*PERTINENT RESULTS*
-
-CBC TREND
-___ 12:00AM BLOOD WBC-0.2*# RBC-2.61* Hgb-8.2* Hct-24.8* 
-MCV-95 MCH-31.4 MCHC-33.1 RDW-16.1* RDWSD-56.2* Plt Ct-64*
-___ 12:00AM BLOOD WBC-0.2*# RBC-2.43* Hgb-7.6* Hct-22.7* 
-MCV-93 MCH-31.3 MCHC-33.5 RDW-15.4 RDWSD-52.9* Plt Ct-22*
-___ 01:50PM BLOOD WBC-0.3* RBC-2.31* Hgb-7.2* Hct-21.1* 
-MCV-91 MCH-31.2 MCHC-34.1 RDW-14.8 RDWSD-49.4* Plt Ct-13*
-___ 12:00AM BLOOD WBC-0.8*# RBC-2.47* Hgb-7.7* Hct-22.1* 
-MCV-90 MCH-31.2 MCHC-34.8 RDW-15.2 RDWSD-49.1* Plt Ct-34*#
-___ 12:00AM BLOOD WBC-1.6* RBC-2.42* Hgb-7.6* Hct-22.0* 
-MCV-91 MCH-31.4 MCHC-34.5 RDW-14.6 RDWSD-47.4* Plt Ct-93*#
-___ 12:00AM BLOOD WBC-2.0* RBC-2.60* Hgb-8.1* Hct-23.7* 
-MCV-91 MCH-31.2 MCHC-34.2 RDW-14.6 RDWSD-47.8* Plt ___
-___ 12:11AM BLOOD WBC-2.7* RBC-2.49* Hgb-7.9* Hct-23.2* 
-MCV-93 MCH-31.7 MCHC-34.1 RDW-14.8 RDWSD-49.9* Plt ___
-___ 12:00AM BLOOD WBC-3.8* RBC-2.71* Hgb-8.5* Hct-25.8* 
-MCV-95 MCH-31.4 MCHC-32.9 RDW-15.4 RDWSD-51.5* Plt ___
-___ 12:26AM BLOOD WBC-4.6 RBC-2.95* Hgb-9.2* Hct-27.6* 
-MCV-94 MCH-31.2 MCHC-33.3 RDW-15.3 RDWSD-50.6* Plt ___
-___ 12:00AM BLOOD WBC-4.2 RBC-3.03* Hgb-9.3* Hct-28.6* 
-MCV-94 MCH-30.7 MCHC-32.5 RDW-15.1 RDWSD-50.9* Plt ___
-
-LFT TREND
-___ 02:04PM BLOOD LD(___)-193 TotBili-0.2
-___ 12:34AM BLOOD ALT-16 AST-30 LD(___)-159 AlkPhos-121* 
-TotBili-0.1
-___ 12:18PM BLOOD ALT-55* AST-63* AlkPhos-119* TotBili-0.2
-___ 12:00AM BLOOD ALT-65* AST-103* LD(___)-173 AlkPhos-108* 
-TotBili-0.2
-___ 12:00AM BLOOD ALT-42* AST-30 LD(___)-158 AlkPhos-106* 
-TotBili-0.4
-___ 12:00AM BLOOD ALT-39 AST-54* LD(___)-205 AlkPhos-107* 
-TotBili-0.2 DirBili-0.1 IndBili-0.1
-___ 12:00AM BLOOD ALT-36 AST-42* LD(___)-159 AlkPhos-112* 
-TotBili-0.3
-___ 12:00AM BLOOD ALT-34 AST-42* LD(___)-154 AlkPhos-109* 
-TotBili-0.2
-___ 12:00AM BLOOD ALT-24 AST-28 LD(___)-173 AlkPhos-128* 
-TotBili-0.3
-___ 12:00AM BLOOD ALT-12 AST-24 AlkPhos-113* TotBili-0.3
-___ 12:00AM BLOOD ALT-14 AST-24 LD(___)-209 AlkPhos-104 
-TotBili-0.3
-___ 12:00AM BLOOD ALT-13 AST-28 LD(___)-212 AlkPhos-112* 
-TotBili-0.3
-___ 12:11AM BLOOD ALT-11 AST-23 LD(___)-214 AlkPhos-109* 
-TotBili-0.2
-___ 12:22AM BLOOD ALT-9 AST-23 LD(___)-253* AlkPhos-107* 
-TotBili-0.2
-___ 12:00AM BLOOD ALT-9 AST-27 LD(___)-247 AlkPhos-111* 
-TotBili-0.2
-___ 12:00AM BLOOD ALT-7 AST-26 LD(___)-242 AlkPhos-105 
-TotBili-0.3
-___ 12:26AM BLOOD ALT-12 AST-34 LD(___)-252* AlkPhos-98 
-TotBili-0.5
-___ 12:00AM BLOOD ALT-12 AST-31 LD(___)-241 AlkPhos-105 
-TotBili-0.4
-
-IGG TREND
-___ 12:00AM BLOOD IgG-997
-
-CYCLOSPORIN LEVELS
-___ 06:20AM BLOOD Cyclspr-103
-___ 08:55AM BLOOD Cyclspr-89*
-___ 09:00AM BLOOD Cyclspr-155
-___ 09:25AM BLOOD Cyclspr-166
-___ 09:19AM BLOOD Cyclspr-140
-___ 09:10AM BLOOD Cyclspr-200
-___ 06:32AM BLOOD Cyclspr-280
-___ 09:30AM BLOOD Cyclspr-222
-___ 09:10AM BLOOD Cyclspr-236
-___ 09:33AM BLOOD Cyclspr-308
-___ 09:05AM BLOOD Cyclspr-228
-___ 09:00AM BLOOD Cyclspr-188
-
-DISCHARGE LABS:
-___ 12:00AM BLOOD WBC-4.2 RBC-3.03* Hgb-9.3* Hct-28.6* 
-MCV-94 MCH-30.7 MCHC-32.5 RDW-15.1 RDWSD-50.9* Plt ___
-___ 12:00AM BLOOD Neuts-46 Bands-1 ___ Monos-31* 
-Eos-0 Baso-0 Atyps-1* Metas-1* Myelos-0 AbsNeut-1.97 
-AbsLymp-0.88* AbsMono-1.30* AbsEos-0.00* AbsBaso-0.00*
-___ 12:00AM BLOOD Plt Smr-NORMAL Plt ___
-___ 12:00AM BLOOD ___ PTT-33.7 ___
-___ 12:00AM BLOOD Glucose-91 UreaN-12 Creat-0.5 Na-138 
-K-4.1 Cl-102 HCO3-26 AnGap-14
-___ 12:00AM BLOOD ALT-12 AST-31 LD(LDH)-241 AlkPhos-105 
-TotBili-0.4
-___ 12:00AM BLOOD Calcium-10.2 Phos-4.8* Mg-1.5*
-
-IMAGING:
-
-___ CT ABD/PELVIS
-IMPRESSION: 
-1. No clear acute intra-abdominal or pelvic pathology. 
-2. Slight indistinctness of the gallbladder wall is not well 
-assessed on this 
-noncontrast CT study.  If localizing symptoms are present, 
-ultrasound of the 
-right upper quadrant may be considered for further evaluation of 
-the 
-gallbladder.  
-RECOMMENDATION(S):  If localizing symptoms are present, 
-ultrasound of the 
-right upper quadrant for further evaluation of the gallbladder 
-wall. 
-  
-MICRO
-___ CMV VIRAL LOAD - NEG
-___ URINE URINE CULTURE-NEG
-___ BLOOD CULTURE - NEG
-___ BLOOD CULTURE - NEG
-___ CMV Viral Load - NEG
-___ BLOOD CULTURE - NEG
-___ BLOOD CULTURE - NEG
-___ URINE URINE CULTURE - NEG
-
-PATHOLOGY
-___ BM BIOPSY
-**BONE MARROW ASPIRATE AND CORE BIOPSY:
-DIAGNOSIS: CELLULAR BONE MARROW WITH ERYTHROID PREDOMINANT 
-MATURING TRILINEAGE HEMATOPOIESIS AND NO MORPHOLOGIC EVIDENCE OF 
-INVOLVEMENT BY ACUTE MYELOID LEUKEMIA 
-**CYTOGENETICS: Negative for MLL, NEGATIVE for DELETION 5q31 or 
-MONSOMY 5. Negative for monsomy 7. Normal female karyotype.
-**FLOW: RESULTS: 10-color analysis with linear side scatter vs. 
-CD45 gating was used to evaluate lymphocytes and blasts. The 
-viability of the analyzed nondebris events done by 7-AAD is 98%. 
-No abnormal events are identified in the ""blast gate."" CD34+ 
-myeloblasts with a normal immunophenotype represent only 1% of 
-total viable events.
-INTERPRETATION: Diagnostic immunophenotypic features of 
-involvement by leukemia are not seen in specimen. Correlation 
-with clinical findings and morphology (see separate pathology 
-report ___-___) is recommended. Flow cytometry 
-immunophenotyping may not detect all abnormal populations due to 
-topography, sampling or artifacts of simple preparation.
-
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, Cl {Chloride measurement, blood}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CBC {Complete blood count}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, IGG {Immunoglobulin G measurement}, IgG {Immunoglobulin G measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CT ABD/PELVIS {Computed tomography of abdomen and pelvis}, No clear acute intra-abdominal or pelvic pathology {No pathologic diagnosis}, gallbladder {Gallbladder structure}, wall {Cardiac wall structure}, ultrasound of the 
-right upper quadrant {Ultrasonography of abdomen, right upper quadrant and epigastrium}, evaluation {Evaluation procedure}, gallbladder {Gallbladder structure}, ultrasound of the 
-right upper quadrant {Ultrasonography of abdomen, right upper quadrant and epigastrium}, evaluation {Evaluation procedure}, gallbladder {Gallbladder structure}, VIRAL LOAD {Viral load}, URINE {Urine culture}, URINE CULTURE {Urine culture}, BLOOD CULTURE {Blood culture}, BLOOD CULTURE {Blood culture}, Viral Load {Viral load}, BLOOD CULTURE {Blood culture}, BLOOD CULTURE {Blood culture}, URINE {Urine culture}, URINE CULTURE {Urine culture}, BM BIOPSY {Bone marrow sampling}, BONE MARROW {Bone marrow structure}, ACUTE MYELOID LEUKEMIA {Acute myeloid leukemia}, MONSOMY 5 {Deletion 5p}, monsomy 7 {Monosomy 7 syndrome}, female karyotype {Karyotype 46, XX}, leukemia {Leukemia}, Flow cytometry {Flow cytometry}, immunophenotyping {Immunophenotyping}, artifacts {Artifact}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ year old woman with hx of AML s/p 7+3 induction 
-and HiDAC admitted for matched related donor stem cell 
-transplant.
-
-# Acute Myeloid Leukemia: Patient is MLL+ indicating high risk 
-genetics. She is s/p 7+3 induction and HiDAC consolidation. 
-Recent BM bx on ___ showed no residual disease. She underwent 
-busulfan/cytoxan conditioning which she tolerated well. She 
-underwent MRD allogeneic stem cell transplantation on ___. 
-Her post-transplant course was notable for neutropenic fever: 
-she developed a fever on ___ with no localizing signs of 
-symptoms, and was started on cefepime. She again became febrile 
-on ___ and vancomycin was added. Antibiotics were discontinued 
-on ___ as her counts had recovered and she was no longer 
-febrile. Course also notable for mild mucositis treated with low 
-dose oxycodone and lidocaine mouthwash. She continued on 
-acyclovir, fluconazole prophylaxis while neutropenic; she was 
-started on Bactrim on day +21. She was started on ursodiol for 
-prevention of SODS.  She was immunosuppressed with cyclosporin. 
-On the day of discharge she was day 21 post transplant and 
-counts reflected engraftment.
-
-# Abdominal pain: On ___ she developed diffuse abdominal 
-pain. LFTs were normal, amylase and lipase were normal, and CT 
-scan was negative for acute process. Her pain abated within 24 
-hours without specific intervention. This may have represented 
-menstrual cramps or constipation.
-
-TRANSITIONAL ISSUES:
--Immunosuppression: She will need to continue cyclosporin. 
-Current dose is 75 BID, last trough checked ___ was 188 and 
-dose was not changed at that time.
--Infection prophylaxis: She will continue acyclovir, 
-fluconazole. She started PCP prophylaxis with bactrim on the day 
-of discharge (post-transplant day 21); please monitor LFTs on 
-this 
--She will continue on ursodiol for prevention of sino-occlusive 
-disease until at least day +100
--She will need ongoing magnesium repletion at follow up visits.
--She will need topical estrogens. 
-
-# CODE: FULL CODE
-# EMERGENCY CONTACT: ___ ___ (Mother), ___ 
-___ (father) ___
- 
-
-###RESPONSE: AML {Acute myeloid leukemia}, HiDAC {Chemotherapy}, matched {Major crossmatch}, related {Related}, donor stem cell 
-transplant {Allogeneic peripheral blood stem cell transplant}, Acute Myeloid Leukemia {Acute myeloid leukemia}, HiDAC consolidation {Administration of consolidation antineoplastic agent}, BM bx {Bone marrow sampling}, disease {Disease}, allogeneic stem cell transplantation {Allogeneic peripheral blood stem cell transplant}, post-transplant {Posttransfusion state}, neutropenic fever {Febrile neutropenia}, fever {Fever}, signs {Sign}, febrile {Fever}, vancomycin {Antibiotic therapy}, Antibiotics {Antibiotic therapy}, febrile {Fever}, mucositis {Inflammatory disease of mucous membrane}, prophylaxis {Preventive procedure}, neutropenic {Neutropenia}, prevention {Preventive procedure}, immunosuppressed {Immunosuppressant drug therapy}, post transplant {Posttransfusion state}, engraftment {Graft acceptance}, Abdominal pain {Abdominal pain}, diffuse {Diffuse pain}, abdominal 
-pain {Abdominal pain}, LFTs {Hepatic function panel}, CT 
-scan {Computed tomography}, pain {Abdominal pain}, menstrual cramps {Menstrual cramp}, constipation {Constipation}, Immunosuppression {Immunosuppression}, Infection {Local infection of wound}, prophylaxis {Preventive procedure}, PCP {Primary care management}, prophylaxis {Preventive procedure}, (post-transplant {Posttransfusion state}, monitor LFTs {Monitoring of liver function}, prevention {Preventive procedure}, disease {Disease}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. Ondansetron 8 mg PO Q6H:PRN nausea 
-2. Acyclovir 400 mg PO Q8H 
-3. Docusate Sodium 100 mg PO BID 
-4. Fluconazole 400 mg PO Q24H 
-5. Leuprolide Acetate 3.75 mg IM QMONTH 
-
- 
-Discharge Medications:
-1. Docusate Sodium 100 mg PO BID 
-2. Fluconazole 400 mg PO Q24H 
-RX *fluconazole 200 mg 2 tablet(s) by mouth daily Disp #*60 
-Tablet Refills:*0
-3. FoLIC Acid 1 mg PO DAILY 
-RX *folic acid 1 mg 1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0
-4. Multivitamins 1 TAB PO DAILY 
-RX *multivitamin  1 tablet(s) by mouth daily Disp #*30 Tablet 
-Refills:*0
-5. Ursodiol 300 mg PO Q24H 
-RX *ursodiol 300 mg 1 capsule(s) by mouth daily Disp #*30 
-Capsule Refills:*0
-6. Sulfameth/Trimethoprim SS 1 TAB PO DAILY 
-RX *sulfamethoxazole-trimethoprim 400 mg-80 mg 1 tablet(s) by 
-mouth daily Disp #*30 Tablet Refills:*0
-7. Famotidine 20 mg PO Q12H 
-RX *famotidine 20 mg 1 tablet(s) by mouth every 12 hours Disp 
-#*60 Tablet Refills:*0
-8. CycloSPORINE (Neoral) MODIFIED 75 mg PO Q12H 
-9. Acyclovir 400 mg PO Q12H 
-
- 
-
-###RESPONSE: mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home With Service
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-PRIMARY DIAGNOSIS
-Acute Myeloid Leukemia
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Home With Service {Home health aide service management}, Acute Myeloid Leukemia {Acute myeloid leukemia}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure caring for you at ___. You came to the 
-hospital for your stem cell transplant. You tolerated this well. 
- You had fevers when your immune system was very suppressed, and 
-you were given IV antibiotics for this. 
-
-You will need to take cyclosporine immunosuppression to prevent 
-graft versus host disease. You will also need to take 
-antibiotics to prevent infection.
-
-Important Instructions:
-- Take all medications as prescribed
-- Follow a low-bacteria diet (no raw vegetables, fully cook 
-meats, avoid tap water and ice)
-- Attend all follow-up appointments below
-
-It was our pleasure caring for you. We wish you the best!
-
-Sincerely,
-Your ___ care team
- 
-
-###RESPONSE: stem cell transplant {Allogeneic peripheral blood stem cell transplant}, fevers {Fever}, immune system {Structure of immune system}, IV antibiotics {Intravenous antibiotic therapy}, immunosuppression {Immunosuppression}, graft versus host disease {Graft-versus-host disease}, antibiotics {Antibiotic therapy}, infection {Local infection of wound}, medications {Patient medication education}, low-bacteria diet {Low microbial diet}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                  Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Iodine; Iodine Containing
- 
-Attending: ___.
- 
-Chief Complaint:
-s/p episode of coffee ground emesis, bright blood
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: Iodine; Iodine Containing {Allergy to iodine compound}, coffee ground emesis {Coffee ground vomiting}, bright blood {Vomiting blood - fresh}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ y/o ___ speaking-only female with a h/o 
-CAD s/p MI in ___ and anterior WMA on echo in ___, CHF (EF 
-45% in ___, HTN, dementia, and ___ OSH admission for 
-NSTEMI/CHF exacerbation p/w one episode of coffee ground emesis 
-at ___ followed by a second episode with bright red 
-blood. Pt unable to provide history. Both sons were available 
-and were able to provide history. Per sons, she had a similar 
-episode two months ago and ASA use/gastritis was suspected. She 
-did not have an EGD and was not admitted to the hospital. Denies 
-abdominal pain, diarrhea, or recent fevers. Denies CP or SOB. 
-Otherwise, no other complaints.   
-.
-ED course: T 99.6 Hr 75 BP 160/92 RR 20 96%RA. Given 1L of NS. 
-Also given Protonix and Zofran. Pt and family refused NG lavage 
-and do not want an EGD. Pt is DNR/DNI.  
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, r WMA {Hypokinesis of cardiac wall}, echo {Echocardiography}, CHF {Congestive heart failure}, HTN {Hypertensive disorder, systemic arterial}, dementia {Dementia}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, CHF exacerbation {Exacerbation of congestive heart failure}, coffee ground emesis {Coffee ground vomiting}, bright red 
-blood {Vomiting blood - fresh}, ASA use {Administration of aspirin}, gastritis {Gastritis}, EGD {Esophagogastroduodenoscopy}, abdominal pain {Abdominal pain}, diarrhea {Diarrhea}, fevers {Fever}, CP {Chest pain}, SOB {Dyspnea}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, NG lavage {Nasogastric irrigation}, EGD {Esophagogastroduodenoscopy}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-CAD, s/p MI ___ and anterior WMA on echo in ___, recent 
-NSTEMI/CHF exacerbation at OSH (___) earlier this 
-month  
-CHF (EF 45% in ___  
-Moderate PA systolic hypertension (per echo ___
-Mild to moderate [___] TR, trivial MR ___ echo ___
-Carotid stenosis, less than 40% stenosis within bilateral 
-internal 
-carotid arteries, Right vertebral artery with no color flow on 
-Doppler detected, compatible with occlusion ___ Carotid 
-studies)
-Dementia (mild per sons, MMSE: ___  
-HTN  
-CRI, Stage III
-Iron deficiency anemia/Heme pos stool
-s/p fall (___): s/p Subarachnoid hemorrhage, Right temporal 
-intraparenchymal hemorrhage, Subdural hematoma; minimally 
-displaced right superior ramus fracture & left radius fracture.
-Osteoporosis  
-Anxiety  
-GERD
-Constipation
-Macular degeneration
-___ ___ admit as above with aspiration pneumonia
-___ ___ admit also had Staph Auresu UTI rx'd bactrim
-
-.
-<b>PSHx:</b>
-s/p ORIF L hip fx ___    
-hx L breast lumpectomy  
- 
-
-###RESPONSE: CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, WMA {Hypokinesis of cardiac wall}, echo {Echocardiography}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, CHF exacerbation {Exacerbation of congestive heart failure}, CHF {Congestive heart failure}, Moderate {Moderate pulmonary hypertension}, PA systolic hypertension {Pulmonary hypertensive arterial disease}, echo {Echocardiography}, Mild {Mild tricuspid valve regurgitation}, moderate {Moderate tricuspid valve regurgitation}, MR {Mitral valve regurgitation}, echo {Echocardiography}, Carotid stenosis {Carotid artery stenosis}, stenosis {Stenosis}, internal 
-carotid arteries {Internal carotid artery structure}, Right vertebral artery {Structure of right vertebral artery}, color {Color finding}, Doppler {Doppler ultrasound}, occlusion {Complete obstruction}, Carotid {Carotid artery structure}, Dementia {Dementia}, mild {Symptom mild}, MMSE {Assessment using mini-mental state examination}, HTN {Hypertensive disorder, systemic arterial}, CRI {Chronic renal insufficiency}, Iron deficiency anemia {Iron deficiency anemia}, Heme pos stool {Hematochezia}, fall {Falls}, Subarachnoid hemorrhage {Subarachnoid intracranial hemorrhage}, Right {Structure of right lower limb}, intraparenchymal hemorrhage {Intraparenchymal hemorrhage of brain}, Subdural hematoma {Subdural intracranial hematoma}, right {Structure of right lower limb}, superior ramus fracture {Fracture of superior pubic ramus}, left radius {Bone structure of left radius}, fracture {Fracture}, Osteoporosis {Osteoporosis}, Anxiety {Anxiety}, GERD {Gastroesophageal reflux disease}, Constipation {Constipation}, Macular degeneration {Degenerative disorder of macula}, aspiration pneumonia {Aspiration pneumonia}, UTI {Urinary tract infectious disease}, ORIF {Open reduction of fracture with internal fixation}, L hip {Left hip region structure}, fx {Fracture of proximal end of femur}, L {Left breast structure}, breast lumpectomy {Lumpectomy of breast}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-n/c
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-ON ADMITT:
-==========
-VS: T 97 HR 71 BP 121/63 RR 20 95%1L NC   
-GEN: Elderly woman lying in bed in NAD, sleeping but easily 
-arousable.
-___ only.  
-HEENT: NC/AT. EOMI, PERRL, sclera anicteric, conjunctivae clear, 
-OP
-moist and without lesion. 
-NECK: Supple, no JVD.  
-CV: Reg rate, normal S1, S2. No m/r/g.  
-CHEST: Resp were unlabored, no accessory muscle use. Bibasilar 
-crackles.
-ABD: Soft, NT, ND, no HSM.  
-EXT: Trace pitting edema B/L, 1+ distal pulses.  
-SKIN: No rash  
-NEURO: oriented to name and place, not date, CNs II-XII grossly
-intact, 4+/5 strength throughout.  
-Rectal: Guaiac negative in ED.
-
-Discharge
-=========
-AF VSS
-alert, interactive, ___ speaking
-no orthostasis
-no persistent emesis or bleeding
-heart regular
-lungs clear
-abd benign
-ext no edema
-
- 
-
-###RESPONSE: Physical Exam {Physical examination procedure}, VS {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, NC {Normal head}, GEN {General examination of patient}, lying in bed {Lying in bed}, NAD {No abnormality detected}, sleeping {Asleep}, HEENT {Physical examination procedure}, NC {Normal head}, EOMI {Normal ocular motility}, PERRL {Pupils equal and reacting to light}, sclera anicteric {White sclera}, conjunctivae clear {Conjunctiva normal}, OP {Oropharyngeal structure}, lesion {Lesion}, NECK {Physical examination procedure}, Supple {Normal movement of neck}, JVD {Jugular venous engorgement}, CV {Cardiovascular physical examination}, Reg rate {Pulse regular}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, No m/r/g {Heart sounds normal}, CHEST {Examination of respiratory system}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, EXT {Examination of limb}, edema {Edema}, 1+ distal pulses {Thready pulse}, SKIN {Examination of skin}, rash {Eruption of skin}, NEURO {Neurological examination}, oriented {Orientated}, place {Disorientated in place}, CNs II-XII grossly
-intact {Normal nervous system function}, Rectal {Rectal examination}, Guaiac {Guaiac test for occult blood in feces specimen}, negative {No abnormality detected}, AF {Atrial fibrillation}, VSS {Vital signs finding}, alert {Mentally alert}, interactive {Does communicate}, orthostasis {Orthostatic body position}, emesis {Vomiting}, bleeding {Bleeding}, heart regular {Normal heart rate}, lungs clear {Normal breath sounds}, abd {Examination of abdomen}, benign {No abnormality detected}, ext {Examination of limb}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-===============
-___ 11:00PM URINE  COLOR-Yellow APPEAR-Clear SP ___, 
-BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG 
-BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-NEG
-___ 08:43PM   HGB-13.1 calcHCT-39
-___ 08:37PM   GLUCOSE-155* UREA N-29* CREAT-1.3* SODIUM-140 
-POTASSIUM-4.1 CHLORIDE-102 TOTAL CO2-25 ANION GAP-17
-___ 08:37PM   ALT(SGPT)-13 AST(SGOT)-29 ALK PHOS-116 TOT 
-BILI-0.2
-___ 08:37PM   LIPASE-44
-___ 08:37PM   CALCIUM-9.5 PHOSPHATE-3.7 MAGNESIUM-2.4
-___ 08:37PM   WBC-12.3*# RBC-3.95*# HGB-12.2# HCT-37.0# 
-MCV-94 MCH-31.0 MCHC-33.1 RDW-15.6*
-___ 08:37PM   NEUTS-83.1* LYMPHS-12.3* MONOS-2.8 EOS-1.4 
-BASOS-0.3
-___ 08:37PM   PLT COUNT-236
-___ 08:37PM   ___ PTT-22.0 ___
-.
-IMAGING:
-========
-___ CHEST (PORTABLE AP) - COMPARISON: Multiple priors, the 
-most recent dated ___. FINDINGS: Similar to the prior 
-exam, there is a relatively fine reticular interstitial pattern. 
-No superimposed consolidation or edema noted. There is a 
-tortuous aorta. The cardiac silhouette is enlarged but stable. 
-No effusion or pneumothorax is noted. The visualized osseous 
-structures are osteopenic, but otherwise unremarkable. 
-IMPRESSION: Clear lungs with no acute infiltrate. 
-.
-D/C LABS:
-=========
-___ 06:45AM BLOOD WBC-6.9 RBC-3.41* Hgb-11.0* Hct-32.0* 
-MCV-94 MCH-32.4* MCHC-34.5 RDW-14.7 Plt ___
-___ 06:45AM BLOOD Glucose-80 UreaN-23* Creat-1.2* Na-141 
-K-4.1 Cl-105 HCO3-26 AnGap-14
-___ 06:45AM BLOOD Calcium-8.9 Phos-3.6 Mg-2.___/P: ___ yo F h/o CAD s/p MI in ___ and anterior wall motion 
-abnormality on echo in ___, CHF (EF 45% in ___, HTN, 
-dementia, p/w one episode of coffee ground emesis followed by an 
-episode of vomiting bright red blood.  
-.
-# UGIB - Most likely etiology is ___ to ASA use/gastritis, 
-possibility of malignancy, PUD, etc. Pt had prior episode about 
-2 months ago and family did not want to pursue EGD. After 
-discussion with family & patient, an EGD was declined again at 
-this time. The patient's Hct was stable (initially 
-hemoconcentrated), VS were not postural x's 2 days, and pt 
-tolerated diet without N/V.
-- hold ASA x's total of 7 days
-- restart ASA as ECASA 81 mg PO QD on ___ (reviewed with pt's 
-cardiologist Dr. ___
-- Protonix PO BID
-- follow Hct
-- consider EGD with any further evidence/episode of GIB if 
-pt/family desires
-.
-# CAD s/p s/p MI ___ and anterior WMA on echo in ___, 
-recent NSTEMI/CHF ___ at OSH. Imdur, Toprol XL & 
-Vasotec initially held on admission in setting of UGIB and 
-patient was maintained on statin & lasix; Toprol XL restarted on 
-___. No alarms on ___ & without c/o's CP/press, SOB, DOE, 
-dizzy.
-- restart Imdur upon return to ___ (recomendation by ___. 
-___ MD, Cardiology on ___ to increase Imdur to 60 mg 
-daily per OMR note)
-.
-# HTN - Normotensive currently, not postural
-- Need to restart Imdur & Vasotec.
-.
-# Dementia, mild & at baseline per family
-- Fall/Safety Precautions
-- gentle re-orientation as needed
-.
-# chronic kidney disease Stage II -- Creat 1.3 on admit, 
-received IVF in ED, was NPO initally, U/A negative  
-- monitor creatinine  
-- at baseline
-.
-# Code - DNR/DNI
- 
-
-###RESPONSE: URINE {Urine culture}, COLOR {Color finding}, PROTEIN {Measurement of protein in urine}, GLUCOSE {Glucose measurement, blood}, KETONE {Urinalysis, acetone or ketone bodies measurement}, PH {pH measurement}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT 
-BILI {Bilirubin, total measurement}, CALCIUM {Blood calcium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}, CHEST (PORTABLE AP {Plain x-ray of chest anteroposterior view}, consolidation {Consolidation}, edema {Edema}, tortuous {Tortuosity}, aorta {Aortic structure}, cardiac {Heart structure}, enlarged {Localized enlarged lymph nodes}, stable {Patient's condition stable}, effusion {Pleural effusion}, pneumothorax {Pneumothorax}, osseous 
-structures {Bone structure}, osteopenic {Osteopenia}, unremarkable {No abnormality detected}, Clear {Normal breath sounds}, lungs {Examination of respiratory system}, no acute {No abnormality detected}, infiltrate {Infiltration}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, wall motion 
-abnormality {Hypokinesis of cardiac wall}, echo {Echocardiography}, CHF {Congestive heart failure}, HTN {Hypertensive disorder, systemic arterial}, dementia {Dementia}, coffee ground emesis {Coffee ground vomiting}, vomiting bright red blood {Vomiting blood - fresh}, UGIB {Upper gastrointestinal hemorrhage}, ASA use {Administration of aspirin}, gastritis {Gastritis}, malignancy {Malignant neoplasm}, PUD {Peptic ulcer}, EGD {Esophagogastroduodenoscopy}, discussion {Discussion}, EGD {Esophagogastroduodenoscopy}, stable {Stable blood pressure}, VS {Vital signs finding}, diet {Dietary finding}, N/V {Nausea and vomiting}, hold {Recommendation to stop drug treatment}, ASA {Administration of aspirin}, restart {Restart of medication}, ASA {Administration of aspirin}, EGD {Esophagogastroduodenoscopy}, GIB {Gastrointestinal hemorrhage}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, WMA {Hypokinesis of cardiac wall}, echo {Echocardiography}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, CHF {Congestive heart failure}, UGIB {Upper gastrointestinal hemorrhage}, lasix {Diuretic therapy}, restarted {Restart of medication}, CP {Chest pain}, press {Tight chest}, SOB {Dyspnea}, DOE {Dyspnea on exertion}, dizzy {Dizziness}, restart {Restart of medication}, Cardiology {Cardiology service}, HTN {Hypertensive disorder, systemic arterial}, Normotensive {Normal blood pressure}, restart {Restart of medication}, Dementia {Dementia}, mild {Symptom mild}, baseline {Baseline state}, Fall {Falls}, Safety Precautions {Safety precautions}, orientation {Finding related to orientation}, chronic kidney disease Stage II {Chronic kidney disease stage 2}, IVF {Administration of intravenous fluids}, NPO {Nil by mouth}, U/A {Urinalysis}, negative {No abnormality detected}, creatinine {Serum creatinine within reference range}, baseline {Baseline state}, DNR {Not for resuscitation}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-vit D 1000 mg PP QD  
-calcium carb 500 mg PO BID  
-Omega 3 1000 mf Po daily  
-Zocor 80 mg PO daily  
-senna 2 tabs PO qhs  
-Dulcolax 10 mg PO daily  
-ECASA 325 mg PO daily  
-Imdur 30 mg PO daily ___ Dr. ___ Imdur 
-increase to 60 mg daily)  
-Toprol XL 50 mg PO daily  
-vasotec 5 mg PO daily  
-lasix 20 mg PO daily  
-Iron sulfate 325 mg PO daily  
-Trazadone 75 mg PO daily  
-Aranesp 25 mcg PO q mon  
-___ prn  
-MOM prn  
-ntg sl prn  
-nitropaste 0.5 "" prn  
-Ambien 5 mg PO qhs prn  
-
- 
-Discharge Medications:
-1. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: 2.5 Tablets 
-PO DAILY (Daily).  
-2. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a 
-day) as needed for constipation.  
-3. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily): 
- Please hold for SBP < 110.  .  
-4. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1) 
-Tablet PO BID (2 times a day).  
-5. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) 
-Tablet, Chewable PO TID W/MEALS (3 TIMES A DAY WITH MEALS).  
-6. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One 
-(1) Tablet, Delayed Release (E.C.) PO Q12H (every 12 hours) as 
-needed for  UGIB.  
-7. Trazodone 50 mg Tablet Sig: One (1) Tablet PO HS (at 
-bedtime).  
-8. Zolpidem 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) 
-as needed for insomnia.  
-9. Acetaminophen 325 mg Tablet Sig: One (1) Tablet PO Q6H (every 
-6 hours) as needed for pain or fever.  
-10. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr 
-Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily):  
-hold for SBP < 110.  
-11. Vasotec 5 mg Tablet Sig: One (1) Tablet PO once a day: hold 
-for SBP <110.  
-12. Zocor 80 mg Tablet Sig: One (1) Tablet PO at bedtime.  
-13. Aspirin EC 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) 
-Tablet, Delayed Release (E.C.) PO once a day: to resume ___.  
-
-14. Imdur 30 mg Tablet Sustained Release 24 hr Sig: One (1) 
-Tablet Sustained Release 24 hr PO once a day: hold for SBP <110. 
- 
-15. Aranesp (Polysorbate) 25 mcg/0.42 mL Syringe Sig: One (1)  
-Injection Q ___.  
-
- 
-
-###RESPONSE: lasix {Diuretic therapy}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Extended Care
- 
-Facility:
-___
- 
-Discharge Diagnosis:
-Primary Diagnosis: 
-================== 
-Upper Gastrointestinal Bleed 
-. 
-Secondary Diagnosis: 
-==================== 
-CAD, s/p MI ___ and anterior WMA on echo in ___, recent 
-NSTEMI/CHF exacerbation at OSH (___) ___  
-CHF (EF 45% in ___  
-Moderate PA systolic hypertension (per echo ___  
-Mild to moderate [___] TR, trivial MR ___ echo ___  
-Carotid stenosis, less than 40% stenosis within bilateral 
-internal  
-carotid arteries, Right vertebral artery with no color flow on 
-Doppler detected, compatible with occlusion ___ Carotid 
-studies)  
-Dementia (mild per sons, MMSE: ___  
-HTN  
-CRI, Stage III  
-Iron deficiency anemia/Heme pos stool  
-s/p fall (___): s/p Subarachnoid hemorrhage, Right temporal 
-intraparenchymal hemorrhage, Subdural hematoma; minimally 
-displaced right superior ramus fracture & left radius fracture.  
-
-Osteoporosis  
-Anxiety  
-GERD  
-Constipation  
-Macular degeneration  
-___ ___ admit as above with aspiration pneumonia  
-___ ___ admit also had Staph Auresu UTI rx'd bactrim  
-.  
-PSHx:  
-s/p ORIF L hip fx ___  
-hx L breast lumpectomy  
-
- 
-Discharge Condition:
-Stable, Hct 32% and VS were not orthostatic on ___, no 
-further N/V & patient is taking & retaining diet.
-
- 
-
-###RESPONSE: Upper Gastrointestinal Bleed {Upper gastrointestinal hemorrhage}, CAD {Coronary arteriosclerosis}, MI {Myocardial infarction}, WMA {Hypokinesis of cardiac wall}, echo {Echocardiography}, NSTEMI {Acute non-ST segment elevation myocardial infarction}, CHF exacerbation {Exacerbation of congestive heart failure}, CHF {Congestive heart failure}, Moderate {Moderate pulmonary hypertension}, PA systolic hypertension {Pulmonary hypertensive arterial disease}, echo {Echocardiography}, Mild {Mild tricuspid valve regurgitation}, MR {Mitral valve regurgitation}, echo {Echocardiography}, Carotid stenosis {Carotid artery stenosis}, stenosis {Carotid artery stenosis}, internal  
-carotid arteries {Internal carotid artery structure}, Right vertebral artery {Structure of right vertebral artery}, h no color flow {Abnormal vascular flow}, Doppler {Doppler ultrasound}, occlusion {Occlusion of carotid artery}, Carotid {Carotid artery structure}, Dementia {Dementia}, mild {Symptom mild}, MMSE {Assessment using mini-mental state examination}, HTN {Hypertensive disorder, systemic arterial}, CRI {Chronic renal insufficiency}, Iron deficiency anemia {Iron deficiency anemia}, Heme pos stool {Hematochezia}, fall {Falls}, Subarachnoid hemorrhage {Subarachnoid intracranial hemorrhage}, Right {Structure of right lower limb}, intraparenchymal hemorrhage {Intraparenchymal hemorrhage of brain}, Subdural hematoma {Subdural intracranial hematoma}, right {Structure of right lower limb}, superior ramus fracture {Fracture of superior pubic ramus}, left radius {Bone structure of left radius}, Osteoporosis {Osteoporosis}, Anxiety {Anxiety}, GERD {Gastroesophageal reflux disease}, Constipation {Constipation}, Macular degeneration {Degenerative disorder of macula}, aspiration pneumonia {Aspiration pneumonia}, UTI {Urinary tract infectious disease}, ORIF {Open reduction of fracture with internal fixation}, hip fx {Fracture of proximal end of femur}, L {Left breast structure}, breast lumpectomy {Lumpectomy of breast}, Stable {Patient's condition stable}, VS {Vital signs finding}, orthostatic {Orthostatic body position}, N/V {Nausea and vomiting}, diet {Dietary finding}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-You were admitted to the hospital after vomitting some blood. 
-You and your family decided not to have an endoscopic 
-examination of your stomach, and as your blood count has 
-stabilized and you do not get dizzy when you stand, you are 
-being returned to the ___. This is your 
-second recent episode of upper GI bleeding: if you have any more 
-you should consider having an endoscopy to see if there are any 
-treatable causes, in your upper GI tract, of your bleeding.
-.
-After contacting your cardiologist, it was determined that since 
-you had a recent Heart Attack, it will be important to continue 
-to take Aspirin to help prevent further heart attacks. Your 
-Aspirin was stopped when you were admitted to the hospital, will 
-continue to be held until ___ and then will be restarted in a 
-coated-form (less irritating to your stomach) and at a lower 
-dose. A new medicine called Protonix has also been started to 
-help protect your stomach from possible irritating effects of 
-Aspirin.
-.
-Please come to the Emergency room or contact your Primary Care 
-Provider if you have any of the following: blood in your stool 
-or vomitus, CP/press, trouble breathing, pain not adequately 
-controled by medicines, extreme dizzyness ot other 
-health-related concerns.
- 
-
-###RESPONSE: vomitting some blood {Vomiting blood - fresh}, stomach {Stomach structure}, blood count {Blood test}, stabilized {Stable hematocrit}, dizzy {Dizziness}, stand {Does stand}, upper GI bleeding {Upper gastrointestinal hemorrhage}, endoscopy {Endoscopy}, upper GI {Upper gastrointestinal tract structure}, bleeding {Bleeding}, Heart Attack {Myocardial infarction}, Aspirin {Administration of aspirin}, heart attacks {Myocardial infarction}, Aspirin {Administration of aspirin}, restarted {Restart of medication}, stomach {Stomach structure}, stomach {Stomach structure}, Aspirin {Administration of aspirin}, blood in your stool {Hematochezia}, vomitus {Vomit contains blood}, CP {Chest pain}, press {Tight chest}, trouble breathing {Difficulty breathing}, pain {Pain}, dizzyness {Dizziness}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___                    Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: MEDICINE
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Percocet
- 
-Attending: ___.
- 
-Chief Complaint:
-chest pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___ year old woman, with no past medical history, 
-who is presenting with episodic chest pain. Patient being 
-admitted to ___ Service for further evaluation given 
-concerns for myocarditis.  
- Patient reports that she had a prodrome about 5 days before, 
-and started to have generalized malaise and fever. 6 days before 
-she started to have diarrhea which was persistent, and then 
-started to have tightness in her chest however this then 
-resolved. She went to work and was able to work for about 12 
-hours, and then started to have headaches which she attributed 
-to not having caffeine. She then continued to have intermittent 
-chest pain which was ""crushing"", and could not get comfortable. 
-This chest pain initially woke her from sleep with chest 
-pressure and tightness, and then she was nauseated at that time 
-with headache. Chest pain lasted 2 hours. Patient then had chest 
-pain again 2 days ago, and stats that she is also having 
-intermittent sweats on and off with pallor. She has also 
-endorsed chest palpitations during this time, and nausea with 
-her symptoms. She has been having intermittent diarrhea during 
-this time. Patient's symptoms sometimes last up to 90 minutes 
-before having some resolution, however it has been difficult to 
-fully characterize each episode.  
- Patient went to an ___ Urgent Care, found to have an 
-elevated troponin-I to 4.25, at 9:39 AM on ___, and + d-dimer 
-as well. Given concern for potential PE in this setting, with 
-tense right leg and family history of lower extremity DVT in her 
-sister who is undergoing surgery, patient underwent ___ and CTA 
-which was negative for PE and DVT.  
-
- 
-
-###RESPONSE: chest pain {Chest pain}, evaluation {Evaluation procedure}, myocarditis {Myocarditis}, prodrome {Prodrome}, malaise {Malaise}, fever {Fever}, diarrhea {Diarrhea}, tightness in her chest {Tight chest}, headaches {Headache}, chest pain {Chest pain}, crushing {Crushing chest pain}, chest pain {Chest pain}, chest 
-pressure {Tight chest}, tightness {Tight chest}, nauseated {Nausea}, headache {Headache}, Chest pain {Chest pain}, chest 
-pain {Chest pain}, sweats {Sweating}, pallor {Pallor of skin of face}, palpitations {Palpitations}, nausea {Nausea}, diarrhea {Diarrhea}, elevated troponin {Troponin I above reference range}, PE {Pulmonary embolism}, right leg {Structure of right lower limb}, lower extremity DVT {Deep venous thrombosis of lower extremity}, surgery {Surgical procedure}, CTA {Computed tomography angiography with contrast}, negative {No abnormality detected}, PE {Pulmonary embolism}, DVT {Deep venous thrombosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-none
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-General: Well appearing woman, no acute distress. Oriented x 3. 
-Affect is appropriate, no cyanosis, tachypnea.  
- Neck: Supple, no cervical LAD. No JVD.  
- Cardiac: RRR, Normal S1, S2. No extra sounds.  
- Lungs: Clear to auscultation bilaterally, no adventitial 
-sounds.  
- Abdomen: Soft, NT/ND. No hepatomegaly.  
- Extremities: No lower extremity edema bilaterally.  
- Skin: No skin lesions appreciated.  
-
- 
-
-###RESPONSE: General {General examination of patient}, Well appearing {Well cared for appearance}, distress {Distress}, Oriented x 3 {Oriented to person, time and place}, Affect is appropriate {Appropriate affect}, cyanosis {Cyanosis}, tachypnea {Tachypnea}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVD {Jugular venous engorgement}, Cardiac {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, extra sounds {Added heart sounds}, Lungs {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, hepatomegaly {Large liver}, Extremities {Examination of limb}, edema {Edema}, Skin {Examination of skin}, lesions {Lesion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-___ 06:15AM BLOOD WBC-8.7 RBC-4.48 Hgb-13.1 Hct-39.5 MCV-88 
-MCH-29.2 MCHC-33.2 RDW-12.9 RDWSD-41.1 Plt ___
-___ 02:50PM BLOOD Neuts-52.8 ___ Monos-9.5 Eos-2.5 
-Baso-0.6 Im ___ AbsNeut-4.91 AbsLymp-3.20 AbsMono-0.88* 
-AbsEos-0.23 AbsBaso-0.06
-___ 06:15AM BLOOD Glucose-76 UreaN-7 Creat-0.8 Na-142 K-3.8 
-Cl-103 HCO3-25 AnGap-18
-___ 06:15AM BLOOD CK-MB-2 cTropnT-0.20*
-___ 12:48AM BLOOD cTropnT-0.34*
-___ 02:50PM BLOOD cTropnT-0.37*
-___ 02:50PM BLOOD CK-MB-20* MB Indx-6.9* proBNP-117
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is a ___ year old woman, with no past medical history, 
-who presented to the ___ ED with episodic chest pain 
-concerning for perimyocarditis. Patient reports that she had a 
-prodrome about 5 days before, and started to have generalized 
-malaise and fever. She also had diarrhea prior to her symptoms 
-developing. She subsequently developed chest tightness that 
-lasted ___ hours over the course of several days prior to 
-admission. Patient went to an ___ Urgent Care, found to 
-have an elevated troponin-I to 4.25, at 9:39 AM on ___, and + 
-d-dimer as well. She was sent to ___ ED. Given concern for 
-potential PE in this setting, with tense right leg and family 
-history of lower extremity DVT in her sister who is undergoing 
-surgery, patient underwent ___ and CTA which was negative for 
-PE and DVT. 
-
-Labs/studies notable for: WBC 9.3, PMN 52%, Hgb 12.9, Hct 38.5, 
-Platelet 270. Sodium 140, K 3.9, Chloride 105, Bicarb 21, BUN 9, 
-Cr 0.6. At ___ troponin peaked at 0.37 and trended down 0.2. 
-She was treated with IV morphine, Tylenol and ibuprofen. EKG 
-showed TWI in V2 that resolved on repeat EKG. Otherwise normal 
-EKG. Her symptoms were improving on discharge. 
-
-TRANSITIONAL ISSUES:
-#follow up chest pain symptoms, consider repeat ESR/CRP in ___ 
-weeks
-#Continue NSAID taper as prescribed 
-#If no improvement or worsening of symptoms can consider 
-increasing NSAID dose vs. initiation of colchicine
-#Consider referral to cardiology if no improvement
- 
-
-###RESPONSE: chest pain {Chest pain}, prodrome {Prodrome}, malaise {Malaise}, fever {Fever}, diarrhea {Diarrhea}, chest tightness {Tight chest}, elevated troponin {Troponin I above reference range}, PE {Pulmonary embolism}, right leg {Structure of right lower limb}, lower extremity DVT {Deep venous thrombosis of lower extremity}, surgery {Surgical procedure}, CTA {Computed tomography angiography with contrast}, negative {No abnormality detected}, PE {Pulmonary embolism}, DVT {Deep venous thrombosis}, Labs {Laboratory test}, Platelet {Platelet}, EKG {Electrocardiographic procedure}, TWI {Inverted T wave}, EKG {Electrocardiographic procedure}, EKG {Electrocardiographic procedure}, improving {Patient's condition improved}, chest pain {Chest pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-The Preadmission Medication list is accurate and complete.
-1. This patient is not taking any preadmission medications
-
- 
-Discharge Medications:
-1.  Acetaminophen 325-650 mg PO Q6H:PRN Pain - Mild  
-2.  Ibuprofen 600 mg PO Q8H 
-Please take every 8 hours for 5 days, followed by twice a day 
-for 5 days, followed by 5 days daily 
-RX *ibuprofen 600 mg 1 tablet(s) by mouth every 8 hours Disp 
-#*25 Tablet Refills:*0 
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-PRIMARY: PERIMYOCARDITIS
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___,
-
-It was a pleasure taking care of you at the ___ 
-___. You were hospitalized after 
-experiencing chest pain. It is suspected that you have 
-perimyocarditis (infection of your heart muscle). It was thought 
-this was likely cause by a viral infection. You had an 
-ultrasound of your heart that showed normal function. You are 
-going to be started on Ibuprofen to treat your pain. You should 
-continue these medications as prescribed. Please take this 
-medication with food.
---Please take 600mg Ibuprofen every 8 hours from ___
---Please take 600mg Ibuprofen every 12 hours from ___
---Please take 600mg Ibuprofen every day from ___
-
-Please follow up with your primary care doctor. If you have 
-worsening chest pain, pressure or shortness of breath please 
-call your PCP or return to the emergency department. If your 
-symptoms are not improving please ask your PCP to refer you to a 
-cardiologist. 
-
-We wish you a quick recovery!
-
-Sincerely,
-
-Your ___ Cardiology Team 
- 
-
-###RESPONSE: chest pain {Chest pain}, infection {Infectious disease}, heart muscle {Structure of cardiac muscle tissue}, viral infection {Viral disease}, ultrasound of your heart {Echocardiography}, pain {Pain}, worsening {Increased pain}, chest pain {Chest pain}, pressure {Tight chest}, shortness of breath {Dyspnea}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: CARDIOTHORACIC
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-Patient recorded as having No Known Allergies to Drugs
- 
-Attending: ___.
- 
-Chief Complaint:
-right paratracheal mediastinal
-cyst 
- 
-Major Surgical or Invasive Procedure:
-left vats removal of paratracheal cyst
-
- 
-
-###RESPONSE: right paratracheal mediastinal {Structure of right paratracheal lymph node}, cyst {Cyst}, vats {Video assisted thoracotomy}, removal {Excision of cyst}, paratracheal {Paratracheal lymph node group}, cyst {Cyst}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-Ms. ___ is a ___
-female who was found to have a right paratracheal mediastinal
-cyst on incidental workup of an upper respiratory infection
-approximately a year and a half ago. The patient did not
-experience any symptoms due to mass effect of the cyst nor
-did she have any superinfection of the cyst. After much
-deliberation, the patient decided to have it removed to
-prevent future sequelae.
-
- 
-
-###RESPONSE: right paratracheal mediastinal {Structure of right paratracheal lymph node}, cyst {Cyst}, workup {Evaluation procedure}, upper respiratory infection {Upper respiratory infection}, cyst {Cyst}, cyst {Cyst}, removed {Removal}, sequelae {Sequelae of disorders}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-paratracheal mediastinal cyst, obesity, depression, chronic back 
-pain 
- 
-
-###RESPONSE: paratracheal mediastinal {Structure of right paratracheal lymph node}, cyst {Cyst}, obesity {Obesity}, depression {Depressive disorder}, chronic back 
-pain {Chronic back pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-non-contributory
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-VS; 98.6, 78, 110/70, 18, 97% Room air
-general: ___ YO F in NAD
-HEENT: unremarkable
-Chest: breath sounds decreased at the bases otherwise clear. 
-Right Vats sites C/D/I w/ steristrips in place.
-COR: RRR S1, S2
-abd: soft, NT, ND, +BS
-extrem: no edema
- 
-
-###RESPONSE: VS {Vital signs finding}, Room air {Breathing room air}, general {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, unremarkable {No abnormality detected}, Chest {Examination of respiratory system}, sounds decreased {Decreased breath sounds}, bases {Structure of base of lung}, clear {Normal breath sounds}, Right {Right lung structure}, Vats {Video assisted thoracotomy}, steristrips in place {Application of adhesive skin closure}, COR {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, abd {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, +BS {Normal bowel sounds}, edema {Edema}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-TWO-VIEW CHEST, ___ 
-  
-COMPARISON: ___. 
-  
-INDICATION: Chest tube removal. 
-  
-FINDINGS: Following removal of right chest tube, there is no 
-pneumothorax.  
-Lung volumes are slightly increased, with associated improvement 
-in 
-atelectatic changes in the right perihilar and left basilar 
-regions. Exam is 
-otherwise without substantial change. 
-  
-
- 
-
-###RESPONSE: CHEST {Thoracic structure}, Chest tube removal {Intercostal drain removal}, removal {Intercostal drain removal}, right chest {Right thorax structure}, pneumothorax {Pneumothorax}, Lung volumes {Finding of respiratory volume}, increased {Increased size}, improvement {Patient's condition improved}, atelectatic {Atelectasis}, right perihilar {Structure of hilum of right lung}, left basilar {Structure of lower lobe of left lung}, Exam {Physical examination procedure}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Pt was taken to the OR for right vats removal of paratracheal 
-mediastinal mass. See operative note for details of the case. 
-Post op pt had ___ drain to sunction w/ minimal drainage 
-which was placed to bulb sxn and was removed on POD#2 w/ stable 
-CXR. Pain was controlled w/ po dilaudid and motrin. Pt was ___ 
-reg diet and ambulating. She was d/c'd to home and will f/u in 2 
-weeks.  
- 
-
-###RESPONSE: vats {Video assisted thoracotomy}, removal {Excision of cyst}, paratracheal {Paratracheal lymph node group}, mediastinal {Mediastinal structure}, mass {Mass}, operative {Surgical procedure}, Post op {Postoperative state}, drain {Insertion of pleural tube drain}, drainage {Wound discharge}, stable {Patient's condition stable}, CXR {Plain chest X-ray}, Pain {Pain}, reg diet {Normal diet}, ambulating {Fully mobile}, f/u {Follow-up arranged}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-prilosec 20 QD, tylenol PRN 
- 
-Discharge Medications:
-1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 
-times a day).  
-2. Hydromorphone 4 mg Tablet Sig: ___ Tablet PO Q4H (every 4 
-hours) as needed.
-Disp:*100 Tablet(s)* Refills:*0*
-3. Ibuprofen 600 mg Tablet Sig: One (1) Tablet PO Q8H (every 8 
-hours) as needed.
-Disp:*90 Tablet(s)* Refills:*0*
-4. Acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H (every 
-6 hours) as needed.  
-5. Prilosec 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) 
-Capsule, Delayed Release(E.C.) PO once a day.  
-
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-right VATS resesction right paratracheal mediastinal cyst
-
- 
-Discharge Condition:
-good
-
- 
-
-###RESPONSE: right {Structure of upper lobe of right lung}, VATS {Video assisted thoracotomy}, resesction {Excision of cyst}, right paratracheal {Structure of right paratracheal lymph node}, mediastinal {Mediastinal structure}, cyst {Cyst}, good {Patient's condition satisfactory}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Call Dr. ___ ___ if you develop increased 
-chest pain, shortness of breath, fever, chills, redness or 
-drainage from your incision site or any other symptoms that 
-concern you.
-Take a stool softner while taking your pain medication to 
-prevent constipation.
-Do not drive while taking pain medication.
-You may shower on ___. After showering, you MUST remove the 
-dressing and cover the site with a clean dry bandaid. There is a 
-stitch in place which we will remove at your follow up visit.
- 
-
-###RESPONSE: chest pain {Chest pain}, shortness of breath {Dyspnea}, fever {Fever}, chills {Chill}, redness {Redness of skin over lesion}, drainage {Wound discharge}, incision site {Surgical incision wound}, Take a stool softner {Administration of laxative}, pain medication {Administration of analgesic}, constipation {Constipation}, Do not drive {Recommendation to avoid activity of daily living}, while taking pain medication {Patient medication education}, may shower {Wound treatment education}, remove the 
-dressing {Removal of dressing}, stitch {Removal of suture}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT:  
-Name:  ___               Unit No:   ___
- 
-Admission Date:  ___              Discharge Date:   ___
- 
-Date of Birth:  ___             Sex:   F
- 
-Service: SURGERY
- 
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Allergies: 
-penicillin G / hydrochlorothiazide
- 
-Attending: ___
- 
-Chief Complaint:
-Abdominal pain
- 
-Major Surgical or Invasive Procedure:
-None
-
- 
-
-###RESPONSE: penicillin G {Allergy to benzylpenicillin}, hydrochlorothiazide {Allergy to hydrochlorothiazide}, Abdominal pain {Abdominal pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: History of Present Illness:
-___ female presenting with ___ days of abdominal pain (sharp in 
-nature) mostly on her left abdomen who reports a 2 day hx of 
-blood in her stool beginning ___ evening after eating. She 
-presented to her PCP yesterday with this complaint and was sent 
-for a CT scan revealing distal transverse and proximal 
-descending colitis. She reports that over the last two days, her 
-bloody bowel movements have continued. She reports that 
-initially they seemed to just have blood, but now, she reports 
-she has had normal caliber stool with some blood intermixed. She 
-reports some nausea. No emesis. After her PCP appointment, she 
-stopped taking ASA per MD orders. She endorses decreased 
-appetite and nausea. She denies any acute illness prior to the 
-abdominal pain and blood in stool. She also denies any hx of 
-palpitations or
-arrhythmias. Last colonoscopy was ___ years ago.
-
-Of note, patient is a poor historian. She is accompanied by her 
-grandson who provides additional history.
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, sharp {Sharp pain}, left abdomen {Structure of left side of abdomen}, blood in her stool {Hematochezia}, PCP {Primary care management}, CT scan {Computed tomography}, transverse {Transverse colon structure}, descending {Descending colon structure}, colitis {Colitis}, bloody bowel movements {Hematochezia}, normal caliber stool {Feces normal}, nausea {Nausea}, emesis {Vomiting}, PCP {Primary care management}, decreased 
-appetite {Decrease in appetite}, nausea {Nausea}, illness {Illness}, abdominal pain {Abdominal pain}, blood in stool {Hematochezia}, palpitations {Palpitations}, arrhythmias {Cardiac arrhythmia}, colonoscopy {Colonoscopy}, poor historian {Poor historian}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Past Medical History:
-PMH: 
-PREDIABETES                                                     
-Previously on metformin; A1C 5.6% off of metformin as of ___ 
-HYPERTENSION                                                    
-GLAUCOMA                                                        
-Followed at ___ optho                                           
-ARTHRITIS                                                       
-SCIATICA                                                        
-Right   
-LOW BACK PAIN
-?DVT 
- 
-
-###RESPONSE: PREDIABETES {Prediabetes}, HYPERTENSION {Hypertensive disorder, systemic arterial}, GLAUCOMA {Glaucoma}, ARTHRITIS {Arthritis}, SCIATICA {Sciatica}, LOW BACK PAIN {Low back pain}, DVT {Deep venous thrombosis}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Social History:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Family History:
-Relative Status   Age Problem                 
-Mother   ___ ___                                            
-Father   ___     OLD AGE                                   
-Comments: NO known MI or COLON cancer.        
- 
-
-###RESPONSE: Age Problem {Problem of aging}, OLD AGE {Old-age}, MI {Myocardial infarction}, COLON cancer {Malignant neoplasm of colon}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Physical Exam:
-DISCHARGE PHYSICAL EXAM:
-
-Vitals: T 98.5  HR 72  BP 132/64  RR 18  SpO2 98% RA
-
-General: awake, alert, no acute distress
-HEENT: trachea midline
-CV: regular rate and rhythm
-Pulm: CTAB
-GI: abdomen soft, non-distended, non-tender
-Extremities: warm and well perfused
- 
-
-###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, General {General examination of patient}, awake {Awake}, alert {Mentally alert}, distress {Distress}, HEENT {Physical examination procedure}, trachea {Tracheal structure}, CV {Cardiovascular physical examination}, regular rate and rhythm {Normal heart rate}, Pulm {Examination of respiratory system}, CTAB {Normal breath sounds}, GI {Examination of digestive system}, soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, Extremities {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Pertinent Results:
-ADMISSION LABS:
-
-___ 07:55PM   WBC-8.2 RBC-4.57 HGB-10.6* HCT-35.8 MCV-78* 
-MCH-23.2* MCHC-29.6* RDW-16.8* RDWSD-47.2*
-___ 07:55PM   NEUTS-75.0* LYMPHS-15.7* MONOS-8.2 EOS-0.5* 
-BASOS-0.2 IM ___ AbsNeut-6.13* AbsLymp-1.28 AbsMono-0.67 
-AbsEos-0.04 AbsBaso-0.02
-___ 07:55PM   ___ PTT-26.2 ___
-___ 08:04PM   LACTATE-2.4*
-___ 07:55PM   GLUCOSE-128* UREA N-10 CREAT-1.0 SODIUM-145 
-POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-26 ANION GAP-14
-___ 07:55PM   ALT(SGPT)-11 AST(SGOT)-21 ALK PHOS-75 TOT 
-BILI-0.4
-
-IMAGING:
-
-CT abdomen/pelvis ___:
-IMPRESSION:
-1. Severe colitis involving the distal transverse and proximal 
-descending colon.
-2. Small bowel lateral to the cecum and ascending colon, 
-suggesting the
-presence of partial malrotation.
-
-CT chest ___:
-IMPRESSION: 2 calcified granulomas.  No evidence of pneumonia
-
-TTE ___:
-IMPRESSION: Normal left ventricular wall thickness, cavity size, 
-and regional/global systolic
-function. Mild right ventricular cavity dilation with normal 
-systolic function (may be UNDERestimated
-given severity of tricuspid regurgitation). Severe tricuspid 
-regurgitation in the setting of failure of
-leaflets to fully coapt. Mild mitral regurgitation. At least 
-mild pulmonary systolic hypertension.
-
-CT abdomen/pelvis ___:
-IMPRESSION:
-1. Interval improvement colitis of the splenic flexure.  The 
-distribution of findings is compatible with ischemic colitis.
-2. No large arterial splanchnic branch occlusion.  This does not 
-exclude an ischemic episode from low flow state.
- 
-
-###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, PTT {Partial thromboplastin time, activated}, GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pelvis {Structure of pelvis}, colitis {Colitis}, transverse {Transverse colon structure}, descending colon {Descending colon structure}, Small bowel {Structure of small intestine}, cecum {Cecum structure}, ascending colon {Ascending colon structure}, presence of partial malrotation {Malrotation of small intestine}, chest {Thoracic structure}, calcified granulomas {Calcified granuloma}, pneumonia {Pneumonia}, TTE {Transesophageal echocardiography}, left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, regional/global systolic
-function {Normal left ventricular systolic function and wall motion}, right ventricular cavity {Structure of cavity of right cardiac ventricle}, dilation {Dilatation}, normal 
-systolic function {Normal systolic arterial pressure}, tricuspid regurgitation {Tricuspid valve regurgitation}, Severe tricuspid 
-regurgitation {Severe tricuspid valve regurgitation}, leaflets {Structure of leaflet of tricuspid valve}, Mild mitral regurgitation {Mild mitral valve regurgitation}, mild pulmonary {Mild pulmonary hypertension}, systolic hypertension {Systolic hypertension}, CT abdomen/pelvis {Computed tomography of abdomen and pelvis}, colitis {Colitis}, splenic flexure {Structure of left colic flexure}, ischemic colitis {Ischemic colitis}, occlusion {Complete obstruction}, ischemic {Ischemia}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Brief Hospital Course:
-Ms. ___ is an ___ year old female who presented to ___ 
-___ on ___ with abdominal pain 
-and bloody stools. Her imaging demonstrated colitis of the 
-splenic flexure, concerning for possible ischemic etiology. She 
-was admitted to the Acute Care Surgery service for bowel rest, 
-IV fluid resuscitation, and serial abdominal exams. She 
-underwent an echocardiogram which showed no evidence of cardiac 
-thrombotic source for mesenteric ischemia. On ___, she underwent 
-a CTA of the abdomen and pelvis which demonstrated patent 
-mesenteric vessels and interval improvement in her colitis. Her 
-abdominal pain had resolved at this point, so she was given a PO 
-challenge and advanced to a regular diet as tolerated. 
-
-On ___, the patient was tolerating a regular diet, voiding 
-spontaneously without issue, and her abdominal pain had 
-resolved. She had had no bloody bowel movements. She was deemed 
-ready for discharge to home with PCP follow up. ___ was told to 
-follow up in surgery clinic as needed. 
-
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, bloody stools {Hematochezia}, imaging {Imaging}, colitis {Colitis}, splenic flexure {Structure of left colic flexure}, ischemic {Ischemia}, bowel {Intestinal structure}, IV {Intravenous therapy}, abdominal exams {Examination of abdomen}, echocardiogram {Echocardiography}, no evidence {No abnormality detected}, cardiac {Heart structure}, thrombotic {Thrombosis}, mesenteric ischemia {Acute vascular insufficiency of intestine}, CTA {Computed tomography angiography with contrast}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pelvis {Structure of pelvis}, mesenteric vessels {Structure of blood vessel of intestine}, colitis {Colitis}, abdominal pain {Abdominal pain}, regular diet {Normal diet}, regular diet {Normal diet}, voiding 
-spontaneously without issue {Normal micturition}, abdominal pain {Abdominal pain}, bloody bowel movements {Hematochezia}, ready for discharge {Ready for discharge}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Medications on Admission:
-Medications - Prescription
-BRIMONIDINE - brimonidine 0.2 % eye drops. 1 drop ophthalmic
-three times a day -  (Prescribed by Other Provider)
-DORZOLAMIDE-TIMOLOL - dorzolamide 22.3 mg-timolol 6.8 mg/mL eye
-drops. 1 drop opthalmic three times a day -  (Prescribed by 
-Other
-Provider)
-LOSARTAN [COZAAR] - Cozaar 50 mg tablet. 1 tablet(s) by mouth
-daily
-NIFEDIPINE - nifedipine ER 30 mg tablet,extended release 24 hr.
-TAKE 1 TABLET BY MOUTH DAILY
-OMEPRAZOLE - omeprazole 20 mg capsule,delayed release. TAKE 1
-CAPSULE BY MOUTH DAILY
- 
-Medications - OTC
-ACETAMINOPHEN - acetaminophen 500 mg tablet. ___ tablet(s) by
-mouth three times a day as needed for pain
-ASPIRIN - aspirin 81 mg chewable tablet. 1 tablet(s) by mouth
-daily
-BLOOD SUGAR DIAGNOSTIC [ONETOUCH ULTRA TEST] - OneTouch Ultra
-Test strips. use to test blood glucose daily
-LANCETS - lancets 33 gauge. use to test blood glucose daily
- 
-Discharge Medications:
-Medications - Prescription
-BRIMONIDINE - brimonidine 0.2 % eye drops. 1 drop ophthalmic
-three times a day -  (Prescribed by Other Provider)
-DORZOLAMIDE-TIMOLOL - dorzolamide 22.3 mg-timolol 6.8 mg/mL eye
-drops. 1 drop opthalmic three times a day -  (Prescribed by 
-Other
-Provider)
-LOSARTAN [COZAAR] - Cozaar 50 mg tablet. 1 tablet(s) by mouth
-daily
-NIFEDIPINE - nifedipine ER 30 mg tablet,extended release 24 hr.
-TAKE 1 TABLET BY MOUTH DAILY
-OMEPRAZOLE - omeprazole 20 mg capsule,delayed release. TAKE 1
-CAPSULE BY MOUTH DAILY
- 
-Medications - OTC
-ACETAMINOPHEN - acetaminophen 500 mg tablet. ___ tablet(s) by
-mouth three times a day as needed for pain
-ASPIRIN - aspirin 81 mg chewable tablet. 1 tablet(s) by mouth
-daily
-BLOOD SUGAR DIAGNOSTIC [ONETOUCH ULTRA TEST] - OneTouch Ultra
-Test strips. use to test blood glucose daily
-LANCETS - lancets 33 gauge. use to test blood glucose daily
- 
-
-###RESPONSE: mg {Blood magnesium measurement}, mg {Blood magnesium measurement}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Disposition:
-Home
- 
-Discharge Diagnosis:
-Ischemic colitis of the splenic flexure
-
- 
-Discharge Condition:
-Mental Status: Clear and coherent.
-Level of Consciousness: Alert and interactive.
-Activity Status: Ambulatory - Independent.
-
- 
-
-###RESPONSE: Ischemic colitis {Ischemic colitis}, splenic flexure {Entire left colic flexure}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Discharge Instructions:
-Dear Ms. ___, 
-
-You were admitted to ___ on 
-___ with abdominal pain and inflammation of the bowel. You 
-are recovering well and are now ready for discharge. Please 
-follow the instructions below to continue your recovery:
-
-ACTIVITY: 
- o You may resume normal activity as tolerated.
- o You may climb stairs.  
- o  You may go outside, but avoid traveling long distances until 
-you see your surgeon at your next visit. 
- o You may start some light exercise when you feel comfortable. 
-   
-HOW YOU MAY FEEL:  
- o  You may feel weak or ""washed out"" for a couple of weeks. You 
-might want to nap often. Simple tasks may exhaust you. 
- o  You could have a poor appetite for a while. Food may seem 
-unappealing. 
- o  All of these feelings and reactions are normal and should go 
-away in a short time.  If they do not, tell your surgeon. 
-   
-YOUR BOWELS: 
- o Constipation is a common side effect of narcotic pain 
-medications. If needed, you may take a stool softener (such as 
-Colace, one capsule) or gentle laxative (such as milk of 
-magnesia, 1 tbs) twice a day. You can get both of these 
-medicines without a prescription. 
- o If you go 48 hours without a bowel movement, or have pain 
-moving the bowels, call your surgeon.  
-   
-PAIN MANAGEMENT: 
- o Your pain should get better day by day. If you find the pain 
-is getting worse instead of better, please contact your surgeon. 
-
- o You will receive a prescription for pain medicine to take by 
-mouth. It is important to take this medicine as directed. o Do 
-not take it more frequently than prescribed. Do not take more 
-medicine at one time than prescribed. 
- o Your pain medicine will work better if you take it before 
-your pain gets too severe. 
- o Talk with your surgeon about how long you will need to take 
-prescription pain medicine. Please don't take any other pain 
-medicine, including non-prescription pain medicine, unless your 
-surgeon has said its okay. 
- o If you are experiencing no pain, it is okay to skip a dose of 
-pain medicine. 
- o Remember to use your ""cough pillow"" for splinting when you 
-cough or when you are doing your deep breathing exercises.
-
-If you experience any of the following, please contact your 
-surgeon: 
- - sharp pain or any severe pain that lasts several hours 
- - pain that is getting worse over time 
- - pain accompanied by fever of more than 101 
- - a drastic change in nature or quality of your pain 
-   
-MEDICATIONS: 
- Take all the medicines you were on before the operation just as 
-you did before, unless you have been told differently. 
- If you have any questions about what medicine to take or not to 
-take, please call your surgeon.
-
- 
-
-###RESPONSE: abdominal pain {Abdominal pain}, inflammation of the bowel {Inflammation of intestine}, ready for discharge {Ready for discharge}, normal activity as tolerated {Normal activity tolerance}, climb stairs {Does walk up stairs}, exercise {Exercises}, weak {Asthenia}, washed out {Exhaustion}, poor appetite {Decrease in appetite}, BOWELS {Intestinal structure}, Constipation {Constipation}, pain 
-medications {Administration of analgesic}, take a stool softener {Administration of laxative}, pain {Pain}, PAIN MANAGEMENT {Pain management}, pain {Pain}, pain {Pain}, prescription {Prescription}, pain {Pain}, by 
-mouth {Administration of drug or medicament via oral route}, pain {Pain}, prescription {Prescription}, pain {Pain}, prescription {Prescription}, pain {Pain}, pain {Pain}, skip {Does skip}, cough {Cough}, deep breathing exercises {Deep breathing exercises}, sharp pain {Sharp pain}, severe pain {Severe pain}, pain {Pain}, pain {Pain}, fever {Fever}, pain {Pain}"
-"###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an ""EMPTY: No SNOMED annotations found in this fragment"" if there are none. For any that you find, you will return a list of: ""text {annotation}"", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: 
-###TEXT: Followup Instructions:
-___
-
-###RESPONSE: EMPTY: No SNOMED annotations found in this fragment"