Datasets:

JaimeML
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snomed-entity-challenge

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Split (1)

train · 2.1k rows

text stringlengths 539 21.6k
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the 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}

Subsets and Splits