Datasets:

JaimeML
/

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: History of Present Illness: Ms. ___ is a ___ female with history of alcoholic cirrhosis decompensated by grade I varices and two recent hospitalizations for hepatic encephalopathy, alcohol use disorder in remission, and non-obstructive coronary artery disease referred directly from ___ clinic for incidental cholestatic injury, rising MELD and imminent transplant candidacy in that regard, and serial lab monitoring. Patient was first hospitalized from ___ for hepatic encephalopathy secondary to lactulose non-adherence and pan-sensitive E. coli UTI. She incidentally developed acute on chronic anemia, prompting endoscopy, which revealed one cord of grade I varices and portal hypertensive gastropathy without stigmata of bleeding. She was likewise hospitalized from ___ for hepatic encephalopathy secondary to dehydration. Her mentation promptly resolved with hydration and was discharged on rifaximin. She explains, "I felt really good [after discharge]" for an estimated 1.5 to 2 weeks, when "things [then] went downhill," meaning "no energy" and jaundice. She is not sleeping well due to intense pruritus and is napping during the day. Her daughter adds, "It doesn't take much to get her exhausted [now]...like one errand." She endorses anorexia and dysgeusia in recent days, and estimates a 5-pound weight loss since last hospitalization. She has not been confused and is taking her lactulose, noting ___ bowel movements some days and ___ on others. She has vague, occasional "crampy" abdominal pain, which is not particularly bothersome. She recently completed a course of amoxicillin for a dental procedure, but denies other new medications or over-the-counter protein supplements or vitamins. Her colestipol was recently intensified, but she thinks her fatigue and jaundice pre-dated this. She continues to abstain from alcohol. Her routine surveillance labs on ___ revealed worsening hyperbilirubinemia (i.e., total bilirubin 11 to 23.4, then 21.7 today), prompting expedited follow-up today. She underwent MRCP and was then admitted directly for serial lab monitoring. ###RESPONSE: alcoholic cirrhosis {Alcoholic cirrhosis}, varices {Esophageal varices}, hepatic encephalopathy {Hepatic encephalopathy}, alcohol use {Current drinker of alcohol}, disorder in remission {Disorder in remission}, coronary artery disease {Coronary arteriosclerosis}, cholestatic injury {Injury of biliary tree}, monitoring {Monitoring procedure}, hepatic encephalopathy {Hepatic encephalopathy}, E. coli UTI {Urinary tract infection caused by Escherichia coli}, chronic anemia {Chronic anemia}, endoscopy {Endoscopy}, varices {Esophageal varices}, portal hypertensive gastropathy {Portal hypertensive gastropathy}, bleeding {Bleeding}, hepatic encephalopathy {Hepatic encephalopathy}, dehydration {Dehydration}, resolved {Problem resolved}, hydration {Administration of fluid therapy}, felt really good {Patient feels well}, jaundice {Jaundice}, sleeping {Asleep}, pruritus {Itching of skin}, anorexia {Loss of appetite}, dysgeusia {Taste sense altered}, weight loss {Weight loss}, confused {Clouded consciousness}, crampy {Stomach cramps}, abdominal pain {Abdominal pain}, dental procedure {Dental surgical procedure}, fatigue {Fatigue}, jaundice {Jaundice}, abstain from alcohol {Does abstain from drinking}, hyperbilirubinemia {Hyperbilirubinemia}, total bilirubin {Bilirubin, total measurement}, MRCP {Magnetic resonance cholangiopancreatography}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: Alcoholic Cirrhosis c/b ascites, esophageal varices Colonic adenoma Essential hypertension Melanocytic nevus Low back pain GERD Anemia Cholecystectomy ###RESPONSE: Alcoholic Cirrhosis {Alcoholic cirrhosis}, ascites {Ascites}, esophageal varices {Esophageal varices}, Colonic {Colon structure}, adenoma {Adenoma}, Essential hypertension {Essential hypertension}, Melanocytic nevus {Pigmented nevus}, Low back pain {Low back pain}, GERD {Gastroesophageal reflux disease}, Anemia {Anemia}, Cholecystectomy {Cholecystectomy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Mother: ___ kidney disease, deceased Father: ___, deceased Brother: CAD with stent ###RESPONSE: kidney disease {Kidney disease}, deceased {Dead}, deceased {Dead}, CAD {Coronary arteriosclerosis}, stent {Insertion of arterial stent}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: ADMISSION EXAM: VITALS: T 98.3, HR 78, BP 133/71. RR 17, O2 100% RA GENERAL: no apparent distress, jaundiced, thin HEENT: temporal wasting, scleral icterus, oropharynx clear, moist mucous membranes NECK: supple, JVP 8 cm, no cervical lymphadenopathy HEART: RRR, S1/S2, III/VI systolic murmur heard across the precordium PULM: unlabored, CTAB ABDOMEN: surgical scar, soft, minor distention, non-tender, palpable liver edge EXTREMITIES: warm, well perfused, without edema, intrinsic hand muscle wasting NERUO: no asterxis, non-focal SKIN: no rash or lesion DISCHARGE EXAM: VITALS: T 98.4 BP 115/55 HR 78 RR 18 O2 Sat 99% on RA Wt: 141.1 lb/61 kg GENERAL: NAD, months backward w 1 error. HEENT: AT/NC, anicteric sclera, MMM CV: RRR, S1/S2, no murmurs, gallops, or rubs PULM: CTAB, no wheezes, rales, rhonchi, breathing comfortably without use of accessory muscles GI: abdomen soft, moderately distended, without fluid wave, nontender in all quadrants, no rebound/guarding EXTREMITIES: no cyanosis, clubbing, or edema NEURO: Alert, moving all 4 extremities with purpose, face symmetric DERM: Warm and well perfused, mildly jaundiced (stable this admission), no excoriations or lesions, no rashes ###RESPONSE: T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, RA {Breathing room air}, GENERAL {General examination of patient}, distress {Distress}, jaundiced {Jaundice}, HEENT {Physical examination procedure}, temporal {Structure of temporal region}, scleral icterus {Scleral icterus}, oropharynx clear {Pharynx normal}, moist mucous membranes {Moist oral mucosa}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, cervical lymphadenopathy {Cervical lymphadenopathy}, HEART {Cardiovascular physical examination}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, precordium {Structure of precordium}, PULM {Examination of respiratory system}, unlabored {Breathing easily}, CTAB {Normal breath sounds}, ABDOMEN {Examination of abdomen}, surgical scar {Surgical scar}, soft {Abdomen soft}, distention {Swollen abdomen}, , palpable liver edge {Liver edge palpable}, EXTREMITIES {Examination of limb}, warm {Warm skin}, well perfused {Normal tissue perfusion}, edema {Edema}, hand {Hand structure}, muscle wasting {Muscle atrophy}, NERUO {Neurological examination}, asterxis {Asterixis}, SKIN {Examination of skin}, rash {Eruption of skin}, lesion {Skin lesion}, T {Body temperature finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 Sat {Oxygen saturation measurement}, RA {Breathing room air}, GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, anicteric sclera {White sclera}, MMM {Moist oral mucosa}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, murmurs {Heart murmur}, gallops {Gallop rhythm}, rubs {Pericardial friction rub}, PULM {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, breathing comfortably {Breathing easily}, accessory muscles {Accessory skeletal muscle}, GI {Examination of digestive system}, abdomen soft {Abdomen soft}, distended {Swollen abdomen}, fluid {Effusion}, tender {Abdominal tenderness}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, EXTREMITIES {Examination of limb}, cyanosis {Cyanosis}, clubbing {Clubbing}, edema {Edema}, NEURO {Neurological examination}, Alert {Mentally alert}, moving all 4 extremities {Does move all four limbs}, face symmetric {Facial symmetry}, DERM {Examination of skin}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, jaundiced {Jaundice}, excoriations {Excoriation}, lesions {Skin lesion}, rashes {Eruption of skin}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ADMISSION LABS: =============== ___ 01:50PM GLUCOSE-113* ___ 01:50PM UREA N-32* CREAT-1.2* SODIUM-131* POTASSIUM-5.2 CHLORIDE-95* TOTAL CO2-21* ANION GAP-15 ___ 01:50PM ALT(SGPT)-36 AST(SGOT)-83* ALK PHOS-178* TOT BILI-21.7* ___ 01:50PM ALBUMIN-3.7 ___ 01:50PM HBsAg-NEG HAV Ab-NEG ___ 01:50PM ASA-NEG ACETMNPHN-NEG ___ 01:50PM WBC-5.8 RBC-2.96* HGB-9.0* HCT-25.4* MCV-86 MCH-30.4 MCHC-35.4 RDW-27.5* RDWSD-84.0* ___ 01:50PM NEUTS-75.2* LYMPHS-13.8* MONOS-9.3 EOS-0.9* BASOS-0.3 IM ___ AbsNeut-4.34 AbsLymp-0.80* AbsMono-0.54 AbsEos-0.05 AbsBaso-0.02 ___ 01:50PM PLT COUNT-129* ___ 01:50PM ___ ___ 10:32AM CREAT-1.3* SODIUM-129* ___ 10:32AM estGFR-Using this ___ 10:32AM ALT(SGPT)-31 AST(SGOT)-72* ALK PHOS-158* TOT BILI-23.4* ___ 10:32AM ALBUMIN-3.6 ___ 10:32AM ___ DISCHARGE LABS: ================= ___ 07:50AM BLOOD WBC-4.5 RBC-2.46* Hgb-7.6* Hct-22.0* MCV-89 MCH-30.9 MCHC-34.5 RDW-24.3* RDWSD-78.9* Plt Ct-65* ___ 07:50AM BLOOD ___ PTT-35.5 ___ ___ 07:50AM BLOOD Glucose-136* UreaN-38* Creat-1.2* Na-132* K-4.4 Cl-99 HCO3-20* AnGap-13 ___ 07:50AM BLOOD ALT-65* AST-139* AlkPhos-279* TotBili-11.5* ___ 07:50AM BLOOD Calcium-8.3* Phos-2.9 Mg-2.___ yo F with hx alcoholic cirrhosis c/b grade I varices, malnutrition, and two recent hospitalizations for hepatic encephalopathy referred directly from ___ clinic with elevated bilirubin for expedited liver transplant work-up found to have non-obstructive CAD in LAD, and on ___ had rotational athrectomy and 2 drug-eluting stents placed, and resolving transaminitis. ACUTE ISSUES #) Alcoholic cirrhosis, Child B/MELD ___ on admission, 26 on ___ Patient initially presented from clinic with worsening cholestasis of uncertain etiology. MRCP was negative for cholangitis among other obstructive pathologies and infectious work up has been negative. She recently had 3 teeth extracted, so transient bacteremia may have contributed. No new medications other than amoxicillin for dental prophylaxis and recent intensification of colestipol. Now that patient is on aspirin and Plavix, further evaluation of liver transplant will not occur for 3 mo. Volume: She was hypervolemic, with increasing ascites based on visual exam and weights. Continued Lasix and spironolactone as tolerated by kidney. She received albumin. Infection: patient had ascites, but no fever, leukocytosis; paracentesis was not performed as no strong clinical indication, and currently on dual antiplatelet therapy Bleeding: history of grade I varices. There was concern for hemorrhage and CBC and coagulation parameters were at or above baseline. Coagulopathy: INR 1.6; Platelets 65, up from 61 ___. Encephalopathy: history of hepatic encephalopathy, though was entirely appropriate and oriented here. She was continued on lactulose and rifaximin. Nutrition: nutrition evaluation for history of malnutrition. previously Started on Zinc Sulfate. She continued her home dicyclomine. Her home ___ was held. #) Coronary artery disease, non-obstructive: by CT coronary (CAD-RADS ___. Unremarkable nuclear exercise tolerance test. Grade II diastolic dysfunction without focal wall motion abnormality. Diagnostic catheterization ___ showed severe proximal LAD stenosis (80%) and mild LCx disease. Per Cardiology recommendation and agreement of Liver transplant team, was started on Plavix and aspirin. On ___, she underwent rotational athrectomy and had 2 drug eluting stents placed ___ for a single vessel mid-LAD epicardial CAD. This procedure will temporarily preclude her status for liver transplant due the necessity of Plavix for the next 3 months. EF 73%n (___). She was started on atorvastatin. ___ Cr increased from 0.9-1.0 baseline to 1.2. Given severe cirrhosis, hepatorenal disease was considered. She received 25 g albumin x1 with improvement. #Anemia Hgb stable. No evidence of acute bleeding #Hyponatremia Improving on discharge. Likely hypervolemic hyponatremia in context of decompensated cirrhosis. CHRONIC ISSUES: =============== #GERD: pantoprazole changed to omeprazole 40 mg daily because of better side effect profile with dual antiplatelet therapy TRANSTIONAL ISSUES ================== [] Pt will require 3mo aspirin+plavix following ___ cardiac cath with placement of two drug-eluting stents in LAD. [] Please check labs on ___. [] Will f/u ___ with Liver and ___ with Cards. CODE: Full CONTACT: Health care proxy chosen: Yes Name of health care proxy: ___ ___: daughter Phone number: ___ ___ on date: ___ ###RESPONSE: GLUCOSE {Glucose measurement, blood}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, POTASSIUM {Potassium measurement}, CHLORIDE {Chloride measurement, blood}, TOTAL CO2 {Blood total carbon dioxide (calculated)}, ANION GAP {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, ALBUMIN {Albumin measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, NEUTS {Neutrophil count}, LYMPHS {Lymphocyte count}, MONOS {Monocyte count}, EOS {Eosinophil count}, CREAT {Creatinine measurement}, SODIUM {Sodium measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, ALBUMIN {Albumin measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, alcoholic cirrhosis {Alcoholic cirrhosis}, varices {Esophageal varices}, malnutrition {Nutritional disorder}, hepatic encephalopathy {Hepatic encephalopathy}, elevated bilirubin {Bilirubin level above reference range}, liver transplant {Transplantation of liver}, work-up {Evaluation procedure}, CAD {Coronary arteriosclerosis}, LAD {Structure of anterior descending branch of left coronary artery}, rotational athrectomy {Atherectomy by rotary cutter}, drug-eluting stents placed {Endovascular insertion of drug eluting stent}, transaminitis {Aspartate transaminase level above reference range}, Alcoholic cirrhosis {Alcoholic cirrhosis}, cholestasis {Cholestasis}, MRCP {Magnetic resonance cholangiopancreatography}, cholangitis {Cholangitis}, infectious {Infectious disease}, work up {Evaluation procedure}, teeth extracted {Tooth extraction}, bacteremia {Bacteremia}, prophylaxis {Preventive procedure}, aspirin {Administration of aspirin}, evaluation {Evaluation procedure}, liver transplant {Transplantation of liver}, hypervolemic {Hypervolemia}, ascites {Ascites}, visual exam {Inspection}, weights {Weight finding}, kidney {Kidney structure}, received albumin {Administration of albumin}, Infection {Infectious disease}, ascites {Ascites}, fever {Fever}, leukocytosis {Leukocytosis}, paracentesis {Abdominal paracentesis}, antiplatelet therapy {Platelet aggregation inhibitor therapy}, Bleeding {Bleeding}, varices {Esophageal varices}, hemorrhage {Hemorrhage}, CBC {Complete blood count}, coagulation {Blood coagulation panel}, baseline {Baseline state}, Coagulopathy {Blood coagulation disorder}, Platelets {Finding of platelet count}, Encephalopathy {Disorder of brain}, hepatic encephalopathy {Hepatic encephalopathy}, oriented {Orientated}, Nutrition {Nutritional finding}, nutrition {Nutritional finding}, evaluation {Evaluation procedure}, malnutrition {Nutritional disorder}, Coronary artery disease {Coronary arteriosclerosis}, CT coronary {Computed tomography angiography of coronary artery with contrast}, CAD {Coronary arteriosclerosis}, RADS {Reactive airway disease}, exercise tolerance test {Exercise tolerance test}, diastolic dysfunction {Diastolic dysfunction}, focal wall motion abnormality {Left ventricular wall motion abnormality}, catheterization {Cardiac catheterization}, proximal LAD stenosis {Stenosis of proximal portion of anterior descending branch of left coronary artery}, LCx {Structure of circumflex branch of left coronary artery}, disease {Disease}, Cardiology {Cardiology service}, Liver transplant {Transplantation of liver}, aspirin {Administration of aspirin}, rotational athrectomy {Atherectomy by rotary cutter}, drug eluting stents placed {Endovascular insertion of drug eluting stent}, single vessel {Single coronary vessel disease}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, CAD {Coronary arteriosclerosis}, liver transplant {Transplantation of liver}, hepatorenal disease {Hepatorenal syndrome}, albumin {Administration of albumin}, improvement {Patient's condition improved}, Anemia {Anemia}, Hgb {Measurement of total hemoglobin concentration}, stable {Patient's condition stable}, acute bleeding {Acute hemorrhage}, Hyponatremia {Hyponatremia}, hypervolemic {Hypervolemia}, hyponatremia {Hyponatremia}, decompensated cirrhosis {Decompensated cirrhosis of liver}, GERD {Gastroesophageal reflux disease}, antiplatelet therapy {Platelet aggregation inhibitor therapy}, aspirin {Administration of aspirin}, cardiac cath {Cardiac catheterization}, placement {Implantation procedure}, drug-eluting stents {Endovascular insertion of drug eluting stent}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Ondansetron 4 mg PO DAILY:PRN nausea 2. Lactulose 30 mL PO TID 3. DICYCLOMine 10 mg PO BID:PRN abdominal pain 4. colestipol 4 mg oral BID 5. DiphenhydrAMINE 25 mg PO QHS 6. Ferrous Sulfate 325 mg PO DAILY 7. Furosemide 20 mg PO DAILY 8. Spironolactone 25 mg PO BID 9. Multivitamins 1 TAB PO DAILY 10. Omeprazole 20 mg PO DAILY 11. Rifaximin 550 mg PO BID 12. Viactiv (calcium-vitamin D3-vitamin K) 500-500-40 mg-unit-mcg oral DAILY Discharge Medications: 1. Aspirin 81 mg PO DAILY RX aspirin [Adult Aspirin Regimen] 81 mg 1 tablet(s) by mouth daily Disp #30 Tablet Refills:0 2. Atorvastatin 40 mg PO QPM RX atorvastatin 40 mg 1 tablet(s) by mouth Nightly Disp #30 Tablet Refills:0 3. Clopidogrel 75 mg PO DAILY RX clopidogrel 75 mg 1 tablet(s) by mouth daily Disp #30 Tablet Refills:0 4. HydrOXYzine 25 mg PO QHS:PRN itching, sleeping RX hydroxyzine HCl 25 mg 1 tab by mouth at bedtime Disp #30 Tablet Refills:0 5. Zinc Sulfate 220 mg PO DAILY RX zinc sulfate 220 mg (50 mg zinc) 1 capsule(s) by mouth daily Disp #30 Capsule Refills:*0 6. DICYCLOMine 10 mg PO BID:PRN abdominal pain 7. DiphenhydrAMINE 25 mg PO QHS 8. Ferrous Sulfate 325 mg PO DAILY 9. Furosemide 20 mg PO DAILY 10. Lactulose 30 mL PO TID 11. Multivitamins 1 TAB PO DAILY 12. Omeprazole 20 mg PO DAILY 13. Ondansetron 4 mg PO DAILY:PRN nausea 14. Rifaximin 550 mg PO BID 15. Spironolactone 25 mg PO BID 16. Viactiv (calcium-vitamin D3-vitamin K) 500-500-40 mg-unit-mcg oral DAILY 17. HELD- colestipol 4 mg oral BID This medication was held. Do not restart colestipol until cleared by your doctors. ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: Cirrhosis with portal hypertension Decompensated liver failure with ascites, jaundice and coagulopathy Coronary artery disease Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Cirrhosis {Cirrhosis of liver}, portal hypertension {Portal hypertension}, liver failure {Hepatic failure}, ascites {Ascites}, jaundice {Jaundice}, coagulopathy {Blood coagulation disorder}, Coronary artery disease {Coronary arteriosclerosis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Ms. ___, You were admitted to ___ with abnormal liver tests. We think this may have been related to your recent dental surgery. Your numbers improved without intervention. While here, you had a catheterization of your heart which showed one of your heart vessels was partially blocked. You had two stents put in to keep it open. Your liver tests were improving and you continued to be well on discharge. Please get your labs drawn before your appointment with Dr. ___ see him ___. It was a pleasure being involved in your care. Wishing you the best, Your ___ Team ###RESPONSE: abnormal liver tests {Liver function tests outside reference range}, dental surgery {Dental surgical procedure}, improved {Patient's condition improved}, catheterization of your heart {Cardiac catheterization}, heart vessels {Coronary artery structure}, stents {Insertion of arterial stent}, liver tests {Hepatic function panel}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Iodine Containing Agents Classifier / Spironolactone / Asacol Attending: ___ Chief Complaint: Fevers, tremors, chills. Major Surgical or Invasive Procedure: None ###RESPONSE: Iodine {Allergy to iodine compound}, Spironolactone {Allergy to spironolactone}, Fevers {Fever}, tremors {Tremor}, chills {Chill}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: patient is a ___ man with history of atrial fibrillation on coumadin and ulcerative colitis s/p recent admission for lower GIB (on prednisone taper) who presents from home with fevers and chills. . On initial evaluation in the ED, his vitals were T 101, HR 84, BP 146/112, RR 16, sat 96% ___. Labs notable for white count of 1.3 (69% polys, 14% lymphs, no bands) - down from recent 1.3 - with hct 33 (stable at baseline), lactate 3.0, normal LFTs, INR 2.4 (on coumadin). Creatinine was 1.3 (at baseline). CXR showed no acute cardiopulmonary process. UA was normal. Blood and urine cultures were drawn and patient given vancomycin 1g and Zosyn in addition to 500 mg Tylenol. GI was contacted in the ED and advised admit to medicine, can consult if needed. Patient was then admitted for further work-up. . Of note, patient was recently admitted ___ for diarrhea that was felt to be secondary to UC. Patient underwent colonoscopy on ___ that showed luminal narrowing at the sigmoid with mild colitis; biopsies showed active colitis with no evidence of malignancy. He was started on prednisone 40 mg daily and asacol 800 mg tid with marked improvement in his symptoms. Infectious GI workup was negative; biopsy for CMV was negative. Patient was discharged with a slow prednisone taper and increased dose of Asacol to 1600 mg tid. Omeprazole was also added during that admission. Hydrochlorothiazide, lisinopril, and colchicine were all stopped. ###RESPONSE: atrial fibrillation {Atrial fibrillation}, ulcerative colitis {Ulcerative colitis}, lower GIB {Lower gastrointestinal hemorrhage}, fevers {Fever}, chills {Chill}, evaluation {Evaluation procedure}, vitals {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, sat {Finding of oxygen saturation}, Labs {Laboratory test}, lactate {Lactic acid measurement}, normal LFTs {Liver function tests within reference range}, CXR {Plain chest X-ray}, UA {Urinalysis}, normal {No abnormality detected}, urine cultures {Urine culture}, diarrhea {Diarrhea}, UC {Ulcerative colitis}, colonoscopy {Colonoscopy}, narrowing {Narrowing}, sigmoid {Sigmoid colon structure}, colitis {Colitis}, biopsies {Biopsy}, colitis {Colitis}, no evidence of malignancy {No evidence of malignant neoplasm}, Infectious GI {Infection of gastrointestinal tract}, biopsy {Biopsy}, CMV {Cytomegalovirus infection}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: 1. Atrial fibrillation 2. Hypertension 3. Peripheral vascular disease 4. Chronic renal insufficiency: Baseline Cr=1.3-1.6 5. Impaired fasting glucose 6. Chronic lower extremity edema 7. h/o prostate cancer 8. Hyperlipidemia 9. Gout 10. Erectile dysfunction 11. OSA 12. History of melanoma 13. Restless leg syndrome 14. Osteoarthritis 15. h/o tremor ###RESPONSE: Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, Peripheral vascular disease {Peripheral vascular disease}, Chronic renal insufficiency {Chronic renal insufficiency}, Impaired fasting glucose {Impaired fasting glycemia}, Chronic {Chronic edema}, lower extremity edema {Edema of lower extremity}, prostate cancer {Carcinoma of prostate}, Hyperlipidemia {Hyperlipidemia}, Gout {Inflammatory disorder due to increased blood urate level}, Erectile dysfunction {Erectile dysfunction}, OSA {Obstructive sleep apnea syndrome}, melanoma {Malignant melanoma of skin}, Restless leg syndrome {Restless legs}, Osteoarthritis {Osteoarthritis}, tremor {Tremor}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Brother - died of stomach cancer. Father - ___ Disease Mother - ___ Disease. ###RESPONSE: died {Dead}, stomach cancer {Malignant tumor of stomach}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Vitals: 97 86 110/70 18 97RA General: Pleasant, laughing, elderly man in NAD HEENT: MMM Neck: Supple Lungs: CTAB, no WRR Heart: RRR, no RMG, no JVD Abdomen: Soft, NTND, +BS Extremities: No edema ###RESPONSE: Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, laughing {Laughing}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, MMM {Moist oral mucosa}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Lungs {Examination of respiratory system}, CTAB {Normal breath sounds}, WRR {Finding of rate of respiration}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, no RMG {Heart sounds normal}, JVD {Jugular venous engorgement}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, +BS {Normal bowel sounds}, Extremities {Examination of limb}, edema {Edema}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 08:55AM BLOOD WBC-1.3# RBC-3.64 Hgb-10.7* Hct-33.0* MCV-91 MCH-29.4 MCHC-32.4 RDW-15.0 Plt ___ ___ 08:55AM BLOOD Neuts-69.4 Lymphs-14.8* Monos-4.2 Eos-10.9* Baso-0.8 ___ 08:55AM BLOOD ___ PTT-33.7 ___ ___ 08:55AM BLOOD Glucose-234* UreaN-35* Creat-1.3* Na-137 K-4.2 Cl-99 HCO3-26 AnGap-16 ___ 08:55AM BLOOD ALT-39 AST-25 LD(LDH)-225 AlkPhos-70 Amylase-31 TotBili-0.4 ___ 06:50AM BLOOD Calcium-7.9* Phos-1.9* Mg-1.6 ___ 11:15AM BLOOD %HbA1c-7.2* eAG-160* ___ 09:05AM BLOOD Lactate-3.0* K-4.1 ___ 08:05PM BLOOD Lactate-3.5* ___ 10:05AM BLOOD Lactate-2.5* ___ 07:15AM BLOOD Lactate-1.8 ___ Radiology ABDOMEN (SUPINE & ERECT There are multiple segments of dilated small bowel. Air is seen within the colon. No ___ colon identified. No pathologically dilated bowel. Findings concerning for small-bowel obstruction, however. Surgical clips are identified in the pelvis. ___ Radiology CHEST (PA & LAT) PA AND LATERAL CHEST RADIOGRAPHS: The cardiomediastinal silhouette is stable. There is stable mild hilar prominence. The lungs are well expanded and clear. The pleural surfaces are smooth without pleural effusions or pneumothorax. IMPRESSION: No acute cardiopulmonary abnormality. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, eAG {Glucose measurement estimated from glycated hemoglobin}, K {Blood potassium measurement}, ABDOMEN {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, small bowel {Structure of small intestine}, colon {Colon structure}, colon {Colon structure}, dilated bowel {Dilatation of intestine}, small-bowel obstruction {Small bowel obstruction}, pelvis {Structure of pelvis}, CHEST (PA & LAT) {Diagnostic radiography of chest, combined posteroanterior and lateral}, PA AND LATERAL CHEST RADIOGRAPHS {Diagnostic radiography of chest, combined posteroanterior and lateral}, stable {Patient's condition stable}, stable {Patient's condition stable}, hilar {Structure of hilum of lung}, lungs {Lung structure}, pleural surfaces {Pleural membrane structure}, pleural effusions {Pleural effusion}, pneumothorax {Pneumothorax}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: ASSESSMENT AND PLAN: ___ man with recent diagnosis of ulcerative colitis presenting with fevers and rigors. . # Fevers, chills, near neutropenia. Patient initially with ___ SIRS criteria positive with leukopenia and fever, however no clear source for infection as pt without symptoms. Suspected GI source as a possible cause, possibly a superimposed infectious colitis on top of patient's ulcerative colitis. Emperic vancomycin and zosyn was started given the patient was borderline neutrapenic (ANC of 897 initially), however abx were dc'd as pts neutropenia improved with cessation of asacol and pt was without abd pain or focal sxs to suggest a source. Urine and stool cxs were negative, blood cxs still pending on discharge and will need to be followed up on dc. . # Neutropenia. Probably secondary to Asacol. Resolved after DC'ing asachol. . # Ulcerative colitis. Continued prednidone, pt dc'd on 35 mg q day with instructions to decrease to 30 mg in one week and continue until told to stop by GI. DC'd mesalamine. Continued omeprazole for gastric protection. He was also dc'd on humalog sliding scale given elevated sugars while in house. He will receive teaching by ___ and can be weaned off insulin as an outpt as prednisone is weaned. . # Atrial fibrillation. Patient with CHADs score of 2. Continued coumadin while inpt, however held on discharged for supratherapeutic INR. He will f/u in ___ clinic two days post discharge. # Hypertension. Held Lasix in the setting of acute infection. Was restarted on ___ home dose, may need to be uptitrated in the outpt setting. . # Gout. During his previous admission, patient suffered an acute flare of gout in his left finger and bilateral toes. His symptoms improved with prednisone. No sx of gout this admission. Continued febuxostat. # CKD baseline creatinine 1.1-1.3 probably HTN induced. Remained at baseline. ###RESPONSE: ulcerative colitis {Ulcerative colitis}, fevers {Fever}, rigors {Rigor}, Fevers {Fever}, chills {Chill}, neutropenia {Neutropenia}, SIRS {Systemic inflammatory response syndrome}, leukopenia {Leukopenia}, fever {Fever}, infectious colitis {Infectious colitis}, ulcerative colitis {Ulcerative colitis}, neutrapenic {Neutropenia}, neutropenia {Neutropenia}, improved {Patient's condition improved}, abd pain {Abdominal pain}, Urine {Urine culture}, Neutropenia {Neutropenia}, Ulcerative colitis {Ulcerative colitis}, sliding scale {Sliding scale insulin regime}, elevated sugars {Glucose level above reference range}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, acute infection {Acute infectious disease}, Gout {Inflammatory disorder due to increased blood urate level}, acute flare of gout {Acute gout}, left finger {Structure of all fingers of left hand}, toes {Structure of all toes}, improved {Patient's condition improved}, gout {Inflammatory disorder due to increased blood urate level}, CKD {Chronic kidney disease}, creatinine {Serum creatinine within reference range}, HTN {Hypertensive disorder, systemic arterial}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: - atenolol 25 mg daily - febuxostat 80 mg daily - clobetasol 0.05% ointment topical daily prn - furosemide 40 mg daily - omeprazole 40 mg daily - warfarin 2.5-5.0 mg daily as directed - lovastatin 40 mg daily at bedtime - prednisone taper (current dose should be 10 mg daily) - mesalamine 1600 mg tid Discharge Medications: 1. Lovastatin 40 mg Tablet Sig: One (1) Tablet PO once a day. 2. Prednisone 10 mg Tablet Sig: 3.5 Tablets PO DAILY (Daily): decrease your dose to 30 mg/day in 7 days, continue at that dose until you are told to change/stop by your doctor. Disp:30 Tablet(s) Refills:2 3. Atenolol 25 mg Tablet Sig: One (1) Tablet PO once a day. 4. Lasix 40 mg Tablet Sig: ___ Tablet PO once a day. 5. Febuxostat 40 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 6. Clobetasol 0.05 % Ointment Sig: One (1) Topical once a day. 7. Omeprazole 40 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO once a day. 8. Insulin Lispro 100 unit/mL Solution Sig: One (1) Subcutaneous ASDIR (AS DIRECTED): per sliding scale until your doctor tells you to stop. Disp:100 units Refills:2 9. Outpatient Lab Work Please go to coagulation clinic on ___ to have your INR checked 10. Lancets Misc Sig: One (1) Miscellaneous four times a day. Disp:120 Refills:2 11. Syringe (Disposable) Syringe Sig: One (1) 0.5 cc syringe Miscellaneous four times a day: 0.5 cc syringe. Disp:120 syringes Refills:2 12. test strip Sig: One (1) strip four times a day: Please provide 120 test strips, 2 refills. Disp:120 Refills:2 ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: 1) Fever 2) Ulcerative colitis 3) Diarrhea 4) Neutropenia 5) Steroid-induced hyperglycemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Home With Service {Home health aide service management}, Fever {Fever}, Ulcerative colitis {Ulcerative colitis}, Diarrhea {Diarrhea}, Neutropenia {Neutropenia}, Steroid-induced hyperglycemia {Steroid-induced hyperglycemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: It was a pleasure to take care of you here at ___. You were admitted for fevers and chills. Fortunately a complete infectious work up was negative. You remained without a fever. You were started on antiobiotics but these were discontinued as you continued to improve and had no source of infection. Your fevers and chills were thought to be most likely secondary to a viral syndrome or your ulcerative colitis. . We have made the following changes to your medications: -STOP taking mesalamine as it lowered your white cell count -CONTINUE taking prednisone. You should continue taking 35 mg for 7 days, then decrease your dose by 5 mg and continue taking 30 mg until your doctor tells you to stop. -STOP taking warfarin until you are told to start by anticoagulation clinc (you should have your INR drawn on ___ -decrease your furosemide (lasix) to 20 daily -start taking insulin per sliding scale instructions four times a day . Please call your doctor or return to the hospital if your symptoms worsen or if you develop new symptoms including chest pain or shortness of breath. ###RESPONSE: fevers {Fever}, chills {Chill}, infectious {Infectious disease}, fever {Fever}, antiobiotics {Antibiotic therapy}, infection {Infectious disease}, fevers {Fever}, chills {Chill}, viral syndrome {Nonspecific syndrome suggestive of viral illness}, ulcerative colitis {Ulcerative colitis}, changes to your medications {Change of medication}, cell count {Cell count}, lasix {Diuretic therapy}, sliding scale {Sliding scale insulin regime}, chest pain {Chest pain}, shortness of breath {Dyspnea}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Fragmin / levofloxacin Attending: ___. Chief Complaint: fever, cough, pleuritic pain Major Surgical or Invasive Procedure: none ###RESPONSE: Fragmin {Allergy to dalteparin}, levofloxacin {Allergy to levofloxacin}, fever {Fever}, cough {Cough}, pleuritic pain {Pleuritic pain}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Mr. ___ is a ___ history of HIV ("Good CD4 count", VL undetecable) who presents with 2 days of fevers, shourtness of beath, yellow productive cough, pleuritic chest pain on his right side. He reports fever of 104 on ___ and then onset of cough productive of yellow/greenish sputum, shortness of breath and pleuritic chest pain. Decrease appetite with poor po intake. No recent travel outside the the country; no sick contact; no unprotected sexual intercourse. In the ED, initial vitals were: 101 96 126/63 22 96% RA - Labs were significant for WBC 24k with left shift. Chem 10 remarkable for Na 131, BUN/Cr ___. Flu negative. CXR revealed multifocal pneumonia. Patient received vancomycin and levofloxacin, albuterol/ipratropium nebs and admitted for further care. On the floor, the patient is complaining of ongoing right sided pleuritic chest pain. He is comfortable on room air. Of note, Mr. ___ endorses a history of previous pneumonias that have required hospitalization but never intubation. He has been treated with levofloxavin several times but recently noted the developement of a rash. REVIEW OF SYSTEMS: (+) Per HPI (-) Denies headache, sinus tenderness, rhinorrhea or congestion. Denies nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. ###RESPONSE: HIV {Human immunodeficiency virus infection}, Good {Patient's condition satisfactory}, VL {Viral load}, undetecable {No abnormality detected}, fevers {Fever}, shourtness of beath {Dyspnea}, yellow productive cough {Productive cough-yellow sputum}, pleuritic chest pain {Pleuritic pain}, right {Skin structure of right half of chest}, fever {Fever}, cough productive of yellow {Productive cough-yellow sputum}, greenish sputum {Productive cough -green sputum}, shortness of breath {Dyspnea}, pleuritic chest pain {Pleuritic pain}, Decrease appetite {Decrease in appetite}, poor po intake {Inadequate oral food intake for physiological needs}, travel outside the the country {Travel abroad}, unprotected sexual intercourse {Unprotected sexual intercourse}, vitals {Vital signs finding}, RA {Breathing room air}, WBC {White blood cell count}, left shift {Left shifted white blood cells}, Flu {Influenza}, negative {No abnormality detected}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, vancomycin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, right sided {Right pleura structure}, pleuritic chest pain {Pleuritic pain}, on room air {Breathing room air}, pneumonias {Pneumonia}, intubation {Insertion of endotracheal tube}, levofloxavin {Antibiotic therapy}, rash {Eruption of skin}, headache {Headache}, sinus tenderness {Tenderness over frontal sinus}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, nausea, vomiting, diarrhea {Nausea, vomiting and diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder habits {Alteration in patterns of urinary elimination}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: - HIV with undetectable viral load and CD4 of 395 as of ___. - Depression - HSV - recurrent pneumonias - Positive PPD s/p INH therapy ###RESPONSE: HIV {Human immunodeficiency virus infection}, undetectable {No abnormality detected}, viral load {Viral load}, Depression {Depressive disorder}, recurrent pneumonias {Recurrent pneumonia}, Positive PPD {Mantoux: positive}, INH therapy {Tuberculosis management program}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: No family history of allergies to medications. Otherwise non-contributory ###RESPONSE: allergies to medications {Non-allergic hypersensitivity to drug or medicament}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: ADMISSION PHYSICAL EXAM: ============================= Vitals: 98.1 168/75 76 97%RA General: Alert, oriented, no acute distress HEENT: Sclera anicteric, dry mucous mebranes, no tonsilla exudates Neck: Supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs Lungs: Unlabored breathing, rhonchi left lower and right lower lobes with positive egophony, no wheezing Abdomen: Soft, non-tender, non-distended Ext: Warm, well perfused Skin: no rashes DISCHARGE PHYSICAL EXAM: ============================ Vitals: 98.7 ___ 66-70 18 97RA ___ IO - MN: 895/500 General: Alert, oriented, no acute distress, speaking in full sentences HEENT: Sclera anicteric, dry mucous mebranes, no tonsilla exudates Neck: Supple, JVP not elevated, no LAD CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs Lungs: Unlabored breathing, rhonchi left lower and right lower lobes with positive egophony, no wheezing Abdomen: Soft, non-tender, non-distended Ext: Warm, well perfused Skin: No rashes complete resolution of pruritic erythematous papules over arms, neck and legs. ###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous mebranes {Mucous membrane dryness}, tonsilla exudates {Exudate on tonsils}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, Lungs {Examination of respiratory system}, labored breathing {Labored breathing}, rhonchi {Wheeze - rhonchi}, left lower {Structure of lower lobe of left lung}, right lower lobes {Structure of lower lobe of right lung}, egophony {Egophony}, wheezing {Wheezing}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, RA {Breathing room air}, IO {Measuring intake and output}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, dry mucous mebranes {Mucous membrane dryness}, tonsilla exudates {Exudate on tonsils}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, JVP not elevated {Normal jugular venous pressure}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, Lungs {Examination of respiratory system}, labored breathing {Labored breathing}, rhonchi {Wheeze - rhonchi}, left lower {Structure of lower lobe of left lung}, right lower lobes {Structure of lower lobe of right lung}, egophony {Egophony}, wheezing {Wheezing}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, Skin {Examination of skin}, rashes {Eruption of skin}, resolution {Problem resolved}, pruritic {Pruritic disorder of skin}, erythema {Erythema}, papules {Papule of skin}, arms {Upper limb structure}, neck {Neck structure}, legs {Lower limb structure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ADMISSION LABS: ====================== ___ 08:45PM BLOOD WBC-24.8# RBC-4.50 Hgb-13.7* Hct-39.1* MCV-87 MCH-30.4 MCHC-34.9 RDW-13.7 Plt ___ ___ 08:45PM BLOOD Neuts-83.5* Lymphs-11.1* Monos-4.7 Eos-0.6 Baso-0.1 ___ 08:45PM BLOOD Glucose-133* UreaN-19 Creat-0.9 Na-131* K-4.2 Cl-96 HCO3-21* AnGap-18 ___ 05:10AM BLOOD Calcium-8.5 Phos-2.5* Mg-1.7 ___ 08:52PM BLOOD Lactate-1.6 IMAGING: ====================== CXR ___: Multifocal pneumonia, right greater than left. MICRO: ====================== __________________________________________________________ ___ 5:27 am SPUTUM Source: Expectorated. GRAM STAIN (Final ___: <10 PMNs and >10 epithelial cells/100X field. Gram stain indicates extensive contamination with upper respiratory secretions. Bacterial culture results are invalid. PLEASE SUBMIT ANOTHER SPECIMEN. RESPIRATORY CULTURE (Final ___: TEST CANCELLED, PATIENT CREDITED. LEGIONELLA CULTURE (Preliminary): __________________________________________________________ ___ 4:57 am URINE Source: ___. *FINAL REPORT ___ Legionella Urinary Antigen (Final ___: NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN. (Reference Range-Negative). Performed by Immunochromogenic assay. A negative result does not rule out infection due to other L. pneumophila serogroups or other Legionella species. Furthermore, in infected patients the excretion of antigen in urine ___ vary. __________________________________________________________ ___ 8:45 pm BLOOD CULTURE Blood Culture, Routine (Pending): __________________________________________________________ ___ 9:34 pm BLOOD CULTURE Blood Culture, Routine (Pending): DISCHARGE LABS: ====================== ___ 05:50AM BLOOD WBC-7.6# RBC-3.70 Hgb-11.2* Hct-33.1* MCV-89 MCH-30.2 MCHC-33.8 RDW-13.7 Plt ___ ___ 05:50AM BLOOD Neuts-62.4 ___ Monos-5.9 Eos-1.0 Baso-0.3 ___ 05:50AM BLOOD ___ PTT-28.1 ___ ___ 05:50AM BLOOD Glucose-91 UreaN-11 Creat-0.5 Na-139 K-3.9 Cl-107 HCO3-22 AnGap-14 ___ 05:50AM BLOOD ALT-20 AST-23 LD(LDH)-129 AlkPhos-69 TotBili-0.2 ___ 05:50AM BLOOD Calcium-8.2* Phos-2.7 Mg-1.___ history of HIV (CD4 395, VL undetecable) who presents with 2 days of fevers, shortness of beath, yellow productive cough, pleuritic chest pain with CXR showing multifocal pneumonia. # Multifocal Community Acquired Pneumonia: Most likely from non-opportunistic organisms such as strep pneumonia or atypicals. Per patient he has been very compliant with his HIV med and last CD4 count was 395 and VL undetectable therefore making opportunistic infection such as PCP less likely. He is currently hemodynamically stable with normal lactate and normal. Creatinine suggesting good organ perfusion. He recieved levofloxacin and subsequently developed a rash, which has also been documented before so we will transition to alternate antibiotic regimen for CAP. - Will treat for 8 day course of Augmentin + Azithromycin - Urine strep Ag pending at time of discharge. # Rash: Resolved. Mr. ___ developed a pruritic rash over arms, neck and leg after administration of vancomycin and levofloxacin in the ED. He improved with benadryl. He has a previous history of rash documented at ___ that occurred after administration of levofloxacin and fragmin. He tolerated levofloxacin subsequently without rash so this medication was continued at that time. The recurrence of this rash with levofloxacin is concerning for a true allergy. As such we will avoid this medication and transition to alternate treatment as above. - levofloxacin allergy recorded at ___ and ___ ___ # Hyponatremia: Sodium 131 on admission. This has been seen on prior hospitalization. Likely hypovolemic hyponatremia as improved with aggressive IV fluids. Sodium on discharge 136. # HIV: continue Stribild # Depression: continue Zoloft TRANSITIONAL: - complete 8 day course of augmentin and azithromycin - Per previous records, CT scan in ___ showed RUL nodule that was most likely infectious in etiology. It was recommended that followup CT be obtained when infectious symptoms had resolved. # CODE STATUS: Full Code # CONTACT: Landlord ___ ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, IMAGING {Imaging}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, right {Right lung structure}, left {Left pleura structure}, SPUTUM {Microbial culture of sputum}, Expectorated {Does expectorate}, GRAM STAIN {Gram stain method}, cells {Cell structure}, Gram stain {Gram stain method}, upper respiratory {Upper respiratory tract structure}, Bacterial culture {Bacterial culture}, RESPIRATORY {Structure of respiratory system}, CULTURE {Microbial culture}, LEGIONELLA {Legionella infection}, CULTURE {Microbial culture}, URINE {Evaluation of urine specimen}, Legionella {Legionella antigen assay}, Urinary {Evaluation of urine specimen}, NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN {Legionella pneumophila serogroup 1 antigen not detected}, Negative {No abnormality detected}, negative {No abnormality detected}, infection {Infectious disease}, urine {Evaluation of urine specimen}, CULTURE {Blood culture}, Blood Culture {Blood culture}, CULTURE {Blood culture}, Blood Culture {Blood culture}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Serum lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, HIV {Human immunodeficiency virus infection}, fevers {Fever}, shortness of beath {Dyspnea}, yellow productive cough {Productive cough-yellow sputum}, pleuritic chest pain {Pleuritic pain}, CXR {Plain chest X-ray}, pneumonia {Pneumonia}, Community Acquired Pneumonia {Community acquired pneumonia}, pneumonia {Pneumonia}, atypicals {Atypical pneumonia}, very compliant {Drug compliance good}, HIV {Human immunodeficiency virus infection}, med {Administration of drug or medicament}, VL {Viral load}, undetectable {No abnormality detected}, infection {Infectious disease}, PCP {Primary care management}, stable {Patient's condition stable}, normal {No abnormality detected}, lactate {Lactic acid measurement}, normal {No abnormality detected}, Creatinine {Creatinine measurement}, good organ perfusion {Normal organ or tissue vascular perfusion}, levofloxacin {Antibiotic therapy}, rash {Eruption of skin}, antibiotic {Antibiotic therapy}, regimen {Therapeutic regimen}, CAP {Community acquired pneumonia}, Urine {Evaluation of urine specimen}, Rash {Eruption of skin}, Resolved {Problem resolved}, pruritic rash {Pruritic rash}, arms {Upper limb structure}, neck {Cervical region back structure}, leg {Lower limb structure}, vancomycin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, improved {Patient's condition improved}, rash {Eruption of skin}, levofloxacin {Antibiotic therapy}, levofloxacin {Antibiotic therapy}, rash {Eruption of skin}, medication {Antibiotic therapy}, recurrence {Recurrent disease}, rash {Eruption of skin}, levofloxacin {Allergy to levofloxacin}, allergy {Allergic disposition}, medication {Antibiotic therapy}, levofloxacin allergy {Allergy to levofloxacin}, Hyponatremia {Hyponatremia}, hypovolemic {Hypovolemia}, hyponatremia {Hyponatremia}, improved {Patient's condition improved}, IV fluids {Administration of intravenous fluids}, HIV {Human immunodeficiency virus infection}, Depression {Depressive disorder}, augmentin {Antibiotic therapy}, azithromycin {Antibiotic therapy}, CT scan {Computed tomography of abdomen}, RUL {Structure of upper lobe of right lung}, nodule {Nodule of lung}, infectious {Infectious disease}, infectious {Infectious disease}, resolved {Problem resolved}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Stribild 1 TAB PO DAILY 2. Sertraline 25 mg PO DAILY Discharge Medications: 1. Sertraline 25 mg PO DAILY 2. Stribild 1 TAB PO DAILY 3. Acetaminophen 1000 mg PO Q8H:PRN pain RX acetaminophen 500 mg 2 tablet(s) by mouth every 8 hours Disp #30 Tablet Refills:0 4. Amoxicillin-Clavulanic Acid ___ mg PO Q12H RX amoxicillin-pot clavulanate 875 mg-125 mg 1 tablet(s) by mouth every 12 hours Disp #13 Tablet Refills:0 5. Azithromycin 250 mg PO Q24H Duration: 4 Doses RX azithromycin 250 mg 1 tablet(s) by mouth daily Disp #4 Tablet Refills:*0 ###RESPONSE: mg {Blood magnesium measurement}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: PRIMARY: Community Acquired Pneumonia SECONDARY: HIV (well controlled), Depression Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Community Acquired Pneumonia {Community acquired pneumonia}, HIV {Human immunodeficiency virus infection}, well controlled {Disease condition determination, well controlled}, Depression {Depressive disorder}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Mr. ___, It was a pleasure meeting and taking care of you. You were admitted with fever, cough and shortness of breath. You were found to have a pneumonia on a chest radiograph. You were initially treated with an antibiotic called levofloxacin, but developed a rash to this medication. We believe you are allergic to this medication as you have had a rash with it before. Instead of this medication, you should take medications called augmentin (a seven day course) and azithromycin (a four day course) to complete 8 total days of antibiotics. You should also followup with Dr. ___ as an outpatient. We wish you the best, Your ___ team ###RESPONSE: fever {Fever}, cough {Cough}, shortness of breath {Dyspnea}, pneumonia {Pneumonia}, chest radiograph {Plain chest X-ray}, antibiotic {Antibiotic therapy}, rash {Eruption of skin}, medication {Antibiotic therapy}, allergic to this medication {Allergy to levofloxacin}, rash {Eruption of skin}, antibiotics {Antibiotic therapy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: syncopal episode with LOC, 2nd degree AV Block chronic atrial fibrillation with slow ventricular rate Major Surgical or Invasive Procedure: insertion of single chamber pacemaker ###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, syncopal {Syncope}, LOC {Loss of consciousness}, AV Block {Atrioventricular block}, chronic atrial fibrillation {Chronic atrial fibrillation}, slow ventricular rate {Bradycardia}, insertion of single chamber pacemaker {Insertion of single chamber cardiac pacemaker pulse generator}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: This is a ___ old male with a PMH significant for afib on warfarin, HTN, hyperlipidemia and insulin dependent DM who presented to the ED ___ after a fall with LOC. He awoke and went to the bathroom, on his way back to the bed he blacked out and awoke on the floor. His wife heard the fall and found him awake and alert on the floor. He does not remember falling. He denies any lightheadedness, dizziness, nausea,flushing, palpitations, or sudden weakness prior to the fall. His wife did not note any jerking of his extremities and there was no bowel or bladder incontinence, and he was not confused immediately afterwards. He has never had any past episodes of loss of consciousness. He normally walks for exercise and does not note any chest pain, SOB, or lightheadedness with walking 1 mile. He reports remote transient episodes of lightheadedness but no syncope and was thereafter diagnosed with atrial fibrillation and started on Coumadin after that. ###RESPONSE: afib {Atrial fibrillation}, on warfarin {Warfarin therapy}, HTN {Hypertensive disorder, systemic arterial}, hyperlipidemia {Hyperlipidemia}, insulin dependent DM {Diabetes mellitus type 1}, fall {Falls}, LOC {Loss of consciousness}, blacked out {Syncope}, fall {Falls}, awake {Awake}, alert {Mentally alert}, lightheadedness {Lightheadedness}, dizziness {Dizziness}, nausea {Nausea}, flushing {Flushing}, palpitations {Palpitations}, weakness {Asthenia}, fall {Falls}, jerking {Spasmodic movement}, extremities {All extremities}, bowel {Incontinence of feces}, bladder incontinence {Urinary incontinence}, not confused {Not confused}, loss of consciousness {Loss of consciousness}, exercise {Exercises}, chest pain {Chest pain}, SOB {Dyspnea}, lightheadedness {Lightheadedness}, lightheadedness {Lightheadedness}, syncope {Syncope}, atrial fibrillation {Atrial fibrillation}, Coumadin {Anticoagulant therapy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: 1. Diabetes: ___, his hemoglobin A1c was 7.8. Follows with ___. 2. Hypercholesterolemia: ___ total cholesterol of 173, HDL 46, LDL 114, triglycerides 63. 3. Hypertension: 4. Atrial fibrillation: dx ___. He underwent Holter monitor and a stress test. On coumadin. 5. Erectile dysfunction: takes Viagra prn - has not taken this in over one month 6. Cervical spondylosis ###RESPONSE: Diabetes {Diabetes mellitus}, hemoglobin {Hemoglobin finding}, Hypercholesterolemia {Hypercholesterolemia}, LDL {Low density lipoprotein cholesterol measurement}, Hypertension {Hypertensive disorder, systemic arterial}, Atrial fibrillation {Atrial fibrillation}, stress test {Electrocardiogram with exercise test}, coumadin {Anticoagulant therapy}, Erectile dysfunction {Erectile dysfunction}, Cervical spondylosis {Cervical spondylosis}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Father with alcoholism and DM. Mother is healthy at age ___. Grandfather with diabetes in his ___. ###RESPONSE: alcoholism {Alcoholism}, DM {Diabetes mellitus}, diabetes {Diabetes mellitus}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: On Admission ___: *Pertinent exam findings: VS: 97.6 158/90 59 18 98% RA Gen: A&OX3, NAD Neuro: Grossly intact. Swelling and erythema around L eye. Neck/JVD: JVP normal CV: RR, nl S1, S2. No murmurs. Chest: CTAB ABD: soft NT, ND Extr: No edema. WWP On Discharge: VS T 98.3 HR 56 RR 20 BP 116/65 98% RA Gen: A&Ox3, NAD Neuro: Grossly intact, no focal deficits, thoughts linear. Improved edema and erythema about the left orbit. Steri-strips intact. Moves all extremities w/o difficulty. L arm in sling. CV: RRR, S1, S2, no m/r/g Chest: CTAB ABD: soft, NT, obese +BS Extr: Mild effusion noted about left knee, small 1 cm abrasion, cutaneous skin loss, no erythema or excess warmth, no drainage. +DP b/l ###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, Gen {General examination of patient}, A {Mentally alert}, OX3 {Oriented to person, time and place}, NAD {No abnormality detected}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, Swelling {Swelling of structure of eye}, erythema {Erythema}, L eye {Left eye structure}, JVD {Jugular venous engorgement}, JVP normal {Normal jugular venous pressure}, CV {Cardiovascular physical examination}, RR {Finding of rate of respiration}, nl S1, S2 {Heart sounds normal}, murmurs {Heart murmur}, Chest {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, ND {Swollen abdomen}, Extr {Examination of limb}, edema {Edema}, WWP {Normal tissue perfusion}, VS {Vital signs finding}, T {Body temperature finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, BP {Blood pressure finding}, RA {Breathing room air}, Gen {General examination of patient}, A {Mentally alert}, Ox3 {Oriented to person, time and place}, NAD {No abnormality detected}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, no focal deficits {Normal nervous system function}, Improved {Patient's condition improved}, edema {Edema}, erythema {Erythema}, left orbit {Structure of left orbital region}, Steri-strips intact {Application of adhesive skin closure}, Moves all extremities {Does move all four limbs}, L arm {Left upper arm structure}, in sling {Application of sling}, CV {Cardiovascular physical examination}, RRR {Normal heart rate}, S1, S2 {Heart sounds normal}, no m/r/g {Heart sounds normal}, Chest {Examination of respiratory system}, CTAB {Normal breath sounds}, ABD {Examination of abdomen}, soft {Abdomen soft}, NT {Abdominal tenderness}, obese {Obese abdomen}, +BS {Normal bowel sounds}, Extr {Examination of limb}, Mild {Symptom mild}, effusion {Effusion of joint of left knee}, left knee {Structure of left knee region}, abrasion {Dermabrasion}, cutaneous skin {Skin structure}, erythema {Erythema}, warmth {Joint warm}, drainage {Wound discharge}, +DP b/l {Dorsalis pulse present}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 05:35AM BLOOD WBC-6.6 RBC-5.32 Hgb-11.7* Hct-38.1* MCV-72* MCH-22.0* MCHC-30.7* RDW-16.5* RDWSD-41.8 Plt ___ ___ 12:00PM BLOOD WBC-7.8 RBC-5.67 Hgb-12.5* Hct-41.1 MCV-73* MCH-22.0* MCHC-30.4* RDW-16.8* RDWSD-42.5 Plt ___ ___ 12:00PM BLOOD Neuts-75.7* Lymphs-15.3* Monos-7.3 Eos-0.8* Baso-0.5 Im ___ AbsNeut-5.91 AbsLymp-1.19* AbsMono-0.57 AbsEos-0.06 AbsBaso-0.04 ___ 05:35AM BLOOD Plt ___ ___ 05:35AM BLOOD ___ ___ 12:00PM BLOOD ___ PTT-40.6* ___ ___ 05:35AM BLOOD Glucose-219* UreaN-19 Creat-0.9 Na-138 K-4.3 Cl-104 HCO3-26 AnGap-12 ___ 12:00PM BLOOD Glucose-255* UreaN-14 Creat-0.9 Na-134 K-4.5 Cl-98 HCO3-25 AnGap-16 ___ 05:35AM BLOOD ALT-12 AST-17 LD(LDH)-170 AlkPhos-76 TotBili-0.5 ___ 05:35AM BLOOD Albumin-3.6 Calcium-8.4 Phos-3.6 Mg-2.0 DISCHARGE LABS: ECHO ___: The left atrial volume index is moderately increased. No left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). Mild symmetric left ventricular hypertrophy with normal cavity size, and regional/global systolic function (biplane LVEF = 66 %). There is no left ventricular outflow obstruction at rest or with Valsalva. There is no ventricular septal defect. Right ventricular chamber size and free wall motion are normal. Right ventricular chamber size is normal with normal free wall contractility. The ascending aorta and aortic arch are mildly dilated. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve leaflets are structurally normal. No mitral regurgitation is seen. Trivial mitral regurgitation is seen. The pulmonary artery systolic pressure could not be determined. There is an anterior space which most likely represents a prominent fat pad. IMPRESSION: Mild symmetric left ventricular hypertrophy with preserved regional and global biventricular systolic function. Mildly dilated ascending aorta. Left atrial dilation. No structural cardiac cause of syncope identified. These findings are c/w hypertensive heart. CLINICAL IMPLICATIONS: The patient has a mildly dilated ascending aorta. Based on ___ ACCF/AHA Thoracic Aortic Guidelines, a follow-up echocardiogram is suggested in ___ years CXR PA & LATERAL ___: COMPARISON: Chest radiograph ___, CT trachea ___ FINDINGS: Low lung volumes are present. Heart size appears mildly enlarged. Mediastinal and hilar contours are grossly unchanged. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases may reflect areas of atelectasis, though infection is difficult to exclude in the correct clinical setting. No pleural effusion or pneumothorax is present. Mild multilevel degenerative changes are noted in the thoracic spine. IMPRESSION: Low lung volumes with patchy bibasilar airspace opacities most likely reflective of atelectasis. Infection cannot be excluded in the correct clinical setting. KNEE XRAY (3 views) ___: COMPARISON: ___ left knee radiographs FINDINGS: No acute fracture or dislocation is identified. Mild tricompartmental degenerative changes with osteophytic spurring are demonstrated, most pronounced in the patellofemoral and lateral compartments of the knee. A moderate size joint effusion is present. Vascular calcifications are seen diffusely. No concerning lytic or sclerotic osseous abnormalities is identified. There are no radiopaque foreign bodies. IMPRESSION: No acute fracture or dislocation. Moderate size joint effusion. CT HEAD w/o CONTRAST ___: FINDINGS: There is no evidence of acute infarction, hemorrhage, edema, or mass. There is mild prominence of the ventricles and sulci suggestive of involutional changes. Scattered subcortical and periventricular white matter hypodensities are nonspecific, however likely represent the sequela of chronic small vessel ischemic disease. There is soft tissue swelling overlying the left orbit, but the globe appears intact. No retrobulbar hematoma is seen. There is no evidence of fracture. There is partial opacification of the right mastoid air cells suggestive of mild ongoing inflammation. The visualized portion of the paranasal sinuses,left mastoid air cells, and middle ear cavities are clear. IMPRESSION: Left periorbital soft tissue swelling without fracture. No acute intracranial process. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, left atrial {Left atrial structure}, volume {Cardiac chamber structure}, left atrial {Left atrial structure}, mass {Mass}, thrombus {Thrombus}, transesophageal echocardiography {Transesophageal echocardiography}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, normal cavity {Normal size cardiac chamber}, regional/global systolic function {Normal left ventricular systolic function and wall motion}, left ventricular outflow obstruction {Left ventricular outflow tract obstruction}, Valsalva {Structure of left sinus of Valsalva}, ventricular septal defect {Ventricular septal defect}, Right ventricular chamber {Right cardiac ventricular structure}, wall motion are normal {Normal ventricular wall motion}, Right ventricular chamber {Right cardiac ventricular structure}, size is normal {Normal size}, wall {Cardiac wall structure}, ascending aorta {Ascending aorta structure}, aortic arch {Aortic arch structure}, dilated {Dilatation}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets {Structure of leaflet of mitral valve}, structurally normal {Mitral valve normal}, mitral regurgitation {Mitral valve regurgitation}, Trivial mitral regurgitation {Mild mitral valve regurgitation}, pulmonary artery {Pulmonary artery structure}, fat pad {Structure of normal fat pad}, Mild symmetric left ventricular hypertrophy {Mild left ventricular hypertrophy}, preserved regional and global biventricular systolic function {Normal cardiac function}, dilated ascending aorta {Ascending aorta dilatation}, Left atrial dilation {Left atrial dilatation}, cardiac {Heart structure}, syncope {Syncope}, hypertensive heart {Hypertensive heart disease}, dilated ascending aorta {Ascending aorta dilatation}, Thoracic Aortic {Thoracic aorta structure}, follow-up {Follow-up consultation}, echocardiogram {Echocardiography}, Chest radiograph {Plain chest X-ray}, trachea {Tracheal structure}, lung volumes {Finding of respiratory volume}, Heart {Heart structure}, enlarged {Enlargement}, Mediastinal {Mediastinal structure}, hilar {Structure of hilum of lung}, pulmonary edema {Pulmonary edema}, opacities {Abnormally opaque structure}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, infection {Infectious disease}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, Mild {Symptom mild}, degenerative changes {Degeneration of intervertebral disc}, thoracic spine {Structure of thoracic vertebral column}, lung volumes {Finding of respiratory volume}, bibasilar {Structure of base of lung}, opacities {Abnormally opaque structure}, atelectasis {Atelectasis}, Infection {Infectious disease}, left knee {Structure of left knee region}, radiographs {Plain radiography}, fracture {Fracture}, dislocation {Dislocation}, Mild {Symptom mild}, degenerative changes {Degenerative abnormality}, osteophytic {Osteophyte}, patellofemoral {Structure of left patellofemoral joint}, lateral compartments of the knee {Structure of lateral compartment of knee}, joint effusion {Effusion of joint of left knee}, Vascular calcifications {Vascular calcification}, lytic {Lysis}, sclerotic {Sclerosis}, osseous {Bone structure}, abnormalities {No abnormality detected}, foreign bodies {Foreign body}, fracture {Fracture}, dislocation {Dislocation}, joint effusion {Effusion of joint of left knee}, no evidence {No abnormality detected}, infarction {Infarct}, hemorrhage {Hemorrhage}, edema {Edema}, mass {Mass}, mild {Symptom mild}, ventricles {Brain ventricle structure}, sulci {Structure of sulcus of brain}, involutional changes {Involution}, periventricular white matter {Structure of periventricular white matter}, chronic {Chronic disease}, small vessel {Structure of small blood vessel (organ)}, ischemic disease {Ischemia}, soft tissue swelling {Soft tissue swelling}, left orbit {Structure of left orbit proper}, globe {Structure of eye proper}, intact {No abnormality detected}, retrobulbar hematoma {Retrobulbar hematoma}, no evidence {No abnormality detected}, fracture {Fracture}, right {Structure of right mastoid bone}, mastoid air cells {Structure of mastoid cell}, mild {Symptom mild}, inflammation {Mild inflammation}, paranasal sinuses {Nasal sinus structure}, left {Structure of left mastoid bone}, mastoid air cells {Structure of mastoid cell}, middle ear cavities {Middle ear structure}, are clear {No abnormality detected}, Left periorbital {Structure of periorbital region of left eye}, soft tissue swelling {Soft tissue swelling}, fracture {Fracture}, intracranial {Intracranial structure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: The ___ hospital course was remarkable in relation to his slow atrial fibrillation and second degree AV Block. He had multiple pauses on telemetry 20 seconds or more and was recommended for pacemaker insertion. He initially declined the procedure but after further consideration and discussion with Dr. ___ the risks therein, proceeded with implantation. He remained therapeutic with his Coumadin and will continue to be followed with his PCP at discharge. He was placed on IV antibiotics and will transition to PO antibiotics at discharge. He had multiple studies and exams performed while here and his CT was negative for acute changes. His left eye remained stable and swelling and ecchymosis was gradually and noticeably improving. He continued to complain of left knee pain. He reported hitting the tibial tuberosity which remained tender to palpation but without erythema or excess warmth. Knee xrays showed only chronic changes in relation to osteoarthritis (tri-compartmental and prominent about the patello-femoral compartment). He has baseline numbness of his bilateral hands related to his canal narrowing as seen on MRI in ___. Surgery was discussed but he has foregone this for now, preferring to wait and observe for worsening symptoms. He was counseled to reconsider this decision and to avoid delay of any worsening symptoms, increasing numbness, strength and coordination. Physical Therapy was consulted and felt continued home therapy was appropriate to help with falls prevention, gait training, conditioning and safety, especially in light of his weight bearing restrictions on the left upper extremity following his pacemaker. His device was interrogated on the day of discharge and a CXR was completed confirming proper placement of the device and leads. He was seen by Physical Therapy given his recent syncopal episode and underlying musculoskeletal symptoms and deemed appropriate for discharge on ___. He will follow up with Device Clinic in one week, has been recommended to have his INR checked on ___ which is followed through the ___ ___ clinic, and continue follow up with his PCP, ___. ___. Additionally, given his chronic atrial fibrillation he has been recommended to have follow up with ___ Cardiology as well, for a first available appointment. This has been requested through Care Connections to the Cardiology team and he will be contacted with an appointment at home when known. ###RESPONSE: atrial fibrillation {Atrial fibrillation}, AV Block {Atrioventricular block}, telemetry {Cardiac telemetry}, pacemaker insertion {Implantation of cardiac pacemaker}, procedure {Surgical procedure}, discussion {Discussion}, Coumadin {Anticoagulant therapy}, PCP {Primary care management}, IV antibiotics {Intravenous antibiotic therapy}, PO antibiotics {Oral antibiotic therapy}, exams {Physical examination procedure}, CT {Computed tomography}, left eye {Left eye structure}, stable {Patient's condition stable}, swelling {Swelling of structure of eye}, ecchymosis {Ecchymosis}, left knee {Structure of left knee region}, pain {Pain of knee region}, tibial tuberosity {Structure of tibial tuberosity}, tender to palpation {Tenderness}, erythema {Erythema}, warmth {Joint warm}, Knee xrays {Radiologic examination of knee}, chronic {Chronic disease}, osteoarthritis {Osteoarthritis}, patello-femoral compartment {Structure of patellofemoral joint}, baseline {Baseline state}, numbness {Numbness of hand}, hands {Hand structure}, canal {Spinal canal structure}, narrowing {Narrowing}, MRI {Magnetic resonance imaging}, Surgery {Surgical procedure}, numbness {Numbness}, coordination {Finding related to coordination / incoordination}, Physical Therapy {Physical therapy assessment}, therapy {Therapy}, falls prevention {Fall prevention}, gait training {Gait training procedure}, weight bearing {Weight-bearing}, left upper extremity {Structure of left upper limb}, pacemaker {Implantation of cardiac pacemaker}, CXR {Plain chest X-ray}, placement of the device {Implantation of cardiac pacemaker}, Physical Therapy {Physical therapy assessment}, syncopal {Syncope}, musculoskeletal {Musculoskeletal system physical examination}, Clinic {Outpatient care management}, clinic {Outpatient care management}, PCP {Primary care management}, chronic atrial fibrillation {Chronic atrial fibrillation}, Cardiology {Cardiology service}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Quinapril 40 mg PO DAILY 2. Timolol Maleate 0.5% 1 DROP BOTH EYES BID 3. MetFORMIN (Glucophage) 1000 mg PO DAILY 4. Warfarin 2 mg PO 1X/WEEK (___) 5. Simvastatin 40 mg PO QPM 6. liraglutide 1.2 mg subcutaneous DAILY 7. 70/30 24 Units Breakfast 70/30 24 Units Bedtime 8. Tamsulosin 0.8 mg PO QHS 9. Alphagan P (brimonidine) 0.1 % ophthalmic 1 drop both eyes twice daily 10. Warfarin 5 mg PO 6X/WEEK (___) Discharge Medications: 1. Cephalexin 500 mg PO Q8H Duration: 3 Days Take all of this medication as prescribed 2. 70/30 24 Units Breakfast 70/30 24 Units Bedtime Insulin SC Sliding Scale using HUM Insulin 3. Simvastatin 80 mg PO QPM 4. Alphagan P (brimonidine) 0.1 % ophthalmic 1 drop both eyes twice daily 5. liraglutide 1.2 mg subcutaneous DAILY 6. MetFORMIN (Glucophage) 1000 mg PO DAILY Resume ___ 7. Quinapril 40 mg PO DAILY 8. Tamsulosin 0.8 mg PO QHS 9. Timolol Maleate 0.5% 1 DROP BOTH EYES BID 10. Warfarin 5 mg PO 6X/WEEK (___) 11. Warfarin 2 mg PO 1X/WEEK (___) ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: syncope with loss of consciousness atrial fibrillation with slow ventricular response Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). ###RESPONSE: Home With Service {Home health aide service management}, syncope {Syncope}, loss of consciousness {Loss of consciousness}, atrial fibrillation {Atrial fibrillation}, slow ventricular response {Slow ventricular response}, Mental Status {Neurological mental status determination}, Clear {No abnormality detected}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - requires assistance or aid {Finding of walking aid use}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted to the hospital following a visit to the ED after a syncopal episode with a loss of consciousness. You were monitored on telemetry and were found to have a slow atrial fibrillation rate response with multiple pauses and referred for pacemaker implant as this could result in complete heart block. A single chamber pacemaker was placed on ___. You were continued on all of your current medications, including your Coumadin. You will need to follow up in Device Clinic in one week (appt. information noted below). You were placed on IV antibiotics while here and will continue oral antibiotics for three days to prevent surgical site infection. It is important to take all of this medication as prescribed. Your Coumadin should continue to be followed as per your chronic schedule. You will need to follow up with your PCP as well within 30 days (appointment information included below). Your next INR should be drawn as per the ___ clinic, we are recommending a draw on ___. Your INR at discharge on ___ was 1.9 and you will take your chronic dosing which is 5 mg for 6 days a week with 2 mg on ___. You had hit your head during your syncopal episode as well as your eye and sustained an injury to your left orbit but no fracture or hematoma. You had resultant bruising from this injury but remained otherwise stable. A CT of your head was performed and there was no internal hemorrhage. (results of CT are below). Additionally you complained of left knee pain and radiographs were done which showed no acute fracture. You do have chronic osteoarthritis most pronounced about the knee cap (patello-femoral area) which is chronic. You were seen by Physical Therapy for evaluation prior to discharge to home. You should follow up with your PCP and obtain referral to an orthopedic physician for further workup and care for your osteoarthritis of the knee. We recommend the use of ice, 20 minutes at a time per hour up to 5 times daily, along with Tylenol for pain. You were seen by Physical Therapy and evaluated for safe discharge to home. Based upon their recommendations, they are recommending home physical therapy to work on gait training, use of assistive device (cane) and strengthening and falls prevention. Services have been requested on your behalf prior to your discharge from the hospital from ___ Services. You also reported continuing numbness of bilateral hands and reported you had prior to admission and an MRI was performed in ___ which was reviewed showing cervical spondylosis and canal narrowing and have not pursued surgical consultation. It is recommended that you continue follow up with your PCP and obtain surgical referral if your decision changes in that regard or if your symptoms worsen. This is critical as your MRI does canal narrowing. ###RESPONSE: Discharge Instructions {Final inpatient visit with instructions at discharge}, syncopal {Syncope}, loss of consciousness {Loss of consciousness}, monitored {Monitoring procedure}, telemetry {Cardiac telemetry}, atrial fibrillation {Atrial fibrillation}, pacemaker implant {Implantation of cardiac pacemaker}, complete heart block {Complete atrioventricular block}, single chamber pacemaker was placed {Insertion of single chamber cardiac pacemaker pulse generator}, medications {Prescription of drug}, Coumadin {Anticoagulant therapy}, Clinic {Outpatient care management}, IV antibiotics {Intravenous antibiotic therapy}, oral antibiotics {Oral antibiotic therapy}, surgical site infection {Surgical site infection}, take all of this medication {Patient medication education}, Coumadin {Anticoagulant therapy}, PCP {Primary care management}, t INR should be drawn {Monitoring of international normalized ratio}, will take your chronic dosing {Patient medication education}, syncopal {Syncope}, eye {Structure of eye proper}, injury {Traumatic or non-traumatic injury}, left orbit {Structure of left orbital region}, fracture {Fracture}, hematoma {Hematoma}, bruising {Contusion}, injury {Traumatic or non-traumatic injury}, stable {Patient's condition stable}, CT of your head {Computed tomography of head}, internal hemorrhage {Intracranial hemorrhage}, CT {Computed tomography of head}, left knee {Structure of left knee region}, pain {Pain of knee region}, radiographs {Plain radiography}, fracture {Fracture}, chronic osteoarthritis {Chronic osteoarthritis}, knee cap {Bone structure of patella}, patello-femoral {Structure of patellofemoral joint}, chronic {Chronic disease}, Physical Therapy for evaluation {Physical therapy assessment}, PCP {Primary care management}, referral to an orthopedic physician {Referral to orthopedic service}, workup {Evaluation procedure}, osteoarthritis of the knee {Osteoarthritis of knee}, ice {Application of ice}, pain {Pain of knee region}, Physical Therapy and evaluated {Physical therapy assessment}, physical therapy {Physical therapy education}, gait training {Gait training procedure}, use of assistive device (cane) {Use of cane education}, strengthening {Provision of advice about muscle strengthening exercise}, falls prevention {Education about fall prevention}, numbness of bilateral hands {Numbness of hand}, MRI {Magnetic resonance imaging of head}, cervical spondylosis {Cervical spondylosis}, canal {Spinal canal structure}, narrowing {Narrowing}, surgical {Surgical procedure}, consultation {Consultation}, PCP {Primary care management}, surgical {Surgical procedure}, referral {Patient referral}, MRI {Magnetic resonance imaging}, canal {Spinal canal structure}, narrowing {Narrowing}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: elevated blood pressures with a headache and visual changes on postpartum day 9. Major Surgical or Invasive Procedure: none ###RESPONSE: elevated blood pressures {Finding of increased blood pressure}, headache {Headache}, visual changes {Visual disturbance}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Ms. ___ is a ___ yo Gravida 1 Para ___ s/p low transverse c-section ___ for non-reassuring fetal heart tracing after induction of labor for elevated BPs. She presented to the ED with headache and visual changes. She reported that she had intermittent elevated BPs at the end of her pregnancy, but never required any antihypertensive medications. She had no laboratory abnormalities. Her postop/postpartum course was benign. She noticed a headache starting approx 4 days prior to presentantion, with intermittent periods of more intense pain located in the occipital region with occasional pulsations. It was always responsive to extra-strength tylenol and motrin. She attributed headache to fatigue and recent surgery until today when she noticed floaters in her left visual field that lasted for approx 10 mins. She called her ob who asked her to come to the ED. ###RESPONSE: Gravida 1 {Primigravida}, Para {Parity finding}, low transverse c-section {Emergency lower segment cesarean section}, fetal heart tracing {Finding of fetal heart rate}, induction of labor {Induction of labor}, elevated BPs {Finding of increased blood pressure}, headache {Headache}, visual changes {Visual disturbance}, elevated BPs {Finding of increased blood pressure}, pregnancy {Pregnancy}, headache {Headache}, pain {Pain}, occipital region {Occipital region structure}, headache {Headache}, fatigue {Fatigue}, surgery {Surgical procedure}, floaters in her left visual field {Floaters in visual field}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: ObHx: LTCS x 1 as above, ___ ___ MedHx: Hiatal hernia SurgHx: LTCS ###RESPONSE: Hiatal hernia {Hiatal hernia}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: NC ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: In ED: BP 173/78 --> 10mg IV hydralazine --> 137/64 O2 sat 100% RA Caucasian woman in NAD, breastfeeding on approach RRR, nl S1/S2 CTAB Abd soft, nondistended. Mild tenderness to palpation. Incision clean, dry, intact with steri strips. Ext no edema/tenderness ###RESPONSE: BP {Blood pressure finding}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, NAD {No abnormality detected}, RRR {Normal heart rate}, S2 {Normal second heart sound, S>2<}, CTAB {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, nondistended {Normal abdominal contour}, tenderness {Tenderness}, palpation {Palpation}, Incision {Surgical incision wound}, clean, dry, intact {Wound healing well}, edema {Edema}, tenderness {Tenderness}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 01:15PM URINE BLOOD-MOD NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG ___ 12:08PM ALT(SGPT)-25 AST(SGOT)-23 LD(LDH)-267* CK(CPK)-63 ALK PHOS-104 TOT BILI-0.3 ___ 12:08PM WBC-6.6# RBC-3.72* HGB-11.7* HCT-34.1* MCV-92 MCH-31.4 MCHC-34.3 RDW-12.9 ###RESPONSE: PROTEIN {Measurement of protein in urine}, KETONE {Urinalysis, acetone or ketone bodies measurement}, BILIRUBIN {Bilirubin measurement, urine}, PH {pH measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, PHOS {Phosphate, total measurement}, TOT BILI {Bilirubin, total measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: Upon arrival to the ED, Ms ___ vital signs were T 98.4 HR 64 BP 158/89 RR 14 O2 100%RA. She received a bolus of 4g of magnesium and 10mg of IV hydralazine. She then reported no visual changes and a very mild headache and denied RUQ pain. Abdominal/incisional pain well controlled with Tylenol and Motrin. No other associated symptoms. A head CT showed no intracranial process. Her U/A was negative for protein, mod blood, rare bacteria. Her pre-Eclampsia labs were negative except Uric Acid which was 5.9. She was readmitted to Labor and Delivery and continued on a magnesium drip for 12 hours given concern for Pre-eclampsia. Her blood pressures were well controlled in the 120s/70s without additional antihypertensives. Repeat Pre-eclampsia labs were negative and she was transferred to the postpartum floor after 12 hours of Magnesium. She was monitored for an additional day on the postpartum floor to ensure that her blood pressures were well controlled and that she remained free of pre-eclampsia symtoms. She was discharged home on hospital day 2 with no antihypertensive medications and a plan for close blood pressure monitoring and an outpatient. ###RESPONSE: vital signs {Vital signs finding}, visual changes {Visual disturbance}, headache {Headache}, RUQ pain {Right upper quadrant pain}, pain well controlled {Demonstrates adequate pain control}, head CT {Computed tomography of head}, intracranial {Intracranial structure}, pre-Eclampsia {Pre-eclampsia}, Pre-eclampsia {Pre-eclampsia}, blood pressures {Finding of increased blood pressure}, Pre-eclampsia {Pre-eclampsia}, blood pressures {Finding of increased blood pressure}, pre-eclampsia {Pre-eclampsia}, blood pressure monitoring {Blood pressure monitoring}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: Tylenol, Motrin Discharge Medications: Tylenol, Motrin ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: Postpartum Preeclampsia Discharge Condition: Mental Status:Clear and coherent Level of Consciousness:Alert and interactive Activity Status:Ambulatory - Independent ###RESPONSE: Postpartum Preeclampsia {Pre-eclampsia in puerperium}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Call for blood pressures >150 (top number) or >100 (bottom number) Call for Headaches, visual changes or right sided upper abdominal pain Call with any questions ###RESPONSE: blood pressures {Finding of increased blood pressure}, Headaches {Headache}, visual changes {Visual disturbance}, right sided upper abdominal pain {Right upper quadrant pain}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___ ___ Complaint: shortness of breath Major Surgical or Invasive Procedure: Pulmonary vein isolation abaltion ###RESPONSE: shortness of breath {Dyspnea}, Pulmonary vein {Structure of vein of pulmonary circulation}, abaltion {Destructive procedure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Patient is a ___ male with a history of DM, HL, CM, CAD s/p PCIs and atrial fibrillation. In ___ he was referred back to the ___ cath lab because of symptoms of shortness of breath and congestive heart failure. Cardiac catheterization on ___ did not reveal any significant obstructive CAD. RVEDP was noted at 33 mmHG with a mean wedge of 32 mmHG. There was severe pulmonary artery hypertension. He was diuresed at that time. Stress testing in ___ had revealed a predominantly fixed inferior apical defect with an LVEF of 46% and somewhat dilated LV chamber. The patient presented for Afib ablation today. Patient underwent PVI with additional lines and failed cardioversion. He was given 1mg ibutilide and developed QT prolongation to 800ms which transitioned to vfib. He was shocked and rhythm became sinus and then slow afib. He was admitted to the CCU for close monitoring. On review of systems, he denies SOB, CP, ___ pain, numbness/tingling, lightheadedness. Reports had been in USOH prior to this elective procedure. ###RESPONSE: DM {Diabetes mellitus}, HL {Hyperlipidemia}, CAD {Coronary arteriosclerosis}, PCIs {Percutaneous coronary intervention}, atrial fibrillation {Atrial fibrillation}, shortness of breath {Dyspnea}, congestive heart failure {Congestive heart failure}, Cardiac catheterization {Cardiac catheterization}, CAD {Coronary arteriosclerosis}, pulmonary artery hypertension {Pulmonary hypertensive arterial disease}, diuresed {Diuretic therapy}, Stress {Electrocardiogram with exercise test}, inferior {Structure of myocardium of diaphragmatic region}, apical {Structure of apex of heart}, dilated LV chamber {Dilatation of left cardiac ventricle}, Afib {Atrial fibrillation}, ablation {Destructive procedure}, cardioversion {Cardioversion}, QT prolongation {Prolonged QT interval}, vfib {Ventricular fibrillation}, rhythm became sinus {Sinus rhythm}, afib {Atrial fibrillation}, monitoring {Monitoring procedure}, review of systems {Review of systems}, SOB {Dyspnea}, CP {Chest pain}, pain {Pain}, numbness/tingling {Numbness and tingling sensation of skin}, lightheadedness {Lightheadedness}, procedure {Procedure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: CAD, s/p LAD stenting and diagonal PTCA/stenting to LAD and D1 Hyperlipidemia Diabetes Cardiomyopathy ? GERD Removal of colon polyps ___- Surgical repair of an AV fistula in the left posterior thigh/buttock Atrial fibrillation (now chronic), s/p multiple prior cardioversions ___- Right hip replacement Arthritis of spine Congestive heart failure ###RESPONSE: CAD {Coronary arteriosclerosis}, LAD stenting {Stent in anterior descending branch of left coronary artery}, PTCA {Percutaneous transluminal coronary angioplasty}, stenting {Insertion of arterial stent}, LAD {Structure of anterior descending branch of left coronary artery}, Hyperlipidemia {Hyperlipidemia}, Diabetes {Diabetes mellitus}, Cardiomyopathy {Cardiomyopathy}, GERD {Gastroesophageal reflux disease}, Removal of colon polyps {Colonic polypectomy}, Surgical repair of an AV fistula {Repair of arteriovenous fistula}, left {Structure of left thigh}, posterior {Structure of posterior surface of thigh}, thigh {Thigh structure}, buttock {Structure of left buttock}, Atrial fibrillation {Atrial fibrillation}, chronic {Chronic atrial fibrillation}, cardioversions {Cardioversion}, Right hip replacement {Prosthetic arthroplasty of right hip}, Arthritis of spine {Arthritis of spine}, Congestive heart failure {Congestive heart failure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: (-) FHx CAD ###RESPONSE: CAD {Coronary arteriosclerosis}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: GENERAL: Middle aged man, flat in bed. NAD HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. NECK: Unable to appreciate JVP, thick neck. CARDIAC: Irregularly irregular, no MRG. Nl S1, S2. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not enlarged by palpation. No abdominial bruits. EXTREMITIES: B/l femoral vein sheaths in place. No palpable hematoma. Sl ooze. Sensation intact distally. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Right: DP 2+ ___ 2+ Left: DP 2+ ___ 2+ ###RESPONSE: GENERAL {General examination of patient}, NAD {No abnormality detected}, HEENT {Physical examination procedure}, NC {Normal head}, Sclera anicteric {White sclera}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Conjunctiva {Conjunctival structure}, pallor {Pallor of skin of face}, cyanosis {Cyanosis}, oral mucosa {Oral mucous membrane structure}, xanthalesma {Xanthelasma}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, neck {Neck structure}, CARDIAC {Cardiovascular physical examination}, Irregularly irregular {Heart irregularly irregular}, no MRG {Heart sounds normal}, S2 {Normal second heart sound, S>2<}, LUNGS {Examination of respiratory system}, chest wall deformities {Deformity of chest wall}, scoliosis {Scoliosis deformity of spine}, kyphosis {Kyphosis deformity of spine}, Resp {Examination of respiratory system}, accessory muscle {Accessory skeletal muscle}, CTAB {Normal breath sounds}, crackles {Respiratory crackles}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, ND {Swollen abdomen}, HSM {Hepatosplenomegaly}, tenderness {Tenderness}, Abd {Examination of abdomen}, palpation {Palpation}, abdominial bruits {Abdominal bruit}, EXTREMITIES {Examination of limb}, B/l femoral vein sheaths {Bilateral femoral canals}, hematoma {Hematoma}, Sensation intact {Normal sensation}, SKIN {Examination of skin}, stasis dermatitis {Stasis dermatitis}, ulcers {Ulcer}, scars {Scar}, xanthomas {Xanthomatosis}, Right: DP 2+ {Normal pulse in right dorsalis pedis artery}, Left: DP 2+ {Normal pulse in left dorsalis pedis artery}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: labs- ___ 07:05AM BLOOD WBC-11.1* RBC-5.12 Hgb-14.6 Hct-41.4 MCV-81* MCH-28.6 MCHC-35.3* RDW-16.0* Plt ___ ___ 03:19PM BLOOD WBC-12.7* RBC-4.45* Hgb-12.5* Hct-35.6* MCV-80* MCH-28.1 MCHC-35.1* RDW-16.2* Plt ___ ___ 09:42PM BLOOD Hct-39.2* ___ 03:51AM BLOOD Hct-35.9* ___ 07:05AM BLOOD Neuts-73.0* Lymphs-17.9* Monos-4.8 Eos-3.5 Baso-0.8 ___ 07:05AM BLOOD ___ ___ 03:51AM BLOOD ___ ___ 07:05AM BLOOD Glucose-231* UreaN-50* Creat-1.4* Na-130* K-6.6* Cl-87* HCO3-33* AnGap-17 ___ 03:51AM BLOOD Glucose-254* UreaN-36* Creat-1.1 Na-129* K-3.7 Cl-91* HCO3-31 AnGap-11 ___ 03:19PM BLOOD Calcium-8.5 Phos-3.6 Mg-2.0 ___ 03:51AM BLOOD Calcium-8.2* Phos-2.6* Mg-1.___ yo m with CAD and chronic afib admitted for cardioversion. # Atrial fibrillation: (see HPI for more details) Went for PVI with ablation, was unsuccessful. He was given 1mg ibutilide and developed QT prolongation to 800ms which transitioned to vfib. He was shocked and rhythm became sinus and then slow afib. At discharge he was still in slow afib. He was started on amio 400mg BID x 1 week, 400mg Qday x 1 week, then 200mg. Also on CCB and dig home doses. Restarted on coumadin at discharge, but subtheraputic. Was started on lovenox bridge with 60mg BID. Will have INR checked in 2 days. Plan for out pt f/u with MRI to evaluate pulmonary veins and then out pt cardioversion with Dr. ___. Will also have follow up with his regular cardiologist and PCP. # Coronary artery disease: Had known CAD, s/p PCI x ___, cath in ___ revealed no flow limiting disease. Was stable during admission. -Continue ASA, statin, BB, ACEI -Cardiac diet # chronic systolic HF: Last EF based on MR was 45% with mildly increased cavity size and mild global hypokinesis. Was stable during admission. Continued on home lasix, metazolone, spironolactone. # Hypotension: Pt has HTN at baseline. Post-procedure SBPs in ___. Given one 500cc bolus of NS. HR in 60-70s at time. Pulsus 10mmHg. Asymptomatic. Potentially vagal rxn. Hcts were stable and blood pressure improved before discharge, home meds were restarted. # DM- was on sliding scale insulin, was restarted on Lantus, but the dose was increased to 24units in the morning. Glyburide was stopped due to possiblly causing arrythmias. Instead he was started on Metformin 500mg BID. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Hct {Hematocrit determination}, Hct {Hematocrit determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Baso {Basophil count}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, CAD {Coronary arteriosclerosis}, chronic {Chronic disease}, cardioversion {Cardioversion}, Atrial fibrillation {Atrial fibrillation}, ablation {Destructive procedure}, QT prolongation {Prolonged QT interval}, vfib {Ventricular fibrillation}, rhythm became sinus {Normal sinus rhythm}, afib {Atrial fibrillation}, afib {Atrial fibrillation}, Restarted {Restart of medication}, coumadin {Anticoagulant therapy}, INR {Calculation of international normalized ratio}, MRI {Magnetic resonance imaging}, pulmonary veins {Structure of vein of pulmonary circulation}, cardioversion {Cardioversion}, PCP {Primary care management}, disease {Disease}, CAD {Coronary arteriosclerosis}, PCI {Percutaneous coronary intervention}, cath {Cardiac catheterization}, disease {Disease}, stable {Patient's condition stable}, Cardiac diet {Postoperative progressive diet}, chronic {Chronic disease}, cavity {Structure of cavity of left cardiac ventricle}, mild global hypokinesis {Mild hypokinesis of cardiac wall}, stable {Patient's condition stable}, lasix {Diuretic therapy}, Hypotension {Low blood pressure}, HTN {Hypertensive disorder, systemic arterial}, baseline {Baseline state}, procedure {Procedure}, Asymptomatic {Asymptomatic}, Hct {Hematocrit determination}, stable {Patient's condition stable}, improved {Patient's condition improved}, restarted {Restart of medication}, DM {Diabetes mellitus}, sliding scale insulin {Sliding scale insulin regime}, restarted {Restart of medication}, arrythmias {Cardiac arrhythmia}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: Carvedilol 12.5mg twice a day Digoxin .125mg daily every afternoon Diltiazem 120mg daily every morning Furosemide 80mg daily Glyburide 5mg two tablets twice a day Lantus insulin 20 units every morning Lisinopril daily (unknown dosing) Metolazone 2.5mg daily KCL daily (unknown dosing) Spironolactone 25mg daily every morning Coumadin 4mg alternating with 5mg, last dose ___ Vitamin C 500mg daily Aspirin 325mg daily Vitamin B complex one daily MVI Discharge Medications: 1. Enoxaparin 60 mg/0.6 mL Syringe Sig: One (1) Subcutaneous BID (2 times a day) for 7 days: take until instructed to stop by your INR clnic. Disp:14 syninges Refills:1 2. Amiodarone 200 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day): 2 pills twice a day for 7 days, then two pills once a day for 3 weeks, then continue on one pill once a week. Disp:70 Tablet(s) Refills:2 3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every 4 hours) as needed for fever, pain. 4. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 7. Multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 8. B-Complex with Vitamin C Tablet Sig: One (1) Cap PO DAILY (Daily). 9. Carvedilol 12.5 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Tablet(s) 10. Ascorbic Acid ___ mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 11. Spironolactone 25 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 12. Insulin Glargine 100 unit/mL Solution Sig: ___ (24) units Subcutaneous once a day: in the morning. 13. Diltiazem HCl 120 mg Capsule, Sustained Release Sig: One (1) Capsule, Sustained Release PO DAILY (Daily). 14. Furosemide 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 15. Coumadin 2 mg Tablet Sig: Two (2) Tablet PO once a day: alternate 2 pills with 2.5 pills. Disp:75 Tablet(s) Refills:2 16. Metolazone 2.5 mg Tablet Sig: One (1) Tablet PO once a day. 17. Outpatient Lab Work please check on ___ INR, please fax result to PCP, goal INR ___. Metformin 500 mg Tablet Sig: One (1) Tablet PO twice a day. Disp:60 Tablet(s) Refills:2 ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: Atrial fibrillation, s/p ablation CAD, s/p LAD stent and diagonal PTCA/stenting Diabetes GERD Cardiomyopathy Congestive heart failure, systolic, chronic Discharge Condition: Hemodynamically stable, afebrile ###RESPONSE: Atrial fibrillation {Atrial fibrillation}, ablation {Destructive procedure}, CAD {Coronary arteriosclerosis}, LAD stent {Stent in anterior descending branch of left coronary artery}, PTCA {Percutaneous transluminal coronary angioplasty}, stenting {Insertion of arterial stent}, Diabetes {Diabetes mellitus}, GERD {Gastroesophageal reflux disease}, Cardiomyopathy {Cardiomyopathy}, Congestive heart failure, systolic, chronic {Chronic systolic heart failure}, Hemodynamically stable {Hemodynamically stable}, afebrile {Temperature normal}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted to ___ for a cardioversion. You had the cardioversion, but the cardiologist was not able to albate the cause of your a fib. Your heart rate became more irregular during the procedure and you had to be shocked. You were started on a medication called amiodarone for your afib and you will see Dr. ___ in one ___ weeks to have a cardioversion after your MRI. You will have a cardiac MRI to evaluate your heart's blood vessels, call ___ to schedule. If you have chest pain, shortnes of breath, groin pain or swelling or other concerning symptoms please seek medical attention. Please follow activiy, wound, and medication guidelines as discussed. Your new medication amiodarone will be 400mg twice a day for a week (starting on ___, then 400mg once a day until your appointment with ___ in 1 month. Then he will adjust the dose. Your insulin was increased to 24units in the morning and your glyburide was changed to metformin. You are also being sent home on a heart monitor, please follow the instructions provided. You were started on Lovenox injections to thin your blood as your coumadin levele are increased. Please take Coumadin as ordered and get INR on ___ with ___ further Coumadin dose. Take your lovenox until instructed to stop. ###RESPONSE: cardioversion {Cardioversion}, cardioversion {Cardioversion}, a fib {Atrial fibrillation}, heart rate {Finding of heart rate}, irregular {Irregular heart beat}, procedure {Procedure}, medication {Administration of drug or medicament}, afib {Atrial fibrillation}, cardioversion {Cardioversion}, MRI {Magnetic resonance imaging}, cardiac MRI {Magnetic resonance imaging of heart}, heart {Heart structure}, blood vessels {Blood vessel structure}, chest pain {Chest pain}, shortnes of breath {Dyspnea}, groin pain {Inguinal pain}, swelling {Swelling}, seek medical attention {Recommendation to seek attention}, activiy {Functional activity education}, wound {Wound}, medication {Patient medication education}, medication {Patient medication education}, heart monitor {Cardiac monitoring}, instructions {Recommendation to}, injections {Injection}, coumadin {Anticoagulant therapy}, Coumadin {Anticoagulant therapy}, INR {Calculation of international normalized ratio}, Coumadin {Anticoagulant therapy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___ CABG x2(LIMA-LAD,SVG-OM) ###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, Chest pain {Chest pain}, CABG x2 {Coronary artery bypass grafts x 2}, LIMA {Structure of left internal thoracic artery}, LAD {Structure of anterior descending branch of left coronary artery}, SVG {Aortocoronary artery bypass graft with saphenous vein graft}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: ___ year old man with hyperlipidemia and GERD/hiatal hernia reports about one year of feeling fatigued/low energy. He has also experienced intermittent episodes of chest burning that is felt across the entire chest, occurring with exertion, resolving with rest. These episodes are unpredictable and do not consistently occur, happening about ___ times per month. He also feels slightly more short of breath with exercise as compared to prior years. A stress echo in ___ showed possible ischemia involving the distal inferoseptum and possibly distal inferior wall. He has been treated with imdur, aspirin and a statin and is now being referred for coronary angiography. ###RESPONSE: hyperlipidemia {Hyperlipidemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, fatigued {Fatigue}, chest burning {Burning chest pain}, chest {Thoracic structure}, exertion {Chest pain on exertion}, short of breath with exercise {Dyspnea on exertion}, stress echo {Stress echocardiography}, ischemia {Ischemia}, inferior wall {Structure of myocardium of diaphragmatic region}, aspirin {Administration of aspirin}, coronary angiography {Angiography of coronary artery}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: 1. Hypercholesterolemia 2. GERD, hiatal hernia 3. H. Pylori s/p treatment 4. Asthma as a child 5. Insomnia 6. Prior bone fractures ###RESPONSE: Hypercholesterolemia {Hypercholesterolemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, H. Pylori {Infection caused by Helicobacter pylori}, Asthma {Asthma}, Insomnia {Insomnia}, fractures {Fracture}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Half-brother has had PCI in his ___, s/p AVR and CABG in his ___. Grandfather was thought to have had a heart attack in his ___. ###RESPONSE: PCI {Percutaneous coronary intervention}, AVR {Replacement of aortic valve}, CABG {Coronary artery bypass grafting}, heart attack {Myocardial infarction}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Discharge PE: Physical Exam Pulse:73 Resp:20 O2 sat:93/RA B/P: 101/65 Height:6'1" Weight:95.3 kg preop, 99.1kg postop General:NAD Skin: Dry [x] intact [x] HEENT: PERRLA [x] EOMI [x] Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Sternum: stable, healing well, C/D/I Heart: RRR [x] Irregular [] Murmur [] grade ______ Abdomen: Soft [x] non-distended [x] non-tender [x] bowel sounds + [x] Extremities: Warm [x], well-perfused [x] Edema: 1+BLE [x], LLE healing well Varicosities: None [x] Neuro: Grossly intact [x] Pulses: DP Right: 2+ Left:2+ ___ Right: 2+ Left:2+ Radial Right: 2+ Left:2+ ###RESPONSE: Physical Exam {Physical examination procedure}, Resp {Examination of respiratory system}, O2 sat {Oxygen saturation measurement}, RA {Breathing room air}, General {General examination of patient}, NAD {No abnormality detected}, Skin {Examination of skin}, HEENT {Physical examination procedure}, PERRLA {Pupils equal, react to light and accommodation}, EOMI {Normal ocular motility}, Neck {Physical examination procedure}, Supple {Normal movement of neck}, Full ROM {Normal range of cervical spine movement}, Chest {Examination of respiratory system}, Lungs {Examination of respiratory system}, Sternum {Bone structure of sternum}, stable {Patient's condition stable}, healing well {Wound healing well}, Heart {Cardiovascular physical examination}, RRR {Normal heart rate}, Irregular {Irregular heart beat}, Murmur {Murmur}, Abdomen {Examination of abdomen}, Soft {Abdomen soft}, non-distended {Normal abdominal contour}, non-tender {Abdominal tenderness}, bowel sounds + {Normal bowel sounds}, Extremities {Examination of limb}, Warm {Warm skin}, well-perfused {Normal tissue perfusion}, Edema {Edema}, BLE {Edema of bilateral lower legs}, LLE {Structure of left lower limb}, healing well {Wound healing well}, Varicosities {Venous varices}, Neuro {Neurological examination}, Grossly intact {Normal nervous system function}, DP {Structure of dorsalis pedis artery}, Radial {Structure of radial artery}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ ECHO PRE BYPASS The left atrium is dilated. No spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. No atrial septal defect is seen by 2D or color Doppler. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). The right ventricle displays normal free wall contractility. The aortic root is mildly dilated at the sinus level. The ascending aorta is mildly dilated. There are simple atheroma in the aortic arch. The descending thoracic aorta is mildly dilated. There are simple atheroma in the descending thoracic aorta. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. There is no pericardial effusion. Dr. ___ was notified in person of the results in the operating room at the time of the study. POST BYPASS There is normal biventricular systolic function. Valvular function is unchanged from the pre-bypass exam. The thoracic aorta is intact after decannulation CXR ___: IMPRESSION: As compared to the previous radiograph, there is unchanged evidence of minimal bilateral atelectatic changes at the lung bases. No new parenchymal opacities. The lateral radiograph reveals a minimal right pleural effusion. No other relevant change. Normal alignment of sternal wires. Unchanged position of the right internal jugular vein catheter. LABS: ___ 04:14AM BLOOD WBC-7.1 RBC-3.86* Hgb-11.8* Hct-36.0* MCV-93 MCH-30.6 MCHC-32.8 RDW-11.9 Plt ___ ___ 03:35AM BLOOD WBC-9.3 RBC-4.12* Hgb-12.7* Hct-38.6* MCV-94 MCH-30.7 MCHC-32.8 RDW-12.2 Plt ___ ___ 02:20AM BLOOD ___ PTT-25.5 ___ ___ 04:14AM BLOOD Glucose-104* UreaN-14 Creat-0.9 Na-137 K-4.6 Cl-101 HCO3-32 AnGap-9 ___ 03:35AM BLOOD Glucose-110* UreaN-15 Creat-1.0 Na-138 K-4.1 Cl-102 HCO3-32 AnGap-8 ___ 03:35AM BLOOD Mg-2.1 ###RESPONSE: ECHO {Echocardiography}, BYPASS {Construction of shunt}, left atrium {Left atrial structure}, dilated {Dilatation}, echo {Echocardiography}, thrombus {Thrombus}, left atrium {Left atrial structure}, left atrial appendage {Entire left auricular appendage}, right atrium {Right atrial structure}, right atrial appendage {Structure of right auricular appendage}, atrial septal defect {Atrial septal defect}, color Doppler {Color Doppler ultrasound}, left ventricular {Left cardiac ventricular structure}, wall {Cardiac wall structure}, left ventricular systolic function is normal {Normal left ventricular systolic function and wall motion}, right ventricle {Right cardiac ventricular structure}, wall {Cardiac wall structure}, aortic root is mildly dilated {Aortic root dilatation}, sinus {Structure of sinus of Valsalva}, ascending aorta {Ascending aorta structure}, dilated {Dilatation}, atheroma {Atheroma}, aortic arch {Aortic arch structure}, descending thoracic aorta {Structure of descending thoracic aorta}, dilated {Dilatation}, atheroma {Atheroma}, descending thoracic aorta {Structure of descending thoracic aorta}, aortic valve leaflets {Structure of cardiac valve leaflet}, mildly thickened {Increased thickness}, aortic stenosis {Aortic valve stenosis}, aortic regurgitation {Aortic valve regurgitation}, mitral valve leaflets are mildly thickened {Thickened mitral leaflet}, Mild (1+) mitral regurgitation {Mild mitral valve regurgitation}, pericardial effusion {Pericardial effusion}, BYPASS {Construction of shunt}, biventricular {Cardiac ventricular structure}, Valvular {Structure of heart valve tissue}, bypass {Construction of shunt}, exam {Physical examination procedure}, thoracic aorta {Thoracic aorta structure}, decannulation {Vascular cannula removal}, radiograph {Plain radiography}, atelectatic {Atelectasis}, lung bases {Structure of base of lung}, opacities {Abnormally opaque structure}, radiograph {Plain radiography}, right {Structure of right pleural cavity}, pleural effusion {Pleural effusion}, sternal {Bone structure of sternum}, Unchanged position {Intravenous catheter in situ}, right internal jugular vein {Structure of right internal jugular vein}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, BLOOD Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Mg {Blood magnesium measurement}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: Mr. ___ was admitted to the ___ on ___ for surgical management of his coronary artery disease. He was taken to the operating room on the same day where he underwent coronary artery bypass grafting to two vessels. Please see the operative note for details. Postoperatively he was taken to the intensive care unit for monitoring. Over the next several hours, he awoke neurologically intact and was extubated. On postoperative day one, he was transferred to the step down unit for further recovery. His epicardial wires and chest tubes were removed per protocol. He was gently diuresed towards his preoperative weight. The physical therapy service was consulted for assistance in his postoperative strength and recovery. He continued to make steady progress and was discharged home on postoperative day four. ###RESPONSE: coronary artery disease {Coronary arteriosclerosis}, coronary artery bypass grafting to two vessels {Coronary artery bypass grafts x 2}, operative {Surgical procedure}, was taken to the intensive care unit {Patient transfer to intensive care unit}, monitoring {Monitoring response to treatment}, neurologically intact {Normal nervous system function}, extubated {Removal of endotracheal tube}, chest tubes were removed {Intercostal drain removal}, diuresed {Diuretic therapy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. ClonazePAM 1 mg PO DAILY 2. Isosorbide Mononitrate (Extended Release) 60 mg PO BID 3. Lansoprazole Oral Disintegrating Tab 15 mg PO DAILY 4. Lorazepam 1 mg PO DAILY 5. Simvastatin 40 mg PO DAILY 6. Aspirin 325 mg PO DAILY Discharge Medications: 1. Aspirin EC 81 mg PO DAILY 2. Lansoprazole Oral Disintegrating Tab 15 mg PO DAILY 3. Simvastatin 40 mg PO DAILY 4. Docusate Sodium 100 mg PO BID RX docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice a day Disp #60 Capsule Refills:0 5. HYDROmorphone (Dilaudid) ___ mg PO Q3H:PRN pain RX hydromorphone [Dilaudid] 2 mg ___ tablet(s) by mouth every 3 hours as needed Disp #50 Tablet Refills:0 6. Lorazepam 1 mg PO DAILY 7. Furosemide 20 mg PO DAILY Duration: 7 Days RX furosemide 20 mg 1 tablet(s) by mouth daily Disp #7 Tablet Refills:0 8. Metoprolol Tartrate 12.5 mg PO BID RX metoprolol tartrate 25 mg 0.5 (One half) tablet(s) by mouth twice a day Disp #30 Tablet Refills:0 ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: 1. Hypercholesterolemia 2. GERD, hiatal hernia 3. H. Pylori s/p treatment 4. Asthma as a child 5. Insomnia 6. Prior bone fractures Discharge Condition: Alert and oriented x3 nonfocal Ambulating with steady gait Incisional pain managed with oral analgesics Incisions: Sternal - healing well, no erythema or drainage Leg Right/Left - healing well, no erythema or drainage. Edema 1+ ###RESPONSE: Home With Service {Home health aide service management}, Hypercholesterolemia {Hypercholesterolemia}, GERD {Gastroesophageal reflux disease}, hiatal hernia {Hiatal hernia}, H. Pylori {Infection caused by Helicobacter pylori}, Asthma {Asthma}, Insomnia {Insomnia}, fractures {Fracture}, Alert {Mentally alert}, oriented x3 {Oriented to person, time and place}, Ambulating {Fully mobile}, steady gait {Gait normal}, Incisional {Surgical incision wound}, pain {Wound pain}, oral analgesics {Administration of analgesic}, Incisions {Surgical incision wound}, Sternal {Wound of structure of sternal region}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Leg Right {Structure of right lower limb}, Left {Structure of left lower limb}, healing well {Wound healing well}, erythema {Erythema}, drainage {Discharge}, Edema {Edema}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: 1) Please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. Look at your incisions daily for redness or drainage. 2) Please NO lotions, cream, powder, or ointments to incisions. 3) Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) No driving for approximately one month and while taking narcotics. Driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) No lifting more than 10 pounds for 10 weeks 6) Please call with any questions or concerns ___ Females: Please wear bra to reduce pulling on incision, avoid rubbing on lower edge Please call cardiac surgery office with any questions or concerns ___. Answering service will contact on call person during off hours* ###RESPONSE: incisions {Surgical incision wound}, incisions {Surgical incision wound}, redness {Redness of skin over lesion}, drainage {Discharge}, incisions {Surgical incision wound}, incision {Surgical incision wound}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Patient recorded as having No Known Allergies to Drugs Attending: ___. Chief Complaint: wound dehiscence Major Surgical or Invasive Procedure: none ###RESPONSE: No Known Allergies to Drugs {Non-allergic hypersensitivity to drug or medicament}, wound dehiscence {Wound dehiscence}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: ___ M s/p splenectomy readmitted for wound dehiscence ###RESPONSE: splenectomy {Splenectomy}, wound dehiscence {Wound dehiscence}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: DM HTN ###RESPONSE: DM {Diabetes mellitus}, HTN {Hypertensive disorder, systemic arterial}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: sister with ITP ###RESPONSE: ITP {Chronic idiopathic thrombocytopenic purpura}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Gen: NAD Abd: S/NT/ND, wound dehiscence at laterally edge of wound with dehiscence of anterior but not posterior sheath, no erythema, no signs of infection Ext: WNL ###RESPONSE: Gen {General examination of patient}, NAD {No abnormality detected}, Abd {Examination of abdomen}, NT {Abdominal tenderness}, ND {Swollen abdomen}, wound dehiscence {Wound dehiscence}, wound {Gunshot wound}, dehiscence {Dehiscence}, erythema {Erythema}, Ext {Examination of limb}, WNL {No abnormality detected}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 04:00PM WBC-19.8* RBC-3.60* HGB-10.1* HCT-32.4* MCV-90 MCH-28.1 MCHC-31.2 RDW-15.8* ___ 04:00PM PLT COUNT-359 ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: The patient was admitted, and a vac dressing was placed on the wound. VAC therapy was continued with good results, but the patient was kept in house until the first scheduled change of the VAC dressing. This was performed without difficulty and the patient is now discharged home with ___ for VAC changes. ###RESPONSE: wound {Wound}, VAC therapy {Vacuum assisted skin closure}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: lasix 80am/40pm, metformin 500''', humalog ssi, NPH 56/50, dexamethasone 8'', claritin prn Discharge Medications: 1. Metformin 500 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 2. Furosemide 40 mg Tablet Sig: Two (2) Tablet PO QAM (once a day (in the morning)). 3. Furosemide 40 mg Tablet Sig: One (1) Tablet PO QPM (once a day (in the evening)). 4. Ascorbic Acid ___ mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Acetaminophen 500 mg Tablet Sig: ___ Tablets PO Q6H (every 6 hours) as needed. 6. Dexamethasone 4 mg Tablet Sig: Two (2) Tablet PO Q12H (every 12 hours). 7. Medication Please resume all other home medications as before. ###RESPONSE: lasix {Diuretic therapy}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: wound dehiscence Discharge Condition: Good ###RESPONSE: Home With Service {Home health aide service management}, wound dehiscence {Wound dehiscence}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted for placement of a VAC dressing on your wound. Please call Dr. ___ or return to the E.R. for any of the following: new nausea/vomiting inability to eat fever > 101.4 chest pain shortness of breath inability to have bowel movements or pass gas new redness around wound any other questions or concerns ###RESPONSE: placement {Application of dressing}, wound {Wound}, nausea/vomiting {Nausea and vomiting}, fever {Fever}, chest pain {Chest pain}, shortness of breath {Dyspnea}, inability to have bowel movements {Does not defecate}, pass gas {Unable to break wind}, redness {Redness of skin over lesion}, wound {Wound}
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment
###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

Subsets and Splits