diff --git "a/task42_mednli_textual_entailment_generative.json" "b/task42_mednli_textual_entailment_generative.json"
new file mode 100644--- /dev/null
+++ "b/task42_mednli_textual_entailment_generative.json"
@@ -0,0 +1,13510 @@
+{
+ "Contributors": [
+ "mednli authors"
+ ],
+ "Source": [
+ "MedNLI"
+ ],
+ "URL": [
+ "https://jgc128.github.io/mednli/"
+ ],
+ "Categories": [
+ "Natural Language Inference"
+ ],
+ "Definition": [
+ "You are a experienced doctor. Next, your task is to perform textual entailment. In the following, you will be presented with a formal clinical premise statement. You should write a clearly right hypothesis statement based on it. "
+ ],
+ "Reasoning": [],
+ "Input_language": [
+ "English"
+ ],
+ "Output_language": [
+ "English"
+ ],
+ "Instruction_language": [
+ "English"
+ ],
+ "Domains": [
+ "Clinical Text"
+ ],
+ "Positive Examples": [],
+ "Negative Examples": [],
+ "Instances": [
+ {
+ "input": "Labs were notable for cr 1.7 (baseline 0.5 per old records) and lactate 2.4.",
+ "output": "Patient has elevated cr."
+ },
+ {
+ "input": "Nystagmus and twiching of r arm was noted.",
+ "output": "The patient had abnormal neuro exam."
+ },
+ {
+ "input": "The patient was seen by his primary care physician after he had complained of a one-week history of dyspnea on exertion and jaw tightness.",
+ "output": "The patient has symptoms of a chf exacerbation."
+ },
+ {
+ "input": "At [**hospital 1456**] hospital the patient was experiencing 10 out of 10 chest pain and received nitropaste two inches, three sublingual nitroglycerins, morphine 4 mg intravenously, lopressor 5 mg intravenously.",
+ "output": "The patient is being treated with medications used to treat acute coronary syndrome."
+ },
+ {
+ "input": "History of nephrolithiasis with hematuria 5.",
+ "output": "Patient has a history of kidney stones."
+ },
+ {
+ "input": "Per patient, he took a combined 100+ pills of lisinopril, nifedipine, and atenolol late yesterday evening.",
+ "output": "The patient overdosed on medication."
+ },
+ {
+ "input": "Temporary pacing wire was placed on [**11-7**] for persistent complete heart block, but per report the patient was not pacer dependent.",
+ "output": "The patient has a heart condition."
+ },
+ {
+ "input": "On [**8-19**], he did finally have his cardiac catheterization which showed no flow limiting coronary artery disease but he did have an ascending aortic aneurysm of approximately six cm.",
+ "output": "Cardiac catheterization revealed no blockage."
+ },
+ {
+ "input": "At [**hospital **] rehab, he was being treated with vanco/flagyl for suspected aspiration pneumonia.",
+ "output": "The patient has suspected aspiration pneumonia."
+ },
+ {
+ "input": "Arom at delivery yielded clear amniotic fluid.",
+ "output": "Patient has delivered a baby."
+ },
+ {
+ "input": "Left dominant, mild left main, 50% left anterior descending and minimal luminal irregularities.",
+ "output": "There is 50% blockage in the left anterior descending coronary artery."
+ },
+ {
+ "input": "The patient began having symptoms of abdominal pain, nausea and vomiting similar to [** location **]us episodes of diverticulitis three weeks ago and about a week later presented to the [**hospital3 **] when she noted stool draining from her vagina and a ct scan at the outside hospital documented the enterovaginal fistula.",
+ "output": "She has a history of digestive disease."
+ },
+ {
+ "input": "She was started on dilantin.",
+ "output": "The patient has pain."
+ },
+ {
+ "input": "[**known patient firstname **] [**known patient lastname 6979**] is a 54-year-old woman with history of cns lymphoma who presents with increasing seizures and hypotension.",
+ "output": "The patient has cns lymphoma."
+ },
+ {
+ "input": "At that time, he characterized his pain as chest tightening and burning, with associated radiation to his neck, jaw and arms.",
+ "output": "He has chest pain."
+ },
+ {
+ "input": "Metastatic renal cell carcinoma - diagnosed in [**4-/3406**] - s/p left radical nephrectomy [**5-13**] with pathology consistent with clear cell carcinoma - s/p right upper lobe wedge resection for pulmonary metastasis [**9-14**] - right frontal lobe brain metastasis s/p resection [**4-15**] with sterotactic radiosurgery to resection site [**5-16**] - s/p high dose il-2 [**11-15**] - s/p right bilobectomy (right upper and right middle lobe) [**1-16**] - s/p right chest wall resection [**11-17**] - s/p right lower lobe wedge resection [**4-18**] - t8 s/p cyberknife [**11-18**] - s/p sunitinib [**8-18**] complicated by hand foot syndrome, mucositis - rad001 trial [**1-18**] to present - s/p t8 and t9 vetebrectomy and recontruction [**3413-8-18**] hypertension peptic ulcer disease (h. pylori positive) hyperglycemia",
+ "output": "History of metastatic cancer."
+ },
+ {
+ "input": "She had an mri as part of her metastatic workup which revealed multiple brain metastases, the largest of which was 1.5cm.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "He was able to keep the milk down and at no time vomited or aspirated.",
+ "output": "The patient is an infant."
+ },
+ {
+ "input": "Cxr showed low lung volumes, no focal consolidation or pleural effusion, minimal left basilar atelectasis.",
+ "output": "Patient has essentially normal chest x-ray."
+ },
+ {
+ "input": "The patient denied any cough, dysuria, headache, photophobia, stiff neck, or diarrhea.",
+ "output": "The patient does not have pain with urination."
+ },
+ {
+ "input": "She is currently in stable condition and off of pressors and iabp.",
+ "output": "She was treated for a cardiac condition."
+ },
+ {
+ "input": "He was given depakote for seizure prevention as well as ativan.",
+ "output": "The patient has a history of seizures."
+ },
+ {
+ "input": "75 y/o m w/ atrial fibrillation, htn, dyslipidemia, and dvt (while on coumadin so now on lovenox) who persented with a 1 day history of worsening sob and cough productive of clear sputum.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "History of tia [**5-/3025**] with left hemi[** location **] that resolved.",
+ "output": "Patient has a focal neurological deficit."
+ },
+ {
+ "input": "Her abdominal exam was benign.",
+ "output": "The patient does not have an abdominal exam concerning for an infection."
+ },
+ {
+ "input": "Gastrointestinal: [**known patient lastname 635**] was started on reglan and zantac on [**10-16**] to maximize medical therapy that may be contributing to his apneic and bradycardic episodes.",
+ "output": "He has had slow heart rate and suspension of breathing."
+ },
+ {
+ "input": "He took some oxycodone without relief.",
+ "output": "He had pain."
+ },
+ {
+ "input": "Vre septic thrombophlebitis in ij ([**1-19**]) s/p linezolid) 6.",
+ "output": "The patient had an infection in the ij."
+ },
+ {
+ "input": "She was seen by id at [**hospital1 294**] on [**6-17**] who felt this was less likely an infectious process.",
+ "output": "The patient was evaluated by infectious disease specialists."
+ },
+ {
+ "input": "Pacemaker for sick sinus syndrome.",
+ "output": "Pacemakers are used for symptomatic arrhythmias."
+ },
+ {
+ "input": "Ems found her at home where she admitted to ingesting 60mg cymbalta, 12mg cyproheptadine, and 22mg klonopin with an entire bottle of wine (750cc).",
+ "output": "She intentionally overdosed on prescription medication."
+ },
+ {
+ "input": "He underwent partial vertebrectomy, fusion, debridement, and vertebral spacer placement at l3-l4 on [**3313-12-1**]. .",
+ "output": "Patient has had spinal intervention."
+ },
+ {
+ "input": "-colon ca: t3n2, dx 2 yrs ago, s/p resection ([**5-17**] ln+), mets to liver and brain, last cea 7.4 -chemo: last [**11-12**] -htn -gerd",
+ "output": "The patient has cancer."
+ },
+ {
+ "input": "Came to ed complaining of vomiting and weakness.",
+ "output": "Patient has upper gi pain."
+ },
+ {
+ "input": "Cad: cad s/p cabg (lima to lad, svg to om) s/p pci ([**3-4**]) 2.",
+ "output": "Patient has history of cabg."
+ },
+ {
+ "input": "Underwent orif of r knee on [**11-19**] due to non-[**hospital1 **]. - s/p repair of r ruptured patellar tendon in [**3227**] .",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "Recurrent pleural effusion- unclear etiology, cytology negative in the past.",
+ "output": "The patient has recurrent pleural effusions."
+ },
+ {
+ "input": "Age [**7-24**] arf with arthritis, heart murmur. age 20 hypertension, 4+ labile with some [**month/year (2) 21269**] of 200/100 for which he has gone to ed for control.",
+ "output": "Multiple medical conditions."
+ },
+ {
+ "input": "She denied any loss of consciousness or focal pain.",
+ "output": "She was awake and alert."
+ },
+ {
+ "input": "83 yo female w/ pmhx sig for htn, chf w/ diastolic dysfunction, right renal artery stenosis p/w increased lethargy and unresponsiveness for 1 day.",
+ "output": "The patient has a cardiac condition."
+ },
+ {
+ "input": "States the pain was similar to that she had when she had her [** location **]us mi's.",
+ "output": "Patient has a significant cardiac history."
+ },
+ {
+ "input": "47 year old female with hepc/cirrhosis on liver [**month/day/year 1222**] list, referred for abnormal labs, wbc of 77k on [**7-7**].",
+ "output": "The patient has findings consistent with an infection."
+ },
+ {
+ "input": "Mother presented on [**12-15**] with vaginal bleeding with a large clot seen on ultrasound.",
+ "output": "Patient had abnormal bleeding and ultrasound."
+ },
+ {
+ "input": "When she arrived in ed, vs showed sbp in 70s, 02 sats 97%, hr 68 labetalol stopped and given ivfs with return of sbps to 90s-100s.",
+ "output": "The patient has a past medical history of hypertension."
+ },
+ {
+ "input": "Total cardiopulmonary bypass time was 113 minutes.",
+ "output": "Patient has had a cabg."
+ },
+ {
+ "input": "The patient was subsequently started on levophed at 0.03mcg/kg/min.",
+ "output": "The patient was started on norepinephrine."
+ },
+ {
+ "input": "Baby girl [**known patient lastname 39746**] was born by a repeat scheduled cesarean section with an apgar score of 4 at one minute, 5 at five minutes, and 7 at ten minutes.",
+ "output": "The patient has had concerning apgars."
+ },
+ {
+ "input": "He was responsive to commands and was trying to sit up.",
+ "output": "He was able to react when spoken to."
+ },
+ {
+ "input": "She started taking ibuprofen for it at [**first name8 (namepattern2) **] [**last name (un) 5416**] dose.",
+ "output": "The patient is taking pain medicine."
+ },
+ {
+ "input": "In the ed, was noted to have initial fsbs 142 at 17:55, then drifted to 74, at 18:30, and started on d10 drip at 100/hr, since then sugars have been 83-143-11 every 40 minutes.",
+ "output": "The patient had falling blood sguars."
+ },
+ {
+ "input": "Hemi-sternotomy and lead extraction on [**3090-11-5**].",
+ "output": "Patient has history of lead extraction."
+ },
+ {
+ "input": "Recurrence noted on brain biopsy by [**2663-5-19**].",
+ "output": "Abnormal brain biopsy."
+ },
+ {
+ "input": "She was started on a bicarbonate drip and given charcoal for a presumed tca overdose.",
+ "output": "She was treated for possible overdose on tricyclic antidepressants."
+ },
+ {
+ "input": "On arrival to the [**name (ni) **], pt's vs: t 98.7, hr 128, bp 111/55, rr 20, sa02 100% on 2l.",
+ "output": "The patient\u2019s heart rate is high."
+ },
+ {
+ "input": "Her initial evaluation was by dr. [**last name (stitle) 8265**] [**name (stitle) 8266**] and at that time patient was upper quadrant pain, no nausea, vomiting, fever, chills or fatigue, hepatosplenomegaly, jaundice or encephalopathy.",
+ "output": "She was previously evaluated for abdominal pain."
+ },
+ {
+ "input": "I indicated to him that he has had a symptomatic manifestation of a tumor which likely is malignant in its nature.",
+ "output": "The patient has a tumor which is likely malignant."
+ },
+ {
+ "input": "53 year-old male with progressive multiple sclerosis and recent episode of urosepsis admitted from pcp's office with generalized weakness and tachycardia.",
+ "output": "Patient has history of utis."
+ },
+ {
+ "input": "Svt v. atrial flutter v. atrial fibrillation seen on multiple ekgs.",
+ "output": "The patient has a tachyarythmia."
+ },
+ {
+ "input": "Cardiac catheterization showed co 4.09, ci 1.95, pcwp 21, ra 12, pa 51/22 lmca normal lad: midsegment 80% lesion with modest calcium lcx: non-domninant vessel with mid-segment 90% lesion after om1.",
+ "output": "Patient has coronary artery disease."
+ },
+ {
+ "input": "By [**3-23**], his bicarb had increased to 12 and his creatinine had improved to 1.4.",
+ "output": "Patient has improving lab values."
+ },
+ {
+ "input": "The leg from just above the knee was cool and mottled.",
+ "output": "Patient has poor limb perfusion."
+ },
+ {
+ "input": "The test was discontinued and the patient's ekg changes initially largely resolved.",
+ "output": "The patient had an abnormal ekg."
+ },
+ {
+ "input": "She does not answer ros questions at this time.",
+ "output": "She is a poor historian at this time."
+ },
+ {
+ "input": "44 yo male presents with multiple stab wounds over left chest and flank with diaphragmatic injury and liver laceration.",
+ "output": "Patient presenting with penetrating trauma."
+ },
+ {
+ "input": "Ivdu on methadone 5.",
+ "output": "The patient receives methadone to supplement the opiate cravings."
+ },
+ {
+ "input": "Transient ischemic attack in [**2524**].",
+ "output": "The patient has a history of tia."
+ },
+ {
+ "input": "X-ray revealed an unusual opacity in the left lateral aspect of the left upper lobe and lucency medially.",
+ "output": "The patient has a finding of possible pneumonia."
+ },
+ {
+ "input": "She had had 2 prior episodes of tongue numbness, her 1st episode on [**3-/2903**] without notable consequences and did not tell anyone of these prior episodes.",
+ "output": "The patient has intermittent numbness."
+ },
+ {
+ "input": "She then became lethargic and became unresponsive and dilated her left pupil.",
+ "output": "The patient has symptoms of uncal herniation."
+ },
+ {
+ "input": "At that point, the patient decided to come to [**hospital1 52**] to be seen by her oncologist dr. [**first name (stitle) 2609**].",
+ "output": "The patient has cancer."
+ },
+ {
+ "input": "He was reportedly driving a stolen car and being pursued by the police.",
+ "output": "The patient is incarcerated."
+ },
+ {
+ "input": "Ent evaluated the patient and noticed that there was swelling of the uvula and epiglottis with frank bleeding from the left tonsillar pole.",
+ "output": "There is bleeding in the oropharynx."
+ },
+ {
+ "input": "[**known patient lastname 28289**] is a 65-year-old woman with a [** location **]us history of hodgkin lymphoma, who was noted to have dyspnea and found to have a large, slightly loculated right pleural effusion.",
+ "output": "The patient has a loculated right effusion."
+ },
+ {
+ "input": "Because of her [** location **]us admissions for poorly controlled diabetes, electrolytes were checked and the pt was found to have a gap of 26, with a glucose in the 400s, and ketonuria.",
+ "output": "Patient has ketoacidosis."
+ },
+ {
+ "input": "History of gastric varices.",
+ "output": "History of gastrointestinal disease."
+ },
+ {
+ "input": "He had \"barely a gag\" reflex in the ed but did give him etomidate and succinylcholine for intubation.",
+ "output": "Patient is obtunded."
+ },
+ {
+ "input": "Renal cell carcinoma, status post partial nephrectomy in [**12-19**].",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "Reports having had a mechanical fall on the morning of admission when he leaned forward on a folding food table that subsequently collapsed.",
+ "output": "The patient had a mechanical fall."
+ },
+ {
+ "input": "Lumbar puncture was done, which was concerning for bacterial meningitis, and the patient was started on ceftazidime.",
+ "output": "Patient has life threatening infection."
+ },
+ {
+ "input": "History of present illness: the patient is a 64 year old woman, well known to the neurosurgery service.",
+ "output": "The patient has a neurosurgical history."
+ },
+ {
+ "input": "She also notes a 4 lb weight gain at the time of admission.",
+ "output": "Patient has weight gain."
+ },
+ {
+ "input": "She was satting 93% on ra, and 100% on 4l face mask.",
+ "output": "The patient is recieving supplemental oxygen."
+ },
+ {
+ "input": "She had no fevers/chills/sweats prior to coming to the hosptial.",
+ "output": "Patient had a negative ros."
+ },
+ {
+ "input": "Resuscitation was begun, tee revealed that there was air in the left ventricle.",
+ "output": "Patient has an air embolism."
+ },
+ {
+ "input": "On [**1-24**], the patient began experiencing tachypnea and worsening pain w/ splinting.",
+ "output": "The patient has tachypnea."
+ },
+ {
+ "input": "Mec protocol started [**3386-7-2**].",
+ "output": "The patient is receiving chemotherapy."
+ },
+ {
+ "input": "There is mild pulmonary artery systolic hypertension.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "For two weeks prior to admission on [**2574-7-14**], patient had worsening rash and worsening fever.",
+ "output": "The patient had a rash."
+ },
+ {
+ "input": "Due to persistent and moderate distress, the infant was brought to the newborn intensive care unit for evaluation.",
+ "output": "Patient has respiratory distress."
+ },
+ {
+ "input": "57 year old male with htn, hypercholesterolemia, osa, who presents with one week of cough and shortness of breath with exertion for 2 days.",
+ "output": "Patient has abdominal blood pressure."
+ },
+ {
+ "input": "The patient understood the risks and benefits of the procedure, including but not limited to bleeding, infection, myocardial infarction, stroke, death, renal and pulmonary insufficiency, as the possibility of a blood transfusion and future revascularization procedures.",
+ "output": "The patient is undergoing a procedure."
+ },
+ {
+ "input": "Patient received acetaminophen 1 gram po, 500cc ivf bolus, toradol, and aspirin.",
+ "output": "Patient received pain medication."
+ },
+ {
+ "input": "Hypertension diagnosed in [**3186**].",
+ "output": "Patient has elevated bp."
+ },
+ {
+ "input": "Endorses at least 50 pound weight gain since [**month (only) 948**].",
+ "output": "The patient has experienced weight gain."
+ },
+ {
+ "input": "The patient received two units of rbc, two liters normal saline increasing the patient's blood pressure.",
+ "output": "Patient has been transfused."
+ },
+ {
+ "input": "This is a 54yom w/h/o laparoscopic gastric bypass([**7-17**]) transferred from an osh who p/w chest pain, hct drop, and paricardial effusion.",
+ "output": "The patient has a cardiac condition."
+ },
+ {
+ "input": "She reported mild nasal congestion and subjective fevers.",
+ "output": "Patient has sinusitis."
+ },
+ {
+ "input": "Egd disclosed \"a few superficial non-bleeding 3 mm ulcers in the pylorus and incisura of the stomach.",
+ "output": "Egd revealed abnormalities in the stomach."
+ },
+ {
+ "input": "Over the course of the next two hospital days, the pt's arterial blood gases showed decreased hypercapnia and improved arterial oxygenation.",
+ "output": "The patient has an improving respiratory status."
+ },
+ {
+ "input": "Right hand tendonitis 4. s/p t and a 5.",
+ "output": "Patient has hand pain."
+ },
+ {
+ "input": "His o2sat remains above 90% on room air but appears to drop when patient falls asleep.",
+ "output": "Patient has ond."
+ },
+ {
+ "input": "Transferred from osh to [**hospital1 22**] for cath with revealed 3vd and left main disease.",
+ "output": "The patient has three vessel disease."
+ },
+ {
+ "input": "He was started empirically on zosyn for aspiration pneumonia; ua was positive for uti with pseudomonas.",
+ "output": "The patient has a urinary tract infection."
+ },
+ {
+ "input": "The tumor was er+/her-2-neu positive, and she is undergoing tamoxifen therapy.",
+ "output": "Patient has breast cancer."
+ },
+ {
+ "input": "Has chronic hypertension treated with labetalol and hypothyroidism treated with thyroxine.",
+ "output": "The patient has hypertension."
+ },
+ {
+ "input": "She presented on the date of admission for workup management per her primary care physician.",
+ "output": "The patient receives outpatient medical care."
+ },
+ {
+ "input": "Delivery proceeded via vaginal route and infant emerged with good tone, but limited respiratory effort and poor aeration.",
+ "output": "Patient has been born with sub-par apgar\u2019s."
+ },
+ {
+ "input": "Ems arrived, found the patient fs noted to be 58, given [**12-19**] amp d50, bs improved to 166.",
+ "output": "Patient has been given glucose."
+ },
+ {
+ "input": "His chest discomfort resolved at the outside hospital following nitrates, and there has been no recurrence of chest pain.",
+ "output": "The patient took a arterial vasodilator."
+ },
+ {
+ "input": "Over the past two weeks has barely been able to ambulate at all, has had increased frequency of falls (most recently last night when getting up to go to the br during the night, no loc).",
+ "output": "Patient has multiple falls."
+ },
+ {
+ "input": "He was noted to have increased filling pressures, with a pulmonary capillary wedge pressure of 26, pulmonary artery pressure of 56%.",
+ "output": "Patient has pulmonary htn."
+ },
+ {
+ "input": "4. seizure d/o 5. chronic type a aortic dissection s/p repair [**4-17**] w/ most recent imagining [**3208-11-28**] showing no progression 6. h/o cellulitis 7.",
+ "output": "Patient has an acute finding."
+ },
+ {
+ "input": "Head, eyes, ears, nose and throat: the anterior fontanel was flat and soft.",
+ "output": "The patient is an infant."
+ },
+ {
+ "input": "No loc, no etoh.",
+ "output": "There is no alcohol."
+ },
+ {
+ "input": "She had intended to call her pcp today, however, symptoms began when she awoke at midnight last night so she came to the emergency room.",
+ "output": "Patient has new symptoms."
+ },
+ {
+ "input": "Per his report he completed antibiotics on tuesday although he is unsure if this was the [** location **]usly prescribed linezolid or a different medication.",
+ "output": "The patient is taking medication for an infection."
+ },
+ {
+ "input": "He is also s/p removal of a pd catheter 2 days pta at [**hospital1 1998**].",
+ "output": "He had a peritoneal dialysis catheter."
+ },
+ {
+ "input": "Suspected gastric outlet obstruction/partial sbo due to sma syndrome suggested on radiographic studies, although duodenal narrowing not ap[** location **]ted on repeat egd.",
+ "output": "Imaging demonstrates a narrowed angle between the sma and the duodenum."
+ },
+ {
+ "input": "A cxr was performed and was c/w pna.",
+ "output": "There is an opacity on the chest x-ray."
+ },
+ {
+ "input": "Initially, the pt did well overnight in the pacu on simv. - [**3-10**], he became tachypnic when his sedation was decreased.",
+ "output": "The patient\u2019s respiratory was high when sedation was decreased."
+ },
+ {
+ "input": "He continued on the continuous positive airway pressure for an additional 48 hours and on day of life three was moved to room air.",
+ "output": "The patient was recently born."
+ },
+ {
+ "input": "History of dilated ventricles first seen in [**3190**], but repeat mr in [**3191**], was unchanged.",
+ "output": "The patient has dilated cardiomyopathy."
+ },
+ {
+ "input": "Coronary artery disease, status post non-st elevation mi in [**2951**].",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "She had elevated bnp (30,000) and troponin (0.09 - higher than baseline).",
+ "output": "The patient has signs of a heart failure exacerbation."
+ },
+ {
+ "input": "All of the other review of systems were negative. .",
+ "output": "Patient reports no pain."
+ },
+ {
+ "input": "He reports doing well when he was on 60 mg --> down to 40 mg of prednisone, when he dropped dose to 30mg / day as a part of the taper, he started getting progressively worse in terms of breathing.",
+ "output": "He is on a prednisone taper."
+ },
+ {
+ "input": "No recent weight loss, fever, chills, diarrhea, vomiting, nausea, abdominal pain.",
+ "output": "The patient does not have symptoms of gastroenteritis."
+ },
+ {
+ "input": "His symptoms started a month ago with jaundice and weight loss and he was found to have an ampullary adenoma on endoscopy but it was too big for resection.",
+ "output": "Patient has a benign growth."
+ },
+ {
+ "input": "She was moving all extremities to noxious stimulation.",
+ "output": "She has some neurological function."
+ },
+ {
+ "input": "Patient was transferred back to medicine on [**5-31**] for further work-up of his coronary disease.",
+ "output": "Patient has heart disease."
+ },
+ {
+ "input": "Prenatal screens: blood type b negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status negative.",
+ "output": "Prenatal screens were negative."
+ },
+ {
+ "input": "She had a cardiac catheterization which revealed 3-vessel disease with normal left main, mid left anterior descending artery 60%, diffuse 90% mid distal stenosis at the origin of the diagonal, serial 70% and 90% left circumflex lesions, and 90% first obtuse marginal, and mid right coronary artery 60%.",
+ "output": "The patient has stenosis of the coronary arteries."
+ },
+ {
+ "input": "Pseudomonal wound infections 8.",
+ "output": "Patient has had prior infections."
+ },
+ {
+ "input": "Minimal vaginal bleeding.",
+ "output": "The patient has an problem causing bleeding which is arising from her uterus or vagina."
+ },
+ {
+ "input": "Cath here revealed diffuse 3 vessel disease, no intervention perfromed. .",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "A diltiazem drip and lasix were given to the patient on the [**hospital unit name 336**] floor.",
+ "output": "Patient has been started on anxiolytics."
+ },
+ {
+ "input": "She required only oxygen resuscitation.",
+ "output": "The patient had a low oxygen saturation."
+ },
+ {
+ "input": "He does need an outpatient cystoscopy.",
+ "output": "Patient needs cystoscopy."
+ },
+ {
+ "input": "Chronic lower extremity edema, osteoarthritis, status post lumbar laminectomy, h/o cva",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "Status post l inguinal hernia repair 19.",
+ "output": "Patient has a history of hernia repair."
+ },
+ {
+ "input": "At [**hospital1 **]-[**location (un) 614**], she was found to be tachycardic to the 120s in af and hypotensive w/ sbp in 90s.",
+ "output": "Patient has low blood pressure."
+ },
+ {
+ "input": "He was afebrile times 24 hours.",
+ "output": "He has not had a fever in 24 hours."
+ },
+ {
+ "input": "Bilateral hearing loss.",
+ "output": "The patient has decreased hearing from both ears."
+ },
+ {
+ "input": "Chf- preserved ef but multiple admissions for chf exacerbations, 2+ mr [**first name (titles) **] [**last name (titles) **] 3.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "6) spinal stenosis.",
+ "output": "Patient has abnormal mri spine."
+ },
+ {
+ "input": "On finger nose finger testing he attempted to touch the examiner's nose.",
+ "output": "Patient has confusion."
+ },
+ {
+ "input": "This is a 57 y/o female with h/o niddm, htn, cri, who p/w hypertensive emergency and hypoglycemia from the ed.",
+ "output": "She is hypoglycemic."
+ },
+ {
+ "input": "Plain films of his left leg showed no evidence of gas in his soft tissues.",
+ "output": "The patient has no subcutaneous emphysema."
+ },
+ {
+ "input": "Upon transfer the patient denied any pain, nausea or shortness of breath.",
+ "output": "The patient had no dyspnea."
+ },
+ {
+ "input": "He received stimulation, bulb mouth and nose, and then received bag mask ventilation.",
+ "output": "The patient is receiving the normal stimulation after being born."
+ },
+ {
+ "input": "The infant's birth weight was 2,350 grams.",
+ "output": "The patient is low birth weight."
+ },
+ {
+ "input": "Patient was turned sulpine and given dccv of 200j with return to a narrrow complet tachycardia of ~140.",
+ "output": "The patient had wide complex tachycardia."
+ },
+ {
+ "input": "History of present illness: this is a 22 year old male who was the unrestrained driver in a motor vehicle accident.",
+ "output": "He did not have a seat belt on during a motor vehicle accident."
+ },
+ {
+ "input": "Tte was negative for pericardial effusion.",
+ "output": "Patient has no pericardial effusion."
+ },
+ {
+ "input": "Pt was initially fluid overloaded and aggressively diuresed, while etiology of presumptive pneumonia was sought after.",
+ "output": "Patient has pulmonary edema."
+ },
+ {
+ "input": "Vital signs at the time were 98.8f, 140, 70/43 89%ra.",
+ "output": "The patient was afebrile."
+ },
+ {
+ "input": "Given 1 l of iv fluids, typed and crossed for 2 units.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "Two units ffp were given prior to a diagnostic paracentesis that reportedly demonstrated ~2300 wbc with 87% pmn.",
+ "output": "Patient has had an intervention."
+ },
+ {
+ "input": "[**known patient lastname 9029**] is a 63-year-old male with past medical history significant for erosive gastritis ( egd [**10/2703**]), aortic stenosis with 3 x [**year (4 digits) 4001**] ( last mechanical valve placed in [**2703**])on home coumadin, depression, htn, and hyperlipidemia who presented to [**hospital1 52**] [**location (un) 240**] with complaints of melanotic stools x 2 days.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "Ultrasounds have shown structurally normal fetus.",
+ "output": "Ultrasounds were done on the fetus."
+ },
+ {
+ "input": "He does not use lantus every night, and uses humalog 1-2 times daily.",
+ "output": "The patient has diabetes."
+ },
+ {
+ "input": "He was most recently admitted last month for fevers and worsening cough, work-up for which was unrevealing.",
+ "output": "The patient has a history of fever."
+ },
+ {
+ "input": "She received 40 mg iv lasix with minimal response.",
+ "output": "No change in condition after treatment with diuretic."
+ },
+ {
+ "input": "Suprarenal ivc filter placed on [**2683-12-21**] (large infrarenal ivc clot and thrombosis of left common iliac and left femoral veins seen at that time) 6.",
+ "output": "Patient has had an interventional radiology procedure."
+ },
+ {
+ "input": "Labs notable for elevated wbc 13.8, lactate 2.9, elevated bnp.",
+ "output": "The patient has leukocytosis."
+ },
+ {
+ "input": "Right bundle branch block right plantar fasciitis borderline hypertension migraines/ visual disturbance meniere's dz",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "He was sent for stat head ct, neurology was called.",
+ "output": "The patient has a suspected neurological condition."
+ },
+ {
+ "input": "It is believed that she had acquired hepatitis c due to transfusions in the past.",
+ "output": "The patient has hepatitis c."
+ },
+ {
+ "input": "Extraocular muscles are full, no nystagmus.",
+ "output": "Eye movements were intact."
+ },
+ {
+ "input": "She had a kub performed at the rehabilitation facility.",
+ "output": "The patient had an abdominal radiograph."
+ },
+ {
+ "input": "The patient presented to [**hospital1 **] on the morning of transfer complaining of progressive shortness of breath over the last 1.5 weeks.",
+ "output": "The patient has been having difficulty breathing."
+ },
+ {
+ "input": "Dvt/pe [**10-1**] ivc filter placed on [**3301-10-31**].",
+ "output": "The patient has an inferior vena cava filter due to blood clots."
+ },
+ {
+ "input": "71yo female with known aortic stenosis.",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "Upon presentation to the intensive care unit the patient's vital signs were blood pressure 120/78, heart rate 88, respirations 8, and she was 97% on the ventilator.",
+ "output": "Patient has normal vital signs."
+ },
+ {
+ "input": "Head circumference 34 cm, 50th percentile.",
+ "output": "Head circunference is average size."
+ },
+ {
+ "input": "She had acute renal failure and positive ck and troponin.",
+ "output": "The patient is not able excrete toxins through her kidneys."
+ },
+ {
+ "input": "Day of admission at the nursing home his left perc nephrostomy was noted to have migrated out and he was brought to [**hospital1 22**] where ir replaced his tube ~1:30pm.",
+ "output": "The patient had a recent procedure involving his left kidney."
+ },
+ {
+ "input": "No recent falls or injuries.",
+ "output": "No recent head trauma due to fall."
+ },
+ {
+ "input": "- dmii complicated by dm neuropathy - pvd s/p l cfa w/balloon angioplasty of sfa and ak [**doctor last name **] artery w/ persistent non-healing ulcer at the lateral and medial malleolus, non-healing l pedal ulcer - hypertension - h/o mdr psuedomonas and mrsa skin infections - h/o hemorrhagic pancreatitis ([**2857**]) - h/o cholecystitis (still has gallbladder)",
+ "output": "Patient has multiple diabetes related comorbities."
+ },
+ {
+ "input": "She as continued on home antihypertensive regimen.",
+ "output": "Patient is hypertensive."
+ },
+ {
+ "input": "She now has 2 new lesions, a 5 cm lesion in segment 3 of the liver and 1.5 cm lesion in segment 8.",
+ "output": "Patient has hepatic lesions."
+ },
+ {
+ "input": "Because of his pain in the right shoulder and some associated weakness, increased white blood cells but no fever, concern for an epidural abscess after neurosurgical consultation, the patient was transferred to [**hospital1 341**] for further work-up.",
+ "output": "There is concern for an infection within the spinal canal."
+ },
+ {
+ "input": "The patient was weaned successfully off pressors with aggressive ivf administration.",
+ "output": "The patient received iv fluids."
+ },
+ {
+ "input": "Mild cognitive impairment 5.",
+ "output": "Decline in mental function."
+ },
+ {
+ "input": "He is status post transurethral resection of the prostate approximately one year ago.",
+ "output": "The patient has benign prostatic hypertrophy."
+ },
+ {
+ "input": "Mild psoriasis. .",
+ "output": "A dermatological condition."
+ },
+ {
+ "input": "He has been followed by dr. [**last name (stitle) 21267**] of podiatry for chronic first toe mtp ulcer, which is now resolving.",
+ "output": "He had a chronic wound on his toe."
+ },
+ {
+ "input": "He reports arthralgias of several months duration and chronic back pain that seemed worse this am.",
+ "output": "He has had pain for many months."
+ },
+ {
+ "input": "Mother is 29-year-old gravida 2, para 1 (now 3) korean woman with an estimated date of delivery of [**2927-4-26**].",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "Head ct on admission shows increased edema and mass effect from this right frontal recurrent gbm.",
+ "output": "Patient has brain neoplasm."
+ },
+ {
+ "input": "He was aggressively hydrated, given ppi, transfused a total of 3 units (to maintain his hct > 28), had some of his medications held (asa, plavix, labetalol and felodipine).",
+ "output": "The patient has a gi bleed."
+ },
+ {
+ "input": "Family is of asian-chinese descent.",
+ "output": "The patient has family from asia."
+ },
+ {
+ "input": "Pupils were 4 down to 2 mm bilaterally.",
+ "output": "The pupils are constricted."
+ },
+ {
+ "input": "They were eventually able to place a right sc line. .",
+ "output": "The patient has a right subclavian line."
+ },
+ {
+ "input": "She had a follow-up mri done on [**2745-9-25**] which showed residual brain metastases.",
+ "output": "Patient has metastatic disease."
+ },
+ {
+ "input": "Atrial fibrillation 4.",
+ "output": "The patient has atrial fibrillation."
+ },
+ {
+ "input": "Ot called pcps office who instructed them to call ambulance.",
+ "output": "The patient was being seen by occupational therapy."
+ },
+ {
+ "input": "Status post hyper-cvad x2 cycles in [**11/2663**] and 01/[**2663**].",
+ "output": "History of cancer."
+ },
+ {
+ "input": "The patient had been on coumadin prior to admission secondary to atrial fibrillation.",
+ "output": "The patient has a history of arrhythmia."
+ },
+ {
+ "input": "Bilateral cephalic vein thrombosis in [**5-27**]",
+ "output": "The patient had bilateral thromboses in the upper extremities."
+ },
+ {
+ "input": "Given the occassional agitation, he was given 5mg diazepam and placed in 4 pt restraints.",
+ "output": "He was displaying out of control behavior."
+ },
+ {
+ "input": "Respiratory distress syndrome.",
+ "output": "A syndrome where there is impaired oxygen exchange within the lungs."
+ },
+ {
+ "input": "No fevers or chills.",
+ "output": "There are no fevers."
+ },
+ {
+ "input": "He was started on an insulin drip.",
+ "output": "He had abnormal blood sugars."
+ },
+ {
+ "input": "Renal artery stenosis status post bilateral renal stents.",
+ "output": "The patient has had chronic hypertension."
+ },
+ {
+ "input": "First, she was on ppn and then she was on tpn.",
+ "output": "She is receiving nutrition intravenously."
+ },
+ {
+ "input": "This pregnancy was essentially unremarkable except for resolved subchorionic hematoma.",
+ "output": "Apart from subchorionic hematoma, the pregnancy was uncomplicated."
+ },
+ {
+ "input": "It showed diffuse slowing consistent with toxic/metabolic encephalopathy. n admission was almost completely unresponsive to voice/noxious stimuli (no real sedation from osh, small amounts on transfer, no sedatives while here).",
+ "output": "Patient has altered sensorium."
+ },
+ {
+ "input": "A head ct and cxr were normal.",
+ "output": "The patient does not have a brain bleed."
+ },
+ {
+ "input": "Ems was called and took the patient to an osh.",
+ "output": "The patient required medical attention."
+ },
+ {
+ "input": "Her stem cell collections were completed in eight days with over 5 million cd34 cells/kg collected.",
+ "output": "The patient was given medication to stimulate stem cell production."
+ },
+ {
+ "input": "The thoracocentesis procedure was aborted and the mother was taken for stat cesarean section.",
+ "output": "Patient has severe symptoms."
+ },
+ {
+ "input": "Ct scan of the head showed a large r hemisphere ich.",
+ "output": "Patient has an aneurysm."
+ },
+ {
+ "input": "Htn, polychondritis, nissen fundoplication, transient tracheotomy with an anterior cricoid split with rib cartilage graft, iron deficiency anemia",
+ "output": "Patient has had severe gerd."
+ },
+ {
+ "input": "She was started on mestinon 60 mg in the morning, 30 mg in the afternoon and 30 mg in the evening in [**3283-2-26**], with good effect on her symptoms.",
+ "output": "The patient has myesthina gravis."
+ },
+ {
+ "input": "Polymyositis diagnosed in [**3319**].",
+ "output": "Patient has an autoimmune condition."
+ },
+ {
+ "input": "Iron deficiency anemia 4. ?",
+ "output": "Decreased red blood cells due to to an iron deficiency."
+ },
+ {
+ "input": "Weaned off bipap.",
+ "output": "Bipap adds end expiratory pressures."
+ },
+ {
+ "input": "Pt also found to have l renal artery stenosis",
+ "output": "Patient has narrowing of the left renal artery."
+ },
+ {
+ "input": "She was following commands at the scene.",
+ "output": "She was responsive at the scene."
+ },
+ {
+ "input": "Chronic sacral decubitus ulcer with pseudomonal infection.",
+ "output": "The patient has an infected wound."
+ },
+ {
+ "input": "X-ray and ct abdomen and pelvis were unremarkable.",
+ "output": "Imaging of abdomen and pelvis were negative."
+ },
+ {
+ "input": "Ed notes indicate she did c/o chest pain upon arrival to ed at osh.",
+ "output": "The patient has has symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "He was then transferred here where his sx did not seem compatible with acs, and his heparin gtt was discontinued. .",
+ "output": "The patient was initially treated for acute coronary syndrome."
+ },
+ {
+ "input": "Chronic renal impairment.",
+ "output": "Renal dysfunction."
+ },
+ {
+ "input": "The patient's hematocrit dropped from 29.7 to 22.8.",
+ "output": "The patient has a bleed."
+ },
+ {
+ "input": "History of present illness: the patient is an 83-year-old demented resident of [**location 211**] alzheimer center who was admitted to [**hospital1 58**] for the sudden onset of status epilepticus in the afternoon of admission at approximately 6 p.m.",
+ "output": "The patient has an neurological problem."
+ },
+ {
+ "input": "\ufefffurther progression of his disease over several months with particularly increasing abdominal involvement and treated with another cycle of eshap in [**2-20**].",
+ "output": "He has cancer, which is progressing."
+ },
+ {
+ "input": "She was seen at [**hospital1 22**] [**2755-6-8**], and at that time options for treatment with sutent vs enrollment in a trial on perifosine were discussed.",
+ "output": "She was diagnosed with cancer."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease; a 25-pack-year smoking history.",
+ "output": "History of lung disease."
+ },
+ {
+ "input": "Status post hysterectomy.",
+ "output": "The patient has no uterus."
+ },
+ {
+ "input": "At osh ed, etoh level was 240 and inr was 8.0.",
+ "output": "The patient is coagulopathic."
+ },
+ {
+ "input": "7) gerd 8) h/o mrsa",
+ "output": "History of gastroesophageal reflux disease."
+ },
+ {
+ "input": "60 y/o female [** location **]usly diagnosed and treated for a glioblastoma multiforme.",
+ "output": "History of cancer."
+ },
+ {
+ "input": "Icp draining serosanguinous drainage.",
+ "output": "There is blood mixed with fluids in the drain."
+ },
+ {
+ "input": "Patient given daptomycin and imipenem for broad coverage.",
+ "output": "The patient was given antibiotics."
+ },
+ {
+ "input": "Initial labs recalled for increased white blood cells with left shift, increased bun and creatinine with pre-renal azotemia.",
+ "output": "Creatinine was elevated."
+ },
+ {
+ "input": "Type 2 diabetes mellitus.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Type 2 diabetes mellitus.",
+ "output": "Patient takes insulin."
+ },
+ {
+ "input": "Throat cancer, status post resection with reconstruction surgery, chemotherapy and radiation therapy approximately two years ago, currently in remission.",
+ "output": "History of cancer."
+ },
+ {
+ "input": "Ct abdomen w/o contrast: there is bibasilar atelectasis.",
+ "output": "Ct reveals abnormalities in the lung."
+ },
+ {
+ "input": "She checks her blood sugar infrequently (on the order of weeks).",
+ "output": "She requires blood sugar checks."
+ },
+ {
+ "input": "Renal and cardiology were consulted who both felt that her continued increase in creatinine was likely secondary to over diuresis.",
+ "output": "The patient is being treated increased volume status."
+ },
+ {
+ "input": "The patient was seen both by her pcp and her cardiologist yesterday where she was presented in the setting of a productive cough, wheezing, and fatigue.",
+ "output": "The patient has a productive cough."
+ },
+ {
+ "input": "However, she continued to have symptoms and was sent to [**hospital 1918**] hospital where a head ct demonstrated cerebellar infarcts.",
+ "output": "The patient has cerebellar infarcts."
+ },
+ {
+ "input": "She had an a line in place.",
+ "output": "The patient had an arterial line."
+ },
+ {
+ "input": "Left cataract surgery, corneal transplant.",
+ "output": "History of eye surgery."
+ },
+ {
+ "input": "63yo m tob smoker with no significant pmhx (because he never goes to the doctor) was in his usual state of health until this pm when he had an episode of hemoptysis.",
+ "output": "The patient is high risk for lung cancer."
+ },
+ {
+ "input": "Her diarrhea has stabilized on immodium.",
+ "output": "Patient has acute gi illness."
+ },
+ {
+ "input": "Prenatal screens: showed an a-positive blood type, antibody negative screen, hbsag negative, rpr nonreactive, rubella immune, group b strep unknown status.",
+ "output": "Patient has a+ blood."
+ },
+ {
+ "input": "The pt is an 84m with stage two metastastic pancreatic cancer with palliative cbd stent placement who presents with fevers and chills for 1 day.",
+ "output": "Patient has evidence of cholangitis."
+ },
+ {
+ "input": "[**known patient lastname 31529**] has been increasingly fatigued and has napped with greater frequency than normal.",
+ "output": "Patient has exhaustion."
+ },
+ {
+ "input": "Of note, in addition to his respiratory failure he was in diabetic ketoacidosis with a metabolic acidosis.",
+ "output": "Patient has decreased arterial ph."
+ },
+ {
+ "input": "She is transferred to [**hospital1 22**] because of difficulty extubating. .",
+ "output": "The patient had difficulty extubating."
+ },
+ {
+ "input": "Pregnancy notable for di-di twin gestation and placement of cerclage at 14 weeks.",
+ "output": "The patient has a suture placed to prevent cervical insufficiency."
+ },
+ {
+ "input": "She also had neuro deficits including dysarthria, confusion, and upper extremity tremors.",
+ "output": "The patient had multiple neuroligic deficits."
+ },
+ {
+ "input": "81 113/57 13 97%ra af .",
+ "output": "Diastolic blood pressure is low."
+ },
+ {
+ "input": "She was a&ox3, noted to have headache and dizziness, with right face droop, right arm weakness and slurred speech.",
+ "output": "She has some neurological symptoms."
+ },
+ {
+ "input": "On ems arrival, bp was 270/140 and pulse 140.",
+ "output": "Blood pressure was high."
+ },
+ {
+ "input": "The abdominal pain was band like with radiation to the back.",
+ "output": "The patient has had a condition that causes pain."
+ },
+ {
+ "input": "36 yo male with pmhx of depression, etoh abuse, manic disorder admittted s/p assault with multiple stab wounds to abdomen and left shoulder.",
+ "output": "The patient has had a significant trauma."
+ },
+ {
+ "input": "On arrival to our ed, initial vitals with bp 80/50, t 99.9, hr 80, and o2 sat 100% (on vent).",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Dual chamber icd implant (left pectoral) on [**3082-5-10**], with a pacesetter atrial lead and a cpi ventricular lead.",
+ "output": "The patient has a dual lead aicd."
+ },
+ {
+ "input": "History of present illness: the patient is an 88 year-old female with hypertension and former smoker with no prior known cardiac disease who was in her usual state of health until the evening of [**3168-10-15**] when she was washing dishes.",
+ "output": "History of high blood pressure."
+ },
+ {
+ "input": "History of kaposi's sarcoma with an old lesion on his ankle.",
+ "output": "History of cancer of the soft tissues."
+ },
+ {
+ "input": "Dr. [**last name (stitle) 20319**] was consulted and felt that since the ica lesions did not appear to be flow limiting she didn't meet criteria for wingspan.",
+ "output": "The patient has non flow limiting ica stenosis."
+ },
+ {
+ "input": "Congestive heart failure, hypercholesterolemia, history of hodgkins lymphoma - s/p mantle radiation, bipolar disorder, history of endometriosis, s/p thyroidectomy, s/p splenectomy, s/p tubal ligation, history of bowel obstruction - s/p repair",
+ "output": "Patient has had multiple surgeries."
+ },
+ {
+ "input": "History: 73-year-old woman with gi bleed localize to hepatic flexure on tagged red blood cell scan.",
+ "output": "Patient has a lower gi hemorrhage."
+ },
+ {
+ "input": "In particular frontal and lateral radiographs of the proximal leg demonstrate no proximal fibular fracture.",
+ "output": "Patient has normal leg radiographs."
+ },
+ {
+ "input": "At 830 am today, her family noted her to be slurring her speech and confused about the time (thought it was saturday and showed up 1 hour early).",
+ "output": "The patient has a neurological condition."
+ },
+ {
+ "input": "Initial serum lactate was 8.9.",
+ "output": "An increased number of cells in the patients body are undergoing anaerobic respiration."
+ },
+ {
+ "input": "He has also had some cold sweats and shaking chills, but has not taken his temperature.",
+ "output": "The patient has b type symptoms."
+ },
+ {
+ "input": "Over that night, the patient received an additional 8 units of packed red blood cells, 6 units of fresh-frozen plasma, and 1 unit of platelets, as well as put on an octreotide drip and received electrolyte replacement.",
+ "output": "Patient has gi bleed."
+ },
+ {
+ "input": "Chronic renal insufficiency, baseline creatinine around 1.5-1.7 4.",
+ "output": "The patient has chronic renal disease."
+ },
+ {
+ "input": "Afp at dx was 53,905 - treated with gemcitabine/cisplatin; started in [**10-23**] last chemotherapy in [**6-24**].treatment complicated by thrombocytopenia.",
+ "output": "The patient had a malignancy."
+ },
+ {
+ "input": "She underwent ultrafiltration later that day with removal of 4.2 kg.",
+ "output": "History of renal dysfunction."
+ },
+ {
+ "input": "Pt states otherwise feeling well.",
+ "output": "The patient generally feels well."
+ },
+ {
+ "input": "Now returns to the emergency department after increased lethargy and abdominal pain over the last two weeks.",
+ "output": "The patient had a problem affecting the intraperitoneal cavity."
+ },
+ {
+ "input": "No pain on bowel movements.",
+ "output": "The patient has no pain with bowel movements."
+ },
+ {
+ "input": "White count was 7.7 and lactate 1.6.",
+ "output": "Patient has no sign of infection by labs."
+ },
+ {
+ "input": "Past medical history: thoracic aortic aneurysm, chronic atrial fibrillation, hiatal hernia, hypertension, chronic obstructive pulmonary disease, glaucoma, and status post right mastoidectomy.",
+ "output": "Multiple chronic medical conditions."
+ },
+ {
+ "input": "On my interview, the patient endorses shortness of breath, denies chest pain.",
+ "output": "The patient is short of breath."
+ },
+ {
+ "input": "She presented to [**hospital3 4463**] in mid-[**3254-6-7**] with bright red blood per rectum and an hematocrit drop from 34 to 28.",
+ "output": "Hematocrit is low."
+ },
+ {
+ "input": "She was taken to [**hospital6 1238**] where a left temporal intraparenchymal bleed was uncovered.",
+ "output": "Patient has abnormal head ct."
+ },
+ {
+ "input": "Negative hepc,hepb,[**doctor first name 54**], and renal u/s from nmec showed stable avf.",
+ "output": "The patient has a renal arterial venous fistula."
+ },
+ {
+ "input": "It lasted several hours and slowly resolved on its own.",
+ "output": "A condition that did not require treatment."
+ },
+ {
+ "input": "Patient does not know her inr monitoring schedule as it is done routinely by clinic and she would be notified only if there was something wrong.",
+ "output": "Patient is on warfarin."
+ },
+ {
+ "input": "Her lightheadedness resolved but subsequently had asthma exacerbations status post steroid course.",
+ "output": "Patient has baseline abnormal pfts."
+ },
+ {
+ "input": "Hr decreased from 118 to 96.",
+ "output": "Heart rate is elevated."
+ },
+ {
+ "input": "She was treated with 10 mg iv lasix, 10 mg iv labetolol x 2, and 0.5 mg ativan.",
+ "output": "Patient has been diuresed."
+ },
+ {
+ "input": "She reports that she was resting at home last night when she noted sudden onset of shortness of breath.",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "For low bp, he was given 2l ns, started on neosynephrine, given lovenox 80mg sc, digoxin 0.75mg iv, and transferred to [**hospital1 22**] for further management. .",
+ "output": "The patient has low blood pressure."
+ },
+ {
+ "input": "Also noted was cervical dilatation.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "She had right sided facial \"numbness\" and some unsteadiness in [**3327-9-2**] and was seen by neurology in f/u in [**3327-11-2**] without clear diagnosis and the mri/a were normal.",
+ "output": "She complains of neurological symptoms."
+ },
+ {
+ "input": "Neck is supple without masses.",
+ "output": "No masses palpable on the neck."
+ },
+ {
+ "input": "2500 cc ivf given. .",
+ "output": "The patient was fluid resuscitated."
+ },
+ {
+ "input": "The remainder of the family history is noncontributory.",
+ "output": "No significant family history."
+ },
+ {
+ "input": "He states that he has chronic le edema, but awoke this am with increased pain and swelling in his left leg and was unable to bear weight on the leg.",
+ "output": "The patient has symptoms of a deep vein thrombosis."
+ },
+ {
+ "input": "Currently, the patient complains of discomfort at prior chest tube site as well as very mild sob but improving.",
+ "output": "Patient has had prior interventions."
+ },
+ {
+ "input": "She was discharged on vancomycin 250 mgpo q6h for 14 days.",
+ "output": "Patient has been sent home."
+ },
+ {
+ "input": "On the day of transfer he converted from sinus to afib with rvr with rate in 150's, blood pressure 100-110 systolic, asymptomatic other than palpitations.",
+ "output": "The patient has an irregularly irregular heart rate."
+ },
+ {
+ "input": "In the er he was given vanc, zosyn, flagyl.",
+ "output": "There is concern for an infection."
+ },
+ {
+ "input": "The patient was transferred to [**hospital1 470**] for further management and for a tentative diagnosis.",
+ "output": "The patient required further medical attention."
+ },
+ {
+ "input": "Complicated by neuromyelitis optica and pericarditis.",
+ "output": "Patient has difficulty with vision."
+ },
+ {
+ "input": "Initial abg was (ph 7.06/pco2 92/po2 103).",
+ "output": "Patient has had arterial blood drawn."
+ },
+ {
+ "input": "S/he denies exertional buttock or calf pain.",
+ "output": "Patient has no evidence of pad."
+ },
+ {
+ "input": "History of present illness: this is a 75-year-old woman with history of diabetes, hypertension, congestive heart failure recently diagnosed, atrial fibrillation, who presents with progressive shortness of breath, increasing lower extremity edema for the last one to two weeks.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "She had three bouts of post prandial vomiting which would occur approximately 45 minutes after each meal.",
+ "output": "Patient has emesis."
+ },
+ {
+ "input": "History of bipap and medical intensive care unit admissions.",
+ "output": "The patient has a history of respiratory compromise."
+ },
+ {
+ "input": "The patient initially was doing well but on [**3464-6-25**], was transferred to the neonatal intensive care unit after an episode of duskiness in the newborn nursery for which she was given blow-by oxygen.",
+ "output": "The patient received oxygen after a change in color."
+ },
+ {
+ "input": "In the ed, afvss.",
+ "output": "Patient has normal vital signs."
+ },
+ {
+ "input": "Labs showed an elevated alk phos, troponin i of 0.07 with a ck of 23.",
+ "output": "Patient has abnormal labs."
+ },
+ {
+ "input": "Pt attributed her symptoms to an exacerbation of her asthma.",
+ "output": "The patient has worsening asthma."
+ },
+ {
+ "input": "His birth weight was 1615 grams.",
+ "output": "The patient was born at a low birth weight."
+ },
+ {
+ "input": "Ems came and was found to be in pea arrest and was intubated in the field.",
+ "output": "Cardiac arrest."
+ },
+ {
+ "input": "Emphysema, but mixed obstructive and restrictive picture [**1-26**]: fev1 67%, fvc 85%, fev1/fvc 79%.",
+ "output": "History of copd."
+ },
+ {
+ "input": "She then had a tonic-clonic seizure, and was given 1.5g dilantin and 2mg ativan.",
+ "output": "She has a tonic clonic seizure."
+ },
+ {
+ "input": "Lung cancer as above s/p pneumonectomy",
+ "output": "History of cancer."
+ },
+ {
+ "input": "The patient denies any trauma.",
+ "output": "No history of trauma."
+ },
+ {
+ "input": "During this time she was unable to tolerate po's for last week.",
+ "output": "The patient is unable to tolerate anything by mouth."
+ },
+ {
+ "input": "Per osh records, the etiology of the patient's delirium remained unclear although there was suspicion for ttp given anemia and thrombocytopenia.",
+ "output": "There is a suspicion of thrombotic thrombocytopenic purpura."
+ },
+ {
+ "input": "Noted on saturday to have sluggish passage of feeds through g tube.",
+ "output": "The patient has a feeding tube."
+ },
+ {
+ "input": "Trop was was 0.16 and ecg was concerning for st elevations and pt was sent in helicopter to [**hospital1 18**] for possible cath. .",
+ "output": "Ekg was abnormal."
+ },
+ {
+ "input": "He did have a hacking cough with minimal sputum for the past 2 weeks.",
+ "output": "The patient has a pulmonary problem."
+ },
+ {
+ "input": "He was started on medications for hypertension, hyperlipidemia, and more recently for hyperglycemia.",
+ "output": "He has high blood pressure, high cholesterol and high blood sugars."
+ },
+ {
+ "input": "He denied cp/sob, n/v, dizziness, fatigue, or abdominal pain. * of note, the patient had a [** location **]us episode of gi bleeding in [**12-27**].",
+ "output": "The patient has a history of gi bleed."
+ },
+ {
+ "input": "Patient is a [**age over 90 **] yo f with a h/o recurrent utis and recent posterior rib fractures who presented with melena x1 today.",
+ "output": "Patient has melena."
+ },
+ {
+ "input": "His a[** location **]e is slightly decreased but he denies any pain, nausea, or vomiting with po intake.",
+ "output": "The patient has decreased po intake."
+ },
+ {
+ "input": "Labs in the ed notable for troponin of 0.28 and wbc of 14k.",
+ "output": "Troponin and wbc counts were elevated."
+ },
+ {
+ "input": "Mva in [**2479**] 17. h/o multiple pneumonias 18. s/p ccy 19. h/o frequent falls",
+ "output": "History of cholecystectomy."
+ },
+ {
+ "input": "He denies chest pain, abdominal pain, nausea, vomiting, fevers, chills, or diarrhea.",
+ "output": "Review of systems is negative."
+ },
+ {
+ "input": "She was extubated on the [**8-9**].",
+ "output": "The patient required respiratory support."
+ },
+ {
+ "input": "History of basal cell and squamous cell carcinoma, both resected.",
+ "output": "History of skin cancer."
+ },
+ {
+ "input": "50 yr male with hodgkin's lymphoma ([**2518**])- rec'd chemo and xrt.",
+ "output": "The patient has lymphoma."
+ },
+ {
+ "input": "Pt is a 49 y.o male with h.o morbid obesity, s/p hemoptysis with intervention in [**2783**] lll, depression, osa presents s/p an episode of ~1tbsp coughing bright red blood.",
+ "output": "The patient has previously had a bronchoscopy."
+ },
+ {
+ "input": "He had no history of a headache or any other illness.",
+ "output": "The patient has no prior medical history."
+ },
+ {
+ "input": "Denies any orhopnea, pnd, le edema.",
+ "output": "Denies paroxysmal nocturnal dyspnea."
+ },
+ {
+ "input": "Anxiety and depression.",
+ "output": "Patient has anxiety and depression."
+ },
+ {
+ "input": "Was fluid resuscitated and briefly required pressors.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "She denies any abdominal pain or diarrhea.",
+ "output": "Patient has no symptoms."
+ },
+ {
+ "input": "History of present illness: the patient is a 60-year-old gentleman transferred from [**hospital 9984**] hospital after developing fever, drainage and erythema from his surgical incision in his lumbar spine.",
+ "output": "Patient has an infection."
+ },
+ {
+ "input": "The patient denies fevers, chills, nausea, vomiting, or palpitations.",
+ "output": "The patient denies symptoms of an infection."
+ },
+ {
+ "input": "Her prenatal screens included blood type o-positive, antibody screen negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, and group b strep unknown.",
+ "output": "She received blood tests for pregnancy."
+ },
+ {
+ "input": "History of present illness: this is an 86-year-old diabetic with a history of congestive heart failure, atrial fibrillation on coumadin, coronary artery disease, and chronic renal failure, sent from [**location (un) 5906**] with shortness of breath and tachycardia.",
+ "output": "Patient has elevated cr."
+ },
+ {
+ "input": "His ct chest shows improved nodules allowing him to undergo atg + cyclosporine at this time.",
+ "output": "Patient has evidence of cancer on ct."
+ },
+ {
+ "input": "Infant was born to a mother who is 27 years old, gravida iii, para 1,0,1,1 with prenatal laboratory studies as follows: hepatitis b surface antigen negative; rpr reactive but nonreactive fta.",
+ "output": "Infant was born to a mother who tested negative for syphilis."
+ },
+ {
+ "input": "He has been on chronic treatment with quinidine - paroxysmal vt requiring placement of an aicd in [**3082**] done at [**hospital1 **]. - aicd was changed from the left to the right side of chest in [**3086**] due to lead fracture (done at osh) - aicd fires ~ 1x per year, usually associated with strenuous activity, usually chopping wood, usually has lightheadeness and presyncope, occasional frank syncope. - recurrent pulmonary infections as a child and young adult - multiple pulmonary nodules s/p right vats and lung biopsy [**3090-9-29**] c/w acute and chronic organizing thromboemboli with focal infarction and extensive reactive changes including organizing pneumonitis. - vegetation on his aicd leads was seen on tte [**10-17**] and tee on [**10-20**].",
+ "output": "Patient has multiple chronic illnesses."
+ },
+ {
+ "input": "By [**5-10**], she was requiring increasing oxygen and attempts at bipap were unsuccessful.",
+ "output": "The patient is in respiratory failure."
+ },
+ {
+ "input": "[**name (ni) **] denies headache, visual changes, neck or back pain; no hip pain.",
+ "output": "No change in vision."
+ },
+ {
+ "input": "No history of mania or psychosis.",
+ "output": "The patient is not having a manic episode."
+ },
+ {
+ "input": "The patient was started on heparin drip, nitro drip, aspirin, plavix, and beta-blocker.",
+ "output": "The patient was started on a blood thinner."
+ },
+ {
+ "input": "She was found at home in the morning of admission sitting on the couch, short of breath, right-sided \"slouching\", hypertensive to 225/110, tachycardic to 110-120s, unresponsive, incontinent of urine/stool.",
+ "output": "The patient has an elevated heart rate."
+ },
+ {
+ "input": "Etoh abuse benzodiazapine abuse etoh-induced cirrhosis ([**3110**]) etoh-induced pancreatitis gerd ovarian cysts c-section x2 appendectomy tubal ligation",
+ "output": "Patient has a history of alcoholism."
+ },
+ {
+ "input": "He noted pain at his left hip which was worse with movement.",
+ "output": "The patient has a pathologic process in her left hip."
+ },
+ {
+ "input": "Following his discharge, he had 2 weeks of not 'feeling right', complaining of worsening dyspnea, extreme fatigue, no cough or fever.",
+ "output": "He has been feeling unwell for 2 weeks."
+ },
+ {
+ "input": "1)hiv diagnosed in [**2758**] last cd4 count 11 and hiv vl 4320 in 5/[**2764**].",
+ "output": "The patient has aids."
+ },
+ {
+ "input": "He also had leukocytosis, and on initial ct scan, there was presumed small bowel obstruction at the small bowel - colon anastomosis.",
+ "output": "The patient has a history of bowel resection."
+ },
+ {
+ "input": "When the g-tube was placed to gravity, 200 cc of thick green pus came out of the tube this morning, and pus was easily expressed around the site.",
+ "output": "The patient has a gastrostomy tube."
+ },
+ {
+ "input": "Patent stents on last cath in 10/[**3024**].",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "# interstitial pulmonary fibrosis - home oxygen dependent 2-2.5l nc (etiology unknown, no biopsy) - recently titrated off prednisone as unresponsive # cor pulmonale # s/p liver [**month/year (2) 1373**] [**4-9**] for cryptogenic cirrhosis # post-[**month/year (2) 1373**] lymphoproliferative disorder s/p chop and rituximab # type 2 dm (without peripheral neuropathy) # htn # hypothyroidism # diastolic dysfunction with lvef of 65% # cholecystectomy. # appendectomy. # h/o of atrial fibrillation",
+ "output": "Patient has chronic lung disease."
+ },
+ {
+ "input": "Per the transfer records, he was seen by neurology and the was a hand written note which recommended an mri w/ sz protocol and etoh withdrawal precautions.",
+ "output": "The patient has a neurological condition."
+ },
+ {
+ "input": "He is status post left first metatarsophalangeal joint resection with minimal bleeding.",
+ "output": "He underwent foot surgery."
+ },
+ {
+ "input": "Patient endorses neck stiffness, denies photophobia.",
+ "output": "Patient has difficulty moving the neck."
+ },
+ {
+ "input": "In the ed course she had a leukocytosis, elevated lactate to 3.6, hypokalemia, and an elevated pro bnp.",
+ "output": "Patient has elevated wbc."
+ },
+ {
+ "input": "There was also an absence of reflexes.",
+ "output": "There was hyporeflexia."
+ },
+ {
+ "input": "Was initially stabbing and jabbing in nature, located in the right upper lip, right upper gum, right lower teeth as well as the lateral part of the right nose, right middle maxillary region, lower eyelid, eye, and eyebrow, and occasionally ended up towards the right vertex.",
+ "output": "Patient has acute pain."
+ },
+ {
+ "input": "On review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools.",
+ "output": "The patient has not had symptoms of bleeding or clotting disorders."
+ },
+ {
+ "input": "Pcp set up mri for further w/u but patient did not show up at appointment.",
+ "output": "The patient is non compliant."
+ },
+ {
+ "input": "She was restarted on imipenem at [**hospital3 **] from [**date range (1) 1615**] presumably for a repeat urine culture with klebsiella, although that data is not available.",
+ "output": "The patient had a uti."
+ },
+ {
+ "input": "When ems arrived, he was given 500ml ns and zofran, then quickly decompensated.",
+ "output": "The patient was given medication for nausea."
+ },
+ {
+ "input": "The infant was bulb suctioned, dried and stimulated without problems.",
+ "output": "The patient was recently born."
+ },
+ {
+ "input": "Pt awoke this morning, and was noted to be febrile to 101.",
+ "output": "Patient has a fever."
+ },
+ {
+ "input": "Poor po intake since nausea began.",
+ "output": "The patient is not taking enough fluids."
+ },
+ {
+ "input": "Past medical history: the patient's past medical history is significant for coronary artery disease, including a cardiac catheterization in [**3367-10-12**] that showed moderate diastolic ventricular dysfunction and 1 vessel coronary artery disease and an ejection fraction of 63%.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Birth length was 33 cms (50th percentile) and birth head circumference 23.5 cms (50th percentile).",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "There was no mr.",
+ "output": "The patient does not have mitral regurgitation."
+ },
+ {
+ "input": "It is not clear whether there was a loc, as the pt has little recollection from the time of the fall until arriving at [**hospital1 **].",
+ "output": "Patient has amnesia."
+ },
+ {
+ "input": "[**known patient lastname 11289**] is a 74-year-old woman with [**doctor last name 1441**] esophagus who was undergoing surveillance and was found to have areas of high grade dysplasia, confirmed by several pathologists.",
+ "output": "The patient has barrett's esophagus."
+ },
+ {
+ "input": "Catheterization showed 90% proximal lad and was status post hepacoat stent.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "In [**8-7**] had echo which showed diastlolic relaxation dysfunction, hyperdynamic lv, and lvot gradient induced to 50 mmhg.",
+ "output": "The patient had imaging on the heart."
+ },
+ {
+ "input": "He has no nausea, vomiting, diarrhea or abdominal pain.",
+ "output": "The patient does not have symptoms of gastroenteritis."
+ },
+ {
+ "input": "No h/o kidney stones. .",
+ "output": "The patient has not had an episode of nephrolitiasis."
+ },
+ {
+ "input": "History of diabetes.",
+ "output": "The patient has diabetes."
+ },
+ {
+ "input": "During this admission she administered fluids and her creaitnine improved.",
+ "output": "The patient is in acute renal failure."
+ },
+ {
+ "input": "Per the report of her home care provider, [**name10 (nameis) **] patient has had decreased po intakes in the last few weeks and had increased lethargy over the last few days.",
+ "output": "The patient is not drinking as much as usual."
+ },
+ {
+ "input": "Sent to [**hospital unit name 3**] for further care.",
+ "output": "The patient requires medical treatment."
+ },
+ {
+ "input": "She was briefly paced transcutaneously and then regained sinus brady.",
+ "output": "After pacing, her heart rate was slow."
+ },
+ {
+ "input": "As above, she presented on [**6-6**], vs= 98.0 138/70 78 18.",
+ "output": "The patient is afebrile."
+ },
+ {
+ "input": "The infants were born by elective c- section on [**2977-11-12**] due to concerns for growth restriction of twin #1.",
+ "output": "Twin #1 is more at risk than twin #2."
+ },
+ {
+ "input": "Patient was an unrestrained passenger in the accident with possible loss of consciousness (patient could not remember whole event).",
+ "output": "The patient has acute trauma with loss of conciousness."
+ },
+ {
+ "input": "On transfer to [**hospital1 **], the inr was repeated and found to be elevated at 5.",
+ "output": "The patient has an elevated inr."
+ },
+ {
+ "input": "44 y/o man with hiv (last cd4 over 440 on [**8-22**]; vl was 2.4 k at this time and had been [** location **]usly undetectable for years), mrsa skin infection [**4-21**] with necrotic component requiring extensive or debridement, mult mvc who presents to the ed today complaining of 1 day of generalized malaise, lightheadedness, and lt. flank pain.",
+ "output": "Patient has a chronic infection."
+ },
+ {
+ "input": "Ems was called and upon assessment reported ?r eye deviation and upper extremity tonic/clonic activity r>l.",
+ "output": "The patient was observed by ems to have neurological symptoms."
+ },
+ {
+ "input": "Elective induction of labor was undertaken, but the mother was taken to cesarean section due to intolerance of labor.",
+ "output": "The patient was unable to deliver vaginally."
+ },
+ {
+ "input": "H/o hypoventilation syndrome with co2 in 60s.",
+ "output": "The patient has experienced times of shortness of breath."
+ },
+ {
+ "input": "The patient denied crampy abdominal pain prior to meals or after eating.",
+ "output": "Patient has no post-prandial pain."
+ },
+ {
+ "input": "He was catheterized on [**3-28**].",
+ "output": "The patient has had catheter put in his vein or artery."
+ },
+ {
+ "input": "History: [**first name8 (namepattern2) 3093**] [**known patient lastname **] is the 3827 kilo (8 pound 7 ounce) product of a term gestation.",
+ "output": "The patient is full term."
+ },
+ {
+ "input": "While on the toilet he asked his wife for his jacket as he felt very cold.",
+ "output": "The patient has chills."
+ },
+ {
+ "input": "He presented to [**hospital **] hospital [**2736-8-16**] with abdominal pain x1 day.",
+ "output": "The patient has abdominal pain."
+ },
+ {
+ "input": "The patient was intubated.",
+ "output": "Patient is intubated."
+ },
+ {
+ "input": "History of present illness: this is a 55 -year-old gentleman with end stage renal disease secondary to diabetes mellitus, who presented eight months status post cadaveric renal transplant.",
+ "output": "Patient has ckd stage 4."
+ },
+ {
+ "input": "This pregnancy was complicated by triplet gestation, cervical shortening, and pregnancy induced hypertension.",
+ "output": "The patient had a triplet pregnancy."
+ },
+ {
+ "input": "The extremities were pink and well perfused.",
+ "output": "Extremities appeared well oxygenated."
+ },
+ {
+ "input": "Likewise then she sustained her o2 saturation.",
+ "output": "The patient is not hypoxic."
+ },
+ {
+ "input": "The patient was given 2.5 liters of intravenous fluid, charcoal 50 grams, ceftriaxone for a questionable pneumonia.",
+ "output": "There is concern for pneumonia."
+ },
+ {
+ "input": "She says after dc from hospital her headache improved but she still has dull headache on the right retroorbital region.",
+ "output": "She complains of pain."
+ },
+ {
+ "input": "Culture negative endocarditis [**3225**] 6.",
+ "output": "The patient has an infection of the heart."
+ },
+ {
+ "input": "She was admitted to labor and delivery and cesarean section for active labor and this twin in breech presentation.",
+ "output": "The patient was born via c section."
+ },
+ {
+ "input": "The mother received betamethasone prior to delivery.",
+ "output": "The mother received a steroid medication."
+ },
+ {
+ "input": "He was hypoglycemic and was given an amp d50 -> fsbs 136.",
+ "output": "The patient was hypoglycemic."
+ },
+ {
+ "input": "Around that time, his systolic blood pressure was reported to be in the 70's.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Started on ivf and ceftx, azithromycin.",
+ "output": "Patient is on antibiotics."
+ },
+ {
+ "input": "Scc, r 3rd finger, recurrent, pt referred for mohs excision on [**10-11**]",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "On the flight she received 10mg of decadron.",
+ "output": "The patient received steroids."
+ },
+ {
+ "input": "Oncology hx: - acute myelogenous leukemia s/p allo transplant - [**3382-7-8**]: 5 of 6 matched family member allogenic bmt for aml.",
+ "output": "History of cancer."
+ },
+ {
+ "input": "A bone marrow biopsy done at the outside hospital showed a myelodysplastic pattern of cells.",
+ "output": "Bone marrow biopsy was abnormal."
+ },
+ {
+ "input": "Patient transiently placed on octreoltide drip and iv protonix.",
+ "output": "The patient has an upper gi bleed."
+ },
+ {
+ "input": "1) diabetes mellitus (hgb a1c 5.8% in [**1-5**]) 2) frequent uti 3) gastroesophageal reflux disease 4) s/p cva w/residual mild r hemiparesis 5) osteoporosis 6) mild cognitive impairment 7) depression/anxiety 8) osteoarthritis 9) hypothyroidism (last tsh 2.8 in [**10-4**]) 10) chronic diarrhea 11) copd, on night o2 at home (fev1 0.88 (73% pred), fvc 1.2, elevated ev1/vc ratio in [**12-3**]), no prior intubations, was placed on steroid taper at last admission in [**2-5**].",
+ "output": "Patient recently on steroids."
+ },
+ {
+ "input": "Status post bilateral herniorrhaphy 9.",
+ "output": "Patient has had multiple hernias repaired previously."
+ },
+ {
+ "input": "In the meantime the pt was maintained on [**date range **], bb, acei, statin, plavix.",
+ "output": "The pt is taking medication for hypertension."
+ },
+ {
+ "input": "He was placed on trileptal and even the minor spells seemed to have stopped.",
+ "output": "He was put on an anticonvulsant."
+ },
+ {
+ "input": "Cad, s/p cabg x 3 in [**3005**] ami dm 2 htn bilateral fem-[**doctor last name **] bypass",
+ "output": "Patient has three vessel disease."
+ },
+ {
+ "input": "Chronic renal insufficiency with creatinines ranging between 2 and 3.",
+ "output": "Creatinine is high."
+ },
+ {
+ "input": "Patient had repeat head ct, which showed right new temporoparietal infarct on the right side.",
+ "output": "Patient has a new stroke."
+ },
+ {
+ "input": "He was initially diagnosed with a chronic obstructive pulmonary disease exacerbation and started on antibiotics, steroids, and lasix.",
+ "output": "Patient has acute on chronic symptoms."
+ },
+ {
+ "input": "Medications in transit: lopressor 25 mg po b.i.d., insulin 13 units nph and 15 units in the morning and nph 15 units in the morning.",
+ "output": "Patient has high blood pressure."
+ },
+ {
+ "input": "She subsequently developed wound erythema and leukocytosis.",
+ "output": "The patient has a wound infection."
+ },
+ {
+ "input": "Subarachnoid hemorrhage in [**2756-12-15**] status post a left middle cerebral artery aneurysm clipping status post a left craniectomy due to mass effect.",
+ "output": "History of bleeding into the subarachnoid space."
+ },
+ {
+ "input": "She was therefore scheduled for suboccipital craniotomy for excision of this mass.",
+ "output": "The patient has a brain tumor."
+ },
+ {
+ "input": "Colonoscopy performed later in the hospital course showed some polyps, diverticulosis of the sigmoid colon and descending colon.",
+ "output": "The patient has colonic diverticulosis."
+ },
+ {
+ "input": "Pt is a 53 y m with hx of dm2, htn who is transferred from [**hospital3 2826**] after being hospitalized from [**6-13**] - [**6-20**] with bilateral pneumonia and concern for new malignancy.",
+ "output": "History of hyperglycemia."
+ },
+ {
+ "input": "History of present illness: patient is a 69-year-old female with diabetes diet controlled, atrial fibrillation on coumadin with unknown cad presents to [**hospital3 2425**] after one week of progressive dyspnea on exertion.",
+ "output": "Patient has multiple chronic medical conditions."
+ },
+ {
+ "input": "Currently pt c/o continued sob, cough, no other complaints at this time.",
+ "output": "Pt has difficulty breathing."
+ },
+ {
+ "input": "In [**3105**], the right subclavian vein was found to be occluded.",
+ "output": "There is blockage in the right subclavian vein."
+ },
+ {
+ "input": "Congestive heart failure with lvef 30% 3.",
+ "output": "The patient has heart failure."
+ },
+ {
+ "input": "Upon arrival in the ed, temp 101.1, hr 115, bp 121/108, rr 18, and pulse ox 98% on 4l nc.",
+ "output": "High heart rate."
+ },
+ {
+ "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, rpr nonreactive; hepatitis b surface antigen negative.",
+ "output": "The patient does not have syphilis."
+ },
+ {
+ "input": "On morning of [**10-29**] she ambulated to the commode with pt when she passed stool with a large amount of maroon blood and was transiently syncopal.",
+ "output": "The patient has a gastrointestinal bleed."
+ },
+ {
+ "input": "He called his pcp, [**name10 (nameis) 613**] told him to go to the ed.",
+ "output": "Patient has acute symptoms."
+ },
+ {
+ "input": "73yo m with cad s/p cabg and pci, diastolic hf, af, mechanical avr, who is transferred from [**hospital1 1456**] for low hct from gib.",
+ "output": "The patient has a bleeding problem."
+ },
+ {
+ "input": "The patient states that a year ago he was able to walk 50 feet with some dyspnea, but lately he has not been able to do that level of activity dt: patient has",
+ "output": "Patient has worsening dyspnea on exertion."
+ },
+ {
+ "input": "He also notes continued abdominal bloating that he has had for months, although he feels it is actually slightly better now.",
+ "output": "The patient has abdominal discomfort."
+ },
+ {
+ "input": "After 7 mintues of cpr code was almost called, but got 5mg epinephrine with resultant regain of pulse with a wide complex idioventricular rhythym and bp 80/25.",
+ "output": "The patient received cardiopulmonary resuscitation."
+ },
+ {
+ "input": "Noted to have fever to 101.7.",
+ "output": "Patient is febrile."
+ },
+ {
+ "input": "Legally blind since birth.",
+ "output": "Patient has no vision."
+ },
+ {
+ "input": "He then had another vt event which was resolved by repeat lidocaine bolus and increasing drip to 3mg.",
+ "output": "He had ventricular tachycardia."
+ },
+ {
+ "input": "She went to [**first name (titles) 19191**] [**last name (titles) 20494**] ventricular tachycardia at a rate of 170 beats per minute with an axis of approximately 120 degrees.",
+ "output": "The patient has a shockable rhythm."
+ },
+ {
+ "input": "History of multiple pulmonary embolisms status post ivc filter.",
+ "output": "The patient has a history of pulmonary embolisms with filter."
+ },
+ {
+ "input": "In the emergency room she was found to have a blood pressure of 130/palp with a heart rate of 72.",
+ "output": "Patient has normal blood pressure."
+ },
+ {
+ "input": "In the emergency department, the patient had an oxygen saturation of 88% in room air.",
+ "output": "The patient has low oxygen saturation."
+ },
+ {
+ "input": "An echocardiogram showed a good ef and bilateral pleural effusions.",
+ "output": "The patient has fluid in the thoracic cavity."
+ },
+ {
+ "input": "Posterior communicating artery and anterior communicating artery aneurysms, status post clipping as described in the history of present illness.",
+ "output": "Patient has intracranial pathology."
+ },
+ {
+ "input": "He was also started on flagyl for complaints of increasing diarrhea and leukocytosis (c.diff positive on [**8-26**]).",
+ "output": "Patient is on an antibiotic."
+ },
+ {
+ "input": "There was no weakness/ paralysis/ or sensory changes associated with the episode.",
+ "output": "The patient denies weakness."
+ },
+ {
+ "input": "The patient received vancomycin/zosyn empirically and tylenol for his fever.",
+ "output": "Patient has an infection."
+ },
+ {
+ "input": "She was tolerating p.o. well.",
+ "output": "The patient is able to eat and drink by mouth."
+ },
+ {
+ "input": "# cryptogenic cirrhosis- initial onset of cholestatic hepatitis after having a cholecystectomy; has undergone numerous investigations, including cross-sectional imaging, liver biopsy and ercp on two occasions.",
+ "output": "History of gall bladder removal."
+ },
+ {
+ "input": "The infant emerged vigorous and crying.",
+ "output": "Infant emerged with good movement."
+ },
+ {
+ "input": "Pt given octreotide bolus, iv ppi, zofran and 1.5l ns, 1 unit prbcs hung.",
+ "output": "Patient has upper gi bleeding."
+ },
+ {
+ "input": "Congestive heart failure with normal left ventricular ejection fraction.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "No h/o w/d seizures, no h/o dts.",
+ "output": "Patient has social history of alcoholism."
+ },
+ {
+ "input": "He had been in a rehab hospital today (was sent there from the va) and was feeling well per his report, wanting to be d/c'd when they got labs that were concerning (hct, cr) and sent him to [**hospital **] hospital.",
+ "output": "Patient has abnormal laboratory findings."
+ },
+ {
+ "input": "History of present illness: a 59-year-old man with a history bicuspid aortic valve and as scheduled for aortic valve replacement due to severe as on echocardiogram.",
+ "output": "The patient has an abnormal heart."
+ },
+ {
+ "input": "Growth parameters at birth: weight 4900 grams, greater than 90th percentile.",
+ "output": "The patient has a high birth weight."
+ },
+ {
+ "input": "Aortic stenosis (severe), status post avr [**3025-8-31**].",
+ "output": "The patient has had an aortic valve replacement."
+ },
+ {
+ "input": "He also was more confused the evening prior to admission.",
+ "output": "Patient has delirium."
+ },
+ {
+ "input": "It typically will resolve with rest but there was one time that he required sl nitroglycerin to get relief of his discomfort.",
+ "output": "The patient has a history of angina."
+ },
+ {
+ "input": "On hd 2 her amylase decreased to 1700 and her lipase decreased to 1877.",
+ "output": "The patient has pancreatitis."
+ },
+ {
+ "input": "At arrival to [**hospital1 22**] ed, he was persistently seizing on and off, received propofol to stop seizure.",
+ "output": "The patient has a neurological condition."
+ },
+ {
+ "input": "89 yo female with history of severe cad including cabg (svg->om, svg->rca, lima->lad) followed by artherectomy for svg total occlusion and recent cath ([**2637-9-4**]) for accelerating anigina resulting in stent to 95% ostial lmca lesion who as transferred to [**hospital1 52**] from [**hospital 1530**] hospital for recurrent chest burning times 2 days without ecg changes or +ce's.",
+ "output": "Patient has chest pain."
+ },
+ {
+ "input": "He was admitted to the neonatal intensive care unit for treatment of prematurity.",
+ "output": "The infant was delivered preterm."
+ },
+ {
+ "input": "Admitted after 27 weeks for preterm labor and cervical shortening.",
+ "output": "Mother went into premature labor."
+ },
+ {
+ "input": "Recently, he has been started on toprol-xl and zaroxolyn.",
+ "output": "He was started on a beta blocker and diuretic."
+ },
+ {
+ "input": "History of present illness: the patient is a seventy-six-year-old male with a history of four vessel disease, status post coronary artery bypass graft in [**3079**] who presented to [**hospital3 2675**] hospital on the morning of admission with a one week history of substernal chest pain.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "He went to dinner with his parents and shortly after, he started to complain of increasing shortness of breath that was not relieved by his home oxygen.",
+ "output": "The patient is short of breath."
+ },
+ {
+ "input": "Observed o/n and stabilized.",
+ "output": "Patient was stabilized overnight."
+ },
+ {
+ "input": "Gerd 7. asthma",
+ "output": "The patient has reactive airway disease."
+ },
+ {
+ "input": "78 year old female with history of hypertension, hypercholesterolemia, coronary artery disease with past angioplasty x2, congestive heart failure, paroxysmal atrial fibrillation, s/p aortic valve replacement and mitral valve repair for rheumatic disease, who presented initially to [**hospital1 5269**] on [**4-30**] for infected artificial knee hardware and sepsis.",
+ "output": "The patient has a septic joint."
+ },
+ {
+ "input": "She had a femoral central venous line placed for re[** location **]n and pressors, as well as sedation drips.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Pt did not call in till about 11:28am when she noted some small amount of vaginal bleeding.",
+ "output": "Patient has evidence of a spontaneous abortion, assuming she is pregnant."
+ },
+ {
+ "input": "No ecg changes noted.",
+ "output": "Patient has no evidence of stemi."
+ },
+ {
+ "input": "He states he initially presented to the osh for evaluation of epigastric pain, nausea/vomiting and chills.",
+ "output": "Patient has epigastric pain."
+ },
+ {
+ "input": "For his hypotension, autonomic testing confirmed orthostatic hypotension.",
+ "output": "The patient has orthostatic hypotension."
+ },
+ {
+ "input": "In the ed, initial vs were 98.0 60 111/64 16 99% 2l.",
+ "output": "The patient is normotensive."
+ },
+ {
+ "input": "History of present illness: the patient is a 78-year-old male with a history of a abdominal aortic aneurysm rupture, coronary artery bypass graft, diverticulosis, deep venous thrombosis, and aspiration pneumonia who presents with progressive weakness.",
+ "output": "Patient has weakness."
+ },
+ {
+ "input": "He was given emperic doses of zosyn and vancomycin as well as 5l ns.",
+ "output": "He was given antibiotics."
+ },
+ {
+ "input": "Brain tumor- s/p resection (distant past) 5.",
+ "output": "The patient has had brain surgery."
+ },
+ {
+ "input": "Her pregnancy was also complicated by preeclampsia and growth restriction in twin #2.",
+ "output": "Patient has twin pregancy."
+ },
+ {
+ "input": "During echo, patient's sbp dropped from 120 to 40-60.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "[**known patient lastname **] was brought to the warmer, dried, suctioned, and stimulated.",
+ "output": "Patient has just been born."
+ },
+ {
+ "input": "She was started on oxygen and lasix with some improvement, and ekg at that time showed new onset afib.",
+ "output": "The patient has acute heart failure."
+ },
+ {
+ "input": "She states that it feels like \"gas pain\" in the lower center of abdomen.",
+ "output": "Patient has abdominal pain."
+ },
+ {
+ "input": "On transfer from an outside hospital she was answering questions.",
+ "output": "The patient is awake and alert."
+ },
+ {
+ "input": "4)hearing loss with hearing aids 5)right bundle branch block, ? trifascicular block-in 4/89, ekg showed 1st degree av block and rbbb.",
+ "output": "The patient has a right bundle branch block."
+ },
+ {
+ "input": "Prenatal screens: blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group anti-strep status negative.",
+ "output": "Patient has o+ blood type."
+ },
+ {
+ "input": "Denies cp, sob, dizziness and breathing feels improved.",
+ "output": "The patient does not have symptoms of an acute myocardial infarction."
+ },
+ {
+ "input": "The pt. is a 63 year-old gentleman with a history of [**doctor last name 475**] stage iv metastatic melanoma who initially presented to [**hospital1 68**] on [**2796-2-6**] with acute-onset right-sided weakness and expressive dysphasia.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "Mitral valve prolapse",
+ "output": "The patient has mitral valve prolapse."
+ },
+ {
+ "input": "He was transferred from [**hospital 1456**] hospital where he presented with 10 out of 10 chest pain.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "The left circumflex had serial 80% stenoses, and the right coronary artery had a mid-total occlusion.",
+ "output": "There is significant narrowing of the coronary arteries."
+ },
+ {
+ "input": "At 3:30 am pt had unwittnessed fall while getting a glass of water at [**hospital 1582**] rehab.",
+ "output": "The patient was walking at night."
+ },
+ {
+ "input": "She was started on lepirudin, which was briefly held for gum bleeding after surgery (teeth extraction x 3).",
+ "output": "Patient has had recent dental surgery."
+ },
+ {
+ "input": "She had an angiogram on [**3011-8-28**] which showed a right internal carotid artery bifurcation aneurysm.",
+ "output": "The patient has an ica aneurysm."
+ },
+ {
+ "input": "On returning late that night, he had great difficulty climbing the stairs to his bedroom.",
+ "output": "The patient had difficulty ambulating up the stairs."
+ },
+ {
+ "input": "She reports that she has 2 children at home that we sick over the weekend with vomiting and lethargy that was self-limited and improved with motrin.",
+ "output": "She was exposed to sick contacts."
+ },
+ {
+ "input": "Chronic rectal bleeding in the setting with known colon carcinoma treated for several months with transfusions.",
+ "output": "The patient has colon cancer."
+ },
+ {
+ "input": "Ct head was done given h/o hydrocephalus and new onset vomiting.",
+ "output": "The patient has dilated ventricles."
+ },
+ {
+ "input": "Abdominal aortic aneurysm status post repair in [**3447**], complicated by an abdominal wall hernia.",
+ "output": "Treated for abdominal aortic aneurysm."
+ },
+ {
+ "input": "He was given two liters of normal saline, phenergan, demerol and zofran.",
+ "output": "He received a narcotic."
+ },
+ {
+ "input": "Neck: without masses.",
+ "output": "The patient does not have any obvious neck masses."
+ },
+ {
+ "input": "Initial cxr showed diffuse alveolar opacities.",
+ "output": "Patient has signs of edema."
+ },
+ {
+ "input": "He also had elevated cr and arf, which improved with ivf.",
+ "output": "Patient has renal injury."
+ },
+ {
+ "input": "An abdominal ct scan was done, showing gallstones and small ascites.",
+ "output": "Patient has had imaging."
+ },
+ {
+ "input": "He denies any abdominal pain.",
+ "output": "The patient does not have severe abdominal pain."
+ },
+ {
+ "input": "Pt usually awake, able to chat, walks with cane, legally blind.",
+ "output": "Patient has chronic conditions."
+ },
+ {
+ "input": "Egd on [**10-29**] revealed a mucosal tear in the duodenal bulb.",
+ "output": "The patient has a gastrointestinal problem."
+ },
+ {
+ "input": "She was seen by her pcp who thought she may have had a sinus infection.",
+ "output": "She had symptoms of sinusitis."
+ },
+ {
+ "input": "In the icu she was kept on a nrb, and the dobutamine was changed to norepi.",
+ "output": "She is on pressors."
+ },
+ {
+ "input": "Cardiomediastinal contours are unchanged.",
+ "output": "Contours of the heart and mediastinum have remained the same."
+ },
+ {
+ "input": "Cardiomediastinal contours are unchanged.",
+ "output": "The patient has a stable cardiomediastinal silhouette."
+ },
+ {
+ "input": "History: followup pneumomediastinum.",
+ "output": "The patient has a history of pneumomediastinum."
+ },
+ {
+ "input": "Post op he developed severe hemoptysis and bronch revealed a large mass in the distal trachea.",
+ "output": "The patient had a bronchoscopy."
+ },
+ {
+ "input": "She saw her pcp and was started on mucinex and robitussin.",
+ "output": "Patient has sinus disease."
+ },
+ {
+ "input": "History of present illness: the patient is a 53 year old woman transferred to the [**hospital6 253**] from the [**hospital6 **] following an intensive care unit admission for cardiopulmonary arrest at home.",
+ "output": "The patient is status post cardiac arrest."
+ },
+ {
+ "input": "Also another recent hospital admit is she was hospitalized with coffee-ground emesis from an upper gi bleed on [**9-7**] through [**9-9**].",
+ "output": "Patient has had hematemesis."
+ },
+ {
+ "input": "However, he then went into withdrawal.",
+ "output": "The patient is withdrawing from a substance."
+ },
+ {
+ "input": "Sbp dropped from 120's to 90s.",
+ "output": "Blood pressure is dropping."
+ },
+ {
+ "input": "Pmh: hypertension, diverticulosis, cervical cancer, r breast cancer s/p mastectomy, skin cancer s/p removal",
+ "output": "Patient has a history of malignancy."
+ },
+ {
+ "input": "Pt transfered to icu and found to be in nsr with bp 120's/40's, still non-verbal. .",
+ "output": "The patient has a normal heart rate."
+ },
+ {
+ "input": "Apgars were 8 and 9.",
+ "output": "Apgars were within normal limits."
+ },
+ {
+ "input": "Upon seeing the patient, he is somnolent, mildly tachypneic, oriented x 2 (his name, place).",
+ "output": "Patient is somnolent."
+ },
+ {
+ "input": "He received 3 l of fluid with improvement in pressures to the 110s systolically.",
+ "output": "He received fluids for low blood pressure."
+ },
+ {
+ "input": "Another one from [**10-30**] grew rare methicillin-sensitive resistant staphylococcus aureus, again out of the left foot.",
+ "output": "The patient has a foot ulcer."
+ },
+ {
+ "input": "The ct scan was also notable for an infrarenal abdominal aortic aneurysm, measuring 6.7 centimeters.",
+ "output": "The patient has an infrarenal abdominal aortic aneurysm."
+ },
+ {
+ "input": "Arterial blood gases revealed ph of 7.35, and lactate of 1.101.",
+ "output": "Patient has had arterial blood drawn."
+ },
+ {
+ "input": "The patient remained intubated after the procedure due to the severity of the condition and a prolonged procedure and was transferred to the medical icu.",
+ "output": "The patient was intubated."
+ },
+ {
+ "input": "She then went to her dialysis appointment where she had worsening of the sx and decided to go to the [**first name4 (namepattern1) **] [**last name (namepattern1) **].",
+ "output": "She has renal failure."
+ },
+ {
+ "input": "The patient was referred to cardiothoracic surgery at this time for aortic valve replacement.",
+ "output": "The patient has an abnormal aortic valve."
+ },
+ {
+ "input": "In the micu pt was on bipap from [**6-7**] am until [**6-8**] just after midnight.",
+ "output": "The patient was on breathing support."
+ },
+ {
+ "input": "She gets \"palpitations\" occasionally, but also lasts for a short while and goes away on its own, last time over a month ago.",
+ "output": "She experiences intermittent irregular heartbeat."
+ },
+ {
+ "input": "The pain typically resolves with one to two sublinguals.",
+ "output": "Pain is relieved with medication."
+ },
+ {
+ "input": "Since that time she had vague ruq complaints with n/v after eating fatty foods.",
+ "output": "Patient has evidence of gallstones."
+ },
+ {
+ "input": "She has never had prior gi bleeding and denied chest pain, shortness of breath, lightheadedness, abdominal pain, nausea/vomiting, palpitations, recent fevers and chills, recent nsaid use, gerd, anticoagulation, etoh.",
+ "output": "She has not consumed alcohol recently."
+ },
+ {
+ "input": "Patient was transferred to the micu for further management given her persistent desaturation on 4l of o2.",
+ "output": "Patient has poor oxygen saturation."
+ },
+ {
+ "input": "She began to feel short of breath on [**2914-7-29**] with associated dyspnea on exertion and worsening orthopnea.",
+ "output": "She has difficulty breathing while lying flat."
+ },
+ {
+ "input": "Abg performed on the floor 7.49/21/62 on 3l nc.",
+ "output": "Arterial blood gas analysis was performed."
+ },
+ {
+ "input": "Posterior/inferior/apical akinesis, lateral hypokinesis and large thrombus in the left ventricle.",
+ "output": "The patient has a left ventricular thrombus."
+ },
+ {
+ "input": "She has trouble sleeping usually, and when she awoke at 4am, she noted substernal pressure in the lower chest at about [**5-9**].",
+ "output": "The patient has symptoms concerning for acute coronary syndrome."
+ },
+ {
+ "input": "The patient was noted to be hypoxic and was intubated.",
+ "output": "The patient was unable to exchange oxygen effectively."
+ },
+ {
+ "input": "On the floor, she only c/o generalized weakness.",
+ "output": "The patient does not feel strong."
+ },
+ {
+ "input": "The patient's ejection fraction was 50-55%.",
+ "output": "Patient has a normal ef."
+ },
+ {
+ "input": "During last admission, he was transferred from osh with with fever and pancreatitis which was thought to be from gallstones although there were no gallstones in the bile ducts, just in the gallbladder itself.",
+ "output": "Patient has concern for choledocholithiasis."
+ },
+ {
+ "input": "Electrocardiogram evidence of inferior q-wave myocardial infarction occurring between [**3483-7-4**] and [**3483-10-4**].",
+ "output": "The patient has abnormal electrophysiology of the heart."
+ },
+ {
+ "input": "Of note, she was admitted to [**first name8 (namepattern2) 267**] [**last name (namepattern1) **] hospital a week ago with headache, refused magnetic resonance scan at that time.",
+ "output": "There is concern for a stroke."
+ },
+ {
+ "input": "History of present illness: the patient is a 66-year-old male transferred from [**hospital6 33**] to the [**hospital1 341**] status post catheterization, revealing 3-vessel cardiac disease.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "[**known patient lastname 7440**] is a 65 y.o.",
+ "output": "The patient has lived for at least 65 years."
+ },
+ {
+ "input": "Supported w/ ns 125 and bolus (off now), hydrocort bolus; abx per [**month/year (2) **] on v/l/f day 3 now.",
+ "output": "The patient recieved saline."
+ },
+ {
+ "input": "He denied green or yellow sputum, hemoptysis or fevers.",
+ "output": "No elevated temperature."
+ },
+ {
+ "input": "The aortic root measured 4.4 cm and the ascending aorta measured 5.2 cm.",
+ "output": "The patient has a dilated ascending aorta."
+ },
+ {
+ "input": "Significant polyuria, polydipsia of 1 week duration, no constant abdominal pain.",
+ "output": "Patient has urinary frequency."
+ },
+ {
+ "input": "93-year old female from nh (dnr/i) with history of stroke, dementia, dvt on coumading, schizophrenia, dm, presents with coffee-ground emesis. .",
+ "output": "She has been vomiting."
+ },
+ {
+ "input": "Afib 7. ?",
+ "output": "The patient has an irregularly irregular heart rate."
+ },
+ {
+ "input": "In the emergency department the patient had a chest x-ray which showed increasing pneumonia and chf.",
+ "output": "The patient has an abnormal chest x ray."
+ },
+ {
+ "input": "Nhl s/p chemotherapy and radiation therapy in [**3191**] w/o evidence of recurrence 2. s/p minimally invasive mitral valve repair [**4-17**] 3. anemia.",
+ "output": "The patient has a history of lymphoma."
+ },
+ {
+ "input": "History of present illness: this is a morbidly obese man with severe chronic obstructive pulmonary disease, who presented on [**2908-3-12**] with bilateral common iliac and aortic aneurysms.",
+ "output": "History of pulmonary disease."
+ },
+ {
+ "input": "Dvt pulmonary nodules on ct of unclear etiology valvular disease: 3+ tr, 3+ mr, significant pr ? liver problem diagnosed in [**country 9273**] (records not available)",
+ "output": "The patient has mitral and tricuspid valve disease."
+ },
+ {
+ "input": "There was no intrapartum fever or other sepsis risk factors.",
+ "output": "Patient has no evidence of endometritis."
+ },
+ {
+ "input": "In ed, initial vs were 97.7, 120, 160/85, 18 and 97%/ra.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "A right ij was placed.",
+ "output": "The patient has a central line."
+ },
+ {
+ "input": "Patient awoke this am feeling generalized weakness.",
+ "output": "The patient has generalized weakness."
+ },
+ {
+ "input": "While in ed, received 50 gram of mannitol and 1 gram of dilantin.",
+ "output": "The patient was being treated with pain medication."
+ },
+ {
+ "input": "He then became hypotensive to 92/42, at osh, urine culture, blood cultures drawn, x ray, and head ct performed and he received ns and tylenol.",
+ "output": "The patient is being worked up for sepsis."
+ },
+ {
+ "input": "Hypertension hypothyroidism osteoarthritis depression obesity urinary incontinence gerd s/p total tah",
+ "output": "The patient has had prior abdominal surgery."
+ },
+ {
+ "input": "[**known patient lastname 5140**] is a 58 year old man with a history of type ii diabetes mellitus, and chronic toe infections who first presented to [**hospital **] hospital with bradycardia and hypotension.",
+ "output": "The patient has a problem with hyperglycemia."
+ },
+ {
+ "input": "Ap bedside chest.",
+ "output": "A chest radiograph performed at bedside."
+ },
+ {
+ "input": "On the day of admission the patient noted the onset of another severe headache.",
+ "output": "The patient has a headache."
+ },
+ {
+ "input": "Status post coronary artery bypass graft times two in [**2981**].",
+ "output": "The patient has had prior open heart surgery."
+ },
+ {
+ "input": "At time of cath had two bms placed in critical lesion of his rca.",
+ "output": "He had cardiac stents placed."
+ },
+ {
+ "input": "On review of systems, patient intubated/sedated and unable to provide history.",
+ "output": "The patient was not alert."
+ },
+ {
+ "input": "History of left lower extremity dvt 4.",
+ "output": "The patient had a condition that required anticoagulation."
+ },
+ {
+ "input": "She had [** location **]usly undergone a right hip replacement approximately 1 week ago at an outside referring institution.",
+ "output": "She has an artificial right hip joint."
+ },
+ {
+ "input": "His hct was 31 at its lowest but remained stable and, as he was stable overall, he was felt appropriate for transfer to the floor for further work up of his melena. .",
+ "output": "He has black, tarry stools."
+ },
+ {
+ "input": "She was reportedly neurologically intact and stable at the outside hospital with the only finding of mild right sided eyelid ptosis.",
+ "output": "Patient has minimal findings on physical exam."
+ },
+ {
+ "input": "Intrapartum temperature was 99.7 degrees fahrenheit.",
+ "output": "The patient is afebrile."
+ },
+ {
+ "input": "Dry, given blow-by o2, and ppv, intubated without difficulty.",
+ "output": "The patient was just born."
+ },
+ {
+ "input": "Due to his uncontrolled htn and stable sdh, he was transferred to the micu for further management.",
+ "output": "The patient has a brain bleed."
+ },
+ {
+ "input": "Of note the patient had been recently discharged from [**hospital1 18**] on [**2641-1-16**].",
+ "output": "The patient had recently been hospitalized."
+ },
+ {
+ "input": "47 year old male with hx hcv, etoh abuse and cirrhosis transferred from osh for worsening liver and renal failure.",
+ "output": "The patient has abnormal hepatic fibrosis."
+ },
+ {
+ "input": "Of note, she has a history of similar episodes: usually lasting for <5 minutes and occuring one hr after meals.",
+ "output": "She has had similar episodes in the past, associated with meals."
+ },
+ {
+ "input": "43 yo [**male first name (un) 4680**] with h/o hypercholesterolemia and htn.",
+ "output": "Patient has chronic medical conditions."
+ },
+ {
+ "input": "Past medical history: hypertension, peripheral vascular disease.",
+ "output": "The patient has peripheral arteriolosclerosis."
+ },
+ {
+ "input": "[**name (ni) **] had some polydipsia but denies polyuria. .",
+ "output": "Patient has increased urinary frequency."
+ },
+ {
+ "input": "Hx of asystole 30secs, requiring chest compressions",
+ "output": "The patient had previously coded."
+ },
+ {
+ "input": "The patient states that he is compliant with medications at home.",
+ "output": "The patient is on home medications."
+ },
+ {
+ "input": "Tonsillectomy and adenoidectomy as a child",
+ "output": "Patient has minor past surgical history."
+ },
+ {
+ "input": "Has required hospitalization and has been intubated in the past (per pt; not in our records).",
+ "output": "The patient has been intubated in the past."
+ },
+ {
+ "input": "The patient has failed conservative care consisting of nonsteroidals, rest, and physical therapy.",
+ "output": "The patient\u2019s treatment so far has not been effective."
+ },
+ {
+ "input": "Right to left shunt given decreased pao2.",
+ "output": "The patient has a right to left shunt."
+ },
+ {
+ "input": "[**name8 (md) **] rn notes the patient complained of l breast pain as well as \"pins and needles coming and going\".",
+ "output": "The patient is not experiencing pain."
+ },
+ {
+ "input": "Torticollis since early [**2548**].",
+ "output": "History of abnormal or asymmetrical head or neck position."
+ },
+ {
+ "input": "She was seen in the clinic and was tachycardic and hypoxic with a room air saturation of 88 and was admitted.",
+ "output": "Her oxygen saturation level was low."
+ },
+ {
+ "input": "Bipap was replaced with nasal cannulae, and he was saturating 97% on 2l.",
+ "output": "The patient has improving respiratory function."
+ },
+ {
+ "input": "Pt has had recurrent esbl klebiella utis which continue to be a problem.",
+ "output": "The patient has recurrent utis."
+ },
+ {
+ "input": "History of present illness: this is an 81-year-old female with known coronary artery disease, history of congestive heart failure, chronic atrial fibrillation, anticoagulated, diabetes, hypertension, uterine carcinoma, with peripheral vascular disease, who underwent a right bypass graft and redo of the right common femoral artery to popliteal bypass with ptfe in [**3283-11-17**].",
+ "output": "The patient had a failed right lower extremity bypass graft."
+ },
+ {
+ "input": "Initially an ekg showed afib without any acute changes.",
+ "output": "Ekg initially showed arrhythmia."
+ },
+ {
+ "input": "History of addison's disease.",
+ "output": "The patient has low serum cortisol."
+ },
+ {
+ "input": "There were elevated right and left heart filling pressures with moderate pulmonary hypertension with a markedly depressed cardiac output.",
+ "output": "The patient has pulmonary hypertension."
+ },
+ {
+ "input": "Pmh:afib, htn, dm, pulmhtn, chronic rle ulcer, hyperthyroid, r eye blindness, s/p ppm",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "In addition, severe mac, severe aortic stenosis, trace aortic insufficiency with an aortic valve area of 0.5 square cm.",
+ "output": "The patient has critical aortic stenosis."
+ },
+ {
+ "input": "Diarrhea persisted in ed.",
+ "output": "The patient has diarrhea."
+ },
+ {
+ "input": "Access 18 gauge bilaterally. .",
+ "output": "The patient has large bore iv access."
+ },
+ {
+ "input": "Here, she did well as she had completed abx at osh and had normal cxr without leucocytosis .",
+ "output": "The patient has a normal chest x ray."
+ },
+ {
+ "input": "No nausea or vomiting.",
+ "output": "The patient is not throwing up."
+ },
+ {
+ "input": "52 m, cantonese-speaking only, with iga nephropathy, nephrotic syndrome with anasarca, dm2, htn, recently hospitalized in [**3259-2-21**] at [**hospital1 68**] for anasarca from stopping his lasix 5 weeks ago (per renal clinic), presents today with intractable nausea and vomiting x 3 days.",
+ "output": "The patient has increased fluid in his extravascular spaces."
+ },
+ {
+ "input": "He called his pcp and was told to come in for antibiotics and emergent ercp.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "Infant was essentially cyanotic, crying with spontaneous respiratory effort.",
+ "output": "The infant had bluish discoloration of the skin."
+ },
+ {
+ "input": "He was also started on coumadin for a poor ejection fraction.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Bowel and bladder incontinence 11.",
+ "output": "Patient has symptoms."
+ },
+ {
+ "input": "Motor l arm 0 5.",
+ "output": "The patient is unable to move the left arm."
+ },
+ {
+ "input": "History of present illness: the patient is a [**age over 90 **]-year-old male with a past medical history of hypertension, atrial fibrillation (status post pacemaker placement for symptomatic bradycardia), obstructive sleep apnea, cor pulmonale, chronic renal failure, and peripheral vascular disease who was transferred from the medical intensive care unit to the floor status post management of a hypercarbic respectively decompensation.",
+ "output": "Patient has acute respiratory failure."
+ },
+ {
+ "input": "While the patient was at [**hospital6 33**] he developed another episode of ventricular tachycardia/pulmonary edema, requiring aggressive diuresis and was transferred to [**hospital1 1426**] for evaluation of cardiac surgery.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "On admission, the patient denied headache, chest pain, shortness of breath, vision changes, or weakness, or paresthesias.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "She also received 750mg levofloxacin, one percocet for hip pain (chronic baseline).",
+ "output": "Patient is on antibiotics."
+ },
+ {
+ "input": "Otherwise pt feels well, denies pnd or orthopnea or palpitations.",
+ "output": "Pt denies paroxysmal nocturnal dyspnea."
+ },
+ {
+ "input": "She also reported a \"large amount\" of hematuria x 1 episode yesterday.",
+ "output": "The patient is bleeding from the bladder, ureter, kidney or urethra."
+ },
+ {
+ "input": "Mr also showed basilar artery stenosis and old right pontine and midbrain infarcts. -s/p knee surgery",
+ "output": "History of stroke."
+ },
+ {
+ "input": "History of extensive colonic diverticuli found on colonoscopy in [**2523**].",
+ "output": "Patient has diverticulosis."
+ },
+ {
+ "input": "Osh imaging showed free air in retroperitoneum, concerning for perforation.",
+ "output": "The patient has free intrabdominal air."
+ },
+ {
+ "input": "She was transferred to the neurology floor on [**3225-1-9**].",
+ "output": "The patient suffered from a neurologic issue."
+ },
+ {
+ "input": "She was intubated for hypoxia.",
+ "output": "She received a breathing tube."
+ },
+ {
+ "input": "She is also status post myocardial infarction in [**2494**] with severe mitral valve regurgitation.",
+ "output": "She has a history of heart attack."
+ },
+ {
+ "input": "Reports good po intake, but feels bloated with enlarged abdomen.",
+ "output": "The patient feel abdominal distention."
+ },
+ {
+ "input": "There was symetric mediastinal lymphadenopathy with nodes up to 12 mm in the pretracheal area, and borderline left and right hilar adenopathy.",
+ "output": "Patient has enlarged lymph nodes."
+ },
+ {
+ "input": "The patient then underwent a thallium stress test showing interior apical ischemia.",
+ "output": "The patient has cardiac ischemia."
+ },
+ {
+ "input": "Admission to icu was recommended for evaluation and treatment of urosepsis.",
+ "output": "Patient has bacteremia."
+ },
+ {
+ "input": "Tonsilectomy l arm orif recent teeth surgery",
+ "output": "The patient has had multiple surgeries."
+ },
+ {
+ "input": "No h/o of cad.",
+ "output": "No history of cad."
+ },
+ {
+ "input": "Aortic stenosis (dx in [**2561**])",
+ "output": "Problem with the aortic valve not opening wide enough."
+ },
+ {
+ "input": "Was taken to [**hospital6 **] alert and oriented.",
+ "output": "The patient was responsive."
+ },
+ {
+ "input": "Pt had no ha, neck stiffness, abd pain.",
+ "output": "Patient denies headache."
+ },
+ {
+ "input": "Currently, pt only c/o mild headache and thirst.",
+ "output": "The patient has a potential neurological condition."
+ },
+ {
+ "input": "She received a course of betamethasone.",
+ "output": "Patient has inflammation requiring steroids."
+ },
+ {
+ "input": "Respiratory distress and post-procedure re-intubation<--pulmonary edema and possible contribution of pan-sensitive klebsiella pna.",
+ "output": "Patient has pneumonia and pulmonary edema."
+ },
+ {
+ "input": "Plan was to get a hida scan to better evaluate gallbladder.",
+ "output": "There is concern for cholecystitis."
+ },
+ {
+ "input": "He had no problems with [**name2 (ni) 7716**] or bladder.",
+ "output": "He had no problems with urination."
+ },
+ {
+ "input": "Osh cth revealed an evolving sdh with an abg of 7.48/22/78 on ra, and she was transferred to [**hospital1 22**] for further evaluation.",
+ "output": "Ct scan of the head revealed subdural hematoma."
+ },
+ {
+ "input": "Pulmonary function tests demonstrate restrictive defect.",
+ "output": "The patient has restrictive lung disease."
+ },
+ {
+ "input": "In the ed, the patient's initial vitals were hr 67, bp 127/64.",
+ "output": "The patient had a normal blood pressure."
+ },
+ {
+ "input": "On the date of transfer to the neonatal intensive care unit he had a cyanotic episode following a bath and was admitted to the neonatal intensive care unit for further monitoring and treatment.",
+ "output": "Infant had a period of bluish discoloration of the skin."
+ },
+ {
+ "input": "He is on 2l nc at home.",
+ "output": "The patient is on chronic oxygen."
+ },
+ {
+ "input": "History of present illness: the patient is a 70 year-old man with a history of hypertension who presents to his primary care physician with shortness of breath.",
+ "output": "The patient is having difficulty breathing."
+ },
+ {
+ "input": "In the emergency department, patient was initially hypertensive (sbp's 190's), tachypneic and afebrile, thought to be volume overloaded and given 80 iv lasix and started on nitro drip.",
+ "output": "The patient had high blood pressure in the emergency department."
+ },
+ {
+ "input": "He denies any hematochezia, brbpr, bloody or coffee ground emesis, abdominal pain, fevers, or chills.",
+ "output": "The patient does not have symptoms of a lower gi bleed."
+ },
+ {
+ "input": "He has also had a transient ischemic attack from an embolic stroke and paroxysmal atrial fibrillation.",
+ "output": "The patient has paroxysmal atrial fibrillation."
+ },
+ {
+ "input": "Gerd 9. h/o ugib 10.",
+ "output": "Reflux and upper gastroentestinal bleed."
+ },
+ {
+ "input": "Obstructive sleep apnea.",
+ "output": "The patient has airway blockage during sleep."
+ },
+ {
+ "input": "She was started on meropenem in the ed for uti/urosepsis. .",
+ "output": "The patient is on a wide spectrum antibiotic."
+ },
+ {
+ "input": "After extensive discussion and education with the patient's family and healthcare proxy, it was decided that a non- aggressive palliative approach would be adopted in directing care for this patient given the poor prognosis with the interventricular hemorrhage complicated the goal of the patient's admission.",
+ "output": "Patient has a terminal illness."
+ },
+ {
+ "input": "76 y/o female hx of alzeihmers disease was in usual state of health until approximately 7pm on [**12-5**] when she complained of severe headache to daugther.",
+ "output": "Patient has dementia."
+ },
+ {
+ "input": "Brief history: 51 year old female with a history of coronary artery disease s/p pci to the rca in [**3404-4-20**] with four taxus drug eluting stents (3x12mm; 3x20mm; 2.5x12mm; 2.5x8mm prox to distal) along with pci to the lcx with a bare metal stent in [**3404-5-20**].",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "She was covered with cefazolin while drain was in place and for 3 doses after drain was removed.",
+ "output": "She was given antibiotics."
+ },
+ {
+ "input": "Alzeimers disease htn gerd dm hyperlipidemia headaches",
+ "output": "Multiple medical conditions."
+ },
+ {
+ "input": "His partner convinced him to seek medical attention giving his lethargy and gi bleeding.",
+ "output": "Patient has gi bleed."
+ },
+ {
+ "input": "Patient was brought to the emergency department for evaluation.",
+ "output": "Patient required medical attention."
+ },
+ {
+ "input": "Coronary artery disease hypercholesterolemia history of tachycardia hemorrhoids sciatica rhinitis carpal tunnel",
+ "output": "Patient has abnormal arterial walls."
+ },
+ {
+ "input": "He reports that he didn't tell anyone because he thought it was gerd.",
+ "output": "The patient thought he had acid reflux."
+ },
+ {
+ "input": "After a discussion with the family, it was decided to proceed with an aortic valve and mitral valve repair.",
+ "output": "Patient has aortic valvular disease."
+ },
+ {
+ "input": "She emerged vigorous with apgar of 7 and 8.",
+ "output": "Apgar scores were within normal limits."
+ },
+ {
+ "input": "1l has been put out.",
+ "output": "1 liter of body fluid has been collected."
+ },
+ {
+ "input": "Received 1l ns.",
+ "output": "Received iv fluids."
+ },
+ {
+ "input": "Facial palsy 2 5.",
+ "output": "Muscle weakness in face."
+ },
+ {
+ "input": "No vision/hearing changes.",
+ "output": "No vision changes."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname **] is the 2.16 kg product of a 34 and 3/7 weeks gestation delivered to a 20-year-old prima gravida.",
+ "output": "The patient is a preterm neonate."
+ },
+ {
+ "input": "Bilateral total hip replacement.",
+ "output": "Patient has prior hip pain."
+ },
+ {
+ "input": "Chest x-ray showed no infiltrate or congestive heart failure.",
+ "output": "No lung consolidation."
+ },
+ {
+ "input": "She denied any shortness of breath, chest pain, or lightheadedness.",
+ "output": "The patient is not endorsing symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "Iron deficiency anemia 12.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "7) chronic renal insufficiency, baseline creatinine 1.4.",
+ "output": "The patient has chronic renal insufficiency."
+ },
+ {
+ "input": "He again had an episode of unresponsiveness at 1:30pm after lunch.",
+ "output": "The patient has a condition that alters his mental status."
+ },
+ {
+ "input": "\ufeffthe patient's vomiting episode was witnessed by nursing and immediately after vomiting the patient became tachypneic with respiratory rate in the upper 80s and o2 sat of 73% on 2 liters by nasal cannula.",
+ "output": "After vomiting, the patient\u2019s oxygen saturation level was low."
+ },
+ {
+ "input": "Antibiotics given: ctx/vanc/levaquin/flagyl.",
+ "output": "Treated for infection."
+ },
+ {
+ "input": "She is italian speaking only.",
+ "output": "The patient speaks italian."
+ },
+ {
+ "input": "Well known abdominal aortic aneurysm 4.5 cm, last ultrasound [**3461-9-9**] with no changes.",
+ "output": "Enlarged abdominal aorta."
+ },
+ {
+ "input": "Cxr showed a left massive effusion vs. collapse.",
+ "output": "Cxr indicates fluid surrounding the lungs."
+ },
+ {
+ "input": "The patient's family does not note any focal weakness.",
+ "output": "Famliy does not notice focal weakness."
+ },
+ {
+ "input": "He was started on a nitroglycerin drip.",
+ "output": "He was given iv nitroglycerin."
+ },
+ {
+ "input": "A right transmetatarsal amputation was done on [**2823-1-17**] but did not appear viable.",
+ "output": "Patient has had surgery."
+ },
+ {
+ "input": "After minimal exercise (8 min), there was an inappropriate bp response (hypotensive) and st elevations in v1-3 (<1.5mm - convex in v1, concave in v2-3), and the test was stopped as the patient developed typical anginal symptoms.",
+ "output": "The exercise stress test was positive for ischemia."
+ },
+ {
+ "input": "Seizure disorder; first diagnosed with a seizure during hemodialysis in [**3390-1-15**].",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "The mother was treated with magnesium sulfate, antibiotics and betamethasone and eventually indomethacin.",
+ "output": "There is concern for premature delivery."
+ },
+ {
+ "input": "On arrival to the newborn intensive care unit, the infant with audible stridor and moderate subcostal retractions.",
+ "output": "The infant presented with noisy breathing."
+ },
+ {
+ "input": "Prenatal screens - blood type o positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, gbs status unknown.",
+ "output": "Patient has no immunity to hepb."
+ },
+ {
+ "input": "In the emergency department vitals on arrival hr 160 (a fib), bp 102/54, rr 32, o2sat 92%.",
+ "output": "The patient is tachycardia."
+ },
+ {
+ "input": "Cataract, left eye.",
+ "output": "Clouding of the lens in the left eye."
+ },
+ {
+ "input": "The patient's antibiotics regimen was changed to vanc and zosyn, then again to vanc, cefepime and flagyl.",
+ "output": "The patient is on multible antibiotics."
+ },
+ {
+ "input": "Pt is a 84 year old russian speaking male with hx cad s/p cabg '[**86**] and re-do '[**00**] (lima --> lad; svg -->om1; svg -->pda), ischemic dcm with ef 25%, severe mr [**first name (titles) **] [**last name (titles) **], and chronic af now s/p atrio-ventricular junctional ablation with biv-pacemaker who now presents for elective admission for ultrafiltration for volume overload secondary to chf.",
+ "output": "The patient has acute on chronic heart failure."
+ },
+ {
+ "input": "Monday, wednesday and friday via right arteriovenous fistula.",
+ "output": "The patient is on dialysis."
+ },
+ {
+ "input": "Also, hct on admission 21 from 25.",
+ "output": "Hematocrit level is low."
+ },
+ {
+ "input": "The tube was said to meet some restriction at the level of the nares but passed easily distally.",
+ "output": "The patient has an nasoenteric tube."
+ },
+ {
+ "input": "Serum glucose was 526 with na 138, k 4.0, cl 95, co2 28, bun 15, cr 1.13--ag 15.",
+ "output": "The patient is hyperglycemic."
+ },
+ {
+ "input": "Seizure disorder: details unclear--pt first reported being on dilantin for ~1 year, then reported being on it only 6 weeks.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "A 50-count pill bottle of tylenol pm was found with only 20 pills remaining.",
+ "output": "30 pills of tylenol pm were missing."
+ },
+ {
+ "input": "Her mucous membranes were moist and pink.",
+ "output": "Membranes were moist."
+ },
+ {
+ "input": "Prosthetic mitral valve regurgitation with paravalvular leak, history of rheumatic heart disease - s/p mitral valve replacements [**3026**], [**3029**], [**3032**](bjork shiley valve), history of complete heart block - s/p permanent pacemaker implantation([**company 4**])[**3041**] and [**3043**], diaslotic congestive heart failure, paroxsymal atrial fibrillation, history of pasteurella bacteremia secondary to cat scratch, chronic obstructive pulmonary disease, history of gi bleed [**3041**] and [**3053**] secondary to gastric ulcer/gastritis",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Cath done on the [**12-6**] showed 70% left main with a totally occluded rca, a 60% lad lesion and diffuse circumflex disease.",
+ "output": "Cardiac catheterization was abnormal."
+ },
+ {
+ "input": "At 1:30pm, pt having cp, tachycardic in 120-130's, and was more tachypneic, bp 55/39.",
+ "output": "Patient has severe hypotension."
+ },
+ {
+ "input": "No chest pain, palpitations, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, or constipation.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "During her work-up there she received an x-ray which confirmed a compression fracture at the l3 level.",
+ "output": "The patient has a vertebral fracture."
+ },
+ {
+ "input": "History: colon cancer, now with suspicious hepatic masses on mri, for biopsy.",
+ "output": "Patient has primary malignancy."
+ },
+ {
+ "input": "History of present illness: this is a 77-year-old right handed man with a history of hypertension, two prior seizures, last in [**3166**], had atrial fibrillation in sinus since [**8-28**].",
+ "output": "The patient has atrial fibrillation."
+ },
+ {
+ "input": "A hypercoagulability w/u is pending at the osh.",
+ "output": "Patient has history of blood clots."
+ },
+ {
+ "input": "Cxr showed bibasilar atelectasis vs pna.",
+ "output": "Chest x-ray was abnormal."
+ },
+ {
+ "input": "66 y/o female with pmh significant for rca stent in [**3364**], cardiomyopathy, htn, and hyperlipidemia admitted to the ccu following cath complicated by hypotension and probable rv infarct.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "She received 1l of ns at [**hospital1 **]-[**location (un) 614**] without significant improvement in her bp so she was transferred to [**hospital1 18**] for further management. .",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Over 2 weeks, he received 14 u rbc, hct up to 30s but then drifted down.",
+ "output": "The patient is either not able to make enough rbcs or is losing rbcs."
+ },
+ {
+ "input": "Her vs prior to transfer were hr 122 bpm, bp 167/114 mmhg, rr 25 x', spo2 95% ra.",
+ "output": "The patient was tachycardia."
+ },
+ {
+ "input": "Heparin gtt was discontinued.",
+ "output": "The anticoagulant was stopped."
+ },
+ {
+ "input": "Ros negative for odynophagia, cough, sob, abd pain, tenderness over the kidney, diarrhea, dysuria, hematuria.",
+ "output": "No uti."
+ },
+ {
+ "input": "Pcp: [**name initial (nameis) 8756**] ([**hospital3 808**] medical) ett mibi ([**2611-6-28**]): small reversible defect of infer basal wall.",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "Stage 4 ckd, creat ~3.0 10.",
+ "output": "The patient has poorly functioning kidneys."
+ },
+ {
+ "input": "The mb and troponin fractions were unavailable at the time of this dictation.",
+ "output": "The patient had a blood draw."
+ },
+ {
+ "input": "She underwent her cardiac surgery and then underwent a follow-up chest ct scan to ensure continued presence of the lesion.",
+ "output": "The patient had cardiac surgery."
+ },
+ {
+ "input": "[**known patient lastname 11328**] is a 73-year-old man with known bladder cancer diagnosed on [**3437-7-20**].",
+ "output": "Patient has history of malignancy."
+ },
+ {
+ "input": "He fell onto the right side of his chest against a stone landing.",
+ "output": "The patient has blunt trauma."
+ },
+ {
+ "input": "In the ed weaned of pressors, breathing over vent, on amio gtt.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "[**known patient lastname 6848**] has a long history of back and leg pain due to her scoliosis, stenosis and spondylosis.",
+ "output": "The patient has chronic back pain."
+ },
+ {
+ "input": "On the morning of admission she felt increasing dizzy and unsteady and was seen by her [**hospital6 3717**] who found the patient to be presyncopal with low blood pressure.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Resection of jejunum and ileum.",
+ "output": "The patient\u2019s digestive tract is shortened."
+ },
+ {
+ "input": "History of depression 9.",
+ "output": "Patient has a psychiatric past medical history."
+ },
+ {
+ "input": "The patient has since been given protamine 50mg iv, etomidate 8cc at 2:20 and succinylcholine 5cc at 2:22pm.",
+ "output": "Patient has been placed under general anesthesia."
+ },
+ {
+ "input": "The patient had an uneventful pylorus preserving pancreaticoduodenectomy with open cholecystectomy and incidental meckel's diverticulectomy.",
+ "output": "The patient had gall bladder removal surgery."
+ },
+ {
+ "input": "According to his wife, he has been more sedated since discharge from the hospital but otherwise has been doing relatively well at home.",
+ "output": "Patient has been discharged."
+ },
+ {
+ "input": "She received betamethasone times one, developed cramping, was 4 cm on exam, and was started on magnesium sulfate.",
+ "output": "She is pregnant, and may deliever prematurely."
+ },
+ {
+ "input": "Status post cataract surgery.",
+ "output": "History of eye surgery."
+ },
+ {
+ "input": "At osh, ecg showed anterior q waves (new from [**2660**]), rbbb.",
+ "output": "The patient has myocardial ischemia."
+ },
+ {
+ "input": "K 2.9, given k po and in d51/2.",
+ "output": "The patient is hypokalemic."
+ },
+ {
+ "input": "Given lr for hypotension.",
+ "output": "The patient is being fluid resuscitated."
+ },
+ {
+ "input": "She felt very tired and fatigued since then and was slightly dizzy.",
+ "output": "The patient has constitutional symptoms."
+ },
+ {
+ "input": "Her initial abg on ac fio2 1.0 was 7.19/80/405.",
+ "output": "The patient is acidotic."
+ },
+ {
+ "input": "1)atrial fibrillation: diagnosed 3 years ago, cardioverted, placed on amiodarone for 1 year and then d/c'ed; cardioverted in [**9-18**] to nsr, restarted on amio [**12-19**] when she was found to be in afib.",
+ "output": "Patient has atrial fibrillation."
+ },
+ {
+ "input": "She denies any vomiting, nausea or hematemasis.",
+ "output": "The patient denies vomiting."
+ },
+ {
+ "input": "Pt has had severe fatigue, sore throat, diffuse myalgias.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "Pulmonary htn - cathed [**6-/2765**], mean pa pressure 63 mmhg.",
+ "output": "The patient has pulmonary hypertension."
+ },
+ {
+ "input": "Pt was brought to [**hospital1 22**] ed and found to have a gcs of 15.",
+ "output": "The patient has a normal gcs."
+ },
+ {
+ "input": "2 weeks prior to admission, patient had 2 falls, daughter spoke with witness of fall who reported patient \"blacked out\".",
+ "output": "Patient has had a fall."
+ },
+ {
+ "input": "On the day of admission, patient was noted by family to have altered mental status and was unable to answer questions appropriately.",
+ "output": "The patient was not fully responsive."
+ },
+ {
+ "input": "Has been taking po, but \"not as much as usual\" and he reports feeling dehydrated. .",
+ "output": "The patient believes his fluid consumption has decreased."
+ },
+ {
+ "input": "Ucx and scx grew e.coli, resistant to levofloxacin.",
+ "output": "The patient has a urinary tract infection."
+ },
+ {
+ "input": "Started on synthroid on the day of admission.",
+ "output": "The patient is on medication."
+ },
+ {
+ "input": "Congestive heart failure, [**state 1118**] heart association class ii.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "He had splenomegaly.",
+ "output": "The patient has splenomegaly."
+ },
+ {
+ "input": "This was thought to be secondary to the fresh frozen plasma which was given to her at [**hospital6 2923**].",
+ "output": "The patient received blood products."
+ },
+ {
+ "input": "She was transfused an additional unit of blood and transferred to the [**hospital1 22**] micu for possible angiography.",
+ "output": "She received blood."
+ },
+ {
+ "input": "[**known patient lastname 10193**] daughter visited the patient to provide her with evening medications.",
+ "output": "The patient takes medications."
+ },
+ {
+ "input": "However, at 6:00 pm he was noted to be pale and diaphoretic with a temperature of 102.8 and bp of 100/50.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Received lovenox x 1 and plavix 600mg x 1.",
+ "output": "The patient is being anticoagulated."
+ },
+ {
+ "input": "Came to ed, started on decadron and mannitol.",
+ "output": "The patient was given steroids."
+ },
+ {
+ "input": "She was transferred to [**hospital1 22**] for further intervention.",
+ "output": "She required further medical attention."
+ },
+ {
+ "input": "It was felt the more likely etiology as a viral process although no specific etiology has been found.",
+ "output": "Condition was throught to be due to a virus."
+ },
+ {
+ "input": "She has otherwise been feeling fine and has not had any fevers, chills, nausea, or vomiting.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "The patient denied associated symptoms of shortness of breath, lightheadedness, palpitations, nausea, vomiting, as well as pleuritic pain.",
+ "output": "The patient denies dyspnea."
+ },
+ {
+ "input": "He was then found unresponsive in bed by his family and ems was called.",
+ "output": "He was found unconscious."
+ },
+ {
+ "input": "On arrival to [**hospital1 22**], she was intubated and not seizing.",
+ "output": "Patient is intubated."
+ },
+ {
+ "input": "Pe - [**1-5**] rll segmental 14.",
+ "output": "The patient has a pulmonary embolism."
+ },
+ {
+ "input": "He developed chest pain in the clinical center lobby and so a code blue was called.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "The patient was discharged to [**hospital3 **] where she recently finished a fourteen day course of levaquin.",
+ "output": "She took a course of antibiotic."
+ },
+ {
+ "input": "H/o mult blood transfusions for ugib after ercp with sphincterotomy a few years ago.",
+ "output": "Patient has a history of upper gi bleed."
+ },
+ {
+ "input": "Poorly controlled with past dka.",
+ "output": "History of diabetes."
+ },
+ {
+ "input": "The patient noted that she had shortness of breath at home after trying to take her medications.",
+ "output": "The patient had difficulty breathing."
+ },
+ {
+ "input": "\ufeffhe was lying on the floor, and the right side of his face was obviously drooping and he was drooling.",
+ "output": "There was asymmetry of the face when he was found."
+ },
+ {
+ "input": "She was advised to have a carotid endarterectomy.",
+ "output": "She has carotid stenosis."
+ },
+ {
+ "input": "In the [**hospital1 891**] emergency department, he was started on nitroglycerin drip, lovenox, lopressor, aspirin and aggrestat drip.",
+ "output": "The patient is being treated for acute coronary syndrome."
+ },
+ {
+ "input": "The patient's urinalysis remained negative.",
+ "output": "The patient does not have a urinary tract infection."
+ },
+ {
+ "input": "Patient developed one episode of black emesis last night, followed by six more episodes since then.",
+ "output": "The patient has been vomiting."
+ },
+ {
+ "input": "The medium sized septal vessel had no flow limiting disease.",
+ "output": "The patient is having a cardiac catheterization."
+ },
+ {
+ "input": "Chronic renal failure.",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "Chronic renal failure.",
+ "output": "The patient has chronic renal failure."
+ },
+ {
+ "input": "The patient was originally admitted on [**3021-11-28**] to the neurology service after presenting with left hand numbness, fevers, and chills.",
+ "output": "The patient has left hand numbness."
+ },
+ {
+ "input": "He was started on dopamine infusion for his blood pressure, given solu-medrol times one.",
+ "output": "Patient is hypotensive."
+ },
+ {
+ "input": "He was given vancomycin 1 gm iv x1 and transferred to [**location (un) **] ed where bp 88/57.",
+ "output": "Patient has an infection."
+ },
+ {
+ "input": "Status post left hip replacement.",
+ "output": "The patient has a hip prosthesis."
+ },
+ {
+ "input": "Colonoscopy in [**2726**] revealed extensive sigmoid diverticulitis.",
+ "output": "The patient has diverticulitis."
+ },
+ {
+ "input": "63 year old male has been experiencing symptoms of shortness of breath and bilateral leg heaviness while jogging and walking for the last few months.",
+ "output": "Patient has new symptoms."
+ },
+ {
+ "input": "Subdural hematoma hypertension hypercholesterolemia essential thrombocytopenia s/p placement of gj tube infected gj tube insertion site h/o c diff infection (diagnosed in [**month (only) **] admit)",
+ "output": "The patient has multiple medical comorbidities including subdural hematoma."
+ },
+ {
+ "input": "Hyperkeratotic lesions plantar aspects feet 7.",
+ "output": "The patient has abnormal cell growth on the bottom of the foot."
+ },
+ {
+ "input": "Patient had a recent hospitalization for copd exacerbation and was then sent to a rehab facility for rehabilitation.",
+ "output": "The patient has copd."
+ },
+ {
+ "input": "She says this pain is different from the pain that she had with her [** location **]us mi.",
+ "output": "She has a history of heart attack."
+ },
+ {
+ "input": "Upon presentation to the ed, she was found to be hemodynamically stable and not tachycardic, however, nasogastric lavage revealed bright red blood suggesting active upper gi bleed.",
+ "output": "Patient has upper gi bleed."
+ },
+ {
+ "input": "Etiology of this new onset afib was thought to be in the setting of volume resuscitation and acute illness.",
+ "output": "The patient had new onset atrial fibrillation."
+ },
+ {
+ "input": "12) congestive heart failure with an ejection fraction of 55 percent and normal wall motion.",
+ "output": "The patient has heart failure with preserved ejection fraction."
+ },
+ {
+ "input": "She was re-admitted to the ccu post cath.",
+ "output": "She had a cardiac procedure."
+ },
+ {
+ "input": "He was also hyperventilating at the time.",
+ "output": "The patient was breathing fast."
+ },
+ {
+ "input": "A transthoracic enlargement with mild symmetric left ventricular hypertrophy with a left ventricular ejection fraction of greater than 55%.",
+ "output": "Ejection fraction was normal."
+ },
+ {
+ "input": "Chf w/ ef of 40% on tee in [**2820**], 1+ ar, 2+mr 3.",
+ "output": "Patient has low ef."
+ },
+ {
+ "input": "Colon polyps, status post colonoscopy in [**2741-12-24**] with polyps found to be precancerous.",
+ "output": "Patient has pre-cancerous lesions."
+ },
+ {
+ "input": "Htn gerd anemia prior elev.",
+ "output": "The patient has a history of anemia."
+ },
+ {
+ "input": "The patient understood because of the size of her uterus which on 23/05 ultrasound was noted to be 15.0 x 9.5 x 18.0 cm, she knew this would be a challenging multiple myomectomy involving a possible significant blood loss.",
+ "output": "The patient has multiple benign tumors of the uterus."
+ },
+ {
+ "input": "The patient had also noticed increased fatigue during sexual intercourse.",
+ "output": "The patient gets tired during sexual intercourse."
+ },
+ {
+ "input": "Boyfriend left the pt at 6am this morning.",
+ "output": "The boyfriend was with the patient early this morning."
+ },
+ {
+ "input": "Today he decided he wanted to live and therefore called ems to bring him to [**hospital1 22**].",
+ "output": "The patient requested to go to the hospital."
+ },
+ {
+ "input": "She was referred to dr. [**last name (stitle) 759**] and underwent stress testing and cardiac cta as below.",
+ "output": "Patient has symptoms concerning for cad."
+ },
+ {
+ "input": "She was sent home with ten days of levofloxacin 500mg po daily for the pneumonia.",
+ "output": "She was treated for pneumonia."
+ },
+ {
+ "input": "[**known patient lastname 15929**] is a 60 year old male who during preoperative evaluation for coronary revascularization surgery was found to have severe bilateral carotid stenosis.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Cardiac catheterization showed an ejection fraction of greater than 70% with an aortic valve area of 0.5 cm2, no significant coronary artery disease, wedge pressure of 17, and left ventricular end-diastolic pressure of 20.",
+ "output": "Cardiac catheterization showed good ejection fraction in the heart."
+ },
+ {
+ "input": "Her heart rate on the drip was noted to be high in the 150s, and she was treated with iv diltiazem and lopressor to help slow that down.",
+ "output": "Patient has been on pressors."
+ },
+ {
+ "input": "He underwent a turbt for hematuria that ultimately revealed a grade [**2-11**] muscle invasive bladder carcinoma.",
+ "output": "The patient has bladder carcinoma."
+ },
+ {
+ "input": "The patient reports that she has had intermittent bleeding oozing from her nose over the past several days as well as gum bleeding when she is brushing her teeth for the same period of time notes increased frequency of stools of loose consistency described as chocolate syrup mixed with blood clots.",
+ "output": "The patient has been bleeding."
+ },
+ {
+ "input": "Rupture of membranes occurred 3.5 hours prior to delivery yielding clear amniotic fluid.",
+ "output": "The patient has spontaneous rupture of membranes."
+ },
+ {
+ "input": "An exploratory laparotomy was performed which was negative.",
+ "output": "The patient underwent surgery."
+ },
+ {
+ "input": "Her baseline status is that she is not indepent of her adls, but can wash her face on her own and last week walked 50 feet wtih two person assist for the first time in quite a while.",
+ "output": "She needs assistance with her activities of daily living."
+ },
+ {
+ "input": "[**known patient lastname 321**] was unable to urinate after his foley catheter was discontinued.",
+ "output": "The patient has urinary retention."
+ },
+ {
+ "input": "Positive ett on [**3295-1-3**] showed an ejection fraction of 62% with no defects.",
+ "output": "Normal ejection fraction on exercise tolerance test."
+ },
+ {
+ "input": "He does not make any urine at baseline.",
+ "output": "The patient has chronic renal disease."
+ },
+ {
+ "input": "Pmh: hypertension, hyperlipidemia, myocardial infarction [**2703**], hypothyroid, scleroderma, uterine cancer s/p hysterectomy [**2701**], ischemic cardiomyopathy, s/p parathyroid tumor removal",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "She was in her usoh until [**6-2**]; on this day, she states that she went out walking and became extremely fatigued, more than her baseline.",
+ "output": "The patient is fatigued."
+ },
+ {
+ "input": "He presented to the [**hospital6 17090**] ed on [**8-14**] with altered mental status from his nursing facility.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "He lost 10 pounds in the [** location **]us few months, and his a[** location **]e decreased, but no fever or night sweats. .",
+ "output": "The patient has weight loss."
+ },
+ {
+ "input": "His exam was benign aside from a nose bleed but cta showed small subsegmental pes.",
+ "output": "The patient has small pes."
+ },
+ {
+ "input": "Also the prenatal course was notable for oligohydramnios with an afi of 6.5.",
+ "output": "Patient has an abnormal pregnancy."
+ },
+ {
+ "input": "He does not remember having any chest pain, palpitations, nausea, or sob.",
+ "output": "He denies chest pain."
+ },
+ {
+ "input": "In the ed, she was initially scheduled for an mri.",
+ "output": "The patient requires mri."
+ },
+ {
+ "input": "Amniotic fluid was clear.",
+ "output": "Patient has no evidence of infection."
+ },
+ {
+ "input": "He had had problems walking and new episodes of shortness of breath.",
+ "output": "The patient has symptoms of a congestive heart failure exacerbation."
+ },
+ {
+ "input": "The mother was on magnesium sulfate at the time of delivery.",
+ "output": "Magnesium sulfate reduces the seizure risk in women with preeclampsia."
+ },
+ {
+ "input": "Of note her ms waxed and waned during that admission with no evidence of seizure activity corresponding, negative lp and mri.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "He denies any nausea/vomiting/diaphoresis although may have been a little sweaty on saturday during that episode.",
+ "output": "The patient has an event where he was a little sweaty."
+ },
+ {
+ "input": "In summary, this is 72 yo m with severe copd admitted with sob and tremors.",
+ "output": "Patient has severe copd."
+ },
+ {
+ "input": "She developed spontaneous labor and had a vaginal delivery.",
+ "output": "There was a vaginal delivery."
+ },
+ {
+ "input": "History of present illness: the patient was brought to the emergency room from [**hospital1 **], status post syncopal episode while being turned in bed that lasted about 30 seconds.",
+ "output": "The patient had syncope."
+ },
+ {
+ "input": "He underwent excision of a left femoral pseudoaneurysm.",
+ "output": "The patient has a femoral pseudoaneurysm."
+ },
+ {
+ "input": "Pt was an 89 yo male with htn, hyperlipidemia, recent penile surgery for penile cancer who presented to osh with confusion, chest pain and shortness of breath.",
+ "output": "Patient has elevated blood pressure."
+ },
+ {
+ "input": "Vs in ed t97.7, hr 75, bp 91/68 rr22 o2 99% 2l guiac negative in ed given asa 325mg po x1, zofran 4mg iv x2, 600mg mucomyst, started on dopamine 12mcg/kg/min, lasix 80mg iv.",
+ "output": "The patient is on pressors."
+ },
+ {
+ "input": "He was diffusely immunoreactive for cd20 and co-expressed bcl-2 and bcl-6.",
+ "output": "The patient has a hematologic malignancy."
+ },
+ {
+ "input": "An echocardiogram done [** location **]usly in [**3161-10-21**] showed an ef of 20% with severe ventricular global hypokinesis.",
+ "output": "Ejection fraction is low."
+ },
+ {
+ "input": "Alzheimer's dementia r eye blindness chronic back spasms s/p knee surgery",
+ "output": "The patient is not able to see out of the right eye."
+ },
+ {
+ "input": "She was discharged to rehab but returned on [**3430-5-27**] with respiratory distress and sepsis.",
+ "output": "The patient is in respiratory distress and has sepsis."
+ },
+ {
+ "input": "He was transferred to the [**hospital1 22**] ed where he was tachycardic to 110, hypotensive to 80-90s systolic.",
+ "output": "He has a rapid heartbeat."
+ },
+ {
+ "input": "Chronic bronchitis/copd 13.",
+ "output": "Chronic lung disease."
+ },
+ {
+ "input": "This is an 81 year-old male with a history of cardiomyopathy w/ ef 20% and afib on coumadin who presented to [**hospital 2530**] hospital with gallstone pancreatitis/acute calculous cholecystitis now s/p cholecystectomy w/ retained cbd stone being transferred to [**hospital1 22**] for repeat ercp.",
+ "output": "The patient had a surgical abdomen due to acute cholecystitis."
+ },
+ {
+ "input": "The patient was admitted on the 5th for a cervical fusion.",
+ "output": "The patient received spinal surgery."
+ },
+ {
+ "input": "Had associated shortness of breath and flushing.",
+ "output": "Had difficulty breathing."
+ },
+ {
+ "input": "The patient was transferred to surgery for removal of the ecmo cannulas.",
+ "output": "Patient has cardiac bypass."
+ },
+ {
+ "input": "He was transferred uneventfully to the newborn intensive care unit.",
+ "output": "The patient is a newborn in the icu."
+ },
+ {
+ "input": "She reports approximately 1 month of memory delay, feeling intermittently dizzy and nauseated.",
+ "output": "She complains of a change in memory."
+ },
+ {
+ "input": "History of present illness: the patient is a 71 year old man with a history of a silent myocardial infarction evident on ekg.",
+ "output": "Patient has abnormal ekg."
+ },
+ {
+ "input": "Past medical history: she has a negative past medical history.",
+ "output": "Patient has no known medical conditions."
+ },
+ {
+ "input": "49 year old male with cll dx [**2595**], followed by dr. [**first name (stitle) **], s/p matched sibling donor allo-[**first name (stitle) 6600**] in [**2-14**], and h/o htn, cm with ef 20% (echo in [**8-18**] with ef 50-55% and in [**9-17**] with ef 20-25%).",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "Unlikely a cns infection so antibiotics d/c'd.",
+ "output": "The patient was initially being treated for a cns infection like meningitis."
+ },
+ {
+ "input": "An empyema tube was placed to drain the subsequent empyema.",
+ "output": "The patient has an empyema."
+ },
+ {
+ "input": "Tx from osh for possible stemi, given ste in inferior leads, std in lat leads.",
+ "output": "Patient had abnormal ekg."
+ },
+ {
+ "input": "But pain was [**11-2**] last pm, so pt went to [**location **]. + jaundice, dark yellow x 1 day, ttp ruq reported. +chills. +vomiting. +food aversion.",
+ "output": "The patient had abdominal pain."
+ },
+ {
+ "input": "The patient was asked by her primary care physician [**last name (namepattern4) **] [**2530-9-13**] to come to the emergency room, but did not present until [**2530-9-14**].",
+ "output": "The patient was advised to seek urgent medical care."
+ },
+ {
+ "input": "Evaluation of this hearing loss by his primary care physician led to an mri, which revealed a right sided 1.6 cm acoustic neuroma.",
+ "output": "The patient has an intracranial neoplasm."
+ },
+ {
+ "input": "Right sided heart failure with severe pulmonary hypertension.",
+ "output": "The patient has increased right heart pressures."
+ },
+ {
+ "input": "Currently he feels sob and complains of right sided pain that radiates to his back with every inspiration.",
+ "output": "Patient has doe."
+ },
+ {
+ "input": "However, he presented to the ed on [**3053-4-6**] with hematuria and was found to have inr of 9 so coumadin was stopped by his pcp.",
+ "output": "The patient is at increased risk of bleeding complications."
+ },
+ {
+ "input": "Cad s/p 3v cabg in [**3305**] s/p pci [**3320**] [**11-10**] stent to vg to rca s/p nstemi [**1-11**], s/p 2.5mm des to vg to rca hypertension borderline diabetes, diet controlled hyperlipidemia right carpal tunnel syndrome two basal cell cancers removed in situ bladder cancer s/p ablation obstructive sleep apnea-does not use cpap dyslipidemia tonsillectomy glaucoma",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "She received two doses of betamethasone due to persistence of variables in twin b with decelerations.",
+ "output": "Patient has a high risk pregnancy."
+ },
+ {
+ "input": "This pregnancy was complicated by premature preterm rupture of membranes on the day prior to delivery.",
+ "output": "There was preterm rupture of membranes."
+ },
+ {
+ "input": "Pt was admitted to the floor with vitals on transfer t 97.6, p 100, bp 78/50 (baseline in ues 60s-70s), rr 16, o2sat 95%ra .",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Peptic ulcer disease 7.",
+ "output": "Disease often caused by h. pylori."
+ },
+ {
+ "input": "No visual or hearing changes, problems swallowing, hearing problems, or other sx except as above.",
+ "output": "There are no visual deficits."
+ },
+ {
+ "input": "Apgars were nine at one minute and nine at five minutes.",
+ "output": "Apgar scores were within normal limits."
+ },
+ {
+ "input": "47 yo m with etoh abuse c/b dilated cardiomyopathy (ef 49% 9/07), hcv, h/o lung aspergillosis c/b cavitary lesion who p/w etoh withdrawal and chronic reproducible chest pain.",
+ "output": "Patient has cirrhosis."
+ },
+ {
+ "input": "Prenatal screen: blood type b positive, antibody negative, rpr nonreactive, rubella immune.",
+ "output": "Patient has blood type b+."
+ },
+ {
+ "input": "[**known patient lastname 5341**] is a 55 yo w with pmh of esrd on hd, pvd, dm, renal cell ca, presents with rle pain x 1 week, n/v and abdominal tenderness.",
+ "output": "The patient has multiple medical comorbidities."
+ },
+ {
+ "input": "The patient reports no urine output over the past eighteen hours.",
+ "output": "Patient is dehydrated."
+ },
+ {
+ "input": "Currently controlled on po lasix, in normal sinus rythm .",
+ "output": "The patient is taking a diuretic."
+ },
+ {
+ "input": "She was treated with iv lasix and apparently improved.",
+ "output": "The patient was diuresed."
+ },
+ {
+ "input": "Neurosurgery believed that the hematoma would resolve as long as her platelet count remained above 100,000.",
+ "output": "Patient has intracranial hemorrhage."
+ },
+ {
+ "input": "On transfer, patient reports no fever or chills, headache, chest pain, cough, shortness of breath, abdominal pain, nausea, or vomitting.",
+ "output": "The patient has no difficulty breathing."
+ },
+ {
+ "input": "On arrival to [**name (ni) 2**], pt was comfortable, denying any cp/sob/abd pain.",
+ "output": "The patient denies pain."
+ },
+ {
+ "input": "Initially seen at outside facility and transferred to [**hospital6 2138**] directly to the operating room via [**location (un) 211**] [**location (un) **].",
+ "output": "The patient has a serious medical condition."
+ },
+ {
+ "input": "She also noted some diarrhea as well.",
+ "output": "She had frequent bowel movements."
+ },
+ {
+ "input": "History of present illness: the patient is a 45 year-old male who is a welder from [**location (un) 1912**] who was at work this morning when he had complaints of sudden severe headache and witnessed seizure with loss of consciousness.",
+ "output": "The patient had a seizure."
+ },
+ {
+ "input": "At [**hospital6 5282**], electrocardiograms there showed 2-mm st elevations and peaked t waves in the inferior leads, t wave inversions, and st depressions, and small q waves in i and avl, peaked t waves in v5 and v6, rsr prime in v1 to v3 suggestive of posterior involvement.",
+ "output": "Ekg was abnormal."
+ },
+ {
+ "input": "The micu service assumed care for [**last name (un) 27934**] [**known patient lastname 27935**], given his situation.",
+ "output": "Patient has been admitted to the micu."
+ },
+ {
+ "input": "The infant emerged vigorous.",
+ "output": "The patient is a newborn."
+ },
+ {
+ "input": "This was followed by nausea and vomiting times three after taking an iron supplement.",
+ "output": "Patient has nausea."
+ },
+ {
+ "input": "55 yo f w/ hx hodgkin's s/p xrt in [**2849**] p/w severe abd pain x 3 weeks, worse over past week.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "Sleep apnea, using bipap at night.",
+ "output": "The patient using a breathing machine while sleeping to maintain airway patentcy."
+ },
+ {
+ "input": "Patient was transferred to the icu and was seen by neurosurgery for subdural hematoma.",
+ "output": "Patient has intracranial blood."
+ },
+ {
+ "input": "History of pancreatitis.",
+ "output": "History of inflammation of the pancreas."
+ },
+ {
+ "input": "Mother is a 42-year-old g2, p0 now 2 woman with prenatal screens o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen ob history: [** location **]us stillbirth at term delivered at [**hospital1 1205**].",
+ "output": "The patient is recieving prenatal care."
+ },
+ {
+ "input": "This pregnancy was complicated by growth discordance noted approximately one week prior to delivery with maternal admission on [**2676-1-6**] with hypertension and proteinuria.",
+ "output": "The patient has a complicated pregnancy."
+ },
+ {
+ "input": "Delivery occurred at 25 weeks by cesarean section due to worsening maternal hypertension.",
+ "output": "Delivery was preterm."
+ },
+ {
+ "input": "Cath performed at [**hospital3 **] prior to admission showed severe mitral regurgitation.",
+ "output": "Patient has valvular dysfunction."
+ },
+ {
+ "input": "No pleuritic pain.",
+ "output": "There is no pleuritic pain."
+ },
+ {
+ "input": "The patient also mentioned that he had he had no emesis once he got to the emergency room and he states this never happened to him before.",
+ "output": "The patient was seen in the emergency room."
+ },
+ {
+ "input": "Because of the results of his right heart catheterization, he was transferred to the coronary care unit for swan-[**location (un) 1023**] therapy.",
+ "output": "The patient has a intracardiac pressure monitor."
+ },
+ {
+ "input": "This pregnancy was complicated by twins with twin b known to have [**location (un) **] syndrome (anhydramnios, bilateral multi- cystic dysplastic kidneys, short femurs, severe iugr).",
+ "output": "This pregnancy was complicated by a congenital disorder in twin b."
+ },
+ {
+ "input": "Patient underwent surgical debridement of the empyema on [**3210-11-27**], where 2 ribs were resected to obtain exposure to the infection (s/p modified eloesser flap [**11-28**]) - cultures grew rare group b beta strep.",
+ "output": "Patient has a pulmonary infection."
+ },
+ {
+ "input": "Cardiovascular status was stable throughout his newborn intensive care unit course.",
+ "output": "The patient is in the nicu."
+ },
+ {
+ "input": "Restrictive lung disease with mediastinal radiation fibrosis.",
+ "output": "Abnormal lung function."
+ },
+ {
+ "input": "Per their records, the vancomycin was for empiric coverage of line infection.",
+ "output": "The patient has a central line."
+ },
+ {
+ "input": "Her t tube was manually removed, and a cuffed 8.0 tube was inserted in its place.",
+ "output": "The patient is post hepatobiliary procedure."
+ },
+ {
+ "input": "Patient was given 4l of ns, but pressures did not improve.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "In the ed, she received 2 l ns, followed by d5 1/2 ns w/ 2 amps hco3 @ 200 cc/hr with improvement in sbp to 110s-120s.",
+ "output": "She received fluids in the emergency department."
+ },
+ {
+ "input": "Ett on [**3-14**] at outside hospital showed lateral fixed defect and anterolateral ischemia.",
+ "output": "The patient had an mi."
+ },
+ {
+ "input": "She responded well to furosemide.",
+ "output": "She responded well to a diuretic."
+ },
+ {
+ "input": "Leg surgery secondary to a motor vehicle accident as a child.",
+ "output": "Patient has a history of trauma."
+ },
+ {
+ "input": "Low back pain.",
+ "output": "Patient has positive ros."
+ },
+ {
+ "input": "A subsequent abdominal cat scan was without evidence of retroperitoneal bleed.",
+ "output": "The patient has concern for bleeding."
+ },
+ {
+ "input": "She was treated with intravenous steroids and discharged to rehabilitation on intravenous solu-medrol.",
+ "output": "Patient has reactive airway disease."
+ },
+ {
+ "input": "Patient is a 53 yo rh man with poorly controlled htn who was found by his daughter at 5:30pm today confused with slurred speech and right sided weakness.",
+ "output": "Patient has evidence of stroke."
+ },
+ {
+ "input": "Postoperatively the patient developed difficulty in eating secondary to post prandial nausea and vomiting and dumping syndrome as well as cholangitis.",
+ "output": "The patient has a biliary tract infection."
+ },
+ {
+ "input": "On the third of [**3239-7-17**], she was seen by her cardiologist who increased her sotalol dose to 80 mg three times a day.",
+ "output": "Patient is on beta blocker."
+ },
+ {
+ "input": "He was thought by the medical intensive care unit team to be most likely dehydrated and in rapid atrial fibrillation; his hypotension and atrial fibrillation were not thought to be secondary to sepsis and cultures throughout his hospital course afforded this assumption.",
+ "output": "The patient was hypovolemic."
+ },
+ {
+ "input": "Also had blood tinged emesis initially, but emesis is now clear.",
+ "output": "The patient has occasional blood tinged emesis."
+ },
+ {
+ "input": "His pco2 is normally in the 60s (per omr) but were worse on admission (103).",
+ "output": "Pco2 is higher than baseline at admission."
+ },
+ {
+ "input": "Head ct, ctap, cxr were done.",
+ "output": "The patient had multiple imaging studies."
+ },
+ {
+ "input": "Chronic renal insufficiency.",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "Chronic renal insufficiency.",
+ "output": "Kidney disease."
+ },
+ {
+ "input": "In the ed, was afebrile with an initial bp of 161/83.",
+ "output": "The patient is afebrile."
+ },
+ {
+ "input": "The nursing home staff felt she was more lethargic than usual.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "Denies asa use but has been taking a natural blood thinning supplement called nattokinase for the last 4 years.",
+ "output": "The patient has not been taking aspirin."
+ },
+ {
+ "input": "Reports having difficulty taking full breaths after walking for a few feet.",
+ "output": "The patient has dyspnea with exertion."
+ },
+ {
+ "input": "Tte [**2816-2-25**] demonstrated symmetric lvh with an excellent lvef (78%) and normal regional wall motion but a resting lvot gradient of 23mmhg that increased to >100mmhg with valsalva and a gradient of 106mmhg of her outflow tract.",
+ "output": "The patient has aortic stenosis."
+ },
+ {
+ "input": "78f htn, hypoth, diverticulitis s/p partial collectomy (for diverticulitis) presents with llq pain.",
+ "output": "The patient has had gastrointestinal surgery."
+ },
+ {
+ "input": "He was admitted to the micu for dehydration secondary to presumed c. difficile enterocolitis.",
+ "output": "Patient is in intensive care."
+ },
+ {
+ "input": "She denies recent fevers, chills or rigors.",
+ "output": "The patient does not have symptoms of elevated body temperature."
+ },
+ {
+ "input": "Was recently discharged [**3160-9-6**] on lovenox and reportedly was doing fine initially.",
+ "output": "Patient is anticoagulated."
+ },
+ {
+ "input": "Was stable on lithium for several years, has also been treated with risperdal. (but pt. has been resistant and often non-compliant to increased doses of risperdal, goal had been 2-4mg po bid).",
+ "output": "The patient is on an antipsychotic medication."
+ },
+ {
+ "input": "A sputum culture obtained after readmission in [**7-1**] for dyspnea and hemoptysis showed mycobacteria gordonae (a known contaminant and not likely to cause disease).",
+ "output": "Patient has blood in his sputum."
+ },
+ {
+ "input": "History of right upper extremity deep venous thrombosis.",
+ "output": "History of blood clots in the arm."
+ },
+ {
+ "input": "Diffuse crackles throught; no lower extremity edema,benign ab exam.",
+ "output": "Respiratory exam was abnormal."
+ },
+ {
+ "input": "History: aspiration pneumonia, status post extubation, evaluate for change.",
+ "output": "The patient previously required respiratory support."
+ },
+ {
+ "input": "Next was in [**3074**] p/w slurred speech.",
+ "output": "The patient had symptoms of slurred speech."
+ },
+ {
+ "input": "The hospital course was unremarkable except for a low hematocrit of 26.1 for which he was transfused.",
+ "output": "Patient has anemia."
+ },
+ {
+ "input": "The patient while in the hospital had an episode of hemoptysis and was transferred to [**hospital1 58**].",
+ "output": "The patient had hemoptysis."
+ },
+ {
+ "input": "Discharged home on [**2948-2-22**].",
+ "output": "Patient is no longer inpatient."
+ },
+ {
+ "input": "Pt initially required a nitro drip which was only used transiently, since her bp normalized with propofol sedation.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "He was found to have multivessel disease upon catheterization.",
+ "output": "Patient has had a prior coronary angiogram."
+ },
+ {
+ "input": "The uac and uvc were placed at [**hospital **] hospital.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "He has had low back pain chronically requiring narcotics to treat.",
+ "output": "Patient has chronic low back pain."
+ },
+ {
+ "input": "Her ususal seizures are facial twitching with occasional involvement of the arm.",
+ "output": "Patient has a seizure disorder."
+ },
+ {
+ "input": "Pregnancy complicated by ivf dichorionic, diamniotic twin gestation, and was also notable for advanced maternal age and gestational diabetes which was diet controlled.",
+ "output": "Patient has risk factors for pregnancy."
+ },
+ {
+ "input": "[**known patient lastname **] is a 57 year old white male with a past medical history significant for hiv diagnosed in [**2951**] with a cd-4 count of 340 with a viral load of 364,000, in intermittent haart therapy with non-compliance in the past two months, childhood epilepsy, qestionable chronic obstructive pulmonary disease and dysphagia secondary to hypertrophied cricopharyngeal muscle, who was transferred to [**hospital1 509**] from [**hospital6 5628**] with anemia, acute renal failure, hypoxic respiratory failure and respiratory distress resulting in emergent intubation.",
+ "output": "Patient has chronic infection."
+ },
+ {
+ "input": "Patient was given several iv pushes of diltiazem through the course of the day as well as lopressor to break the rapid rate.",
+ "output": "Patient is tachycardic."
+ },
+ {
+ "input": "In the ed, initial vs were: .",
+ "output": "The patient went into the emergency department."
+ },
+ {
+ "input": "Over the next 3 weeks he was bed bound.",
+ "output": "Over the next 3 weeks, he was not ambulatory."
+ },
+ {
+ "input": "There was no meconium noted at delivery.",
+ "output": "The patient is not at risk of meconium aspiration."
+ },
+ {
+ "input": "Yesterday, pt went to her boyfriend's grave and missed him so much to the point that she decided to end her life with tylenol overdose.",
+ "output": "The patient is suicidal."
+ },
+ {
+ "input": "An aortic balloon pump was placed.",
+ "output": "The patient has heart failure."
+ },
+ {
+ "input": "Significant tobacco history.",
+ "output": "The patient used tobacco."
+ },
+ {
+ "input": "States that she was recovering from a uri; no abdominal pain, no dysuria.",
+ "output": "Recently had an upper respiratory infection."
+ },
+ {
+ "input": "She also indicates that her right knee tends to buckle every now and then.",
+ "output": "The patient has knee joint instability."
+ },
+ {
+ "input": "Of note, the patient had been complaining of increased lower extremity edema and dysphagia for which he was seen in the [**hospital6 2688**] clinic on [**5-27**].",
+ "output": "The patient\u2019s ankles are increased in diameter, greater than normal."
+ },
+ {
+ "input": "History of present illness: baby boy [**known patient lastname 6279**] is a 2130 gm product of a 33 and 0/7 weeks gestation with an edc of [**2674-1-4**] born to a 30-year-old g4, p2, now 3, mother with prenatal labs as follows: blood type a+, antibody negative, rpr nonreactive, rubella-immune, hepatitis b surface antigen negative, gbs unknown.",
+ "output": "The patient is premature."
+ },
+ {
+ "input": "She went on to receive radiation therapy to her left shoulder.",
+ "output": "She received treatment to her left shoulder."
+ },
+ {
+ "input": "He denies any facial or extremity numbness or tingling. .",
+ "output": "He has normal sensation in he arms and legs."
+ },
+ {
+ "input": "[**first name4 (namepattern1) **] [**last name (namepattern1) 993**], for her regularly scheduled appointment.",
+ "output": "\u2014 patient has an appointment."
+ },
+ {
+ "input": "3 days pta, the pts wife noted that the pt suddenly turned pale and his sats were 78% on ra, hr 130s.",
+ "output": "The patient was tachycardia and hypoxic."
+ },
+ {
+ "input": "The patient was said to be ambulatory w/o noted face/arm/leg weakness.",
+ "output": "The patient was ambulatory."
+ },
+ {
+ "input": "Pt admitted for syncope w/u.",
+ "output": "Pt will be admitted for further testing."
+ },
+ {
+ "input": "She was found to have an o2 sat of 88% on room air and appeared short of breath.",
+ "output": "Oxygen saturation was low."
+ },
+ {
+ "input": "He denies that she has had fevers, chills, night sweats, n/v, pain, cough, aspiration events, diarrhea, foul-smelling or a change in urine, change in her ambulation or motor ability.",
+ "output": "The patient does not complain of systemic signs of infection."
+ },
+ {
+ "input": "Klebsiella bacteremia/urosepsis ([**3-20**]) 13.",
+ "output": "Patient has sepsis."
+ },
+ {
+ "input": "Plavix stopped 1 month ago. per pt.",
+ "output": "Pt is no longer on plavix."
+ },
+ {
+ "input": "C. diff being treated at osh with flagyl and aztreonam",
+ "output": "The patient had a gastrointestinal bacterial infection."
+ },
+ {
+ "input": "Pacemake placed >25 years ago l carotid stent placed 5-10 years ago open heart surgery in 50s for vsd has \"lazy valve\" per report gout in [**3346**] resolved with ibuprofen",
+ "output": "The patient has a carotid stent."
+ },
+ {
+ "input": "The patient reports left lower extremity pain and swelling two weeks ago.",
+ "output": "Patient has positive findings for dvt."
+ },
+ {
+ "input": "On review of his past oncologic history, he was diagnosed in [**2644**] when he developed significant snoring related problems that required seeking medical attention.",
+ "output": "History of snoring."
+ },
+ {
+ "input": "After ct and magnetic resonance imaging, she was transferred to the neurology intensive care unit.",
+ "output": "The patient has neuroimaging."
+ },
+ {
+ "input": "He was also noted to be in afib with rvr to 140s, for which he recieved diltiazem 10 mg iv x 1, metoprolol 5 mg iv x1, also received metoprolol 75 mg po x1.",
+ "output": "Patient has atrial fibrillation."
+ },
+ {
+ "input": "Given po vancomycin, and decadron 10 mg iv. . ****** in the micu, patient was maintained initially on pressors, volume resuscitated, given stress dose steroids, treated with flagyl/zosyn/vanc, as well as oral vanc.",
+ "output": "The patient is septic."
+ },
+ {
+ "input": "Wedge pressure was elevated to 17, pa systolic pressure was elevated to 43; and an aortic ballon pump was placed to augment his cardiac output.",
+ "output": "Patient has left heart failure."
+ },
+ {
+ "input": "The patient has no specific complaints other than low leg pain.",
+ "output": "The patient has lower leg pain."
+ },
+ {
+ "input": "He was receiving prophylaxis, stress peptic ulcer prophylaxis on protonix.",
+ "output": "The patient has medication to decrease acid production in the stomach."
+ },
+ {
+ "input": "Diabetes mellitus type 2.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Diabetes mellitus type 2.",
+ "output": "History of high blood sugar."
+ },
+ {
+ "input": "Diabetes mellitus type 2.",
+ "output": "The patient has diabetes."
+ },
+ {
+ "input": "History of present illness: baby [**name (ni) **] [**known patient lastname 18393**] is a newborn infant admitted to the newborn icu for evaluation of hypoglycemia and respiratory distress.",
+ "output": "The baby has pulmonary problems."
+ },
+ {
+ "input": "Last night developed repeated episodes of diarrhea as well as nausea and malaise.",
+ "output": "The patient had recent gastrointestinal dysfunction."
+ },
+ {
+ "input": "History of present illness: this is a 62 year-old female status post proctocolectomy and ileostomy in [**2678-6-26**] for ulcerative colitis.",
+ "output": "Patient has a chronic inflammatory condition."
+ },
+ {
+ "input": "However, given a concern for this in face of starting steroids, mr.",
+ "output": "The patient was started on steroids."
+ },
+ {
+ "input": "Patient was started on a heparin drip, nitroglycerin drip, beta-blocker and was taken to catheterization which showed ra pressures of 4, rv pressures of 23/14, pa 23/67, pulmonary capillary wedge pressure of [**7-8**].",
+ "output": "Patient has been intervened on."
+ },
+ {
+ "input": "He has not noticed increased edema.",
+ "output": "The patient has not noticed edema."
+ },
+ {
+ "input": "Htn uterine fibroids abnl pap [**3403**] - no f/u bilateral tubal ligation morbid obesity lipoma resection ivc filter",
+ "output": "History of high blood pressure."
+ },
+ {
+ "input": "Nph s/p vp shunt [**5-14**] ([**hospital1 636**]) 2.",
+ "output": "The patient has a shunt between the intracranial ventricular system to the peritoneal cavity."
+ },
+ {
+ "input": "The patient was self-extubated in the field originally at the outside hospital.",
+ "output": "The patient is responsive."
+ },
+ {
+ "input": "The baby was [**name2 (ni) **] by spontaneous vaginal delivery with apgar of eight at one minute and eight at five minutes.",
+ "output": "Apgar scores were normal."
+ },
+ {
+ "input": "He finally went to [**hospital3 1846**], where his glucose was 1047.",
+ "output": "The patient is hyperglycemic."
+ },
+ {
+ "input": "Surgery and id were consulted.",
+ "output": "There is concern for an infection."
+ },
+ {
+ "input": "She was started on nitroglycerin and responded well.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "The patient was then seen at the [**hospital3 **] hospital where he underwent a cardiac catheterization which revealed 3-vessel disease.",
+ "output": "The patient has triple vessel disease."
+ },
+ {
+ "input": "She called emt and felt better upon administration of oxygen, nitrates, and lasix in the field.",
+ "output": "The patient was given medications to treat edema and shortness of breath."
+ },
+ {
+ "input": "Status post epi.",
+ "output": "The patient received epinephrine."
+ },
+ {
+ "input": "Cath done [**10-11**] prior to planned avr showed no significant coronary disease.",
+ "output": "The patient was planned for avr."
+ },
+ {
+ "input": "She was given albuterol with little effect and when a chest xray was performed and was consistent with failure, she was given 40mg of iv lasix with some response.",
+ "output": "The patient is volume overloaded."
+ },
+ {
+ "input": "She had been given vitamin a and fresh frozen plasma times two.",
+ "output": "Patient has been given a transfusion."
+ },
+ {
+ "input": "Posterior segmental instrumentation became dislodged and the patient had to be revised with removal of instrumentation.",
+ "output": "Patient has surgical hardware."
+ },
+ {
+ "input": "He has no complaints of fever, cough, rhinorrhoea, nausea, vomiting, diarrhoea, urinary symptoms.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "There was intrauterine growth restriction noted.",
+ "output": "Growth in the fetus is limited."
+ },
+ {
+ "input": "Alzheimer's dementia macular degeneration vertigo hypothyroidism depression with anxiety and delusions a fib",
+ "output": "Patient has multiple comorbidities."
+ },
+ {
+ "input": "The patient reports increasing lower extremity edema, left much greater than right, over the last week.",
+ "output": "The patient has lower extremity edema."
+ },
+ {
+ "input": "He was found to have a hematocrit of 23.7, a troponin of 0.06, was guaiac positive with a negative ng lavage.",
+ "output": "Hematocrit is low."
+ },
+ {
+ "input": "Baby [**name (ni) **] [**known patient lastname 24512**] is presently a non-distressed infant with clinical dysmorphic features that are consistent with down's which include upslanting palpebral fissures with epicanthal folds, mild macroglossia, and mild redundant nuchal fold.",
+ "output": "There are findings concerning for down's syndrome."
+ },
+ {
+ "input": "The patient had an episode of leg weakness last night.",
+ "output": "The patient complains of reduced strength in the lower extremity."
+ },
+ {
+ "input": "[**known patient lastname 36648**] had progressively worsening lower extremity edema.",
+ "output": "The patient has worsening edema."
+ },
+ {
+ "input": "The patient was immediately taken to scan, where his ct scan of the head confirmed what was seen on clinical exam that the patient had evidence of a massive intracranial hemorrhage.",
+ "output": "The patient has a brain bleed."
+ },
+ {
+ "input": "At the time of transfer, she was on echinocandin therapy alone as her antifungal [**doctor last name 176**] and was persistently fungemic.",
+ "output": "She presence of fungi in the blood."
+ },
+ {
+ "input": "His ast was 82 and his alt was 61.",
+ "output": "He has normal lfts."
+ },
+ {
+ "input": "She was discharged on lisinopril 5mg, toprol xl 12.5mg, furosemide 40mg.",
+ "output": "The patient is being given medications to great congestive heart failure."
+ },
+ {
+ "input": "On morning of admission, pt awoke with fsbs 298, he did not eat breakfast, +bolus insulin 12u.",
+ "output": "The patient is hyperglycemic."
+ },
+ {
+ "input": "Of note, the patient also was found to have a platelet count of 30 on admission to the medical intensive care unit.",
+ "output": "The patient has thrombocytopenia."
+ },
+ {
+ "input": "Head ct no intracerebral hemorrhage, dense left mca sign and received bolus tpa given via ninds protocol 68 minutes after approximate symptom onset.",
+ "output": "The patient is treated for stroke."
+ },
+ {
+ "input": "Given her history of osa, an abg was performed with showed a pco2 of 49. .",
+ "output": "The patient is hypercapnic."
+ },
+ {
+ "input": "[**known patient lastname 14625**] is a 66 year-old russian female with a history of shoulder dislocation admitted with shoulder dislocation status post fall.",
+ "output": "The patient has a history of a fall."
+ },
+ {
+ "input": "She was placed on bipap at her home settings of 15 and 5.",
+ "output": "The patient is on bipap at home."
+ },
+ {
+ "input": "The rasp was 22 mm hg, rvedp 30 mm hg, pasp 57 mm hg, pcwp 35 mm hg and lvedp 40 mm hg.",
+ "output": "There are elevated pulmonary arterial pressurse."
+ },
+ {
+ "input": "Htn hypercholesterolemia glaucoma",
+ "output": "Patient has high cholesterol."
+ },
+ {
+ "input": "History of present illness: the patient is a 75-year-old woman who presents after having a headache in the left frontal area with hypertension.",
+ "output": "The patient has high blood pressure."
+ },
+ {
+ "input": "Pressors weaned off last night but pt also developed iv infiltration secondary to peripheral levophed, given phentolamine overnight.",
+ "output": "The patient is on pressors."
+ },
+ {
+ "input": "Decision was made to remove balloon pump.",
+ "output": "Patient has heart failure."
+ },
+ {
+ "input": "She has had multiple episodes of diabetic ketoacidosis.",
+ "output": "Patient has diabetes mellitus, type 1 or 2."
+ },
+ {
+ "input": "[**known patient firstname **] [**known patient lastname 6979**] is a 53-year-old right-handed woman with a history of cns lymphoma involving the basal ganglia, left subfrontal white matter, and corpus callosum with some associated edema and mass effect, s/p 2 cycles of induction high-dose methotrexate, and s/p 1 cycle of high-dose methotrexate and rituximab.",
+ "output": "The patient has cns lymphoma."
+ },
+ {
+ "input": "In addition, he had increased weakness and decreased oral intake.",
+ "output": "The patient is not drinking as much as usual."
+ },
+ {
+ "input": "Prenatal screens: 0 negative, antibody negative, rubella immune.",
+ "output": "The patient is has had rubella vaccinations."
+ },
+ {
+ "input": "Maternal history was notable for infertility with multiple attempts at assisted fertilization including one biochemical pregnancy in [**2870**].",
+ "output": "The mother was recieving fertilization treatment."
+ },
+ {
+ "input": "In the emergency room she was noted to have peak flows in the 180s.",
+ "output": "Peak flow was low in the emergency room."
+ },
+ {
+ "input": "Headaches: rxn to prograf; was taken off for some time then restarted; ha are throbbing, constant and encompass whole head.",
+ "output": "The patient is status post transplantation."
+ },
+ {
+ "input": "Grade ii esophageal varices.",
+ "output": "The patient has varices."
+ },
+ {
+ "input": "History of cmv viremia x3.",
+ "output": "Patient has history of cmv."
+ },
+ {
+ "input": "Of concern, her urine output decreased, with a total of 75cc uop for which she was transferred to [**hospital unit name 69**] for closer monitoring.",
+ "output": "The patient has acute renal failure."
+ },
+ {
+ "input": "There was a fetal demise of one of the twins.",
+ "output": "There was fetal demise of one twin."
+ },
+ {
+ "input": "She was discharged to rehab facility on [**11-11**] with the regimen of 4 hours on bipap and 4 hours off due to her hypercarbic resp failure.",
+ "output": "The patient requires support for breathing."
+ },
+ {
+ "input": "Upon arrival to the ccu, patient pain free, a+o, integrilin running, off lidocaine.",
+ "output": "The patient had chest pain."
+ },
+ {
+ "input": "Although she is a poor historian, she c/o fatigue, some dizziness, epecially upon standing, as well as recent diarrhea.",
+ "output": "She reports feeling tired."
+ },
+ {
+ "input": "-mvr -cad (cath on [**2648-10-27**] d/t chf: 70% ramus, 40% d1, 80% cx, 80% rca) -htn -hyperchol -endocarditis x 2 ([**2644**], [**2646**], second one complicated by stroke), both beta hemolytic streptococci, 500 mg twice daily since [**2646**], ampicillin prophylaxis for all dental work. -bleeding duodenal ulcer/pud, helicobacter antibody positive -stroke secondary to endocarditis [**2646**] -prostate ca [**2638**] s/p surgery",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "Based on the above findings, he was admitted for cardiac catheterization.",
+ "output": "Patient is undergoing cardiac cath."
+ },
+ {
+ "input": "This is an 86 yo f with cad s/p cabg, htn, dyslipidemia, gerd, history of cva, and tracheobronchomalacia and eosinophilic bronchitis who presented on transfer from [**hospital3 **] for ercp for a biliary leak.",
+ "output": "Patient has multiple medical conditions."
+ },
+ {
+ "input": "Atrial fibrillation/flutter for ~2 years, not on anticoagulation 2.",
+ "output": "Arrhythmia."
+ },
+ {
+ "input": "History of present illness: this is a 63 year old female with coronary artery disease status post catheterization with stent of the mid left anterior descending on [**2614-9-6**], who presented on [**2614-10-3**], for elective carotid catheterization.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Ekg was unchanged with no st changes.",
+ "output": "Patient has no st segment elevation."
+ },
+ {
+ "input": "[**name10 (nameis) **] note, pt had been on bactrim prophylaxis for pcp which was [**name initial (pre) **]/ced [**1-27**] lft abnormalities (as mentioned above).",
+ "output": "The patient is immunocompromised."
+ },
+ {
+ "input": "Removal of basal cell carcinoma of nose. hypothyroidism cervical ca (40 years ago) atrial fibrillation chronic systolic heart failure",
+ "output": "The patient has an irregularly irregular heart rate."
+ },
+ {
+ "input": "She improved and was extubated and weanted from pressors.",
+ "output": "The patient was on pressors."
+ },
+ {
+ "input": "Heparin was reversed with protamine.",
+ "output": "The patient received heparin followed by protamine."
+ },
+ {
+ "input": "She received antibiotics about a half hour prior to delivery.",
+ "output": "The patient recieved antibiotics."
+ },
+ {
+ "input": "He received 150 joules x 2 and 200 joules x 1.",
+ "output": "Patient has received cardioversion."
+ },
+ {
+ "input": "He presented to the emergency department secondary to pain.",
+ "output": "He was in pain."
+ },
+ {
+ "input": "She also complains of pain radiating down her neck and across her shoulders.",
+ "output": "The patient has neuropathic pain."
+ },
+ {
+ "input": "Later in the day, the patient became progressively more agitated requiring increasing oxygen and sedative medications, and ultimately, she has to be reintubated.",
+ "output": "The patient is agitated."
+ },
+ {
+ "input": "Treated with asa 325mg, 1 inch nitropaste.",
+ "output": "Treated with aspirin and nitrate."
+ },
+ {
+ "input": "The patient was sent to [**hospital1 58**] for admission.",
+ "output": "The patient is hospitalized."
+ },
+ {
+ "input": "3) anemia, negative gi workup in [**3266**] (baseline 30) 4) cholethiasis s/p chole 5) tympanoplasty 6) nephrolithiasis",
+ "output": "Patient has gallstones."
+ },
+ {
+ "input": "She was medically managed with diuretics and verapamil but eventually required etoh ablation 9/[**2812**].",
+ "output": "Patient has had an intervention."
+ },
+ {
+ "input": "Pt did not sustain any other major injuries aside from her right upper extremity.",
+ "output": "The patient has an injury to the right upper arm."
+ },
+ {
+ "input": "An echocardiogram on [**9-15**] revealed an ejection fraction of 60%, mild left ventricular hypertrophy, 1 to 2+ mitral regurgitation, and 1+ tricuspid regurgitation.",
+ "output": "The patient has mild left ventricular hypertrophy."
+ },
+ {
+ "input": "Additionally, the attending anesthesiologist was [**year (4 digits) 1121**] by telephone by the primary obstetrician, and this headache was discussed while the patient was en route to gyn triage regarding the proper approach to evaluation.",
+ "output": "The patient has a headache."
+ },
+ {
+ "input": "Dm htn chronic low back pain ptsd",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "Diabetic nephropathy, hypertension, renal cell cancer papillary, status post right partial nephrectomy, depression.",
+ "output": "The patient has chronic kidney disease."
+ },
+ {
+ "input": "In the [**hospital1 18**] ed, the patient was started on integrillin and heparin boluses as he had mild sscp and continued ekg changes.",
+ "output": "The patient is having a myocardial infarction."
+ },
+ {
+ "input": "He developed acute-onset chest pain at midnight on the day of transfer.",
+ "output": "Patient has acute symptoms."
+ },
+ {
+ "input": "Sob occurs at rest and on exertion.",
+ "output": "Findings of chf."
+ },
+ {
+ "input": "Of note, she was seen in the ed for a similar episode on [**12-18**] when she was found to have a uti and treated with a 7 day course of levaquin.",
+ "output": "She was treated for a urinary tract infection."
+ },
+ {
+ "input": "There was no bony injury to the orbit.",
+ "output": "Patient has no orbital fracture."
+ },
+ {
+ "input": "[**known patient lastname 14396**] dyspnea and cough returned and it was progressive over the course of the last year.",
+ "output": "The patient has difficulty breathing."
+ },
+ {
+ "input": "Chronic abdominal pain syndrome 13.",
+ "output": "The patient has persistent abdominal pain."
+ },
+ {
+ "input": "Pt started experiencing nausea and vomiting and went to [**hospital3 828**] ed.",
+ "output": "The patient had emesis."
+ },
+ {
+ "input": "Aggressive diuresis once bp stabilizes.",
+ "output": "The patient is fluid overloaded."
+ },
+ {
+ "input": "The patient's ct showed signs of left ventricular strain.",
+ "output": "Ct scan was abnormal."
+ },
+ {
+ "input": "58 year old male with unknown pmh p/w witnessed cardiac arrest in the field.",
+ "output": "The patient\u2030\u00fb\u00aas cardiopulmonary system is not working correctly."
+ },
+ {
+ "input": "History of present illness: this is a 36-year-old female with a past medical history of alcohol abuse, cocaine use, with hepatitis c cirrhosis who presented to .......... for detox.",
+ "output": "The patient has a condition of polysubstance abuse."
+ },
+ {
+ "input": "He had a gastrostomy tube placed in [**2789**].",
+ "output": "The patient has a g tube."
+ },
+ {
+ "input": "History of present illness: the patient is a 61 year old gentleman who, shortly prior to admission, had been in [** location **]usly good health but developed left scapular discomfort and left arm paresthesias as well as mild weakness in his fingers.",
+ "output": "Patient has abnormal physical exam."
+ },
+ {
+ "input": "Etoh cirrhosis with diuretic resistant ascites(us guided para on [**2862-6-29**] removing 8.5l and on [**2862-6-16**] removing 4 l): followed by dr [**last name (stitle) **] dm ckd laryngeal cancer status post xrt anemia colonic adenoma gerd agram [**2862-8-1**]: stent eia, aplast/stent sfa,[**doctor last name **],pt",
+ "output": "History of cancer and liver failure."
+ },
+ {
+ "input": "The patient is unaware of any [** location **]itating factor however he feels that it might have been due to a recent asthma flare.",
+ "output": "The patient has episodes with difficulty breathing."
+ },
+ {
+ "input": "2) s/p colon resection as a child 3) hx of crack cocaine abuse",
+ "output": "Patient has a pmh of drug abuse."
+ },
+ {
+ "input": "Status post appendectomy 6.",
+ "output": "Appendix was removed."
+ },
+ {
+ "input": "She was admitted the day prior to delivery with a fever to 104.",
+ "output": "She was febrile."
+ },
+ {
+ "input": "During her stay, she was also followed by vascular for severe peripheral edema.",
+ "output": "She had swelling in the extremities."
+ },
+ {
+ "input": "This is a 61 yo male w/ h/o hypertension, hyperlipidemia, and dm2 (diet controlled) who recently developed chest pain and had syncopal episode today.",
+ "output": "The patient is at high risk for a myocardial infarction."
+ },
+ {
+ "input": "Bedside echo demonstrated large cardiac effusion, and the patient was transferred to ccu for further management.",
+ "output": "The patient was experiencing cardiac tamponade physiology."
+ },
+ {
+ "input": "The chest tightness was not relieved with the nitroglycerin, but resolved with darvocet.",
+ "output": "A narcotic relieved the patients chest pain."
+ },
+ {
+ "input": "The yeast was later speciated as [**female first name (un) 558**] parapsilosis.",
+ "output": "The patient has a yeast infection."
+ },
+ {
+ "input": "[**known patient lastname 30983**] is a 73-year-old right-handed female with a history of hypertension, hyperlipidemia, and probable right pontine lacunar stroke (she presented with right cn vi and vii palsies that have since resolved) in [**2800**] who was noted by her son on [**2802-5-22**] to be in her usual state of good health.",
+ "output": "The patient had an acute neurologic finding."
+ },
+ {
+ "input": "At [**hospital1 22**], pt received zosyn, thiamine, pt was admitted to the micu for further evaluation and treatment.",
+ "output": "The patient received an antibiotic."
+ },
+ {
+ "input": "The patient was stable and capturing with threshold of 1.5 mv of current.",
+ "output": "The patient is being paced."
+ },
+ {
+ "input": "He was c/o feeling more fatigued, unable to do adls due to fatigue, feeling \"really sick\", \"wiped out\", feeling very dizzy and light headed.",
+ "output": "The patient has symptoms of hypotension."
+ },
+ {
+ "input": "Sputum cx, gs, cont bactrim ppx for pcp 2.",
+ "output": "The patient is immunocompromised."
+ },
+ {
+ "input": "When she came back she was noted to be hypoxic then also noted to be tachycardic and hypertense w/ systolics in the 200s.",
+ "output": "The patient is hemodynamically unstable."
+ },
+ {
+ "input": "She was intubated and given dopamine for hypotension.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "In the ed, her initial vs were: t 97.3, p 85, bp 80/46, r 16, o2 95% on ra.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "On retrospect, the patient has had 25 lb weight loss in past 4 months.",
+ "output": "Patient has unintentional weight loss."
+ },
+ {
+ "input": "Volume resuscitated, propofol turned off and given 2 gram ceftriaxone and flagyl.",
+ "output": "Patient is being treated with antibiotics."
+ },
+ {
+ "input": "She was in her usual state of health until today around 8:00 am when she woke up and started with sudden dull retro-sternal chest pain [**6-26**] without any radiation, associated with shortness of breath.",
+ "output": "Patient has new angina."
+ },
+ {
+ "input": "He now complains of a 3 week duration of l retroorbital ha initially controlled with percocet.",
+ "output": "The patient has headache."
+ },
+ {
+ "input": "She has limited recollection of events, but seems to have fallen against a corner of a door frame and pulled the wall oven door open.",
+ "output": "Patient has confusion."
+ },
+ {
+ "input": "The patient was monitored overnight and has remained hemodynamically stable, had hd today.",
+ "output": "The patient required dialysis."
+ },
+ {
+ "input": "He developed rigors while eating dinner last evening.",
+ "output": "The patient is getting chills."
+ },
+ {
+ "input": "Subsequent stress testing was positive for ischemia.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Concurrently, she also complained of some stiff pain from neck.",
+ "output": "She has pain in her neck."
+ },
+ {
+ "input": "Urinary tract infection with methicillin resistant staphylococcus aureus.",
+ "output": "The patient has a bacterial infection."
+ },
+ {
+ "input": "Initially her o2 sats were 70% on ra, hr 100, sbp 160.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "The infant was brought to the newborn nursery where she was noted to be dusky and tachypneic at 2 hours of age.",
+ "output": "The patient is tachypneic."
+ },
+ {
+ "input": "S/p l hip orif on [**6-28**] complicated by hypotension and hemorrhage on lovenox requiring 4 units of prbcs in 24 hours. .",
+ "output": "Patient had recent left hip surgery."
+ },
+ {
+ "input": "Pt recent admission was for bloody stools and significantly elevated inr.",
+ "output": "The patient had a gi bleed."
+ },
+ {
+ "input": "Severe cad s/p 4vcabg [**2795**] 2.",
+ "output": "The patient has cad."
+ },
+ {
+ "input": "The patient began complaining of worsening pain and then was uncooperative with further history/interview.",
+ "output": "The patient has severe pain."
+ },
+ {
+ "input": "Lenis without evidence of dvt.",
+ "output": "There was not a venous thrombosis found."
+ },
+ {
+ "input": "He then had \"copious\" amounts of liquid green diarrhea.",
+ "output": "Patient has a lower gi infection."
+ },
+ {
+ "input": "She received magnesium sulfate and betamethasone at that time.",
+ "output": "Patient has evidence of pre-eclampsia."
+ },
+ {
+ "input": "The infant was born by repeat cesarean section for worsening pregnancy induced required bulb suctioning and tactile stimulation.",
+ "output": "The patient was born via c section."
+ },
+ {
+ "input": "Liver transplant six years ago for hepatitis b and hepatitis c.",
+ "output": "History of liver disease."
+ },
+ {
+ "input": "The patient was admitted to the micu.",
+ "output": "The patient required intensive care."
+ },
+ {
+ "input": "In the [**name (ni) **], pt had episodes of hypotension (sbp down to 60's), and was given 7 l ns.",
+ "output": "Patient has been fluid resuscitated."
+ },
+ {
+ "input": "He was transferred to the ccu, clincally stable with bps around 100. .",
+ "output": "The patient is in stable condition."
+ },
+ {
+ "input": "History of present illness: 72-year-old man with known cad status post a mi in [**2501**] underwent cardiac catheterization on the day of admission and was found to have three-vessel disease with calcified left main and ef of 30 percent by echo done in [**2528-3-20**].",
+ "output": "Thep atient has coronary artery disease."
+ },
+ {
+ "input": "Membranes were ruptured artificially around 5 hours prior to delivery for clear fluid.",
+ "output": "Amniotomy was performed."
+ },
+ {
+ "input": "The patient was then transferred to the intensive care unit for further monitoring.",
+ "output": "The patient requires high level of monitoring."
+ },
+ {
+ "input": "A kub perfomed in the ed revealed a large bowel obstruction.",
+ "output": "The patient has a bowel obstruction."
+ },
+ {
+ "input": "It does appear though that he was discharged on a 5 day course of bactrim per id recs for mrsa.",
+ "output": "He was discharged with an antibiotic."
+ },
+ {
+ "input": "83m cad s/p mi [**2665**] (treated with tpa-> ptca at [**hospital3 **]) presented for elective catheterization for progressive dyspnea on exertion and positive stress mibi.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Pulmonary function tests in [**3053-6-22**] showed a fvc of 1.85 liters, fev1 0.73 liters, and a fev1/fvc ratio 39%.",
+ "output": "The patient has impaired lung function."
+ },
+ {
+ "input": "Cholangitis complicated elective ercp 7. h/o hyponatremia as low as 119 8.",
+ "output": "Patient has cholangitis."
+ },
+ {
+ "input": "He was treated with steroids and levoflox.",
+ "output": "He received antibiotics."
+ },
+ {
+ "input": "No change in his stool to a darker color over the past few weeks.",
+ "output": "Patient has stable appearance of stool."
+ },
+ {
+ "input": "Late in the day of postoperative day eight the patient was transferred from the intensive care unit to floor five [**hospital1 **] and she continued to do well with saturations staying above 95% on four liters of oxygen.",
+ "output": "The patient had a step down in the level of care."
+ },
+ {
+ "input": "Mom was betamethasone complete prior to delivery on [**3422-1-19**].",
+ "output": "Patient is premature."
+ },
+ {
+ "input": "On review of systems, the patient reports some upper respiratory infection like symptoms of sore throat, occasional cough productive of brown sputum, with chills and night sweats for the past two nights.",
+ "output": "The patient has a pulmonary infection."
+ },
+ {
+ "input": "History of present illness: the patient is a 38 year old male transferred from [**hospital 1543**] hospital early on the morning of [**2985-12-2**], with acute renal failure, hyperkalemia, abdominal pain and nausea.",
+ "output": "The patient is not able to secrete extra potassium."
+ },
+ {
+ "input": "He is unable to provide any history or answer any questions.",
+ "output": "Patient is confused."
+ },
+ {
+ "input": "No fevers, chills, sweats, nausea, vomiting, dysuria, or hematuria.",
+ "output": "The patient denies fevers."
+ },
+ {
+ "input": "Past medical history: osteoporosis, hypertension.",
+ "output": "Decreased bone strength."
+ },
+ {
+ "input": "According to a report, the patient had a stress echocardiogram performed in [**state 107**] which showed no change from his [** location **]us findings.",
+ "output": "Patient had stable stress echocardiogram."
+ },
+ {
+ "input": "Initial ck flat, trop 0.02.",
+ "output": "Lab findings not suggestive of a myocardial infarction."
+ },
+ {
+ "input": "Maximum of overdose approximately 89 tablets -- 44.5 gm tylenol, 2.2 gm benadryl (toxic benadryl dose 20-40 mg/kg). .",
+ "output": "The patient has a tylenol overdose."
+ },
+ {
+ "input": "The patient says that her lasix dose was cut in half during her last hospital stay.",
+ "output": "The patient had her lasix dose adjusted."
+ },
+ {
+ "input": "On the day of delivery, she had premature rupture of membranes and was taken to cesarean section.",
+ "output": "She delivered surgically."
+ },
+ {
+ "input": "Type ii dm, hx of peripheral neuropathy stress test 2-3 years ago, nl per pt asthma htn",
+ "output": "The patient has chronically elevated blood sugars."
+ },
+ {
+ "input": "The patient reports developing substernal chest pain with minimal movement since [**month (only) 10**] when he received a blood transfusion for hemoptysis.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "Upon arrival to the [**hospital unit name 152**] he was started on leukophoresis by the transfusion service.",
+ "output": "The patient has a hematologic malignancy."
+ },
+ {
+ "input": "The patient was then brought to [**hospital1 58**] emergency department where he was noted to still be in pulseless electrical activity.",
+ "output": "The patient was unresponsive."
+ },
+ {
+ "input": "88 yof with a history of ckd [**1-23**] htn and on coumadin for prior pe.",
+ "output": "She has renal insufficiency."
+ },
+ {
+ "input": "This is a 65 year old woman with recurrent large cell lymphoma first diagnosed in [**6-7**], s/p 6 cycles of r-chop in [**12-10**], recurrence in fall of [**3090**], s/p ice x 3 and eshap ([**1-11**]).",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "The patient's cardiac enzymes came back negative and ruled out for a myocardial infarction at that time.",
+ "output": "The patient did not have a heart attack."
+ },
+ {
+ "input": "Maternal medical history: maternal medical history of polycystic ovarian syndrome.",
+ "output": "Family history of hormonal disorders."
+ },
+ {
+ "input": "He then had recurrence in [**2774**] and underwent il-2 again.",
+ "output": "He was treated with il-2 more than once."
+ },
+ {
+ "input": "The amniotic fluid was clear.",
+ "output": "The amiotic fluid was clear."
+ },
+ {
+ "input": "The patient was transported by medical flight to [**hospital1 47**] for further evaluation.",
+ "output": "The patient requires futher medical attention."
+ },
+ {
+ "input": "Her abg was 7.33/23/78/12 on ra.",
+ "output": "Patient has abnormal arterial blood gas."
+ },
+ {
+ "input": "He had a repeat head ct on [**3289-9-12**] that was stable.",
+ "output": "He has no significant changes since the previous head ct."
+ },
+ {
+ "input": "Her mother had noted increasing le and full-body edema for the past 2-3 months, so much so that she had to buy her new pants in a larger size.",
+ "output": "The patient has diffuse edema."
+ },
+ {
+ "input": "Vertebral body and disc heights are preserved.",
+ "output": "Patient has back pain."
+ },
+ {
+ "input": "Has had l sided abd pain x several weeks.",
+ "output": "Patient has left sided abdominal pain."
+ },
+ {
+ "input": "Ros prior to intubation: raspy voice; coughing up thick sputum; loss of sensation in his fingers and his r great toe.",
+ "output": "Patient has evidence of stroke."
+ },
+ {
+ "input": "History of present illness: the patient is an 86 year-old man who was hospitalized at [**hospital1 69**] in early [**3186-7-5**] and was found to have mssa bacteremia.",
+ "output": "The patient had presence of staph aureus in the blood."
+ },
+ {
+ "input": "Cardiac risk factors: diabetes, dyslipidemia, hypertension 2.",
+ "output": "The patient is at risk of a myocardial infarction."
+ },
+ {
+ "input": "He had been experiencing a flare of his ulcerative colitis, that begain back in [**2974-7-15**].",
+ "output": "He has a disease of the colon."
+ },
+ {
+ "input": "History of anemia.",
+ "output": "The patient has low hemoglobin."
+ },
+ {
+ "input": "He received cardizem 15mg iv.",
+ "output": "He received an iv calcium channel blocker drug."
+ },
+ {
+ "input": "A head ct was performed and showed hemorrhage into l 3rd and lateral ventricles with likely source in l basal ganglia, sah in cerebellum and midline, and 4 mm midline shift.",
+ "output": "Intracranial bleed."
+ },
+ {
+ "input": "Patient had pigtail placed on [**11-30**].",
+ "output": "Patient required a medical procedure."
+ },
+ {
+ "input": "Mri subsequently showed diffuse moderate ventriculomegaly and irregularity of the ventricular walls, possibly associated with hemorrhage as well as possible inferior vermian hypoplasia.",
+ "output": "Head mri was abnormal."
+ },
+ {
+ "input": "Past medical history: systemic lupus erythematosus with a positive [**doctor first name **] of 1:1280, negative double stranded dna, positive rheumatoid factor, positive [**doctor last name 140**], positive ribonuclear protein, positive ro, positive antihistone, negative la, normal complement levels this year.",
+ "output": "The patient has an autoimmune condition."
+ },
+ {
+ "input": "Later that day, the primary care physician referred him to the emergency department secondary to patient's complaint of coffee ground emesis.",
+ "output": "The patient has hematemesis."
+ },
+ {
+ "input": "Her vitals on presentation to the ed were 97.6 92 109/71 18 100% 4l nc.",
+ "output": "She is on oxygen."
+ },
+ {
+ "input": "There was only a mild to moderate dic picture due to the infection.",
+ "output": "The patient had an infection, leading to disseminated intravascular coagulation."
+ },
+ {
+ "input": "Toe pain present from last hospital stay.",
+ "output": "Patient has pain."
+ },
+ {
+ "input": "At 5am, woke his wife who brought him to osh where he was found to have st depressions in v1, v2.",
+ "output": "The patient has abnormal ekg."
+ },
+ {
+ "input": "5) history of iv drug use cocaine and heroin) greater than 20 years ago).",
+ "output": "The patient has is at risk for blood born diseases."
+ },
+ {
+ "input": "His sbp's improved to 90's-100's with 2l ivf.",
+ "output": "Patient has had hypotension."
+ },
+ {
+ "input": "Cad s/p cabg [**2642**] afib on coumadin hypertension emphysema",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "He was given morphine 4 mg iv for pain and toradol.",
+ "output": "Patient has acute pain."
+ },
+ {
+ "input": "Tobacco abuse: [** location **]us 5ppd, now [**3-13**] cigs/day 6.",
+ "output": "The patient is an active smoker."
+ },
+ {
+ "input": "Coronary artery disease inferior mi ( unknown date)",
+ "output": "The patient has a history of a prior mi."
+ },
+ {
+ "input": "Given that his blood sugar was >600 with a gap of 14, he received humalog 12 u and was started on an insulin drip.",
+ "output": "The patient was in diabetic ketacidosis."
+ },
+ {
+ "input": "In the emergency room, the patient was noted to be in diabetic ketoacidosis with a finger stick blood sugar of 498 mg per deciliter with serum enduring ketones.",
+ "output": "The patient is type 1 diabetic."
+ },
+ {
+ "input": "Cardiac catheterization revealed severe left main disease and three vessel coronary artery disease.",
+ "output": "The patient has severe coronary artery disease."
+ },
+ {
+ "input": "History of present illness: the patient was transferred from the micu to the medicine team.",
+ "output": "The patient was in the medical icu."
+ },
+ {
+ "input": "Pericardiocentesis removed 520cc of bloody fluid.",
+ "output": "The patient has hemopericardium."
+ },
+ {
+ "input": "She then reported she wanted to go home and go to bed.",
+ "output": "She wanted to rest."
+ },
+ {
+ "input": "An lp was performed that was notable for 2 wbc (80% lymphs), 0 rbc, prot 32 and glu 92.",
+ "output": "Patient has evidence of infection."
+ },
+ {
+ "input": "At osh, her initial vitals were 96.7, 117/71, 76, 18.",
+ "output": "Patient has normal blood pressure."
+ },
+ {
+ "input": "On neurologic examination, her mental status at the onset of her admission was poor.",
+ "output": "Mental status exam was abnormal."
+ },
+ {
+ "input": "Dyspepsia 14. s/p right cataract surgery ([**2710**]) 15. s/p right breast mass excision for atypical ductal hyperplasia ([**4-/2709**]) 16. s/p open appendectomy ([**2648**]) 17.",
+ "output": "The patient is at risk for abdominal adhesions."
+ },
+ {
+ "input": "Additionally he complained of right sided chest pain.",
+ "output": "He has pain in the chest."
+ },
+ {
+ "input": "The patient admitted there with generalized weakness, and malaise, and inability to walk with progressive weakness over the last week.",
+ "output": "The patient has progressive weakness."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease 2.",
+ "output": "A condition that leads to carbon dioxide retention."
+ },
+ {
+ "input": "A repeat hct showed a hct of 27 (36 on admission?) and 1u prbc was given.",
+ "output": "Patient has anemia."
+ },
+ {
+ "input": "78 yo man c pmh of chronic liver disease, hepatoma s/p [**first name3 (lf) 32230**] x 2, copd, afib on coumadin, was in his usoh until [**3400-3-1**] am when he began having chills, rigors and was febrile at home to 101, per pt.",
+ "output": "Patient has cirrhosis."
+ },
+ {
+ "input": "End-stage renal disease; the patient receives hemodialysis on tuesday, thursday, and on saturday.",
+ "output": "The patient has renal failure."
+ },
+ {
+ "input": "There was spontaneous rupture of membranes.",
+ "output": "Rupture of the amniotic sac occurred spontaneously."
+ },
+ {
+ "input": "Cath demonstrated om3 occlusion (full report see below).",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "Pt got slntg x2, asa, ns ivf and sent her to [**hospital3 **].",
+ "output": "The patient is receiving medication used to treat acute coronary syndrome."
+ },
+ {
+ "input": "She denied any symptoms of chest pain, palpitations or shortness of breath.",
+ "output": "The patient does not have symptoms of of a myocardial infarction."
+ },
+ {
+ "input": "She was started on vancomycin.",
+ "output": "She started on antibiotics."
+ },
+ {
+ "input": "In the ed she had a sbp in the 50s in triage while awake and mentating.",
+ "output": "Her blood pressure was low."
+ },
+ {
+ "input": "[**name (ni) **] their report the patient had increased depression over the past several weeks due to difficulties with boyfriend and had been increasing her dose of elavil and trazodone over the past week.",
+ "output": "The patient has depression."
+ },
+ {
+ "input": "The infant was noted to have a dusky episode while feeding in the newborn nursery.",
+ "output": "The patient was not getting enough oxygen while feeding."
+ },
+ {
+ "input": "Received 1l ns in the ed here.",
+ "output": "Patient has been resuscitated."
+ },
+ {
+ "input": "Diabetes mellitus, type ii 4.",
+ "output": "Patient has chronic disease."
+ },
+ {
+ "input": "The patient lives in a heavily wooded area, has deer in his backyard, and also has a pet dog.",
+ "output": "Patient has animal exposure."
+ },
+ {
+ "input": "59m homeless s/p fall from standing after tripping and hitting l frontal area.",
+ "output": "The patient has head trauma."
+ },
+ {
+ "input": "80m cad s/p cabg [**3136**] (lima to lad, svg to rca, svg to lcx), ischemic cm/chf with ef 35%, chronic afib (on coumadin) s/p ppm (infected wire [**3136**], revised and reinserted on left in [**3138**]), initially admitted to osh [**12-14**] for lll pna, treated with levofloxacin.",
+ "output": "The patient has pneumonia."
+ },
+ {
+ "input": "Rescanned in [**7-24**] with progression of disease and then received two more cycles of cep on [**3433-7-25**] and [**3433-8-27**] with ct scan on [**3433-9-25**] with response to therapy.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "1 yo endocrinologist here at [**hospital1 4**], h/o gib (unknown source), p/w black stools.",
+ "output": "History of gastrointestinal bleeding."
+ },
+ {
+ "input": "Residual defects include aphasia and r sided weakness.",
+ "output": "Patient has had a stroke."
+ },
+ {
+ "input": "History of present illness: this is a 58 year old, left handed, white female, retired bank clerk who had a cold with frequent coughing for a few days, then developed episodic severe headache times one to two days.",
+ "output": "She is in severe pain."
+ },
+ {
+ "input": "All blood and cerebral spinal cultures were no growth.",
+ "output": "The patient has negative blood and csf cultures."
+ },
+ {
+ "input": "The stripe could not be seen and the ovaries were not identified.",
+ "output": "The endometrial stripe could not be seen on imaging."
+ },
+ {
+ "input": "He denies ever seeing bleeding like this before.",
+ "output": "Presenting with hemorrhage."
+ },
+ {
+ "input": "The patient was seen to collapse at home.",
+ "output": "Patient has fallen."
+ },
+ {
+ "input": "Pt has extensive history of cad with chf and cri.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "No chest pain or hemoptysis.",
+ "output": "The patient denies chest pain."
+ },
+ {
+ "input": "Pacemaker placement [**3331-4-13**] ([**company 511**] prodigy 7865u pacer placement) 14.",
+ "output": "The patient has a pacemaker."
+ },
+ {
+ "input": "On eval, pt noted to be in sustained vt, semi-stable with hr 160's and bp 80's/60's.",
+ "output": "Patient is hemodynamically unstable."
+ },
+ {
+ "input": "The patient was tried on bypap but did not tolerate it.",
+ "output": "The patient received breathing support."
+ },
+ {
+ "input": "Initially she had slight nausea, but she has not had any further nausea or vomiting.",
+ "output": "The patient has nausea."
+ },
+ {
+ "input": "54yo male with past medical history significant for coronary artery disease s/p multi[** location **]terventions including cabg in [**2515**], htn, hld who is presenting with stemi.",
+ "output": "The patient has had cardiothoracic surgery."
+ },
+ {
+ "input": "History of present illness: the patient is a 74 year old gentleman with multiple medical problems who was found down on the sidewalk this afternoon.",
+ "output": "He was found unresponsive."
+ },
+ {
+ "input": "Cad - s/p ptca ([**5-30**]) with stenting x2 (lad/rca); ef 25%, global lv hypokinesis htn dm - dx in [**3161**], a1c 6.1 ([**1-31**]) hypercholestrolemia - ldl 97 ([**1-31**]) oa mild ar nonhealing left great toe ulcer shingles [**3160**]",
+ "output": "Heart disease."
+ },
+ {
+ "input": "\ufeffhistory of present illness: the patient is a 54 year-old man who is status post aortic valve replacement and abdominal aortic aneurysm repair in [**2941-9-22**] who also underwent abdominal mass removal in [**2942-6-22**].",
+ "output": "History of enlargement of the aorta."
+ },
+ {
+ "input": "The patient was given a total of 10 mg of lopressor iv as well as 40 mg of labetalol iv, 10 mg of hydralazine, and 4 mg of morphine.",
+ "output": "The patient was given iv medication."
+ },
+ {
+ "input": "He was admitted for symptoms of fever and tenderness of the abdomen over the area of the aneurysm.",
+ "output": "The patient has an abdominal aneurysm."
+ },
+ {
+ "input": "54 cantonese only speaking male with cad, htn, dm, esrd on hd was found to be febrile after he had his hemodialysis on doa.",
+ "output": "He has end stage renal disease."
+ },
+ {
+ "input": "He underwent ct scanning of the head and abdomen.",
+ "output": "He received imaging on the head and abdomen."
+ },
+ {
+ "input": "Fetal testing was reassuring.",
+ "output": "Testing was done on the fetus."
+ },
+ {
+ "input": "On [**2947-4-3**] an ett-mibi was performed on which he completed 5 minutes of [**initials (namepattern4) **] [**last name (namepattern4) 388**] protocol w/ 5/10 chest pain, 3mm global st depression, and nuclear imaging showed ef 31% with fixed inferior and reversible anterior defects.",
+ "output": "The patient underwent a nuclear stress test which showed coronary artery disease."
+ },
+ {
+ "input": "However, given + brca1 mutation and family history, presumed primary tumor is breast ca. - treatment history has included zometa as well as one cycle of xeloda at 15 mg p.o.",
+ "output": "Patient has genetically elevated risk of breast cancer."
+ },
+ {
+ "input": "Patient transfered to icu sedated and intubated on levophed gtt at 0.18 mcg/kg/min.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "He describes feeling hopeful.",
+ "output": "The patient is hopeful."
+ },
+ {
+ "input": "History of present illness: patient is an 87-year-old male with history of peripheral vascular disease and coronary artery disease, who presented to the emergency department with the history of diarrhea for the past 1.5 weeks.",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "He did not have fevers during this time, but did have significant sputum/secretions.",
+ "output": "The patient was afebrile."
+ },
+ {
+ "input": "He was started on sinemet at that time.",
+ "output": "He started carbidopa/levodopa at that time."
+ },
+ {
+ "input": "Paramedics were called and he subsequently sustained a cardiac arrest.",
+ "output": "He experienced cessation of heart function."
+ },
+ {
+ "input": "He had a positive stress test following which he had a coronary angiogram which revealed severe triple-vessel disease with preserved left ventricular function.",
+ "output": "Patient requires cabg."
+ },
+ {
+ "input": "She had no further episodes of mental status changes during her hospital stay.",
+ "output": "The patient maintained normal mentation."
+ },
+ {
+ "input": "Chest x-ray with an official read of mild interstitial edema, questionable right upper lobe infiltrate.",
+ "output": "The patient has mild pulmonary edema."
+ },
+ {
+ "input": "He also has a history of afib and had significant episodes of arrhythmia during his admission, prompting a cardiology consultation. .",
+ "output": "The patient has atrial fibrillation."
+ },
+ {
+ "input": "Medical chronic back pain: several discs and spondylolisthesis surgical left salpingo oophorectomy [**2735**] for torsion; coloposcopy and cryotherapy [**2734**]; appendectomy; t + a ob 3 ftnds",
+ "output": "The patient has degenerative changes to the spine."
+ },
+ {
+ "input": "56f with hx of htn, dm, chf ef 10-15%, copd, former 1 ppd smoker-quit [**2664**], asthma, obesity admitted to ccu for treatment of pulmonary edema.",
+ "output": "Patient has multiple comorbidities."
+ },
+ {
+ "input": "Catheterization showed the right internal coronary artery with calcified 70% lesion at the bifurcation with the right external carotid artery.",
+ "output": "Patient has atherosclerosis."
+ },
+ {
+ "input": "Cmv viral load was negative during admission. .",
+ "output": "There is concern for cmv."
+ },
+ {
+ "input": "History of present illness: [**known patient firstname **] is a very pleasant 83-year- old woman with multiple medical problems, history of breast and bladder cancer who approximately 1 year prior to this presentation had an aortic aneurysm repaired at our facility.",
+ "output": "The patient has a dilated aorta that is at high risk for rupture."
+ },
+ {
+ "input": "He was offered repair.",
+ "output": "He was offered treatment."
+ },
+ {
+ "input": "2 infrarenal aortic aneurysms (1.4cm, 2.3cm) htn cad. s/p cath in [**2728**] due to abnormal stress with totally occluded mid rca and 50-70%proximal rca with successful stenting x3. dyslipidemia",
+ "output": "The patient has a dilated abdominal aorta."
+ },
+ {
+ "input": "Ct head negative, cxr negative.",
+ "output": "Patient has negative imaging."
+ },
+ {
+ "input": "He is willing to take medications at this time and is ammenable to surgery and post-op meds.",
+ "output": "The patient is compliant."
+ },
+ {
+ "input": "Acute myeloid leukemia, type m1 see above mucositis graft-versus host disease deep vein thrombosis, left upper extremity gerd anxiety recurrent c diff infection recent influenza a ([**2632-1-10**]) oncological medical history: aml type i - [**2630-7-22**] - allogeneic transplant from unralated donor conditioned with cytoxan and tbi - course complicated by grade ii gvhd gi tract [**8-/2630**] treated with prednisone - resolved. - [**9-/2630**] -- lower extremity weakness and fatigue.",
+ "output": "The patient's bone marrow transplant was complicated by graft vs host disease."
+ },
+ {
+ "input": "- dyslipidemia, - hypertension - cabg:cabg '[**69**] (lima -> lad, svg -> d2, om2, rca; stent to rca graft '[**71**]).",
+ "output": "Patient has elevated ldl."
+ },
+ {
+ "input": "Patent right vertebral, left vertebral no visualization.",
+ "output": "The left vertebral artery is not seen."
+ },
+ {
+ "input": "History of present illness: this is a 3.36 kilogram baby born to a 31 year old gravida ii, now para i mother with prenatal screens as follows: blood type o positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen positive, and group b strep negative.",
+ "output": "The mother is not a carrier of group b strep."
+ },
+ {
+ "input": "Apparently had been having pain since yesterday but was able to go to sleep.",
+ "output": "The patient is having a pain problem."
+ },
+ {
+ "input": "Pt presented to osh on [**7-6**] with sob and o2 sat of 82% and pt intubated.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "However, again the patient had chest pain recurring on the day of admission.",
+ "output": "The patient has symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "Mri showed leptomenigeal enhancement.",
+ "output": "There is leptomenineal enhancement."
+ },
+ {
+ "input": "No loc at scene.",
+ "output": "The patient did not lose conciousness."
+ },
+ {
+ "input": "He was transiently on levo/flagyl but these were discontinued after negative stool culture.",
+ "output": "He was on antibiotics."
+ },
+ {
+ "input": "Gi was consulted in ed.",
+ "output": "The patient has a condition that requires gastroenterology evaluation."
+ },
+ {
+ "input": "He remained hemodynamically stable, and again underwent an upper endoscopy which demonstrated diffuse gastritis.",
+ "output": "The patient is being worked up for a gi bleed."
+ },
+ {
+ "input": "Her husband commented that her speech seemed slurred and was not making sense, but there were no clear word substitutions.",
+ "output": "Patient has evidence of stroke."
+ },
+ {
+ "input": "Comparison is made with ct from the same date.",
+ "output": "Patient has prior imaging."
+ },
+ {
+ "input": "Again, during hemodialysis on [**4-18**], the patient developed recurrent chest pain and agreed to a transfer to [**hospital1 58**] for cardiac catheterization.",
+ "output": "The patient has symptoms concerning acute coronary syndrome."
+ },
+ {
+ "input": "He was shocked multiple times and intubated in the field, and transferred to [**location (un) **].",
+ "output": "The patient was in cardiac arrest."
+ },
+ {
+ "input": "She presented to the emergency room on the 28th with the complaints of dyspnea and palpitations.",
+ "output": "The patient has dyspnea."
+ },
+ {
+ "input": "[**known patient lastname 4797**] is an 84-year-old woman with a history of a recent myocardial infarction, hypertension, insulin dependent diabetes mellitus and alzheimer's disease.",
+ "output": "The patient has an cognitive disorder."
+ },
+ {
+ "input": "Responded to empiric therapy with sulfadiazine/leucovorin/pyrimethamine.",
+ "output": "The patient was given treatment for toxoplasmosis."
+ },
+ {
+ "input": "Maternal history: mother is a 36 year old g2, para 0-1, with significant maternal labs for blood type a positive, antibody negative, hepatitis b negative, rpr nonreactive, rubella immune and group b strep negative.",
+ "output": "The mother tested negative for syphilis."
+ },
+ {
+ "input": "She received protonix, 1g vancomycin, and another 3 l of ns for bp ranging from 68-85 systolic and tachycardia to 116.",
+ "output": "The patient received antibiotics."
+ },
+ {
+ "input": "Prenatal screens: b positive, antibody positive (anti-[**doctor first name **]), hepatitis surface antigen negative, rpr nonreactive, rubella immune, gsb unknown, hepatitis c antibody positive.",
+ "output": "The patient has antibodies against the rh antigen."
+ },
+ {
+ "input": "In the ed initial vs were 98.4 105 152/129 22 100% ra.",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "Benign prostatic hypertrophy; status post transurethral resection of prostate.",
+ "output": "The patient had a procedure to help with urination."
+ },
+ {
+ "input": "He does not do much outside exercise during cold weather as it adversely affects his breathing with the sarcoidosis.",
+ "output": "The patient has an autoimmune disease."
+ },
+ {
+ "input": "She subsequently became pulseless and cpr was initiated at 9:40pm.",
+ "output": "Patient has started to code."
+ },
+ {
+ "input": "The pt is a 83 y/o rhf with history of multiple tia's and bilateral cea's mos most recent 2 weeks ago for a left cea after \"tia's\".",
+ "output": "The patient has had multiple strokes."
+ },
+ {
+ "input": "Left total hip replacement in [**3016**] with a repeat replacement in [**3024**] 14.",
+ "output": "History of hip surgery."
+ },
+ {
+ "input": "Since the suspicion for pe was high, he was empirically started on heparin drip.",
+ "output": "The patient was given an anticoagulant."
+ },
+ {
+ "input": "She was given one single dose of zithromax and flagyl.",
+ "output": "The patient was given antibiotics."
+ },
+ {
+ "input": "In the ed, the patient's vs were t 98.1, p 74, bp 118/80, r 16, o2 96% on ra.",
+ "output": "The patient had normal vitals."
+ },
+ {
+ "input": "Chf with an ejection fraction of 30 percent.",
+ "output": "History of congestive heart failure."
+ },
+ {
+ "input": "At [**hospital1 68**], pain decreased to [**4-12**] on nitro drip, morphine, banana bag.",
+ "output": "The patient\u2019s symptoms improved with treatment."
+ },
+ {
+ "input": "Past medical history: prolonged pr interval, left bundle branch block, nonsustained vt, a-flutter.",
+ "output": "The patient has an abnormal ekg."
+ },
+ {
+ "input": "Blood and sputum cultures have been negative (including afb smears, fungal cultures, hsv, rsv, influenza a/b).",
+ "output": "The patient does not have an identifiable infection."
+ },
+ {
+ "input": "Cxr done in ed showing rll pna.",
+ "output": "The patient has right lower lobe pneumonia."
+ },
+ {
+ "input": "On arrival to ed vs:t 103.5, hr 128, bp 125/63, rr 22 sats 97% [**name (ni) 2882**] pt received 4l of ivf, blood & urine cx sent.",
+ "output": "Patient has a fever."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease.",
+ "output": "A disease that can be caused by cigarette smoking."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease.",
+ "output": "Patient has abnormal pfts."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease.",
+ "output": "History of lung disease."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease.",
+ "output": "The patient has copd."
+ },
+ {
+ "input": "Chronic obstructive pulmonary disease.",
+ "output": "The patient has chronic lung disease."
+ },
+ {
+ "input": "He received an additional dose of lactulose po.",
+ "output": "The patient is on lactulose."
+ },
+ {
+ "input": "Aortic valve disease.",
+ "output": "Patient has aortic stenosis."
+ },
+ {
+ "input": "She has been feeling unwell since her discharge from our hospital on [**2748-7-27**].",
+ "output": "Patient was admitted to hospital."
+ },
+ {
+ "input": "History of urinary tract infection.",
+ "output": "History of abnormal urinary analysis."
+ },
+ {
+ "input": "\ufeffthis is a 70 yo female with mmp, and multiple admissions for urosepsis and hypoglycemia, who was recently transferred over the weekend to the micu for code sepsis.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "Pulmonary embolism seven years ago.",
+ "output": "Patient has a significant pmh."
+ },
+ {
+ "input": "Apgars were 6 at 1 minute and 8 at 5 minutes.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "Troponin was elevated and cardiology was consulted for nstemi.",
+ "output": "Work-up for acute coronary syndrome."
+ },
+ {
+ "input": "The patient's symptoms recurred and was treated again with nitropaste as well as lasix 120mg po, without resolution of symptoms this time.",
+ "output": "The patient's symptoms did not improve with medication."
+ },
+ {
+ "input": "He underwent ptca to lad and diagonal in [**3467**].",
+ "output": "The patient had a cardiac catheterization."
+ },
+ {
+ "input": "Status post vasectomy.",
+ "output": "The patient is sterile."
+ },
+ {
+ "input": "She was extubated on [**2-22**] but had a new 02 requirement felt likely to be secondary to pulmonary edema.",
+ "output": "The patient is having difficulty breathing."
+ },
+ {
+ "input": "She was on an antibiotic which name she does not recall for one week.",
+ "output": "She was on medication."
+ },
+ {
+ "input": "She periodically wakes up with drenching sweats in the morning. .",
+ "output": "She complains of night sweats."
+ },
+ {
+ "input": "The patient's latest head ct on [**2752-9-12**] showed a slightly decreased degree of edema and mass effect, and a slight decrease in the size of the left temporal [**doctor last name **] of the right lateral ventricle, but showed unchanged mass effect and substantial edema with surrounding hemorrhage.",
+ "output": "The patient has an intracranial mass."
+ },
+ {
+ "input": "Mother did receive antibiotics in labor for positive gbs, however, she received less than 4 hours worth of antibiotics while in labor.",
+ "output": "The baby is at risk for group b strep infection."
+ },
+ {
+ "input": "Status post colectomy with mucous fistula in [**2881**] secondary to c.diff colitis, course complicated by abscess.",
+ "output": "Patient has a surgical disease."
+ },
+ {
+ "input": "[**known patient lastname **] is a 60 year old male who presented to osh with chest pain.",
+ "output": "The patient has symptoms concerning for acute myocardial infarction."
+ },
+ {
+ "input": "At time of catheterization, she had a mean gradient to 60 mmhg.",
+ "output": "The patient has a cardiac issue."
+ },
+ {
+ "input": "This infant emerged with a cry and was resuscitated with bulb suction, drying, stimulation and positive pressure ventilation.",
+ "output": "The patient was treated with positive pressure ventilation."
+ },
+ {
+ "input": "History of breast cancer; status post lumpectomy and radiation therapy approximately four years ago.",
+ "output": "She was treated for breast cancer."
+ },
+ {
+ "input": "He has noted some swelling in his ankles.",
+ "output": "Patient has ankle swelling."
+ },
+ {
+ "input": "He ruled out for a myocardial infarction however a stress test was positive.",
+ "output": "The patient has ischemia without infarct."
+ },
+ {
+ "input": "Exam there notes her to be arousable to voice and pupil asymmetry with l>r.",
+ "output": "Patient has intracranial findings."
+ },
+ {
+ "input": "Peripheral vascular disease.",
+ "output": "Patient has atherosclerosis."
+ },
+ {
+ "input": "Peripheral vascular disease.",
+ "output": "Atherosclerosis in the vessels."
+ },
+ {
+ "input": "Peripheral vascular disease.",
+ "output": "Narrowed blood vessels in the extremities."
+ },
+ {
+ "input": "Peripheral vascular disease.",
+ "output": "Narrowing of the vessels."
+ },
+ {
+ "input": "History of present illness: the patient is an 80 year old male with multiple medical problems including chronic obstructive pulmonary disease with a history of four [** location **]us intubations and respiratory distress / respiratory failure, status post recent hospitalization at [**hospital1 470**] from [**2831-10-8**] until [**2831-10-14**], for respiratory distress and pneumonia, history of left lower extremity cellulitis, history of methicillin resistant staphylococcus aureus in sputum, hypertension, and atrial fibrillation on coumadin.",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "Cpks from [**11-12**] noted a level of 756.",
+ "output": "The patient has an elevated cpk."
+ },
+ {
+ "input": "He got a cta for syncope and a mass was found in his pancrease with similar liver masses.",
+ "output": "Abnormalities were found in his pancreas and liver."
+ },
+ {
+ "input": "Cerebrovascular accident in occipital area after a right internal carotid artery stent.",
+ "output": "Patient has cerebral ischemia."
+ },
+ {
+ "input": "Esrd: status pancreas-kidney transplant [**2977**], status post cadaveric [**year (4 digits) 3097**] transplantation in [**2985**], now requiring dialysis 3x/wk 2.",
+ "output": "Patient has extensive surgical history."
+ },
+ {
+ "input": "Rupture of membranes occurred at the time of delivery.",
+ "output": "Patient did not require an intervention for rom."
+ },
+ {
+ "input": "Rupture of membranes occurred at the time of delivery.",
+ "output": "Rupture of the amniotic sac occurred shortly before delivery."
+ },
+ {
+ "input": "There was also new noted bogginess and edema of the tissue below it and because of this the patient was then taken emergently to the operating room for debridement to rule out a necrotizing soft tissue infection for fournier's gangrene.",
+ "output": "Patient has genital infection."
+ },
+ {
+ "input": "However, the abdominal ct demonstrated ill defined low attenuation mass near the porta he is now referred for caudate lobe resection.",
+ "output": "Patient has abnormal ct scan."
+ },
+ {
+ "input": "History of pulmonary embolism, etiology unknown.",
+ "output": "The patient has a history of pulmonary embolism."
+ },
+ {
+ "input": "A gas on the nrb 7.46/23/51.",
+ "output": "Blood gases were taken."
+ },
+ {
+ "input": "History of present illness: this is an 89-year-old female who was found face down lying in her driveway in a pool of blood.",
+ "output": "Patient was found in emergent condition."
+ },
+ {
+ "input": "Since then, he has been npo on pn.",
+ "output": "The patient is not allowed to take anything by mouth."
+ },
+ {
+ "input": "He reports nothing he did could alleviate the pain. .",
+ "output": "The patient has pain."
+ },
+ {
+ "input": "His first two troponins were 4.1 and 4.4.",
+ "output": "The patient is having myocardial ischemia."
+ },
+ {
+ "input": "He fractured his l midshaft femur in [**2-29**] with nail placement. .",
+ "output": "Patient is status post orif."
+ },
+ {
+ "input": "He said the pain began suddenly and was excruciating.",
+ "output": "Patient has positive ros."
+ },
+ {
+ "input": "History of present illness: the patient is a 34 year old woman with a history of small cell lung carcinoma resected times two and also human immunodeficiency virus secondary to a blood transfusion.",
+ "output": "The patient has hiv."
+ },
+ {
+ "input": "A ct chest was negative for pe but notable for .... ros also notable for progressive lower extremity edema. + erythema of lower extremity.",
+ "output": "Patient has no pe."
+ },
+ {
+ "input": "She was transferred to [**hospital1 2116**] for further management.",
+ "output": "She requires further treatment."
+ },
+ {
+ "input": "The patient was subsequently transferred to [**hospital1 470**] on [**2928-3-19**], for cardiac catheterization.",
+ "output": "The patient is undergoing cardiac cath."
+ },
+ {
+ "input": "Onc was onsulted in the ed and per dr. [**last name (stitle) **], lp was done to assess for cns leukemia.",
+ "output": "Patient had an lp."
+ },
+ {
+ "input": "Because of her extensive brainstem damage, she gradually decreased her respiratory rate.",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "In clinic his tmax was 100.7.",
+ "output": "Patient has no fever."
+ },
+ {
+ "input": "Trauma w/u including ct c-spine and x-ray of right hip were negative for fracture/dislocation.",
+ "output": "Patient has been in a trauma."
+ },
+ {
+ "input": "[**known patient lastname 4437**] is a 57-year-old woman with no prior history of coronary artery disease; however, with a remote 15-pack-per year history of tobacco use and a family history positive for coronary artery disease who was in her usual state of health until two days prior to admission.",
+ "output": "The patient has no history of coronary artery disease."
+ },
+ {
+ "input": "She has been intermittently developing hypoxia during coughing fits.",
+ "output": "The patient has a cough."
+ },
+ {
+ "input": "He initially presented to the osh with fever to 102.9, and a sharp, intense, stabbing pain awoke him from sleep.",
+ "output": "He presented with an elevated temperature."
+ },
+ {
+ "input": "She was treated with levofloxacin, no bug was cultured, she did improve somewhat.",
+ "output": "She was treated with an antibiotic."
+ },
+ {
+ "input": "1 migraine ha - followed by dr [**last name (stitle) 28033**] ([**hospital1 110**]).",
+ "output": "The patient is being treated for migraines."
+ },
+ {
+ "input": "The patient was transferred to the medical intensive care unit for noninvasive ventilation.",
+ "output": "The patient requires additional ventillary support."
+ },
+ {
+ "input": "Upon ems arrival the patient was normotensive and tachycardic.",
+ "output": "The patient had a high heart rate."
+ },
+ {
+ "input": "She does not have diabetes, copd, or hypercholesterolemia.",
+ "output": "The patient has normal blood sugar."
+ },
+ {
+ "input": "H/o pancreatitis a few years ago treated at [**hospital1 110**] 3.",
+ "output": "The patient has had inflammation in the pancreas."
+ },
+ {
+ "input": "Patient noted to have developed diarrhea early in [**10-16**] which persists.",
+ "output": "Patient has frequent bowel movements."
+ },
+ {
+ "input": "Dementia, pacemaker, chf, asthma, hypothyroid, gout, s/p tah for uterine cancer (s/p brachytherapy and radiation therapy)",
+ "output": "The patient has had prior pelvic surgery."
+ },
+ {
+ "input": "Ekg revealed sinus rhythm with baseline lbbb and no acute ekg changes.",
+ "output": "Ekg revealed left bundle branch block."
+ },
+ {
+ "input": "Admits to alcohol use and marijuana use on the evening of the accident.",
+ "output": "The patient uses alcohol and marijuana."
+ },
+ {
+ "input": "History: white count, bandemia, complaints of diffuse abdominal pain and dropping hematocrit.",
+ "output": "Patient has evidence of intraabdominal infection."
+ },
+ {
+ "input": "He was loaded with amiodarone and cardioverted.",
+ "output": "He had an arrhythmia."
+ },
+ {
+ "input": "Obstetrical examination revealed that she was 3 cm dilated.",
+ "output": "She is pregnant."
+ },
+ {
+ "input": "She was transferred to the icu for tx of htn urgency/emergency and respiratory distress. .",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "She was admitted to [**hospital1 58**] for pih evaluation on [**3224-2-2**].",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "She reports her history of type 1 diabetes mellitus starting when she was four years old.",
+ "output": "She has a history of hyperglycemia."
+ },
+ {
+ "input": "66 year-old gentleman who initially presented on [**2852-5-26**] from an outside hospital with a 3 day history of abdominal pain and one day history of fever.",
+ "output": "He has an elevated temperature."
+ },
+ {
+ "input": "Oxygen saturations are 92 to 95% on 2 liters nasal cannula.",
+ "output": "The patient requires supplemental oxygen."
+ },
+ {
+ "input": "Coronary artery disease.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "Coronary artery disease.",
+ "output": "A disease that involves calcium deposition within the arterial intima."
+ },
+ {
+ "input": "Coronary artery disease.",
+ "output": "The patient has a history of coronary artery disease."
+ },
+ {
+ "input": "She has had multiple admissions to [**hospital1 18**] with mental status changes and renal failure, thought to be secondary to narcotics overdose and decreased po intake. .",
+ "output": "She has overdosed on medication."
+ },
+ {
+ "input": "Ascending aortic aneurysm, bicuspid aortic valve with mild as/ai, hypertension, h/o lyme disease, nephrolithiasis s/p lithotripsy, ?gout, mild bph, mild arthritis, s/p hernia repair",
+ "output": "The patient has a congenitally abnormal heart valve."
+ },
+ {
+ "input": "Pt was transferred to the bostonian, where he was noted to be lethargic with \"lab abnormalities\" today and transferred to the ed.",
+ "output": "Patient has fatigue."
+ },
+ {
+ "input": "An electrocardiogram reportedly showed a wide complex tachycardia, then changing to narrow complex tachycardia.",
+ "output": "The patient had an elevated heart rate."
+ },
+ {
+ "input": "\ufeffper report, the patient was found on the floor when an aide went to check on him.",
+ "output": "The patient was found in a compromising position."
+ },
+ {
+ "input": "Has chronic 4-pillow orthopnea with chronic dyspnea on exertion (recently walked 60-70 feet at clinic visit with dr. [**last name (stitle) **].",
+ "output": "Patient has heart failure."
+ },
+ {
+ "input": "Pt demonstrated signs of altered mental status, and the heparin was stopped until an emergent head ct could be obtained.",
+ "output": "Treatment was stopped due to abnormal mental status."
+ },
+ {
+ "input": "History: baby boy [**known patient lastname 14019**] #2 is the first of twins born at 31 and 5/7 weeks and admitted to nicu for respiratory distress.",
+ "output": "Patient has low o2 sat."
+ },
+ {
+ "input": "She had a head ct which showed multiple brain metastases.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "Orthopedic consultation was obtained.",
+ "output": "The patient will be evaluated by orthopedics."
+ },
+ {
+ "input": "Patient was short of breath on arrival with o2sat in the 80s.",
+ "output": "Patient is hypoxic."
+ },
+ {
+ "input": "Aortic stenosis with mean gradient of 20 mmhg.",
+ "output": "Mild aortic stenosis."
+ },
+ {
+ "input": "Osteoarthritis of the left hip; status post right hip replacement",
+ "output": "History of hip surgery."
+ },
+ {
+ "input": "(bp 92/50), tachycardic (hr 130s), and hypoxic, tachypnic (rr in the 30s), with initial o2 sat 63% in the ed (noted to be hypoxic in the field, started on nrb prior to ed presentation).",
+ "output": "Oxygen saturation was low."
+ },
+ {
+ "input": "Coronary artery disease, status post myocardial infarction in [**3161**].",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Right carotid artery stenosis, 80% asymptomatic.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Agressive iv hydration (3l ns) and insulin gtt at 5u/hr were initiated with decrease of serum glucose to 185.",
+ "output": "Patient requires resuscitation."
+ },
+ {
+ "input": "Following her cardiac catheterization, the patient continued to be hypoxic and hypotensive requiring dopamine and five liters nasal cannula oxygen.",
+ "output": "The patient had a cardiac procedure."
+ },
+ {
+ "input": "Prostate ca s/p prostatectomy 10. intermittant gout 11.",
+ "output": "The patient has a history of prostate cancer."
+ },
+ {
+ "input": "Found to have elevated trop at 0.39.",
+ "output": "The patient has cardiac ischemia."
+ },
+ {
+ "input": "1) type 2 diabetes 2) hypercholesterolemia 3) narcotic, benzodiazepine abuse 4) heavy smoking history.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Multiple myeloma: monoclonal igg kappa, being observed by heme-onc.",
+ "output": "The patient has monoclonal gammopathy."
+ },
+ {
+ "input": "Then, he was noted to have a poor gag reflex with rr 4 and thus was intubated for airway protection (getting succinylcholine and etomidate).",
+ "output": "He required breathing assistance."
+ },
+ {
+ "input": "67yo female with an extensive medical history including hep c/cirrhosis, t2dm, recurrent colorectal ca s/p resection x2, now with colostomy, h/o melanoma s/p xrt, and h/o recurrent sbos, transferred here from [**hospital6 4949**] with likely sbo.",
+ "output": "The patients small bowel is dilated."
+ },
+ {
+ "input": "History of present illness: this is a 76-year-old female with cad, status post cabg, and end-stage renal disease on peritoneal dialysis who was admitted to an outside hospital with left lower quadrant abdominal pain.",
+ "output": "The patient has left lower quadrant pain."
+ },
+ {
+ "input": "- multiple sclerosis. - neurogenic bladder. - swallowing disorder. - schizoaffective disorder/depression. - hypothyroidism. - s/p colectomy with mucous fistula in [**2881**] secondary to c.diff colitis, course complicated by abscess, has g-tube - h/o aspiration pneumonia - h/o mrsa/vre in urine [**2882**] - gerd - anxiety vaccinations: - pneumococcal [**2889**]",
+ "output": "The patient has multiple medical comorbidities."
+ },
+ {
+ "input": "Workup for his anemia has included bone marrow biopsy and withdrawal of immunosuppressive medications.",
+ "output": "He has low hemoglobin levels."
+ },
+ {
+ "input": "She received 2 units prbcs and 40mg iv protonix.",
+ "output": "Patient has low rbc count."
+ },
+ {
+ "input": "Blood cultures and urine cultures were sent and the patient received vancomycin, levo, and flagyl.",
+ "output": "The patient received antibiotics for possible infection."
+ },
+ {
+ "input": "She was found to have an nstemi with peak troponin of 0.94.",
+ "output": "The patient had coronary artery disease."
+ },
+ {
+ "input": "A nurse walking by had noted that he was tachypneic and called a code blue.",
+ "output": "He had a high respiratory rate."
+ },
+ {
+ "input": "Contiguous axial images were obtained through the cervical spine.",
+ "output": "The patient underwent imaging of the cervical spine."
+ },
+ {
+ "input": "However, the patient did have some tachypnea in the ed, and was admitted to micu for further observation of respiratory status.",
+ "output": "Patient's respiratory rate is high."
+ },
+ {
+ "input": "The patient has a history of chronic diarrhea and hypokalemia.",
+ "output": "The patient has a low serum potassium."
+ },
+ {
+ "input": "History of congestive heart failure with an ef of approximately 30% and hypertension and hypercholesterolemia.",
+ "output": "The patient has chronic heart dysfunction."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope.",
+ "output": "Patient denies abnormal heartbeat."
+ },
+ {
+ "input": "[**known patient lastname 7626**] is a 77 year old female admitted on [**2781-2-21**] with an approximately 2 day history of mental status changes and slurred speech.",
+ "output": "The patient has a neurological problem."
+ },
+ {
+ "input": "A ct scan of the abdomen showed enlargement of the aaa to 6.3 cm.",
+ "output": "The patient has an abdominal aortic aneurysm."
+ },
+ {
+ "input": "In ed, he was given 10mg decadron, ceftriaxone 1g, levaquin 500mg, 3l in total of ns, had two 18g peripheral ivs placed, and received fentanyl and versed.",
+ "output": "Patient has an iv line in place."
+ },
+ {
+ "input": "Was noted to have a growing hematoma in his thighs per wife's history.",
+ "output": "Patient has an enlarging palpable mass."
+ },
+ {
+ "input": "He has had very labile sugars and had a seizure at the age of 12 in the setting of a low glucose.",
+ "output": "The patient trouble maintaining stable blood glucose levels."
+ },
+ {
+ "input": "Central venous pressure of 18.",
+ "output": "The patient has internal vascular monitoring."
+ },
+ {
+ "input": "Bulb suctioned, tactile stimulation, free flow oxygen provided.",
+ "output": "Treatment for a newborn infant."
+ },
+ {
+ "input": "An initial egd showed [**country 1372**] and other food from 20 to 40 cm in the esophagus.",
+ "output": "The patient had an upper endoscopy."
+ },
+ {
+ "input": "43 yo male s/p fall of [**2749**]-20 feet from ladder.",
+ "output": "The patient experienced a significant trauma."
+ },
+ {
+ "input": "He had aortic gradient of 20.",
+ "output": "The patient does not have severe aortic stenosis."
+ },
+ {
+ "input": "His psa rise to about 11 in [**3170**].",
+ "output": "Patient has elevated psa."
+ },
+ {
+ "input": "He was given one dose of vanc for his cellulitis. .",
+ "output": "He is being treated with antibiotics."
+ },
+ {
+ "input": "On readmission, he was found to have an 8 point hct drop from [**8-28**] discharge to admit [**9-7**].",
+ "output": "Hematocrit decreased since last discharge."
+ },
+ {
+ "input": "No recent fevers, chills, or sputum production.",
+ "output": "Temperature is normal."
+ },
+ {
+ "input": "She is s/p 2 l ns with vitals remaining stable.",
+ "output": "The patient recieved iv fluids."
+ },
+ {
+ "input": "68f w pmhx significant for diverticulitis complicated by diverticular stricture requiring colonic stent [**2881-11-21**] and diverting loop colostomy [**2881-11-24**].",
+ "output": "The patient has chronic inflammation in the colon."
+ },
+ {
+ "input": "Intermittently has phlebotomy.",
+ "output": "The patient has intermittent blood draws."
+ },
+ {
+ "input": "The patient's baseline white count is between 30 and 60,000 with increased lymphocytes.",
+ "output": "The patient\u2019s baseline white blood cell count is high."
+ },
+ {
+ "input": "History: baby girl \"[**known patient lastname **]\" [**known patient lastname 10753**] was a 31-5/7 week tri[** location **] delivered via cesarean section to a 31 year old mother with following prenatal screens: o positive, antibody negative, syphilis nonreactive, rubella immune, hepatitis b surface antigen negative.",
+ "output": "The infant was born pre-term."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname 39793**] is a one thousand four hundred and eighty gram product of a 31 week twin ivf gestation born to a 28 year old g4 p0-2-2 mother.",
+ "output": "Patient has low birth weight."
+ },
+ {
+ "input": "She states when she has had this pain in the past, it has been secondary to her gi bleeding.",
+ "output": "The patient has a history of gi bleed."
+ },
+ {
+ "input": "The patient was directly admitted from home for a decreasing ability to take p.o. secondary to throat pain when swallowing.",
+ "output": "The patient has throat pain when swallowing."
+ },
+ {
+ "input": "The mass was situated in the amygdala region.",
+ "output": "Patient has an intracranial lesion."
+ },
+ {
+ "input": "The patient denied any chest pain but did feel that he had increased pulsations in the neck over the last few days.",
+ "output": "The patient has symptoms of an arrhythmia."
+ },
+ {
+ "input": "He had [**1-8**] syncopal episodes in that time and fell on back yest with residual l lower back pain.",
+ "output": "He suffered a fall."
+ },
+ {
+ "input": "Her initial blood pressure was 197/97.",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "Code stemi called, patient was taken immediately to the cath lab. .",
+ "output": "The patient is having a myocardial infarction."
+ },
+ {
+ "input": "He was given 2l ns and one dose of levofloxacin. .",
+ "output": "Patient has pneumonia."
+ },
+ {
+ "input": "She was admitted to the icu due to increased work of breathing.",
+ "output": "The patient has respiratory failure."
+ },
+ {
+ "input": "Two weeks ago, he had intense vomiting for three days and none since prior to admission in the emergency department.",
+ "output": "The patient has vomiting a symptom."
+ },
+ {
+ "input": "An abg was performed, which showed a ph of 7.31, pco2 of 25, and a po2 of 146 on 100% nonrebreather mask.",
+ "output": "The patient\u2019s pco2 is low."
+ },
+ {
+ "input": "The patient did note that since [**month (only) 213**], a scopolamine patch was added to his regimen and has increased his secretions significantly.",
+ "output": "The patient has nausea."
+ },
+ {
+ "input": "She was recently admitted to [**hospital1 52**] for hyponatremia and flash pulmonary edema and was treated with fluid restriction and iv lasix with improvement.",
+ "output": "The patient\u2019s intravascular sodium content was too low."
+ },
+ {
+ "input": "She was currently thinking about whether or not she wants to have hemodialysis and/or chemotherapy for her lymphoma and is admitted at this time for further management.",
+ "output": "She has cancer."
+ },
+ {
+ "input": "He was sent to the [**hospital1 52**] ed for further care. .",
+ "output": "The patient requires evaluation in the ed."
+ },
+ {
+ "input": "Hypercholesterolemia boderline diabetes mellitus gout obstructive sleep apnea carpal tunnel ventricluar ectopy ? h/o hepatitis a -30 yrs ago s/p hernia repair s/p tonsillectomy",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "Alcohol abuse and dependence, status post several rehabilitation stays 13.",
+ "output": "Patient has chronic alcoholism."
+ },
+ {
+ "input": "Given the progression of her symptoms and the severity of her aortic stenosis, she had been referred for surgical management.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "7.5 ett secured @ 22cm @lips.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Continued to have sx of lightheadedness.",
+ "output": "Reports presyncope."
+ },
+ {
+ "input": "[**name (ni) 10269**] pt is on chronic prednisone for his sarcoidosis.",
+ "output": "Pt is on steroid medication."
+ },
+ {
+ "input": "History is limited as the patient is intubated and sedated but was obtained through thorough chart review.",
+ "output": "Patient cannot give a history."
+ },
+ {
+ "input": "Also with recent diagnosis of diabetes, on glyburide.",
+ "output": "The patient is on oral hypoglycemics."
+ },
+ {
+ "input": "Pt treated initially with vanc/zosyn, narrowed to vanc with above cx results.",
+ "output": "The patient was given antibiotics."
+ },
+ {
+ "input": "Bp in ed ranged 107-119/56-77, hr ranged 58-70.",
+ "output": "Vitals in the ed were stable."
+ },
+ {
+ "input": "Ef 70% mild lvh, tr mt, tr tr, mild ai 10. h/o sz d/o 11. glaucoma",
+ "output": "The patient has mild aortic regurgitation."
+ },
+ {
+ "input": "He was treated w/ palliative, weekly gemcitabine x 3 from [**3480-11-23**] to [**3480-12-7**].",
+ "output": "The patient is on palliative treatment."
+ },
+ {
+ "input": "The patient had a ventricular fibrillation arrest.",
+ "output": "Patient has had a cardiac arrest."
+ },
+ {
+ "input": "56 year old woman with dm, htn, esrd on hd, recent mva, who presents with neck pain and feeling \"awful.\" she was involved in a mva two weeks ago when another car struck her car from the passenger side.",
+ "output": "Patient has had recent trauma."
+ },
+ {
+ "input": "Continued on ivf (received total 2300cc), with improved bp to sbp 105-118.",
+ "output": "The patient has a problem maintaining inter vascular volume."
+ },
+ {
+ "input": "Of note pt states that he stopped all of his medications two years ago in order to take a more holistic approach to his heart disease.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Status post cholecystectomy.",
+ "output": "Patient has had surgery."
+ },
+ {
+ "input": "Status post cholecystectomy.",
+ "output": "Removal of gall bladder."
+ },
+ {
+ "input": "Status post cholecystectomy.",
+ "output": "The patient had a cholecystectomy."
+ },
+ {
+ "input": "Status post cholecystectomy.",
+ "output": "History of gall bladder removal."
+ },
+ {
+ "input": "He was then brought to the emergency department of [**hospital6 **] where he complained of pain his right head, posterior neck, right shoulder, right chest tenderness, right thigh and elbow discomfort.",
+ "output": "The patient has pain."
+ },
+ {
+ "input": "Blood cultures eventually grew out nafcillin-sensitive staph aureus, and patient was transitioned to iv nafcillin on [**3-11**].",
+ "output": "Patient has sepsis."
+ },
+ {
+ "input": "He was given 5 mg diazepam iv push and this resolved the seizure activity.",
+ "output": "He was treated for a seizures."
+ },
+ {
+ "input": "His primary care physician ordered laboratories, ct and endoscopic retrograde cholangiopancreatography was attempted at the outside hospital, however, this was unsuccessful.",
+ "output": "The patient had a failed ercp."
+ },
+ {
+ "input": "Vascular surgery and cardiothoracic surgery services were consulted and he was admitted to the intensive care unit on the vascular surgery service.",
+ "output": "He requires surgery."
+ },
+ {
+ "input": "The patient eventually returned to the emergency department on [**8-31**] secondary to fevers and mental status change.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "History of polio as a child.",
+ "output": "The patient had polio."
+ },
+ {
+ "input": "End stage renal disease on hemodialysis monday, wednesday and friday.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "He presented to clinic but had an acute decompensation going up stairs with extreme sob and was sent to ed.",
+ "output": "Patient has dyspnea with exertion."
+ },
+ {
+ "input": "She has been continuing the tube feeds at 70cc/hr over 14 hours during the day (75% calculated caloric needs), but was noted to have lost 1 lb at a recent appointment.",
+ "output": "The patient has a feeding tube."
+ },
+ {
+ "input": "The patient developed fever to 100.4 and was readmitted on [**5-5**] with a rll pneumonia.",
+ "output": "The patient was admitted for pneumonia."
+ },
+ {
+ "input": "He now presents for elective aortic valve repair with repair of left main outflow obstruction and coronary artery bypass grafting x 1.",
+ "output": "The patient will have open heart surgery."
+ },
+ {
+ "input": "The patient initially developed neck pain while exercising on a treadmill at approximately 4 p.m. today with progressive substernal heaviness and left arm pain along with significant sweating.",
+ "output": "The patient has symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "He is presently off medications for 10 years without seizures.",
+ "output": "He has a history of seizures."
+ },
+ {
+ "input": "Repeat cesarean section for nonreassuring fetal heart tracing.",
+ "output": "The patient has previously had surgery."
+ },
+ {
+ "input": "He got up to rush to the restroom but fell to his knees and right to the floor.",
+ "output": "Patient has fallen."
+ },
+ {
+ "input": "This is a 60-year-old female who fell following dialysis.",
+ "output": "She has a history of renal failure."
+ },
+ {
+ "input": "The patient was also started on empiric antibiotics for possible pneumonia.",
+ "output": "Patient has evidence of uri."
+ },
+ {
+ "input": "There was kinking of the left main at the origin of the stents.",
+ "output": "The patient has coronary artery stents."
+ },
+ {
+ "input": "The patient was hypotensive to a blood pressure of 70/30, which responded to intravenous fluids after which her blood pressure rose to 100/60.",
+ "output": "The patient had a condition causing her blood pressure to be too low."
+ },
+ {
+ "input": "History: this was a 57-year-old woman who entered via the emergency room after a fall.",
+ "output": "The patient experienced a trauma."
+ },
+ {
+ "input": "The risks were explained to her and she agreed to proceed with operation to close her atrioseptal defect.",
+ "output": "The patient has an asd."
+ },
+ {
+ "input": "Pt is a 48 yo m with pmhx sig. for hcv cirrhosis, complicated by h/o variceal bleed, diuretic-resistant ascites, hepatic encephalopathy with suicidal and homicidal ideations who presented to osh with complaints of dizziness and home bp [**location (un) 615**] of 70/30.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Benign prostatic hypertrophy.",
+ "output": "Patient has a benign condition."
+ },
+ {
+ "input": "Benign prostatic hypertrophy.",
+ "output": "Enlarged prostate."
+ },
+ {
+ "input": "Benign prostatic hypertrophy.",
+ "output": "Patient has bph."
+ },
+ {
+ "input": "Her initla labs were: wbc of 28 with left shit: n:88 band:2 l:8 m:2 e:0 bas:0, hct 36, plts 612, 129, k 5.2, cl 90 , co2 <5, bun 2, cr 1.4, ag 32 (not corrected for albumin), abg: 7.26/14/121, lfts unremarcable other than ap 164, ua clean other than glucose, protein and keytones, lactate 1.9, normal coags.",
+ "output": "The patient has findings concerning for an infection."
+ },
+ {
+ "input": "Prior cardiovascular evaluation, echocardiogram in [**3269-1-2**] was a limited study and showed an ejection fraction of greater than 55%, mild symmetric left ventricular hypertrophy, no known wall motion abnormalities or valvular disease.",
+ "output": "Ejection fraction from the echo was normal."
+ },
+ {
+ "input": "R ij pacer wire screwed in but still temporary.",
+ "output": "Patient is status post procedure."
+ },
+ {
+ "input": "No use of blood thinners.",
+ "output": "The patient does not use warfarin."
+ },
+ {
+ "input": "Multivitamin one q.d.",
+ "output": "Vitamin dosage of once per day."
+ },
+ {
+ "input": "On the day of delivery the baby had a biophysical profile of [**1-20**] and a nonreactive fetal heart rate tracing.",
+ "output": "The patient had a non reactive fetal heart tracing."
+ },
+ {
+ "input": "He was later placed on lovenox, but this was stopped for an unclear reason. .",
+ "output": "He was previously taking an anticoagulant."
+ },
+ {
+ "input": "His bleed was due to esophageal and gastric varices secondary to portal vein compression by metastatic tumor.",
+ "output": "The patient has decreased mesenteric venous return through the liver."
+ },
+ {
+ "input": "Apgars were 7 and 8.",
+ "output": "The infant has reassuring apgars."
+ },
+ {
+ "input": "Apgars were 7 and 8.",
+ "output": "Apgars were normal."
+ },
+ {
+ "input": "Comparison: chest radiograph of [**2651-11-7**].",
+ "output": "The patient has had a prior chest radiograph."
+ },
+ {
+ "input": "Chronic renal insufficiency with a baseline creatinine of 2.0.",
+ "output": "Decreased renal function."
+ },
+ {
+ "input": "Dm ii, on insulin -prostate ca s/p xrt [**2483**] -chronic urinary incontinence, s/p turp [**10-21**] -history of utis, including prior mrsa, klebsiella, proteus, pseuduomonas -s/p bladder rupture and repair x2, [**2-22**], [**6-23**] -atrial fibrillation, not anticoagulated due to h/o bleeding -hyperthyroidism -depression -hypertension -moderate aortic stenosis on tte [**6-/2503**] -peripheral vascular disease -h/o cva [**2499**] -severe chronic axonal neuropathy, radiculopathy and plexopathy (due to xrt) per dr. [**last name (stitle) **], with right foot drop for many years -l3 compression fracture -cataract s/p bilateral laser surgery, also with \"macular edema\" s/p dexamethasone injection -hard of hearing -left thyroid nodule, benign",
+ "output": "Patient has chronic outlet obstruction."
+ },
+ {
+ "input": "Htn 3. depression 4.",
+ "output": "Patient has a history of hypertension."
+ },
+ {
+ "input": "This is a 68 y/o f w/ hx of end stage liver disease secondary to nash, recently admitted [**date range (1) 9291**] with ascites, [**date range (1) 10001**] with recurrent ascites and arf, who re-presents today with confusion x 2 days per family members.",
+ "output": "The patient has non alcoholic fatty liver disease."
+ },
+ {
+ "input": "Pregnancy reportedly unremarkable.",
+ "output": "Pregnancy had no complications."
+ },
+ {
+ "input": "Echocardiogram obtained showed a 1-3 cm circumferential pericardial effusion with early tamponade, question for left atrial collapse, no pulsus paradoxus noted.",
+ "output": "The patient is hemodynamically unstable."
+ },
+ {
+ "input": "Of note, patient's serum/urine toxicology screen was significant for an ethanol level of 297.",
+ "output": "The patient has ingested alcohol."
+ },
+ {
+ "input": "She is admitted to the ccu for observation.",
+ "output": "The patient has a cardiac condition."
+ },
+ {
+ "input": "Exploratory laparotomy and appendectomy for appendicitis in [**2650-1-6**] 5.",
+ "output": "Patient has a positive psh."
+ },
+ {
+ "input": "In the emergency department he received 2 liters of normal saline, cipro 400 mg intravenous and flagyl 500 intravenous.",
+ "output": "He is treated for infection."
+ },
+ {
+ "input": "The patient was originally admitted in [**3330-12-16**] w/pna+chf, treated w/abx, ruled in w/nsstw changes, tte at that time: ef 60%, mod mr, pt offered cath-refused.",
+ "output": "Patient has an acute infection."
+ },
+ {
+ "input": "It has progressively gotten worse to the point that she could not take a shower or wash her face without getting sob.",
+ "output": "The patient has a condition that causes decreased end organ perfusion."
+ },
+ {
+ "input": "He has had episodes of binge drinking.",
+ "output": "The patient has had episodes of substance abuse."
+ },
+ {
+ "input": "No hematemesis, no bright red blood per rectum, no melena.",
+ "output": "The patient does not have symptoms of a gastrointestinal bleed."
+ },
+ {
+ "input": "She reports about a 40 pound weight gain over the last few months.",
+ "output": "Patient has an increased bmi."
+ },
+ {
+ "input": "She has a swollen gland that was removed by ent last year 5.",
+ "output": "Patient has history of head and neck surgery."
+ },
+ {
+ "input": "Some radiation to l flank, worse lying down, slightly relieved w/walking.",
+ "output": "The patient has left flank pain."
+ },
+ {
+ "input": "Today [**8-1**] she is feeling well, ethylene glycol level 59, no evidence of etoh withdrawl.",
+ "output": "Patient has no complaints."
+ },
+ {
+ "input": "Per patient who appears to understand questions but has difficulty answering, pt has had the right hemiparesis x1 wk but does not remember the details of its onset.",
+ "output": "The patient has aphasia."
+ },
+ {
+ "input": "No fever or chills.",
+ "output": "The patient is afebrile."
+ },
+ {
+ "input": "His recent history is significant for an admission from [**8-2**] to [**8-16**] for left foot osteomyelitis for which he was treated with vancomycin and fluconazole.",
+ "output": "He had a recent infection."
+ },
+ {
+ "input": "Pmh includes pvd, carotid disease, cri, bipolar d/o, glaucoma, diabetic retinopathy, peripheral neuropathy, s/p tonsillectomy, gerd he was advanced to a diet of thin liquids and ground consistency solids while in the icu, [**2-7**] poor dentition.",
+ "output": "The patient is in the icu."
+ },
+ {
+ "input": "Her antiplatelet antibodies were positive.",
+ "output": "The patient has antiplatelet antibodies."
+ },
+ {
+ "input": "Status post polyp removal and colonoscopy in [**2884-4-24**].",
+ "output": "Patient has a prior colonoscopy."
+ },
+ {
+ "input": "She has a strong gag and cough reflex.",
+ "output": "The patient has a gag reflex."
+ },
+ {
+ "input": "86yo woman with recent icu admission/hospital stay for sepsis thought secondary to c. difficile colitis now returns two days after discharge with fever to 102, worsened dyspnea, and hypoxemia with desaturations to 80's%.",
+ "output": "Patient has febrile."
+ },
+ {
+ "input": "[**known patient lastname 10098**] was having trouble with other muscles, especially having a harder time moving around without using a walker,a harder time keeping her head up.",
+ "output": "Patient has difficulty walking."
+ },
+ {
+ "input": "This 58-year-old gentleman has a history of renal cell carcinoma.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "History of present illness: the patient is an 83-year-old right-handed woman, with a history of primary lung cancer in [**2996**], status post lobectomy, as well as primary breast cancer in the right breast, status post lumpectomy in [**3006**], and left breast cancer resected in [**3008**].",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "Coronary artery disease by stress test.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "This 70-year-old gentleman suffered a ruptured abdominal aortic aneurysm several years ago.",
+ "output": "The patient has an enlarged aortic aneurysm."
+ },
+ {
+ "input": "Chronic low back pain: pt is on continuous morphine pca.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "The infant had progressive respiratory distress and was brought to the neonatal intensive care unit.",
+ "output": "The infant had trouble breathing."
+ },
+ {
+ "input": "All native vessels are occluded.",
+ "output": "The patient has atherosclerosis."
+ },
+ {
+ "input": "45m found on sidewalk s/p assault.",
+ "output": "Patient had trauma."
+ },
+ {
+ "input": "No recent fevers, chills or rigors.",
+ "output": "Patient denies signs of systemic infection."
+ },
+ {
+ "input": "She fell backwards on stairs on the day of admission and struck her occiput, sustaining a laceration.",
+ "output": "She had head trauma."
+ },
+ {
+ "input": "Small cell lung cancer in the right upper lobe, status post resection.",
+ "output": "Patient has history of cancer."
+ },
+ {
+ "input": "[**known patient lastname **] is a 60 year old male with known coronary artery disease.",
+ "output": "Patient has chronic medical condition."
+ },
+ {
+ "input": "Intubated in field for lethargy, transferred to [**location (un) **]-[**doctor first name **].",
+ "output": "The patient\u2019s respiratory status was concerning."
+ },
+ {
+ "input": "The patient has been acting odd by family report since [**2675-7-21**].",
+ "output": "Patient has altered mental status."
+ },
+ {
+ "input": "Allergic rhinitis 12.",
+ "output": "Runny nose."
+ },
+ {
+ "input": "Cellulitis history, positive mrsa colonization.",
+ "output": "Patient has a skin infection."
+ },
+ {
+ "input": "The patient has received 500 mg of intravenously levofloxacin given at the outside hospital, and the patient has received intravenous vancomycin as well as ceftazidime in our emergency department.",
+ "output": "The patient has received broad spectrum antibiotics."
+ },
+ {
+ "input": "10. h/o panniculitis - [** location **]us episode [**8-21**] with infected hematoma and complications resulting in icu stay afterwards.",
+ "output": "History of infection and admission to intensive care."
+ },
+ {
+ "input": "Coronary artery disease, status post myocardial infarction in [**2758-3-16**].",
+ "output": "History of heart attack."
+ },
+ {
+ "input": "Balloon dilitation of the proximal trachea with excision of granulation tissue on anterior tracheal wall, iddm, cad, mi, pna [**2630**]",
+ "output": "Patient has multiple chronic medical conditions."
+ },
+ {
+ "input": "[**date range (3) 12197**] at [**hospital3 922**] hospital for respiratory distress, pleural effusions, pseudomonas urinary tract infection.",
+ "output": "The patient had a recent urinary tract infection."
+ },
+ {
+ "input": "On the day prior to discharge his pertinent lab information included a white count of 7,000, hematocrit 25, platelet count 128,000, electrolyte profile of 142 sodium, 3.9 potassium, 106, 27 co2, 106 chloride, bun & creatinine of 20 and 1.1, 90 serum glucose.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "Pancytopenia, uncertain etiology 6.",
+ "output": "The patient is pancytopenic."
+ },
+ {
+ "input": "Inflammatory arthropathy 7.",
+ "output": "The patient has an autoimmune arthritis."
+ },
+ {
+ "input": "He was recently readmitted and discharge on [**3264-5-8**] with fever and pseudocyst infection, in which he was discharge home on fluconazole and augmentin.",
+ "output": "He recently was treated for infection."
+ },
+ {
+ "input": "At 48 hours with negative cultures, antibiotics were discontinued.",
+ "output": "The patient had suspected bacteremia."
+ },
+ {
+ "input": "The patient was started on a beta blocker, nitroglycerin, heparin, and integrilin and taken emergently to the catheterization laboratory.",
+ "output": "Patient has started multiple iv medications."
+ },
+ {
+ "input": "She has albuterol at home but does not use it much.",
+ "output": "Patient has an inhaler."
+ },
+ {
+ "input": "On arrival, temperature was noted to be 92.0 f.; pulse 70; blood pressure 146/69; respiratory rate 16 on assisted control ventilation with total volume of 700, 100% fio2 with peep of 5.",
+ "output": "The patient is hypothermic."
+ },
+ {
+ "input": "She was discharged home 4 days ago.",
+ "output": "She is no longer inpatient at the hospital."
+ },
+ {
+ "input": "She denies neck pain or headaches at the time of stroke onset.",
+ "output": "Patient has had a cerebrovascular event."
+ },
+ {
+ "input": "History of present illness: the patient is a 59-year-old male with a history of hypertension and question of an mi per the patient in the past, who underwent a stress test in [**2910-4-1**] with borderline ekg changes, no chest pain and achieved 84% maximal heart rate.",
+ "output": "The patient does not have a critical coronary artery stenosis."
+ },
+ {
+ "input": "He also had right posterior pleuritic chest pain consistent with prior episodes of pneumonia.",
+ "output": "The patient had a prior pulmonary infection."
+ },
+ {
+ "input": "His hct, however, dropped from baseline 36 to 26 on admission to 22 this morning with inr 3.4.",
+ "output": "The patient is has blood loss."
+ },
+ {
+ "input": "He says his clothes are fitting loosely and has apparently lost a lot of weight in the last month or two.",
+ "output": "The patient has weight loss."
+ },
+ {
+ "input": "Last hemoglobin a1c was on [**3167-11-14**] 7.3.",
+ "output": "Hemoglobin a1c was high."
+ },
+ {
+ "input": "This pregnancy was complicated by [** location **] which resolved.",
+ "output": "Patient is pregnant."
+ },
+ {
+ "input": "No dizziness, no lightheadness, no pain at the catheterization site.",
+ "output": "The patient had a recent catheterization."
+ },
+ {
+ "input": "States that she had a similar admission with similar symptoms but this time she does not have a headache.",
+ "output": "She has had a prior admission to the hospital."
+ },
+ {
+ "input": "Intact moro but weak suck.",
+ "output": "The patient has trouble breast feeding."
+ },
+ {
+ "input": "The patient was taken to an outside hospital where he was chest pain free and was transferred to [**hospital1 188**] for cardiac catheterization.",
+ "output": "The patient required cardiac cath."
+ },
+ {
+ "input": "He was put on aggrenox, which he has been taking regularly.",
+ "output": "The patient is on an anti platelet medication."
+ },
+ {
+ "input": "Questionable chronic obstructive pulmonary disease on home o2 2 liters with a fev1 of 45%, fvc of 53%.",
+ "output": "Abnormal lung function."
+ },
+ {
+ "input": "The patient was discharged home doing well until four days prior to admission when he presented to the emergency room with shortness of breath and fevers.",
+ "output": "The patient has elevated temperature and difficulty breathing."
+ },
+ {
+ "input": "Routine wound care continued per prior recommendations.",
+ "output": "The patient has an open wound."
+ },
+ {
+ "input": "1)cryptogenic cirrhosis ([**3-6**] nash vs. alpha-1-antitrypsin deficiency), meld score 21.",
+ "output": "The patient has cirrhosis."
+ },
+ {
+ "input": "During his [** location **]us work-up for a kneee replacement, he was found to have critical as and a dilated ascending aorta.",
+ "output": "The patient has an ascending aortic aneurysm."
+ },
+ {
+ "input": "While in the ed, found to be in atrial flutter at 150 with 2:1 block and bp 170/110.",
+ "output": "Arrhythmia."
+ },
+ {
+ "input": "The abx was discontinued on the floor as he had a chronic in-dwelling foley and he was asymptomatic.",
+ "output": "Patient has no active infection."
+ },
+ {
+ "input": "Benign prostatic hyperplasia #. h/o urinary obstruction #.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "He was treated with haldol, ativan, risperidone, benadryl, and cogentin.",
+ "output": "The patient is being treated for psychosis."
+ },
+ {
+ "input": "Cpap was attempted in ed, but patient refused and became agitated.",
+ "output": "The patient refused continuous positive airway pressure therapy."
+ },
+ {
+ "input": "She incurred increasing sacral pain and was evaluated by pain clinic and placed on several narcotics inclusive of oxycontin and ms contin. -\t[**3329-5-23**], she sought evaluation in the ew at [**location 1590**] [**state 1591**]hospital for increased pelvic pain.",
+ "output": "Patient has chronic pain."
+ },
+ {
+ "input": "He denies any unusual foods.",
+ "output": "The patient did not eat any unusual food."
+ },
+ {
+ "input": "On arrival to the floor, hr 94 bp 127/74 94% 2l, chest pain free with nitro drip at 2.",
+ "output": "Patient has no angina."
+ },
+ {
+ "input": "Normal fetal heart tones.",
+ "output": "The fetal heart tones are normal."
+ },
+ {
+ "input": "Pt also reported that he had been coughing x3 days, producing white phelgm, and had been in contact with a granddaughter recently [**name2 (ni) **] with influenza. .",
+ "output": "The patient has an upper respiratory tract infection."
+ },
+ {
+ "input": "At the age of 12 years old, the patient, apparently, went into respiratory failure for which she ended up to be intubated multiple times until she had a tracheostomy tube placed.",
+ "output": "The patient has a history of breathing problems."
+ },
+ {
+ "input": "He was, at that time, transferred to the neonatal intensive care unit for further evaluation.",
+ "output": "He required further evaluation in the nicu."
+ },
+ {
+ "input": "Electrocardiogram was repeated and the patient was noted to be in aivr.",
+ "output": "Patient has cardiac arrhythmia."
+ },
+ {
+ "input": "The pain did not radiate and was not accompanied by subjective palpitations or light headedness.",
+ "output": "The pain was localized."
+ },
+ {
+ "input": "She had a fever to 100.7 degrees fahrenheit in labor.",
+ "output": "Patient has mild fever."
+ },
+ {
+ "input": "Was transferred here for expedited workup of rml mass.",
+ "output": "Lung mass in the right middle lobe."
+ },
+ {
+ "input": "Please see the [** location **]usly dictated summary for his [**4-21**] to [**3169-5-15**] [**hospital1 68**] neonatal intensive care unit admission.",
+ "output": "The patient required high level critical care."
+ },
+ {
+ "input": "History of present illness: briefly, this is a [**age over 90 **]-year-old male who lives in a nursing home who came to the er after being noted to have a black toe at his nursing home.",
+ "output": "He has discoloration in his foot."
+ },
+ {
+ "input": "Per daughter (his primary care giver and proxy) his baseline mental status is a/o x 1 and able to eat with assistance.",
+ "output": "He requires assistance for his activities of daily living."
+ },
+ {
+ "input": "Coronary artery disease, status post myocardial infarction with stent to the left circumflex in '[**19**].",
+ "output": "History of heart attack."
+ },
+ {
+ "input": "Dm type i; a1c 8.2 in [**10-30**]; no h/o dka, but multiple ed visits for hypoglycemia 2.",
+ "output": "The patient has chronically elevated blood sugars."
+ },
+ {
+ "input": "History: [**first name8 (namepattern2) **] [**known patient lastname **] was born at 38 3/7 weeks gestation by cesarean section for failure to progress.",
+ "output": "The patient was born via c section."
+ },
+ {
+ "input": "History: this is a former 30-5/7 week male newborn who was admitted to the neonatal intensive care unit of management of prematurity.",
+ "output": "The patient is premature."
+ },
+ {
+ "input": "He has been dizzy a few times since.",
+ "output": "He has neurological impairment."
+ },
+ {
+ "input": "He denies nausea, vomiting, photosynthesis, sometimes saw a spot in the middle of his vision, which slowly grew.",
+ "output": "Patient has central vision loss."
+ },
+ {
+ "input": "- hx complete heart block status post pacemaker in 03/[**2654**].",
+ "output": "The patient has a complete heart block."
+ },
+ {
+ "input": "4. h/o tias in [**3179**] and [**5-/3184**] with known carotid stenosis 5.",
+ "output": "History of transient ischemic attacks."
+ },
+ {
+ "input": "His inr was found to be 5.2, so he was given 4 units of fresh frozen plasma, 3 units of packed red blood cells, and 5 mg of intravenous vitamin k, and 40 mg of protonix.",
+ "output": "The patient is gi bleeding."
+ },
+ {
+ "input": "This is a 59 y/o haitian male with a pmhx sig only for recently diagnosed dmii who presented to an osh on [**7-10**] with 3 day hx of worsening ms/confusion with visual hallucinations.",
+ "output": "The patient has acutely altered mental status."
+ },
+ {
+ "input": "A bedside transthoracic echocardiogram was performed which showed a left ventricular ejection fraction of 15%, akinesis of the septal, apical and inferior walls.",
+ "output": "Patient has low ef chf."
+ },
+ {
+ "input": "Day of admission, pt was delirius, and pulled out his peg tube.",
+ "output": "The patient was delirius."
+ },
+ {
+ "input": "In the micu, the patient was transfused three units packed red blood cells.",
+ "output": "The patient received blood."
+ },
+ {
+ "input": "In the ed, the pt was asymptomatic.",
+ "output": "No symptoms in the emergency department."
+ },
+ {
+ "input": "She received 400 cc of normal saline in the ed and no blood products prior to transfer to the micu.",
+ "output": "The patient was given a isotonic saline by iv."
+ },
+ {
+ "input": "The patient was discharged to [**hospital 6182**] rehabilitation.",
+ "output": "The patient needs additional skilled rehabilitation needs."
+ },
+ {
+ "input": "An mri of the c-spine and l-spine in addition to an xr of the thoracic spine were obtained.",
+ "output": "The patient is being evaluated for spinal pathology."
+ },
+ {
+ "input": "This pregnancy was originally a triplet gestation that was reduced to twins.",
+ "output": "Patient has a a multigestational pregancy."
+ },
+ {
+ "input": "Denies etoh use. .",
+ "output": "Patient has no history of alcoholism."
+ },
+ {
+ "input": "He denies nausea, vomiting, arthralagias, fever, dysuria, or urgency.",
+ "output": "Denies dysuria."
+ },
+ {
+ "input": "In the ed, she was hypertensive to 260/120.",
+ "output": "Patient has elevated blood pressure."
+ },
+ {
+ "input": "Partial hysterectomy secondary to fibroids 12.",
+ "output": "Patient has no uterus."
+ },
+ {
+ "input": "Past medical history: significant for history of coronary artery disease with stable angina, status post catheterization one year ago.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Pt was involved in mvc and sustained multi[** location **]juries to his face, left eye and brain",
+ "output": "Patient has traumatic injuries."
+ },
+ {
+ "input": "No abdominal pain/ diarrhea.",
+ "output": "The patient does not have symptoms concerning for gastroenteritis."
+ },
+ {
+ "input": "Prior history of upper gastrointestinal bleed at [**hospital6 393**].",
+ "output": "Patient has history of gastric bleeding."
+ },
+ {
+ "input": "Course also noted for hypertension, hyperglycemia.",
+ "output": "The patient had episodes of hypertension."
+ },
+ {
+ "input": "The only neurologically suppressive medication he had been given prior to transfer was succinylcholine for the intubation.",
+ "output": "He received anesthesia for placement of the breathing tube."
+ },
+ {
+ "input": "In the [**name (ni) **], pt's bp was 220-260/120-160.",
+ "output": "The patient has a hypertensive emergency."
+ },
+ {
+ "input": "His cr at discharge was 3.3.",
+ "output": "The patient has chronic kidney disease."
+ },
+ {
+ "input": "His hct in the ed was found to be 20.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "This twin was breech with significant bruising.",
+ "output": "The patient was a breech birth twin."
+ },
+ {
+ "input": "She then had a cardiac catheterization done on the [**7-11**] that showed mitral valve area of 0.77 cm squared with severe mitral stenosis, moderate pulmonary hypertension, ejection fraction of 60 percent.",
+ "output": "Patient has abnormal cardiac cath."
+ },
+ {
+ "input": "History of present illness: the patient is a 79 year old male with a past medical history significant for coronary artery disease, hypertension, hypercholesterolemia, end-stage renal disease, on hemodialysis, and subdural hematoma diagnosed in [**3377-8-5**].",
+ "output": "The patient has a brain bleed."
+ },
+ {
+ "input": "Receiving ns at 150cc/hour; levofloxacin at osh.",
+ "output": "The patient received an antibiotic."
+ },
+ {
+ "input": "She got 2 mg of decadron intravenously.",
+ "output": "Patient recieveing steroids."
+ },
+ {
+ "input": "Diastolic dysfunction with a history of congestive heart failure and left ventricular ejection fraction on an echocardiogram.",
+ "output": "The patient has impaired cardiac relaxation."
+ },
+ {
+ "input": "In summary, the cath showed a discrete lesion of the lad 60 percent, sever aortic stenosis with a mean gradient of 37, and a calculated valve area of 0.7 cm2, an ef of 61 percent, with no regional wall motion abnormalities.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Stents were placed at the left main, mid right coronary artery, and the posterior descending artery on [**2-27**] during her second cardiac catheterization.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "History of bulemia 5.",
+ "output": "The patient has bulemia."
+ },
+ {
+ "input": "Ct chest/abdomen/pelvis was negative for pe but revealed a 2cm pericardial effusion and bilateral pleural effusions. .",
+ "output": "Ct showed fluids in the pleural space and pericardial cavity."
+ },
+ {
+ "input": "She had a one minute loss of consciousness and was found lying on back.",
+ "output": "The patient had a syncopal event."
+ },
+ {
+ "input": "Apgars were 6 and 7.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "She also has hypokalemia with her diuresis and was on spironolactone.",
+ "output": "The patient has volume overload."
+ },
+ {
+ "input": "Diastolic congestive heart failure with echocardiogram in [**2905-9-21**] showing an ejection fraction of 60% with mild left ventricular hypertrophy.",
+ "output": "Patient has poor left ventricular filling."
+ },
+ {
+ "input": "The small left pleural effusion is stable.",
+ "output": "The patient has fluid in the left pleural space."
+ },
+ {
+ "input": "Patient is a 50-year-old man with a history of large cell lymphoma, for which he underwent r-chop chemotherapy most recently in [**3087-7-15**].",
+ "output": "The patient has a malignancy history."
+ },
+ {
+ "input": "Patient denies the use of etoh or any illegal substances prior to the fall.",
+ "output": "Patient has no significant social history."
+ },
+ {
+ "input": "The infant was born weighing 3100 grams.",
+ "output": "The infant was born at 6.8 lbs."
+ },
+ {
+ "input": "She was seen in the ed yesterday for complaints of left arm jerking/weakness and bilateral le jerking for this yesterday and told that it may have been due to low magnesium, which was 1.2.",
+ "output": "Patient has lab abnormalities."
+ },
+ {
+ "input": "Serologies for the hepatitis a, b, and c viruses were negative; the patient was found to have a coombs positive hemolytic anemia at that time.",
+ "output": "Patient has anemia."
+ },
+ {
+ "input": "Pregnancy also complicated by mild gestational diabetes.",
+ "output": "Patient has increased serum glucose."
+ },
+ {
+ "input": "On [**5-13**], pt's wbc again dropped (consistent with chemo) and he had a fever to 102.2 so cefepime and flagyl were restarted. .",
+ "output": "The patient has findings concerning for a neutropenic fever."
+ },
+ {
+ "input": "Transient ischemic attack in [**2661**] and [**2672**].",
+ "output": "Patient had a history of multiple tias."
+ },
+ {
+ "input": "He had noted doe - inability to ambulate more than 10 steps without getting short of breath or weak in the arms and legs.",
+ "output": "He had dyspnea on exertion."
+ },
+ {
+ "input": "The patient reports a temperature of 101.5 measured at home for the two days prior to admission with some nausea at home, however, the patient denied vomiting, diarrhea.",
+ "output": "The patient was febrile."
+ },
+ {
+ "input": "R femoral quinton catheter was placed.",
+ "output": "The patient had a femoral vein catheter placed."
+ },
+ {
+ "input": "The patient has an a-v fistula placed at outside hospital with subsequent revisions on two occasions.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "Fragments of popcorn were removed from the left lower lobe rhonchus and copious white secretions were noted to be within the trachea and lungs bilaterally.",
+ "output": "The patient aspirated."
+ },
+ {
+ "input": "Status post craniotomy for an intracranial aneurysm.",
+ "output": "The patient has an intracranial aneurysm."
+ },
+ {
+ "input": "Mitral valvular disease status post annuloplasty diabetes type 2, chf, ef of 35%-40% 2/2 ischemic cardiomyopathy afib subglottic stenosis following multi[** location **]tubations (peri-cabg)-->stridor hypercholesterolemia hemorrhoids",
+ "output": "The patient had multiple medical conditions including heart disease and diabetes."
+ },
+ {
+ "input": "Found to have right homonymous hemianopsia and work up found left parietal -occipital lesion.",
+ "output": "Found to have abnormal vision."
+ },
+ {
+ "input": "Not yet evaluated/listed fro transplant. -hepatocellular carcinoma--diagnosed on [**2537-8-7**] biopsy -prostate cancer s/p prostatectomy -hemorrhoids -hypertension--diet controlled",
+ "output": "The patient has cancer."
+ },
+ {
+ "input": "History of present illness: baby boy [**known patient lastname 8494**] was the 899 gram product of a 25 and 6/7 weeks gestation born to a 34 year old g2, p0, now 1 mother.",
+ "output": "Patient is premature."
+ },
+ {
+ "input": "He was found to be auto[** location **]g at 15.",
+ "output": "The patient is a male."
+ },
+ {
+ "input": "He had [**initials (namepattern4) **] [**last name (namepattern4) 3576**] coma scale when the paramedics found him and he was intubated in the field and transferred to [**hospital 909**] hospital where by verbal report he was reintubated secondary to concern of esophageal intubation.",
+ "output": "Patient has an endotracheal tube in place."
+ },
+ {
+ "input": "All the mesenteric vessels and the renal arteries originate from the true lumen.",
+ "output": "The patient has an aortic dissection."
+ },
+ {
+ "input": "On review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools.",
+ "output": "The patient is not endorsing symptoms of a bleeding disorder."
+ },
+ {
+ "input": "No significant findings on event monitor per [**doctor last name 1775**].",
+ "output": "The patient did not have a significant arrhythmia."
+ },
+ {
+ "input": "No change in exerciese tolerance, no leg swelling, or symptoms of claudication.",
+ "output": "The patient has no exercise induced leg pain."
+ },
+ {
+ "input": "At that time respiratory effort adequate with respiratory rate in the 30s.",
+ "output": "Respiratory rate was high."
+ },
+ {
+ "input": "A thyrogen scan did not reveal iodine uptake.",
+ "output": "The patient has a history of thyroid disease."
+ },
+ {
+ "input": "Bladder sphincter surgery in [**2753**].",
+ "output": "The patient has had prior surgery."
+ },
+ {
+ "input": "He was treated with vancomycin and it resolved.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "When he got home he developed a r frontal headache.",
+ "output": "He had head pain."
+ },
+ {
+ "input": "An egd revealed a grade 1 varices, and gastric emptying study revealed delayed gastric emptying.",
+ "output": "The patient has delayed gastric emptying."
+ },
+ {
+ "input": "Coronary artery disease status post myocardial infarction in [**2721**] and [**2723**].",
+ "output": "The patient has had multiple myocardial infarctions."
+ },
+ {
+ "input": "Cytogenetics were notable for +8. - initially treated with 7 and 3 (idarubicin and ara-c, however, day 14 marrow showed persistent blasts. he was enrolled in the randomized trial of hidac with or without clofarabine and began treatment on [**2909-6-17**]. this course was c/b fevers to 105, rashes, lfts 300s. - [**2909-8-13**]: bone marrow showed a mildly hypercellular erythroid dominant bone marrow with no morphologic evidence of leukemia. - [**2909-10-7**]: received single cycle dacogen due to donor issues - [**2909-12-26**]: started reduced intensity conditioning with fludarabine-busulfan and atg. day 0 was [**2910-1-2**]. he received one bag cd34/kg x 10e6= 8.40. his post-transplant course was uncomplicated with the exception of a mild transaminitis. he was discharged to the apartments on day +14. donor info: recipient is cmv(+), abo:opos donor nmdp#5188-3407-2 male cmv(-), abo:apos.",
+ "output": "The patient was treated for cancer."
+ },
+ {
+ "input": "She denies any subsequent episodes of brbpr, hematochezia.",
+ "output": "The patient has not noticed any blood in her stool."
+ },
+ {
+ "input": "When it did not remit by saturday, he sought medical attention in the ed.",
+ "output": "The patient has had symptoms for multiple days."
+ },
+ {
+ "input": "Catheterization at that time showed no significant coronary artery disease.",
+ "output": "Patient has no cad."
+ },
+ {
+ "input": "Coronary artery disease status post myocardial infarction.",
+ "output": "Patient has prior stemi."
+ },
+ {
+ "input": "At 29 weeks afi of 46, estimated fetal weight in 98th percentile.",
+ "output": "Patient is pregnant."
+ },
+ {
+ "input": "During proceedure, patient was sedated with versed and fent.",
+ "output": "The patient received an opiate pain medication."
+ },
+ {
+ "input": "Type 1 diabetes since age 13; with triopathy.",
+ "output": "The patient has had diabetes since childhood."
+ },
+ {
+ "input": "On [**3300-10-25**] (on the day prior to admission), the patient was being wheeled by her granddaughter down a ramp and fell out of her wheelchair.",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "Creatinine ranged from 1.5 to peak 2.3.",
+ "output": "The patient has kidney disease."
+ },
+ {
+ "input": "She was electively admitted for surgery.",
+ "output": "She did not have a medical emergency."
+ },
+ {
+ "input": "Breathing slows down when asked to calm down. .",
+ "output": "Respiratory rate decreased when the patient is calmer."
+ },
+ {
+ "input": "[**3028**] vein ligation r leg",
+ "output": "The patient had minor surgery in the lower extremity."
+ },
+ {
+ "input": "Transfer to [**hospital1 22**] was requested given patient's decline in mental status requiring intubation.",
+ "output": "Patient has worsening oxygenation."
+ },
+ {
+ "input": "History of present illness: the patient is a 76-year-old male who presented to [**hospital6 33**] with chest pain on [**2653-7-31**] and was transferred to the [**hospital1 341**] for management of an acute myocardial infarction.",
+ "output": "The patient had a heart attack."
+ },
+ {
+ "input": "On his prior [**year (2 digits) **] with nstemi, he was conservatively managed with bb, asa and heparin gtt without gpiib/iiia given his thrombocytopenia and varices.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Course notable for knee bursa aspiration of approximately 10 cc of serosanguinous fluid with gram stain with many gram positive cocci in clusters.",
+ "output": "Patient has septic arthritis."
+ },
+ {
+ "input": "Copd on 3.5 l o2 at home and s/p multiple admissions and intubations for flares-fev1/fvc 35% 2.",
+ "output": "Patient has abnormal pfts."
+ },
+ {
+ "input": "He was given vancomycin, levofloxacin, and piperacillin-tazobactam.",
+ "output": "The patient is on broad spectrum antibiotics."
+ },
+ {
+ "input": "History of present illness: the patient is a 41-year-old male brought to the trauma resuscitation bay following a motor vehicle crash involving his vehicle crashing into a house.",
+ "output": "Patient has had recent trauma."
+ },
+ {
+ "input": "Vs were t 96.0, hr 65, bp 115/46, rr 12, 100% on 3lnc.",
+ "output": "Patient has normal vital signs."
+ },
+ {
+ "input": "On hospital day four, his creatinine had elevated to 1.5 and they stopped his diuresis.",
+ "output": "His creatinine is abnormal."
+ },
+ {
+ "input": "Symptoms have been increasing over the past 6-8 months.",
+ "output": "The patient had been getting worse."
+ },
+ {
+ "input": "He was taken to a referring hospital where he was later transfered to [**hospital1 22**] with a c1 c2 subluxation.",
+ "output": "The patient has abnormal cervical alignment."
+ },
+ {
+ "input": "[**known patient lastname 1001**] is a 50 y/o f with iddm type 1 who presents today with nausea and vomiting.",
+ "output": "The patient has a history of hyperglycemia."
+ },
+ {
+ "input": "Right rotator cuff tear.",
+ "output": "Patient has a msk injury."
+ },
+ {
+ "input": "Coronary artery disease. (a) status post myocardial infarction in [**2973**]. (b) status post coronary artery bypass graft surgery in [**2973**] with a left internal mammary artery to the left anterior descending artery, saphenous vein graft to obtuse marginal, and saphenous vein graft to right coronary artery.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "He denies cp, back pain, sob, n/v, f/c.",
+ "output": "Patient has ros negative."
+ },
+ {
+ "input": "The patient had been experiencing increasing lethargy and difficulty breathing at his skilled nursing facility.",
+ "output": "The patient requires skilled nursing needs."
+ },
+ {
+ "input": "He had an echocardiogram during catheterization which showed no signs of effusion or tamponade.",
+ "output": "The patient does not have an external process impairing the contractility of the heart."
+ },
+ {
+ "input": "Heart rate was noted to be less than 100 despite positive pressure ventilation and he was intubated at approximately 2 minutes of life with subsequent rapid improvement in heart rate and color.",
+ "output": "The infant was intubated due to abnormal heart rate."
+ },
+ {
+ "input": "His blood pressure dropped to 85/63 and he received 6 l ivf.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Diabetes mellitus diagnosed in [**2619**] asthma rcc, s/p right nephrectomy [**2612**] s/p ccy depression post traumatic stress disorder; iron deficiency anemia hypertension hyperlipidemia schizoaffective d/o h/o breast and le skin ulcers (?necrobiosis lipoidica) cad (mi [**48**] yrs ago)",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "The events last about two minutes, and when they are over, she looks around as it was the first time she was in her house.",
+ "output": "The patient has some sort event that causes amnesia."
+ },
+ {
+ "input": "He was referred for a stress echocardiogram that was abnormal with anterior septal hypokinesis and a decreased ejection fraction followed with serial echocardiograms over the course of the years and with improved ejection fraction over that time.",
+ "output": "The patient had a prior anterior septal myocardial infarction."
+ },
+ {
+ "input": "Apgars were 9 at 1 minute and 9 at 5 minutes.",
+ "output": "The patient had normal apgar scores."
+ },
+ {
+ "input": "In the ed at [**hospital1 **] c/o back pain given iv morphine and transferred to tsicu.",
+ "output": "The patient has back pain."
+ },
+ {
+ "input": "Denies cp, n/v, urinary symptoms.",
+ "output": "The patient does not have symptoms of gastroenteritis."
+ },
+ {
+ "input": "He was at a hotel today and fell.",
+ "output": "He suffered a fall at a hotel."
+ },
+ {
+ "input": "The pregnancy was complicated by development of preeclampsia resulting at maternal admission at 22 weeks gestation.",
+ "output": "The mother developed hypertension."
+ },
+ {
+ "input": "History of present illness: this is a 78 year old man with a history of aml and cll who has been treated with supportive care and now presents with febrile neutropenia, unclear etiology, with abrasion on his right arm, right hand and a cut.",
+ "output": "Patient has malignanancy."
+ },
+ {
+ "input": "Gerd 10. s/p cholecystectomy for gallstones 11.",
+ "output": "History of gall bladder removal."
+ },
+ {
+ "input": "At 1 am on am [**12-29**], she had a bg of 45 and required a d 10 gtt.",
+ "output": "The patient had low blood glucose."
+ },
+ {
+ "input": "Patient was given 500cc ns, had basic labs (no imaging).",
+ "output": "The patient received fluid resuscitation."
+ },
+ {
+ "input": "Additionally, his statin was stopped in the past due to myalgias.",
+ "output": "Patient has muscle pain."
+ },
+ {
+ "input": "He also has a history of hyperparathyroidism for which he was at a scheudled appointment with his surgeon on day of admission.",
+ "output": "He has a history of elevated parathyroid hormone."
+ },
+ {
+ "input": "The pt was also found by cxr to have a large consolidation in the left lower lobe with small bilateral pleural effusions, and evidence of pulmonary edema. .",
+ "output": "Patient has pneumonia."
+ },
+ {
+ "input": "Ua with some wbcs and nitrate.",
+ "output": "Urinary analysis contained white blood cells."
+ },
+ {
+ "input": "He was noticed to have a rise in his creatinine and while awaiting cardiac clearance and a renal consultation, the patient remained in the intensive care unit.",
+ "output": "Patient has low gfr."
+ },
+ {
+ "input": "In addition to the maternal diabetes with two episodes of dka during the pregnancy, the mother's pregnancy was complicated by hyperemesis gravidara requiring ........ since 8-10 weeks of age.",
+ "output": "The pregnancy was complicated by diabetic ketoacidosis."
+ },
+ {
+ "input": "No orthopnea or le swelling.",
+ "output": "The patient does not have symptoms of a congestive heart failure exacerbation."
+ },
+ {
+ "input": "Her incision was healing well and her white count was at 29,000.",
+ "output": "The patient has an elevated wbc count."
+ },
+ {
+ "input": "She did c/o headache today, no neck stiffness, no vision change.",
+ "output": "The patient does not have nuchal rigidity."
+ },
+ {
+ "input": "Apgars were 7 at one and 7 at five minutes respectively.",
+ "output": "The patient was just born."
+ },
+ {
+ "input": "She reports feeling tired and weak since her discharge from [**hospital **] rehab.",
+ "output": "She complains of fatigue."
+ },
+ {
+ "input": "On arrival here sbp ranged from 80s-90s, patient was mentating and received a 6th liter of ivf.",
+ "output": "Patient is hypotensive."
+ },
+ {
+ "input": "He had a right ij tlc placed.",
+ "output": "He had an internal jugular triple lumen catheter placed."
+ },
+ {
+ "input": "At that time had no cp, n/v, sob, diaphoresis.",
+ "output": "The patient denies chest pain."
+ },
+ {
+ "input": "A ct scan of the abdomen was obtained which per report showed significant ascites, dilated small and large bowel, and possible wall thickening of the colon, without evidence of perforation.",
+ "output": "Abnormal ct scan."
+ },
+ {
+ "input": "Porcelain gallbladder shown on ct in [**2899-5-5**], iron deficiency anemia, insulin dependent diabetes mellitus with peripheral neuropathy, status post many foot infections, peripheral vascular disease with bilateral claudication, hypertension, coronary artery disease, status post coronary artery bypass graft, recurrent epistaxis, degenerative joint disease of the right hip and bilateral cataracts.",
+ "output": "The patient suffers from multiple medical conditions."
+ },
+ {
+ "input": "History of present illness: briefly, this is a 74-year-old male with a history of diabetes, and hypertension, and high cholesterol who presented to an outside hospital with shortness of breath.",
+ "output": "The patient has a history of elevated blood sugars."
+ },
+ {
+ "input": "Cirrhosis -> thought secondary to eating disorder.",
+ "output": "Liver disease."
+ },
+ {
+ "input": "The patient's chest x-ray on admission was negative, and a magnetic resonance imaging/magnetic resonance angiography done showed no acute infarction and no flow changes in the arteries.",
+ "output": "The patient did not have a stroke."
+ },
+ {
+ "input": "Nscl ca: non operable, no hx of chemotherapy as per family, s/p xrt, s/p radioactive seed implantation, initial bronch in [**2892**] was negative for malignancy, diagnosed in [**2895**] after mass identified on cxr, pet positive nodule, also positive thyroid nodule 2.",
+ "output": "Paitent has metastatic lung cancer."
+ },
+ {
+ "input": "He has been followed continuously and was noted to have endovascular leak.",
+ "output": "The patient has blood going places that it should not."
+ },
+ {
+ "input": "70 who presents for renal transplant admission.",
+ "output": "The patient will have a transplanted kidney placed."
+ },
+ {
+ "input": "Wbc elevated to 14, lactate 3.0.",
+ "output": "White blood cell count was high."
+ },
+ {
+ "input": "Cardiovascular: an intermittent murmur has been noted.",
+ "output": "The patient has a heart murmur."
+ },
+ {
+ "input": "Prior to delivery, the measurements of the mother's fundus appeared to be size greater than dates.",
+ "output": "The size of the uterus was measured to be larger than expected."
+ },
+ {
+ "input": "With esmolol gtt, sbp decreased from 180 to 140.",
+ "output": "The patient is on an antihypertensive drip."
+ },
+ {
+ "input": "History of coronary artery disease, status post mi.",
+ "output": "The patient has a history of mi."
+ },
+ {
+ "input": "Therefore, she had to have a resection for oncological purposes.",
+ "output": "She had a history of tumor."
+ },
+ {
+ "input": "Also, she failed extubation and underwent a percutaneous tracheostomy on the [**6-12**], and several bronchoscopies were significant only for chronic inflammatory changes.",
+ "output": "She has respiratory disease."
+ },
+ {
+ "input": "At 1:00 p.m. her mental status declined, and she was intubated.",
+ "output": "Patient has an endotracheal tube in place."
+ },
+ {
+ "input": "No maternal fever or other critical evidence of chorioamnionitis.",
+ "output": "The mother was afebrile."
+ },
+ {
+ "input": "Diabetes type 1 diagnosed at age 18 months with retinopathy, neuropathy, nephropathy, status post multiple laser surgeries, as well as bilateral vitrectomies, and chronic kidney disease.",
+ "output": "The patient has chronically elevated blood glucose."
+ },
+ {
+ "input": "Pmh: s/p cabg [**3466-10-26**], s/p mi, h/o post op af, s/p flutter ablation [**3466-10-31**], h/o campylobacter in stool, mrsa sternum, cri, ^chol, hypothyroid, djd, colitis, s/p r tkr, s/p tah, s/p [**doctor last name 24469**],cardiomyopathy w/ ef 30%.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "He was transfused one unit prbc and stated on an octreotide gtt, and transferred to [**hospital1 68**] for further evaluation.",
+ "output": "The patient has an upper gi bleed."
+ },
+ {
+ "input": "Had episodes of diarrhea every 3-4 minutes although eventually was not productive of significant volumes.",
+ "output": "The patient has diarrhea."
+ },
+ {
+ "input": "He was transferred to [**hospital1 22**] for further evaluation and management.",
+ "output": "He required further treatment."
+ },
+ {
+ "input": "Pt reports epigastic \"burning\" since the last episode of emesis, non-radiating.",
+ "output": "The patient has burning pain."
+ },
+ {
+ "input": "The infant appeared to be approximately 35 weeks gestational age.",
+ "output": "The infant is mildly premature."
+ },
+ {
+ "input": "She was unable to take po medications because of these symptoms including her aeds.",
+ "output": "The patient is unable to take oral medications."
+ },
+ {
+ "input": "The patient has had chf and doe for years, but has been experiencing severe worsening of symptoms over the past month.",
+ "output": "The patient has a cardiac condition."
+ },
+ {
+ "input": "Nuclear imaging revealed a severe, partially reversible, lateral inferior defect.",
+ "output": "Imaging shows abnormality in part of the heart."
+ },
+ {
+ "input": "Of note, cr 1.2 on admission, rose to 1.6 by time of transfer.",
+ "output": "The patient\u2019s creatinine rose during admission."
+ },
+ {
+ "input": "History of present illness: the patient is a 57 year-old male with no known heart disease in the past who presented with burning sensation substernally thursday prior to admission, which was relieved at rest.",
+ "output": "Patient has chest pain."
+ },
+ {
+ "input": "Ekg with chronic st segment changes,inferior infarct, anterior st changes, troponin 0.4.",
+ "output": "The patient had a prior myocardial infarction."
+ },
+ {
+ "input": "Pt has no hx of gallstones, no hx of alcohol use; he has been taking tylenol (6 extra strength tabs/day).",
+ "output": "The patient is taking tylenol."
+ },
+ {
+ "input": "The patient tolerated this well.",
+ "output": "No complications."
+ },
+ {
+ "input": "Per records patient had persistent purulent drainage from his tunnel site unresponsive to antibiotic treatment, but without systemic signs of infection or bacteremia.",
+ "output": "Patient has a line infection."
+ },
+ {
+ "input": "He tried advil and acetominophen which helped at first to relieve his pain.",
+ "output": "Acetominophen and advil helped with his pain."
+ },
+ {
+ "input": "An mri done in [**3149-3-27**] showed l4-l5 moderate stenosis, spondylosis of l5, and severe bilateral stenosis of l5-s1.",
+ "output": "Patient has spinal stenosis."
+ },
+ {
+ "input": "He became more responsive during the ambulance ride, so that he could follow commands and answer questions upon arrival at [**hospital 1108**] hospital.",
+ "output": "The patient was previously unconscious."
+ },
+ {
+ "input": "History of present illness: baby girl [**known patient lastname **] number one was born at 11:12 a.m. on [**9-24**] to a 22-year-old, gravida 1, para 0.",
+ "output": "The mother had 1 pregnancy."
+ },
+ {
+ "input": "Patient bolused total 2l ns.",
+ "output": "The patient was given iv fluids."
+ },
+ {
+ "input": "Sats dropped to 80% on nrbm, abg 7.015/42/78/11, was emergently intubated ~1830, with post intubation abg 7/042/42/70 (on 80% fio2).",
+ "output": "The patient\u2019s oxygen saturation was low."
+ },
+ {
+ "input": "Her temperature at that time was 101.8, heart rate 90, blood pressure 160/69 and respiratory rate of 20.",
+ "output": "The patient is febrile."
+ },
+ {
+ "input": "He recently went to his primary care physician for [**name initial (pre) **] routine physical and mentioned at the time that he had been having chest discomfort and dyspnea for the past few months after climbing two flights of stairs.",
+ "output": "The patient has stable angina."
+ },
+ {
+ "input": "[**3490-8-7**]: induction chemotherapy with cytarabine and idarubicin complicated by persistent fevers and extensive workup ultimately revealing disseminated tuberculosis infection.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "Overnight, he bolused himself 10 units of insulin at a time, with multiple boluses overnight and through the next morning.",
+ "output": "The patient is giving himself subcutaneous injections."
+ },
+ {
+ "input": "58 y/o m with severe copd with h/o mulit[** location **]tubations, obesity, dm, h/o dvts s/p ivc filter, who had respiratory distress this morning.",
+ "output": "He had shortness of breath this morning."
+ },
+ {
+ "input": "The pt reports that he is unable to recall the exact details of how ems care was initiated.",
+ "output": "The pt received emergency medical care."
+ },
+ {
+ "input": "Seen by ep who felt it was sinus arrest. .",
+ "output": "The patient had an abnormal ekg."
+ },
+ {
+ "input": "The patient is a 66 yo m with long-standing history of l knee pain, limited rom and difficulties with activities of daily living.",
+ "output": "Patient has chronic pain."
+ },
+ {
+ "input": "He was seen in the ed on [**1-15**] for hematuria, had a negative renal u/s and was seen by urology who recommended d/c home with f/u. .",
+ "output": "The patient had hematuria."
+ },
+ {
+ "input": "Gi bleeding with diverticulitis in [**2507**].",
+ "output": "The patient is at risk for diverticulitis."
+ },
+ {
+ "input": "Mixed aortic valve disease dilated ascending aorta history of etoh abuse gerd anxiety prior foot surgery",
+ "output": "Patient has an enlarged ascending aorta."
+ },
+ {
+ "input": "His baseline blood pressure has been 80-90 systolic. .",
+ "output": "The patient\u2019s blood pressure runs low."
+ },
+ {
+ "input": "The pregnancy was complicated by twin- to-twin transfusion syndrome.",
+ "output": "The patient has a complicated twin pregnancy."
+ },
+ {
+ "input": "Postoperative day #9, overnight events include atrial fibrillation times one and an unchanged cough.",
+ "output": "Patient has cardiac arrhythmia."
+ },
+ {
+ "input": "Iddm pancreatitis t&a lle bypass",
+ "output": "History of insulin dependent diabetes."
+ },
+ {
+ "input": "[**known patient lastname 5775**] is a 61 year old gentleman with a history of systolic congestive heart failure, moderate to severe mitral regurgitation, coronary artery disease s/p multiple angioplasties with recurrent in-stent restenoses, s/p coronary artery bypass grafting and patent foramen ovale closure in [**3003-1-24**], recurrent atrial fibrillation s/p atrioventricular nodal ablation and permanent pacemaker, hypertension, wegener's granulomatosis, chronic kidney disea s/p renal transplant and prior stroke, who presented with shortness of breath.",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "Being admitted for pain control and possible rehab placement.",
+ "output": "The patient is in pain."
+ },
+ {
+ "input": "58yo man w hc chronic progressive ms, quadri[** location **], hx aspiration pna, chronic foley who was transferred from osh ed with increasing fatigue and productive cough.",
+ "output": "The patient has a productive cough."
+ },
+ {
+ "input": "This infant was born via cesarean section with apgars of 8 and 9.",
+ "output": "Patient was born via c section."
+ },
+ {
+ "input": "He was given 40mg iv protonix.",
+ "output": "Patient is recieving iv ppi."
+ },
+ {
+ "input": "A paracentesis was done on [**1-23**], of two liters.",
+ "output": "Peritoneal fluid was removed."
+ },
+ {
+ "input": "The patient's work up revealed severe three vessel disease, three vessel coronary artery disease with preserved ejection fraction.",
+ "output": "The patient has cardiac disease."
+ },
+ {
+ "input": "Sleep apnea 14.",
+ "output": "The patient stops breathing while sleeping."
+ },
+ {
+ "input": "3rd episode: egd show gastritis.",
+ "output": "Patient has positive findings."
+ },
+ {
+ "input": "Dementia djd hypertension h/o cervical cancer s/p radiation therapy 30 years ago h/o dvt in left leg 30 years ago",
+ "output": "The patient has dementia."
+ },
+ {
+ "input": "His visual field, vision and comprehension were all intact; however he felt that his l hand was slow and responsible for the newfound deficit.",
+ "output": "Patient has positive ros."
+ },
+ {
+ "input": "History of present illness: the patient is an 18 year old male without any significant past medical history who was involved in a motor vehicle accident, who was rear-ended at high speed on the [**state **] turnpike approximately four foot intrusion into the rear end of the mini [**doctor last name **] and prolonged extrication.",
+ "output": "The patient was in a significant trauma."
+ },
+ {
+ "input": "He awoke on friday (3d pta) \"achy and sick to his stomach\".",
+ "output": "Patient has symptoms of enteritis."
+ },
+ {
+ "input": "Per the ir fellow, the plan was to treat with unasyn for 24 hours because of the gallbladder perforation.",
+ "output": "The patient has an intraperitoneal infection."
+ },
+ {
+ "input": "His catheterization at [**hospital6 2864**] showed 50% left main, left main 80% left anterior descending, 70% right coronary artery with an ejection fraction of 20%.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "On [**3242-2-14**] he was re-cathed d/t progressive dyspnea and complaints of chest pain.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "An echo done at that time showed her ef to be 20 to 25 percent with an akinetic apex and global hypokinesis, mild to moderate mr and mild tr with mild pulmonary hypertension.",
+ "output": "Echo was abnormal."
+ },
+ {
+ "input": "Patient was started on levophed and it was titrated to 0.05 mcg/kg/min for a bp of 90/42 with a map 59.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Pregnancy was complicated by the development of pih and pre- eclampsia prompting maternal admission on [**3231-4-28**].",
+ "output": "Patient has protein in her urine."
+ },
+ {
+ "input": "Knee extension was 3 on the right and 4 on the left.",
+ "output": "Patient has asymmetric reflexes."
+ },
+ {
+ "input": "In the ed, initial vitals were t 103.8 rectal, p 100 bp 128/49 r 40 o2 79% on nrb.",
+ "output": "The patient meets sirs criteria."
+ },
+ {
+ "input": "He was admitted to omed service, where ortho and rad onc were consulted.",
+ "output": "The patient has a malignancy."
+ },
+ {
+ "input": "Mother's history is also notable for delivery of a 26 week infant 7 years ago whose neonatal intensive care unit included necrotizing enterocolitis.",
+ "output": "Mother has a history of premature delivery."
+ },
+ {
+ "input": "The patient sustained a laceration of her forehead, which was repaired.",
+ "output": "The patient had trauma."
+ },
+ {
+ "input": "Bp remained normal.",
+ "output": "Blood pressure was within normal limits."
+ },
+ {
+ "input": "Left femoral line was placed.",
+ "output": "The patient has ventral vascular access."
+ },
+ {
+ "input": "All blood tests sent to the laboratory have not clotted.",
+ "output": "Blood did not clot."
+ },
+ {
+ "input": "Frequent upper resp track infections 5.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "She also has a positive troponin, but had no cp or ecg changes and no asa was given due to the hemorrhage.",
+ "output": "The patient has an active bleed."
+ },
+ {
+ "input": "Recent admissions as per hpi: the patient was recently admitted from [**2600-11-26**] to [**2600-12-24**] for resistant hsv c/b chf exacerbation and aspergillus/enterobacter on bal.",
+ "output": "The patient has a history of chf."
+ },
+ {
+ "input": "Concern raised about possible constrictive/restritive pericarditis causing sx's.",
+ "output": "Patient has chest pain."
+ },
+ {
+ "input": "Elevated transaminases, unknown etiology 5.",
+ "output": "The patient has signs of hepatocellar damage."
+ },
+ {
+ "input": "This hospital course was complicated by a labile fluid status, labile potassium levels ranging between 3.0 to 7.9 with subsequent associated arrhythmias, constipation, and also during this hospitalization she had tracheostomy pain secondary to a posterior tracheal ulcer, which was felt to be an early tracheoesophageal fistula.",
+ "output": "The patient is tracheotomy dependent."
+ },
+ {
+ "input": "Egd showed no evidence of bleeding.",
+ "output": "The patient has no endoscopic evidence gi bleeding."
+ },
+ {
+ "input": "History of present illness: the patient is a 60-year-old gentleman with a history of left hip replacement in [**2975**], bladder cancer, and degenerative joint disease who presented to [**hospital3 **] hospital on [**9-11**] with neck pain and back pain times one week that radiated to his legs and a pustular rash over his arms bilaterally and his left leg.",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "Wbc 29.5 with negative ua and no obvious pna on cxr.",
+ "output": "The patient has signs of an infection."
+ },
+ {
+ "input": "Per emergency department report, she apparently had fallen 24 hours to 36 hours before being found and was unable to rise secondary to weakness.",
+ "output": "The patient should have a ct head."
+ },
+ {
+ "input": "Birth weight was 1135 grams, which is the 50th percentile at 28-2/7 weeks.",
+ "output": "Premature birth."
+ },
+ {
+ "input": "This mother is known to have significant developmental delay and is currently living in a [**doctor last name **] home.",
+ "output": "The patient has mental disability."
+ },
+ {
+ "input": "He denies frank abdominal pain or nausea on that day.",
+ "output": "The patient was not throwing up today."
+ },
+ {
+ "input": "Patient's daughter is not aware of any h/o pud or cad in her mother.",
+ "output": "No known family history of cad."
+ },
+ {
+ "input": "On the floor, he reported feeling \"lousy\" but denied any other complaints as above.",
+ "output": "He has not been feeling well."
+ },
+ {
+ "input": "Presented in spontaneous onset preterm labor.",
+ "output": "The patient is in preterm labor."
+ },
+ {
+ "input": "However, despite aggressive tocolytic treatment, labor progressed.",
+ "output": "Labor was attended to be slowed or stopped."
+ },
+ {
+ "input": "The patient was emergently taken to the operating room for decompression, assuming that he had suffered a cervical cord contusion with subsequent swelling in the setting of spinal stenosis.",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "Apgar nine at seven and one minute and eight at five minutes.",
+ "output": "The patient is a neonate."
+ },
+ {
+ "input": "During that admission the patient had a clotted av graft that required thrombectomy.",
+ "output": "Patient has end stage renal disease."
+ },
+ {
+ "input": "He denies any signs or symptoms of ischemia or other illness in the days to weeks leading up to these events.",
+ "output": "The patient has not had recent illnesses."
+ },
+ {
+ "input": "This hematuria was felt to be secondary to foley catheter trauma or recurrent nephrolithiasis or tumor while in the setting of anticoagulation.",
+ "output": "The patient has hematuria."
+ },
+ {
+ "input": "His chest radiograph revealed a right middle lobe infiltrate, which he had recently been treated for at [**hospital1 18**] (admission until [**3058-4-21**]).",
+ "output": "The patient has a right middle lobe opacity of chest x-ray."
+ },
+ {
+ "input": "Coronary artery disease status post non-st-elevation myocardial infarction in [**3059-5-3**], status post cardiac catheterization with left anterior descending artery stent placement in 05/[**3059**].",
+ "output": "Patient has had a nstemi."
+ },
+ {
+ "input": "Started prednisone in [**month (only) 496**] and finished prednisone taper 2 weeks ago.",
+ "output": "The patient had a course of steroid medication."
+ },
+ {
+ "input": "The patient was loaded with 1 g of dilantin and med-flighted to [**hospital1 58**] for further management.",
+ "output": "The patient was given an anticonvulsant."
+ },
+ {
+ "input": "Later in mid [**month (only) **] he began experiencing mid frontal headaches radiating to the back of his head.",
+ "output": "The patient has a neurological problem."
+ },
+ {
+ "input": "He also has lightheadedness and lower extremity edema.",
+ "output": "The patient has lower extremity edema."
+ },
+ {
+ "input": "Prior liver biopsy was consistent with gvhd, and his lfts continued to be elevated since discontinuation of his tb meds.",
+ "output": "Patient has transaminitis."
+ },
+ {
+ "input": "She has discontinued her coumadin on [**3423-2-1**].",
+ "output": "The patient was on anticoagulation."
+ },
+ {
+ "input": "Cardiac and neurologic review of systems are negative, although the family noted a recent change in his personality and increased alcohol consumption.",
+ "output": "The patient admits to alcohol use."
+ },
+ {
+ "input": "He began making purposeful movements at which time pulses were checked.",
+ "output": "The patient was having cpr performed on him."
+ },
+ {
+ "input": "He came to the ed at [**hospital1 52**] [**2972-3-31**] where initial vs 98.1, 75, 157/88, 18 and 100/ra.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "On arrival to the floor, she was found to less responsive and difficult to arouse.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "His face was symmetric.",
+ "output": "No drooping of the face."
+ },
+ {
+ "input": "Macrocytic anemia 13.",
+ "output": "A cause for macrocytic anemia is vitamin b12 deficiency."
+ },
+ {
+ "input": "Intrapartum antimicrobial prophylaxis administered six hours prior to delivery.",
+ "output": "The patient was given medication to prevent permpartum infection."
+ },
+ {
+ "input": "He was also c/o abdominal pain (of several weeks duration) and an a/p ct was obtained that showed a large, complex ventral hernia w/o evidence of incarceration, but no other acute pathology. .",
+ "output": "The patient has an abdominal wall defect."
+ },
+ {
+ "input": "Ekg did not show ischemic changes and patient left ama.",
+ "output": "The patient was no having an acute myocardial infarction."
+ },
+ {
+ "input": "She went to the ed and was admitted for r/o mi, which she did, after nchct and lp were negative.",
+ "output": "She had a heart attack."
+ },
+ {
+ "input": "Status post appendectomy.",
+ "output": "Appendix has been removed."
+ },
+ {
+ "input": "Patient reported passing two bowel movements with blood on [**11-20**] and an additional two bowel movements with blood on [**11-21**] and one bowel movement of blood on [**11-22**].",
+ "output": "Patient has blood in the stool."
+ },
+ {
+ "input": "Sbp 150s by arterial line s/p 2l of fluid s/p 3 urbc .",
+ "output": "The patient has invasive arterial monitoring."
+ },
+ {
+ "input": "Patient is a 64 year old male with extensive past medical history tranferred from [**location 34469**]hospital with pancreatitis.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "Chronic anemia 8.",
+ "output": "Low hemoglobin levels."
+ },
+ {
+ "input": "On review of systems, the pt reported 15 lb wt loss.",
+ "output": "Patient has weight loss."
+ },
+ {
+ "input": "Given shallow breathing and diminished gag, she was intubated for airway protection. .",
+ "output": "The patient is unable to maintain her airway."
+ },
+ {
+ "input": "Multiple sclerosis, primary progressive, diagnosed in [**3439**].",
+ "output": "Patient has an autoimmune condition."
+ },
+ {
+ "input": "Chest tube removed.",
+ "output": "The patient had a chest tube."
+ },
+ {
+ "input": "Two days prior, she had a fall.",
+ "output": "She recently sustained trauma."
+ },
+ {
+ "input": "History: the patient is a 45-year-old gentleman with severe headache, nausea, and vomiting, while at work on [**3100-10-24**].",
+ "output": "The patient is in pain."
+ },
+ {
+ "input": "After the 3rd l ns, she improvement to sbp 110s but still intermittently dropped to sbp 80's.",
+ "output": "The patient is not able to maintain a stable blood pressure."
+ },
+ {
+ "input": "Copd ckd with baseline creatinine around 2.0 as valve area 0.6 cm dm2 - but denies formal diagnosis of this hypothyroidism [**3293**] - primary lung carcinoma t2m0n0.",
+ "output": "Patient has aortic stenosis."
+ },
+ {
+ "input": "She additionally received 1 unit of packed rbc and was started on levophed.",
+ "output": "The patient was started on a vasopressure."
+ },
+ {
+ "input": "They believe his thinking and talking are normal in between and they brought him to the ed with vomiting and a headache earlier this evening.",
+ "output": "He has nausea and pain."
+ },
+ {
+ "input": "The infant was transferred to the regular newborn nursery after delivery and was discovered to be in mild respiratory distress with intermittent grunting and was referred to the nicu for evaluation.",
+ "output": "The infant had difficulty breathing."
+ },
+ {
+ "input": "73 year old surgeon with increased chest tightness with exertion, over the last 3 years.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "She has had a peritoneal dialysis catheter placed in preparations to begin peritoneal dialysis.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "Heparin was stopped, and no additional iib/iiia inhibitor given due to history of brbpr x few days and decreased hematocrit.",
+ "output": "Patient has hemorrhage."
+ },
+ {
+ "input": "History of present illness: the patient is a 48-year-old right-handed gentleman with a sudden onset of headache on [**2665-2-16**] in the morning while taking a shower.",
+ "output": "The patient has neurological symptoms."
+ },
+ {
+ "input": "Htn, dm, osteoarthritis, dyslipidemia",
+ "output": "High blood pressure and diabetes."
+ },
+ {
+ "input": "Apgar 7 at 1 minute and 8 at 5 minutes.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "On [**10/3292**] he had another catheterization showing occluded grafts with 80% stenosis of his left internal mammary coronary artery.",
+ "output": "The patient has stenosis of his bypass graft."
+ },
+ {
+ "input": "Transferred to [**hospital1 22**] for possible urgent hd.",
+ "output": "The patient has renal failure."
+ },
+ {
+ "input": "Cxr negative for acute infiltrates.",
+ "output": "The patient does not have a lobar pneumonia."
+ },
+ {
+ "input": "The patient was intubated within 2 to 3 minutes of life with excellent response and normal heart rate, good respiratory effort, pink and good activity.",
+ "output": "The patient responded well after intubation."
+ },
+ {
+ "input": "Intra-procedure, received haldol 5 mg iv, fentanyl 200 mg iv, and versed 1.5 mg iv and noted to be poorly responsive to commands and low rr in recovery area; [**hospital unit name 519**] called to evaluate.",
+ "output": "The patient has had a significant amount of anesthetics."
+ },
+ {
+ "input": "History of present illness: this is a 19-year-old male, status post motor vehicle collision.",
+ "output": "The patient had an mvc."
+ },
+ {
+ "input": "Patient was then transferred to [**hospital1 22**] for cardiac cath.",
+ "output": "Patient has signs of a mi."
+ },
+ {
+ "input": "This had prevented him from receiving a liver transplant earlier.",
+ "output": "The patient is in need of a liver transplant."
+ },
+ {
+ "input": "History of present illness: the patient is a 59-year-old woman with a past medical history of hypertension and avnrd who was found in the parking garage on [**3208-9-25**], unresponsive and not moving her right side.",
+ "output": "The patient has neurologic deficits."
+ },
+ {
+ "input": "She was found to be in a-fib, which she has never been in before.",
+ "output": "The patient has an irregular heart rate."
+ },
+ {
+ "input": "He was later admitted [**date range (3) 20892**] for osteo/sepsis.",
+ "output": "The patient has sepsis."
+ },
+ {
+ "input": "She was treated with bedrest, magnesium sulfate, and betamethasone.",
+ "output": "She is pregnant."
+ },
+ {
+ "input": "State newborn screen: sent, results all within normal limits.",
+ "output": "Newborn screen was normal."
+ },
+ {
+ "input": "The child is well at this time.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "Given the new q waves on ecg and negative cardiac enzymes, pt likely had an mi sometime in the weeks preceding admission.",
+ "output": "The patient has an abnormal ekg."
+ },
+ {
+ "input": "He was transferred to [**hospital1 52**] via ambulance on an amiodarone drip. .",
+ "output": "Patient has arrythmia."
+ },
+ {
+ "input": "This is a ultrasound at 23 weeks showed size discordance, attributed to twin-twin transfusion syndrome.",
+ "output": "This is a twin pregnancy."
+ },
+ {
+ "input": "She had diagnosed t4n0 stage 3b lung cancer in the right upper lobe involving the main stem bronchus.",
+ "output": "The patient has lung cancer without distant metastatic disease."
+ },
+ {
+ "input": "His lfts were wnl (alt 20, ast 29, alk phos 130) as they have been in past.",
+ "output": "The patient has normal liver function tests."
+ },
+ {
+ "input": "- anticardiolipin antibody- dxed 15y ago when episode of transient visual loss, on coumadin since - rheumatoid arthritis - spontaneous abortions >1 - synovectomy surgery bilateral wrists- [**3022**] by dr. [**last name (stitle) 13736**] at nebh - tonsillectomy - hypothyroidism - mitral valve prolapse",
+ "output": "History of multiple medical conditions."
+ },
+ {
+ "input": "Patient described this dizziness as feeling unsteady when trying to ambulate.",
+ "output": "The patient has difficulty ambulating."
+ },
+ {
+ "input": "The emts noted diffuse wheezing, accessory muscle use, and oxygen saturation in the 50s.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "He was treated for a copd flare with po prednisone and levofloxacin.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "She continued to do quite well and ended up undergoing a thymectomy which she tolerated fairly well, however, postoperatively she had bilateral chest tubes with some mild pleural effusions and continued to complain of some shortness of breath.",
+ "output": "Patient has had recent surgery with mild complications."
+ },
+ {
+ "input": "This is a 76 year old woman with a past medical history significant for coronary artery disease status post myocardial infarction and stent placement, hypertension, paroxysmal supraventricular tachycardia, gastrointestinal bleeding and hypercholesterolemia who presents after being found down at home.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "He has dialysis tuesday, thursday, and saturday.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "The infant was discharged home on day of life two per parents request.",
+ "output": "Infant went home the day after delivery."
+ },
+ {
+ "input": "Pt was found to be in dka with bs 384 and anion gap 17, given 5 u insulin and placed on insulin gtt.",
+ "output": "Patient has hyperglycemia."
+ },
+ {
+ "input": "History of methicillin resistant staphylococcus aureus in sputum.",
+ "output": "Patient is mrsa positive."
+ },
+ {
+ "input": "Reactive airway disease; 8.",
+ "output": "Patient has asthma."
+ },
+ {
+ "input": "Maternal history notable for hypothyroidism on levoxyl.",
+ "output": "The mother has hypothyroidism."
+ },
+ {
+ "input": "In total, the patient received 9units of prbcs.",
+ "output": "Patient had anemia."
+ },
+ {
+ "input": "An arterial line was placed.",
+ "output": "The patient has an intraarterial blood pressure monitor."
+ },
+ {
+ "input": "Multiple rib fractures.",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "History of present illness: the patient's chief complaint was dyspnea on exertion and syncopal episode.",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "Of note, patient does admit to an admission at [**hospital1 251**] where he experienced seizures and self reports a diagnosis of delirium tremens.",
+ "output": "The patient has alcoholism."
+ },
+ {
+ "input": "She appeared comfortable but unable to wean the oxygen to nasal cannula at this time.",
+ "output": "The patient requires supplemental oxygen."
+ },
+ {
+ "input": "She was initially treated for an exacerbation of her chronic obstructive pulmonary disease.",
+ "output": "The patient has abnormal lungs."
+ },
+ {
+ "input": "Started on insulin ggt at 6 u/hr.",
+ "output": "The patient received insulin."
+ },
+ {
+ "input": "History of spinal tuberculosis.",
+ "output": "The patient has a history of pott disease."
+ },
+ {
+ "input": "She was tranported via ambulance to [**hospital1 22**] for continued trauma care.",
+ "output": "The patient has a history of trauma."
+ },
+ {
+ "input": "\ufeff# gerd # stab wounds to back ([**3142**]): r lung, kidney, liver punctured.",
+ "output": "History of trauma."
+ },
+ {
+ "input": "Her outpatient medications include aspirin 325 mg po q d, glucophage 100 mg po bid, glyburide 10 mg po bid, lasix 40 mg po q d, iron 325 mg po q d, lescol 40 mg po q d, zestril 40 mg po q d, kcl 10 meq po q d.",
+ "output": "The patient has type 2 diabetes."
+ },
+ {
+ "input": "She was given zosyn 4.5 mg iv.",
+ "output": "The patient was given iv antibiotics."
+ },
+ {
+ "input": "Though he was clinically improving, patient did not complete his medical treatment.",
+ "output": "The patient did not complete treatment."
+ },
+ {
+ "input": "A left chest tube was placed, and the patient was resuscitated and medflight'd over to [**hospital6 2138**].",
+ "output": "The patient had a left sided chest problem."
+ },
+ {
+ "input": "History of present illness: this is a 60 year old male transferred from [**hospital3 22437**] in [**doctor last name 2142**]on [**3262-1-31**] for evaluation for coronary artery bypass grafting.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "His wife says that he looked pale and sweaty and was complaining that \"something didn't feel right.\" he denies experiencing any shortness of breath, nausea/vomiting, or palpitations. .",
+ "output": "Patient feeling ill."
+ },
+ {
+ "input": "She was seen by gastroenterology in the emergency room.",
+ "output": "She received emergency medical attention."
+ },
+ {
+ "input": "New st depressions and t wave inversions noted.",
+ "output": "Patient has abnormal ekg concerning for ischemia."
+ },
+ {
+ "input": "His recent abdominal pain and nausea had improved over the [** location **]us days since he had been switched from tacrolimus to cyclosporine.",
+ "output": "Patient has pain."
+ },
+ {
+ "input": "She had no prior coronary artery disease history.",
+ "output": "The patient has no coronary artery disease history."
+ },
+ {
+ "input": "Initial ag 35, down to 17 at transfer to micu.",
+ "output": "Patient has an improving anion gap."
+ },
+ {
+ "input": "Patient had an admission for dchf exacerbation in [**10-31**].",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "His last a1c was 5.7 in [**3032**] at which time his ldl was 96, the tg were 159 and his hdl was 60.",
+ "output": "The patient has normal blood glucose."
+ },
+ {
+ "input": "She was started on ancef.",
+ "output": "The patient was started on antibiotics."
+ },
+ {
+ "input": "Mitral stenosis and mitral regurgitation.",
+ "output": "The patient has mitral stenosis."
+ },
+ {
+ "input": "She was given 20mg iv lasix immediately and a foley was placed for uop monitoring.",
+ "output": "Patient has a urinary catheter in place."
+ },
+ {
+ "input": "Cxr in ed notable for pulmonary vascular congestion, but no overt failure or infiltrate. .",
+ "output": "Patient has pulmonary edema."
+ },
+ {
+ "input": "Urine and serum tox screens negative, u/a negative.",
+ "output": "No evidence of drug use."
+ },
+ {
+ "input": "[**doctor first name 2642**] required some facial cpap in the delivery room.",
+ "output": "The patient required some ventilation support."
+ },
+ {
+ "input": "He has had increased insomnia with halucinations due to increased pain and potential side effects of requip and pregabalin.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "She was found to be tachypneic this morning with rr~40's.",
+ "output": "She has a high respiratory rate."
+ },
+ {
+ "input": "Total cross-clamp time was 39 minutes.",
+ "output": "The patient underwent surgery involving the heart."
+ },
+ {
+ "input": "74 year old female presented to osh with chest pressure and heaviness.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "Cad s/p mi in the 80s 9.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "In the ed: t 97.0 hr 58 bp 106/69 rr 25 szo2 95%2l.",
+ "output": "The patient was on oxygen support in the ed."
+ },
+ {
+ "input": "History of present illness: a 3435-gram male infant born by stat cesarean section for fetal bradycardia at 41 weeks.",
+ "output": "The patient has normal birth weight."
+ },
+ {
+ "input": "She awoke up more and she tore off her bipap.",
+ "output": "Patient is on bipap."
+ },
+ {
+ "input": "He was found with 3vd, now s/p cabg x 3 on [**5-29**].",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Review of systems on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, hemoptysis, black stools or red stools.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "Today increasing lethargy and no p.o. intake.",
+ "output": "Patient did not eat today."
+ },
+ {
+ "input": "Pt had a stress mibi test done today.",
+ "output": "The patient had a test to detect coronary artery disease."
+ },
+ {
+ "input": "Patient is hypotensive on admission.",
+ "output": "The patient has low blood pressure."
+ },
+ {
+ "input": "He was restless, complained of abdominal pain (but had a benign examination), and had a desaturation of a pulse oxygen to 88% on 100% nonrebreather face mask, and he was reintubated.",
+ "output": "The patient could not maintain adequate respiration."
+ },
+ {
+ "input": "Vancomycin was added on [**3387-2-9**].",
+ "output": "The patient was given an antibiotic."
+ },
+ {
+ "input": "[**known patient lastname 7540**] is a 49 year old man with h/o hiv/aids (last cd4 387 in [**3-26**]), severe copd (home o2 4-5lnc), who was admitted with shortness of breath and confusion. .",
+ "output": "He is immunocompromised."
+ },
+ {
+ "input": "Then, on [**2598-12-1**], head ct showed a stroke on the right, less than one-half of the hemisphere, thus it was decided to start him on low dose heparin gtt and coumadin with a goal ptt 40-50.",
+ "output": "Head ct showed abnormalities."
+ },
+ {
+ "input": "He was transferred to the nicu for further evaluation.",
+ "output": "Patient is in intensive care unit."
+ },
+ {
+ "input": "There are no other neurological symptoms.",
+ "output": "The patient has some neurological symptoms."
+ },
+ {
+ "input": "While intubated it was found that there was no air leak even w/ the cuff down, of note, however, a larger ett was placed (8.0) for second intubation and it was thought that perhaps the large tube size was preventing air leak rather than true airway edema.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Hepatitis complicated by hypothyroidism, treated with levoxyl and insulin dependent diabetes mellitus.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname 279**] was born at 32 5/7 weeks gestation, weighing 2175 grams, by spontaneous vaginal delivery, to a 40-year-old gravida ii, para 0 now i woman.",
+ "output": "Patient has been born prematurely."
+ },
+ {
+ "input": "Hypothyroid hypercholestemia gerd s/p bilateral knee replacement",
+ "output": "The patient has multiple chronic illnesses."
+ },
+ {
+ "input": "History of present illness: the patient is a 73[**hospital 9678**] nursing home resident with a history of hypertension and alzheimer's dementia who presented with an episode of loss of consciousness after defecating.",
+ "output": "The patient had syncope."
+ },
+ {
+ "input": "Followed by cardiologist for elevated blood pressures (toprol was recently increased to [**hospital1 **] and hctz was added), herniated disks at c4 anc c5 with increased neck pain in the past few months, s/p hysterectomy, appendectomy, lumbar disk surgery in [**3118**].",
+ "output": "Patient has osteoarthritis of the cervical spine."
+ },
+ {
+ "input": "History of present illness: the patient is a 52 year old gentleman with a past medical history significant only for heavy smoking, who was transferred from outside hospital for management of an acute myocardial infarction and nonsustained ventricular tachycardia.",
+ "output": "The patient has an acute myocardial infarction."
+ },
+ {
+ "input": "Nasogastric lavage was performed, positive for blood.",
+ "output": "Patient has had a diagnostic procedure."
+ },
+ {
+ "input": "No maternal fever was reported.",
+ "output": "Mother was afebrile."
+ },
+ {
+ "input": "History of deep venous thrombosis with left popliteal to common femoral deep venous thrombosis diagnosed in [**2733-8-5**].",
+ "output": "The patient had a venous blood clot."
+ },
+ {
+ "input": "On the day of delivery, the decision was made to deliver by repeat c- section, also this twin was known breech presentation.",
+ "output": "Patient was delivered via c section."
+ },
+ {
+ "input": "Back pain was considered musculoskeletal in nature.",
+ "output": "Back pain is not due to tumor."
+ },
+ {
+ "input": "His normal bm pattern is [**2-11**] loose bm daily and his last bloodly bm was ~3wks ago.",
+ "output": "The patient has a history of bloody bowel movements."
+ },
+ {
+ "input": "He became progressively hypoxic to 88 on room air (up to 95% on 4 liters).",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "A chest x-ray was unremarkable, and an abdominal ultrasound did not demonstrate any ascites.",
+ "output": "Chest x-ray revealed no abnormality."
+ },
+ {
+ "input": "Upon arival to the [**name (ni) **], pt was stable but found to have dynamic evolving ecg changes including anterior stes and twi through out.",
+ "output": "The patient has acute coronary syndrome."
+ },
+ {
+ "input": "She presents with a two day course of progressive slurred speech and difficulty speaking.",
+ "output": "The patient has neurologic deficits."
+ },
+ {
+ "input": "In ed, attempts at subclavian and ij's failed and a femoral line was placed.",
+ "output": "Attempted central venous catheter placement of the upper extremities failed."
+ },
+ {
+ "input": "No fevers, chills, recent illenss,chest pain, does have occ palpitations but none with these episodes.",
+ "output": "Patient has no infection."
+ },
+ {
+ "input": "Status post tonsillectomy and adenoidectomy in [**2527**].",
+ "output": "The patient had surgery for tonsil removal."
+ },
+ {
+ "input": "7) s/p lap chole 8) lbp 9) chronic renal insufficiency: [**12-26**] diabetic nephropathy.",
+ "output": "History of diabetes."
+ },
+ {
+ "input": "[**known patient lastname **] is a 19 year-old woman with type i diabetes, who presents female with headache and vomiting.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "He was given 100 grams of activated charcoal and admitted to the sicu.",
+ "output": "The patient was given medication to treat ingested material."
+ },
+ {
+ "input": "Atrial fibrillation status post coumadin, which was discontinued two weeks prior to this admission due to falls.",
+ "output": "Patient has abnormal cardiac rhythm."
+ },
+ {
+ "input": "At [**hospital1 294**], initial hct there was 41 --> dropped to 26.",
+ "output": "The patient had an acute bleed."
+ },
+ {
+ "input": "She stated that she has had increasing doe for the past 3 weeks (since last hospitalization).",
+ "output": "The patient has increase shortness of breath."
+ },
+ {
+ "input": "Had head ct at on arrival to floor, patient confused, oriented to person not place time or reason for admission.",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "Of note, he had his j-tube changed in dr.[**name (ni) 2913**] office 2 weeks prior due to obstruction. .",
+ "output": "He has a feeding tube."
+ },
+ {
+ "input": "In addition, the patient demonstrated 3-vessel disease of the right coronary artery, left anterior descending artery, and circumflex with diffuse 68% stenosis of each.",
+ "output": "The patient has triple vessel disease."
+ },
+ {
+ "input": "The patient was noted to have a laceration at the back of his head, on the left, with a fair amount of bleeding.",
+ "output": "The patient is at risk for an infection."
+ },
+ {
+ "input": "Depression anxiety hernia repair vasectomy",
+ "output": "Patient has history of depression."
+ },
+ {
+ "input": "Head ct scan on admission shows decrease in the subdural hematoma.",
+ "output": "Head ct shows bleeding."
+ },
+ {
+ "input": "The patient was in the newborn nursery until day of life two.",
+ "output": "The patient is a newborn."
+ },
+ {
+ "input": "In the ed, initial vitals t was 100.8, hr 95 bp79/46 rr14 100% 2l nc.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "The patient is asymptomatic without any lightheadedness or dizziness.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "History of tuberculosis.",
+ "output": "The patient has had an infection problem."
+ },
+ {
+ "input": "Patient was unable to recall the fall and denied loc.",
+ "output": "The patient cannot remember the fall."
+ },
+ {
+ "input": "He had an abnormal ett and then underwent cardiac cath.",
+ "output": "Patient has been intervened upon."
+ },
+ {
+ "input": "He underwent workup in the emergency room to include a ct scan, which demonstrated what appeared to be portal and smv thrombus.",
+ "output": "Patient has clot in his portal vein."
+ },
+ {
+ "input": "He is status post prostatectomy, status post appendectomy, and status post hernia repair.",
+ "output": "He has had multiple surgeries."
+ },
+ {
+ "input": "The mother's prenatal screens were blood type b+, antibody negative, rpr nonreactive, hepatitis surface antigen negative, group b strep negative.",
+ "output": "Prenatal screens were negative."
+ },
+ {
+ "input": "He was intubated by paramedics who found pill fragements in his mouth.",
+ "output": "The patient was not able to maintain his own airway."
+ },
+ {
+ "input": "Status post open reduction and internal fixation of left tibia in [**2845-4-10**].",
+ "output": "Patient has trauma."
+ },
+ {
+ "input": "He has had no coffee ground emesis.",
+ "output": "The patient is not vomiting blood."
+ },
+ {
+ "input": "According to her, his eyes looked funny.",
+ "output": "The patient has abnormal looking eyes."
+ },
+ {
+ "input": "10 hours into ed course patient's bp was still 200 systolic.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "History: the patient is the 1510-gram product of an ivf triplet gestation born by cesarean section from maternal pih at 30-5/7 weeks gestation to a 31-year-old g1 mother.",
+ "output": "The patient was born premature."
+ },
+ {
+ "input": "Emergency department temperature was 102, heart rate 148, blood pressure 128/78, respiration rate 20, o2 sat 92 percent on room air.",
+ "output": "The patient is febrile and tachycardic."
+ },
+ {
+ "input": "Currently the patient's daughter would like her to go back to [**hospital3 937**] as soon as possible.",
+ "output": "The patient has given birth before."
+ },
+ {
+ "input": "She was then dc cardioverted with 100 joules which converted her to normal sinus rhythm.",
+ "output": "The patient was cardioverted."
+ },
+ {
+ "input": "She was on coumadin for mitral valve replacement and had had nosebleeds in the past but never hematemesis.",
+ "output": "Patient has increased pt."
+ },
+ {
+ "input": "Head ct showed multiple high density nodules concerning for metastatic disease.",
+ "output": "Head ct was abnormal."
+ },
+ {
+ "input": "Prenatal screens are o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs unknown, cf negative.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "The patient had no complaints of angina or no st segment changes were noted.",
+ "output": "Patient has no evidence of stemi."
+ },
+ {
+ "input": "History of present illness: patient is an 88-year-old who is a retired former gm worker who has cardiac history that dates back to [**2728**] when he was admitted to an outside hospital with chest pain, shortness of breath and diaphoresis after shoveling snow at which time ecg was consistent with an acute inferior mi with a ck peaking at 1273 with 20% mb.",
+ "output": "The patient has a heart attack."
+ },
+ {
+ "input": "At the ed, he had a ct, which showed large lymph nodes in the abdomen.",
+ "output": "Ct of abdomen showed enlarged lymph nodes."
+ },
+ {
+ "input": "Group beta strep status unknown.",
+ "output": "The group b strep status is unkown."
+ },
+ {
+ "input": "Limb ataxia: 2 8.",
+ "output": "There is limb ataxia."
+ },
+ {
+ "input": "He took tylenol for severe ha in the setting of family problems.",
+ "output": "The patient has headaches."
+ },
+ {
+ "input": "The patient was admitted to the micu where he received 3% hypertonic saline.",
+ "output": "The patient was hyponatremic."
+ },
+ {
+ "input": "History: baby [**name (ni) **] [**known patient lastname **] is a 41 and [**12-30**] week gestation infant admitted to the nicu with respiratory distress.",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "The patient had complained of polyuria and polydipsia for weeks.",
+ "output": "The patient has been thirsty."
+ },
+ {
+ "input": "Pt has no other known medical problems and states that he hadn't been to see a doctor [**first name (titles) **] [**last name (titles) 6361**].",
+ "output": "No past medical history."
+ },
+ {
+ "input": "She denies exertional buttock or calf pain.",
+ "output": "Patient denies pain with exertion in her calf."
+ },
+ {
+ "input": "She denies exertional buttock or calf pain.",
+ "output": "The patient has no exertional buttock or calf pain."
+ },
+ {
+ "input": "On [**3300-1-28**] the patient had another catheterization that showed again three vessel disease with the left main severely and diffusely diseased with proximal left anterior descending coronary artery 90% and proximal left circumflex subtotally occluded, diffusely diseased left internal mammary coronary artery to left anterior descending coronary artery with 90% stenosis at touch down site of the left anterior descending coronary artery.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Supine ap view of the chest: an endotracheal tube is noted with tip at the carina.",
+ "output": "The patient has a breathing tube."
+ },
+ {
+ "input": "Back pain was described as sharp x 30 min, improved with nitroglycerin.",
+ "output": "Back pain relieved with medication."
+ },
+ {
+ "input": "In the ed, vs: 100.5 90 90/49 16 100%ra.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "History of present illness: this is a 58 year-old gentleman who is presenting for operative management of his familial carcinoma of the stomach.",
+ "output": "The patient has gastric carcinoma."
+ },
+ {
+ "input": "She was ordered 2 units to be given in ed.",
+ "output": "The patient is being seen in the emergency department."
+ },
+ {
+ "input": "Current vs: 98.2 97 100/70 100ra.",
+ "output": "The patient has normal vitals."
+ },
+ {
+ "input": "Travel history: travel history is quite extensive.",
+ "output": "The patient has traveled multiple places."
+ },
+ {
+ "input": "Left lower extremity deep venous thrombosis in [**2824-8-18**].",
+ "output": "The patient had a blood clot in the left lower extremity."
+ },
+ {
+ "input": "Total knee replacement in [**2664**].",
+ "output": "The patient had a total knee replacement."
+ },
+ {
+ "input": "He was given vancomycin and 2 gm ctx in the ed for meningitis coverage.",
+ "output": "Patient has symptoms of meningitis."
+ },
+ {
+ "input": "History of insulin dependent type 2 diabetes mellitus with neuropathy and nephropathy.",
+ "output": "History of renal insufficiency."
+ },
+ {
+ "input": "The patient was diagnosed with an acute myocardial infarction.",
+ "output": "The patient has an acute infarct."
+ },
+ {
+ "input": "Wispy calcifications bilaterally in the region of the hamstring tendons suggest chondrocalcinosis.",
+ "output": "The patient has had knee radiographs."
+ },
+ {
+ "input": "Cath on [**3449-1-19**] revealed [**first name8 (namepattern2) **] [**location (un) 108**] of 0.6, mean grad 40 and peak of 60.",
+ "output": "The patient had cardiac catheterization."
+ },
+ {
+ "input": "During her hospital admission, all of her medical problems improved.",
+ "output": "She got better during her hospital stay."
+ },
+ {
+ "input": "Because he is on home o2 and has a poor pulmonary baseline, he does not walk far, but this had not been getting worse recently.",
+ "output": "The patient has a pulmonary condition."
+ },
+ {
+ "input": "The pt. reported that the same sequence of events occurred again beginning 4-5 days prior to admission.",
+ "output": "The patient has a recurrent problem."
+ },
+ {
+ "input": "She developed recurrent infection 6 weeks after stopping therapy with coag-neg staph.",
+ "output": "History of infection."
+ },
+ {
+ "input": "His wife took his pulse and noticed it was \"slow.\" the patient reportedly had some relief from his symptoms after his wife gave him a sublingual nitroglycerin.",
+ "output": "The patient has symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "Arctic sun cooling protocol was initiated.",
+ "output": "The patient was cooled."
+ },
+ {
+ "input": "The wheezing was not relieved with her albuterol inhaler.",
+ "output": "The bronchodilator provided no relief."
+ },
+ {
+ "input": "History of present illness: the patient is a 41 year old female with multiple sclerosis and a diagnosis of ulcerative colitis from [**3188-1-26**].",
+ "output": "The patient has a history of inflammatory bowel disease."
+ },
+ {
+ "input": "A peripheral iv was placed and 10 mls per kilo of normal saline was given with good results.",
+ "output": "The patient received fluids."
+ },
+ {
+ "input": "A biophysical profile [**9-8**] with fetal heart rate in the 130's.",
+ "output": "Patient is still in utero."
+ },
+ {
+ "input": "She did not notice any abnormal limb movements or incontinence of stool or urine.",
+ "output": "The patient is able to control bowel movements."
+ },
+ {
+ "input": "In the micu, the patient was aggressively hydrated for treatment of dka and rhabdomyolysis.",
+ "output": "The patient has a severe acidosis."
+ },
+ {
+ "input": "Repeat echo 7 days later was done with stability in the patient's symptoms.",
+ "output": "Patient has no further symptoms."
+ },
+ {
+ "input": "A pharmacologic mibi was done as well and showed a possible mild reversible inferior wall defect.",
+ "output": "The patient underwent a cardiac stress test."
+ },
+ {
+ "input": "Bronch at [**hospital 1392**] hospital showed blood in trachea and tumor on right lateral tracheal wall, compromising the terminal trachea and proximal main stem bronchi.",
+ "output": "Patient has a primary malignancy."
+ },
+ {
+ "input": "7) status post transurethral resection of prostate.",
+ "output": "The patient has a history of enlarged prostate."
+ },
+ {
+ "input": "She has had no diarrhea.",
+ "output": "Patient has no gi symptoms."
+ },
+ {
+ "input": "Uti was suspected and pt was started on iv ceftriaxone and iv tobramycin.",
+ "output": "The patient was given antibiotics."
+ },
+ {
+ "input": "On the floor, patient 103/52 89 14 100 ra.",
+ "output": "The patient\u2019s oxygen saturation is normal."
+ },
+ {
+ "input": "66yom with diabetes, esrd on hd, and pvd s/p r sfa to dp bypass graft ([**9-/3223**]) followed by rle angiogram with angioplasty and sfa/at stents ([**3231-2-14**]), with known chronic right heel ulcer, now presents with worsening right heel gangrene.",
+ "output": "Patient has peripheral vascular disease and end stage renal disease."
+ },
+ {
+ "input": "Now patient is normotensive, unremarkable exam, neg head ct, lactate trending down, cxr w/stable pleural effusions .",
+ "output": "Patient has a pleural effusion."
+ },
+ {
+ "input": "He has not had any large bloody bms for >1 day now.",
+ "output": "Patient had hematochezia."
+ },
+ {
+ "input": "Exercise treadmill thallium test showing an ejection fraction of 34%.",
+ "output": "Patient has low ef."
+ },
+ {
+ "input": "He reports baseline diarrhea which is not changed.",
+ "output": "He continues to have diarrhea."
+ },
+ {
+ "input": "She was also diuresed with iv lasix.",
+ "output": "She received a iv diuretic."
+ },
+ {
+ "input": "She was transferred here for cardiac catheterization.",
+ "output": "Patient has a groin incision."
+ },
+ {
+ "input": "History: 59-year-old female with esophageal cancer, also with gi bleeding and initially hypotensive with concern for erosion into the great vessels of the mediastinum.",
+ "output": "The patient has a gi bleed and esophageal cancer."
+ },
+ {
+ "input": "He arrived awake, alert, did not complain of headache but had slurred speech, bilateral end point lateral gaze nystagmus, truncal ataxia, both finger to nose and heel to shin.",
+ "output": "He presented with neurological symptoms."
+ },
+ {
+ "input": "On day of delivery, she proceeded to an elective c section for worsening of preeclampsia.",
+ "output": "The patient delivered the infant surgically."
+ },
+ {
+ "input": "Patient denies chills.",
+ "output": "Patient has no evidence of fever."
+ },
+ {
+ "input": "U/a negative, and no changes were noted on ekg. .",
+ "output": "Patient has no evidence of uti."
+ },
+ {
+ "input": "Timeout was checked x2. [** location **]inary son[**name (ni) 236**] interrogation demonstrates visualization of a somewhat subtle, heterogeneous lesion at the inferior right hepatic lobe which corresponds to the mri findings.",
+ "output": "The patient is undergoing laparotomy."
+ },
+ {
+ "input": "He states that he has gained 19 pounds in the past 3 days.",
+ "output": "He has had rapid weight gain."
+ },
+ {
+ "input": "She is not treated with rhogam during this pregnancy.",
+ "output": "She did not receive rho(d) immune globulin."
+ },
+ {
+ "input": "She was treated with an ercp and biliary stenting.",
+ "output": "She had biliary obstruction."
+ },
+ {
+ "input": "Vascular surgery evaluated the patient and recommended a venogram and a possible svc stent at that time.",
+ "output": "There is concern for svc obstruction."
+ },
+ {
+ "input": "She has noticed dark stools over the past 24 hours. .",
+ "output": "Patient has blood in their stool."
+ },
+ {
+ "input": "Pt noted worsening of these symptoms throughout the week until presentation.",
+ "output": "Pt had an increase in symptom severity."
+ },
+ {
+ "input": "He started radiation therapy in [**10-29**] and started cycle 1 of cisplatin/etoposide in [**11-28**] and cycle 2 in [**12-30**].",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "Urinary tract infection was active and treated during hospitalization 2.",
+ "output": "The patient had a uti."
+ },
+ {
+ "input": "She noted sudden onset sob [**3350-7-9**], took an extra dose of furosemide 40 mg with little relief.",
+ "output": "Patient is short of breath."
+ },
+ {
+ "input": "He had a egd with push enteroscopy, and a colonoscoy which did not reveal the source of his bleeding.",
+ "output": "He has a gi bleed."
+ },
+ {
+ "input": "Currently she denies abdominal pain, nausea/vomiting, or increasing in abdominal girth.",
+ "output": "The patient denies symptoms of pancreatic cancer."
+ },
+ {
+ "input": "He had undergone mvac chemotherapy with dr. [**last name (stitle) 5666**].",
+ "output": "He has cancer."
+ },
+ {
+ "input": "He also developed a shuffling gait and some unsteadiness on his feet and urinary incontinence.",
+ "output": "Patient has possible nph."
+ },
+ {
+ "input": "He has been followed for a cystic lesion in his pancreas and recently this showed growth up to a size of 1.5 cm now.",
+ "output": "The patient has a cystic mass in his pancreas."
+ },
+ {
+ "input": "The daughter had noticed that the patient had not been taking her antihypertensive [**doctor last name 611**] for the past three weeks (she would find the tablets under her chair).",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "Repeat colonoscopy on [**2573-9-21**] whoed high grade dysplasia and cis.",
+ "output": "The patient had a colonoscopy."
+ },
+ {
+ "input": "The mother was induced for concerns of pregnancy induced hypertension.",
+ "output": "The mother had high blood pressure."
+ },
+ {
+ "input": "Past medical history: significant for alzheimer's with vascular dementia, right av fistula, post angioplasty, recent admission in [**2503-12-27**] for mental status changes and question encephalopathy and hypercalcemia.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "A ct of the liver as part of a liver transplant work-up showed a shrunken cirrhotic liver with regenerating nodules with hyperintense lesions susicious for hepatomas.",
+ "output": "Patient has cirrhosis."
+ },
+ {
+ "input": "On arrival to the micu, the patient is sleeping and does not want to answer questions.",
+ "output": "Unable to obtain history from the patient."
+ },
+ {
+ "input": "Was given propofol for sedation.",
+ "output": "An anesthetic was given."
+ },
+ {
+ "input": "Past medical history: the patient's past medical history is significant for ulcerative colitis and bleeding and diarrhea.",
+ "output": "Patient has positive pmh."
+ },
+ {
+ "input": "Nasal fracture secondary to trauma.",
+ "output": "The patient experienced facial trauma."
+ },
+ {
+ "input": "He was taken off the vent and bagged with sats 78-82% only.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "The patient denies chest pain or recent med changes. .",
+ "output": "Patient has no angina."
+ },
+ {
+ "input": "Morphine sulfate for pain control with episode of hypertension.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "Pcp was called and offered the additional history: patient was feeling weak, wasn't herself over weekend, family didn't want to bring her in (daughter).",
+ "output": "The patient has weakness."
+ },
+ {
+ "input": "Earlier this year the mom experienced a twin loss at 18 weeks.",
+ "output": "The patient had a failed pregnancy."
+ },
+ {
+ "input": "She then went to the bathroom and noted bright red urine.",
+ "output": "The patient has hematuria."
+ },
+ {
+ "input": "Basal cell carcinoma 15.",
+ "output": "History of skin cancer."
+ },
+ {
+ "input": "Patient states that he has had to crush pills prior to swallowing.",
+ "output": "The patient cannot swallow pills whole."
+ },
+ {
+ "input": "Typically is constipated, had diarrhea this am. he denies etoh or nsaid use.",
+ "output": "The patient has had frequent loose stools."
+ },
+ {
+ "input": "His baseline copd is 6l o2 at rest, 7l with exertion; he is fatigued after walking ten feet.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Per [**last name (un) **] plan is to return to the or with dr. [**last name (stitle) **] for a repeat wash out in effort to treat this infection.",
+ "output": "Patient has an infected collection."
+ },
+ {
+ "input": "[**known patient lastname 8925**] is a 66 year old woman with a history of copd who initially presented to [**hospital 8926**] hospital ed with copd exacerbation and after discharge on [**2-27**] had respiratory arrest thought to be secondary to pneumonia/mucus plugging.",
+ "output": "The patient has pulmonary disease."
+ },
+ {
+ "input": "History of ventricular tachycardia on amiodarone 9.",
+ "output": "The patient has a cardiac arrhythmia."
+ },
+ {
+ "input": "He reports that his breathing had been feeling ok until last night, when he was driving home and had a fit of coughing productive of yellowish sputum.",
+ "output": "The patient has symptoms of a pulmonary condition."
+ },
+ {
+ "input": "In [**3450-8-20**], she experienced intermittent facial and tongue swelling controlled with benadryl, and in [**3450-10-20**], she was hospitalized and intubated for increased facial and tongue swelling.",
+ "output": "She required breathing assistance."
+ },
+ {
+ "input": "He had no history of syncope.",
+ "output": "No history of lightheadedness or loss of consciousness."
+ },
+ {
+ "input": "Subsequent head ultrasounds on [**2559-12-31**], [**2560-1-7**], [**2560-1-11**] and [**2560-1-29**] have shown gradually resolving intraventricular hemorrhage with normalizing ventricular size.",
+ "output": "Patient has neonatal intraventricular hemorrhage."
+ },
+ {
+ "input": "The patient received aspirin and lopresor and was started on heparin, nitroglycerin and integrilin drips.",
+ "output": "The patient was treated for a cardiac event."
+ },
+ {
+ "input": "The patient continued progressive vent wean and went back to [**hospital1 1304**].",
+ "output": "Patient has respiratory failure."
+ },
+ {
+ "input": "69 yo m with hx of hocm x 15 yrs, htn, hyperchol, remote tob abuse who presents for etoh ablation after being symptomatic on maximal medical therapy and echo showing peak lv aortic pressure grad 20 at rest and 80 post pvc and 94 after valsalva.",
+ "output": "The patient has a structural heart disease."
+ },
+ {
+ "input": "On the day of admission the patient was found cyanotic.",
+ "output": "The patient appeared blue."
+ },
+ {
+ "input": "Patient given unasyn for urinary tract infection and 1l ns.",
+ "output": "Treated for uti with an antibiotic."
+ },
+ {
+ "input": "There was a re-discussion of her code status, and the patient desired to be do not resuscitate/do not intubate.",
+ "output": "The patient has a dnr status."
+ },
+ {
+ "input": "Ef 47%, hypokinetic apex; 133 ml contrast --tte [**3050-11-18**]: ef 25%; severe lv systolic dysfunction; apical dyskinesis; global lvhk; [**2-10**]+ mr; loculated effusion 2.",
+ "output": "Patient has chf."
+ },
+ {
+ "input": "Osa, intolerant to cpap 9. h/o mrsa pna 10.",
+ "output": "History of obstructive sleep apnea."
+ },
+ {
+ "input": "Status post abdominal hernia repair.",
+ "output": "The patient had an abdominal wall defect repaired."
+ },
+ {
+ "input": "Hypercholesterolemia (not on statin due to elevated lfts) 5.",
+ "output": "Patient has high ldl."
+ },
+ {
+ "input": "Length 51.5 cm, 75th to 90th percentile.",
+ "output": "The patient has normal length."
+ },
+ {
+ "input": "Hypertension cad- s/p cabg about 20yrs ago. abnormal stress and cath in [**12-11**] at [**hospital1 52**] ischemic cardiomyopathy with ef of 40% dm ii alzheimer's dementia history of recurrent syncope",
+ "output": "Patient has extensive pmh."
+ },
+ {
+ "input": "Anemia, baseline hematocrit 31.",
+ "output": "The patient has anemia."
+ },
+ {
+ "input": "Head ct again shows left temporal lobe contusion and left parietal lobe contusion which developed after the prior head ct.",
+ "output": "Head ct was abnormal."
+ },
+ {
+ "input": "On presentation to the osh vs 97.0; hr 57; bp 60/palp; rr 24; o2 sat 86% on ra (96% on nrb).",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Infant was born by vaginal delivery.",
+ "output": "The patient was born with vaginal delivery."
+ },
+ {
+ "input": "Weaned off bipap and sating well with nc.",
+ "output": "The patient has improving shortness of breath."
+ },
+ {
+ "input": "She denied dysuria but did have urinary frequency and notice mild nonproductive cough.",
+ "output": "The patient has urinary frequency and cough."
+ },
+ {
+ "input": "History of gastritis.",
+ "output": "The patient has gastric inflammation."
+ },
+ {
+ "input": "Given lasix, ceftriaxone, azithromycin, solumedrol, albuterol, atrovent.",
+ "output": "Given antibiotics and a diuretic."
+ },
+ {
+ "input": "-chronic mesenteric ishcemia -s/p aortobifemoral artery bypass [**3429**] -occluded sma and celiac arteries -s/p abdminal stents x2 ([**3442**], [**3444**]) -hypercholesterolemia -s/p splenectomy [**12/3444**] -reflux -emphysema",
+ "output": "The patient is at high risk for a myocardial infarction."
+ },
+ {
+ "input": "Pathology of pleura biopsy no evidence of malignancy.",
+ "output": "The patient does not have cancerous cells from the recent biopsy."
+ },
+ {
+ "input": "History of present illness: the patient is a 69 -year-old woman who is status post trigeminal nerve decompression on [**3361-10-22**].",
+ "output": "She has had surgery for trigeminal neuralgia."
+ },
+ {
+ "input": "Gastroesophageal reflux disease.",
+ "output": "A disease treated by proton pump inhibitors."
+ },
+ {
+ "input": "Gastroesophageal reflux disease.",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "Received 4 l ns.",
+ "output": "The patient received fluid."
+ },
+ {
+ "input": "He presented over there on [**5-18**] with chest pain after mild exertion without nausea, without vomiting, without change in vision.",
+ "output": "He complained of pain."
+ },
+ {
+ "input": "Patient called ems reportedly in the morning stating that she \"was going to kill\" herself.",
+ "output": "The patient is suicidal."
+ },
+ {
+ "input": "53 year old man with cad who sustained an mi in [**2-4**].",
+ "output": "Patient has a history of mi."
+ },
+ {
+ "input": "She underwent a re-ercp with replacement of a stent as well as redrainage of the ascites fluid.",
+ "output": "She has liver disease."
+ },
+ {
+ "input": "The patient was found to be in rapid ventricular response at 150 to 170 beats per minute.",
+ "output": "The patient has atrial fibrillation."
+ },
+ {
+ "input": "On the morning of [**3037-1-9**] (2 days pta), ms.[**name (ni) 17984**] mother discovered that [**known patient firstname 17985**] sheets were drenched with fluid from her legs and feet.",
+ "output": "The patient has a problem with her legs."
+ },
+ {
+ "input": "Of note, pt stated that he quit smoking and drinking on [**month/day (3) 152**].",
+ "output": "The patient quit smoking."
+ },
+ {
+ "input": "# esrd on hd - started in [**1-5**], mwf, ckd felt to be d/t li toxicity # osteoarthritis/djd # bipolar disorder # h/o pancreatitis [**10-2**] # pancreatic divisim # hypertension # h/o nephrogenic diabetes insipidus secondary to lithium # obesity # chronic cough # asthma",
+ "output": "The patient has multiple medical comorbidities."
+ },
+ {
+ "input": "Past medical history: history of coronary artery disease, status post myocardial infarction, last catheterization [**2995**], with a 68 percent left anterior descending coronary artery lesion and totally occluded diagonal and 50 percent lesion in obtuse marginal one, last stress in [**2995**], with multiple perfusion defects.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Post-partum cardiomyopathy: ef <20 on [**3409-9-13**].",
+ "output": "The patient has heart failure."
+ },
+ {
+ "input": "The night before admission, the patient had fallen out of bed twice, striking himself against a filing cabinet.",
+ "output": "The patient had multiple falls."
+ },
+ {
+ "input": "Annual mammographies have been negative.",
+ "output": "Mammograms have been negative."
+ },
+ {
+ "input": "Here patient has put out 1.5 bags of watery, brownish/pink liquid effluent from ostomy and reports relief of nausea and abdominal pain following this.",
+ "output": "The patient has an ostomy."
+ },
+ {
+ "input": "A-fib hypertension glaucoma",
+ "output": "Arrhythmia and high blood pressure."
+ },
+ {
+ "input": "History of recurrent deep venous thromboses on coumadin.",
+ "output": "History of blood clots."
+ },
+ {
+ "input": "This is a 60 year old male who developed presyncope and dyspnea while watching baseball on television.",
+ "output": "This is a male who became short of breath while watching tv."
+ },
+ {
+ "input": "Vna bp 180/80, without postural hypotension.",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "His initial presentation was bloody diarrhea and abdominal pain.",
+ "output": "He had gastrointestinal dysfunction."
+ },
+ {
+ "input": "Hepatitis b, chronic carrier",
+ "output": "History of liver disease."
+ },
+ {
+ "input": "Severe gastroesophageal reflux disease.",
+ "output": "Patient has acid reflux."
+ },
+ {
+ "input": "Per her daughter she has been having shortness of breath for approximately one month.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "He was seen by podiatry on that hospitalization, who did not feel that his toes were the source of infection. .",
+ "output": "The patient has a toe condition."
+ },
+ {
+ "input": "Patient also reporting numbness sensation extending down the length of the left upper extremity.",
+ "output": "The patient complains of numbness."
+ },
+ {
+ "input": "She was treated with magnesium sulfate, betamethasone and ampicillin, and transferred to [**first name4 (namepattern1) 1212**] [**last name (namepattern1) **] [**first name (titles) **] [**last name (titles) **].",
+ "output": "She received an antibiotic and steroid."
+ },
+ {
+ "input": "The patient is found to have \"several ulcers\".",
+ "output": "The patient has skin or mucosal breakdowns."
+ },
+ {
+ "input": "He also has a history of hypertension.",
+ "output": "History of elevated blood pressure."
+ },
+ {
+ "input": "History of present illness: [**known patient lastname 6318**] is a 10-day old newborn infant being readmitted with hyperbilirubinemia.",
+ "output": "The patient's bilirubin levels are elevated."
+ },
+ {
+ "input": "Cva with l paralysis on [**9-5**] 4.",
+ "output": "History of stroke."
+ },
+ {
+ "input": "Cri with acute creatinine rise post cardiac catheterization mi [**3035**] pvd af dvt diabetes htn neuropathy/retinopathy iron deficiency anemia depression/anxiety s/p subdural hematoma with evacuation multiple pci's atrial flutter ablation [**3032**] multiple toe amputations green field filter placement s/p right lower extremity bypass left saphenous vein harvest aortic stenosis",
+ "output": "Multiple medical conditions."
+ },
+ {
+ "input": "On arrival to ed, she was febrile to 102.2, hr 109, rr 22.",
+ "output": "The patient meets sirs criteria."
+ },
+ {
+ "input": "Stool studies performed on [**3440-1-31**] were unrevealing: no microsporidium, no cyclospora, no salmonella or shigella, no campylobacter, no ova and parasites, no vibrio, no yersinia, no e.coli 0157:h7 found, no cryptosporidium or giardia, feces negative for c.",
+ "output": "Stool cultures were negative."
+ },
+ {
+ "input": "Conservative management with antibiotics was planned. .",
+ "output": "The patient was treated with medication."
+ },
+ {
+ "input": "During the procedure he was found to have low cardiac output index with cardiac output 3.7 and index of 1.78, necessitated input of an intra-aortic balloon pump.",
+ "output": "There is abnormal cardiac function."
+ },
+ {
+ "input": "Status post angioplasty in [**2666**].",
+ "output": "Patient has history of intervention."
+ },
+ {
+ "input": "A fine needle aspiration for cytology demonstrated highly atypical epithelial cells.",
+ "output": "Patient has borderline pre-cancerous lesions."
+ },
+ {
+ "input": "A stress mibi was done on [**3023-6-4**], he exercised for five and a half minutes on [**initials (namepattern4) **] [**last name (namepattern4) 298**] protocol and was stopped secondary to fatigue.",
+ "output": "There is concern that the patient has coronary artery disease."
+ },
+ {
+ "input": "[**known patient lastname 274**] has been hospitalized in [**3257-10-7**] for pneumonia.",
+ "output": "The patient was recently treated for a lung condition."
+ },
+ {
+ "input": "He does not know any of his medications, but he says he has been taking them with the exception of labetalol (which he missed \"a few days\" and lasix missed \"1 day\" - he did not take any meds this morning at all).",
+ "output": "The patient has missed medications."
+ },
+ {
+ "input": "The patient's course was complicated by citrobacter and vre bacteremia as well as acinetobacter growing from the sputum.",
+ "output": "The patient has infection."
+ },
+ {
+ "input": "63m with hx of cad (no stents), pvd, dm, htn who presents with resp failure and pea arrest.",
+ "output": "The patient had a cardiac arrest."
+ },
+ {
+ "input": "Ct abdomen showed ?diverticular abscess and he was started on levaquin/flagyl initially.",
+ "output": "The patient had complicated diverticulitis."
+ },
+ {
+ "input": "He denies currently chest pain, dyspnea, dizziness.",
+ "output": "He does not have shortness of breath."
+ },
+ {
+ "input": "The right main bronchus had evidence of metal debris, probably from the stent at the medial aspect of the right main bronchus.",
+ "output": "The patient has a bronchial stent."
+ },
+ {
+ "input": "Left side, very depressed left ventricular function and no blood in the peritoneum.",
+ "output": "Cardiac dysfunction."
+ },
+ {
+ "input": "The parents are in narcotics anonymous and report the mother's last substance use was 8 months at the time of the first prenatal visit which is 15 to 16 months at the time of delivery.",
+ "output": "The parents have a history of substance abuse."
+ },
+ {
+ "input": "Given 1 am d50 with improvement in fs to 240.",
+ "output": "Patient has diabetes."
+ },
+ {
+ "input": "The next morning, the patient was noted to be more lethargic, unable to answer questions, and had a new left hemiparesis, and neurology was consulted.",
+ "output": "The patient has an acute neurologic deficits."
+ },
+ {
+ "input": "Dysphagia, motility study in [**3450-12-18**] showed no esophageal contraction.",
+ "output": "History of difficulty swallowing."
+ },
+ {
+ "input": "Decision was made to deliver via cesarean section.",
+ "output": "The patient had a caserean section."
+ },
+ {
+ "input": "Due to concern for pe, he was bolused with heparin and then started on heparin gtt.",
+ "output": "The patient had symptoms of pulmonary embolism."
+ },
+ {
+ "input": "The patient was moving all four extremities but not responding with opening eyes or following any commands.",
+ "output": "The patient had movement in the arms and legs."
+ },
+ {
+ "input": "He was started on a labetalol gtt for bp control.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "H/o heavy etoh use and dts 7.",
+ "output": "History of alcohol abuse."
+ },
+ {
+ "input": "The patient's birth weight was 4145 g which made him greater than 90 percentile.",
+ "output": "The patient is large for gestational age."
+ },
+ {
+ "input": "Also febrile to 101.",
+ "output": "Patient is febrile."
+ },
+ {
+ "input": "He was intubated in the cath lab.",
+ "output": "The patient was intubated."
+ },
+ {
+ "input": "Oxygen sat prior to intubation noted to be 60-98%; fingerstick blood sugar 106.",
+ "output": "Patient is in need of intubation."
+ },
+ {
+ "input": "History of prostatitis.",
+ "output": "The patient has had an inflamed prostate."
+ },
+ {
+ "input": "There is no free fluid or lymphadenopathy within the pelvis.",
+ "output": "Pelvic lymph nodes appear normal in size."
+ },
+ {
+ "input": "He was transfered to the icu for further care. .",
+ "output": "He requires intensive care."
+ },
+ {
+ "input": "He was feeling nauseated and began vomiting and continued to have hematemesis for three days until he was transferred to [**hospital1 68**] for definitive care.",
+ "output": "Patient has emesis."
+ },
+ {
+ "input": "Progression of labor prompted c-section due to fetal positioning.",
+ "output": "Patient has an an abnormal fetal position."
+ },
+ {
+ "input": "Irritable bowel syndrome.",
+ "output": "Diarrhea."
+ },
+ {
+ "input": "Given that he had recently been admitted to [**hospital1 22**] for similar symptoms, the rehab staff was concerned that he had again experience a syncopal episode, and sent him to [**hospital1 **] ed for further evaluation.",
+ "output": "The patient had syncope."
+ },
+ {
+ "input": "Left hip osteoporosis.",
+ "output": "History of bone disease."
+ },
+ {
+ "input": "The patient was seen in the office by dr. [**last name (stitle) **] and admitted for iv hydration prior to angiogram.",
+ "output": "Patient has an iv in place."
+ },
+ {
+ "input": "Initial tylenol level at [**hospital3 **] 353, repeat @ [**hospital1 22**] 4hours later found to be 219.",
+ "output": "The patient has a tylenol overdose."
+ },
+ {
+ "input": "[**known patient lastname **] is a 63-year-old gentleman who developed weakness, diaphoresis, slurred speech, and nausea, as well as headache and came to the emergency room and was found to have a large cerebellar bleed and dilatation of ventricles.",
+ "output": "The patient has intracranial hemorrhage."
+ },
+ {
+ "input": "A large amt of clots were seen in the stomach without other etiology.",
+ "output": "Imaging of the stomach was abnormal."
+ },
+ {
+ "input": "In the ed she initially triggered for hypoxia of 82% on ra in triage, but on recheck was 100% on ra.",
+ "output": "The patient had a time of low oxygen saturation."
+ },
+ {
+ "input": "Pmh: hypertension, hypercholesterolemia, diabetes, endometrial cancer (recently diagnosed), gi bleed (5 yrs ago), rheumatoid arthritis, strep throat with abscess, s/p bunion surgery, s/p repair of deviated septum, s/p removal of sebaceous cysts",
+ "output": "The patient has had multiple surgeries."
+ },
+ {
+ "input": "She was treated with vanc, zosyn, and flagyl.",
+ "output": "The patient is on broad spectrum antibiotics."
+ },
+ {
+ "input": "He was born to a 24- year-old gravida iii, para 0, now i mother by spontaneous vaginal delivery with apgar scores of 6 at 1 minute and 8 at 5 minutes.",
+ "output": "His apgar score was low at 1 minute."
+ },
+ {
+ "input": "A restaging ct was performed on [**2704-6-27**] and uncovered a pe in a small branch of the lll pulmonary artery.",
+ "output": "The patient has a small pe."
+ },
+ {
+ "input": "Retinal bleed of the left eye - the patient is followed at [**location (un) 100**] ophthalmologic.",
+ "output": "The patient has had a retinal hemorrhage."
+ },
+ {
+ "input": "History of present illness: this is an 82 year-old male patient with a one year history of presyncope with recent increase in symptoms three to four weeks prior to admission.",
+ "output": "The patient has worsening presyncope."
+ },
+ {
+ "input": "Upon the patient's arrival to the [**last name (lf) **], [**first name3 (lf) **] surgery was consulted for evaluation of the mediastinal abscess.",
+ "output": "The patient has a mediastinal abscess."
+ },
+ {
+ "input": "Physical exam upon admission to the neonatal intensive care unit: weight 1.465 kg, length 42 cm, head circumference 27.5 cm.",
+ "output": "The patient has low birth weight."
+ },
+ {
+ "input": "Her most recent scopes were last [**month (only) 541**], when 2 angioectasias in the stomach, one in the jejunum, one in the descending colon were found. -poorly controlled dmii -hypertension -asthma -anemia - profound iron deficiency [**2-24**] gastric and duodenal av malformations as above, transfusion dependent, hct baseline around 22-29 -depression -migraines -obesity -chronic abdominal pain -delayed gastric emptying -diverticulosis -extensive dvt [**3-2**] s/p thrombectomy, ivc filter placement, common and external iliac vein stenting on coumadin/plavix -osa, on home bipap vs cpap -?",
+ "output": "The patient has extensive past medical history."
+ },
+ {
+ "input": "The patient stated that he had approximately 3-4 episodes of pnd over the 2 nights prior to admission.",
+ "output": "The patient has had shortness of breath."
+ },
+ {
+ "input": "Hyperparathyroidism status post parathyroidectomy.",
+ "output": "Patient has no parathyroid gland in situ."
+ },
+ {
+ "input": "The patient was also clostridium difficile positive on the day of transfer to [**hospital 118**] rehabilitation hospital.",
+ "output": "The patient had an bacterial infection."
+ },
+ {
+ "input": "Presently, feels well, denies focal numbness/weakness/visual changes, denies claudication, edema, orthopnea, pnd, cp.",
+ "output": "The patient has no complaints."
+ },
+ {
+ "input": "A chest x-ray showed increased pleural effusion.",
+ "output": "Patient has abnormal cxr."
+ },
+ {
+ "input": "Post cath the patient felt nauseous, lightheaded, was found to have sbp in 70's.",
+ "output": "Patient has post-procedure complications."
+ },
+ {
+ "input": "Unknown gbs status.",
+ "output": "The patient is a woman."
+ },
+ {
+ "input": "Currently mother has a restraining order against him.",
+ "output": "The patient is not to make contact with his mother."
+ },
+ {
+ "input": "R 18 guage was placed, lij was attempted x3 without success due to inability to pass the wire.",
+ "output": "The procedure was unsuccessful."
+ },
+ {
+ "input": "Type 2 dm on insulin, w/severe neuropathy (?autonomic) 6. gastritis 7. s/p ccy 8.",
+ "output": "Patient has diabetes."
+ },
+ {
+ "input": "It is unknown how much of this is baseline or if any is new.",
+ "output": "History of present illness is unclear."
+ },
+ {
+ "input": "She had no focal motor disturbances, no headache or gaze disturbances.",
+ "output": "The patient had no focal motor disturbance."
+ },
+ {
+ "input": "Per his son at his nursing home the last few days he has had copious diarrhea that more recently has had blood in it, vomitting, and has been sweating profusely at night without fevers or obvious rigors.",
+ "output": "The patient has symptoms of a c. diff infection."
+ },
+ {
+ "input": "At that time, he also developed a dvt and had an ivc filter placed.",
+ "output": "The patient had a contraindication towards anticoagulation at the time of ivc filter placement."
+ },
+ {
+ "input": "Bnp 3698 ( up from 98 in [**may 2700**]).",
+ "output": "Bnp is high."
+ },
+ {
+ "input": "He was transferred to [**hospital1 22**] for neurosurgical care.",
+ "output": "He requires surgery."
+ },
+ {
+ "input": "He was seen by his physician and then evaluated in the emergency room for chf and treated with lasix.",
+ "output": "Patient has been to the ed."
+ },
+ {
+ "input": "Maternal prenatal labs: blood type a positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs unknown.",
+ "output": "Patient has blood type a+."
+ },
+ {
+ "input": "Pt was d/cd home on [**2812-5-21**].",
+ "output": "The patient went home."
+ },
+ {
+ "input": "She was given a total of 6 mg of ativan with improvement of twitching.",
+ "output": "She was given a benzodiazepine."
+ },
+ {
+ "input": "The patient was unable to answer questions, so all history was obtained by the patient's primary care physician, [**last name (namepattern4) **].",
+ "output": "The patient was incapacitated."
+ },
+ {
+ "input": "Review of systems is unobtainable due to the patient's mental status.",
+ "output": "The patient is unable to to provide a reliable medical history."
+ },
+ {
+ "input": "This am patient couldn't get out of bed or move his left side so son called ems.",
+ "output": "Patient has evidence of cerebral ischemia."
+ },
+ {
+ "input": "End stage renal disease on hemodialysis, q.",
+ "output": "Patient has chd stage 5."
+ },
+ {
+ "input": "End stage renal disease on hemodialysis, q.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "History of coronary artery disease with cardiomyopathy, ejection fraction of 25% has a mechanical mitral valve placement.",
+ "output": "The patient has heart failure."
+ },
+ {
+ "input": "22 year old m/ w/ h/o dm1 c/b neuropathy, on home regimen of nph 17/15 with riss.",
+ "output": "The patient has poorly controlled diabetes."
+ },
+ {
+ "input": "In the ed, vitals 101.8, 110, 75/20, 19, 99%.",
+ "output": "Patient has a mild fever."
+ },
+ {
+ "input": "She was initially transferred to the floor, however after surgery reviewed her osh ct scan they felt that should just remain in the icu for aggresive fluids. .",
+ "output": "The patient requires a high level of care."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname 1023**] is the former 34 and [**2-20**] week infant girl, admitted to the newborn intensive care unit for issues of prematurity.",
+ "output": "The patient was recently born."
+ },
+ {
+ "input": "He denied chest pain, fevers, chills, cough, sputum production or increasing oxygen requirement.",
+ "output": "The patient does not have symptoms of pneumonia."
+ },
+ {
+ "input": "She was otherwise asymptomatic.",
+ "output": "She had no symptoms."
+ },
+ {
+ "input": "Ems activated, who noted crackles and le edema on exam so was given lasix 80mg iv en route.",
+ "output": "The patient has signs of heart failure."
+ },
+ {
+ "input": "Patient also has developed an ulcer on the right heel that has been present since [**2529-11-2**].",
+ "output": "The patient has a pressure ulcer."
+ },
+ {
+ "input": "Cad s/p coronary stent placement 3.",
+ "output": "The patient has had a vascular procedure."
+ },
+ {
+ "input": "Patient normally drinks 6beers/day, but will binge for patriot's games.",
+ "output": "The patient is an alcoholic."
+ },
+ {
+ "input": "She was discharged to rehab the morning of [**2650-10-26**].",
+ "output": "Patient is no longer an inpatient."
+ },
+ {
+ "input": "Denies chest pain or tightness.",
+ "output": "Patient denies chest pain."
+ },
+ {
+ "input": "Prior to transfer, she was given continuous nebs and solu-medrol 60 mg iv x 1.",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "Nephrolithiasis winter eczema depression intermittant small bowel obstruction",
+ "output": "The patient has renal stones."
+ },
+ {
+ "input": "The infant was transferred to the newborn intensive care unit.",
+ "output": "The infant required intensive care."
+ },
+ {
+ "input": "Soon thereafter sbp dropped to the 70s and she was bolused a total 5l ns.",
+ "output": "The patient became hypotensive."
+ },
+ {
+ "input": "1) [**11/3167**] optimal debulking serous ovarian carcinoma w/removal of omental caking and drainage of ascitic fluid (2.5 l) 2) [**11/3167**] pleural effusion 3) s/p 1 cycle taxol/carboplatin w/mild response and 2 cycles docagem (docataxel, carboplatin, gemcitabine) w/excellent response (ca-125 nadir 7.5) 4) [**1-/3169**] recurrence, s/p 3 cycles taxol/carboplatin, followed by complete remission (6 months between remission).",
+ "output": "Patient has a history of metastatic ovarian cancer."
+ },
+ {
+ "input": "He was brought to the emergency room where he was noted by emergency room staff to have a 15-minute episode of moaning and garbled speech.",
+ "output": "Patient was confused."
+ },
+ {
+ "input": "In ed, she was afebrile, tachycardic in afib and hemodynamically stable but tachypneic despit e100% sat on 3l.",
+ "output": "The patient is tachypneic."
+ },
+ {
+ "input": "Mother was transferred from [**hospital6 1238**] for further treatment of hellp syndrome.",
+ "output": "Pregnancy was complicated by preeclampsia."
+ },
+ {
+ "input": "Intubated for airway protection with 8.0 ett without difficulty.",
+ "output": "The patient received an endotracheal tube."
+ },
+ {
+ "input": "He has noted one week prior to admission progressive increase he had a pulses paradoxus of 15 in the emergency department.",
+ "output": "Systolic blood pressure during expiration and inspiration is greater than 10."
+ },
+ {
+ "input": "She does not report throat swelling or tongue swelling.",
+ "output": "Her does not complain of tongue or throat enlargement."
+ },
+ {
+ "input": "Past medical history: coronary artery disease status post mild mitral regurgitation.",
+ "output": "The patient has a history of cardiac disease."
+ },
+ {
+ "input": "Transferred to [**hospital1 **] for cath which revealed total occlusion of the lad.",
+ "output": "The patient has an lad occlusion."
+ },
+ {
+ "input": "His lymphoma was resistant to multiple courses of chemotherapy, and he then underwent transplant in [**2638**]. .",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "She felt heaviness of the left arm and leg.",
+ "output": "The patient has a neurological condition."
+ },
+ {
+ "input": "Once on the medicine floor, the pt's daughter reported that the pt's face appeared to be swollen, and she was transferred back to the pacu.",
+ "output": "The pt recently received anesthesia."
+ },
+ {
+ "input": "Aortic endocarditis: s/p porcine avr in [**2625**] following mssa endocarditis c/b both left and right heart failure, septic emboli to kidney and spleen.",
+ "output": "History of inflammation to the endocardium."
+ },
+ {
+ "input": "This 48-year-old [**first name3 (lf) 1214**] has mental retardation and a seizure syndrome.",
+ "output": "Patient has multiple chronic conditions."
+ },
+ {
+ "input": "Twenty minutes later the patient had a grand tonic-clonic seizure in the transport vehicle and the patient's blood glucose was reported at 207 at the time.",
+ "output": "The patient\u2019s blood glucose was high."
+ },
+ {
+ "input": "She subsequently developed a fever of 102.3.",
+ "output": "The patient is febrile."
+ },
+ {
+ "input": "That night she noticed spots of brb in toilet after tarry bm and blood streaking the tp.",
+ "output": "Patient has hematochezia."
+ },
+ {
+ "input": "Past medical history: noncontributory.",
+ "output": "No relevant past medical history."
+ },
+ {
+ "input": "History of present illness: the patient is a 48-year-old male with severe obesity, insulin-dependent diabetes mellitus, and osteoarthritis, who presented with shortness of breath and chest pain.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "1 episode of suicide attempts \"with pills\" in [**3170**]",
+ "output": "Patient has a mood disorder."
+ },
+ {
+ "input": "While at home, he took 80 mg lasix x 2 days and aldactone 200 mg x 2 days per his renal physician. .",
+ "output": "Patient has edema."
+ },
+ {
+ "input": "Pt had ecg w/ new 1-2mm st elevation in v1-v2, and 2mm st depression v4-v6, twi v3-v6.",
+ "output": "The patient is having a stemi."
+ },
+ {
+ "input": "She was transferred to [**hospital6 656**] for cardiac catheterization and given an ultrasound showing a 90% stenosis of the left carotid from which she was apparently asymptomatic having never described transient ischemic attacks, language difficulty or prior stroke events.",
+ "output": "She has extensive left carotid artery narrowing."
+ },
+ {
+ "input": "Upon arrival to ed, patient was unresponsive with decerebrate posturing.",
+ "output": "The patient is unresponsive."
+ },
+ {
+ "input": "The patient has had recent admissions for chronic obstructive pulmonary disease exacerbations in [**3227-1-5**] and in [**3227-2-5**].",
+ "output": "The patient has chronic respiratory disease."
+ },
+ {
+ "input": "64m pmh mechanical mvr, recent admission for sdh s/p evacuation p/w subtherapeutic inr.",
+ "output": "The patient's inr is low."
+ },
+ {
+ "input": "History of oophorectomy.",
+ "output": "Patient has had prior surgical intervention."
+ },
+ {
+ "input": "Yesterday, around noon, a thrombus was noted on angiogram.",
+ "output": "The patient has a thrombus."
+ },
+ {
+ "input": "50 yo m with esrd secondary to amyloidosis on hd, h/o pulmonary aspergillosis (mycetoma), and multiple other medical problems p/w cp during hemodialysis.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "He had a prolonged post op course and was eventually [**date range 18989**] and had a gastrostomy tube.",
+ "output": "The patient had feeding dysfunction."
+ },
+ {
+ "input": "The infant was born via cesarean section for a non-reassuring fetal heart tracing.",
+ "output": "Patient had c section."
+ },
+ {
+ "input": "As the patient usually has minimal complaints, she contact[**name (ni) **] her physician who recommended er evaluation.",
+ "output": "The patient was sent to the emergency department by her physician."
+ },
+ {
+ "input": "In [**hospital1 18**] ed found to be in af.",
+ "output": "The patient has atrial fibrillation."
+ },
+ {
+ "input": "19 year-old right-handed gentleman without significant past medical history who presented with seizure.",
+ "output": "Patient has an acute medical condition."
+ },
+ {
+ "input": "history of present illness: 49m dm2, dvt, h/o large l mca cva on [**8-21**], returns from rehab following witnessed ?seizure and hypoxia.
per ems records, patient was found slumped on right side and unresponsive, with foaming at mouth.",
+ "output": "Patient has had a stroke."
+ },
+ {
+ "input": "Multiple diverticula in the descending and sigmoid colon, some with adherent clot.",
+ "output": "Abnormalities in the large intestine."
+ },
+ {
+ "input": "She was diagnosed with sarcoid via a right thoracoscopic biopsy.",
+ "output": "The patient has an autoimmune disease."
+ },
+ {
+ "input": "Following bolus of propofol for sedation, bp dropped to sbp 80.",
+ "output": "The propofol caused the blood pressure to drop."
+ },
+ {
+ "input": "Blood and urine cultures from this admission were pending.",
+ "output": "Suspected infection."
+ },
+ {
+ "input": "History of present illness: 55 year old female status post cadaver kidney transplant [**2758-1-16**], complicated by delayed graft function, seen in the office by dr. [**last name (stitle) **] [**2758-1-27**].",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "The mother received rhogam at 28 weeks gestation.",
+ "output": "The mother received rho(d) immune globulin."
+ },
+ {
+ "input": "Each admission makes note of a completely negative workup including negative cardiac enzymes, no ecg changes, and ct scans which show no evidence of nephrolithiasis.",
+ "output": "The patient has multiple visits to the hospital/emergency department."
+ },
+ {
+ "input": "Anthropometric measurements at the time of birth: weight 3.080 kg, 50 to 75th percentile.",
+ "output": "The patient has normal birth weight."
+ },
+ {
+ "input": "The next episode occurred when she was playing cards and she transiently lost vision in the right half of space.",
+ "output": "The patient had transient visual field defects."
+ },
+ {
+ "input": "This is a 33-year-old gravida 4, para 1, 0, 3, 1, who preoperatively voiced understanding of her gyn pathology and agreed to the risks of the surgical procedure which included transfusions.",
+ "output": "She will undergo surgery for a gyn issue."
+ },
+ {
+ "input": "Past medical history: remarkable for asthma.",
+ "output": "The patient has asthma."
+ },
+ {
+ "input": "She noted fever to 101.",
+ "output": "Patient is febrile."
+ },
+ {
+ "input": "Presbyacusis with severe hearing impairment 11.",
+ "output": "The patient has hearing loss."
+ },
+ {
+ "input": "He was managed overnight in the emergency department with nebulizers, high-dose steroids, antibiotics including pcp coverage and was taken on the following day to the or, by ct surgery, for open-lung biopsy to take samples of the right lower lobe and right middle lobe.",
+ "output": "He was treated for lung disease."
+ },
+ {
+ "input": "2 unit prbcs transfused. .",
+ "output": "The patient was transfused."
+ },
+ {
+ "input": "The patient also began to have some diarrhea.",
+ "output": "The patient has frequent bowel movements."
+ },
+ {
+ "input": "Further evaluation included an echocardiogram which showed no significant valvular disease and a carotid ultrasound which showed normal internal carotid arteries.",
+ "output": "The patient does not have any high grade stenoses in the internal carotid arteries."
+ },
+ {
+ "input": "He described the pain as constant sharp [**5-1**] epigastric pain with no radiation.",
+ "output": "The patient had mid abdominal pain."
+ },
+ {
+ "input": "In the ed, he was noted to have a tc of 103.8 (rectally), hr 134, bp 124/74, rr 42, sao2 88%/nrb.",
+ "output": "He has an elevated temperature, respiratory rate and heart rate."
+ },
+ {
+ "input": "History of present illness: the patient is a 63-year old female with a past medical history of stage iii lung cancer (status post chemotherapy, xrt, and left pneumonectomy in [**2936-3-12**]), left lower extremity dvt, hypertension, atrial fibrillation, and recent c. difficile colitis.",
+ "output": "The patient has recent c diff."
+ },
+ {
+ "input": "Her latest echocardiogram at [**hospital1 810**] on [**3284-8-15**], revealed an ejection fraction of greater than 65%, mild lae, mild symmetrical left ventricular hypertrophy with normal cavity size and regular wall motion; mild thickened atrial valve and mitral valve leaflets; moderate pulmonary hypertension; small to moderate pericardial effusion predominantly over the right ventricle.",
+ "output": "The patient has normal cardiac output."
+ },
+ {
+ "input": "An echocardiogram on [**3264-1-25**] with depressed left ventricular systolic function with an ejection fraction of 20%.",
+ "output": "The patient has heart failure."
+ },
+ {
+ "input": "In [**5-/3433**] he had a cipher stent to the rca.",
+ "output": "The patient has an rca stent."
+ },
+ {
+ "input": "He was started on heparin and had ventricular fibrillation.",
+ "output": "He developed arrrhythmia."
+ },
+ {
+ "input": "Pt received 2 units of blood.",
+ "output": "The patient recieved a blood transfusion."
+ },
+ {
+ "input": "He does not wish to go back to home with wife.",
+ "output": "The patient does not want to return home."
+ },
+ {
+ "input": "He received two laser surgery treatments in the right eye.",
+ "output": "Patient has lens correction surgery history."
+ },
+ {
+ "input": "The patient was scheduled for elective innominate artery reconstruction.",
+ "output": "The patient is undergoing an inominate artery reconstruction."
+ },
+ {
+ "input": "Afib s/p tte cardioversion [**3-/2808**]",
+ "output": "Patient has abnormal ecg."
+ },
+ {
+ "input": "The patient is now evaluated in the emergency room and admitted to the vascular service, icu, for continued care.",
+ "output": "Patient has pad."
+ },
+ {
+ "input": "She was admitted to the icu for non-invasive ventilation, which she could not tolerate; she was subsequently intubated.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Subdural hematoma s/p craniotomy ([**6-/3497**]) w/ residual left-sided hemiparesis.",
+ "output": "The patient had intracranial hemorrhage."
+ },
+ {
+ "input": "Apgars were 7 at one minute and 8 at five minutes.",
+ "output": "Apgars were normal."
+ },
+ {
+ "input": "History of seizures secondary to work related head injury.",
+ "output": "History of head trauma."
+ },
+ {
+ "input": "History: baby [**name (ni) **] [**name2 (ni) 21436**] is the 2665 gram product of a 35 week gestation pregnancy.",
+ "output": "The baby was born prematurely."
+ },
+ {
+ "input": "Congestive heart failure with an ejection fraction of 15 to 20%.",
+ "output": "Patient has abnormal echo."
+ },
+ {
+ "input": "Per toxicology consultant these were possibly concerning, although not strikingly so, and he recommended bicarb as well as a repeat ekg tomorrow to monitor for changes. .",
+ "output": "The patient is being treated by toxicology."
+ },
+ {
+ "input": "Irritable bowel syndrome 11.",
+ "output": "The patient has irritable bowel syndrome."
+ },
+ {
+ "input": "No response to ivig, low and high dose prednisone therapy, and life-threatening intravascular hemolysis following winrho.",
+ "output": "The patient received high dose steroid treatment."
+ },
+ {
+ "input": "S/p right femoral popliteal bypass 14.",
+ "output": "The patient has peripheral vascular disease."
+ },
+ {
+ "input": "He was recently discharged (hospitalized from [**date range (1) 3220**]) from the [**doctor last name 3221**]-[**doctor last name 672**] service for altered mental status, increased lethargy and confusion which was attributed to hepatic encephalopathy and uti.",
+ "output": "The patient has cirrhosis."
+ },
+ {
+ "input": "Type 2 diabetes.",
+ "output": "Patient has elevated a1c."
+ },
+ {
+ "input": "Type 2 diabetes.",
+ "output": "History of hyperglycemia."
+ },
+ {
+ "input": "Type 2 diabetes.",
+ "output": "Metabolic disease."
+ },
+ {
+ "input": "Type 2 diabetes.",
+ "output": "History of hyperglycemia."
+ },
+ {
+ "input": "History of present illness: the patient is a fifty-six-year-old gentleman with a past medical history significant for cerebrovascular accident times two in [**2573**] and [**2574**] and subdural hematoma in [**2581-3-1**], who was transferred here from good [**hospital 5093**] hospital with new frontal bleed, 3 cm x 4 cm.",
+ "output": "The patient has had multiple brain bleeds."
+ },
+ {
+ "input": "In [**2673-11-28**], the patient had an mri which showed thickening of the bladder wall, involvement of potential submucosal layers with extension to perivesicular fat, severe hydronephrosis on the left side with a minimal functioning left kidney.",
+ "output": "The patient has chronic kidney disease."
+ },
+ {
+ "input": "His epileptologist is dr. [**last name (stitle) 12928**]. - baseline sz frequency is usually 2 grand mal sz per year with loc and vomiting/fatigue postictally; 2-3x/wk \"smaller\" sz with head extension back, left arm elevation lasting seconds at a time - s/p vagus nerve stimulator - mental retardation - cerebral palsy - dandy walker syndrome - chronic right eye exotropia - s/p ventriculoperitoneal shunt - s/p avm removal [**2756**] - s/p r temporal lobectomy - left hemiparesis and hemihypoplasia -agenesis of left cerebellum - depression -hx left knee and hip fractures with a rod in his leg -hx (possible) gi bleed - also periodically has coffee-grounds emesis following grand-mal sz -htn -prostate cancer, undergoing daily xrt 5 days/week, started on [**2773-1-24**].",
+ "output": "The patient has a history of seizures."
+ },
+ {
+ "input": "In the ed, initial vs were: t 98, p 100, bp 148/78, r 34, o2 sat 90%2l nc.",
+ "output": "Patient has low o2 sats."
+ },
+ {
+ "input": "The patient was the driver who struck a pole at unknown speed.",
+ "output": "The patient is a trauma patient."
+ },
+ {
+ "input": "She was d/c'd from [**hospital1 909**] on sunday night w/o abx, to attend her [**hospital **] clinic appointment at [**hospital1 68**].",
+ "output": "The patient was discharged from the hospital."
+ },
+ {
+ "input": "Hypertension, bph, atrial fibrillation, idopathic pericardial effusion, s/pt appendectomy, s/p pericardiocentesis.",
+ "output": "Patient has urinary outlet obstruction."
+ },
+ {
+ "input": "(hct 26.9 on discharge.) of note, femoral line attempted at [**hospital1 **] but unsuccessful due to patient's agitation.",
+ "output": "The patient is agitated."
+ },
+ {
+ "input": "The patient was originally admitted to [**hospital3 2429**] on [**3133-1-8**] for community acquired pneumonia after patient developed new onset pleuritic chest pain and shortness of breath while shoveling snow on [**holiday 6258**].",
+ "output": "The patient has a pulmonary infection."
+ },
+ {
+ "input": "A femoral line was placed.",
+ "output": "The patient has a femoral line."
+ },
+ {
+ "input": "[**last name (stitle) 9227**], for presumed unstable angina.",
+ "output": "There is chest pain."
+ },
+ {
+ "input": "Ct head was negative per osh and labs were significant for wbc 50.2 with 28% bands, glucose 1259 with ag 35, k 7.2.",
+ "output": "Lab results were abnormal."
+ },
+ {
+ "input": "Mother with [** location **]us preterm infant requiring phototherapy.",
+ "output": "The infant has neonatal jaundice."
+ },
+ {
+ "input": "Pt had two episodes of chest pain where ce cycled and neg x 3 no ekg changes.",
+ "output": "Patient has no evidence of stemi."
+ },
+ {
+ "input": "The patient was unable to wean off of 100% nonrebreather mask.",
+ "output": "The patient is recieving supplemental oxygen."
+ },
+ {
+ "input": "Pt was started on ceftriaxone + levofloxacin.",
+ "output": "The patient had some antibiotics."
+ },
+ {
+ "input": "Trivial mitral regurgitation is seen.",
+ "output": "Patient has abnormal echo."
+ },
+ {
+ "input": "Dr. [**last name (stitle) 456**] of thoracic surgery was then consulted.",
+ "output": "The patient has a condition that should be evaluated by thoracic surgery."
+ },
+ {
+ "input": "The yeast was speciated to [**female first name (un) **] albicans and therefore susceptible to fluconazole; therefore, the patient was kept on a two-week course.",
+ "output": "Patient has a yeast infection."
+ },
+ {
+ "input": "Eyes were with bilateral red reflexes and normal irises.",
+ "output": "The patient does not have leukocoria."
+ },
+ {
+ "input": "Significant for diabetes mellitus.",
+ "output": "The patient has elevated blood sugar."
+ },
+ {
+ "input": "History of insulin-dependent diabetes mellitus.",
+ "output": "Patient has diabetes."
+ },
+ {
+ "input": "He has had 2 tips procedures with stent placement in [**2931**] and again in [**2941**].",
+ "output": "Patient has cirrhosis."
+ },
+ {
+ "input": "Received full course of betamethasone and antibiotics.",
+ "output": "The patient received the treatment used for a copd exacerbation."
+ },
+ {
+ "input": "He was evaluated in the emergency room with a blood pressure of 63/30.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "She was discharged on lasix 20 mg po qd, and soon redeveloped shortness of breath, le edema and lethargy prompting her re-presentation to [**hospital1 68**] on [**2731-8-15**].",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Bm bx revealed aml.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "Her mental status improved where she was intermittently following commands.",
+ "output": "She is irregularly following commands."
+ },
+ {
+ "input": "The patient was followed by the oromaxillofacial service for the right medial canthus entry site of her gunshot wound.",
+ "output": "Patient has recent trauma."
+ },
+ {
+ "input": "He has not suffered any ruq pain, and denies any severe headaches.",
+ "output": "The patient has no right upper quadrant pain or headaches."
+ },
+ {
+ "input": "In the ed, initial vs were: t97.8 p74 bp 156/74 rr 16 o2 sat 100%.",
+ "output": "The patient is afebrile."
+ },
+ {
+ "input": "He was given 1.5 liters of ivf.",
+ "output": "The patient was given ivf."
+ },
+ {
+ "input": "Cbc on arrival showed a significantly increased white blood cell count at 23.2 with a bandemia, 64 polys, 36 bands as well as ua consistent with urinary tract infection.",
+ "output": "The patient would benefit from antibiotics."
+ },
+ {
+ "input": "He did have a fever in the ed, received tylenol for the fever.",
+ "output": "He was treated for fever."
+ },
+ {
+ "input": "[**known patient lastname **] is a 39 year old smoker w/hx of asthma, s/p 3 intubations (last 7 yrs pta), htn, dm, obesity who rpesented to [**hospital3 1846**] with sob/wheezing for 4 days prior to presentation.",
+ "output": "Patient has lung disease."
+ },
+ {
+ "input": "He was noted to have a k of 5.9 with slight qrs widening.",
+ "output": "The patients potassium is elevated."
+ },
+ {
+ "input": "The episode was thought to be secondary to vasovagal syncope.",
+ "output": "The patient had an episode."
+ },
+ {
+ "input": "In [**2754-7-10**], she was started on sorafenib (nexavar).",
+ "output": "The patient has cancer."
+ },
+ {
+ "input": "Recently he was found to have an invasive adenocarcinoma of the esophagus within a thickened nodule located approximately 37 cm from the incisors.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "48 yo m w/ hx of cad sp mi and stent to diagonal [**2634**] and stent to ptl in [**8-5**] p/w recurrent anginal symptoms. + stress test.",
+ "output": "The patient has unstable angina."
+ },
+ {
+ "input": "Unstable angina cad htn hypercholesterolemia gerd",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "Left renal artery stenosis, stented in [**3094-4-4**].",
+ "output": "Patient has history of renal artery stenosis."
+ },
+ {
+ "input": "Portable chest x ray showed lll collapse.",
+ "output": "There is left lower lobe collapse."
+ },
+ {
+ "input": "Per nursing home, patient developed a uti [**2530-7-22**] with urine culture growing klebsiella sensitive only to ampicillin, imipenem, and gentamicin.",
+ "output": "The patient has a uti."
+ },
+ {
+ "input": "He underwent an ett which was positive and subsequently underwent a cardiac catheterization which revealed severe three vessel disease.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Neoadjuvant cytoxan/adriamycin/cisplatin--small response 2.",
+ "output": "The patient is on chemotherapy."
+ },
+ {
+ "input": "He had a upper endoscopy which showed grade 3 esophagitis with stigmatat of recent bleeding.",
+ "output": "The patient had a gi bleed."
+ },
+ {
+ "input": "Per family report was dry heaving today and not acting like herself, otherwise no changes in medical history or meds they believe. .",
+ "output": "The patient has altered mental status."
+ },
+ {
+ "input": "A paracentesis was also done during that admission and showed no evidence of spontaneous bacterial peritonitis, and the patient was placed on ciprofloxacin for prophylaxis.",
+ "output": "The patient has ascites."
+ },
+ {
+ "input": "On arrival, her fs was 168.",
+ "output": "The patient had an elevated blood sugar."
+ },
+ {
+ "input": "Right lower extremity cellulitis 4.",
+ "output": "Bacterial infection of the skin."
+ },
+ {
+ "input": "Ultimately, on [**3079-4-2**], the patient underwent vats: notable for an inflammatory process and negative for an infectious process.",
+ "output": "The patient had thoracic surgery."
+ },
+ {
+ "input": "In the history, the mother presented with spontaneous onset of labor.",
+ "output": "The mother was pregnant."
+ },
+ {
+ "input": "Overlapping 2.25 x 15mm and 2.5 x 12mm bms were placed in the mid circumflex.",
+ "output": "Patient has had pci."
+ },
+ {
+ "input": "12) morbid obesity",
+ "output": "The patient has high bmi."
+ },
+ {
+ "input": "The patient was started on heparin and med-flighted to [**hospital1 58**] for administration of thrombolysis.",
+ "output": "The patient received a blood thinner."
+ },
+ {
+ "input": "[**known patient lastname 15764**] is a 71 yo male who with a pmh of hypertension and mi, who presents with back pain of 2 weeks duration.",
+ "output": "The patient has a history of heart attack."
+ },
+ {
+ "input": "He was started on nac q4hr with gradual decline in lft's and inr.",
+ "output": "He was started on acetylcysteine."
+ },
+ {
+ "input": "The patient reported that on the day prior to his transfer here he experienced shortness of breath while walking to his gym, which resolved after about fifteen minutes of rest.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "In the ed received vancomycin and ceftriaxone.",
+ "output": "Received antibiotics in the emergency room."
+ },
+ {
+ "input": "Developed stuttering non-radiating ss chest pain similar to [** location **]us mi at 0300 on [**10-27**].",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "Color improving with blow- by oxygen.",
+ "output": "The patient is improving with oxygen."
+ },
+ {
+ "input": "Pd fluid sent for anaylsis but no obvious source.",
+ "output": "The patient is on dialysis."
+ },
+ {
+ "input": "The patient is followed on a regular basis at the brain tumor clinic.",
+ "output": "The patient has a brain mass."
+ },
+ {
+ "input": "In addition, she notes increasing urinary frequency, pelvic pressure, and bilateral back pain.",
+ "output": "She has urinary symptoms."
+ },
+ {
+ "input": "Emt was called and found electrocardiogram abnormalities and was given aspirin and sublingual nitroglycerin with initial relief and then recurrence.",
+ "output": "Patient has chest pain."
+ },
+ {
+ "input": "Chronic renal insufficiency on dialysis.",
+ "output": "The patient has non functioning kidneys."
+ },
+ {
+ "input": "He has been eating small meals and is currently on tpn.",
+ "output": "Patient need additional nutrition."
+ },
+ {
+ "input": "3) insulin dependent dm 4) htn 5) gerd 6) dysphagia 7) esophageal stricture s/p resection in [**2524**].",
+ "output": "Patient has chronic disease."
+ },
+ {
+ "input": "This morning ([**5-3**]), after she woke up, her husband noticed that her gait was off (he cannot tell if she was veiring to the right or left).",
+ "output": "She appeared to be walking abnormally this morning."
+ },
+ {
+ "input": "No melena, hematochezia at home.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "A level 2 ultrasound was performed by dr. [**first name8 (namepattern2) **] [**last name (namepattern1) 7881**] at [**hospital 70**] hospital.",
+ "output": "The patient received an ultrasound."
+ },
+ {
+ "input": "She has had no upper endoscopy and no ent evaluation of her vocal cords.",
+ "output": "The patient has not had an egd."
+ },
+ {
+ "input": "Cad s/p cabg [**12-5**](ef55% 12/07), hyperlipidemia, atrial fibrillation(coumadin), htn, iddm, anemia",
+ "output": "The patient has multiple cardiac risk factors."
+ },
+ {
+ "input": "Cardiac output on dobutamine was 2.88 and did not significantly change after the dobutamine was stopped.",
+ "output": "The patients cardiac output did not respond to dobutamine."
+ },
+ {
+ "input": "In the ed initial vitals were, 97.8 145 143/92 16 100% (triggered to tachycardia).",
+ "output": "Patient has an elevated heart rate."
+ },
+ {
+ "input": "Labor progressed, leading to spontaneous vaginal delivery.",
+ "output": "The patient was pregnant."
+ },
+ {
+ "input": "The patient also complained of some dizziness, however denied other symptoms including fever, chills, sweats, chest pain, diarrhea, constipation, nausea, vomiting, or urinary symptoms.",
+ "output": "Patient has a mostly negative ros."
+ },
+ {
+ "input": "Renal biopsy during that admission was c/w post-infectious gn.",
+ "output": "The patient had a recent infection with streptococcus bacteria."
+ },
+ {
+ "input": "Rpr non reactive.",
+ "output": "The patient has not been exposed to syphilis."
+ },
+ {
+ "input": "Relevant maternal ob history in [**3430**] an iufd at 40 weeks, in [**3432**] a vaginal delivery at 38 weeks, with a healthy child.",
+ "output": "The mother has a healthy child via vaginal delivery."
+ },
+ {
+ "input": "He was overbreathing the vent so he was paralyzed with vecuronium.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "In addition, on transfer, she had been started on lipitor, aspirin and imdur.",
+ "output": "The patient has hypercholesterolemia."
+ },
+ {
+ "input": "These all occurr [**4-22**] minutes after eating.",
+ "output": "Symptoms occur after eating."
+ },
+ {
+ "input": "She vomited twice during this event and has had an elevated white blood cell count and temperature.",
+ "output": "The patient vomited."
+ },
+ {
+ "input": "The patient reported two admissions to outside hospitals since her discharge on [**9-27**] and weakness as well as gastrointestinal bleed.",
+ "output": "Patient complains of gi bleed."
+ },
+ {
+ "input": "No anginal symptoms.",
+ "output": "The patient denies angina."
+ },
+ {
+ "input": "Htn giant cell arteritis renal vascular disease ?dm ?cri",
+ "output": "The patient has an elevated blood pressure."
+ },
+ {
+ "input": "(of note, per his home pharmacy, he only filled the prescription on [**2755-9-17**], but per the [**hospital1 251**] pharmacy, he filled the prescription both in [**2755-6-9**], as well as in [**2755-1-9**]. the patient cannot supply more history.) he also started terazosin [**6-12**].",
+ "output": "He is on prescription medication."
+ },
+ {
+ "input": "Ekg with st depression in v1-v2, hct 19 from 26.4 yesterday.",
+ "output": "Patient has ekg findings."
+ },
+ {
+ "input": "The intensive care unit course was also notable for negative chest x-ray, two units of packed red blood cells for a hematocrit of 24.0 with appropriate bump in her hematocrit and no evidence of bleeding, stable blood pressure despite a net fluid balance of negative 2.5 liters.",
+ "output": "Patient has no cxr findings."
+ },
+ {
+ "input": "Neurology felt he was severely inattentive, but had no focal deficits, c/w a toxic-metabolic derrangement rather than a stroke. .",
+ "output": "The patient is less likely to have a stroke."
+ },
+ {
+ "input": "On the day of presentation, the patient woke up around 6 am. she wa fine until about 8.30 am. at that time, she was dressing and fell to the left, unable to stand up.",
+ "output": "Patient has suffered a fall."
+ },
+ {
+ "input": "Past medical history: bicuspid aortic valve.",
+ "output": "Abnormal aortic valve."
+ },
+ {
+ "input": "Came to ed today because granddaughter called his cardiologist who recommended evaluation.",
+ "output": "The patient needs emergency medical attention."
+ },
+ {
+ "input": "All other ros negative in the ed, initial vitals were 98 65 195/140 18 98% ra.",
+ "output": "The patient is hypertensive."
+ },
+ {
+ "input": "2. mitral valve prolapse 3. retinopathy",
+ "output": "Patient has valvular disease."
+ },
+ {
+ "input": "Accordingly, she was transferred for cardiac catheterization and echocardiogram, after which she was admitted to the [**hospital1 552**] service of [**hospital1 4**]. .",
+ "output": "She has heart disease."
+ },
+ {
+ "input": "Her central line was removed and a picc was placed prior to coming to the floor. .",
+ "output": "The patient was in the icu."
+ },
+ {
+ "input": "Breast ca status post left mastectomy with graft implant [**3102-6-11**].",
+ "output": "The patient has a history of breast cancer."
+ },
+ {
+ "input": "Ct scan revealed a type b aortic dissection and she was contact[**name (ni) **] at home and advised to come to the hospital for further work-up.",
+ "output": "She had a tear in the aorta."
+ },
+ {
+ "input": "Recent urinary tract infection approximately one month ago which was treated and resolved.",
+ "output": "Patient has recent uti."
+ },
+ {
+ "input": "[**2802-5-13**] egd with grade 1 varices, portal gastropathy. - anemia - mild chronic renal failure cr 1.2 - copd - htn - history of b/l dvt",
+ "output": "The patient has a history of blood clots."
+ },
+ {
+ "input": "Laboratory data significant for sodium 150 (green top), creatinine 0.8, cbc within normal limits, serum/urine tox positive for alcohol (405) and opiates.",
+ "output": "The patient has an elevated etoh levels."
+ },
+ {
+ "input": "A transesophageal echocardiogram then was performed which was negative for endocarditis.",
+ "output": "Patient has no valve vegetations on echo."
+ },
+ {
+ "input": "Further investigation led to biopsy of small bowel and the diagnosis of t cell lymphoma was made.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "His birth weight was 2,925 grams; birth length was 49.5 cm; head circumference 33.5 cm (all appropriate for gestational age, at about the 75th percentile.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "Vitals prior to transfer afebrile, 90/48 7616 97%2:.",
+ "output": "Hypotensive."
+ },
+ {
+ "input": "We then turned our attention to the mid lad lesion.",
+ "output": "Patient has had pci."
+ },
+ {
+ "input": "After a brief period in labor and delivery with family, the infant was brought to the nicu for further care.",
+ "output": "The patient required higher level of care after delivery."
+ },
+ {
+ "input": "He began breathing with rates in the 40s.",
+ "output": "The patient is tachypnic."
+ },
+ {
+ "input": "[**known patient lastname 36780**] is a 27-year-old male with no significant past medical history.",
+ "output": "The patient has no significant past medical history."
+ },
+ {
+ "input": "Left anterior descending was a small vessel with severe diffuse proximal to midvessel disease up to 90% stenosis.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "He presents to the hospital now for renal transplantation.",
+ "output": "He has renal failure."
+ },
+ {
+ "input": "She received fluid boluses totaling 5l.",
+ "output": "The patient received multiple fluid boluses."
+ },
+ {
+ "input": "On arrival to the ed, his vs were t 97.4 hr 126 bp 123/72 rr 28 sats 88% on ra, and 98% on 2l.",
+ "output": "The patient is tachycardic."
+ },
+ {
+ "input": "Substance use - 20 year heroin use history, maintained on methadone now.",
+ "output": "Patient has history of ivda."
+ },
+ {
+ "input": "Egd was subsequently performed and biopsy with 3-4 cm duodenal ulcer was noted.",
+ "output": "The patient received an esophagogastroduodenoscopy."
+ },
+ {
+ "input": "Plan was for pt to transferred to [**hospital1 68**] for cardiac catheterization but given limited bed availability she was admitted to the ccu at [**hospital3 1758**] and was started on heparin gtt, nitro gtt, and given morphine prn for pain.",
+ "output": "Pt has acute coronary syndrome."
+ },
+ {
+ "input": "Gram stain showing 3+ pnm's, no micro-organisms.",
+ "output": "There are inflammatory cells on the gram stain."
+ },
+ {
+ "input": "She finally agreed to admission and presented to the ed on the 12th with continued fevers and chills along with a two day history of nausea, vomiting, and diarrhea.",
+ "output": "The patient has symptoms of gastroenteritis or colitis."
+ },
+ {
+ "input": "Pt was found with tv off, sitting with some dessert, with slurred speech and r facial droop and rue and rle lack of movement.",
+ "output": "The patient has a right sided motor defect."
+ },
+ {
+ "input": "History: this is a 35-5/7-weeks gestation girl born vaginally to a 38-year-old g1, p0 now 1 mother.",
+ "output": "The patient is slightly premature."
+ },
+ {
+ "input": "Aspirin 81 mg p.o. q.d.",
+ "output": "Patient takes aspirin."
+ },
+ {
+ "input": "Status post excision of skin cancer on left shoulder.",
+ "output": "The patient has skin cancer."
+ },
+ {
+ "input": "Despite this she continued to have ongoing jaundice and biliary leak and she was transferred to this facility for further management.",
+ "output": "Patient has had intervention."
+ },
+ {
+ "input": "There was no maternal fever or fetal tachycardia.",
+ "output": "The patient does not have symptoms concerning for neonatal sepsis."
+ },
+ {
+ "input": "The attacks included nervousness, shaking, diaphoresis, and mild to moderate dyspnea.",
+ "output": "The patient has episodes of shortness of breath, sweating and anxiety."
+ },
+ {
+ "input": "Mother is a 37 year old gravida 1, para 0 now 2 woman whose blood type is a negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative and group b streptococcus unknown.",
+ "output": "Patient is pregnant."
+ },
+ {
+ "input": "Insulin 7u iv given then 5 units/hr gtt started.",
+ "output": "The patient was given insulin."
+ },
+ {
+ "input": "History of steroid psychosis.",
+ "output": "The patient has a history of corticosteroid-induced mania."
+ },
+ {
+ "input": "She was apparently feeling better but in the past day began to feel \"the pressure getting better.\" she states that on the way to the pharmacy to refill her medications yesterday she got into a disagreement with her husband.",
+ "output": "The patient had a disagreement with her husband."
+ },
+ {
+ "input": "The patient has a history of bacterial endocarditis in [**3118**], status post mitral valve replacement and debridement of perivalvular abscess.",
+ "output": "The patient has a mitral valve prosthesis."
+ },
+ {
+ "input": "L leg lymphedema h/o dvts x 3 htn ho chol depression",
+ "output": "The patient has a problem with blood clots."
+ },
+ {
+ "input": "She also reports while in the ambulance she felt like she could not take a complete breath in.",
+ "output": "She complained of shortness of breath."
+ },
+ {
+ "input": "Patient was given 15 units of insulin.",
+ "output": "Patient has abnormal blood sugar levels."
+ },
+ {
+ "input": "Status post splenectomy at [**hospital1 277**] for unknown indication in [**3353**].",
+ "output": "The patient has a history of splenectomy."
+ },
+ {
+ "input": "Temperature max was 101.2.",
+ "output": "The patient is febrile."
+ },
+ {
+ "input": "She received one dose of clindamycin for unknown gbs status.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "Pt was due for chemotherapy today, but did not undergo treatment due to anc<500 yesterday (wbc count 0.7).",
+ "output": "The patient is neutropenic."
+ },
+ {
+ "input": "At [**hospital1 22**], she was found to have cholelithiasis and it was felt that she may need ercp for presumed gallstone pancreatitis.",
+ "output": "The patient has cholelithiasis."
+ },
+ {
+ "input": "The patient was then switched to intravenous antibiotics and transferred to the micu.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "Apparently she got worse and went in to a coma and was then transferred to [**hospital3 448**] [**hospital3 **] with diagnosis of encephalitis apparently from a mosquito bite.",
+ "output": "She became unresponsive."
+ },
+ {
+ "input": "She was successfuly extubated on [**4-12**] and is now ready for transfer to the floor.",
+ "output": "The patient was on mechanical ventilation."
+ },
+ {
+ "input": "Cardiac catheterization on day of admission revealed 80% proximal rca lesion, 90% lad lesion, and 90% distal left main.",
+ "output": "Cardiac catheterization was abnormal."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname 4865**] was born at 31 and 6/7 weeks and admitted to the nicu with a diagnosis of prematurity and respiratory distress.",
+ "output": "The patient\u2019s lungs are not fully formed."
+ },
+ {
+ "input": "Prenatal screens - o positive, antibody negative, hepatitis surface antigen negative, rubella immune, rpr nonreactive, gbs negative.",
+ "output": "The patient has a negative prenatal screen."
+ },
+ {
+ "input": "She was ejected 20' with +loc and gcs=13 at the scene.",
+ "output": "The patient is status post trauma."
+ },
+ {
+ "input": "There were no lesions present at the time of delivery.",
+ "output": "No wounds, ulcers or tissue damage at delivery."
+ },
+ {
+ "input": "[**10-6**] but d/c summary documents r facial cellulitis and impetigo.",
+ "output": "Patient has recent skin infections."
+ },
+ {
+ "input": "95% on nrb.",
+ "output": "Oxygen saturation is 95%."
+ },
+ {
+ "input": "After the second unit, the presumed source of bleeding was the ovarian cyst and with bleeding into her pelvic mass.",
+ "output": "The patient has blood in the peritoneal cavity."
+ },
+ {
+ "input": "[**name10 (nameis) **] lavage was negative with bilious return.",
+ "output": "Patient had a procedure."
+ },
+ {
+ "input": "The pt states that 2 days ago she started to experience dysuria and urgency.",
+ "output": "The patient has symptoms of a urinary tract infection."
+ },
+ {
+ "input": "She has approximately two seizures per year.",
+ "output": "She suffers from seizures."
+ },
+ {
+ "input": "Per nh records and family patient had developed cold-like symptoms [**2-23**] days ago.",
+ "output": "The patient was recently ill."
+ },
+ {
+ "input": "During the procedure, the patient first underwent bilateral arm venograms, and svc stenosis was visualized.",
+ "output": "Patient has venous abnormalities."
+ },
+ {
+ "input": "In addition he also notes drenching night sweats, 30lb weight loss over several months and decreased p.o. intake.",
+ "output": "The patient has b symptoms."
+ },
+ {
+ "input": "He presented immediately to [**hospital3 803**] complaining of [**6-28**] chest pain.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "Regarding her myasthenia [**last name (un) 5692**], she was recently discharged after a prolonged hospitalization.",
+ "output": "The patient has an autoimmune condition."
+ },
+ {
+ "input": "In the ed, initial vitals were 100.1 114 124/56 18 98%.",
+ "output": "Patient has tachycardia."
+ },
+ {
+ "input": "He is currently off all antibiotic therapy.",
+ "output": "The patient has a history of treated infection."
+ },
+ {
+ "input": "Lactate was 1.0 and arterial blood gas had a ph of 7.41, co2 of 42, oxygen of 62 lowering concern for an ischemic colitis or mesenteric ischemia.",
+ "output": "Patient has a normal lactate."
+ },
+ {
+ "input": "In the emergency room, he was noted to have a significant diastolic murmur.",
+ "output": "Patient has positive physical exam."
+ },
+ {
+ "input": "The patient also completed the 14 day course of flagyl and azithromycin.",
+ "output": "The patient was on antibiotics."
+ },
+ {
+ "input": "If not, they would want to proceed with dnr/dni route.",
+ "output": "The patient is ill."
+ },
+ {
+ "input": "He did develop a progressive hyperbilirubinemia which was found to be largely indirect and was thought to be likely hemolysis in the setting of receiving blood transfusions.",
+ "output": "Patient has elevated t. bili levels."
+ },
+ {
+ "input": "In general, the patient was an elderly female lying in bed who was oriented to person and place.",
+ "output": "Patient is aaox2."
+ },
+ {
+ "input": "He had never experienced pain like this before.",
+ "output": "Patient has pain."
+ },
+ {
+ "input": "Head ct scan at the outside hospital shows right frontal intracranial bleed approximately 3 cm with area surrounding edema compared to the ct scan at 15:00 at the outside, it is unchanged.",
+ "output": "There is bleeding in the skull."
+ },
+ {
+ "input": "Patient subsequently continued to be tachycardic and he received 10 mg iv dilt x 3 with hr return to sr in 80s and hypertensive to sbp 190s.",
+ "output": "Patient had high systolic blood pressure."
+ },
+ {
+ "input": "She was treated with iv protonix and was started an octreotide drip.",
+ "output": "The patient was given a proton pump inhibitor."
+ },
+ {
+ "input": "She was treated with iv fluids to maintain her bp which held stable with sbps in the 80s.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Two days prior to admission, he was raking leaves in his yard with his hands, and afterward he experienced continued shortness of breath at both rest and worsened with exertion, which persisted for two days. .",
+ "output": "He complains of dyspnea."
+ },
+ {
+ "input": "Pt reports a weight loss of ~ 8 lbs and he states that it has been a chore to do his daily activities.",
+ "output": "Patient has unintentional weight loss."
+ },
+ {
+ "input": "History of present illness: baby girl [**known patient lastname 20459**] is the former 4.035 kg product of a 39 and [**2-20**] week gestation pregnancy, born to a 33 year-old, g4, p1 now 2 woman.",
+ "output": "The patient has normal birth weight."
+ },
+ {
+ "input": "Most recently, wbc persistently elevated at 16.6 with 6% bands.",
+ "output": "White blood cell count has been high."
+ },
+ {
+ "input": "- picc-associated right upper extremity dvt, diagnosed on [**3430-8-29**] and had picc removal. - prior gram positive bacteremia - hypertension - hyperlipidemia - s/p oophorectomy - bilateral lower lobe pes ([**12-11**]) - left lower extremity dvt ([**12-11**]) - recent pelvic dvt",
+ "output": "The patient has multiple blood clots."
+ },
+ {
+ "input": "Both cultures ended up being negative to date.",
+ "output": "The cultures did not grow bacteria."
+ },
+ {
+ "input": "The mother's pregnancy was complicated by cervical shortening and preterm labor starting at 23 weeks gestation.",
+ "output": "The patient underwent preterm labor."
+ },
+ {
+ "input": "He endorsed constipation, with no stool x 3 days.",
+ "output": "The patient is constipated."
+ },
+ {
+ "input": "Reports increased secretions over time (c/w prior clinic notes ~ 1 mo ago) and reports improvement of his sob post-suctioning.",
+ "output": "The patient has a small bowel obstruction."
+ },
+ {
+ "input": "Of note the patient was recently admitted to [**hospital1 18**] with flank pain.",
+ "output": "The patient has a history of pain in his side."
+ },
+ {
+ "input": "History of present illness: this is a 61-year-old male with a past medical history significant for right upper lobe small cell cancer stage iii, status post chemotherapy and radiation, status post right upper lobe sleeve resection [**6-14**], also with past medical history significant for diabetes mellitus, hypertension, prostate cancer status post radical prostatectomy, gerd, tia 15 years ago, gout and copd.",
+ "output": "The patient has a history of lung cancer."
+ },
+ {
+ "input": "Regarding the patient's complaint of hematuria, the patient had developed this problem immediately prior to his discharge in [**month (only) 89**].",
+ "output": "Patient has blood in the urine."
+ },
+ {
+ "input": "End stage renal disease, initial hemodialysis started in [**2850-12-3**], and resumed in [**2856-12-2**] following chronic rejection of renal transplant placed in [**2852**].",
+ "output": "Patient has chronic transplant rejection."
+ },
+ {
+ "input": "She received cefepime, vancomycin and levofloxacin.",
+ "output": "The patient is on broad spectrum antibiotics."
+ },
+ {
+ "input": "He did ok at rehab and was actually switched from linezolid to suppressive doxycycline (for the scn/gamma strep graft infection) on [**3-23**]. .",
+ "output": "Patient has had intervention and grafting."
+ },
+ {
+ "input": "The patient was diagnosed with proteus urinary tract infection on [**2757-5-20**].",
+ "output": "The patient has a uti."
+ },
+ {
+ "input": "He had upper and lower endoscopies [**3067-8-27**] that showed esophageal, gastric and rectal varices, but no active bleeding.",
+ "output": "He had dilation of vessels in the gastrointestinal tract."
+ },
+ {
+ "input": "Brief history: 55 yr old male with no prior cardiac history presented following a witnessed cardiac arrest while running a road race.",
+ "output": "The patient had cardiac arrest."
+ },
+ {
+ "input": "She is controlled on insulin.",
+ "output": "The patient has diabetes."
+ },
+ {
+ "input": "She also reports left hip pain which developed over the same time period for which she was seen by her pcp earlier this past week and was diagnosed with probable bursitis.",
+ "output": "She has pain in the left lower extremity."
+ },
+ {
+ "input": "Bystanders commenced cardiopulmonary resuscitation and emergency medical technicians placed an aad and shocked her at 200 joules, which converted her to a normal rhythm.",
+ "output": "The patient had a shockable arrhythmia."
+ },
+ {
+ "input": "His blood pressure remained in the low 100s systolically, but later he required dopamine.",
+ "output": "The patient required pressor support."
+ },
+ {
+ "input": "The patient denies any recent chest discomfort, chest pain or dyspnea on exertion.",
+ "output": "The patient does not have symptoms of an acute mi."
+ },
+ {
+ "input": "She was transferred to the micu for closer observation and consideration of noninvasive ventilation.",
+ "output": "The patient has a respiratory condition."
+ },
+ {
+ "input": "Based on the above results, he was referred for cardiac surgical intervention.",
+ "output": "He had abnormal cardiac testing."
+ },
+ {
+ "input": "Postoperative course from that, the patient had a fever to 102.6.",
+ "output": "Patient is febrile."
+ },
+ {
+ "input": "Heme/onc consulted and recommended giving ivig at 400 mg/kg and gcsf at 300 mg sc qd.",
+ "output": "The patient has hematologic condition."
+ },
+ {
+ "input": "She relates that sunday night, she awoke from sleep feeling more short of breath.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "Per his wife, he has had no chest pain, dyspnea, abd pain, melena, or hematochezia. .",
+ "output": "The patient does not have symptoms of a gastrointestinal bleed."
+ },
+ {
+ "input": "82-year-old female with history of cad s/p mi in [**3043**], angina, history of stent to lad in [**3066**], htn, hl, pvd, aaa s/p repair, cea, ckd (cr 2.5), severe pulmonary hypertension, hit, history of pe, oxygen-dependent copd presents in setting of increasing dyspnea and chest discomfort to ccu for aspirin desensitization in setting of history of aspirin sensitive asthma and pre-cath hydration.",
+ "output": "The patient has acute coronary syndrome."
+ },
+ {
+ "input": "He was normotonsive during the procedure and received 2l lr.",
+ "output": "His blood pressure was normal during the procedure."
+ },
+ {
+ "input": "History: baby girl [**known patient lastname **] is the 2.025 kg infant born via c- section for failure to progress at 34-3/7 weeks gestation with an estimated date of confinement of [**3189-8-6**].",
+ "output": "Patient was born via c section."
+ },
+ {
+ "input": "Approximately one year ago, he required hospitalization for an acute episode of congestive heart failure secondary to community-acquired pneumonia.",
+ "output": "The patient has a history of acute heart failure."
+ },
+ {
+ "input": "Diabetes likely secondary to steroids.",
+ "output": "The patient developed metabolic dysfunction due to steroid medication."
+ },
+ {
+ "input": "There he was felt to be at his baseline from a pulmonary standpoint but there was concern for acute renal failure with a creatinine above baseline and so he was treated with ivf for presumed over diuresis with lasix.",
+ "output": "Patient has elevated cr."
+ },
+ {
+ "input": "Maternal medical history: significant for leukemia in [**3331**] and status post chemotherapy.",
+ "output": "The patient is at increased risk of cancer."
+ },
+ {
+ "input": "Patient repots that she was feeling \"fine\" prior to hospitilization.",
+ "output": "The patient was at baseline condition prior to presentation."
+ },
+ {
+ "input": ".....e.svt, avnrt (s/p ablation x2) .....f.overflow incontinence (h/o self catheterization in past) 2.",
+ "output": "Patient has a history of cardiac arrhythmias."
+ },
+ {
+ "input": "On [**3172-4-30**] the patient experienced syncope.",
+ "output": "Patient had an episode of syncope."
+ },
+ {
+ "input": "Very poor po intake.",
+ "output": "Patient has decreased nutrition."
+ },
+ {
+ "input": "Obesity hypoventilation syndrome.",
+ "output": "The patient is obese."
+ },
+ {
+ "input": "Past medical history: parkinson's dementia, depression, anxiety, coronary artery disease status post myocardial infarction in [**2806**], squamous cell carcinoma of the vocal cords status post excision and xrt, hypertension, spinal stenosis, bph status post turp.",
+ "output": "Patient has multiple medical problems."
+ },
+ {
+ "input": "Pt given vanc, levo, flagyl in ed.",
+ "output": "The patient is on multiple antiobiotics."
+ },
+ {
+ "input": "53 yo male with ? palpitations, followed for murmur since age 18.",
+ "output": "The patient has a structural heart abnormality that causes abnormal flow."
+ },
+ {
+ "input": "She was started on ampicillin and gentamycin prior to transfer to [**hospital3 **].",
+ "output": "Patient has an infection."
+ },
+ {
+ "input": "Cad s/p cabg [**3136**] (lima to lad, svg to rca, svg to lcx) ischemic cm and chf, lvef 35% history of pe on coumadin ppm placed [**3136**], c/b infection, with replacement [**3138**] or [**3148**] moderate to severe tr chronic afib copd gerd gout",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Patient was just recently discharged from [**hospital1 509**] at the pneumonia and pleural effusion as well as mental status changes.",
+ "output": "Patient has trouble breathing."
+ },
+ {
+ "input": "History of present illness: this is a 48 year old man who anorexia and decreased urine output.",
+ "output": "He has had decreased food intake."
+ },
+ {
+ "input": "She had presented to the primary care physician 1-2 weeks ago with complaint of chronic leg pain that has not resolved with medical treatment and fatigue for the last few years.",
+ "output": "The patient has chronic pain issues."
+ },
+ {
+ "input": "The patient did not require tracheostomy or intubation and over the course of the day, the patient returned to baseline mental status and was hemodynamically stable with mannitol and decadron.",
+ "output": "The patient did not require intubation."
+ },
+ {
+ "input": "Cholecystitis and choledocholithiasis complicated by bile duct perforation in '[**89**].",
+ "output": "Patient has a history of cholecystitis."
+ },
+ {
+ "input": "Of note, review of notes and history shows that the patient had been having severe abdominal pain, but he does not relate that history. .",
+ "output": "The patient had previously been complaining of abdominal pain."
+ },
+ {
+ "input": "History of present illness: this is an 81-year-old right- handed man, with a history of dementia, paroxysmal atrial fibrillation, bradycardia status post pacer, and hypercholesterolemia, who was found by his wife this morning on the floor.",
+ "output": "Patient has hld."
+ },
+ {
+ "input": "Fluid, electrolytes and nutrition: [**known patient lastname 1033**] had an initial whole blood glucose of 22.",
+ "output": "Patient is hypoglycemic."
+ },
+ {
+ "input": "A.fib/svt, s/p ablation [**71**].",
+ "output": "The patient has irregular heart rhythms."
+ },
+ {
+ "input": "Labs at [**hospital1 **] with wbc 5.8, hct 33.6 (mcv 83.6), plts 278, and ck 215.",
+ "output": "Platelet levels are within normal limits."
+ },
+ {
+ "input": "Copd on 2l home oxygen.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Was transiently on cpap but quickly weaned to fm, now weaned to nc 5l.",
+ "output": "The patient has a pulmonary condition."
+ },
+ {
+ "input": "The patient has required large doses of narcotics to be comfortable (i.e. 50 mg of dilaudid intravenously over three hours).",
+ "output": "The patient is given multiple doses of opiates."
+ },
+ {
+ "input": "History of present illness: this is an 84 year old with symptomatic critical aortic stenosis.",
+ "output": "She has cardiac disease."
+ },
+ {
+ "input": "Bp ranging from sys 60-100s.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Cxr showed bibasilar opacities, likely atelectasis.",
+ "output": "The patient has bibasilar atelectasis."
+ },
+ {
+ "input": "Prostate adenoma resection.",
+ "output": "History of surgery on the prostate."
+ },
+ {
+ "input": "Cellulitis of both legs.",
+ "output": "The patient has cellulitis."
+ },
+ {
+ "input": "Infant was delivered by cesarean section.",
+ "output": "Infant was delivered via surgery."
+ },
+ {
+ "input": "Cpap was initiated and patient's mental status had mild improvement in alertness.",
+ "output": "Patient became more alert after treatment."
+ },
+ {
+ "input": "He had hematemesis and was found to have an hct of 16, an inr of 3.3 (on coumadin) and arf.",
+ "output": "Patient has anemia."
+ },
+ {
+ "input": "Hypertension was diagnosed prior to [**3387**], and is well controlled.",
+ "output": "The patient has high blood pressure."
+ },
+ {
+ "input": "Patient was transferred to the [**hospital1 170**] for further care and management of his possible hemothorax, worsening congestive heart failure and possible nonunion of his sternum.",
+ "output": "Patient is post op."
+ },
+ {
+ "input": "Catheterization in [**2698**] showed an increase filling pressure, inferior hypokinesis, 30% osteal lma and 80% obtuse marginal occlusion.",
+ "output": "The patient has abnormal heart wall motion."
+ },
+ {
+ "input": "Wheezes at the time were noted which decreased with combivent nebulizer treatment in the emergency room.",
+ "output": "The patient has symptoms of a asthma exacerbation."
+ },
+ {
+ "input": "This was pet positive, with no evidence for distant metastatic disease.",
+ "output": "The patient has cancer."
+ },
+ {
+ "input": "Cxr without infiltrates.",
+ "output": "The chest x ray shows no pneumonia."
+ },
+ {
+ "input": "On arrival to the coronary care unit he was hemodynamically stable, in atrial fibrillation.",
+ "output": "Patient has an arrhythmia."
+ },
+ {
+ "input": "Hct was 18.5 and cr 1.8.",
+ "output": "Patient is anemic."
+ },
+ {
+ "input": "The infant was born by cesarean section.",
+ "output": "The infant was delivered surgically."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope.",
+ "output": "The patient does not have symptoms for heart failure."
+ },
+ {
+ "input": "Pt. is being admitted for ivig infusion and possibly platelets as needed.",
+ "output": "Patient is recieving inpatient transufions."
+ },
+ {
+ "input": "While the patient does admit to occasionally feeling cold, she denies any chills or fevers.",
+ "output": "The patient does not endorse symptoms of infection."
+ },
+ {
+ "input": "He was also found to be withdrawing from etoh (tachycardic, hypertensive, hyperthermic and tremulous).",
+ "output": "The patient requires benzodiazepines to treat his withdrawal."
+ },
+ {
+ "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown.",
+ "output": "The patient recieved prenatal screening."
+ },
+ {
+ "input": "She was felt to be in chf.",
+ "output": "She had signs and symptoms of congestive heart failure."
+ },
+ {
+ "input": "Vascular surgery was called.",
+ "output": "The patient required medical attention from a vascular surgeon."
+ },
+ {
+ "input": "Patient was ambulating at level three with assistance and discharge medications includes lopressor 12.5 mg p.o.",
+ "output": "The patient was discharged on a beta blocker."
+ },
+ {
+ "input": "He also has critical aortic stenosis with [**first name8 (namepattern2) **] [**location (un) 108**] of 0.6 centimeter squared in [**2526**].",
+ "output": "Patient has high grade aortic stenosis."
+ },
+ {
+ "input": "His abg at the osh was 7.13/90/559 on 100%fio2, ac 500/12.",
+ "output": "The patient is in respiratory failure."
+ },
+ {
+ "input": "History: pneumonia, status post extubation, to evaluate for change.",
+ "output": "The patient has a lung infection."
+ },
+ {
+ "input": "She was betamethasone complete on [**2-14**].",
+ "output": "The patient has a history of corticosteroid use."
+ },
+ {
+ "input": "He was found to have a hct of 23.2.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "Apgars were 8 and 9 at one and five minutes of age respectively.",
+ "output": "The patient is able to cry and move all limbs."
+ },
+ {
+ "input": "Elevated tnt with normal catherization in setting of copd flare 5.",
+ "output": "History of copd."
+ },
+ {
+ "input": "Bp increased after initiation of second iv with ns bolus and came up to 130s systolic after ~700 cc.",
+ "output": "Patient is receiving fluids."
+ },
+ {
+ "input": "Patient was confused at hd and did not improve with com[** location **]n of hd session.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "Then, on [**3451-2-7**], the patient experienced facial swelling, and she was brought to the [**hospital1 22**] out of concern for her recent fall and facial swelling.",
+ "output": "The patient has a recent fall with facial swelling."
+ },
+ {
+ "input": "Left ica aneurysm htn hypercholesterolemia osteoporois gastritis",
+ "output": "History of high blood pressure and high cholesterol."
+ },
+ {
+ "input": "He called dr. [**name (ni) 1365**] office and was referred to the [**hospital1 22**] ed for further evaluation.",
+ "output": "He requires emergency medical attention."
+ },
+ {
+ "input": "Treated with azithromycin in [**month (only) 570**] for his cough without improvement.",
+ "output": "Patient has infection."
+ },
+ {
+ "input": "Followed closely by ultrasounds with normal growth.",
+ "output": "Ultrasounds revealed appropriate development."
+ },
+ {
+ "input": "Antepartum antibacterial prophylaxis was administered begriming 2-1/2 hours prior to delivery.",
+ "output": "Antibiotics were given before delivery."
+ },
+ {
+ "input": "Beyond son's report of generally feeling unwell this week with increased confusion, specific localizing sx of infection are unknown.",
+ "output": "Patient has nonspecific signs and symptoms."
+ },
+ {
+ "input": "Her cardiac issues were handled medically and endoscopy revealed a distal gastric mass.",
+ "output": "Endoscopy was abnormal."
+ },
+ {
+ "input": "Inr 2.1, hct 33.7 initially (baseline 33-35).",
+ "output": "The patient has an elevated inr."
+ },
+ {
+ "input": "No evidence of coronary artery disease (normal mibi [**9-17**]), psychotic depression status post ect and glaucoma.",
+ "output": "Patient has no cad by imaging."
+ },
+ {
+ "input": "Patient was hospitalized at [**hospital1 4**] from [**3-30**] - [**4-8**] for a planned coronay catheterization and underwent stenting w/ des of her left main (known distal 70% stenosis) and lad (mid 80% in-stent restenosis (isr) and a distal 50% stenosis).",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Patient is expressing difficulty breathing due to right-sided pain along his ribs.",
+ "output": "The patient is having significant pain."
+ },
+ {
+ "input": "Has multiple uris, allergies, recent azithro < 2 weeks ago, prednisone < 1 month ago.",
+ "output": "Patient has begun antibiotics."
+ },
+ {
+ "input": "Apparently hospitalized at [**hospital1 **] in [**4-10**] at which pt was intubated for ?chf/aspiration pneumonia.",
+ "output": "The patient has a history of intubation."
+ },
+ {
+ "input": "Right iliac artery stenosis, status post bypass in [**3019**].",
+ "output": "There is blockage in the iliac artery."
+ },
+ {
+ "input": "Congestive heart failure with an ejection fraction of less than 15% by echocardiogram in [**3408-2-12**].",
+ "output": "Patient has chf."
+ },
+ {
+ "input": "He received resuscitation with [**3165**] cc of normal saline and one unit of packed red blood cells.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "History of present illness: this is a 63 year old male with a history of hypertension and colon cancer status post hemicolectomy who is status post a nine foot fall from the cab of his truck on [**3084-11-6**].",
+ "output": "He was treated for colon cancer."
+ },
+ {
+ "input": "Sepsis protocol was initiated and pt received vanc, levo, and flagyl without a clear infectious sourse.",
+ "output": "The patient had an infection."
+ },
+ {
+ "input": "Coronary artery disease with an angioplasty in the [**3034**]'s echocardiography [**12/3064**]: mild lvh, mild focal left ventricular systolic dysfunction, lvef = 55% c/w prior inferior infarction. type 2 diabetes on oral agents, hypertension hypercholesterolemia.",
+ "output": "The patient has an enlarged heart."
+ },
+ {
+ "input": "She was started on gleevec on [**3374-4-20**] by dr. [**last name (stitle) **].",
+ "output": "She started chemotherapy."
+ },
+ {
+ "input": "Cad s/p mi, cabg [**3217**] with occluded grafts, s/p pci with several stents.",
+ "output": "Patient has history of heart disease."
+ },
+ {
+ "input": "Ct right hip showed 7cm hematoma extending from iliac [**doctor first name **] to level of right hip capsule without evidence of hemarthrosis.",
+ "output": "Patient has a focal fluid collection."
+ },
+ {
+ "input": "61 yo m with s/p avr x 2 (last in [**2701**]) with recent echo showing increased gradient and thickened/defromed leaflets.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "Cardiac cath demonstrated proximal rca to.",
+ "output": "Proximal right coronary artery is completely occluded."
+ },
+ {
+ "input": "Ems was contact[**name (ni) **] and she was brought to [**hospital1 52**].",
+ "output": "The patient was brought to the hospital by emergency medical services."
+ },
+ {
+ "input": "Ekg revealed sinus tachycardia w/poor r-wave progression and twi in v4-v6.",
+ "output": "Abnormal ekg."
+ },
+ {
+ "input": "Ct scan of the abdomen showed small bowel obstruction secondary to diffuse abdominal metastases and the patient underwent exploratory laparotomy with small bowel resection on [**9-18**].",
+ "output": "The patient has a history of cancer."
+ },
+ {
+ "input": "Brought to ccu with swan in place.",
+ "output": "The patient has a pulmonary artery catheter."
+ },
+ {
+ "input": "Ed vs: t 101, bp 50/30, hr 130s, sating well on 2l nc.",
+ "output": "The patient is febrile."
+ },
+ {
+ "input": "Mom admitted at 22-1/7 weeks and placed on bed rest, placed on tocolysis for preterm labor.",
+ "output": "Patient has received medications via iv."
+ },
+ {
+ "input": "He underwent a cardiac catheterization that showed one vessel coronary artery disease.",
+ "output": "He has coronary artery disease."
+ },
+ {
+ "input": "Noninsulin dependent diabetes mellitus; 4.",
+ "output": "Metabolic disease."
+ },
+ {
+ "input": "Of note, she recently started hydrochlorothiazide 25 mg qhs three days ago.",
+ "output": "She recently started a diuretic medication."
+ },
+ {
+ "input": "Radiation cystitis 3.",
+ "output": "History of radiation."
+ },
+ {
+ "input": "Given that he had received 3 x it chemo and 3 cycles of high-dose ara-c, it was felt to be sufficient for cns prophylaxis.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "On admission to ed triggered for respiratory extremis.",
+ "output": "Respiratory symptoms in the emergency department."
+ },
+ {
+ "input": "74 f c hx poorly controlled hypertension, hyperlipidemia, renal cell cancer s/p l nephrectomy, breast cancer s/p l mastectomy/ tamoxifen presenting c chest pain.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "Coronary artery disease status post coronary artery bypass graft.",
+ "output": "The patient has history of coronary bypass surgery."
+ },
+ {
+ "input": "In addition, reported non-reassuring fetal heart tracing.",
+ "output": "The patient has a non reassuring fetal heart tracing."
+ },
+ {
+ "input": "Denies any urinary symptoms (no changes in color, consistency, dysuria, frequency, urgency), abd pain, neck stiffness, cough or cold symptoms.",
+ "output": "Patient denies symptoms of infection."
+ },
+ {
+ "input": "He was received pentostatin, rituxan and photopheresis for his gvhd which has affected his mouth, eyes, gut, skin, +/- bladder.",
+ "output": "The patient had an organ transplant."
+ },
+ {
+ "input": "Creatinine slowly recovered to 3.2.",
+ "output": "Creatinine was higher than baseline, but decreased to 3.2."
+ },
+ {
+ "input": "Of note, patient was taking oral vancomycin for c. difficile until approximately one week prior to admission [**3301-5-2**].",
+ "output": "Patient has history of diarrhea."
+ },
+ {
+ "input": "Since then she has been a little more fatigued, less active.",
+ "output": "Patient has malaise."
+ },
+ {
+ "input": "No complaints of headache or weakness, malaise or speech difficulties and no dysphagia.",
+ "output": "The patient is not complaining of symptoms of a stroke."
+ },
+ {
+ "input": "History of present illness: this is a 65-year-old woman with a history of mitral stenosis, recent increasing dyspnea on exertion, as well as paroxysmal nocturnal dyspnea.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "She transitioned to conventional ventilation on [**2978-4-27**] prior to return to [**hospital1 22**] nicu.",
+ "output": "The patient is requiring respiratory support."
+ },
+ {
+ "input": "Currently, she is intubated and sedated w/ dried blood on her face, but no frank blood on ett suctioning",
+ "output": "Her airway is maintained open."
+ },
+ {
+ "input": "Diabetes mellitus which was controlled by diet on a daily basis.",
+ "output": "History of hyperglycemia."
+ },
+ {
+ "input": "This revealed multiple new, predominantly peripheral irregular nodular opacities in both lungs, and a new area of gound-glass opacity peripherally in the superior segment of the rll. [** location **]usly seen nodules in the lul, rul and rll were either unchanged or decreased in size.",
+ "output": "Imaging of the lungs was abnormal."
+ },
+ {
+ "input": "This triplet emerged with spontaneous cry, required blow by oxygen, apgars were 8 at one minute and 9 at five minutes.",
+ "output": "The triplet was born before 42 weeks."
+ },
+ {
+ "input": "History: [** location **]us pneumothorax, to evaluate for persistence.",
+ "output": "The patient has a pneumothorax."
+ },
+ {
+ "input": "Was found by his friend yesterday who called the ambulance and brought him in. .",
+ "output": "He required medical attention."
+ },
+ {
+ "input": "Cardizem cd 240 once daily.",
+ "output": "The patient is on a calcium channel blocker."
+ },
+ {
+ "input": "Hypertension times five years.",
+ "output": "The patient is at risk of stroke."
+ },
+ {
+ "input": "The patient was therefore felt to be a good candidate for stent graft placement to cover the penetrating ulcer.",
+ "output": "The patient is at risk for a serious bleed."
+ },
+ {
+ "input": "A - fib",
+ "output": "Patient has atrial fibrillation."
+ },
+ {
+ "input": "Patient was started on vancomycin 1 gram iv x 1, ciprofloxacin 400 mg iv x 1.",
+ "output": "The patient is on antibiotics."
+ },
+ {
+ "input": "History of present illness: this 26-year-old male with no significant past medical history with the exception of a pneumonia three months prior to arrival found to be a pneumococcal pneumonia, who presented with fever, cough, sore throat to [**hospital3 2425**] on [**2905-9-27**].",
+ "output": "History of pneumonia."
+ },
+ {
+ "input": "He then had a head ct, which revealed lesions read as subacute to acute infarcts of the right cerebellar hemisphere and the right occipital lobe.",
+ "output": "The patient had a recent stroke."
+ },
+ {
+ "input": "On physical examination, the patient was in no acute distress, awake, alert and oriented x 3.",
+ "output": "The patient is aware of his or her environment."
+ },
+ {
+ "input": "History of present illness: the patient is a 69 year old female with a history of coronary artery disease, end stage renal disease on hemodialysis and congestive heart failure, who presented from home to the emergency department and was unresponsive.",
+ "output": "Patient has elevated cr."
+ },
+ {
+ "input": "She underwent a rigid bronch, balloon dilation, microdebridement and stent placement on [**2609-7-26**].",
+ "output": "She underwent multiple surgical prodedures."
+ },
+ {
+ "input": "He was given levo/flagyl because he \"looked bad\" and was hypothermic to 33 degrees celsius rectally, in order cover possible infectious sources in the abdomen although his examination and other vital signs were benign.",
+ "output": "The patient is hypothermic."
+ },
+ {
+ "input": "The patient was then transferred to the ccu in stable condition for further monitoring.",
+ "output": "Patient requires intensive monitoring."
+ },
+ {
+ "input": "History: [**known patient lastname **] is the former 5.060 kg product of a 39 week gestation born to a 31 year old a+, remaining prenatal screens noncontributory, gravida 4, para 2, now 3 female whose pregnancy was complicated by diet-controlled gestational diabetes.",
+ "output": "Mother of the infant had gestational diabetes."
+ },
+ {
+ "input": "History of present illness: the patient is a 68-year-old male without any prior pulmonary history except for asthma, aspirin sensitivity, and nasal polyps who was transferred from an outside hospital to the medical intensive care unit multilobar infiltrates, congestive heart failure, and questionable atypical pneumonia.",
+ "output": "Chest x-ray is abnormal."
+ },
+ {
+ "input": "A stat ct head showed l-mca sign. .",
+ "output": "The patient has a clot in the left middle cerebral artery."
+ },
+ {
+ "input": "Exam was notable for coarse rales on the l, green sputum around the trach site, and accessory muscle use.",
+ "output": "Patient has abnormal examination."
+ },
+ {
+ "input": "He had 3rd stent placed in distal lad.",
+ "output": "Patient has coronary artery disease."
+ },
+ {
+ "input": "Then on the morning of admission, he notes increased sob and dyspnea.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "History of present illness: this is a 60 year old right handed woman with a past medical history of coronary artery disease, hypertension, history of aneurysm clip seven years ago at [**hospital6 59**], who at 4:00 p.m. on the day of admission had sudden onset vertigo, right facial weakness, and dysarthria.",
+ "output": "Patient has cardiac disease."
+ },
+ {
+ "input": "Initial ekg asystole.",
+ "output": "The patient has asystole."
+ },
+ {
+ "input": "He developed palpitations that was similar to what he had during his recent hospitalization.",
+ "output": "The patient has symptoms of a cardiac arrhythmia."
+ },
+ {
+ "input": "Frequent diabetic ketoacidosis admissions.",
+ "output": "The patient has diabetes."
+ },
+ {
+ "input": "History of esophageal carcinoma, status post resection in [**2935**].",
+ "output": "The patient has had prior thoracic surgery."
+ },
+ {
+ "input": "Pna 05 16.",
+ "output": "Patient has pneumonia."
+ },
+ {
+ "input": "History: abdominal pain and upper gi bleed, to evaluate lung parenchyma.",
+ "output": "The patient has had abdominal bleeding above the ligament of tritz."
+ },
+ {
+ "input": "Of note, had episode of unheralded syncope on monday; no aura or neurologic, cardiac prodrome; did not remember falling to ground, woke up on ground later after undetermined period, no bowel/bladder incontinence, post-ictal confusion, tongue biting.",
+ "output": "Patient has seizures."
+ },
+ {
+ "input": "Her hematocrit on discharge was 41. .",
+ "output": "Patient has a normal hematocrit."
+ },
+ {
+ "input": "No fetal tachycardia was noted.",
+ "output": "The patient had an appropriate heart rate."
+ },
+ {
+ "input": "No neck pain or trauma in recent past.",
+ "output": "No history of cervical fracture."
+ },
+ {
+ "input": "She is now confined to bed and will only occasionally communicate.",
+ "output": "She is bed bound."
+ },
+ {
+ "input": "Hiv: this was diagnosed in [**2766**].",
+ "output": "The patient has a chronic viral illness."
+ },
+ {
+ "input": "Gynhx: one prior missed abortion requiring a d&c and a therapeutic abortion.",
+ "output": "She had a terminated pregnancy."
+ },
+ {
+ "input": "This occurred while at rest 1-2 minutes after moving his bowels.",
+ "output": "The patient is not constipated."
+ },
+ {
+ "input": "Bph s/p turp in [**2763**] 6.",
+ "output": "History of enlarged prostate."
+ },
+ {
+ "input": "The patient's right foot ulcer has progressed since the time of discharge.",
+ "output": "Wound on right foot has gotten worse."
+ },
+ {
+ "input": "She had no loss of consciousness.",
+ "output": "She had no syncope."
+ },
+ {
+ "input": "He felt this was related to the keflex which he subsequently stopped.",
+ "output": "The patient was on keflex."
+ },
+ {
+ "input": "She was diuresed without improvement in her symptoms.",
+ "output": "The patient was given medication to expel addional fluid through her urine."
+ },
+ {
+ "input": "He was admitted [**date range (1) 22653**]/[**3216**] for this abdominal pain and underwent a workup including abdominal ct, mri, mra, mrcp, egd, and eus with fna of a pancreatic lesion in the body.",
+ "output": "He is being evaluated for abdominal pain."
+ },
+ {
+ "input": "Her nih stroke scale was 17.",
+ "output": "Stroke scale score is indicative of stroke."
+ },
+ {
+ "input": "Apgars were 8 and 8 at one and five minutes respectively.",
+ "output": "Apgars were within normal range."
+ },
+ {
+ "input": "71 yo woman pmh of t2 diabetes , htn , cva c r sided hemiparesis, mvr [**2537**] and afib.",
+ "output": "The patient has arrhythmia and history of stroke."
+ },
+ {
+ "input": "For example, she was evaluated at the [**hospital1 577**] ed on [**2-27**] with seizures.",
+ "output": "The patient has neurological problems."
+ },
+ {
+ "input": "Chf aaa pacemaker/icd mi [**3269**], [**3272**]: rca stent knee replacements tia broken neck, not repaired",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "Patient is a 74 male with myasthenia [**last name (un) 2843**] who was found down and unresponsive at the bottom of his basement stairs by his wife.",
+ "output": "The patient was found unresponsive."
+ },
+ {
+ "input": "His pain recurred on the afternoon of admission while patient was accompanying his wife to his wife's cardiologist appointment with dr. [**last name (stitle) 6992**].",
+ "output": "He is in pain."
+ },
+ {
+ "input": "Reportedly, he was diagnosed with aspiration pneumonia at the nursing home several days ago, as well as with a staph uti.",
+ "output": "He recently had pneumonia and a urinary tract infection."
+ },
+ {
+ "input": "[**location (un) 3576**] coma scale was 15.",
+ "output": "The patient has a normal gcs."
+ },
+ {
+ "input": "On transport he was bradycardic to the 40s but this resolved spontaneously. .",
+ "output": "The patient had an abnormally low heart rate."
+ },
+ {
+ "input": "No maternal fever.",
+ "output": "Mother is afebrile."
+ },
+ {
+ "input": "No maternal fever.",
+ "output": "There is no maternal fever."
+ },
+ {
+ "input": "The patient was taken to [**hospital1 68**] by taxi, with assistance.",
+ "output": "The patient presented to the hospital."
+ },
+ {
+ "input": "Was talking on the phone with friend at around 0900 (friend reports 0900, ems reported 0845) and sounded at baseline.",
+ "output": "The patient was at their cognitive baseline at 9am."
+ },
+ {
+ "input": "Atrial fibrillation since [**2859-8-2**]; 3.",
+ "output": "History of arrhythmia."
+ },
+ {
+ "input": "Af on coumadin 2.",
+ "output": "Patient has atrial fibrillation."
+ },
+ {
+ "input": "Hypertension 11. dyslipidemia",
+ "output": "Patient has multiple chronic medical conditions."
+ },
+ {
+ "input": "Recent past medical history is notable for a 5-day hospitalization for pneumonia. .",
+ "output": "Patient has history of recent infection."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of chest pain, palpitations.",
+ "output": "Patient has negative cardiac ros."
+ },
+ {
+ "input": "Pt noted to have purulent d/c from line site.",
+ "output": "The patient has signs of an infection from a line site."
+ },
+ {
+ "input": "Patient has never been dialyzed, but preparations to start have been ongoing in the past month.",
+ "output": "The patient has end stage kidney disease."
+ },
+ {
+ "input": "He acquired the tylenol from his family's medicine cabinet in the house's bathroom.",
+ "output": "The patient ingested tylenol."
+ },
+ {
+ "input": "Ems recorded sbp of 80.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "At present, the pt reports he is comfortable but thirsty.",
+ "output": "The patient is in no acute distress."
+ },
+ {
+ "input": "He was transferred to the intensive care unit and sedated with versed and propofol overnight while he was medically evaluated.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Initially his vs were bp 133/78, h 84 and evolved to 90-100s systolic and hr of 100-120s.",
+ "output": "The patient became hypotensive."
+ },
+ {
+ "input": "6) h/o sinusitis/seasonal allergies per family.",
+ "output": "History of sinue infections."
+ },
+ {
+ "input": "The patient had blood tests done and then went home.",
+ "output": "Patient had blood drawn."
+ },
+ {
+ "input": "He is teacher at a local public school.",
+ "output": "He is a teacher."
+ },
+ {
+ "input": "[**last name (stitle) 26563**] at [**hospital **] medical associates in [**location (un) 1221**], ma - s/p r nephectomy in [**2647**] [**2-26**] renal mass, htn, dyslipidemia",
+ "output": "The patient had a renal mass."
+ },
+ {
+ "input": "In addition he was prescribed hctz 12.5mg daily but had not been taking this.",
+ "output": "The patient is on a diuretic."
+ },
+ {
+ "input": "Neurology consulted and recommended ativan with the possibility that she may have been seizing.",
+ "output": "Patient has presented to the hospital."
+ },
+ {
+ "input": "Mixed personality disorder with narcissistic and oppositional traits 12.",
+ "output": "The patient has a personality disorder."
+ },
+ {
+ "input": "Ng lavage was initially negative.",
+ "output": "No abnormalities found initially from nasogastric lavage."
+ },
+ {
+ "input": "She was then apparently treated with cefpodoxime and the last day was [**4-18**].",
+ "output": "Patient has an acute infection."
+ },
+ {
+ "input": "Htn s/p right hip fracture and repair",
+ "output": "The patient had a hip trauma."
+ },
+ {
+ "input": "It was unclear whether her respiratory distress was from infection (aspiration, pnuemonia) or from worsening of her primary interstial lung disease.",
+ "output": "The patient has an abnormal chest x-ray."
+ },
+ {
+ "input": "He also had some diarrhea in the last week prior to admission with multiple episodes of watery bowel movements likely secondary to lactulose that the patient takes for constipation.",
+ "output": "Patient has diarrhea."
+ },
+ {
+ "input": "She was readmitted and had a complete febrile work-up that included ct abdomene/pelvis, chest x-ray, blood culture's, urine cultures, all of which were unremarkable.",
+ "output": "She has a fever."
+ },
+ {
+ "input": "She was brought by emergency medical service who had intubated her in the field.",
+ "output": "Patient has ett in place."
+ },
+ {
+ "input": "Ekg found to have st depressions/twi in inferior & anterolateral leads -> question of nstemi.",
+ "output": "Patient has evidence of myocardial infarction."
+ },
+ {
+ "input": "History of multiple lacunar infarcts since [**2548**].",
+ "output": "The patient has multiple lacunar infarcts."
+ },
+ {
+ "input": "In the ed vs 97.7 77 147/96 16 98% ra.",
+ "output": "Patient has hypertension."
+ },
+ {
+ "input": "Egd was repeated with no new bleeding sources and he was bronchoscoped secondary to blood removed from et tube.",
+ "output": "Patient is no longer intubated."
+ },
+ {
+ "input": "He was readmitted to osh on [**5-26**], and was sent to the icu for a hct of 19.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "She was given 1 unit of packed cells and her repeat hematocrit was 30.",
+ "output": "The patient was anemic."
+ },
+ {
+ "input": "The day before transfer labs were as follows: bun 24, cr 1.0, ag 9, alb 2.6, ast 159, alt47, ap 245, bilitot 34, inr rose to 2.1 and is now 1.8 after vitamin k tx, pt 17.9, wbc 13.7, hct 27.9, plt 134.",
+ "output": "The patient has an elevated inr."
+ },
+ {
+ "input": "She c/o some palpitations occasionally associated with these episodes.",
+ "output": "She has episodes of irregular heartbeat."
+ },
+ {
+ "input": "She was seen by surgery, not felt to be a surgical candidate but she was improving so then discharged to rehab with plan for ongoing diuresis, antibiotic treatment.",
+ "output": "Patient has chronic medical conditions."
+ },
+ {
+ "input": "Felt to be hypercoagulable 11.",
+ "output": "There is concern for hypercoagulability."
+ },
+ {
+ "input": "For intervention the patient had angioject and stent to the left anterior descending coronary artery without complications.",
+ "output": "The patient has a history of coronary artery disease."
+ },
+ {
+ "input": "He denied any bright red blood per rectum or melena.",
+ "output": "The patient denies signs of gi bleed."
+ },
+ {
+ "input": "At that time, she was noted to have significant amount of fatigue.",
+ "output": "The patient is fatigued."
+ },
+ {
+ "input": "The patient was in his usual state of health until [**3370**], when he was diagnosed with a t4n0mx squamous cell carcinoma of the bladder.",
+ "output": "The patient has squamous cell carcinoma of the bladder."
+ },
+ {
+ "input": "\ufeffmitral valve prolapse; 4.",
+ "output": "Valvular heart disease."
+ },
+ {
+ "input": "Vital signs on arrival of ems were",
+ "output": "Patient required emergency medical services."
+ },
+ {
+ "input": "Autonomic testing [**4-15**], [**2857**] with evidence of parasympathetic nervous system dysfunction on valsalva and heart rate variability testing.",
+ "output": "The patient has a peripheral nervous system dysfunction."
+ },
+ {
+ "input": "His primary oncology team has been using puva treatment for this while attempting to taper his steroids. .",
+ "output": "He has a history of photochemotherapy."
+ },
+ {
+ "input": "Looks like antibiotics changed from ceftriaxone/azithro to levaquin on [**11-14**].",
+ "output": "The patient was treated with some antibiotics."
+ },
+ {
+ "input": "Macrocytic anemia uti",
+ "output": "History of urinary tract infection."
+ },
+ {
+ "input": "The patient's symptoms recurred shortly after this procedure.",
+ "output": "The patient had no symptoms during the procedure."
+ },
+ {
+ "input": "Possibly [**12-26**] chronic blood loss.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "Initial ekg showed nsr with 1-1.5 mm ii, iii, avf with loss of st segment.",
+ "output": "Patient has an abnormal ekg."
+ },
+ {
+ "input": "Cad, status post angioplasty with stent two years ago.",
+ "output": "History of cardiac disease."
+ },
+ {
+ "input": "He was referred to dr. [**first name4 (namepattern1) 49**] [**last name (namepattern1) **] for an endoscopic ultrasound and that examination showed gross cystic disease of the head of the pancreas.",
+ "output": "The patient has cystic disease of the pancreas."
+ },
+ {
+ "input": "Bilateral hip fractures.",
+ "output": "Hip fractures on both sides."
+ },
+ {
+ "input": "History of naphthelene induced coma from inhaling moth balls 11.",
+ "output": "The patient had a toxic ingestion."
+ },
+ {
+ "input": "Only when given etomidate and sedation prior to shocks did he lose consciousness.",
+ "output": "Patient has been given iv medications."
+ },
+ {
+ "input": "At [**hospital1 **], patient given fosphenytoin with subsequent allergic reaction halfway through infusion with pruritis, urticaria, erythema to abdomen.",
+ "output": "The patient has a drug allergy to fosphenytoin."
+ },
+ {
+ "input": "He was found to have continued bleeding/brbpr and sent over to [**hospital3 7481**]hospital.",
+ "output": "He had bright red blood per rectum."
+ },
+ {
+ "input": "He had an intial svo2 of 73.",
+ "output": "Svo2 is normal."
+ },
+ {
+ "input": "History: this infant was born to a 32-year-old g1, p0 now 1 mother whose prenatal screen is ab positive blood type, antibody negative, hbsag negative, rpr nonreactive, rubella immune with an edc of [**2589-2-6**].",
+ "output": "Mother tested negative for syphilis."
+ },
+ {
+ "input": "She voided and passed meconium in the delivery room and was taken to the nicu for further management of prematurity.",
+ "output": "Patient is premature."
+ },
+ {
+ "input": "But once again, fell in the kitchen, sat down, sat up, and fell back again.",
+ "output": "The patient has had multiple falls."
+ },
+ {
+ "input": "Throughout the course of the night the patient remained hemodynamically stable with a fairly high volume requirement as determined by the assessments of the vad bladders as well as the flow on the ventricular assist device and systemic blood pressure.",
+ "output": "The patient has an lvad."
+ },
+ {
+ "input": "Ros pos for cough productive of bloody sputum (occasionally tinged but sometimes large amts).",
+ "output": "The patient is coughing up blood."
+ },
+ {
+ "input": "Ems reported that k was 7.9 today, initially though to be post-hd (now seems more likely to have been pre-hd).",
+ "output": "Potassium levels were high."
+ },
+ {
+ "input": "He was also initially treated with levofloxacin and vancomycin for rll pneumonia, but these were discontinued prior to transfer when repeat cxr showed persistant effusion but no consolidation. .",
+ "output": "The patient has a pleural effusion."
+ },
+ {
+ "input": "He was started on levofloxacin and flagyl for presumed asp pna.",
+ "output": "The patient is being treated for a lung infection."
+ },
+ {
+ "input": "Tegretol level was 4.4 that day at [**hospital1 2375**].",
+ "output": "The patient is taking an anti epileptic."
+ },
+ {
+ "input": "There was one episode of a seizure where the patient mistakenly thought he was supposed to be on 750 mg b.i.d., when in fact he was found to be on a higher dose.",
+ "output": "The patient was not taking enough medication."
+ },
+ {
+ "input": "Noted to be somnolent at hd, but was not noted to be somnolent in the ed. .",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "Pt states that the chest pain came on while at rest, located on the right side radiating down his right arm, described as sharp, associated with shortness of breath, diaphoresis, nausea, no vomiting.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "He denies rest dyspnea, and denies orthopnea or pnd.",
+ "output": "Patient is not short of breath."
+ },
+ {
+ "input": "Renal cell carcinoma s/p nephrectomy 6. sleep apnea 7. diverticulitis 8. iliac stent",
+ "output": "Patient has history of cancer."
+ },
+ {
+ "input": "She was likely face down for 2-3 minutes.",
+ "output": "She was prone for a few minutes."
+ },
+ {
+ "input": "Past medical history: his past medical history is significant for type 1 diabetes, since the age of 7; mi x2, cad, refused cabg in [**6-12**], history of chf with an ef of 30 percent, history of cva, history of peripheral vascular disease, status post bilateral fem-[**doctor last name 410**], status post amputation of second toe in both feet, history of neuropathy, retinopathy, and gerd.",
+ "output": "The patient has multiple diabetic comorbidities."
+ },
+ {
+ "input": "She now returns with similar symptoms of nausea, vomiting and abdominal pain since day prior to admission and again is found to have a partial sbo on ct.",
+ "output": "She has a small bowel obstruction."
+ },
+ {
+ "input": "Patient also had her lovenox restarted. .",
+ "output": "Patient is on lovenox."
+ },
+ {
+ "input": "Patient reports hospitalization in [**3322**]'s for mi but does not know details.",
+ "output": "The patient had a prior mi."
+ },
+ {
+ "input": "Lactate noted to be 6->11 x 3 despite ivfs (received total 1.5l).",
+ "output": "The patient is hypovolemic."
+ },
+ {
+ "input": "53 yr old male w/ severe tracheobronchomalacia s/p tracheoplasty in [**2-20**] w/ recurrent malacia [**3388-5-19**]",
+ "output": "Patient has tracheal stenosis."
+ },
+ {
+ "input": "Eats out often but does not recall any strange foods.",
+ "output": "The patient eats foods other than homecooked food."
+ },
+ {
+ "input": "\ufeffbenign prostatic hypertrophy.",
+ "output": "Enlarged prostate."
+ },
+ {
+ "input": "The patient also has questionable obstructive sleep apnea although there is no record of a sleep study.",
+ "output": "The patient may have sleep apnea."
+ },
+ {
+ "input": "History of present illness: fifty-five year old with male with end-stage renal disease who is hemodialysis dependent, who at dialysis session aborted midway on [**last name (lf) 2928**], [**3269-6-28**] because he developed chest pain midway through dialysis.",
+ "output": "The patient has chest pain."
+ },
+ {
+ "input": "Intubated with 7.5 ett for agonal breathing using 7 mg vecuronium, 20 mg etomidate, & 4 mg ativan.",
+ "output": "The patient had respiratory distress."
+ },
+ {
+ "input": "His oxygen requirement has increased from 2l nc at night only to 80% of the time requiring supplemental oxygen.",
+ "output": "Patient has increasing o2 requirements."
+ },
+ {
+ "input": "She denies fevers, chills, cough, and dysuria.",
+ "output": "The patient is not endorsing symptoms of a urinary tract infection."
+ },
+ {
+ "input": "No blood in stool. .",
+ "output": "Patient has no evidence of hematochezia."
+ },
+ {
+ "input": "Patient was noted to be pale, cold and clammy, unclear if she experienced chest pain given baseline dementia.",
+ "output": "The patient had an abnormal physical exam."
+ },
+ {
+ "input": "She received four soap suds enemas and one tap water enema and has had several bowel movements, the last one today was formed.",
+ "output": "The patient is constipated."
+ },
+ {
+ "input": "Chronic anemia (with a baseline hematocrit of 34 to 35).",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "At this point patient received vanc/levo/ctx.",
+ "output": "The patient received antibiotics."
+ },
+ {
+ "input": "Cervical degerative disease",
+ "output": "Patient has osteoarthritis."
+ },
+ {
+ "input": "Given presenting complaint of seizures, meningitis was considered but lp was deferred.",
+ "output": "Patient had seizures."
+ },
+ {
+ "input": "Upon arrival at [**hospital6 33**], initial cpk was 64 and troponin was 0.02.",
+ "output": "There is concern for myocardial infarct."
+ },
+ {
+ "input": "She received 2mg ativan and 2mg dilaudid after which, she became somewhat lethargic requiring 0.4mg naloxone x2.",
+ "output": "She received multiple medications."
+ },
+ {
+ "input": "History: baby [**name (ni) **] [**known patient lastname 446**] [**known patient lastname 17464**] was born at 30 weeks gestation to a 28-year-old gravida i, para i woman.",
+ "output": "Patient is premature."
+ },
+ {
+ "input": "Heparin gtt not initiated given history of hemorrhagic cvas. .",
+ "output": "The patient has a history of brain bleed."
+ },
+ {
+ "input": "Maternal history: this is a 35 year-old gravida 2 para 0 now notable for spontaneous abortion.",
+ "output": "Patient has a failed pregnancy."
+ },
+ {
+ "input": "He was admitted to the nicu on day of life 2 for evaluation of possible neonatal abstinent syndrome.",
+ "output": "The patient had symptoms of drug withdrawal."
+ },
+ {
+ "input": "During that admission, he was found on imaging to have a left intraparenchymal hemorrhage.",
+ "output": "Patient has intracranial hemorrhage."
+ },
+ {
+ "input": "History: chest pain, shortness of breath, nausea and vomiting.",
+ "output": "Symptoms concerning for acute coronary syndrome."
+ },
+ {
+ "input": "He was tachycardic to 120s but normotensive.",
+ "output": "The patient is tachycardic."
+ },
+ {
+ "input": "And this point is stable tolerating regular diet waiting for rehab placement.",
+ "output": "The patient is tolerating diet."
+ },
+ {
+ "input": "Past medical history: basal cell carcinoma, squamous cell carcinoma.",
+ "output": "History of skin cancer."
+ },
+ {
+ "input": "During this time she was given morphine, started on a nitro gtt and had complete relief of her chest pain.",
+ "output": "She was treated for chest pain."
+ },
+ {
+ "input": "Denies any h/a, neck stiffness, lh/dizziness, sob/cp/palpitations, vomiting, diarrhea, melena, hematochezia/brbpr, swelling in her extremities, focal weakness/loss of sensation/paresthesias. .",
+ "output": "The patient denies symptoms of meningitis."
+ },
+ {
+ "input": "He could not move his right arm.",
+ "output": "The patient cannot move his right arm."
+ },
+ {
+ "input": "By ems report patient alert at scene; left leg deformity with stable vs. patient transferred to [**hospital1 52**] for trauma care.",
+ "output": "The patient has a leg injury."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope.",
+ "output": "The patient denies shortness of breath."
+ },
+ {
+ "input": "Atrial fibrillation s/p ablation [**2-4**] 4.",
+ "output": "History of arrhythmia."
+ },
+ {
+ "input": "She reports that the emesis is bilious in nature and without blood.",
+ "output": "The patient has bilious vomiting."
+ },
+ {
+ "input": "Ascending aortic aneursym mild aortic insufficiency hypertension elevated cholesterol prior cholecystectomy history of colitis",
+ "output": "Patient has elevated ldl."
+ },
+ {
+ "input": "She received a complete course of betamethasone and was also treated with ampicillin and erythromycin.",
+ "output": "She was treated with a steroid and antibiotics."
+ },
+ {
+ "input": "Past medical history: bronchoalveolar carcinoma diagnosed in [**2522**], status post right lower lobe lobectomy times two in [**2524**] and [**2530**].",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "During pushing, fetal heart rate noted to be depressed, prompting delivery by cesarean section.",
+ "output": "Delivery was via c-section."
+ },
+ {
+ "input": "Maternal obstetric history is also notable for a prior fetal loss at 25 weeks gestation in [**3371**].",
+ "output": "She had a prior fetal loss in the second trimester."
+ },
+ {
+ "input": "Chemistry panel with na 145, k 4.8, cl 98, hco3 34, bun 50, cr 1.7 [baseline cr 0.9 - 1.4 in past few months].",
+ "output": "The patient has acute renal failure."
+ },
+ {
+ "input": "He has had some weakness.",
+ "output": "The patient has weakness."
+ },
+ {
+ "input": "A cardiac catheterization was performed in mid [**month (only) **] which revealed diffuse triple vessel disease.",
+ "output": "The patient has significant coronary artery disease."
+ },
+ {
+ "input": "In the ed the patient was given 5 liters of fluids.",
+ "output": "The patient was fluid resuscitated."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations.",
+ "output": "The patient has findings of heart failure."
+ },
+ {
+ "input": "Pt was withdrawing left side to pain but right side was hypotonic, with depressed reflexes and flexion response only to noxious.\" initial thinking was acute cerebral infarct vs. ischemia secondary to low flow state in setting of acute bp drop.",
+ "output": "The patient has neurologic dysfunction."
+ },
+ {
+ "input": "She was given 1u prbc, kcl, levofloxacin x1, vitamin k, 1 unit of ffp and diluadid.",
+ "output": "The patient is anemic."
+ },
+ {
+ "input": "An ekg done at the office showed new lbbb, so the patient was sent to [**hospital 388**] hospital for a work up, where three sets of cardiac enzymes were negative, no events on tele, and a tte showeda 1.1cm squared aortic valve area.",
+ "output": "The patient had negative troponin."
+ },
+ {
+ "input": "The patient was without other complaints.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "Polyneuropathy manifested lack of balance.",
+ "output": "The patient has polyneuropathy."
+ },
+ {
+ "input": "Cardiac catherization at outside hospital [**3-28**] showed 70% lad lesion that was stented, 50% proximal circumflex, 50% om-1, and 40% rca.",
+ "output": "The patient has abnormal coronary arteries."
+ },
+ {
+ "input": "Patient's condition remained unchanged.",
+ "output": "The patient is alive."
+ },
+ {
+ "input": "Femoral artery sheath was pulled in the catheterization laboratory and the patient was angio-sealed and was then sent to coronary care unit for monitoring.",
+ "output": "The patient had in antravascular procedure."
+ },
+ {
+ "input": "High suspition of acute leukemia (84% blasts) with cxr consistent with multifocal pna, started on ceftriaxone and subsequently transferred to the [**hospital1 22**] thereafter.",
+ "output": "The patient was started on antibiotics."
+ },
+ {
+ "input": "He states that he had increased output in his ileostomy for one week prior to admission, but denied any nausea or vomiting.",
+ "output": "The patient is post bowel resection."
+ },
+ {
+ "input": "Transferred to [**hospital1 22**] for cardiac catheterization.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Multiple blood, urine, pericardial fluid and joint fluid cultures have been otherwise negative.",
+ "output": "The patient does not have bacteria growing in the urine."
+ },
+ {
+ "input": "1. moderately differentiated prostatic adenocarcinoma of the prostate, [**doctor last name **] grade 3-4/5 of the left lobe s/p external beam radiation '[**25**] 2. s/p urethotomy for membranous urethral stricture '[**29**] 3.",
+ "output": "The patient has complications from radiation therapy."
+ },
+ {
+ "input": "H/o multiple nonmelanoma skin cancers",
+ "output": "History of cancer."
+ },
+ {
+ "input": "This is a 19 y/o female with a h/o of depression who presented with a benadryl overdose on [**2950-2-28**].",
+ "output": "The patient had a drug overdose."
+ },
+ {
+ "input": "Moderate speed mvc and pt. thrown [**9-25**] feet.",
+ "output": "Patient has had trauma."
+ },
+ {
+ "input": "Pregnancy was notable for ivf twin gestation and preterm labor at 26 and 3/7 weeks gestation with successful tocolysis at that time.",
+ "output": "At time time of preterm labor the fetal lungs were not fully developed."
+ },
+ {
+ "input": "Rpr nonreactive, rubella immune, gbs unknown.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "Pregnancy history: pregnancy reportedly benign.",
+ "output": "The patient had a benign pregnancy."
+ },
+ {
+ "input": "He also developed hyperglycemia and was controlled with nph.",
+ "output": "The patient has high blood sugars."
+ },
+ {
+ "input": "History of peripheral vascular disease status post left lower extremity below the knee amputation.",
+ "output": "Patient has chronic medical conditions."
+ },
+ {
+ "input": "Presented to [**hospital 5193**] hospital on [**12-16**] with cough, dyspnea x [**3-19**] days.",
+ "output": "Patient has worsening respiratory function."
+ },
+ {
+ "input": "During the workup she underwent a transesophageal echocardiogram which showed an atrial septal defect.",
+ "output": "The patient has a congenital heart defect."
+ },
+ {
+ "input": "History of hypercholesterolemia.",
+ "output": "History of high cholesterol."
+ },
+ {
+ "input": "Further lab tests upon admission included a leukemia/lymphoma eval which yielded abundant myeloblasts with a probable diagnosis of aml.",
+ "output": "The patient is being evaluated for cancer."
+ },
+ {
+ "input": "He was treated with bipap at that time.",
+ "output": "He was treated with positive airwary pressure."
+ },
+ {
+ "input": "He was given flagyl 500 mg once, levofloxacin 500 mg once, started on insulin drip with a bolus, and given total of 6l ns.",
+ "output": "Patient has started antibiotics."
+ },
+ {
+ "input": "She does c/o pain where ct inserts and nausea. .",
+ "output": "She has a chest tube."
+ },
+ {
+ "input": "On presentation to osh ed he was hypotensive with sbp 90, hr 140.",
+ "output": "Systolic blood pressure is low and heart rate is high."
+ },
+ {
+ "input": "He came to the ed due to not being able to tolerate pos.",
+ "output": "He was seen in the emergency room."
+ },
+ {
+ "input": "He was initally treated with levofloxacin for pnuemonia and diuresed.",
+ "output": "The patient has edema issues."
+ },
+ {
+ "input": "Gastroesophageal reflux disease 11. depression",
+ "output": "The patient has hearburn."
+ },
+ {
+ "input": "He has had 8 ed visits since that admission, typically for dysuria and abdominal pain.",
+ "output": "The patient has had multiple ed visits."
+ },
+ {
+ "input": "Ij line was removed and a second peripheral iv was placed.",
+ "output": "The patient no longer has central venous access."
+ },
+ {
+ "input": "Basic labs demonstrated hyponatremic (na 118), hypokalemic, hypochloremic metabolic alkalosis.",
+ "output": "Labs were abnormal."
+ },
+ {
+ "input": "She was brought to the ed where she was found to have continued abdominal pain.",
+ "output": "Patient has positive ros."
+ },
+ {
+ "input": "No recent foreign travel.",
+ "output": "The patient has not traveled out of the country recently."
+ },
+ {
+ "input": "He was referred in for cardiac catheterization which was performed on the following day, [**2737-5-25**].",
+ "output": "Patient has cardiac symptoms."
+ },
+ {
+ "input": "Lower gi bleed 2 years ago- found to have an avm in the terminal ileum 3.",
+ "output": "The patient had a small bowel vascular malformation."
+ },
+ {
+ "input": "History of present illness: the patient is a 39-year-old woman transferred from [**hospital6 19475**] center for treatment of severe pancreatitis.",
+ "output": "The patient has acute pancreatitis."
+ },
+ {
+ "input": "Patient was in her usoh up until this am. .",
+ "output": "Patient has new symptoms."
+ },
+ {
+ "input": "Mother is a 46 year old, gravida ii, para i, now ii woman, with estimated date of confinement of [**3326-10-19**].",
+ "output": "The patient has been pregnant twice."
+ },
+ {
+ "input": "Patient fell, hit his head.",
+ "output": "The patient sustained head trauma."
+ },
+ {
+ "input": "He was briefly hypotensive during the procedure and was given dopamine until an intra-aortic balloon pump was placed.",
+ "output": "Patient had low blood pressure."
+ },
+ {
+ "input": "Membranes were intact at the time of delivery, and there were sepsis risk factors identified.",
+ "output": "Patient has no evidence of acute infection."
+ },
+ {
+ "input": "The patient had lost fifteen pounds of weight in the [** location **]us one and one half weeks.",
+ "output": "Patient has unintentional weight loss."
+ },
+ {
+ "input": "She stated she feel fine except for \"tiredness\".",
+ "output": "She is fatigued."
+ },
+ {
+ "input": "She also was placed on bipap for oxygenation.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "Concerning the vertebral artery dissection, he was found to have this after sustaining a hit while playing ice-hockey with friends about 4 weeks ago, after which he has had multiple episodes of acute dizziness and headaches that have been different from his [** location **]us migraines.",
+ "output": "He has recent trauma, resulting in a tear in the vertebral artery."
+ },
+ {
+ "input": "He was also treated with fluconazole for urine cultures positive for yeast from [**date range (1) 9717**] and then again from [**9-27**] to present.",
+ "output": "Patient has uti."
+ },
+ {
+ "input": "Glucose of 581, anion gap of 23, urine with positive ketones.",
+ "output": "The patient has diabetic ketoacidosis."
+ },
+ {
+ "input": "History of present illness: the patient is a 50 year old male who on [**2849-8-1**], was caught and dragged by a train car.",
+ "output": "Patient has had a trauma."
+ },
+ {
+ "input": "As part of his workup, the patient received a cardiac catheterization which subsequently demonstrated severe aortic stenosis with an aortic valve area of 0.78 cm2 and mild grade [**12-12**] aortic insufficiency.",
+ "output": "Patient has aortic valvular disease."
+ },
+ {
+ "input": "The patient had pacing attempted without success.",
+ "output": "Patient has cardiac arrhythmia."
+ },
+ {
+ "input": "Exercise mibi in [**3-14**] demonstrated good exercise tolerance (9.5 min on [**doctor first name 388**]) w/o ischemic changes, and fixed inferior wall defect.",
+ "output": "Patient has chronic infarct."
+ },
+ {
+ "input": "He appeared very uncomfortable, and was very tender to palpation at llq, but no guarding or rebound.",
+ "output": "Patient has abnormal physical exam."
+ },
+ {
+ "input": "32 yo male with known seizure history attempting to ween off medication in attempt to re-enter active military service.",
+ "output": "Patient has a history of seizure medication."
+ },
+ {
+ "input": "Expected date of confinement for this pregnancy was [**2844-6-5**] by 22 week ultrasound.",
+ "output": "Ultrasound was performed to estimate date of delivery."
+ },
+ {
+ "input": "* schizoaffective d/o * brain damage since admission to [**hospital1 862**] in [**3122**] * hx of etoh abuse, none x 15 years * hx of substance abuse, uses oxycontin recreationally",
+ "output": "The patient is at high risk for suicide."
+ },
+ {
+ "input": "During her recent hospitalization from [**3430-9-6**] to [**3430-9-14**] for third induction cycle of high-dose methotrexate, she develop mental status changes.",
+ "output": "The patient is on high dose methotrexate."
+ },
+ {
+ "input": "[**known patient lastname 9190**] was in his usual state of health until he presented to [**hospital3 **] four days prior for abdominal pain and fevers.",
+ "output": "The patient has signs of an infection."
+ },
+ {
+ "input": "He did not have any further episodes of bleeding.",
+ "output": "The patient had episodes of bleed that have stopped."
+ },
+ {
+ "input": "She did not notice any facial droop or any obvious weakness.",
+ "output": "The patient denies facial droop."
+ },
+ {
+ "input": "He later retracted suicidal intent.",
+ "output": "The patient was at one time suicidal."
+ },
+ {
+ "input": "Has been taking po vanco.",
+ "output": "The patient is on oral vancomycin."
+ },
+ {
+ "input": "History of present illness: the patient is a 60-year-old male with history of metastatic [**year (4 digits) 119**] cancer to the liver with low back pain times four to five weeks with an acute worsening of pain last night while sleeping.",
+ "output": "Patient has acute pain."
+ },
+ {
+ "input": "Technique: axial multidetector ct images of the facial bones were obtained without intravenous contrast.",
+ "output": "A ct scan of the face using a bone algorithm kernel."
+ },
+ {
+ "input": "She described the pain as [**7-2**] epigastric with left flank radiation.",
+ "output": "She has abdominal pain."
+ },
+ {
+ "input": "He has been using his nebulizers more frequently.",
+ "output": "The patient has a history of athsma or copd."
+ },
+ {
+ "input": "The patient had multi[** location **]fusions of intracoronary nitroglycerin and diltiazem to improve flow.",
+ "output": "The patient has heart disease."
+ },
+ {
+ "input": "25 [**last name (un) **] with mg s/p thymectomy, xrt on prednisone and mestinon. presenting with 1.5 weeks of doe.",
+ "output": "The patient has slurred speech."
+ },
+ {
+ "input": "She went to [**hospital1 **]-[**location (un) 7342**] er where her initial vital signs showed fever of 104, tachycardia up to 120s and 83% on ra.",
+ "output": "She is febrile."
+ },
+ {
+ "input": "[**name (ni) **] mother reports that pt has had breathing problems the past 3 weeks, and has had l ear pain/swelling for months.",
+ "output": "Patient has evidence of uri."
+ },
+ {
+ "input": "Upon arrival to the [**hospital unit name 69**] he feels well w/o complaints.",
+ "output": "The patient denies pain."
+ },
+ {
+ "input": "Anticoagulated for mech [**year (2 digits) 1276**].",
+ "output": "The patient is at high risk for clotting."
+ },
+ {
+ "input": "He was born by repeat c-section.",
+ "output": "The baby was recently born."
+ },
+ {
+ "input": "Left hallux ipj ulcer 12.",
+ "output": "Patient has a wound."
+ },
+ {
+ "input": "Coronary artery disease with st elevation.",
+ "output": "The patient has an abnormal ekg."
+ },
+ {
+ "input": "Neck mass: on bx, undifferentiated high grade malignany neoplasm with unknown primary source.",
+ "output": "Patient has cancer."
+ },
+ {
+ "input": "This was an iui pregnancy.",
+ "output": "The patient had assisted fertilization."
+ },
+ {
+ "input": "[**hospital ward name **] cyst removal.",
+ "output": "Patient presented with cyst."
+ },
+ {
+ "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, hepatitis b surface antigen negative, rpr nonreactive, group beta strep status unknown.",
+ "output": "Screening for syphilis was negative."
+ },
+ {
+ "input": "Cataracts 9. glaucoma",
+ "output": "History of eye condition."
+ },
+ {
+ "input": "Last hd session was friday, [**9-11**] before discharge from [**hospital1 52**].",
+ "output": "The patient had renal dysfunction."
+ },
+ {
+ "input": "Prior carotid study showed left 50-70% stenosis, and right less than 50%.",
+ "output": "Imaging reveals carotid artery disease."
+ },
+ {
+ "input": "A cesarean section was indicated with breech presentation.",
+ "output": "The patient had a c-section."
+ },
+ {
+ "input": "He was given 80 mg of iv lasix x1, which he put out several liters of urine.",
+ "output": "Patient has acute renal injury."
+ },
+ {
+ "input": "He underwent emergent catheterization after being transferred to [**hospital1 47**] emergency department.",
+ "output": "The patient had an emergent cath."
+ },
+ {
+ "input": "Last week he underwent carotid u/s which revealed progression of left carotid disease to >70%.",
+ "output": "Patient has atherosclerosis."
+ },
+ {
+ "input": "In the ed, initial vs were: t 98.3 hr 98 bp 103/86 rr 16 100% ra.",
+ "output": "Patient has normal vital signs."
+ },
+ {
+ "input": "Her apgar's were 8 at one minute and 9 at five minutes.",
+ "output": "The patient had normal apgars."
+ },
+ {
+ "input": "She also noted a cough productive of yellow sputum for 2-3 days without fever, chest pain, le edema, pnd, or othopnea.",
+ "output": "Patient has a cough."
+ },
+ {
+ "input": "While in micu, patient treated with zosyn for lle cellulitis.",
+ "output": "Patient has cellulitis."
+ },
+ {
+ "input": "87 year old male with history of chronic gib, ftt with j-tube who presents with fever, hypotension and depressed hct.",
+ "output": "He has low hematocrit levels."
+ },
+ {
+ "input": "She was found to be tachycardic to 120/130s with systolic blood pressure of approximately 100 per report.",
+ "output": "The patient has symptoms of systemic inflammatory response syndrome."
+ },
+ {
+ "input": "The patient eventually went to [**hospital6 2256**] where a chest x-ray was obtained and found a right lung mass.",
+ "output": "The patient has a right lung mass."
+ },
+ {
+ "input": "He recommended one week of tylenol.",
+ "output": "The patient was given an non narcotic pain medication."
+ },
+ {
+ "input": "Vomited three times today.",
+ "output": "Patient has nausea."
+ },
+ {
+ "input": "Colon surgery for bowel obstruction in her 60s 13.",
+ "output": "Patient has had surgery."
+ },
+ {
+ "input": "He had an outpatient liver u/s on [**5-17**] but the read is still pending.",
+ "output": "Patient has had imaging performed."
+ },
+ {
+ "input": "On [**2931-6-17**] mri with gadolinium showed progression of the t2 signal abnormality and contrast enhancement within the pontomesencephalic portion of brainstem.",
+ "output": "Mri of the head was abnormal."
+ },
+ {
+ "input": "The patient's status at that time showed her to be able to protect her own airway and she was chosen not to be intubated.",
+ "output": "Patient has no endotracheal tube."
+ },
+ {
+ "input": "Glioblastoma multiforme s/p resection [**11-21**]",
+ "output": "History of brain cancer."
+ },
+ {
+ "input": "Patient had transoral resection of the odontoid and associated soft tissues on [**2897-8-2**].",
+ "output": "The patient had cervical spine surgery."
+ },
+ {
+ "input": "History: the infant is a 32 and 6/7 weeks twin female newborn who was admitted to the nicu for management of prematurity.",
+ "output": "The patient is at risk for respiratory distress."
+ },
+ {
+ "input": "However, since that time, the patient has developed increasing pain and coolness of the right foot, which has become more acute over the last 2 weeks.",
+ "output": "Patient has pad."
+ },
+ {
+ "input": "Due to h/o allergies to pcn and sulfa, pt was started on doxycycline and aztreonam for presumed pna.",
+ "output": "Patient has an acute infection."
+ },
+ {
+ "input": "The patient does report having some shortness of breath as well as a chronic cough for the last five months and she also has dyspnea on exertion.",
+ "output": "The patient complains of difficulty breathing."
+ },
+ {
+ "input": "The patient had an echo in [**2720-3-24**] with an ef of 55%, 1+ mitral regurgitation and tricuspid regurgitation.",
+ "output": "The patient has a normal ejection fraction."
+ },
+ {
+ "input": "A cerebral angiogram revealed the presence of a significant steal phenomenon resulting from shunting of the left vertebral artery flow from the left vertebral to the occipital artery resulting from a left external carotid artery origin stenosis.",
+ "output": "Cerebral angiogram was abnormal."
+ },
+ {
+ "input": "Within 10 minutes, he developed right leg weakness.",
+ "output": "Patient has neurological symptom."
+ },
+ {
+ "input": "He is resting comfortable after egd/enteroscopy.",
+ "output": "The patient had an egd."
+ },
+ {
+ "input": "He was extubated on [**4-14**] but no real progress was made on his ileus.",
+ "output": "The patient has distended bowel."
+ },
+ {
+ "input": "Her duaghter noticed that she was more sob although pt denies she was sob until today around noon.",
+ "output": "The patient has a pulmonary condition."
+ },
+ {
+ "input": "82f with a history of diverticulosis and lower gi bleeds with last colonoscopy at [**hospital1 634**] in [**9-17**].",
+ "output": "The patient has diverticulosis."
+ },
+ {
+ "input": "Bone marrow biopsy done on [**2945-11-8**] showed a marrow cellularity of 28-30%, interstitial infiltrate of plasma cells occurring singly and in clusters.",
+ "output": "The patient has an abnormal bone marrow biopsy."
+ },
+ {
+ "input": "Although the peg tube fastener looked \"loose\" on g-tube fluoroscopy, there was no evidence of extravasation.",
+ "output": "The patient has a percutaneous feeding tube."
+ },
+ {
+ "input": "Most recent spirometry within normal limits.",
+ "output": "Spirometry indicated normal lung function."
+ },
+ {
+ "input": "Reason for consult; code stroke time code stroke called: 0850 (24h clock) time neurology at bedside for evaluation: 0855 time (and date) the patient was last known well: 0820 nih stroke scale score: 20 t-[**md number(3) 13677**]: yes time t-pa was given: 0944 i was present during the ct scanning and reviewed the images instantly within 20 minutes of their com[** location **]n.",
+ "output": "The patient received medication to break apart clot."
+ },
+ {
+ "input": "Telemetry in the er was notable for a wide fast beats which were thought to be originally ventricular tachycardia.",
+ "output": "Arrhythmia."
+ },
+ {
+ "input": "Was recovering well and approaching discharge to [** location **]us inpatient facility.",
+ "output": "The patient was improving."
+ },
+ {
+ "input": "Left hip arthritis.",
+ "output": "Patient has degenerative hip disease."
+ },
+ {
+ "input": "The family went to the house to check on her and found her ambulating with non fluent, nonsensical speech.",
+ "output": "The patient has aphasia."
+ },
+ {
+ "input": "A diagnosed thoracentesis had shown this fluid to be likely a transudate.",
+ "output": "The patient has fluid in the thoracic cavity."
+ },
+ {
+ "input": "Recent admit [**date range (1) 6002**] with fever, diarrhea with urosepsis went to [**hospital1 1483**].",
+ "output": "Patient has recent urosepsis."
+ },
+ {
+ "input": "No ha or visual changes. .",
+ "output": "The patient does not have a headache."
+ },
+ {
+ "input": "Hyperlipidemia htn factor v leiden defeciency associated with bilateral dvts",
+ "output": "History of blood clots."
+ },
+ {
+ "input": "An central line in the left groin was placed.",
+ "output": "The patient has a central line."
+ },
+ {
+ "input": "The patient was born to a 31-year-old gravida 1, para 0, now 1 mother.",
+ "output": "The patient is an eldest child."
+ },
+ {
+ "input": "Ct showed an area of colon consistent with inflammation / infection / ischaemia and a fusiform aortic anneurysm.",
+ "output": "Patient has colitis."
+ },
+ {
+ "input": "Sat improved to 97% on 4l, but pt drowsy.",
+ "output": "The patient requires supplemental oxygen."
+ },
+ {
+ "input": "Upon arrival he complained of difficulty breathing and the chest was dull toe percussion.",
+ "output": "Patient is short of breath."
+ },
+ {
+ "input": "He then had an mrcp which demosntrated a dilated main pancreatic duct with multiple large cystic areas that appear to be in communication with the main pancreatic duct, most prominent at the tail of the pancreas.",
+ "output": "The patient has ipmns."
+ },
+ {
+ "input": "The screening car seat test resulted in desaturations.",
+ "output": "Infant was observed in a car seat before discharge."
+ },
+ {
+ "input": "He denied chest pain or shortness of breath at that time.",
+ "output": "The patient does not have symptoms of a chf exacerbation."
+ },
+ {
+ "input": "He was intially treated for a copd exacerbation with steroids, nebulizers and antibiotics.",
+ "output": "Patient has low o2 saturations."
+ },
+ {
+ "input": "The patient had an elevated creatinine during that admission which was thought to be secondary to over diuresis, so her lasix dose was decreased.",
+ "output": "The patient's medication was reduced do to increased creatinine levels."
+ },
+ {
+ "input": "Apparently she took her regular dose of mestinon 120mg (60mg/tab, 2 tablets/dose) at 5:30am when she woke up and 9:30am before she left hotel, but did not get any dose afterward until 6:00pm.",
+ "output": "She takes a cholinesterase inhibitor."
+ },
+ {
+ "input": "Re-evaluation at one hour revealed an infant who was pink but continued with respiratory distress.",
+ "output": "The patient is in respiratory distress."
+ },
+ {
+ "input": "57 yo with etoh abuse, copd, pvd, dm, h/o hiatal hernia who presented to osh on [**3466-5-29**] for abd bloating and dyspnea x6-7 weeks.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "He was in his usual state of health until trying to lift a heavy object on the day of admission when he developed sudden [**7-11**] substernal chest pain, epigastric pain with radiation, diaphoresis, nausea, no vomiting, palpitations, shortness of breath or lightheadedness.",
+ "output": "The patient has symptoms of a myocardial infarction."
+ },
+ {
+ "input": "Chest ct showed no change but confirmed changes from aspergilloma.",
+ "output": "The patient has fungus in the lung."
+ },
+ {
+ "input": "This 73 [**male first name (un) 1343**] presented to [**hospital3 **] er with chest pain and nausea.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "Abdominal pain has definitely improved from last admission but still has some diffuse tenderness and a feeling like bloating/gas.",
+ "output": "The patient has bloating."
+ },
+ {
+ "input": "Headache is frontal in nature, sharp and stabbing, no vision changes, no dizziness, no syncope.",
+ "output": "Pain the in anterior head."
+ },
+ {
+ "input": "This was an unplanned pregnancy.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "The patient can only answer yes or no questions.",
+ "output": "The patient has a depressed cognitive functioning."
+ },
+ {
+ "input": "He was extubated and weaned to room air by day of life three, was treated with caffeine citrate for apnea of prematurity, which resolved prior to his discharge off caffeine.",
+ "output": "The patient has episodes of not breathing."
+ },
+ {
+ "input": "Human immunodeficiency virus diagnosed in [**3114**].",
+ "output": "The patient has hiv."
+ },
+ {
+ "input": "Her pain had markedly increased in the past few weeks.",
+ "output": "Patient has positive ros."
+ },
+ {
+ "input": "The patient underwent an egd, which demonstrated esophageal varices.",
+ "output": "Patient has esophageal varices."
+ },
+ {
+ "input": "Her daughter helped her to bed and noted she was tachypneic so she called her brother who is a md and then ended up calling ems.",
+ "output": "The patient is breathing faster than normal."
+ },
+ {
+ "input": "In the ed vs: , exam was notable for elevated jvd, tachypnea and bibiasilar rales.",
+ "output": "Patient has evidence of chf."
+ },
+ {
+ "input": "Copd with a fev1 of 0.6.",
+ "output": "Patient has chronic pulmonary condition."
+ },
+ {
+ "input": "Copd with a fev1 of 0.6.",
+ "output": "Patient has dyspnea."
+ },
+ {
+ "input": "She had an ultrasound in [**3300-3-9**] which was reported to be normal.",
+ "output": "The patient was assessed with ultrasound."
+ },
+ {
+ "input": "In the ed, initial vitals: 98.2, 76, 113/81, 28, 95% on 4l.",
+ "output": "The patient is normotensive."
+ },
+ {
+ "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, ankle edema, palpitations, syncope or presyncope.",
+ "output": "Cardiac review of systems were negative."
+ },
+ {
+ "input": "54yo male with multiple myeloma, h/o dvt 2 yrs ago after long car ride, on coumadin for 8 months and then off, who presented with syncope, sob, palpitations and was found to have bilateral massive pes on ct.",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "He received aspirin 325 mg po, levofloxacin 750 mg iv, and lasix 10 mg iv.",
+ "output": "The patient has iv access."
+ },
+ {
+ "input": "He denied loss of consciousness.",
+ "output": "He denies loss of consciousness."
+ },
+ {
+ "input": "With little sleep, extra strength tylenol took the edge off.",
+ "output": "Tylenol is a pain killer."
+ },
+ {
+ "input": "She also notes that her right abdomen is sore agian, which it becomes when she has these utis.",
+ "output": "She has had more than one urinary tract infection."
+ },
+ {
+ "input": "Given inr 4.2 and hct 29, he received a total of 5 u ffp and 5 u prbc.",
+ "output": "The patient is at increased risk of bleeding."
+ },
+ {
+ "input": "No pericardial effusions.",
+ "output": "The patient does not have abnormal pericardial fluid."
+ },
+ {
+ "input": "Past medical history: 1.",
+ "output": "Patient has -."
+ },
+ {
+ "input": "History of lyme's disease.",
+ "output": "History of infectious disease."
+ },
+ {
+ "input": "No focal neurological deficits.",
+ "output": "Patient has normal neurological exam."
+ },
+ {
+ "input": "This intubation was complicated by a lip laceration.",
+ "output": "Difficulty breathing."
+ },
+ {
+ "input": "He was noted to be non-verbal. .",
+ "output": "Patient has impairment."
+ },
+ {
+ "input": "It is unclear what her anticonvulsant levels have been recently.",
+ "output": "The patient is taking anti epileptics."
+ },
+ {
+ "input": "Small bowel obstruction with colectomy in [**2963**].",
+ "output": "The patient ahas a history of small bowel obstruction."
+ },
+ {
+ "input": "No total parenteral alimentation or heparin was given because of his recent cerebrovascular accident.",
+ "output": "The patient had a recent stroke."
+ },
+ {
+ "input": "- anemia - bph - atrial fibrillation - benign hypertension - history of hemorrhagic prostatitis ([**4-/2920**]) - history of stroke with late effects - primary progressive aphasia and dysphagia s/p g tube - glaucoma - history of mrsa bacteremia - history of enterococcal bacteremia - history of fungemia - history of recurrent utis - history of c. diff - history of obturator internis abscess",
+ "output": "Patient has a history of htn."
+ },
+ {
+ "input": "History of present illness: [**known patient lastname **] [**known patient lastname 11102**] is the 3.710-kg (8- pound 3-ounce) product of a term gestation.",
+ "output": "The patient was recently born."
+ },
+ {
+ "input": "On initial presentation, there were no available family members and so history was difficult to corroborate.",
+ "output": "The history was difficult to collect."
+ },
+ {
+ "input": "Given levofloxacin and vancomycin.",
+ "output": "Treated with antibiotics."
+ },
+ {
+ "input": "Renal failure secondary to diabetes mellitus on hd status post r nephrectomy for renal cell cancer depression cholecystectomy gastric ulcer pvd s/p left sfa to dorsalis pedis artery bypass for l gangrenous heel in [**3335**]; r proximal sfa to proximal at bypass on [**3339-3-19**] osa gastroparesis",
+ "output": "Fthe patient has significant peripheral vascular disease."
+ },
+ {
+ "input": "This was in the vicinity of a known seroma and we were uncertain if this was infected being as he was having no fevers, no pain, and no erythema.",
+ "output": "Patient has post-operative complications."
+ },
+ {
+ "input": "Multiple drug allergies, including to multiple antibiotics.",
+ "output": "Allergic to many antibiotics."
+ },
+ {
+ "input": "Pt was getting ready to go to bed when he developed chest pain around 11:20pm, unremitting, lasted 20 min, then wife drove him to [**name (ni) **] ([**street address(2) 21790**]). + association with diaphoresis, no n/v/sob/palpitations.",
+ "output": "The patient had acute chest pain and was sweating."
+ },
+ {
+ "input": "Recent increase in clotting time and decreased _________ .",
+ "output": "The patient\u2030\u00fb\u00aas clotting time was increased."
+ },
+ {
+ "input": "Left foot drop in [**6-/3239**] 12.",
+ "output": "Patient has a neurological finding."
+ },
+ {
+ "input": "The patient received levaquin, lasix, and normal saline in the emergency room and had a bicarbonate which was decreased from 16 to 6 with a ph on arterial blood gas of 7.16.",
+ "output": "Patient has acidosis."
+ },
+ {
+ "input": "With this presentation, bowel ischemia was considered.",
+ "output": "Abdominal pain is present."
+ },
+ {
+ "input": "Recent diagnosis of atrial fibrillation.",
+ "output": "The patient has an irregular heart beat."
+ },
+ {
+ "input": "Upon arrival, pt intubated and sedated.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Her headache, though, has ceased, apart from a \"pricking\" on the left side last night.",
+ "output": "Her headache resolved."
+ },
+ {
+ "input": "? left sided pleurisy diverticulosis htn: rx'ed with norvasc and hctz endometriosis bladder ca, s/p resection s/p ccy '[**51**] s/p appendectomy s/p tkr c.diff in [**2650**] pud ischemic colitis [**2649**]",
+ "output": "The patient has multiple medical problems."
+ },
+ {
+ "input": "The patient was subsequently admitted to the floor and was continued on iv heparin until [**3383-9-24**].",
+ "output": "The patient was hospitalized."
+ },
+ {
+ "input": "The infant transported to the neonatal intensive care unit.",
+ "output": "The infant is in the nicu."
+ },
+ {
+ "input": "Status post knee surgery.",
+ "output": "The patient has had an operation."
+ },
+ {
+ "input": "History of present illness: baby girl [**known patient lastname 2707**] is a 1060 gm in [**last name (un) 3244**] fertilization triplet born by cesarean section for advanced preterm labor and breech presentation at 28 2/7 weeks to a 38 year old gravida 1, para 0-3.",
+ "output": "Patient has just been born."
+ },
+ {
+ "input": "Pt was supposed to go for burr hole [**3280-9-19**] but it was postponed bc he desatted. triggered for resp distress, cxr neg.",
+ "output": "The patient has an intracranial problem."
+ },
+ {
+ "input": "55yo male s/p fall down stairs.",
+ "output": "He had a fall."
+ },
+ {
+ "input": "Admitted on [**3491-10-15**] for maintenance therapy while awaiting bmt.",
+ "output": "The patient has a hematologic disorder."
+ },
+ {
+ "input": "In the obstetrician's office, on the day of delivery, with hypertension, 1+ proteinuria, headache and epigastric pain.",
+ "output": "Patient has evidence of pre-eclampsia."
+ },
+ {
+ "input": "Called [**hospital3 3002**], no baseline hct info.",
+ "output": "No information on past hematocrit levels."
+ },
+ {
+ "input": "The patient had a stool test that was positive for clostridium difficile, and was started on metronidazole as an outpatient.",
+ "output": "The patient had diarrhea."
+ },
+ {
+ "input": "She was transiently hypotensive and bradycardic in the catheterization lab following stent and she received dopamine briefly as well as atropine after which her hemodynamics stabilized.",
+ "output": "The patient required vasopressures."
+ },
+ {
+ "input": "Past medical history: coronary artery disease status post coronary artery bypass graft times two in [**3115-12-5**].",
+ "output": "Patient has history of cabg."
+ },
+ {
+ "input": "[**3243-3-22**]- bronch showed stent to be broken along posterior aspect.",
+ "output": "The patient had an endobronchial stent."
+ },
+ {
+ "input": "A chest x-ray showed hyperinflated lungs with no infiltrate.",
+ "output": "Chest x-ray was abnormal."
+ },
+ {
+ "input": "Both the echocardiogram and cardiac catheterization showed elevated filling pressures, and the patient was admitted and treated for his volume overload.",
+ "output": "Imaging of the heart was abnormal."
+ },
+ {
+ "input": "Antibiotics were then changed to vancomycin, ceftriaxone and flagyl on [**9-18**].",
+ "output": "The patient is on broad spectrum antibiotics."
+ },
+ {
+ "input": "Source of the blood loss was unclear but he did have dark stools.",
+ "output": "The patient\u2019s stools appeared abnormal."
+ },
+ {
+ "input": "History of a seizure disorder; and has not had a seizure for two years.",
+ "output": "Patient has a history of seizures."
+ },
+ {
+ "input": "He also had a spine mri which demonstrated a t1 compression fracture.",
+ "output": "Patient has a spine fracture."
+ },
+ {
+ "input": "Wanted to be admitted to [**hospital1 **] 4 again. .",
+ "output": "Patient is seeking medical care."
+ },
+ {
+ "input": "Last dialysis [**3-21**].",
+ "output": "Patient has poor renal function."
+ },
+ {
+ "input": "Of note, the patient was recently discharged from [**hospital1 277**] for a prolonged course for respiratory failure from parainfluenza virus triggering a copd exacerbation complicated by nstemi, atrial fibrillation, and oliguric renal failure. .",
+ "output": "The patient was had a recent complicated hospital course."
+ },
+ {
+ "input": "Mild pulmonary hypertension",
+ "output": "Patient has a chronic condition."
+ },
+ {
+ "input": "Since the time of his recent discharge two weeks ago, he has not eaten more than a few bites daily.",
+ "output": "Patient has decreased po intake."
+ },
+ {
+ "input": "History of chronic renal insufficiency secondary to glomerulosclerosis with a bowel sounds creatinine of 2.9 to 3.4.",
+ "output": "Patient has ckd."
+ },
+ {
+ "input": "Subsequently the patient returned on the date of admission for fever and increase in white blood cell count and also abdominal pain in the left lower quadrant.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "Past medical history: [**location (un) 842**]-gastaut syndrome diagnosed at age 10 associated with approximately six seizures a month.",
+ "output": "Patient has a congenital disorder."
+ },
+ {
+ "input": "Urethral sphincter implants in [**2759**] and [**2764**].",
+ "output": "The patient has had pelvic surgery."
+ },
+ {
+ "input": "No hip click.",
+ "output": "No audible sound on hip examination."
+ },
+ {
+ "input": "The afternoon of [**9-1**] her daughter noticed that the patient seemed increasingly dyspneic and was hypertensive to 200's.",
+ "output": "The patient had high blood pressure."
+ },
+ {
+ "input": "History of present illness: 68yo female s/p recent posterior stroke, on coumadin, here with a gi bleed.",
+ "output": "The patient is at a high risk for bleeding."
+ },
+ {
+ "input": "The patient tolerated his procedure well and was doing well after his catheterization until [**3003-11-20**], when he presented with a temperature of 101.0 f., to the emergency department with right lower quadrant abdominal pain similar to his diverticulitis which he has had before.",
+ "output": "The patient has a history of diverticulitis."
+ },
+ {
+ "input": "He underwent five cycles of chemotherapy with liposomal daunorubicin for the gastric kaposi's sarcoma, ending in 5/98.",
+ "output": "The patient\u2019s immune system is suppressed."
+ },
+ {
+ "input": "She underwent a com[** location **]n left axillary node dissection on [**2649-2-16**] with pathology showing no melanoma in 3 lymph nodes identified.",
+ "output": "The patient has melanoma."
+ },
+ {
+ "input": "She was admitted to the micu for antibiotic treatment and was weaned to 2l o2 by n/c.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "He denies chest pain or shortness of breath.",
+ "output": "He has no difficulty breathing."
+ },
+ {
+ "input": "Five epi injections were applied for hemostatis with success.",
+ "output": "The patient was given a medication to constrict blood vessels."
+ },
+ {
+ "input": "History of present illness: the patient is a 61 year-old female with multiple medical problems including end stage renal disease on hemodialysis, congestive heart failure with an ef of 45 to 50%, coronary artery disease, hypertension and repeat admissions for congestive heart failure secondary to hypovolemia who presents with shortness of breath on the morning of admission.",
+ "output": "The patient has multiple medical conditions."
+ },
+ {
+ "input": "He was scheduled for hemodialysis on the day of admission, and he was to have medical intensive care unit monitoring.",
+ "output": "The patient has renal failure."
+ },
+ {
+ "input": "63 yo indian female w/ pmhx significant for glaucoma, htn, ?",
+ "output": "The patient has a history of glaucoma."
+ },
+ {
+ "input": "Apgar scores were 2 (+2 for heart rate), 4 (+2 heart rate, +1 color, +1 grimace), and 7 (-1 for color, - 1 tone, -1 grimace).",
+ "output": "The patient is a newborn."
+ },
+ {
+ "input": "She was emergently transferred to [**hospital1 68**] on med flight and brought to cath.",
+ "output": "The patient has acute coronary syndrome."
+ },
+ {
+ "input": "No large disc protrusion is seen.",
+ "output": "Imaging does not reveal disc herniation."
+ },
+ {
+ "input": "No preceding sx but she has been c/o sscp since arrival of ems and it is now constant.",
+ "output": "The patient has symptoms concerning for an acute myocardial infarction."
+ },
+ {
+ "input": "Patient is a 50 yo female para[** location **], developmentally delayed, with nephrotic syndrome admitted to micu s/p i+d/vac placement for wound infection.",
+ "output": "She patient has a wound infection."
+ },
+ {
+ "input": "History of escherichia coli urosepsis in [**3086-2-23**].",
+ "output": "The patient has a history of urosepsis."
+ },
+ {
+ "input": "Pain started around 20:00 with associated diaphoresis, nausea, and shortness of breath.",
+ "output": "Patient has discomfort."
+ },
+ {
+ "input": "Treated for presumptive endocarditis, [**1-25**] 11.",
+ "output": "The patient has presumptive endocarditis."
+ },
+ {
+ "input": "Breast ca [**2828**], s/p lumpectomy.",
+ "output": "She received surgery for breast cancer."
+ },
+ {
+ "input": "Right lower extremity wound and cellulitis.",
+ "output": "The patient has cellulitis."
+ },
+ {
+ "input": "Noninsulin dependent diabetes mellitus.",
+ "output": "Patient has elevated glucose."
+ },
+ {
+ "input": "Her abnormal liver functions also resolved during that hospitalization.",
+ "output": "The patient had improving lfts."
+ },
+ {
+ "input": "Taken to cath lab, lad c proximal 90 % lesion c ulceration.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "When no neurological responses were was found during patient's hospitalization, including absence of coronary blink reflexes, minimum pupillary reflexes and decorticate posturing.",
+ "output": "The patient has no neurologic responses."
+ },
+ {
+ "input": "The decision was made to intubate the patient due to difficulty speaking.",
+ "output": "The patient is intubated."
+ },
+ {
+ "input": "Her troponin also returned elevated at 0.20 and she was given a rectal dose of aspirin.",
+ "output": "The patient has evidence of cardiac ischemia."
+ },
+ {
+ "input": "She was not symptomatic, so nothing was done urgently, but the plan was to proceed with the bronchoscopy and mediastinoscopy in order to obtain tissue for diagnosis. .",
+ "output": "Patient has abnormal chest ct."
+ },
+ {
+ "input": "Ekg showed st-depressions v3-v5, transfused 1 unit prbcs with hct rise to 26.7, given 1l ns, repleted calcium/magnesium, levophed administered to maintain maps>60, lactate 4.0 - 5.0, r-a line placed.",
+ "output": "The patient has ekg changes concerning for myocardial infarction."
+ },
+ {
+ "input": "The trifurcation was occluded with reconstitution of he proximal peroneal artery.",
+ "output": "The patient has peripheral vascular disease."
+ },
+ {
+ "input": "At [**hospital **] rehab she had persistent low blood pressures with systolic in the 60s, 70s and heart rate in the 80s.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "Also with nausea, one episode of nonbloody, nonbilious vomiting this morning.",
+ "output": "The patient is nauseated."
+ },
+ {
+ "input": "He developed respiratory distress shortly after birth and was admitted to the neonatal intensive care unit for evaluation and treatment.",
+ "output": "The patient requires respiratory support."
+ },
+ {
+ "input": "Congestive heart failure (ef in [**2955**] 40%) 2.",
+ "output": "Heart disease."
+ },
+ {
+ "input": "An iavp was placed and dobutamine and nitroglycerin drips were started and intravenous lasix was given.",
+ "output": "A diuretic was given."
+ },
+ {
+ "input": "Ct showed a bifrontal subarachnoid hemorrhage with interparenchymal blood and contusions in the frontal area with a large frontal bone fracture up to the suture line, with no visual external laceration.",
+ "output": "Patient is status post trauma."
+ },
+ {
+ "input": "+n, v, and diaphoresis.",
+ "output": "The patient has nausea and vomiting."
+ },
+ {
+ "input": "She was also recently diagnosed with pneumomia on [**2814-1-30**] and was started on levofloxacin as an outpatient.",
+ "output": "The patient has community acquired pneumonia."
+ },
+ {
+ "input": "Treated with flagyl.",
+ "output": "The patient has an infection."
+ },
+ {
+ "input": "Hypertension 5. hyperlipidemia",
+ "output": "Patient has cardiac risk factors."
+ },
+ {
+ "input": "Pupils are equal, round, and reactive to light.",
+ "output": "Patient has a normal eye exam."
+ },
+ {
+ "input": "Urinalysis was positive for uti.",
+ "output": "The patient has a uti."
+ },
+ {
+ "input": "The mra demonstrated normal flow with lateral displacement of the cerebral branches secondary to mass affect.",
+ "output": "The patient had an mri of the brain."
+ },
+ {
+ "input": "Pet at the end of treatment showed no fdg-avid disease.",
+ "output": "Patient has no evidence of malignancy."
+ },
+ {
+ "input": "Report of a kidney tumor, details unavailable at this time copd",
+ "output": "The patient has a renal mass."
+ },
+ {
+ "input": "He does take some medicines for his cough but does not know what they are.",
+ "output": "The patient takes medication."
+ },
+ {
+ "input": "History of present illness: the patient is a 78 year-old female referred for an outpatient cardiac catheterization after a positive stress test and anginal symptoms.",
+ "output": "The patient has had chest pain."
+ },
+ {
+ "input": "The patient had a syncopal episode at home on [**3381-9-6**].",
+ "output": "The patient lost consciousness suddenly."
+ },
+ {
+ "input": "Her blood pressure is in the 110-120s systolic.",
+ "output": "Her systolic blood pressure is within normal limits."
+ },
+ {
+ "input": "He has had alcohol associated visual hallucinations and was experiencing these at [**hospital1 2003**].",
+ "output": "Patient is an alcoholic."
+ },
+ {
+ "input": "4) bacillary angiomatosis 5) acute appendicitis deep into his nadir during transplant that was successfully treated with daptomycin, meropenem, levofloxain and metronidazole 6) incidental hhv6 igg-positive, without disease 7) hx of post chemo cardiomyopathy; tte [**6-3**] with preserved ef.",
+ "output": "The patient has a transplant."
+ },
+ {
+ "input": "Lasix increased from 60 qam to 60 am/40 qpm.",
+ "output": "The patient is being diuresed."
+ },
+ {
+ "input": "History of chronic atrial fibrillation status post cardioversion approximately two years ago.",
+ "output": "Patient has a history of afib."
+ },
+ {
+ "input": "Additionally, neurology recommended that an lp should be done and mri with stroke protocol, however she was just started on vanco/ceftriaxone/ampicillin and transferred here without an lp/mri.",
+ "output": "Patient has fevers."
+ },
+ {
+ "input": "He is currently just on cipro and is to complete a 14 day course for e. coli.",
+ "output": "He is on an antibiotic."
+ },
+ {
+ "input": "No nausea, vomiting, fever, chills.",
+ "output": "Denies elevated temperature."
+ },
+ {
+ "input": "He was admitted to the newborn nursery at 11 hours of life.",
+ "output": "Patient is newborn."
+ },
+ {
+ "input": "She was externally paced in the 60's and transferred to [**hospital1 68**]. .",
+ "output": "Patient has cardiac arrhythmia."
+ },
+ {
+ "input": "The patient was febrile and sputum studies were planned.",
+ "output": "The patient has an elevated body temperature."
+ },
+ {
+ "input": "No obvious strabismus.",
+ "output": "The patient does not have strabismus."
+ },
+ {
+ "input": "Left lung nodule thought to be amyloid skin ca.",
+ "output": "Mass in left lung."
+ },
+ {
+ "input": "Diagnosed [**3098**] with 5cm infiltrating ductal carcinoma of left breast, histologic grade iii with lvi.",
+ "output": "History of breast cancer."
+ },
+ {
+ "input": "She denies diarrhea, melena, or brbpr.",
+ "output": "Patient has negative ros."
+ },
+ {
+ "input": "S/p knee surgery [**25**]. up to date on flu and pneumovax shot, per patient",
+ "output": "History of knee dysfunction."
+ },
+ {
+ "input": "Seizure disorder four years ago.",
+ "output": "History of seizures."
+ },
+ {
+ "input": "Lgib - [**5-/2964**] - thought possible [**3-2**] to ischemic colitis 9.",
+ "output": "Patient has abnormal colonoscopy."
+ },
+ {
+ "input": "Status post prostate surgery in the [**3260**].",
+ "output": "The patient has a history of prostate problems."
+ },
+ {
+ "input": "The patient on endoscopy of [**2-15**] was noted to have a clot adherent to the medial wall of the duodenum just distal to the bulb at the junction of the second part of the duodenum in proximity to the ampulla.",
+ "output": "The patient has a clot in the duodenum."
+ },
+ {
+ "input": "History of present illness: thirty-eight year old male with history of multiple medical problems including quadriparesis, decubitus ulcers, who presents with a low temperature.",
+ "output": "The patient is hypothermic."
+ },
+ {
+ "input": "She states she has been home the last week convalescing for an \"e-coli\" infection, and hadn't been feeling all that well.",
+ "output": "The patient is concerned for a uti."
+ },
+ {
+ "input": "She received levofloxacin 500 mg iv and flagyl 500 mg iv x1. .",
+ "output": "She received iv antibiotics."
+ },
+ {
+ "input": "Cad, peripheral vascular disease, eczema, dm, chol, htn, cri, gerd, anemia",
+ "output": "Coronary artery disease."
+ },
+ {
+ "input": "Of note, about one week ago he felt well while exercising at the \"y\" - he was on the treamill for about 10-20 minutes.",
+ "output": "The patient is physically active."
+ },
+ {
+ "input": "[**known patient lastname 24761**] is a 26 y.o. female with resistant and progressive aml diagnosed [**2-2**].",
+ "output": "Patient has malignancy."
+ },
+ {
+ "input": "54 year old male with history of htn, hyperlipidemia, positive family history of cad who has left arm pain/soreness since evening of [**2564-11-15**].",
+ "output": "The patient has a symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "Patient has been on anticoagulation since [**2582**].",
+ "output": "Patient has elevated inr."
+ },
+ {
+ "input": "She then went back to sleep and awoke ~12:30-1am this morning.",
+ "output": "She was able to sleep."
+ },
+ {
+ "input": "Mother was beta complete from an earlier admission at 25-5/7 weeks.",
+ "output": "The pregnancy is at least 25 weeks gestation."
+ },
+ {
+ "input": "Urine and blood cultures were sent.",
+ "output": "Culteres were sent."
+ },
+ {
+ "input": "Bp improved to 90s systolic.",
+ "output": "Patient has hypotension."
+ },
+ {
+ "input": "Dementia history of rectal bleeding history of utis psoriasis depression h/o left eye droop",
+ "output": "Patient has a psychiatric disorder."
+ },
+ {
+ "input": "Initial ck was flat at 50, with troponin slightly elevated to 0.1, from a recent baseline around 0.8.",
+ "output": "Troponin recently slightly increased."
+ },
+ {
+ "input": "The renal team was consulted for acute renal failure and acidosis.",
+ "output": "The patient has an elevated creatinine."
+ },
+ {
+ "input": "Prednisone 5 mg p.o. q.d.",
+ "output": "Patient has started steroids."
+ },
+ {
+ "input": "Uses albuterol mdi and nebs occasionally up to several times daily when trigger encountered, occasionally not at all.",
+ "output": "The patient gets triggered many times a day, requiring treatment."
+ },
+ {
+ "input": "He denies fevers, chest pain, left arm or jaw pain, sweating, leg pain or swelling, and weight gain.",
+ "output": "The patient does not have symptoms of an acute myocardial infarction."
+ },
+ {
+ "input": "Psychiatry evaluated the patient and determined that she will require inpatient psychiatric treatment after her medical issues are resolved.",
+ "output": "The patient has mental illness."
+ },
+ {
+ "input": "Pt is a 50 y/o male with dm2, chf, copd, pul htn who was admitted to an osh with aflutter, devloped respiratory failure, and was transferred to [**hospital1 68**] for ongoing respiratory failure.",
+ "output": "Patient has multiple chronic medical conditions."
+ },
+ {
+ "input": "High cholesterol 6.",
+ "output": "Hyperlipidemia."
+ },
+ {
+ "input": "Chest tubes were discontinued.",
+ "output": "The patient had tubes within the thoracic cavity."
+ },
+ {
+ "input": "Hemorrhoidal bleeding 11.",
+ "output": "The patient has hemorrhoids."
+ },
+ {
+ "input": "Diagnosed at age 11, multiple hospitalizations for dka.",
+ "output": "The patient is diabetic."
+ },
+ {
+ "input": "Prenatal screens included blood type o positive, antibody negative, hepatitis b surface antigen, rubella immune, rpr nonreactive, and group b strep negative.",
+ "output": "Syphilis screening was negative."
+ },
+ {
+ "input": "History is difficult to obtain, as the patient is minimally conversive at baseline, but was not noted to have any coughing, vomiting, or diarrhea per report.",
+ "output": "Patient is a poor historian."
+ },
+ {
+ "input": "Half an hour later, he became somnolent and not arousable to verbal stimuli or vigorous sternal rub.",
+ "output": "He became unresponsive."
+ },
+ {
+ "input": "Otherwise most of his home medications have been continued.",
+ "output": "The patient takes home medications."
+ },
+ {
+ "input": "Patient was treated with iv ciprofloxacin and stable on the omed service until the early am of [**2932-7-27**] when patient was found to be hypotensive to sbp 70s, hypothermic to 95, with a rising lactate of 4.2.",
+ "output": "The patient is septic."
+ },
+ {
+ "input": "He was given amiodarone 150mg iv bolus x2 and started on an amiodarone gtt.",
+ "output": "The patient is on an amiodarone drip."
+ },
+ {
+ "input": "Rupture of membranes occurred at delivery with clear amniotic fluid.",
+ "output": "Rupture of amniotic sac was at delivery."
+ },
+ {
+ "input": "Iron deficiency anemia.",
+ "output": "The patient has iron deficiency anemia."
+ },
+ {
+ "input": "Heart rate decreased to the 140s with a blood pressure of 120/70.",
+ "output": "Heart rate was higher than 140."
+ },
+ {
+ "input": "Coronary artery disease, remote mi in his 40s in the setting of cocaine use - left main and two-vessel coronary disease diagnosed on cardiac cath from [**3157-9-2**] in the setting of non-st elevation mi (peak ck 190, mb 20, troponin t 4.5).",
+ "output": "He has a history of heart disease and drug abuse."
+ },
+ {
+ "input": "As she had never had a lung bx to definitively dx her disease she was transferred to [**hospital1 18**] for vats lung bx.",
+ "output": "Patient has evidence of ild."
+ },
+ {
+ "input": "History of atrial fibrillation: ms.",
+ "output": "History of arrhythmia."
+ },
+ {
+ "input": "Cardiac history: cabg ([**2914**]) with anatomy: lima --> lad, svg --> om2, svg --> om3, svg to mid-rca jump to pda .",
+ "output": "Patient has a history of cabg."
+ },
+ {
+ "input": "History of present illness: the patient is a 59-year-old man, with a history of hepatitis c virus leading to end-stage liver disease, post necrotic cirrhosis with biopsy in [**2824-5-9**] that showed hcc without evidence of metastatic disease.",
+ "output": "The patient has a history of cancer."
+ },
+ {
+ "input": "She has metastatic disease to her lung, liver, and bones.",
+ "output": "She has metastatic disease."
+ },
+ {
+ "input": "This infant emerged with spontaneous cry and good tone.",
+ "output": "The baby has an apgar of at least 4."
+ },
+ {
+ "input": "Ovarian cancer, diagnosed [**3121-9-3**], status post total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and ileocecectomy in [**3121-9-3**].",
+ "output": "Patient has neoplasm."
+ },
+ {
+ "input": "[**age over 90 **] year old man with known cad, s/p bms to lad in [**3473**] and s/p bms to rca in [**3-/3478**] presents for cardiac catheterization.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "No shortness of breath.",
+ "output": "The patient does not have a sensation of not being able to breath."
+ },
+ {
+ "input": "No shortness of breath.",
+ "output": "The patient is able to breath comfortably."
+ },
+ {
+ "input": "Corresponding hyperintense flair signal abnormality at these sites indicates that infarction is not hyperacute.",
+ "output": "The patient has cerebral infarcts."
+ },
+ {
+ "input": "A cxr was consistent with chf, with bnp 1090 and patient was given lasix 80 mg iv x1.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "The patient is a delightful 65 yo gentleman with stage t2n1 adenocarcinoma of the distal esophagus who underwent preoperative staging, including staging laparoscopy with placement of a jejunostomy tube and neoadjuvant chemoradiotherapy.",
+ "output": "The patient has esophageal cancer."
+ },
+ {
+ "input": "The nicu team was called stat, and arrived at around two minutes of life.",
+ "output": "The infant required immediate medical attention."
+ },
+ {
+ "input": "[**known patient firstname **] [**known patient lastname 22931**] is an 84- year-old male who presented to this institution for elective surgical treatment of bleeding 8-mm and 2.5-cm cecal polyps.",
+ "output": "The patient has cecal polyps."
+ },
+ {
+ "input": "The patient had old mris consistent with diffuse white matter disease and multiple lacunar infarcts.",
+ "output": "The patient has prior lacunar infarcts."
+ },
+ {
+ "input": "He was never hemodynamically unstable but given his large clot burden he was admitted to the ccu for monitoring.",
+ "output": "Patient has an acute medical condition."
+ },
+ {
+ "input": "Patient taken off of dopamine before transfer to [**hospital1 **].",
+ "output": "The patient was taken off dopamine."
+ },
+ {
+ "input": "Febrile to 100.3 two days prior to admission that resolved without intervention.",
+ "output": "The patient has a history of a mild fever."
+ },
+ {
+ "input": "However, this was immediately reduced and post-reduction, her foot remained warm with palpable distal pulses.",
+ "output": "The patient has a lower extremity fracture."
+ },
+ {
+ "input": "-status-post ascending aorta to descending aorta bypass graft with 18mm gelweave [**2540-1-20**] -repair of right ventricular laceration and sternal wound debridement [**2-1**] -coarctation of the distal arch s/p surgical repair of arch/desc. -aorta w/ homograft via left thoracotomy at age 13 -bicuspid aortic valve -congestive heart failure: most recent echo was tee [**2-12**] done after rv laceration repair, but at that time ef was >55% -hypercholesterolemia -psoriatic arthritis -osteoarthritis -asthma -sciatica -hemorrhoids -meckel's diverticulum s/p surgery -right lung nodule -s/p l2-l3, l4-l5 sacral fusion -s/p l subacromial decompression via arthroscopy -s/p appendectomy -s/p open cholecystectomy -s/p r inguinal hernia repair -s/p nasal surgery for deviated septum -s/p lens implants -h/o hit -recent mrsa pneumonia -h/o atrial fibrillation during hospitalization -h/o vre bacteremia (linezolid through [**2540-3-23**]) -recent mrse aortic graft infection -s/p open jejunostomy tube placement [**2540-2-15**] -s/p percutaneous tracheostomy [**2540-3-11**]",
+ "output": "History of multiple medical conditions and past surgeries."
+ },
+ {
+ "input": "History: ring-enhancing brain mass with edema seen on ct scan.",
+ "output": "Patient has positive ct findings."
+ },
+ {
+ "input": "She was taken to cesarean section because of the transverse lie of twin b.",
+ "output": "She had a twin pregnancy."
+ },
+ {
+ "input": "On arrival to the micu his vitals were t 95.9 hr 89 bp 156/53 rr 15 100% 4lnc.",
+ "output": "Patient has hypothermia."
+ },
+ {
+ "input": "He has been followed with serial ultrasounds.",
+ "output": "He has received repeated ultrasounds."
+ },
+ {
+ "input": "His ua had bacteria, blood, tr leuks and some epis.",
+ "output": "The patient has a urinary tract infection."
+ },
+ {
+ "input": "Per report at nursing home, at 04:30 p.m. the [** location **]us day, the patient had an episode of chest pain and was given ativan, nitroglycerin and percocet.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "She has done well since then and recently in [**3306**] she had increasing of shortness of breath, tiredness, weakness and had an exercise tolerance test, which was positive.",
+ "output": "She was evaluated for cardiac function."
+ },
+ {
+ "input": "He is cachectic, very limited in activity [**1-15**] fatigue, and has suffered several setbacks in his recovery including pna and cdiff colitis.",
+ "output": "The patient is reconditioned."
+ },
+ {
+ "input": "He reports ears ringing, seeing \"bubbles.\" he also reports mild abd pain and headache.",
+ "output": "The patient has multiple medical complaints."
+ },
+ {
+ "input": "The patient has been unable to tolerate rapid advancement in tube feeds secondary to increased nausea.",
+ "output": "The patient receives enteral feeds."
+ },
+ {
+ "input": "Prenatal laboratory data: o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs negative.",
+ "output": "She tested negative for syphilis."
+ },
+ {
+ "input": "There is no reported shortness of breath at rest or paroxysmal nocturnal dyspnea or orthopnea or chest pain.",
+ "output": "The patient denies cardiac symptoms."
+ },
+ {
+ "input": "The ed explained the sepsis protocol to the patient, however, she and her family refused a central venous catheter.",
+ "output": "The patient and her family declined a central line."
+ },
+ {
+ "input": "Denied cough, shortness of breath.",
+ "output": "The patient does not have symptoms of a copd exacerbation."
+ },
+ {
+ "input": "At the time of presentation to an osh, his pain was constant, not relieved with advil or acetominophen, and he reports it as a [**9-1**].",
+ "output": "The patient has pain."
+ },
+ {
+ "input": "Coronary artery disease as noted [** location **]usly.",
+ "output": "History of heart disease."
+ },
+ {
+ "input": "Denies any lightheadedness, dizziness, chest pain.",
+ "output": "The patient does not have symptoms of hypotension."
+ },
+ {
+ "input": "Prior to cath, was loaded with plavix.",
+ "output": "Treated for cardiac symptoms."
+ },
+ {
+ "input": "The infant received apgars of 8 and 9.",
+ "output": "The patient has reassuring apgars."
+ },
+ {
+ "input": "In the postanesthesia care unit, the patient's blood pressure decreased to a systolic blood pressure of 78, and he spiked a fever to 101.7 degrees fahrenheit.",
+ "output": "In the pacu, the patient was hypotensive and febrile."
+ },
+ {
+ "input": "She was hospitalized for a week, continued to have progressive dyspnea after this hospitalization.",
+ "output": "The patient has progressive dyspnea."
+ },
+ {
+ "input": "Pt now back to her presumed baseline in terms of mental status.",
+ "output": "The patient is at baseline mental status."
+ },
+ {
+ "input": "P-mibi in [**5-/2965**] with slight worsening of partially reversible, moderate perfusion defects in the basilar anterolateral, mid anterolateral, basilar posterolateral, mid posterolateral, and lateral walls (entire lateral portion of the left ventricle).",
+ "output": "Patient has acute cardiac ischemia."
+ },
+ {
+ "input": "The patient has a history of thrombocytopenia.",
+ "output": "The patient has fewer than normal platelets."
+ },
+ {
+ "input": "History: the patient was the 2.59 kilogram product of a 34-4/7 week gestation delivered by spontaneous vaginal delivery to a 29 year old primigravida.",
+ "output": "The patient has a normal birth weight."
+ },
+ {
+ "input": "History of alcohol withdrawal with delirium tremens.",
+ "output": "The patient has a history of alcohol abuse."
+ },
+ {
+ "input": "Atb treatment was switched to vancomycin, meropenem, fluconazole.",
+ "output": "Treatment for infection."
+ },
+ {
+ "input": "Remainder of ros is negative (except persistent cough productive of mild sputum since after vats, mild ruq tenderness), denies diarrhea, vomiting, dysuria, headache.",
+ "output": "The patient has a cough post procedure."
+ },
+ {
+ "input": "Found to have lll infiltrate and r sided pleural effusion.",
+ "output": "Patient has airspace disease."
+ },
+ {
+ "input": "This scan obtained the night before his operation demonstrated nothing acute.",
+ "output": "The patient is about to have surgery."
+ },
+ {
+ "input": "In our ed, the pt was febrile to 101.2, with initial hr 100, bp 136/80.",
+ "output": "Patient has signs of infection."
+ },
+ {
+ "input": "[**known patient lastname 37286**] is an 85 year old woman with a history of chronic blood loss anemia who endoscopically has been found to have a circumferential duodenal adenoma that is friable and bleeding.",
+ "output": "She is experiencing blood loss."
+ },
+ {
+ "input": "History of present illness: the patient is a 56 year-old gentleman with a history of seizures who was transferred from [**hospital3 7022**] with a c spine injury, which occurred earlier in the day.",
+ "output": "The patient has a cervical spine injury."
+ },
+ {
+ "input": "The patient had one first septal which was cannulated selectively into each of its branches and ethanol ablation was done under echocardiographic and fluoroscopic guidance.",
+ "output": "The patient had a vascular sclerosing procedure performed."
+ },
+ {
+ "input": "He subsequently developed a right upper lobe infiltrate.",
+ "output": "He developed a lung infiltrate."
+ },
+ {
+ "input": "Past medical history: none.",
+ "output": "No reported medical conditions."
+ },
+ {
+ "input": "The patient was initially managed with plavix and lipitor.",
+ "output": "Patient has hyperlipidemia."
+ },
+ {
+ "input": "He states that he has frequent chest pain with minimal exertion or exposure to cold.",
+ "output": "Patient has angina."
+ },
+ {
+ "input": "Mother, is a 26 year-old, gravida i, para 0 woman with the following prenatal screens: blood group a positive, antibody screen negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs positive.",
+ "output": "The mother is positive for group b strep."
+ },
+ {
+ "input": "The pt was transferred to [**hospital1 22**] for further management. .",
+ "output": "The patients setting of care was changed."
+ },
+ {
+ "input": "A ct scan of her abdomen and pelvis was performed, which revealed mild hydronephrosis on the left, as well as mild hydroureter nephrosis on the left with a 2 mm ureterovesical junction stone.",
+ "output": "The patient has a ureteral calculus."
+ },
+ {
+ "input": "At that time, her dopamine dose was decreased and she was started on levophed with aversion to normal sinus rhythm.",
+ "output": "She was given norepinephrine."
+ },
+ {
+ "input": "Then while she was going to the local convenience store, she became acutely sob and tachycardic.",
+ "output": "The patient was short of breath."
+ },
+ {
+ "input": "Given ivfs without improvement.",
+ "output": "The patient recieved iv fluids."
+ },
+ {
+ "input": "The patient was then referred to the cardiothoracic surgery service for coronary artery bypass graft surgery.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Cardiac enzymes done at osh showed ck 363, ck-mb 33, tropi 6.78.",
+ "output": "The patient has cardiac ischemia."
+ },
+ {
+ "input": "This is a 57 year old man with a history of type 1 dm with many prior admissions for dka who presented to [**hospital1 52**] on [**10-1**] with elevated bg >600.",
+ "output": "Patient has elevated a1c."
+ },
+ {
+ "input": "History of squamous cell carcinoma, basal cell cancers, and melanoma 6. cabg",
+ "output": "The patient has a history of skin cancer."
+ },
+ {
+ "input": "Alzheimer's dementia 2.",
+ "output": "Neurodegenerative disease."
+ },
+ {
+ "input": "Reports orthopnea but no pnd.",
+ "output": "Patient has signs of chf."
+ },
+ {
+ "input": "Sob now back to baseline.",
+ "output": "Patient has positive review of systems."
+ },
+ {
+ "input": "Of note, she has had a significantly decreased a[** location **]e over the last year and reports a 25 pound weight loss during this time.",
+ "output": "She has lost weight in the last year."
+ },
+ {
+ "input": "She denies chest pain, shortness of breath, pleuritic pain, fevers, chills, cough, diaphoresis, nausea, vomiting, or palpitations.",
+ "output": "The patient does not have symptoms of an myocardial infarction."
+ },
+ {
+ "input": "Per reports sister found the patient on sofa extremely lethargic.",
+ "output": "The patient is lethargic."
+ },
+ {
+ "input": "She also complained of a sore throat for the past two weeks with a sensation of pills sticking in her throat.",
+ "output": "The patient complains of dysphagia."
+ },
+ {
+ "input": "Per anesthesia resident, there was concern that the pt would be a diffficult intubation given body habitus.",
+ "output": "The patient is obese."
+ },
+ {
+ "input": "Finger-to-nose was unstable, l>r.",
+ "output": "Patient has sign of neurological disease."
+ },
+ {
+ "input": "He underwent preoperative evaluation and was cleared for surgery.",
+ "output": "He will be getting surgery."
+ },
+ {
+ "input": "He was then transfered to the [**hospital unit name 3**] for continued management of resp distress and pna. .",
+ "output": "The patient has respiratory distress."
+ },
+ {
+ "input": "Pt received vanc and levaquin in ed.",
+ "output": "The patient is on broad spectrum antibiotics."
+ },
+ {
+ "input": "Sputum grew esbl klebs susceptible only to meropenem; cefepime was changed to [**last name (un) 2785**] [**3-26**]. .",
+ "output": "The patient has a pulmonary infection."
+ },
+ {
+ "input": "She does report a history of similar headaches in the past, for many years, of which some were much worse than her present headaches.",
+ "output": "She has had headaches for many years."
+ },
+ {
+ "input": "She presented to [**hospital 70**] hospital with preterm labor on [**3021-10-7**].",
+ "output": "Her pregnancy is not at full term."
+ },
+ {
+ "input": "S1, s2 normal, no murmur.",
+ "output": "The patient does not have any abnormal heart sounds."
+ },
+ {
+ "input": "Emergent egd showed lots of blood in teh stomach, grade iv varices without ulcer, and a wheal on one varix.",
+ "output": "Patient has upper gi bleeding."
+ },
+ {
+ "input": "History of present illness: baby girl [**known patient lastname **] is the 2.77 kg product of a 37 and [**2-14**] week twin gestation, admitted to the neonatal intensive care unit for evaluation of prenatal diagnosis of possible coarctation and trisomy-21.",
+ "output": "The patient has downs syndrome."
+ },
+ {
+ "input": "Also found to have 90% in-stent restenosis of lad stent.",
+ "output": "The patient has stenosis of an lad stent."
+ },
+ {
+ "input": "Pmd switched hctz from 25 mg [**hospital1 **] to 25 mg qd, and added enalapril 5 mg qd.",
+ "output": "The patient is on a diuretic and ace inhibitor."
+ },
+ {
+ "input": "There, he was afebrile hr 124, bp 118/88.",
+ "output": "He was tachycardic."
+ },
+ {
+ "input": "Cerebral aneurysm which was clipped in [**3112**] resulting in an inability to remember short term memory.",
+ "output": "The patient has trouble remembering things."
+ },
+ {
+ "input": "Partial left [**3130**]. - s/p hysterectomy [**3134**] - s/p nasal embolization for refractory epistaxis [**6-28**] - lower gi bleed secondary to high grade colonic adenoma s/p biopsy (but not resection) [**10/3170**]",
+ "output": "Patient has no uterus."
+ },
+ {
+ "input": "On the floor, the patient is responsive to painful stimuli only.",
+ "output": "The patient is no responsive to commands."
+ },
+ {
+ "input": "There he was seen to be bradycardic to the low 50s and somnolent.",
+ "output": "He has a slow heart rate."
+ },
+ {
+ "input": "His ecg revealed ?",
+ "output": "The patient had an electrocardiogram performed."
+ },
+ {
+ "input": "Rupture of membranes occurred at delivery yielding clear amniotic fluid.",
+ "output": "The amniotic sac ruptured at delivery."
+ },
+ {
+ "input": "Patient brought from nursing home with about 20 minutes of respiratory distress with saturation into the 60% on ra.",
+ "output": "Patient has tachypnea."
+ },
+ {
+ "input": "The patient was subsequently seen by cardiology in the emergency room and an echocardiogram was done, and his ischemia was felt to be consistent with demand ischemia.",
+ "output": "The patient had chest pain."
+ },
+ {
+ "input": "He has also had tachypnea, without any symptoms of shortness of breath.",
+ "output": "Patient has a fast breathing rate."
+ },
+ {
+ "input": "A cxr revealed rll and rul infiltrates, and his wbc count was 13.2 with mild l shift.",
+ "output": "White blood cell count was elevated."
+ },
+ {
+ "input": "She reports coming home and finding her husband on the floor awake but incoherent, dried blood on his body.",
+ "output": "Her husband experienced trauma."
+ },
+ {
+ "input": "The lad lesion was stented with a bms.",
+ "output": "The patient had a bare metal lad stent placed."
+ },
+ {
+ "input": "He was then referred for coronary bypass grafting",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Ventral hernia not repaired.",
+ "output": "The patient has a hernia."
+ },
+ {
+ "input": "Pt is a 62 yo male with hypertension, hypercholesterolemia and family history who presents after having an abnormal stress test showing inferior defect.",
+ "output": "Patient has chronic diseases."
+ },
+ {
+ "input": "Pt unable to answer questions, unable to assess for ros. .",
+ "output": "Patient is a poor historian."
+ },
+ {
+ "input": "This pregnancy was complicated by polyhydramnios.",
+ "output": "Patient has a high risk pregnancy."
+ },
+ {
+ "input": "According to the patient's wife these symptoms had been getting progressively worse over the past 3 weeks.",
+ "output": "The patient has not been improving over the past few weeks."
+ },
+ {
+ "input": "Hypertension prostate ca pacemaker [**3251-5-26**] s/p tia s/p syncope s/p occipital craniotomy s/p appendectomy",
+ "output": "The patient has multiple chronic illnesses."
+ },
+ {
+ "input": "He was started on ampicillin and gentamicin after blood culture was obtained.",
+ "output": "He received antibiotics."
+ },
+ {
+ "input": "Ai, 3+tr, an av peak gradient of 123mmhg, severe pulm htn and and lvef of 60%.",
+ "output": "Patient has elevated pulmonary artery pressures."
+ },
+ {
+ "input": "He also has chronic venous stasis.",
+ "output": "He has ongoing venous insufficiency."
+ },
+ {
+ "input": "61 yo f with cad, chf ef 30%, esrd s/p transplant, now failed who presents with pulmonary edema, aocrf and need for dialysis.",
+ "output": "Patient has pulmonary edema."
+ },
+ {
+ "input": "The patient self-extubated on [**3079-3-28**].",
+ "output": "The patient self extubated."
+ },
+ {
+ "input": "After being discharged [**10-21**] for mssa sepsis thought to be [**3-6**] hd line infection pt was sent to rehab.",
+ "output": "Patient has sepsis."
+ },
+ {
+ "input": "She does daily alcohol dwells to prevent infection.",
+ "output": "The patient has a central venous catheter."
+ },
+ {
+ "input": "At that time, she was given additional dexamethasone and phenytoin per her neurosurgeon.",
+ "output": "The patient was given medication to prevent brain swelling and seizures."
+ },
+ {
+ "input": "He also admits to having been exposed to asbestos as a former shipyard worker for 10 years 20 years ago.",
+ "output": "He was exposed to a carcinogen."
+ },
+ {
+ "input": "Pt was transferred for further evaluation of this. .",
+ "output": "The patient needs additional workup."
+ },
+ {
+ "input": "His pressor was changed to phenylephrine, and his mean arterial pressures were 70 to 80s.",
+ "output": "The patient requires blood pressure support."
+ },
+ {
+ "input": "56 male with pmh recently diagnosed small cell lung carcinoma with metastases to bone and liver, s/p chemo last week (cisplatin/etoposide) admitted to [**hospital unit name 69**] for closer monitoring of electrolytes and fluid status in setting of arf.",
+ "output": "The patient has an elevated creatinine."
+ },
+ {
+ "input": "He describes it as diffuse.",
+ "output": "His symptoms are not focal."
+ },
+ {
+ "input": "She finally underwent mrd-allo-sct on [**2734-6-8**] for recurrent disease.",
+ "output": "She received a stem cell transplant."
+ },
+ {
+ "input": "On arrival to the emergency department he had a blood pressure of 43/25, heart rate of 70, aggressive fluid hydration was given as well as 2 units of packed red blood cells.",
+ "output": "The patient is hypotensive."
+ },
+ {
+ "input": "This patient was complicated by preterm premature rupture of membranes of sibling, less than 24 hours prior to delivery and preterm labor.",
+ "output": "The patient had a premature baby."
+ },
+ {
+ "input": "He was diaphoretic on exertion but denies cp/sob/ha/n/v/d/abdominal pain.",
+ "output": "Patient has mostly negative ros."
+ },
+ {
+ "input": "[**3334**] units of heparin were administered.",
+ "output": "An anticoagulant was given."
+ },
+ {
+ "input": "84 yo m with pmh of htn, hyperparathyroidism and h/o prostate ca s/p prostatectomy who presents s/p syncope to the ed.",
+ "output": "The patient has had prior surgery."
+ },
+ {
+ "input": "Small right-sided pleural effusion persists as well.",
+ "output": "Patient has abnormal chest ct."
+ },
+ {
+ "input": "He was seen by his primary care physician last week because of shortness of breath.",
+ "output": "He has a history of difficulty breathing."
+ },
+ {
+ "input": "Past medical history: hypertension.",
+ "output": "Patient has an elevated blood pressure."
+ },
+ {
+ "input": "Past medical history: hypertension.",
+ "output": "Patient has elevated blood pressure."
+ },
+ {
+ "input": "Past medical history: hypertension.",
+ "output": "Patient has a chronic medical condition."
+ },
+ {
+ "input": "Past medical history: hypertension.",
+ "output": "High blood pressure."
+ },
+ {
+ "input": "His last drink occurred four days ago.",
+ "output": "Patient has not drank recently."
+ },
+ {
+ "input": "The patient was neurologically intact throughout the case.",
+ "output": "The patient did not develop new neurological defecits during the procedure."
+ },
+ {
+ "input": "Maintained on sotalol, coumadin, followed by dr. [**last name (stitle) 1886**].",
+ "output": "On antiarrhythmic medication."
+ },
+ {
+ "input": "In the ed her vitals were as follows t98 hr 72 bp 157/72 r17 o2sat 96%ra.an ngl was done and cleared after 600cc.",
+ "output": "She is hypertensive."
+ },
+ {
+ "input": "She has no complaints other than \"stop bothering me, leave me alone\".",
+ "output": "She is unwilling to talk."
+ },
+ {
+ "input": "He was referred for coronary artery bypass grafting to dr. [**first name (stitle) **] [**name (stitle) **], at that time.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Synthroid 50 mcg once per day.",
+ "output": "The patient is hypothyroid."
+ },
+ {
+ "input": "S/p intubation on ac 450x22, fio2 50%, peep 5, mv 8.7 - abg 7.49/30/145.",
+ "output": "Patient has alkylosis."
+ },
+ {
+ "input": "History of present illness: the patient is a 75 year old female with a past medical history of hypertropic obstructive cardiomyopathy who presented today for percutaneous intervention to ablate the ventricular septum.",
+ "output": "The patient has hypertrophic cardiomyopathy."
+ },
+ {
+ "input": "1 prior suicide attempt in [**2931**] (slit wrists).",
+ "output": "The patient is at risk for further suicide attempts."
+ },
+ {
+ "input": "Most recently patient was discharged from [**hospital1 4**] on [**2793-11-12**] with what was thought to be copd flare and aspiration pneumonia.",
+ "output": "The patient has copd."
+ },
+ {
+ "input": "A head computed tomography showed a left subdural hematoma with a midline shift.",
+ "output": "Patient has intracranial blood."
+ },
+ {
+ "input": "He was delivered at 34 weeks gestation, twin 2, due to polyhydramnios as well as evolving maternal pih.",
+ "output": "The patients were delivered early."
+ },
+ {
+ "input": "-breast cancer, diagnosed in [**3134**]; bilateral with metastases to lymph nodes, s/p lumpectomy, local radiation and 5fu/adriamycin -osteoarthritis -s/p r-knee and l-hip replacement ([**3141**]) -atrial fibrillation -rheumatoid arthritis -h/o adriamycin-induced cardiomyopathy -ulcerative colitis, s/p ileostomy -restrictive lung disease (related to radiation and/or amiodarone) -dilated cardiomyopathy",
+ "output": "The patient was treated for breast cancer."
+ },
+ {
+ "input": "Htn gerd mvp palpitations (since she was a young woman)",
+ "output": "Patient has chronic medical conditions."
+ },
+ {
+ "input": "At [**hospital3 3547**] ed she received solumedrol 125mg once, sasix 20mg iv once, zosyn 1 dose.",
+ "output": "There is concern for copd or pneumonia."
+ },
+ {
+ "input": "He underwent cardiac catheterization here and was found to have a 90% sequential in-stent restenosis of his saphenous vein graft to the first obtuse marginal.",
+ "output": "The patient has a history of cabg."
+ },
+ {
+ "input": "Electively intubated for resp distress/hypoxia, given lopressor for htn, solumedrol 125 mg, tequin 400 mg.",
+ "output": "The patient had difficulty breathing and high blood pressure."
+ },
+ {
+ "input": "Started on meropenem.",
+ "output": "The patient is on antibiotics."
+ },
+ {
+ "input": "No nausea, diaphoresis.",
+ "output": "There is no nausea."
+ },
+ {
+ "input": "Status post gastrojejunostomy tube.",
+ "output": "The patient has a feeding tube."
+ },
+ {
+ "input": "Labs significant for wbc 13.9, na 159, cr 1.9, trop 0.79, ck 227, lactate 2.7.",
+ "output": "Patient has leukocytosis."
+ },
+ {
+ "input": "He was transferred from [**hospital3 **] to [**hospital1 68**] for cath which showed the following: right-dominant system lmca 90% ostial lesion, heavily calcified lad 90% proximal-mid after high diagonal moderate ramus lcx totally occluded rca totally occluded mid lesion, collaterals to ramus svg -> rca patent, om patent lima->lad occluded, very small vessel distally and lad not visualized through lima lvedp 16 cypher to left main, unable to deploy taxus to lad with resulting major dissection and thus bare metal stent to the lad to cover the dissection",
+ "output": "He underwent cardiac catheterization."
+ },
+ {
+ "input": "She received lasix 40 mg iv and was started on a nitroglyercin drip which was later discontinued when respiratory status immproved on bipap.",
+ "output": "The patient is receiving treatment used to treat pulmonary edema."
+ },
+ {
+ "input": "In early [**3444**] he developed a mass on his l hip that was biopsy proven to be a hematoma, without malignant cells.",
+ "output": "Patient has no cancer."
+ },
+ {
+ "input": "[**age over 90 **] yo portugues speaking male with type ii dm, htn, hyperlipidemia, and temporal arteritis (on prednisone taper started on [**2835-10-5**]) who presents to the ed with worsening cough x 4 days, generalized weakness for 10 days with blood sugars to 850s. .",
+ "output": "Patient has extensive pmh."
+ },
+ {
+ "input": "On arrival pt noted ongoing back pain.",
+ "output": "The patient complained of pain."
+ },
+ {
+ "input": "She does not remember the events surrounding her admission.",
+ "output": "Her mental status was impaired during her admission."
+ },
+ {
+ "input": "He denies chest pain of syncope.",
+ "output": "The patient does not have symptoms of acute coronary syndrome."
+ },
+ {
+ "input": "Cxr and ct head were unremarkable.",
+ "output": "The patient has a normal head ct."
+ },
+ {
+ "input": "No recent med changes. .",
+ "output": "Medications stayed the same."
+ },
+ {
+ "input": "No other new events.",
+ "output": "No new significant developments."
+ },
+ {
+ "input": "The fetal well being was reassuring with normal biophysical profile.",
+ "output": "Ultrasound was unremarkable."
+ },
+ {
+ "input": "Past medical history: gastroesophageal reflux disease.",
+ "output": "The patient has symptoms of reflux and dyspepsia."
+ },
+ {
+ "input": "He also had maroon melena stool approximately 200 cc approximately two times.",
+ "output": "Patient has a gi bleed."
+ },
+ {
+ "input": "60 f with history of lung ca s/p lul resection and nonadjuvant theraphy [**6-13**] and breast ca s/p lumpectomy in [**2665**] who presents with progressively worse shortness of breath for 5 days.",
+ "output": "History of cancer."
+ },
+ {
+ "input": "Left circumflex was occluded.",
+ "output": "There is atherosclerosis in the coronary artery."
+ },
+ {
+ "input": "Non contrast c spine and head ct were negative.",
+ "output": "The patient does not have a brain bleed."
+ },
+ {
+ "input": "Breast ca, [**3481**], t1n0m0, ln neg, er pos, her2/neu neg, on arimidex 12.",
+ "output": "The patient has a history of breast cancer."
+ },
+ {
+ "input": "The patient was referred to dr. [**first name (stitle) **] [**last name ([** location **]es) **] for questionable root replacement versus bentall procedure.",
+ "output": "The patient has an ascending aortic aneurysm."
+ },
+ {
+ "input": "No cough, hemoptysis, uri symptoms.",
+ "output": "Patient denies cough."
+ },
+ {
+ "input": "The patient was able to maintain his oxygen saturations on nasal cannula; although, arterial blood gases during the intensive care unit stay showed persistent hypercarbia of unclear etiology.",
+ "output": "The patient is hypercarbic."
+ },
+ {
+ "input": "She had a negative head computed tomography.",
+ "output": "She had a ct scan of her head."
+ },
+ {
+ "input": "Per the daughter's knowledge, she has had no seizures in years and has never taken any antiepileptic drugs.",
+ "output": "Patient has a seizure disorder."
+ },
+ {
+ "input": "Afib/flutter s/p tte cardioversion [**3-/2808**], ablation.",
+ "output": "The patient has been cardioverted."
+ },
+ {
+ "input": "Mediastinal hematoma with cardiac tamponade",
+ "output": "There is compression of the heart."
+ },
+ {
+ "input": "Pt says he tried to stand up and could not, and that was the only event that he can describe.",
+ "output": "Patient has weakness."
+ },
+ {
+ "input": "The baby was transported to the nicu on blow-by oxygen.",
+ "output": "The patient requires supplemental oxygen."
+ },
+ {
+ "input": "In the ed the pt was 95.0 96 105/57 18 100% 4l nasal cannula.",
+ "output": "The patient\u2019s temperature is low."
+ },
+ {
+ "input": "On transfer the patient is currently receiving vancomycin and unasyn for broad spectrum cutaneous coverage with plan for placement of picc line for extended course of iv abx given persistent leg erythema and leukocytosis.",
+ "output": "The patient has lower extremity cellulitis."
+ },
+ {
+ "input": "No organomegaly or masses.",
+ "output": "No enlarged organs palpated on exam."
+ },
+ {
+ "input": "Past 2 yrs has had only 1 other ed visit for asthma flare prior to last week.",
+ "output": "Patient has asthma."
+ },
+ {
+ "input": "The patient is a former smoker, quit 30 years ago.",
+ "output": "The patient is a former smoker."
+ },
+ {
+ "input": "On the way, she received narcan.",
+ "output": "Concern for opioid overdose."
+ },
+ {
+ "input": "The family decided to provide comfort measures only and the patient expired shortly after.",
+ "output": "The patient is deceased."
+ },
+ {
+ "input": "L medial temporal avm extending into the lateral ventricle.",
+ "output": "History of cerebral arteriovenous malformation."
+ },
+ {
+ "input": "By [**6-27**], the patient's symptoms deteriorated and she presented to the ed. .",
+ "output": "The patient sought emergency medical attention."
+ },
+ {
+ "input": "There is a small amount of free fluid within the pelvis and along the inferior pole of the liver.",
+ "output": "There is a small amount of free fluid within the abdomen and pelvis."
+ },
+ {
+ "input": "He was then taken to [**hospital6 1789**] where he was treated with a dilantin load prior to tranfer to [**hospital1 58**].",
+ "output": "The patient had a seizure."
+ },
+ {
+ "input": "Coronary artery disease status post myocardial infarction 12 years ago.",
+ "output": "Patient has cad."
+ },
+ {
+ "input": "Pt alsmost fainted when got in shower today and went to ed had head ct bilateral fluid collection.",
+ "output": "Patient has positive findings on head ct."
+ },
+ {
+ "input": "He was referred to the emergency room the next morning.",
+ "output": "The patient is acutely ill."
+ },
+ {
+ "input": "Prenatal screens: o positive, coombs negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune.",
+ "output": "Prenatal screens were normal."
+ },
+ {
+ "input": "Flexes to pain in all extremities.",
+ "output": "The patient is able to detect pain."
+ },
+ {
+ "input": "Pt was eventually stable on 2l.",
+ "output": "The patient is hypoxic."
+ },
+ {
+ "input": "Here she was noted to follow simple comands but was combative prompting sedation and intubation.",
+ "output": "She was agitated and required medical intervention."
+ },
+ {
+ "input": "Type ii diabetes o2-dependent copd h/o pancreatic pseudocyst s/p ccy psoriasis alcohol abuse",
+ "output": "The patient has elevated blood glucose."
+ },
+ {
+ "input": "Patient admitted to micu for further eval and tx for dyspnea.",
+ "output": "The patient has dyspnea."
+ },
+ {
+ "input": "This infant emerged vigorous with apgars of 8 and 9.",
+ "output": "Patient is a newborn."
+ },
+ {
+ "input": "Prednisone was started secondary to the patient's low pao2.",
+ "output": "A steroid medication was started."
+ },
+ {
+ "input": "The sacral lesion was wrapped with sterile saline-soaked clingpads and saran wrap.",
+ "output": "The patient has a sacral wound."
+ },
+ {
+ "input": "She is now saturating to high 90s % on room air, without nasal cannula.",
+ "output": "The patient does not require supplemental oxygen."
+ },
+ {
+ "input": "H/o multiple pe - on coumadin 16.",
+ "output": "The patient is on anticoagulation."
+ },
+ {
+ "input": "Patient was guiac negative, ng lavage was negative, and iv heparin with no bolus was initiated.",
+ "output": "The patient was started on iv heparin after it was determined that there was no gi bleed."
+ },
+ {
+ "input": "During her admission, she experienced a fever to 102 and work up was started.",
+ "output": "The patient was febrile."
+ },
+ {
+ "input": "The patient has been abstaining from alcohol since [**3344**].",
+ "output": "The patient does not drink alcohol."
+ },
+ {
+ "input": "Pmh: hypertension, diabetes mellitus",
+ "output": "The patient has elevated blood sugars."
+ },
+ {
+ "input": "History of present illness: this is a 56-year-old male with a history of coronary artery disease and coronary artery bypass graft in [**3025**] who was sent from [**hospital1 **] psychiatric hospital with shortness of breath.",
+ "output": "The patient has symptoms of a chf exacerbation."
+ },
+ {
+ "input": "Bp increased from 130/82 to 160/88 and he developed [**3-12**] left sided chest discomfort in recovery.",
+ "output": "The patient had an episode of hypertension."
+ },
+ {
+ "input": "Pancytopenia, status post bone marrow biopsy showing mds versus sideroblastic anemia 8.",
+ "output": "Patient is pancytopenic."
+ },
+ {
+ "input": "Repeat echo revealed worsening as.",
+ "output": "Patient has aortic stenosis."
+ },
+ {
+ "input": "Pt initally admitted to osh with complaints of increased chest discomfort at rest.",
+ "output": "The patient is having symptoms of unstable angina."
+ },
+ {
+ "input": "At the osh he received a total of 9l of fluid and 3u prbcs and he was transferred to [**hospital1 22**].",
+ "output": "The patient was anemic."
+ },
+ {
+ "input": "Osa on bipap 4. hydrocele",
+ "output": "Patient has history of sleep apnea."
+ },
+ {
+ "input": "[**known patient lastname 19018**] is a 71 year-old woman with a history of copd (fev1 35% 03/09), with frequent exacerbations, on 2l home o2 and a history of diastolic dysfunction.",
+ "output": "The patient has congestive heart failure."
+ },
+ {
+ "input": "74yo man with h/o cad, dm2, a fib, htn, hyperlipidemia, and recent episode of bronchitis presented with two days of worsening dyspnea.",
+ "output": "The patient has shortness of breath."
+ },
+ {
+ "input": "Chf w/ ef 35% in [**12-9**] #.",
+ "output": "His ejection fraction is low."
+ },
+ {
+ "input": "History of present illness: the patient is a 17 year-old female with no significant past medical history who was brought in by med flight to the [**hospital1 1499**] on [**2997-10-16**].",
+ "output": "The patient is in critical condition."
+ },
+ {
+ "input": "Ct here showed a possible pituitary hemorrhage.",
+ "output": "The patient has possible pituitary hemorrhage."
+ },
+ {
+ "input": "Since discharge, she has been on bedrest and treated with nifedipine and admitted on day of delivery with preterm contractions and premature rupture of membrane.",
+ "output": "The patient is pregnant."
+ },
+ {
+ "input": "She was comfortable appearing.",
+ "output": "She appeared in no acute distress."
+ },
+ {
+ "input": "Past medical history: status post hysterectomy 13 years ago for fibroids.",
+ "output": "Patient has no uterus."
+ },
+ {
+ "input": "Cardiac history: -cabg: -percutaneous coronary interventions: [**2605**] rca stent pre-op for avr [**4-/2606**] avr last cardiac cath [**8-/2610**] showed patent rca stent without significant l coronary dx .",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Was given vanco and zosyn and 1 u ffp and 1 u prbcs.",
+ "output": "The patient was treated for infection, anemia, and coagulopathy."
+ },
+ {
+ "input": "Referred for cath which revealed 3 vessel disease.",
+ "output": "The patient has coronary artery disease."
+ },
+ {
+ "input": "Past medical history: history of vesicoureteral reflux with end stage renal disease, status post renal transplant in [**2635**], x2.",
+ "output": "The patient has a renal transplant."
+ },
+ {
+ "input": "He had bleeding from a laceration in the back of his scalp.",
+ "output": "The patient has a scalp laceration."
+ },
+ {
+ "input": "The patient denies lightheadedness or dizziness, abdominal pain.",
+ "output": "The patient does not have symptoms of hypotension."
+ },
+ {
+ "input": "No pneumothorax is noted.",
+ "output": "Patient has no air in the pleural space."
+ },
+ {
+ "input": "In the ed, 96.9 96/57 130 20 98% 2l.",
+ "output": "Tachycardic."
+ },
+ {
+ "input": "Now undergoes peritoneal dialysis 3 times per day 3. s/p stroke in 8/98 with no residual deficit 4.",
+ "output": "The patient has end stage renal disease."
+ },
+ {
+ "input": "History of present illness: the patient is a delightful 67- year-old woman with multiple medical problems who is severely obese who for the past month prior to admission has been developing some dysphagia.",
+ "output": "The patient has symptoms of not being able to swallow correctly."
+ },
+ {
+ "input": "Currently, pt alert but not oriented. follows commands. denies pain, headache, cp/sob/dizzy, abd pain/n/v.",
+ "output": "The patient does not have pain."
+ }
+ ]
+}
\ No newline at end of file