CRF:filling SharedTask @ CL4Health2026
Collection
Datasets for participants at the CRF:filling task of CL4Health2026. For more info visit the website https://sites.google.com/fbk.eu/crf
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10 items
•
Updated
document_id
stringclasses 10
values | clinical_note
stringclasses 10
values | annotations
listlengths 134
134
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|---|---|---|
1017490_it
|
TRIAGE:
Riferisce di essere caduto accidentalemnte impattando:
-regione occipitale senza pdc ne commotività
-trocantere dx
-ginocchio dx
-caviglia dx
CS 15_Cincinnati negativa_eloquio fluente_pupille isocoriche isocicliche fotoreagenti.Non rigor.
Cosciente,lucido,orientato,non agitato.
indossa il collare cervicale rigido
pao 120/80 mm/hg, spo2 99%aa, fr 14 apm, fc 80 bpm r
VALUTAZIONE MEDICA:
riferisce acduat accidentale a terra a domicilio in seguito a perdita di appoggio con gamba destra (frattura femore spontanea?). Impatto su emilato destro come descritto in triage. Algie attualmente a livello del femore destro, del gomito destro. Trauma cranico senza mai pdc. Non vomito dopo l'episodio.
Non altri dettagli al momento
APR:
- Ipertensione arteriosa
- CAD (rifertio quadruplice BPAC)
- Diabete mellito tipo 2
- Protesi anca sinistra
TD: metformina 500 mg, iperten 1/2 co, enalapril 5 mg, omnic 0.4 mg, seloken 100 mg 1/2 co x 2, cardioASA, torvast 20 mg, contramala 15 gtt, tachipirina AD, omnepraozlo 20 mg
ALLERGIE: non note
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "certainly chronic",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "n",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "y",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "y",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "A",
"item": "level of consciousness"
},
{
"ground_truth": "eupneic",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "normocardic",
"item": "heart rate"
},
{
"ground_truth": "normotensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "y",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "99%",
"item": "spo2"
},
{
"ground_truth": "n",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
1584581_it
|
Paziente di 75 anni, iperteso in terapia, sovrappeso, pregressa exeresi di K prostata (2012) con follow up regolare. Grave allergia al veleno d'insetto (adrenalina sempre con sé), bactrim e oki (Kestine al bisogno). Nega allergia all'ASA (ma mai NOME_PERSONA). Riferisce controllo cardiologico recente ok. Riferisce famigliarità per neoplasia endorbitaria (PARENTE).
CIrca 10 giorni orsono in serata improvvisa algia in regione sovraorbitaria sin. Al mattino successivo evidenza di diplopia nello sguardo verso l'esterno in basso, stabile nella giornata, persistente nei giorni successivi per cui accesso presso DEA H Oftalmico: impostata terapia con collirio (netilmicina/desametasone), che il paziente ha applicato regolarmente senza apparente beneficio, per cui ieri 24/01 effettuata nuova visita oculistica ambulatoriale: non segnalati i rilievi della valutazione ortottica, consigliata valutazione neurologica e RMN. Nei giorni scorsi contestuale riscontro di valori pressori elevati, per cui adeguata terapia antipertensiva (aggiunta amlodipina 5 mg alla sera in paziente già in terapia con olprezide 40/25). Oggi pertanto accesso in DEA.
TC encefalo + orbite n.s. Emocromo + PCR n.n., HGT 78.
All'EON bordi sfumati nello sguardo verso sin anche in quello verticale esterno sin, non evidente oftalmoparesi, ROT ipoevocabili in alterato rilasciamento, resto nella norma.
In conclusione: paralisi n. trocleare ora apparentemente risolta in ipertensione non in compenso. Utile RMN encefalo basale per escludere piccola lacuna, Ecodoppler TSA e dosaggio assetto lipidico in considerazione del profilo di rischio. Funzionalità tiroidea di norma a recente controllo. Attenderei al momento ad avviare terapia antiaggregante l'esito degli esami prescritti, anche in relazione alla grave diatesi allergica del paziente.
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "certainly not active",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "y",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "unknown",
"item": "heart rate"
},
{
"ground_truth": "unknown",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "unknown",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "n.n",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "n.n.,",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "n",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
1614319_it
|
Paziente ospite di rsa.
Paziente accede 30 giorni fa presso PS CTO per trauma ginocchio sinistro , alla rx evidenza di frattura sovracondilica femore sinistro , posta indicazione a trattamento conservativo posizionata valva gessata da mantenere 30 giorni. Giunge oggi presso radiologia nostro presidio per rx di controllo, eseguita tc per assenza di esami precedenti, evidenziata lesione da decibito terzo medio posteriore coscia sinistra e inviata in ps
tc: In rapporto alla scarsa compliance l'indagine radiografica è completata da acquisizione TC che evidenzia pregressa frattura intercondilica femorale distale sn, ingranata, con una limitata sclerosi dei profili ossei. Presenza di protesi totale d'anca a sinistra integra ed in sede. Nella norma i rapporti articolari femoro -tibiali- rotulei
APR2013 ESA, ipertensione arteriosa, demenza senile, pta sin , ipotiroidismo
Paziente non deambulante da due anni
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "y",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "unknown",
"item": "heart rate"
},
{
"ground_truth": "unknown",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "unknown",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
1823273_it
|
Accede in DEA per dolore a livello dell'arto inferiore destro (inizialmente polpapaccio e successivamente anche coscia). Non edemi. Non traumatismi dell'arto inferiore. Contattato chirurgo vascolare Dr. NOME_PERSONA con invio in DEA.
Non assunta terapia antidolorifica.
APR:
- Ex fumatrice
- Ipertensione arteriosa
- Ipertiroidismo
- Pregressa mastoplastica riduttiva
- Pregresso bending gastrico
- Anemia sideropenica
- AOCP:
-- 2018 bypass protesico femoro popliteo sopragenicolare destro e bypass protesico femoro-tibiale anteriore sinistro + stent a livello dell'anastomosi distale a giugno 2018, complicato da infezione del bypass per cui ha effettuato una revisione della ferita inguinale. Eseguita terapia ATB con daptomicina c/o H NOME_PERSONA di Savoia.
--01/2023 rivascoalrizzazione (mediante fibrinolisi intrarteriosa + confezionamento di jump protesico tra precedente protesi e poplitea P2) dell'arto inferiore destro per trombosi del pregresso by-pass femoro-popliteo sovragenicolare
TD: warfarin 5 mg 1+1/4 co , ASA 100 mg 1 co, aldactone 25 mg 1 co, bisoprololo 2.5 mg 1 co, lansoprazolo 30 mg 1 co, pregabalin 75 mg 1 co, Micardis plus 80/12.5 mg 1 co
Allergie: non note a farmaci
Vaccinazione per SARS Copv2: 3 dosi
PARENTE NUM_TELEFONO
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "certainly chronic",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "n",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "y",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "y",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "y",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "y",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "unknown",
"item": "heart rate"
},
{
"ground_truth": "unknown",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "unknown",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
661135_it
|
Uomo di 72 aa familiarità, ex fumo, ipertensione arteriosa, obesità.
CAD nota: 30/11/2021 ricovero in cardiologia per eseguire coronarografia per sospetta angina da sforzo( da tempo angor e dispnea da sforzo), inoltre, dal 23/11/2021 riscontro di FA, avviato dabigatran.
Alla coro malattia trivasale: DX diminuitiva critica, occlusione cronica di rami marginali, lesione ulcerata di IVA media 70%, dopo avvio di DAPT( ASA + clopidogrel), PTCA + 1 DES su IVA media.
Ad ecocardio cinesi globale ,conservata, acinesia infero-basale, versamento pericardico moderato, max 18 mm in sede posterolaterale, organizzato, non tamponante. Non in NAO. Visita di controllo a tre mesi.
Inviato in dea dopo valutazione cardiologica per edemi declivi ingravescenti associati a dispnea da alcuni mesi.
in apr: ipertensione arteriosa, nel 2018 colectomia subtotale per adenoca del retto a seguire ciclo di chemiotp FOLFOX
laparocele post operatorio
Follow up regolare
TP: losartan 100 1 co, nebilox 5 mg , ferrograd, lasix 25 mg omeprazen , asa 1co, lasitone , atorvastatina , clopidogrel 75.
Al momento della visita il paziente riferisce dispnea per sforzi lievi dalla dimissione con DPN, non angor.
EDEMI declivi marcati, turgore delle giugulari, Killip 1 apparentemente, PA 160 /90 mmHG, FC 89, SO2: 96%.
Toni aritmici, non soffi.
Ad ECOfast versamento poericardico organizzato di grado severo, max in sede laterale ( ca 30-33mm) con apposizione di materiale ecodenso sul pericardio viscerale, ca 18 mm dinanzi a Vdx( senza collasso delle cavità dx), VCI 20 mm , collabente.
Utile ripetizione di ecocardiogramma in ambulatorio con valutazione doppler , possibile impatto emodinamico, anche se la VCI non appare severamente dilatata).
Paziente in FA , creat 1, 6 mg/dl , andrebbe avviato NAO( dopo valutazione versamento poericardico), dopo ecocardio valutare se avvio di clexane 6000 X 2
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "possibly active",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "y",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "y",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "y",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "normocardic",
"item": "heart rate"
},
{
"ground_truth": "hypertensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "SO2: 96",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "y",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "y",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "creat 1, 6 mg/dl",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "y",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
706564_it
|
Donna di 82 anni. Non allergie note.
Ipertesa, diabetica, dislipidemica, obesa. IRC.
Vascuopatia carotidea (stenosi 60% ICA sx, stenosi 50% ICA dx). Occlusione succlavia sx con furto.
Pregressa neoplasia vescicale sottoposta a resezione endoscopica nel 2015 (non documentazione).
CAD nota da settembre 2015 esordita con NSTEMI da discrepanza in corso di anemizzazione post intervento ortopedico (protesi ginocchio sx); a ottobre 2015 ripresa dolore toracico, riscontro di TVP e TEP, NSTEMI > coro: malattia plurivasale : IVA con stenosi 50-60% al tratto medio, calcifica, Cx con stenosi critica al tratto medio in vaso di piccolo calibro, coronaria dx con stenosi critica ostiale e subocclusiva al tratto prossimale con circolo omo ed eterocoronarico > PCI+BMS. FE 58%. Indicato controllo coronarografico a risoluzione del quadro urologico (non chiaro dalla documentazione se mai eseguito). Nel 2016 SPECT miocardica minime quote di ischemia.
Ultima visita cardio (9/2020) : sospetti episodi di angina, titolata terapia medica.
TD venitrin TD 15 mg, perindopril/amlodipina, pantorc 20, furosemide 2 cp x 2, cardura 4 mg x 2, allopurinolo 150 mg, ASA, metoprololo 50 mg x 2, cholecomb 5/10
Accesso in DEA il 25/2 ore 9.20 condotta da MSA, allertata per dispnea e astenia dal risveglio > all'ECG eseguito al domicilio RS 67 bpm, T negative in inferiore, scarsa progressione R in anteriore (sostanzialmente invariato rispetto a ECG del 2020). All'arrivo in DEA PA 140/85 mmHg, FC 80 R, SpO2 80% in aa, apiretica. Obiettivamente quadro di scompenso cardiaco, all'rx torace sovraccarico del piccolo circolo con iniziale interessamento interstizio-alveolare e addensamento vascolare delle ombre ilari.
Agli ematici WBC 5.97, Hb 8.9, PLTs 124, INR 1.13, crea 4.3, urea 210, AST 30, ALT 35, bil tot 0.35, Na 140, k 4.9, PCRneg, TnT 0.08 > 0.08. Somministrato lasix 1 fl ore 20.
Durante la notte in DEA allerta il personale per comparsa di dolore toracico oppressivo > eseguito ECG che documenta sopraST 1 mm orizzontale in aVR e sottoST discendente in laterale max 1 mm. EGA A p/f 126, pO2 63, pCO2 29, HCO3 18, k 4.9, lac 0.85, gli 145, Hb 9.6 Al mio arrivo la pz riferisce risoluzione della sintomatologia, eupnoica in MV 50%, PA 120/70 (riferisce episodio di dolore analogo ieri mattina). All'ecoscopia VS ai limiti superiori, FE conservata in presenza di sfumata ipocinesia della parete posteriore, IM moderato-severa da degenerazione dei lembi, degenerazione e ipomobilità delle cuspidi aortiche con iniziale accelerazione della flussimetria anterograda, IT moderata, VDx non dilatato normocontrattile, VCI 22 mm ipocollabente, non versamento pericardico.
CONCLUSIONI
Dolore toracico con alterazioni ECG in pz con scompenso cardiaco e cardiopatia ischemica-valvolare, anemica, con IRC avanzata (eGFR 10 ml/min). Prosegue decongestione con lasix ev e avvia nitrato ev da titolare sec PA. Da rivedere con enzimi.
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "certainly chronic",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "possibly active",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "n",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "y",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "y",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "y",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "y",
"item": "antihypertensive therapy"
},
{
"ground_truth": "y",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "eupneic",
"item": "respiratory rate"
},
{
"ground_truth": "normothermic",
"item": "body temperature"
},
{
"ground_truth": "normocardic",
"item": "heart rate"
},
{
"ground_truth": "normotensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "80%",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "y",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "63",
"item": "pa02"
},
{
"ground_truth": "29",
"item": "pac02"
},
{
"ground_truth": "18",
"item": "hc03-"
},
{
"ground_truth": "0.85",
"item": "lactates"
},
{
"ground_truth": "8.9",
"item": "hemoglobin"
},
{
"ground_truth": "124",
"item": "platelets"
},
{
"ground_truth": "5.97",
"item": "leukocytes"
},
{
"ground_truth": "PCRneg",
"item": "c-reactive protein"
},
{
"ground_truth": "140",
"item": "blood sodium"
},
{
"ground_truth": "4.9",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "4.3",
"item": "creatinine"
},
{
"ground_truth": "30",
"item": "transaminases"
},
{
"ground_truth": "1.13",
"item": "inr"
},
{
"ground_truth": "0.08 > 0.08",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "y",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "y",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
82397_it
|
RX RACHIDE LOMBOSACRALE
RX ANCA DX
Esiti di protesi totale d'anca a destra senza segni di mobilizzazione rispetto al precedente studio del 01/04/2021.
Quadro di coxartrosi a sinistra con irregolarità degenerative sclerosi del tetto acetabolare. Testa femorale di sinistra normoconformata, in sede. Non evidenti lesioni ossee in atto a carico del bacino.
Regolari i rapporti articolari e protesici.
Rachide in asse sul piano coronale con riduzione della fisiologica curvatura sul piano sagittale.
Non significativi disallineamenti dei muri somatici posteriori.
Alterazione morfostrutturale del soma di L4 con evidenza di grossolani becchi osteofitosici dei margini somatici e lieve affondamento della limitante somatica inferiore di più verosimile data non recente.Non evidenti lesioni ossee metameriche di aspetto postraumatico in particolare di data recente. Osteofitosi dei margini somatici anche L5-S1 ove si osserva netta riduzione dello spazio intersomatico.
Fenomeni di artrosi interapofisaria al passaggio lombosacrale.
Restanti spazi discali normorappresentati
Medico Refertante : NOME_PERSONA DR.SSA NOME_PERSONA
S/ Codamol:1 cpr
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "unknown",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "unknown",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "unknown",
"item": "body temperature"
},
{
"ground_truth": "unknown",
"item": "heart rate"
},
{
"ground_truth": "unknown",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "unknown",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
1230384_it
|
PAO 131/84 Spo2 97%aa fc 64
EOP: MV bilaterale, sibili espiratori.
EOC toni ritmici validi, pause apparentemente libere. polsi normoisosfigmici. no edemi declivi
EOA: addome piano, trattabile, lievemente dolente alla palpazione in tutti i campi. NOME_PERSONA- NOME_PERSONA - (riferito alvo stititico)
presenza di cisti di consistenza morbido elastica in sede fronto-parietale (lipoma?) dolente alla palpazione.. non rubor. dolore alla palpazione del lato sinistro della testa.
paziente VOC, Mingazzini-. non segni di meningismo, non febbre. pupille normoisocoriche, non deifcit stenici, non segni di lato.
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "unknown",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "A",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "normothermic",
"item": "body temperature"
},
{
"ground_truth": "normocardic",
"item": "heart rate"
},
{
"ground_truth": "normotensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "97%",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
175288_it
|
Vigile orientata collaborante
PAO 150/80 mmHg FC 78r bpm SpO2 96% aa FR 18 apm Tc 36.8
EOP: MV diffuso bilateralmente, non rumori aggiunti
EOC: toni validi, ritmici
EOA: globoso, trattabile, non dolente, non dolorabile, Murphy e Blumberg negativi, peristalsi presente
AAII: non edemi declivi; polsi periferici iposfigmici, palpabili fino all'art. poplitea bilaterale, non palpabile polso pedidio bilat; necrosi secca I dito sx, lieve cianosi a liv restanti dita del piede sx; non deficit di sensibilità nè motori AI sx
ECG invariato rispetto al precedente
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "unknown",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "A",
"item": "level of consciousness"
},
{
"ground_truth": "eupneic",
"item": "respiratory rate"
},
{
"ground_truth": "normothermic",
"item": "body temperature"
},
{
"ground_truth": "normocardic",
"item": "heart rate"
},
{
"ground_truth": "hypertensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "96%",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
567561_it
|
Paziente vigile, orientato T/S, collaborante
Cute e mucose idratate. Nega dolore al momento della visita (NRS=0)
PAO:130/90 mmHg - FC: 120 bpm R - SatO2: 97%AA - T: 37.5°C
EOC: toni tachicardici, ritmici, pause apparentemente libere
EOP: MV diffusamente presente, non grossolani rumori aggiunti
EOA: addome teso, scarsamente trattabile, dolente e dolorabile in ipogastrio e FID, blumberg e Murphy negativi, non dolore alla palpazione in loggia renale bilateralmente
Non edemi declivi, non segni di TVP. Polsi periferici presenti normosfigmici e simmetrici
|
[
{
"ground_truth": "unknown",
"item": "chronic pulmonary disease"
},
{
"ground_truth": "unknown",
"item": "chronic respiratory failure"
},
{
"ground_truth": "unknown",
"item": "chronic cardiac failure"
},
{
"ground_truth": "unknown",
"item": "chronic renal failure"
},
{
"ground_truth": "unknown",
"item": "chronic metabolic failure"
},
{
"ground_truth": "unknown",
"item": "chronic rheumatologic disease"
},
{
"ground_truth": "unknown",
"item": "active neoplasia"
},
{
"ground_truth": "unknown",
"item": "chronic dialysis"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's consciousness recovery"
},
{
"ground_truth": "unknown",
"item": "duration of the patient's unconsciousness"
},
{
"ground_truth": "unknown",
"item": "first episod of epilepsy"
},
{
"ground_truth": "unknown",
"item": "known history of epilepsy"
},
{
"ground_truth": "unknown",
"item": "history of allergy"
},
{
"ground_truth": "unknown",
"item": "history of recent trauma"
},
{
"ground_truth": "unknown",
"item": "pregnancy"
},
{
"ground_truth": "unknown",
"item": "history of drug abuse"
},
{
"ground_truth": "unknown",
"item": "history of alcohol abuse"
},
{
"ground_truth": "unknown",
"item": "anticoagulants or antiplatelet drug therapy"
},
{
"ground_truth": "unknown",
"item": "presence of prodromal symptoms"
},
{
"ground_truth": "unknown",
"item": "compliance with antiepileptic therapy"
},
{
"ground_truth": "unknown",
"item": "tloc during effort"
},
{
"ground_truth": "unknown",
"item": "tloc while supine"
},
{
"ground_truth": "unknown",
"item": "antiepileptic therapy already in place"
},
{
"ground_truth": "unknown",
"item": "drowsiness, confusion, disorientation as postcritical state"
},
{
"ground_truth": "unknown",
"item": "stiffness during the episode"
},
{
"ground_truth": "unknown",
"item": "drooling during the episode"
},
{
"ground_truth": "unknown",
"item": "tonic-clonic seizures"
},
{
"ground_truth": "unknown",
"item": "poly-pharmacological therapy"
},
{
"ground_truth": "unknown",
"item": "pale skin during the episode"
},
{
"ground_truth": "unknown",
"item": "eye deviation during the episode"
},
{
"ground_truth": "unknown",
"item": "diffuse vascular disease"
},
{
"ground_truth": "unknown",
"item": "neuropsychiatric disorders"
},
{
"ground_truth": "unknown",
"item": "presence of pacemaker"
},
{
"ground_truth": "unknown",
"item": "presence of defibrillator"
},
{
"ground_truth": "unknown",
"item": "cardio-pulmonary resuscitation"
},
{
"ground_truth": "unknown",
"item": "antihypertensive therapy"
},
{
"ground_truth": "unknown",
"item": "cardiovascular diseases"
},
{
"ground_truth": "unknown",
"item": "neurodegenerative diseases"
},
{
"ground_truth": "unknown",
"item": "peripheral neuropathy"
},
{
"ground_truth": "unknown",
"item": "immunosuppression"
},
{
"ground_truth": "unknown",
"item": "palliative care"
},
{
"ground_truth": "unknown",
"item": "situation description, like coughing, prolonged periods of straining, sudden abdominal pain, phlebotomy"
},
{
"ground_truth": "unknown",
"item": "problematic family context"
},
{
"ground_truth": "unknown",
"item": "need but absence of a caregiver"
},
{
"ground_truth": "unknown",
"item": "homelessness"
},
{
"ground_truth": "unknown",
"item": "living alone"
},
{
"ground_truth": "unknown",
"item": "level of autonomy (mobility)"
},
{
"ground_truth": "A",
"item": "level of consciousness"
},
{
"ground_truth": "unknown",
"item": "respiratory rate"
},
{
"ground_truth": "normothermic",
"item": "body temperature"
},
{
"ground_truth": "tachycardic",
"item": "heart rate"
},
{
"ground_truth": "normotensive",
"item": "blood pressure"
},
{
"ground_truth": "unknown",
"item": "presence of respiratory distress"
},
{
"ground_truth": "unknown",
"item": "carotid sinus massage"
},
{
"ground_truth": "unknown",
"item": "supine-to-standing systolic blood pressure test"
},
{
"ground_truth": "unknown",
"item": "blood in the stool"
},
{
"ground_truth": "unknown",
"item": "chest pain"
},
{
"ground_truth": "unknown",
"item": "head or other districts trauma"
},
{
"ground_truth": "unknown",
"item": "tongue bite"
},
{
"ground_truth": "97%",
"item": "spo2"
},
{
"ground_truth": "unknown",
"item": "agitation"
},
{
"ground_truth": "unknown",
"item": "foreign body in the airways"
},
{
"ground_truth": "unknown",
"item": "improvement of dyspnea"
},
{
"ground_truth": "unknown",
"item": "presence of dyspnea"
},
{
"ground_truth": "unknown",
"item": "dementia"
},
{
"ground_truth": "unknown",
"item": "general condition deterioration"
},
{
"ground_truth": "unknown",
"item": "ab ingestis pneumonia"
},
{
"ground_truth": "unknown",
"item": "further seizures in the ed"
},
{
"ground_truth": "unknown",
"item": "improvement of patient’s conditions"
},
{
"ground_truth": "unknown",
"item": "neurologist consultation"
},
{
"ground_truth": "unknown",
"item": "ecg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ecg monitoring, any abnormality"
},
{
"ground_truth": "unknown",
"item": "eeg, any abnormality"
},
{
"ground_truth": "unknown",
"item": "ph"
},
{
"ground_truth": "unknown",
"item": "pa02"
},
{
"ground_truth": "unknown",
"item": "pac02"
},
{
"ground_truth": "unknown",
"item": "hc03-"
},
{
"ground_truth": "unknown",
"item": "lactates"
},
{
"ground_truth": "unknown",
"item": "hemoglobin"
},
{
"ground_truth": "unknown",
"item": "platelets"
},
{
"ground_truth": "unknown",
"item": "leukocytes"
},
{
"ground_truth": "unknown",
"item": "c-reactive protein"
},
{
"ground_truth": "unknown",
"item": "blood sodium"
},
{
"ground_truth": "unknown",
"item": "blood potassium"
},
{
"ground_truth": "unknown",
"item": "blood glucose"
},
{
"ground_truth": "unknown",
"item": "creatinine"
},
{
"ground_truth": "unknown",
"item": "transaminases"
},
{
"ground_truth": "unknown",
"item": "inr"
},
{
"ground_truth": "unknown",
"item": "troponin"
},
{
"ground_truth": "unknown",
"item": "bnp or nt-pro-bnp"
},
{
"ground_truth": "unknown",
"item": "d-dimer"
},
{
"ground_truth": "unknown",
"item": "blood calcium"
},
{
"ground_truth": "unknown",
"item": "serum creatinine kinase"
},
{
"ground_truth": "unknown",
"item": "blood alcohol"
},
{
"ground_truth": "unknown",
"item": "blood drug dosage"
},
{
"ground_truth": "unknown",
"item": "urine drug test"
},
{
"ground_truth": "unknown",
"item": "sars-cov-2 swab test"
},
{
"ground_truth": "unknown",
"item": "thoracic ultrasound, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "chest rx, any abnormalities"
},
{
"ground_truth": "unknown",
"item": "gastroscopy , any abnormalities"
},
{
"ground_truth": "unknown",
"item": "brain ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "brain mri, any abnormality"
},
{
"ground_truth": "unknown",
"item": "cardiac ultrasound, any abnormality"
},
{
"ground_truth": "unknown",
"item": "chest ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "pulmonary scintigraphy, any abnormality"
},
{
"ground_truth": "unknown",
"item": "abdomen ct scan, any abnormality"
},
{
"ground_truth": "unknown",
"item": "compression ultrasound (cus), any abnormality"
},
{
"ground_truth": "unknown",
"item": "performance of thoracentesis"
},
{
"ground_truth": "unknown",
"item": "administration of diuretics"
},
{
"ground_truth": "unknown",
"item": "administration of steroids"
},
{
"ground_truth": "unknown",
"item": "administration of bronchodilators"
},
{
"ground_truth": "unknown",
"item": "administration of oxygen/ventilation"
},
{
"ground_truth": "unknown",
"item": "blood transfusions"
},
{
"ground_truth": "unknown",
"item": "administration of fluids"
},
{
"ground_truth": "unknown",
"item": "heart failure"
},
{
"ground_truth": "unknown",
"item": "pneumonia"
},
{
"ground_truth": "unknown",
"item": "copd exacerbation"
},
{
"ground_truth": "unknown",
"item": "acute pulmonary edema"
},
{
"ground_truth": "unknown",
"item": "asthma exacerbation"
},
{
"ground_truth": "unknown",
"item": "respiratory failure"
},
{
"ground_truth": "unknown",
"item": "intoxication"
},
{
"ground_truth": "unknown",
"item": "covid 19"
},
{
"ground_truth": "unknown",
"item": "influenza and various infections"
},
{
"ground_truth": "unknown",
"item": "pneumothorax"
},
{
"ground_truth": "unknown",
"item": "situational syncope"
},
{
"ground_truth": "unknown",
"item": "epilepsy / epileptic seizure"
},
{
"ground_truth": "unknown",
"item": "pulmonary embolism"
},
{
"ground_truth": "unknown",
"item": "arrhythmia"
},
{
"ground_truth": "unknown",
"item": "cardiac tamponade"
},
{
"ground_truth": "unknown",
"item": "aortic dissection"
},
{
"ground_truth": "unknown",
"item": "acute coronary syndrome"
},
{
"ground_truth": "unknown",
"item": "hemorrhage"
},
{
"ground_truth": "unknown",
"item": "severe anemia"
},
{
"ground_truth": "unknown",
"item": "concussive head trauma"
}
] |
Dataset description
This dataset contains the train annotated CRFs for the CRF:filling Shared Task at CL4Health2026.
The clinical notes have been collected, anonymized and annotated at the San Giovanni Bosco (SGB) hospital, Turin, Italy.
There are two splits, each representing a different language: en (English) and it (Italian).
Each example (10 in total) in the dataset is composed by:
document_id: clinical note identifierclinical_note: the note reporting on the patient's clinical historyannotations: the CRF items with theirground_truthlabels
For more info visit the website https://sites.google.com/fbk.eu/crf
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