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10,006,457
24,934,308
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Morphine Sulfate / Codeine / Dilaudid (PF) / lisinopril / lisinopril Attending: ___ Chief Complaint: hypoglycemia Major Surgical or In...
[ "N179", "I69351", "E1121", "E1140", "E11649", "E113393", "I10", "E785", "D649", "F17210", "Z7984", "N141", "T39395A", "Y929" ]
Allergies: Morphine Sulfate / Codeine / Dilaudid (PF) / lisinopril / lisinopril Chief Complaint: hypoglycemia Major Surgical or Invasive Procedure: none History of Present Illness: Patient is a [MASKED] year old woman with history of NIDDM on glipizide, hx of pericarditis, HTN, hyperlipidemia, nephrolithiasis who prese...
[]
[ "N179", "I10", "E785", "D649", "F17210", "Y929" ]
[ "N179: Acute kidney failure, unspecified", "I69351: Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side", "E1121: Type 2 diabetes mellitus with diabetic nephropathy", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "E11649: Type 2 diabetes mellitus...
10,006,513
28,504,108
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: UROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: nephrolithiasis, acute kidney injury Major Surgical or In...
[ "N136", "B9620", "N179", "E119", "Z794" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: nephrolithiasis, acute kidney injury Major Surgical or Invasive Procedure: Cystoscopy, left ureteral stent placement. History of Present Illness: [MASKED] yo diabetic male, found to have at least 2 separate left ureteral stones, 4 mm at left UVJ an...
[]
[ "N179", "E119", "Z794" ]
[ "N136: Pyonephrosis", "B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere", "N179: Acute kidney failure, unspecified", "E119: Type 2 diabetes mellitus without complications", "Z794: Long term (current) use of insulin" ]
10,006,513
29,846,618
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fever, left ankle and knee pain Major Surgical or Invasi...
[ "M10072", "N179", "M10062", "E1122", "N189", "E860", "Z87442", "Z794" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fever, left ankle and knee pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] [MASKED] speaking man with history of gout and diabetes presenting with two days of left ankle and knee pain and subjective fevers. He h...
[]
[ "N179", "E1122", "N189", "Z794" ]
[ "M10072: Idiopathic gout, left ankle and foot", "N179: Acute kidney failure, unspecified", "M10062: Idiopathic gout, left knee", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "N189: Chronic kidney disease, unspecified", "E860: Dehydration", "Z87442: Personal history of urinary ...
10,006,640
29,151,310
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Bactrim / adhesive tape / chlorhexidine / lactose / seasonal Attending: ___. Chief Complaint: Post-procedure monitoring Major Surgical o...
[ "D134", "G8918", "R112", "R0789", "Z800", "E119", "Z794", "R748", "M797", "K589", "F419", "E669", "K219", "G4700" ]
Allergies: Bactrim / adhesive tape / chlorhexidine / lactose / seasonal Chief Complaint: Post-procedure monitoring Major Surgical or Invasive Procedure: Right hepatic artery embolization ([MASKED]) History of Present Illness: Ms. [MASKED] is a [MASKED] woman with a past medical history of IBS, LPR, eczema, thyroid nodu...
[]
[ "E119", "Z794", "F419", "E669", "K219", "G4700" ]
[ "D134: Benign neoplasm of liver", "G8918: Other acute postprocedural pain", "R112: Nausea with vomiting, unspecified", "R0789: Other chest pain", "Z800: Family history of malignant neoplasm of digestive organs", "E119: Type 2 diabetes mellitus without complications", "Z794: Long term (current) use of in...
10,007,058
22,954,658
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___ - Per...
[ "I214", "I7102", "K219", "Z23", "Z7902", "Z7982" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED] - Percutaneous coronary intervention with thrombectomy and no stent History of Present Illness: Mr. [MASKED] is a healthy [MASKED] year-old male who presented with back pain and chest pain f...
[]
[ "K219", "Z7902" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "I7102: Dissection of abdominal aorta", "K219: Gastro-esophageal reflux disease without esophagitis", "Z23: Encounter for immunization", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "Z7982: Long term (current) use of aspirin" ]
10,007,134
29,356,606
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Allergies/ADRs on File Attending: ___ Chief Complaint: Left chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr...
[ "S270XXA", "S2242XA", "Y33XXXA", "Y92481", "Z590", "F1010", "F1210", "Z720" ]
Allergies: No Allergies/ADRs on File Chief Complaint: Left chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old man who was sleeping lying on a driveway and was run over by backing out car, causing 3 left ribs fracture. Past Medical History: DM (not treat...
[]
[]
[ "S270XXA: Traumatic pneumothorax, initial encounter", "S2242XA: Multiple fractures of ribs, left side, initial encounter for closed fracture", "Y33XXXA: Other specified events, undetermined intent, initial encounter", "Y92481: Parking lot as the place of occurrence of the external cause", "Z590: Homelessnes...
10,007,818
22,987,108
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Volume overload Major Surgical or Invasive Procedure: Paracentesis ___ Paracentesis _...
[ "K7469", "K767", "J9600", "A4151", "N179", "K661", "R571", "R6521", "K659", "N183", "E43", "K7201", "T8119XA", "K7200", "D684", "J95851", "R188", "D62", "I4892", "K766", "E871", "N390", "K567", "E872", "J9811", "I97610", "T80219A", "K7581", "I129", "D638", ...
Allergies: Penicillins Chief Complaint: Volume overload Major Surgical or Invasive Procedure: Paracentesis [MASKED] Paracentesis [MASKED] Paracentesis [MASKED] Paracentesis [MASKED] Paracentesis [MASKED] Paracentesis [MASKED] Cardiac catheterization HD line placement CVL placement A-line placement History of Present Il...
[]
[ "N179", "D62", "E871", "N390", "E872", "I129", "Z955", "E119", "Z794", "I4891" ]
[ "K7469: Other cirrhosis of liver", "K767: Hepatorenal syndrome", "J9600: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia", "A4151: Sepsis due to Escherichia coli [E. coli]", "N179: Acute kidney failure, unspecified", "K661: Hemoperitoneum", "R571: Hypovolemic shock", "R6521:...
10,008,077
22,125,576
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: shellfish derived Attending: ___. Chief Complaint: Enlargement of pararenal abdominal aortic aneurysm with impingement on the para-viscera...
[ "I714", "I482", "I10", "I2510", "M549", "Z7901", "Z006", "Z951", "K219", "M1990", "Z96651", "Z87891", "E669", "Z6837" ]
Allergies: shellfish derived Chief Complaint: Enlargement of pararenal abdominal aortic aneurysm with impingement on the para-visceral segment. Major Surgical or Invasive Procedure: Endovascular repair of abdominal aortic aneurysm using physician-modified fenestrated [MASKED]. History of Present Illness: Mr. [MASKED] i...
[]
[ "I10", "I2510", "Z7901", "Z951", "K219", "Z87891", "E669" ]
[ "I714: Abdominal aortic aneurysm, without rupture", "I482: Chronic atrial fibrillation", "I10: Essential (primary) hypertension", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "M549: Dorsalgia, unspecified", "Z7901: Long term (current) use of anticoagulants", ...
10,008,077
27,668,147
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: shellfish derived / hydromorphone / oxycodone / trazodone Attending: ___ Major Surgical or Invasive Procedure: Coronary Angiogram ___ att...
[ "I25118", "I9751", "I25718", "N183", "I129", "I2582", "I480", "E785", "K219", "Y658", "Y713", "Y92238", "Z87891", "Z951", "Z7902" ]
Allergies: shellfish derived / hydromorphone / oxycodone / trazodone Major Surgical or Invasive Procedure: Coronary Angiogram [MASKED] attach Pertinent Results: DISCHARGE PHYSICAL EXAMINATION ============================== VS: reviwed in MetaVision GENERAL: Well developed, well nourished, appears uncomfortable while la...
[]
[ "I129", "I480", "E785", "K219", "Z87891", "Z951", "Z7902" ]
[ "I25118: Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris", "I9751: Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure", "I25718: Atherosclerosis of autologous vein coronary artery bypass graft(s) with ot...
10,008,245
26,674,944
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: phenobarbital / Zonegran / Demerol Attending: ___. Chief Complaint: Pelvic pain, limp on R Major Surgical or Invasive Procedure: None ...
[ "S32391A", "E870", "F72", "G40909", "R509", "J45909", "M810", "R2681", "X58XXXA", "Y92098", "K5900" ]
Allergies: phenobarbital / Zonegran / Demerol Chief Complaint: Pelvic pain, limp on R Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with severe developmental delay, nonverbal, history of seizures, presents as a transfer from [MASKED] for orthopedics evaluation. This morni...
[]
[ "J45909", "K5900" ]
[ "S32391A: Other fracture of right ilium, initial encounter for closed fracture", "E870: Hyperosmolality and hypernatremia", "F72: Severe intellectual disabilities", "G40909: Epilepsy, unspecified, not intractable, without status epilepticus", "R509: Fever, unspecified", "J45909: Unspecified asthma, uncomp...
10,008,287
22,168,393
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: naproxen / latex Attending: ___. Chief Complaint: cavernous malformation Major Surgical or Invasive Procedure: ___: Left temp...
[ "D1802", "G40909", "Z85850" ]
Allergies: naproxen / latex Chief Complaint: cavernous malformation Major Surgical or Invasive Procedure: [MASKED]: Left temporal craniectomy for cavernous malformation History of Present Illness: [MASKED] year old female known to the Neurosurgical Service who has been conservatively monitored for known cavernous malfo...
[]
[]
[ "D1802: Hemangioma of intracranial structures", "G40909: Epilepsy, unspecified, not intractable, without status epilepticus", "Z85850: Personal history of malignant neoplasm of thyroid" ]
10,008,647
25,482,427
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fall Major Surgical or Invasive Procedure: None. His...
[ "S065X9A", "S0081XA", "W19XXXA", "Y92009", "R55", "I10", "M542", "R531" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fall Major Surgical or Invasive Procedure: None. History of Present Illness: [MASKED] w/ PMHx notable for HTN and remote head injury 40+ years prior now seen in consultation following a presumed syncopal episode. Pt cannot describe any inciting eve...
[]
[ "I10" ]
[ "S065X9A: Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter", "S0081XA: Abrasion of other part of head, initial encounter", "W19XXXA: Unspecified fall, initial encounter", "Y92009: Unspecified place in unspecified non-institutional (private) residence as the p...
10,008,819
26,880,688
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Penicillinase Attending: ___. Chief Complaint: abdominal pain and bulge Major Surgical or Invasive Procedure: Ventral hernia repair Hi...
[ "K436", "I10", "F17210" ]
Allergies: Penicillinase Chief Complaint: abdominal pain and bulge Major Surgical or Invasive Procedure: Ventral hernia repair History of Present Illness: [MASKED] year old female presenting with longstanding history of having a reducible hernia (at least [MASKED] years). It caused no pain and she was always able to ma...
[]
[ "I10", "F17210" ]
[ "K436: Other and unspecified ventral hernia with obstruction, without gangrene", "I10: Essential (primary) hypertension", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,009,129
21,618,536
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: ibuprofen Attending: ___. Chief Complaint: L thumb near complete amputation Major Surgical or Invasive Procedure: ___ ___: 1. Irr...
[ "S68522A", "B182", "W312XXA", "Y9269", "F1290" ]
Allergies: ibuprofen Chief Complaint: L thumb near complete amputation Major Surgical or Invasive Procedure: [MASKED] [MASKED]: 1. Irrigation and debridement down to necrotic bone. 2. Primary IP joint arthrodesis with autograft. 3. Repair of the radial digital nerve. 4. Repair of the ulnar digital nerve. 5. Repair of t...
[]
[]
[ "S68522A: Partial traumatic transphalangeal amputation of left thumb, initial encounter", "B182: Chronic viral hepatitis C", "W312XXA: Contact with powered woodworking and forming machines, initial encounter", "Y9269: Other specified industrial and construction area as the place of occurrence of the external ...
10,010,058
21,955,805
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: N/A ...
[ "I214", "I5023", "I7101", "I130", "N179", "I252", "I2510", "I5084", "N189", "R627", "E875", "I482", "Z7901", "L270", "I255", "G629", "D649", "R7989", "Z66", "Z95810", "T465X5A", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: N/A History of Present Illness: Mr. [MASKED] is a [MASKED] year old male with past medical history significant for ischemic cardiomyopathy with LVEF 35%, coronary artery disease [MASKED] silent anter...
[]
[ "I130", "N179", "I252", "I2510", "N189", "Z7901", "D649", "Z66", "Y92230" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "I5023: Acute on chronic systolic (congestive) heart failure", "I7101: Dissection of thoracic aorta", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidn...
10,010,058
26,359,957
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Shortness of breath Major Surgical or Invasive Proce...
[ "I2109", "J9601", "I5023", "I442", "R570", "I2510", "I255", "I482", "Z7901", "N189", "E785", "M109", "N400", "M1990", "Z66", "E875", "D649", "R34", "I252", "I081", "Z4502", "I2720", "Z781" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Coronary angiogram [MASKED] History of Present Illness: [MASKED] w/ hx of HLD, CAD c/b remote anteroseptal MI, ischemic cardiomyopathy HFrEF (EF=27%) mild/mod MR/TR, CKD, and permanent afib ...
[]
[ "J9601", "I2510", "Z7901", "N189", "E785", "M109", "N400", "Z66", "D649", "I252" ]
[ "I2109: ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall", "J9601: Acute respiratory failure with hypoxia", "I5023: Acute on chronic systolic (congestive) heart failure", "I442: Atrioventricular block, complete", "R570: Cardiogenic shock", "I2510: Atherosclerotic...
10,010,058
28,963,312
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: acute encephalopathy Major Surgical or Invasive Proce...
[ "N179", "G9341", "E43", "E872", "D696", "I130", "I4891", "I5022", "E871", "Z681", "E860", "E785", "I2510", "I252", "I255", "N189", "M109", "R627", "Z7902", "D638" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: acute encephalopathy Major Surgical or Invasive Procedure: none History of Present Illness: Mr [MASKED] is a [MASKED] year-old male with a past medical history of hyperlipidemia, CAD, anterior MI, ischemic cardiomyopathy with LVEF 35%, mild- modera...
[]
[ "N179", "E872", "D696", "I130", "I4891", "E871", "E785", "I2510", "I252", "N189", "M109", "Z7902" ]
[ "N179: Acute kidney failure, unspecified", "G9341: Metabolic encephalopathy", "E43: Unspecified severe protein-calorie malnutrition", "E872: Acidosis", "D696: Thrombocytopenia, unspecified", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney ...
10,010,231
20,687,038
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: epigastric abdominal pain Major Surgical or Invasive Proce...
[ "K2960", "D61810", "C92Z0", "K219", "E860", "T451X5A", "Y9289", "Z79899" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: epigastric abdominal pain Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] male with history AML s/p 7+3 induction now s/p 3C of HiDAC. Developed FN after C2 of HiDAC with no obvious infectious sourc...
[]
[ "K219" ]
[ "K2960: Other gastritis without bleeding", "D61810: Antineoplastic chemotherapy induced pancytopenia", "C92Z0: Other myeloid leukemia not having achieved remission", "K219: Gastro-esophageal reflux disease without esophagitis", "E860: Dehydration", "T451X5A: Adverse effect of antineoplastic and immunosupp...
10,010,231
21,586,397
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: planned admission for HiDAC Major Surgical or Invasive Pro...
[ "Z5111", "C9200" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: planned admission for HiDAC Major Surgical or Invasive Procedure: None. History of Present Illness: Mr. [MASKED] is a [MASKED] gentleman without any past medical history, and recent diagnosis of acute myeloid leukemia s/p recent admission for 7+3 s...
[]
[]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C9200: Acute myeloblastic leukemia, not having achieved remission" ]
10,010,231
23,083,980
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fever Major Surgical or Invasive Procedure: None Histor...
[ "D701", "C9200", "T451X5A", "R5081", "Y92009", "D61818" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fever Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with recent diagnosis AML on HiDAC (recent admit [MASKED] for second cycle HiDAC consolidation after previously receiving 7+3) presenting as a transfer from [MASK...
[]
[]
[ "D701: Agranulocytosis secondary to cancer chemotherapy", "C9200: Acute myeloblastic leukemia, not having achieved remission", "T451X5A: Adverse effect of antineoplastic and immunosuppressive drugs, initial encounter", "R5081: Fever presenting with conditions classified elsewhere", "Y92009: Unspecified plac...
10,010,231
23,835,132
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: HiDAC Major Surgical or Invasive Procedure: none Histor...
[ "Z5111", "C92Z0", "K760", "K219", "K2970" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: HiDAC Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] male with history AML s/p 7+3 induction now s/p 3C of HiDAC. Developed FN after C2 of HiDAC with no obvious infectious source found now presenti...
[]
[ "K219" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C92Z0: Other myeloid leukemia not having achieved remission", "K760: Fatty (change of) liver, not elsewhere classified", "K219: Gastro-esophageal reflux disease without esophagitis", "K2970: Gastritis, unspecified, without bleeding" ]
10,010,231
24,995,642
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: cycle 3 of hidac Major Surgical or Invasive Procedure: Non...
[ "Z5111", "D61810", "C92Z0", "R740", "K5903", "T451X5A", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: cycle 3 of hidac Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with history AML s/p 7+3 induction now presenting for C3 of HiDAC. Developed FN after C2 of chemotherapy with no infectious sour...
[]
[ "Y92230" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "D61810: Antineoplastic chemotherapy induced pancytopenia", "C92Z0: Other myeloid leukemia not having achieved remission", "R740: Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]", "K5903: Drug induced constipation", "T...
10,010,231
25,499,227
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Weakness Major Surgical or Invasive Procedure: None Histo...
[ "C9200", "E854", "D701", "K1230", "L99", "K219", "R0781", "R42", "R300", "R197", "T451X5A", "R5081", "Y92239" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Weakness Major Surgical or Invasive Procedure: None History of Present Illness: Mr [MASKED] is a [MASKED] gentleman with no significant past medical history who presents with weakness and found to have findings concerning for acute leukemia. The pa...
[]
[ "K219" ]
[ "C9200: Acute myeloblastic leukemia, not having achieved remission", "E854: Organ-limited amyloidosis", "D701: Agranulocytosis secondary to cancer chemotherapy", "K1230: Oral mucositis (ulcerative), unspecified", "L99: Other disorders of skin and subcutaneous tissue in diseases classified elsewhere", "K21...
10,010,231
27,998,273
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: febrile neutropenia Major Surgical or Invasive Procedure: P...
[ "A4101", "D61810", "L03221", "E871", "C92Z1", "L731", "R5081", "T451X5A", "Y92009", "R918", "R740", "T50995A", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: febrile neutropenia Major Surgical or Invasive Procedure: POC removal [MASKED] History of Present Illness: HPI: [MASKED] with history of AML on HiDAC C4D13 presenting to the ED with fever and submandibular swelling. The patient reports he had a sma...
[]
[ "E871", "Y92230" ]
[ "A4101: Sepsis due to Methicillin susceptible Staphylococcus aureus", "D61810: Antineoplastic chemotherapy induced pancytopenia", "L03221: Cellulitis of neck", "E871: Hypo-osmolality and hyponatremia", "C92Z1: Other myeloid leukemia, in remission", "L731: Pseudofolliculitis barbae", "R5081: Fever presen...
10,010,231
28,743,978
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Fever. Major Surgical or Invasive Procedure: None. Histor...
[ "D709", "C9200", "R5081", "R1011", "M79662", "M79661", "L729" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fever. Major Surgical or Invasive Procedure: None. History of Present Illness: Mr [MASKED] is a [MASKED] year old man with recently diagnosed AML with RUNX1/RUNX1T1 rearrangement, s/p induction with 7+3 (D1 [MASKED] and s/p HiDAC consolidation (D1:...
[]
[]
[ "D709: Neutropenia, unspecified", "C9200: Acute myeloblastic leukemia, not having achieved remission", "R5081: Fever presenting with conditions classified elsewhere", "R1011: Right upper quadrant pain", "M79662: Pain in left lower leg", "M79661: Pain in right lower leg", "L729: Follicular cyst of the sk...
10,010,231
29,368,887
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Admit for Cycle 2 HIDAC Major Surgical or Invasive Proced...
[ "Z5111", "C9200", "Z91048" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Admit for Cycle 2 HIDAC Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo M with no past medical history and recent diagnosis of acute myeloid leukemia s/p 7+3 admitted for cycle 2 of HiDAC. Communicated with patien...
[]
[]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C9200: Acute myeloblastic leukemia, not having achieved remission", "Z91048: Other nonmedicinal substance allergy status" ]
10,010,393
23,840,407
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Topamax / Reglan Attending: ___. Chief Complaint: Low back pain Major Surgical or Invasive Procedure: None History of...
[ "G588", "I10", "R338", "R202", "Z9689", "G43909", "E039", "F459", "H6691", "I951", "K219", "K5900" ]
Allergies: Penicillins / Topamax / Reglan Chief Complaint: Low back pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old woman with history of pudendal neuralgia s/p intrathecal pump placement in [MASKED] and with ongoing narcotic use, hypothyroidism and history of an arrhythmia...
[]
[ "I10", "E039", "K219", "K5900" ]
[ "G588: Other specified mononeuropathies", "I10: Essential (primary) hypertension", "R338: Other retention of urine", "R202: Paresthesia of skin", "Z9689: Presence of other specified functional implants", "G43909: Migraine, unspecified, not intractable, without status migrainosus", "E039: Hypothyroidism,...
10,010,393
25,242,586
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Topamax / Reglan Attending: ___. Chief Complaint: ============================ HMED Admission H&P ========================...
[ "G588", "E039", "F419", "K828", "I498", "K219", "Z9689", "F450" ]
Allergies: Penicillins / Topamax / Reglan Chief Complaint: ============================ HMED Admission H&P ============================ CC: Back pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a history of debilitating pudendal neuralgia who was...
[]
[ "E039", "F419", "K219" ]
[ "G588: Other specified mononeuropathies", "E039: Hypothyroidism, unspecified", "F419: Anxiety disorder, unspecified", "K828: Other specified diseases of gallbladder", "I498: Other specified cardiac arrhythmias", "K219: Gastro-esophageal reflux disease without esophagitis", "Z9689: Presence of other spec...
10,010,393
27,377,841
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Topamax / Reglan Attending: ___. Chief Complaint: Urinary retention, pain at intrathecal pump catheter site Major Surgic...
[ "R338", "A084", "T398X5A", "G588", "E039", "F450", "M545", "I951", "Z9689", "Y929" ]
Allergies: Penicillins / Topamax / Reglan Chief Complaint: Urinary retention, pain at intrathecal pump catheter site Major Surgical or Invasive Procedure: None History of Present Illness: This is a [MASKED] year old woman with history of pudendal neuralgia s/p intrathecal pump placement in [MASKED] and with ongoing nar...
[]
[ "E039", "Y929" ]
[ "R338: Other retention of urine", "A084: Viral intestinal infection, unspecified", "T398X5A: Adverse effect of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter", "G588: Other specified mononeuropathies", "E039: Hypothyroidism, unspecified", "F450: Somatization disor...
10,010,471
21,322,534
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: NSAIDS, ASA, statins Attending: ___ Chief Complaint: New Afib Major Surgical or Invasive Procedure: ECHO on ___ History of Present ...
[ "I4891", "N186", "J189", "Z7682", "I248", "J449", "Z992", "I2510", "I350", "I340", "D631", "E039", "M5489", "M25512", "Z79891", "G8929" ]
Allergies: NSAIDS, ASA, statins Chief Complaint: New Afib Major Surgical or Invasive Procedure: ECHO on [MASKED] History of Present Illness: Ms. [MASKED] is an [MASKED] F with h/o CAD, severe aortic stenosis, COPD on 2 L NC, ESRD on HD MWF, hypothyroidism, chronic pain transferred from [MASKED] for new onset Afib. She ...
[]
[ "I4891", "J449", "I2510", "E039", "G8929" ]
[ "I4891: Unspecified atrial fibrillation", "N186: End stage renal disease", "J189: Pneumonia, unspecified organism", "Z7682: Awaiting organ transplant status", "I248: Other forms of acute ischemic heart disease", "J449: Chronic obstructive pulmonary disease, unspecified", "Z992: Dependence on renal dialy...
10,010,471
29,842,315
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: NSAIDS, ASA, statins Attending: ___. Chief Complaint: s/p cardiac arrest Major Surgical or Invasive Procedure: ___: RHC History of Pr...
[ "I214", "N186", "I462", "J9690", "I5033", "S2243XA", "I959", "R7881", "I132", "I480", "Z9981", "J449", "I080", "I447", "E785", "I2510", "E039", "M5489", "Z87891", "K219", "Z45018", "D631", "Z992", "Y848", "Y9289", "R740", "Z515", "M7981", "T45515A", "Y92239"...
Allergies: NSAIDS, ASA, statins Chief Complaint: s/p cardiac arrest Major Surgical or Invasive Procedure: [MASKED]: RHC History of Present Illness: [MASKED] y/o F with h/o severe aortic stenosis, ESRD on HD, paroxysmal atrial fibrillation, and PPM for LBBB/syncope presents following acute LOC while at HD with pulseless...
[]
[ "I480", "J449", "E785", "I2510", "E039", "Z87891", "K219", "Z515" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "N186: End stage renal disease", "I462: Cardiac arrest due to underlying cardiac condition", "J9690: Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia", "I5033: Acute on chronic diastolic (congestive) heart failure", ...
10,010,655
20,421,864
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: SI Major Surgical or Invasive Procedure: None History o...
[ "J111", "R45851", "F4310", "F603", "L309", "F329", "F39" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: SI Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a [MASKED] y/o F with PMHx of complex PTSD, borderline PD, endorses anxiety and depression, with multiple psych admissions and prior SA, who initially presente...
[]
[ "F329" ]
[ "J111: Influenza due to unidentified influenza virus with other respiratory manifestations", "R45851: Suicidal ideations", "F4310: Post-traumatic stress disorder, unspecified", "F603: Borderline personality disorder", "L309: Dermatitis, unspecified", "F329: Major depressive disorder, single episode, unspe...
10,010,718
29,947,355
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: TEE/DCCV (_...
[ "I481", "I5023", "N179", "I130", "I2510", "E785", "M06042", "M06041", "M109", "M810", "E559", "D649", "I255", "M19012", "M19011", "Z955", "Z7902", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: TEE/DCCV ([MASKED]) Left knee athrocentesis ([MASKED]) History of Present Illness: Mr. [MASKED] is an [MASKED] y/o [MASKED] man with history of CAD s/p MI s/p POBA [MASKED] [MASKED], NSTEMI s/p PCI t...
[]
[ "N179", "I130", "I2510", "E785", "M109", "D649", "Z955", "Z7902", "Z87891" ]
[ "I481: Persistent atrial fibrillation", "I5023: Acute on chronic systolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", ...
10,010,867
22,196,214
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: gluten Attending: ___. Chief Complaint: Right scapula pain Major Surgical or Invasive Procedure: ___: ___ Fr right chest tube placement ...
[ "J90", "I272", "M25511", "Z981", "Z87820", "V8609XS", "Y92488", "J45909", "E041", "G43909", "F1210" ]
Allergies: gluten Chief Complaint: Right scapula pain Major Surgical or Invasive Procedure: [MASKED]: [MASKED] Fr right chest tube placement History of Present Illness: [MASKED] s/p MVC in [MASKED] during which she had a SAH, C7 facet fx, T4/5 transverse process, T4/6 spinus fx, T7 fx, L2 transverse process fx, right h...
[]
[ "J45909" ]
[ "J90: Pleural effusion, not elsewhere classified", "I272: Other secondary pulmonary hypertension", "M25511: Pain in right shoulder", "Z981: Arthrodesis status", "Z87820: Personal history of traumatic brain injury", "V8609XS: Driver of other special all-terrain or other off-road motor vehicle injured in tr...
10,010,867
22,429,197
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: single car ___ Major Surgical or Invasive Procedure: ___ Poste...
[ "S12600A", "S271XXA", "S066X0A", "J9600", "S240XXA", "F05", "S22049A", "S22059A", "S22069A", "S32029A", "Z6841", "D62", "J95851", "R339", "F10129", "F1290", "E669", "F329", "Z781", "V270XXA", "Y929", "S8012XA", "Z23", "Y848", "Y92239", "F419" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: single car [MASKED] Major Surgical or Invasive Procedure: [MASKED] Posterior Fusion Laminectomy C6-C7 [MASKED] FUSION CERVICAL ANTERIOR WITH INSTRUMENTATION C6-C7 History of Present Illness: [MASKED] s/p transferred to [MASKED] from [MASKED], where...
[]
[ "D62", "E669", "F329", "Y929", "F419" ]
[ "S12600A: Unspecified displaced fracture of seventh cervical vertebra, initial encounter for closed fracture", "S271XXA: Traumatic hemothorax, initial encounter", "S066X0A: Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter", "J9600: Acute respiratory failure, unspecified wheth...
10,010,867
22,950,920
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: gluten Attending: ___. Chief Complaint: unstable thoracic spine fractures with left lower extremity motor deficits Major Surgical or...
[ "S22059A", "F329", "S22069A", "V499XXA", "Y929", "E669", "Z6833", "Z981", "J45909", "G43909", "F1910", "M40209" ]
Allergies: gluten Chief Complaint: unstable thoracic spine fractures with left lower extremity motor deficits Major Surgical or Invasive Procedure: 1. T3 to T11. 2. Multiple thoracic laminotomies. 3. Laminectomy T6 and 7. 4. Instrumentation T3 to 11. 5. Autograft. History of Present Illness: [MASKED] s/p recent MVC w/ ...
[]
[ "F329", "Y929", "E669", "J45909" ]
[ "S22059A: Unspecified fracture of T5-T6 vertebra, initial encounter for closed fracture", "F329: Major depressive disorder, single episode, unspecified", "S22069A: Unspecified fracture of T7-T8 vertebra, initial encounter for closed fracture", "V499XXA: Car occupant (driver) (passenger) injured in unspecified...
10,010,993
28,481,035
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Facial trauma Major Surgical or Invasive Procedure: ___: Open...
[ "S02652A", "S2242XA", "Y09", "Y929", "Z23", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Facial trauma Major Surgical or Invasive Procedure: [MASKED]: Open reduction internal fixation left mandibular fracture left angle placement of IMF screws and wiring of jawextraction of left upper third tooth (Number 16). History of Present Illness...
[]
[ "Y929", "Z87891" ]
[ "S02652A: Fracture of angle of left mandible, initial encounter for closed fracture", "S2242XA: Multiple fractures of ribs, left side, initial encounter for closed fracture", "Y09: Assault by unspecified means", "Y929: Unspecified place or not applicable", "Z23: Encounter for immunization", "Z87891: Perso...
10,010,997
20,783,870
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: R IF pain Major Surgical or Invasive Procedure: PROCEDU...
[ "T814XXA", "L0889", "B952", "B9561", "Y838", "Y92018", "L608", "M069", "I10", "K219", "L820", "M6289" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: R IF pain Major Surgical or Invasive Procedure: PROCEDURE: Irrigation, washout and debridement right index finger distal interphalangeal joint. History of Present Illness: [MASKED] year-old right-hand dominant nurse at [MASKED] with severe RA on me...
[]
[ "I10", "K219" ]
[ "T814XXA: Infection following a procedure", "L0889: Other specified local infections of the skin and subcutaneous tissue", "B952: Enterococcus as the cause of diseases classified elsewhere", "B9561: Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere", "Y838...
10,011,189
23,456,305
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M ___: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Palpitations Major Surgical or Invasive Procedure: Ablation...
[ "I471", "I671", "I10", "I2510", "K219", "I951", "D649", "Z598", "E785" ]
[MASKED]: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Palpitations Major Surgical or Invasive Procedure: Ablation History of Present Illness: HISTORY OF PRESENT ILLNESS: Mr. [MASKED] is a very pleasant [MASKED] man with PMHx PUD,HTN, HLD, possible hx of "arrhythmia" and recent hospi...
[]
[ "I10", "I2510", "K219", "D649", "E785" ]
[ "I471: Supraventricular tachycardia", "I671: Cerebral aneurysm, nonruptured", "I10: Essential (primary) hypertension", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "K219: Gastro-esophageal reflux disease without esophagitis", "I951: Orthostatic hypotension", ...
10,011,189
27,462,671
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None ...
[ "I471", "E785", "I959", "I10", "Z8711", "I2510", "Z8673", "L409" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with HTN, HLD, & recurrent SVT on Flecainade/Toprol p/w CP/SOB and lightheadedness, found to be hypotensive with intermittent SVT without ischemic EKG change...
[]
[ "E785", "I10", "I2510", "Z8673" ]
[ "I471: Supraventricular tachycardia", "E785: Hyperlipidemia, unspecified", "I959: Hypotension, unspecified", "I10: Essential (primary) hypertension", "Z8711: Personal history of peptic ulcer disease", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z8673: Perso...
10,011,189
29,477,116
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Syncope, Visual Changes, Tinnitus Major Surgical or Inv...
[ "R55", "H539", "H9319", "I10", "K625", "I720", "L409", "K219", "I951" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Syncope, Visual Changes, Tinnitus Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo M [MASKED] M with history of ?TIA, HTN, HLD, who presents with episodes of altered consciousness. Occurred [MASKED] in the morning ...
[]
[ "I10", "K219" ]
[ "R55: Syncope and collapse", "H539: Unspecified visual disturbance", "H9319: Tinnitus, unspecified ear", "I10: Essential (primary) hypertension", "K625: Hemorrhage of anus and rectum", "I720: Aneurysm of carotid artery", "L409: Psoriasis, unspecified", "K219: Gastro-esophageal reflux disease without e...
10,011,259
29,284,526
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: PSYCHIATRY Allergies: pcn / sulfa / phenobarbital / labetalol / ampicillin / amoxicillin Attending: ___. Chief Complaint: "I'm jittery from the risperido...
[ "F339", "R45851", "I10", "F42", "F419", "F459", "Z9049", "J45909", "G4700", "E039", "E663", "Z6837" ]
Allergies: pcn / sulfa / phenobarbital / labetalol / ampicillin / amoxicillin Chief Complaint: "I'm jittery from the risperidone" Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with self-reported psychiatric history of OCD, anxiety, depression, and somatiz...
[]
[ "I10", "F419", "J45909", "G4700", "E039" ]
[ "F339: Major depressive disorder, recurrent, unspecified", "R45851: Suicidal ideations", "I10: Essential (primary) hypertension", "F42: Obsessive-compulsive disorder", "F419: Anxiety disorder, unspecified", "F459: Somatoform disorder, unspecified", "Z9049: Acquired absence of other specified parts of di...
10,011,279
29,504,188
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: erythromycin base Attending: ___. Chief Complaint: dental pain, facial swelling Major Surgical or Invasive Procedure: None History ...
[ "K047", "F17210" ]
Allergies: erythromycin base Chief Complaint: dental pain, facial swelling Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED], previously healthy, who presented with left lower dental abscess. He noticed tooth pain 2 weeks ago, but put off seeing his dentist. Experienced progr...
[]
[ "F17210" ]
[ "K047: Periapical abscess without sinus", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,011,365
26,712,576
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Hypoxia Major Surgical or Invasive Procedure: intubation...
[ "A419", "J9601", "J690", "R6521", "J189", "R64", "R1312", "I69351", "I4891", "N390", "Z681", "Z66", "Z515", "Z781", "T18128A", "X58XXXA", "Y929", "I69391", "I10", "I2510", "E785", "F329", "I447", "I69322", "I7300", "E7800", "K5900", "I69398", "R2689", "Z8789...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypoxia Major Surgical or Invasive Procedure: intubation [MASKED] History of Present Illness: [MASKED] with PMHx of left CVA with right hemiplegia and dysphagia, HTN, CAD, HLD, Raynaud's and depression who is BIBA after concern for aspiration at ho...
[]
[ "J9601", "I4891", "N390", "Z66", "Z515", "Y929", "I10", "I2510", "E785", "F329", "K5900", "Z87891" ]
[ "A419: Sepsis, unspecified organism", "J9601: Acute respiratory failure with hypoxia", "J690: Pneumonitis due to inhalation of food and vomit", "R6521: Severe sepsis with septic shock", "J189: Pneumonia, unspecified organism", "R64: Cachexia", "R1312: Dysphagia, oropharyngeal phase", "I69351: Hemipleg...
10,011,365
26,722,872
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: suicidal ideation Major Surgical or Invasive Procedure: N...
[ "F322", "I69351", "R45851", "N390", "Z681", "I10", "N3941", "I69391", "R1310", "E7800", "I252", "I2510", "I69322", "R634" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: suicidal ideation Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] y/o woman with right hemiplegia s/p left CVA c/b dysphagia, HTN, CAD, HLD, and depression who was brought in to ED after calling 911...
[]
[ "N390", "I10", "I252", "I2510" ]
[ "F322: Major depressive disorder, single episode, severe without psychotic features", "I69351: Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side", "R45851: Suicidal ideations", "N390: Urinary tract infection, site not specified", "Z681: Body mass index [BMI] 19.9 or less...
10,011,427
20,083,129
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: optiflux dialyzer Attending: ___. Chief Complaint: Altered mental status, weakness Major Surgical or Invasive Procedure: Therapeutic pa...
[ "K7040", "N186", "K767", "I120", "E440", "K7031", "M109", "K219", "D6959", "D631", "F1010", "Z992", "Z6825" ]
Allergies: optiflux dialyzer Chief Complaint: Altered mental status, weakness Major Surgical or Invasive Procedure: Therapeutic paracentesis History of Present Illness: Mrs. [MASKED] is a [MASKED] y/o F with PMHx EtOH cirrhosis c/b HE and ascites (no SBP or varices) and ESRD recently initiated on HD TThS [MASKED] hepat...
[]
[ "M109", "K219" ]
[ "K7040: Alcoholic hepatic failure without coma", "N186: End stage renal disease", "K767: Hepatorenal syndrome", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease", "E440: Moderate protein-calorie malnutrition", "K7031: Alcoholic cirrhosis of liver wi...
10,011,427
20,219,031
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: optiflux dialyzer / lisinopril Attending: ___ Chief Complaint: Dislodged HD line Encephalopathy Sepsis Major Surgical or Invasive Proce...
[ "T80211A", "A4181", "R6521", "N186", "K767", "G9341", "T8242XA", "Z1622", "D684", "E871", "I120", "E440", "D61818", "Y718", "Y929", "Z992", "K7031", "D638", "D696", "E559", "E785", "Z6823", "K219", "M109", "K668", "I9589", "Z781", "E876", "K7040" ]
Allergies: optiflux dialyzer / lisinopril Chief Complaint: Dislodged HD line Encephalopathy Sepsis Major Surgical or Invasive Procedure: [MASKED] CVL Insertion Note History of Present Illness: HISTORY OF PRESENTING ILLNESS: =========================== Ms. [MASKED] is a [MASKED] year old F w/ EtOH cirrhosis complicated ...
[]
[ "E871", "Y929", "D696", "E785", "K219", "M109" ]
[ "T80211A: Bloodstream infection due to central venous catheter, initial encounter", "A4181: Sepsis due to Enterococcus", "R6521: Severe sepsis with septic shock", "N186: End stage renal disease", "K767: Hepatorenal syndrome", "G9341: Metabolic encephalopathy", "T8242XA: Displacement of vascular dialysis...
10,011,427
22,216,667
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: optiflux dialyzer Attending: ___. Chief Complaint: ___ Major Surgical or Invasive Procedure: Diagnostic paracentesis ___ Left chest t...
[ "K767", "J690", "E43", "A419", "R6521", "E872", "N390", "E871", "N179", "K7040", "N189", "I129", "K7031", "K219", "B9562", "M109", "D6959", "D631", "D539", "E785", "F1021", "Z6823" ]
Allergies: optiflux dialyzer Chief Complaint: [MASKED] Major Surgical or Invasive Procedure: Diagnostic paracentesis [MASKED] Left chest tunneled HD line placement History of Present Illness: [MASKED] with a history of EtOH cirrhosis, complicated by hepatic encephalopathy and ascites requiring paracentesis, CKD, hypert...
[]
[ "E872", "N390", "E871", "N179", "N189", "I129", "K219", "M109", "E785" ]
[ "K767: Hepatorenal syndrome", "J690: Pneumonitis due to inhalation of food and vomit", "E43: Unspecified severe protein-calorie malnutrition", "A419: Sepsis, unspecified organism", "R6521: Severe sepsis with septic shock", "E872: Acidosis", "N390: Urinary tract infection, site not specified", "E871: H...
10,011,427
28,855,838
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Leaking paracentesis site Confusion Major Surgical or ...
[ "K7040", "N179", "K766", "N390", "K9181", "N281", "K7031", "I129", "N189", "B9620", "E869", "E785", "K219", "Y848", "Y92530" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Leaking paracentesis site Confusion Major Surgical or Invasive Procedure: Diagnostic paracentesis [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a history of alcoholic cirrhosis decompensated by ascites who pres...
[]
[ "N179", "N390", "I129", "N189", "E785", "K219" ]
[ "K7040: Alcoholic hepatic failure without coma", "N179: Acute kidney failure, unspecified", "K766: Portal hypertension", "N390: Urinary tract infection, site not specified", "K9181: Other intraoperative complications of digestive system", "N281: Cyst of kidney, acquired", "K7031: Alcoholic cirrhosis of ...
10,011,449
27,619,916
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: leg pain, rash Major Surgical or Invasive Procedure: None ...
[ "L03115", "B955", "E039", "L309" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: leg pain, rash Major Surgical or Invasive Procedure: None History of Present Illness: PCP: Location: [MASKED] GROUP Address: [MASKED], [MASKED] Phone: [MASKED] Fax: [MASKED] [MASKED] yo M with eczema well controlled, hypothyroidism, who presents wi...
[]
[ "E039" ]
[ "L03115: Cellulitis of right lower limb", "B955: Unspecified streptococcus as the cause of diseases classified elsewhere", "E039: Hypothyroidism, unspecified", "L309: Dermatitis, unspecified" ]
10,011,668
24,061,001
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___. Major Surgical or Invasive Procedure: Cardiac Catheterization ___ TEE ___ attach Pertinent Results: ADMIS...
[ "I214", "I110", "I5023", "I428", "R0789", "E785", "R0902", "F329", "R300", "R9431", "E806", "R791", "Z7901", "Z952", "Z87891" ]
Allergies: lisinopril Major Surgical or Invasive Procedure: Cardiac Catheterization [MASKED] TEE [MASKED] attach Pertinent Results: ADMISSION LABS ============== [MASKED] 05:04PM BLOOD WBC-6.1 RBC-4.03 Hgb-12.3 Hct-38.0 MCV-94 MCH-30.5 MCHC-32.4 RDW-13.6 RDWSD-46.5* Plt [MASKED] [MASKED] 05:04PM BLOOD Neuts-62.5 [MASKE...
[]
[ "I110", "E785", "F329", "Z7901", "Z87891" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "I110: Hypertensive heart disease with heart failure", "I5023: Acute on chronic systolic (congestive) heart failure", "I428: Other cardiomyopathies", "R0789: Other chest pain", "E785: Hyperlipidemia, unspecified", "R0902: Hypoxemia", "F329: Majo...
10,011,912
22,567,237
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / Tylenol / Tetracyclines Attending: ___. Chief Complaint: chronic nausea/vomiting/diarrhea o...
[ "R627", "E43", "Z681", "A048", "K7030", "B1920", "F1011", "Z853", "K2970", "F1911", "F1290", "J45909", "E785", "M810", "I10", "Z880", "Z882", "Z888", "K529", "G4700", "R000", "H53141", "R51", "L539", "M549", "Z87311", "K5900" ]
Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / Tylenol / Tetracyclines Chief Complaint: chronic nausea/vomiting/diarrhea of unclear etiology that failed outpatient management Major Surgical or Invasive Procedure: Colonoscopy History of Present Illness: Ms. [MASKED] is a [MASKED] year-old lady with history o...
[]
[ "J45909", "E785", "I10", "G4700", "K5900" ]
[ "R627: Adult failure to thrive", "E43: Unspecified severe protein-calorie malnutrition", "Z681: Body mass index [BMI] 19.9 or less, adult", "A048: Other specified bacterial intestinal infections", "K7030: Alcoholic cirrhosis of liver without ascites", "B1920: Unspecified viral hepatitis C without hepatic ...
10,011,938
24,772,774
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Seizure Major Surgical or Invasive Procedure: None Hist...
[ "G40802", "L89623", "L02214", "N390", "L03314", "B9620", "R310", "I10", "J449", "D509", "Z87891", "L98419" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Seizure Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a [MASKED] right-handed woman with a history of complex partial seizures was brought to the ED by EMS due to concern for seizure at home. She reports that...
[]
[ "N390", "I10", "J449", "D509", "Z87891" ]
[ "G40802: Other epilepsy, not intractable, without status epilepticus", "L89623: Pressure ulcer of left heel, stage 3", "L02214: Cutaneous abscess of groin", "N390: Urinary tract infection, site not specified", "L03314: Cellulitis of groin", "B9620: Unspecified Escherichia coli [E. coli] as the cause of di...
10,012,206
23,961,896
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: floctafenine Attending: ___. Chief Complaint: Acute pancreatitis Major Surgical or Invasive Procedure: ___: Laparoscopic cholecystect...
[ "K8510", "E43", "N179", "D684", "I82890", "K8010", "E861", "K269", "I10", "G4733", "E1140", "Z7984", "F17210", "G250", "E8342", "D6959", "E781", "Z6822", "B957" ]
Allergies: floctafenine Chief Complaint: Acute pancreatitis Major Surgical or Invasive Procedure: [MASKED]: Laparoscopic cholecystectomy Laparoscopic cholecystectomy - Dr. [MASKED] [MASKED] History of Present Illness: Pt.is [MASKED] y/o male with hx of hypertriglyceridemia, HTN, OSA, DMII, neuropathy, essential tremor,...
[]
[ "N179", "I10", "G4733", "F17210" ]
[ "K8510: Biliary acute pancreatitis without necrosis or infection", "E43: Unspecified severe protein-calorie malnutrition", "N179: Acute kidney failure, unspecified", "D684: Acquired coagulation factor deficiency", "I82890: Acute embolism and thrombosis of other specified veins", "K8010: Calculus of gallbl...
10,012,438
22,764,825
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Substernal Chest pain; ST Elevation myocardial infarction...
[ "I2119", "I442", "I10", "K219", "I2510", "R001", "I9589", "Z87891", "R740" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Substernal Chest pain; ST Elevation myocardial infarction complicated by complete heart block. Major Surgical or Invasive Procedure: [MASKED]: Cardiac catheterization via right radial artery with PCI; Percutaneous Coronary Intervention: Percutaneou...
[]
[ "I10", "K219", "I2510", "Z87891" ]
[ "I2119: ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall", "I442: Atrioventricular block, complete", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "I2510: Atherosclerotic heart disease of native coronary arte...
10,012,688
23,145,708
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: shellfish derived Attending: ___ Chief Complaint: dizziness, gait unsteadiness Major Surgical or Invasive Procedure: None History...
[ "H81399", "K219", "H93A2", "Z79899" ]
Allergies: shellfish derived Chief Complaint: dizziness, gait unsteadiness Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with history of chronic left ear pulsatile tinnitus of unclear etiology and GERD who presents with 1 day history of dizziness and ga...
[]
[ "K219" ]
[ "H81399: Other peripheral vertigo, unspecified ear", "K219: Gastro-esophageal reflux disease without esophagitis", "H93A2: Pulsatile tinnitus, left ear", "Z79899: Other long term (current) drug therapy" ]
10,012,768
20,255,893
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: tree nut Attending: ___ Chief Complaint: back pain Major Surgical or Invasive Procedure: ___ - pamidronate ___ - Velcade History ...
[ "M8448XA", "J189", "C9000", "D801", "D709", "E559", "E871", "R5081", "G8929", "M8580", "D649", "M5135", "K5900", "T391X5A" ]
Allergies: tree nut Chief Complaint: back pain Major Surgical or Invasive Procedure: [MASKED] - pamidronate [MASKED] - Velcade History of Present Illness: Mr. [MASKED] is a very pleasant [MASKED] with history of IgG Multiple Myeloma diagnosed last week in the workup of non-traumatic T-spine fracture who presents with a...
[]
[ "E871", "G8929", "D649", "K5900" ]
[ "M8448XA: Pathological fracture, other site, initial encounter for fracture", "J189: Pneumonia, unspecified organism", "C9000: Multiple myeloma not having achieved remission", "D801: Nonfamilial hypogammaglobulinemia", "D709: Neutropenia, unspecified", "E559: Vitamin D deficiency, unspecified", "E871: H...
10,012,768
26,708,632
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: tree nut / Bactrim Attending: ___. Chief Complaint: auto transplant with melphalan prep Major Surgical or Invasive Procedure: CVC pl...
[ "C9000", "K521", "D709", "D696", "B356", "R630", "R110", "G8929", "M545", "T451X5A", "Z006", "Z6825", "Y92230" ]
Allergies: tree nut / Bactrim Chief Complaint: auto transplant with melphalan prep Major Surgical or Invasive Procedure: CVC placement [MASKED] CVC removal [MASKED] History of Present Illness: [MASKED] year old male with multiple myeloma and known compression fractures s/p 4 cycles RVD now admitted for autologous trans...
[]
[ "D696", "G8929", "Y92230" ]
[ "C9000: Multiple myeloma not having achieved remission", "K521: Toxic gastroenteritis and colitis", "D709: Neutropenia, unspecified", "D696: Thrombocytopenia, unspecified", "B356: Tinea cruris", "R630: Anorexia", "R110: Nausea", "G8929: Other chronic pain", "M545: Low back pain", "T451X5A: Adverse...
10,012,768
27,462,906
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: tree nut / Bactrim Attending: ___ Chief Complaint: admit for HD Cytoxan prior to stem cell mobilization Major Surgical or Invasive ...
[ "Z5111", "C9000", "E871", "M8458XA", "Z808", "R112", "T451X5A", "Y92230" ]
Allergies: tree nut / Bactrim Chief Complaint: admit for HD Cytoxan prior to stem cell mobilization Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with MM s/p 4 cycles RVD now admitted for Cytoxan stem cell mobilization. Bone marrow biopsy [MASKED] showed 4% of aspirate pl...
[]
[ "E871", "Y92230" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C9000: Multiple myeloma not having achieved remission", "E871: Hypo-osmolality and hyponatremia", "M8458XA: Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture", "Z808: Family history of malignant neoplasm of ...
10,012,853
20,457,729
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Status post left thyroid lobectomy with follicular thyroi...
[ "C73", "N319", "I480", "Z7902", "I340", "I272", "I10", "E785", "E119", "J449", "F17210", "I739", "Z95820", "Z8673", "Z86718", "Z86711" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Status post left thyroid lobectomy with follicular thyroid carcinoma. Major Surgical or Invasive Procedure: Completion right thyroidectomy. History of Present Illness: This elderly patient has undergone resection of a very large left substernal goi...
[]
[ "I480", "Z7902", "I10", "E785", "E119", "J449", "F17210", "Z8673", "Z86718" ]
[ "C73: Malignant neoplasm of thyroid gland", "N319: Neuromuscular dysfunction of bladder, unspecified", "I480: Paroxysmal atrial fibrillation", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "I340: Nonrheumatic mitral (valve) insufficiency", "I272: Other secondary pulmonary hypertension...
10,012,853
26,739,864
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Toxic large substernal multinodular goiter. Major Surg...
[ "C73", "E0520", "I10", "I272", "E785", "E119", "J449", "I480", "Z7901", "Z86711", "I739", "F17210", "Z8673", "Z86718" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Toxic large substernal multinodular goiter. Major Surgical or Invasive Procedure: Resection of left substernal goiter and resection of medial aspect right lobe. History of Present Illness: This is a [MASKED] year old woman who lady presented with a...
[]
[ "I10", "E785", "E119", "J449", "I480", "Z7901", "F17210", "Z8673", "Z86718" ]
[ "C73: Malignant neoplasm of thyroid gland", "E0520: Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm", "I10: Essential (primary) hypertension", "I272: Other secondary pulmonary hypertension", "E785: Hyperlipidemia, unspecified", "E119: Type 2 diabetes mellitus without compl...
10,012,853
27,882,036
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Hypoxic and Hypercarbic Respiratory Failure, deep vein ...
[ "I82622", "J9621", "I480", "N319", "J449", "D472", "J9622", "I129", "N183", "I739", "E042", "E119", "D509", "Z6829", "I714", "M1000", "J398", "K5790", "E669", "G4733", "F17210", "K8020", "M19072", "E780", "M109", "I2510", "Z7982", "Z86711", "Z7901", "Z8673" ...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypoxic and Hypercarbic Respiratory Failure, deep vein thromboses Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y/o F with atrial fibrillation on warfarin, PE, CKD III, PVD, multinodular goiter s/p biopsy w/ possib...
[]
[ "I480", "J449", "I129", "E119", "D509", "E669", "G4733", "F17210", "M109", "I2510", "Z7901", "Z8673" ]
[ "I82622: Acute embolism and thrombosis of deep veins of left upper extremity", "J9621: Acute and chronic respiratory failure with hypoxia", "I480: Paroxysmal atrial fibrillation", "N319: Neuromuscular dysfunction of bladder, unspecified", "J449: Chronic obstructive pulmonary disease, unspecified", "D472: ...
10,013,015
24,173,031
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Complete Heart Block Major Surgical or Invasive Procedur...
[ "I2729", "I5033", "I130", "N184", "E874", "D62", "K921", "L0390", "N179", "R001", "E875", "Z66", "J439", "Z9981", "I482", "Z7901", "E7849", "Z87891", "I952", "T501X5A", "Y92230", "R791", "D509", "D72829", "M109", "L89151" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Complete Heart Block Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is an [MASKED] female with history of A. fib on Coumadin, chronic kidney disease, COPD on 2L O2, severe pulmonary hypertension who is presentin...
[]
[ "I130", "D62", "N179", "Z66", "Z7901", "Z87891", "Y92230", "D509", "M109" ]
[ "I2729: Other secondary pulmonary hypertension", "I5033: Acute on chronic diastolic (congestive) heart failure", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "N184: Chronic kidney disease, st...
10,013,310
21,243,435
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Attending: ___. Chief Complaint: Shortness of breath Chest t...
[ "I222", "I5023", "I428", "E1142", "E1165", "I213", "I110", "I2510", "M25511", "E785", "G8929", "K219", "M79672", "M79671", "Z955", "Z7902", "Z794" ]
Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Chief Complaint: Shortness of breath Chest tightness Major Surgical or Invasive Procedure: Cardiac Catheterization [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a history of HTN, DM2,...
[]
[ "E1165", "I110", "I2510", "E785", "G8929", "K219", "Z955", "Z7902", "Z794" ]
[ "I222: Subsequent non-ST elevation (NSTEMI) myocardial infarction", "I5023: Acute on chronic systolic (congestive) heart failure", "I428: Other cardiomyopathies", "E1142: Type 2 diabetes mellitus with diabetic polyneuropathy", "E1165: Type 2 diabetes mellitus with hyperglycemia", "I213: ST elevation (STEM...
10,013,310
22,098,926
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Attending: ___ Chief Complaint: Right-sided weakness, aphasi...
[ "I63412", "I618", "J690", "E43", "I5023", "G9340", "J159", "N179", "G8191", "E870", "I130", "I429", "I248", "R4701", "N183", "E1165", "R0681", "R29810", "E1122", "B951", "Z794", "I2510", "Z955", "I252", "E785", "M545", "G8929", "E875", "D649", "H409", "R00...
Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Chief Complaint: Right-sided weakness, aphasia Major Surgical or Invasive Procedure: Mechanical thrombectomy PEG History of Present Illness: [MASKED] is a [MASKED] woman [MASKED] speaking with a history of diabetes, dilat...
[]
[ "N179", "I130", "E1165", "E1122", "Z794", "I2510", "Z955", "I252", "E785", "G8929", "D649" ]
[ "I63412: Cerebral infarction due to embolism of left middle cerebral artery", "I618: Other nontraumatic intracerebral hemorrhage", "J690: Pneumonitis due to inhalation of food and vomit", "E43: Unspecified severe protein-calorie malnutrition", "I5023: Acute on chronic systolic (congestive) heart failure", ...
10,013,310
27,682,188
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Attending: ___. Chief Complaint: Epigastric pain Major Sur...
[ "I2111", "N170", "I5023", "I959", "I429", "I441", "I110", "K760", "E871", "E119", "D509", "N141", "E785", "E861", "M545", "E875", "G8929", "Z794", "T508X5A", "Y92238" ]
Allergies: Celebrex / Excedrin Migraine / Fluzone / glyburide / ibuprofen / metformin / tizanidine Chief Complaint: Epigastric pain Major Surgical or Invasive Procedure: [MASKED] Cardiac Catheterization with DES to RCA History of Present Illness: Ms. [MASKED] is a [MASKED] speaking [MASKED] y/o female with a history of...
[]
[ "I110", "E871", "E119", "D509", "E785", "G8929", "Z794" ]
[ "I2111: ST elevation (STEMI) myocardial infarction involving right coronary artery", "N170: Acute kidney failure with tubular necrosis", "I5023: Acute on chronic systolic (congestive) heart failure", "I959: Hypotension, unspecified", "I429: Cardiomyopathy, unspecified", "I441: Atrioventricular block, seco...
10,013,324
25,696,131
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Hypertension Major Surgical or Invasive Procedure: None Hi...
[ "I10", "S2220XA", "W01198A", "Y92480", "I517", "I471" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypertension Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with hx of HTN (prescribed unknown medication in [MASKED] and recently ran out) who was sent in to the ED for hypertension found to have sternal fracture. ...
[]
[ "I10" ]
[ "I10: Essential (primary) hypertension", "S2220XA: Unspecified fracture of sternum, initial encounter for closed fracture", "W01198A: Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter", "Y92480: Sidewalk as the place of occurrence of the ...
10,013,502
20,228,631
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: chest pain, dyspnea on exertion Major Surgical or Invasive Proc...
[ "I4891", "I248", "E1140", "Z7901", "I10", "Z87891", "Z794", "G4700", "G894", "Z8614", "E785", "R32" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: chest pain, dyspnea on exertion Major Surgical or Invasive Procedure: [MASKED]: [MASKED] Cardioversion: TEE revealed no atrial thrombus. Successful cardioversion to sinus rhythm. History of Present Illness: [MASKED] hx AF on Coumadin (s/p DCCV [MAS...
[]
[ "I4891", "Z7901", "I10", "Z87891", "Z794", "G4700", "E785" ]
[ "I4891: Unspecified atrial fibrillation", "I248: Other forms of acute ischemic heart disease", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "Z7901: Long term (current) use of anticoagulants", "I10: Essential (primary) hypertension", "Z87891: Personal history of nicotine depende...
10,013,600
20,207,755
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Penicillins Attending: ___. Chief Complaint: abd pain, nausea Major Surgical or Invasive Procedure: None History of Present Illness: _...
[ "K56600", "I4891", "Z7901", "E7800", "I509", "Z8673", "Z86010" ]
Allergies: Penicillins Chief Complaint: abd pain, nausea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/ hx of Afib, CVA on coumadin, prior SBO s/p ex-lap w/ LOA [MASKED] who now p/w abd pain, with questionable partial SBO, passing flatus & loose stools Past Medical History: High Chol...
[]
[ "I4891", "Z7901", "Z8673" ]
[ "K56600: Partial intestinal obstruction, unspecified as to cause", "I4891: Unspecified atrial fibrillation", "Z7901: Long term (current) use of anticoagulants", "E7800: Pure hypercholesterolemia, unspecified", "I509: Heart failure, unspecified", "Z8673: Personal history of transient ischemic attack (TIA),...
10,013,724
28,766,875
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ ___ Complaint: Abdominal pain, constipation and large bowel obstruction Major...
[ "C188", "K5669", "F17210", "F419", "F1290", "F319", "Z808", "R05" ]
Allergies: No Known Allergies / Adverse Drug Reactions [MASKED] Complaint: Abdominal pain, constipation and large bowel obstruction Major Surgical or Invasive Procedure: Laparotomy and total colonic resection with proximal proctectomy with end ileostomy. History of Present Illness: [MASKED] MEDICINE ATTENDING ADMISSION...
[]
[ "F17210", "F419" ]
[ "C188: Malignant neoplasm of overlapping sites of colon", "K5669: Other intestinal obstruction", "F17210: Nicotine dependence, cigarettes, uncomplicated", "F419: Anxiety disorder, unspecified", "F1290: Cannabis use, unspecified, uncomplicated", "F319: Bipolar disorder, unspecified", "Z808: Family histor...
10,014,354
22,502,504
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Attending: ___. Chief Complaint: Chest pain Major Sur...
[ "R0789", "F419", "C6292", "I2510", "Z955", "I252", "Z950", "E119", "Z794", "I10", "E785", "Z7902", "Z8673", "C9110", "H409", "R569", "E039", "K219", "I4891" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with history of CAD s/p PCI to the LAD ([MASKED]), atrial fibrillation s/p PPM, diabetes, hypertension, hyp...
[]
[ "F419", "I2510", "Z955", "I252", "E119", "Z794", "I10", "E785", "Z7902", "Z8673", "E039", "K219", "I4891" ]
[ "R0789: Other chest pain", "F419: Anxiety disorder, unspecified", "C6292: Malignant neoplasm of left testis, unspecified whether descended or undescended", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z955: Presence of coronary angioplasty implant and graft", ...
10,014,354
22,508,257
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses Attending: ___. Chief Complaint: Rectal bleed...
[ "K625", "D62", "C9110", "I5032", "E11649", "I481", "E871", "E1136", "I2510", "Z950", "Z7901", "K648", "K635", "Z9884", "G4733", "E039", "H409", "Z8547", "F329", "F419", "M549", "M25519", "G8929", "R791", "I129", "K6389", "E669", "Z6835" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses Chief Complaint: Rectal bleeding noted on night prior to admission Major Surgical or Invasive Procedure: Colonoscopy [MASKED] & [MASKED]: aborted due to poor bowel prep History of Present Illness: Mr. [MASKED] is a [MAS...
[]
[ "D62", "I5032", "E871", "I2510", "Z7901", "G4733", "E039", "F329", "F419", "G8929", "I129", "E669" ]
[ "K625: Hemorrhage of anus and rectum", "D62: Acute posthemorrhagic anemia", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "I5032: Chronic diastolic (congestive) heart failure", "E11649: Type 2 diabetes mellitus with hypoglycemia without coma", "I481: Persistent atrial...
10,014,354
22,741,225
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROLOGY Allergies: Penicillins Attending: ___ Chief Complaint: left leg weakness and numbness s/p tPA Major Surgical or Invasive Procedure: IV tPA prior...
[ "I69354", "C9110", "G8194", "Z9282", "E785", "I10", "M25512", "E0865", "J449", "E6601", "F329", "E039", "Z950", "Z9884", "H409", "G629" ]
Allergies: Penicillins Chief Complaint: left leg weakness and numbness s/p tPA Major Surgical or Invasive Procedure: IV tPA prior to admission History of Present Illness: Mr. [MASKED] is a [MASKED] yo man with CLL, DM, HTN, HLD and right subcortical stroke in [MASKED] who presents s/p tPA from OSH for left leg numbness...
[]
[ "E785", "I10", "J449", "F329", "E039" ]
[ "I69354: Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "G8194: Hemiplegia, unspecified affecting left nondominant side", "Z9282: Status post administration of tPA (rtPA) in a diffe...
10,014,354
23,132,022
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "I309", "C9110", "N179", "E1142", "I480", "E860", "E871", "G4733", "E039", "G8929", "I2510", "Z955", "Z7984", "I10", "Z7901", "E785", "G4700", "Z6836", "Z9884", "F419", "F329", "E669" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Chest pain Major Surgical or Invasive Procedure: NONE History of Present Illness: [MASKED] with history of CLL on ibrutinibm metastatic testicular cancer, CAD s/p L...
[]
[ "N179", "I480", "E871", "G4733", "E039", "G8929", "I2510", "Z955", "I10", "Z7901", "E785", "G4700", "F419", "F329", "E669" ]
[ "I309: Acute pericarditis, unspecified", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "N179: Acute kidney failure, unspecified", "E1142: Type 2 diabetes mellitus with diabetic polyneuropathy", "I480: Paroxysmal atrial fibrillation", "E860: Dehydration", "E871: Hypo...
10,014,354
24,357,615
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "R1030", "C9110", "I69354", "F323", "R339", "I495", "D696", "E039", "I480", "Z7901", "Z950", "M109", "D638", "E1142", "Z794", "I2510", "E785", "G4733", "M1990", "R600", "E669", "G8929", "M549", "R509", "Z6837", "Z955", "Z8547", "Z9884" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 02:30AM BLOOD WBC-10.0 RBC-3.49* Hgb-9.1* Hct-29.8* MCV-85 MCH-26.1 MCH...
[]
[ "D696", "E039", "I480", "Z7901", "M109", "Z794", "I2510", "E785", "G4733", "E669", "G8929", "Z955" ]
[ "R1030: Lower abdominal pain, unspecified", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "I69354: Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side", "F323: Major depressive disorder, single episode, severe with psychotic features"...
10,014,354
24,980,601
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "F447", "C9110", "I495", "E11649", "E1142", "H53462", "I10", "E785", "E669", "I2510", "I69344", "Z45018", "G4733", "E039", "H409", "H8110", "F419", "G4700", "R2240", "G8929", "D649", "R740", "F325", "F09", "L299", "Z6837", "Z8547", "Z955", "Z794", "Z9884" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: L sided weakness and numbness in face, arm, leg Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] man with CLL on Ve...
[]
[ "I10", "E785", "E669", "I2510", "G4733", "E039", "F419", "G4700", "G8929", "D649", "Z955", "Z794" ]
[ "F447: Conversion disorder with mixed symptom presentation", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "I495: Sick sinus syndrome", "E11649: Type 2 diabetes mellitus with hypoglycemia without coma", "E1142: Type 2 diabetes mellitus with diabetic polyneuropathy", "...
10,014,354
26,013,492
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Attending: ___. Chief Complaint: Fall, weakness, fatigu...
[ "N179", "C9110", "E1121", "C6212", "E861", "I110", "I5032", "I480", "I2510", "Z955", "Z7902", "Z8673", "E785", "Z9884", "E039", "F329", "F419", "F449", "E1136", "G8929", "T451X5A", "Y92009", "T501X5A", "E6601", "Z6834", "Z794" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Chief Complaint: Fall, weakness, fatigue Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year-old gentleman with history of CAD s/p DES, SSS s/p PPM, pAF on rivaroxaban in additio...
[]
[ "N179", "I110", "I5032", "I480", "I2510", "Z955", "Z7902", "Z8673", "E785", "E039", "F329", "F419", "G8929", "Z794" ]
[ "N179: Acute kidney failure, unspecified", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "E1121: Type 2 diabetes mellitus with diabetic nephropathy", "C6212: Malignant neoplasm of descended left testis", "E861: Hypovolemia", "I110: Hypertensive heart disease with hear...
10,014,354
26,228,185
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "N179", "N390", "C9110", "I69354", "Z950", "I2510", "Z955", "E1142", "Z794", "I480", "Z7901", "E785", "E6601", "G4733", "E039", "F419", "Z9884", "I10", "G8929", "D696", "D509", "F329", "I495", "M109", "K289", "R339", "I959", "Z8547", "R319", "R740", "R5383...
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: abdominal [MASKED] Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] PMH CLL (on venetoclax), Depression with psychotic features, T2DM...
[]
[ "N179", "N390", "I2510", "Z955", "Z794", "I480", "Z7901", "E785", "G4733", "E039", "F419", "I10", "G8929", "D696", "D509", "F329", "M109", "K5900" ]
[ "N179: Acute kidney failure, unspecified", "N390: Urinary tract infection, site not specified", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "I69354: Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side", "Z950: Presence of cardiac ...
10,014,354
26,486,158
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "Z5111", "I5023", "N179", "C9110", "E222", "D630", "C6290", "F05", "E1142", "I4891", "I110", "F259", "I2510", "E039", "E785", "Z955", "G4733", "Z7901", "Z794", "Z45018", "R509", "G8929", "I493", "E875", "M7989" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Initiation of venetoclax Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a background history of CLL, previously on ibrutinib, ...
[]
[ "N179", "I4891", "I110", "I2510", "E039", "E785", "Z955", "G4733", "Z7901", "Z794", "G8929" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "I5023: Acute on chronic systolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "E222: Syndrome of inappropriate secretion of antidiuretic hormone...
10,014,354
27,487,226
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "J189", "R570", "I314", "I5033", "N179", "I480", "C9110", "I4892", "E871", "I313", "E11649", "E1142", "G4733", "I2510", "Z955", "F259", "Z950", "Z8547", "Z8673", "Z9884", "E785", "E039", "R740", "M940" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with H/O CLL on ibrutinib, metastatic testicular cancer...
[]
[ "N179", "I480", "E871", "G4733", "I2510", "Z955", "Z8673", "E785", "E039" ]
[ "J189: Pneumonia, unspecified organism", "R570: Cardiogenic shock", "I314: Cardiac tamponade", "I5033: Acute on chronic diastolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "I480: Paroxysmal atrial fibrillation", "C9110: Chronic lymphocytic leukemia of B-cell type not having...
10,014,354
27,494,880
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / codeine / acetaminophen / oxycodone Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Non...
[ "R0789", "I2510", "I10", "Z955", "Z7902", "E785", "C9110", "E119", "Z794", "I4891", "E039", "F329", "M7071", "F0390", "G4733", "Z8673", "Z950" ]
Allergies: Penicillins / codeine / acetaminophen / oxycodone Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo M with CLL on ibrutinib, HTN, T2DM, SSS s/p PPM (A-paced, LRL appears ~50), hx of AF on Xarelto, CAD s/p [MASKED] LHC with DES (? x2) placed in mid-...
[]
[ "I2510", "I10", "Z955", "Z7902", "E785", "E119", "Z794", "I4891", "E039", "F329", "G4733", "Z8673" ]
[ "R0789: Other chest pain", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "I10: Essential (primary) hypertension", "Z955: Presence of coronary angioplasty implant and graft", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "E785: Hyperlipidemia...
10,014,354
27,562,275
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "I319", "E871", "C9110", "I110", "I5032", "I2510", "Z955", "Z7901", "E785", "E039", "E119", "Z794", "G4733", "F259", "E875", "E1165", "I480", "E669", "Z6837" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with PMHx coronary artery disease (status post stent), heart failure with...
[]
[ "E871", "I110", "I5032", "I2510", "Z955", "Z7901", "E785", "E039", "E119", "Z794", "G4733", "E1165", "I480", "E669" ]
[ "I319: Disease of pericardium, unspecified", "E871: Hypo-osmolality and hyponatremia", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "I110: Hypertensive heart disease with heart failure", "I5032: Chronic diastolic (congestive) heart failure", "I2510: Atherosclerotic h...
10,014,354
28,335,091
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / codeine / acetaminophen / oxycodone Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Im...
[ "I214", "C9110", "E119", "I10", "E785", "F329", "G3184", "I2510", "G4733", "Z7902", "M719" ]
Allergies: Penicillins / codeine / acetaminophen / oxycodone Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Impressions: left main normal LAD with 70% mid diffuse disease LCX mild disease RCA mild disease Recommendations med tx History of Present Illness: [MASKED] yo M with HTN, HLD, AF on Xarelto (l...
[]
[ "E119", "I10", "E785", "F329", "I2510", "G4733", "Z7902" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "E119: Type 2 diabetes mellitus without complications", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "F329: Major depressive disorde...
10,014,354
29,600,294
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "J208", "C9110", "N179", "E222", "I480", "F259", "I110", "I5032", "I4892", "I4891", "B3749", "E861", "E119", "D630", "E039", "I2510", "Z955", "I69398", "E785", "G4733", "Z7901", "G8929", "Z794", "R339", "E669", "Z6836" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Fever/Cough Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with history of CLL, atrial fibrillation on rivar...
[]
[ "N179", "I480", "I110", "I5032", "I4891", "E119", "E039", "I2510", "Z955", "E785", "G4733", "Z7901", "G8929", "Z794", "E669" ]
[ "J208: Acute bronchitis due to other specified organisms", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "N179: Acute kidney failure, unspecified", "E222: Syndrome of inappropriate secretion of antidiuretic hormone", "I480: Paroxysmal atrial fibrillation", "F259: Schi...
10,014,354
29,757,856
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, ___, cottage, cream cheese Attending: ___...
[ "K289", "K9589", "K316", "N179", "I5032", "F05", "C9110", "Z6841", "F3340", "N141", "I129", "N183", "E1122", "E1142", "E1165", "I480", "E039", "T508X5A", "Y92238", "K219", "K449", "E781", "E6601", "D649", "R5383", "I69344", "M109", "M160", "M19012", "M19011"...
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base / cheeses soft, [MASKED], cottage, cream cheese Chief Complaint: Epigastric Pain Major Surgical or Invasive Procedure: Endoscopy ([MASKED]) History of Present Illness: Mr. [MASKED] is a [MASKED] man with CLL on venetoclax, hx tes...
[]
[ "N179", "I5032", "I129", "E1122", "E1165", "I480", "E039", "K219", "D649", "M109", "G4733", "F419", "I252", "Z7901", "Z794" ]
[ "K289: Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation", "K9589: Other complications of other bariatric procedure", "K316: Fistula of stomach and duodenum", "N179: Acute kidney failure, unspecified", "I5032: Chronic diastolic (congestive) heart failure", "F05: Delir...
10,014,354
29,780,751
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Attending: ___. Chief Complaint: Fever Major Surgical...
[ "B348", "C9110", "E1136", "D6481", "E871", "C6292", "E785", "I2510", "Z955", "Z8673", "I10", "Z9884", "E039", "G8929", "F329", "F419", "H409", "Z794", "Z950", "R002", "M7989", "E669", "Z6834" ]
Allergies: Penicillins / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) / erythromycin base Chief Complaint: Fever Major Surgical or Invasive Procedure: N/A History of Present Illness: [MASKED] yo male with a history of CLL and more recently testicular cancer who is admitted with fevers, cough, and sore throat. The pati...
[]
[ "E871", "E785", "I2510", "Z955", "Z8673", "I10", "E039", "G8929", "F329", "F419", "Z794", "E669" ]
[ "B348: Other viral infections of unspecified site", "C9110: Chronic lymphocytic leukemia of B-cell type not having achieved remission", "E1136: Type 2 diabetes mellitus with diabetic cataract", "D6481: Anemia due to antineoplastic chemotherapy", "E871: Hypo-osmolality and hyponatremia", "C6292: Malignant ...
10,014,378
22,267,781
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / Penicillins / fluconazole / Strawberry Attending: ___. Chief Complaint: Wheezing, Shortness of Breath ...
[ "J4541", "K219", "Z87891", "J040", "I10" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Penicillins / fluconazole / Strawberry Chief Complaint: Wheezing, Shortness of Breath Major Surgical or Invasive Procedure: None History of Present Illness: This is an [MASKED] female with a history of asthma, CHF and hypertension presenting to the emergency department for p...
[]
[ "K219", "Z87891", "I10" ]
[ "J4541: Moderate persistent asthma with (acute) exacerbation", "K219: Gastro-esophageal reflux disease without esophagitis", "Z87891: Personal history of nicotine dependence", "J040: Acute laryngitis", "I10: Essential (primary) hypertension" ]
10,014,378
22,671,944
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / Penicillins / fluconazole / Strawberry Attending: ___. Chief Complaint: dyspnea Major Surgical or Inv...
[ "K219", "I10", "J479", "D72829", "R0600", "R531", "T380X5A", "Y92230", "Z87891", "Z7722" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Penicillins / fluconazole / Strawberry Chief Complaint: dyspnea Major Surgical or Invasive Procedure: none History of Present Illness: Ms. [MASKED] is a [MASKED] woman with asthma and bronchiectasis who presents with dyspnea, cough, and weakness, admitted for asthma exacerba...
[]
[ "K219", "I10", "Y92230", "Z87891" ]
[ "K219: Gastro-esophageal reflux disease without esophagitis", "I10: Essential (primary) hypertension", "J479: Bronchiectasis, uncomplicated", "D72829: Elevated white blood cell count, unspecified", "R0600: Dyspnea, unspecified", "R531: Weakness", "T380X5A: Adverse effect of glucocorticoids and synthetic...
10,014,451
21,157,275
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: Magnesium Citrate / Shellfish Derived Attending: ___ Chief Complaint: Right knee pain Major Surgical or Invasive Procedure: ___:...
[ "M179", "M419", "E669", "Z6833", "G43B0", "K589", "L719", "Q6589", "G4700", "Z87891" ]
Allergies: Magnesium Citrate / Shellfish Derived Chief Complaint: Right knee pain Major Surgical or Invasive Procedure: [MASKED]: Right total knee replacement History of Present Illness: [MASKED] healthy female with right knee OA presenting for total knee replacement. Past Medical History: congenital hip dysplasia, sco...
[]
[ "E669", "G4700", "Z87891" ]
[ "M179: Osteoarthritis of knee, unspecified", "M419: Scoliosis, unspecified", "E669: Obesity, unspecified", "Z6833: Body mass index [BMI] 33.0-33.9, adult", "G43B0: Ophthalmoplegic migraine, not intractable", "K589: Irritable bowel syndrome without diarrhea", "L719: Rosacea, unspecified", "Q6589: Other...
10,014,532
21,720,538
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Lipitor / Penicillins / Claritin / Statins-Hmg-Coa Reductase Inhibitors Attending: ___ Chief Complaint: DVT/Renal failure Major S...
[ "I824Z1", "E43", "N179", "R188", "I8500", "K7581", "K7290", "R64", "E785", "E039", "M8580", "K219", "I129", "N189", "Z66" ]
Allergies: Lipitor / Penicillins / Claritin / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: DVT/Renal failure Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with PMH of NASH vs cryptogenic cirrhosis, HTN, hyperlipidemia, hypothyroidism who presents from [MASKED] [MASKED] with DV...
[]
[ "N179", "E785", "E039", "K219", "I129", "N189", "Z66" ]
[ "I824Z1: Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity", "E43: Unspecified severe protein-calorie malnutrition", "N179: Acute kidney failure, unspecified", "R188: Other ascites", "I8500: Esophageal varices without bleeding", "K7581: Nonalcoholic steatohepatitis (N...
10,014,610
20,579,647
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Attending: ___ Chief Complaint: knee...
[ "T8453XA", "S72301A", "A4181", "N179", "N390", "M00861", "D62", "I9742", "Y792", "Z951", "I10", "Y92009", "B9620", "Z96653", "Y831", "N401", "R338", "D638" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Chief Complaint: knee pain Major Surgical or Invasive Procedure: ORIF, washout, debridement History of Present Illness: [MASKED] with PMH of [MASKED] year old man with a history of severe aortic insufficiency ...
[]
[ "N179", "N390", "D62", "Z951", "I10" ]
[ "T8453XA: Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter", "S72301A: Unspecified fracture of shaft of right femur, initial encounter for closed fracture", "A4181: Sepsis due to Enterococcus", "N179: Acute kidney failure, unspecified", "N390: Urinary tract infect...
10,014,610
21,375,434
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Attending: ___. Chief Complaint:...
[ "Z4733", "N170", "I248", "E861", "D62", "I2510", "I878", "M89351", "M89361", "I10", "H409", "M5416", "E785", "M4800", "I9581", "I739", "N400", "Z96652", "Z8673", "Z951", "Z954" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Chief Complaint: Right knee periprostethic joint infection Major Surgical or Invasive Procedure: Right complex revision total knee arthroplasty [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] y...
[]
[ "D62", "I2510", "I10", "E785", "N400", "Z8673", "Z951" ]
[ "Z4733: Aftercare following explantation of knee joint prosthesis", "N170: Acute kidney failure with tubular necrosis", "I248: Other forms of acute ischemic heart disease", "E861: Hypovolemia", "D62: Acute posthemorrhagic anemia", "I2510: Atherosclerotic heart disease of native coronary artery without ang...
10,014,610
23,258,342
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Attending: ___ Chief Complaint...
[ "I351", "J942", "F05", "I97411", "D62", "L97229", "I712", "I2510", "I10", "T8453XD", "Y92009", "Y832", "Y92234", "N401", "H409", "M4800", "M1990", "Z9889", "Z8669", "Z8614", "R339" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Chief Complaint: Dyspnea on exertion Major Surgical or Invasive Procedure: [MASKED] - [MASKED] Procedure with 27 mm Medetronic root valve and coronary artery bypass grafting x 3: left internal mammary artery t...
[]
[ "D62", "I2510", "I10" ]
[ "I351: Nonrheumatic aortic (valve) insufficiency", "J942: Hemothorax", "F05: Delirium due to known physiological condition", "I97411: Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass", "D62: Acute posthemorrhagic anemia", "L97229: Non-pressure...
10,014,610
23,508,476
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin / daptomycin / rifampin Attending: ___...
[ "J90", "J9811", "D689", "I2510", "Z951", "E785", "C61", "Z23", "Z89611", "Z96652", "Z952", "D649", "I129", "N189", "Z66" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin / daptomycin / rifampin Chief Complaint: Shortness of breath Cough Major Surgical or Invasive Procedure: Thoracentesis with chest tube placement [MASKED] History of Present Illness: [MASKED] with h/o HTN, HLD,...
[]
[ "I2510", "Z951", "E785", "D649", "I129", "N189", "Z66" ]
[ "J90: Pleural effusion, not elsewhere classified", "J9811: Atelectasis", "D689: Coagulation defect, unspecified", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z951: Presence of aortocoronary bypass graft", "E785: Hyperlipidemia, unspecified", "C61: Malignant...
10,014,610
23,859,571
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROLOGY Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Attending: ___ Chief Complaint: L h...
[ "M5412", "I639", "I351", "Z951", "Z7982", "Z96653", "H409" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Chief Complaint: L hand weakness Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] year old [MASKED] man with a history of severe aortic insufficiency with left ...
[]
[ "Z951" ]
[ "M5412: Radiculopathy, cervical region", "I639: Cerebral infarction, unspecified", "I351: Nonrheumatic aortic (valve) insufficiency", "Z951: Presence of aortocoronary bypass graft", "Z7982: Long term (current) use of aspirin", "Z96653: Presence of artificial knee joint, bilateral", "H409: Unspecified gl...
10,014,610
25,751,757
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin / daptomycin Attending: ___. Chi...
[ "T8453XA", "D62", "N179", "D709", "B9562", "D696", "I10", "E785", "I2510", "E860", "H409", "B9689", "N400", "Z951", "Z8673", "Z96652", "Z954", "Y792", "Y929" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin / daptomycin Chief Complaint: surgical site infection s/p right knee reimplantation on [MASKED] Major Surgical or Invasive Procedure: [MASKED]: I&D right knee, wound vac application [MASKED]: right leg above t...
[]
[ "D62", "N179", "D696", "I10", "E785", "I2510", "N400", "Z951", "Z8673", "Y929" ]
[ "T8453XA: Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter", "D62: Acute posthemorrhagic anemia", "N179: Acute kidney failure, unspecified", "D709: Neutropenia, unspecified", "B9562: Methicillin resistant Staphylococcus aureus infection as the cause of diseases cl...
10,014,610
27,586,596
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: UROLOGY Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Attending: ___. Chief Complaint: Urin...
[ "C61", "R339", "E785", "I10", "I2510", "Z951", "Z952", "Z8673", "H409", "T8453XD", "Y831" ]
Allergies: Vancocin / Zosyn / ceftriaxone / Meropenem / Tigecycline / amoxicillin-pot clavulanate / Gentamicin Chief Complaint: Urinary retention Major Surgical or Invasive Procedure: Transurethral resection of prostate History of Present Illness: [MASKED] BPH c/b urinary retention on CIC, PSA 10.8 Past Medical History...
[]
[ "E785", "I10", "I2510", "Z951", "Z8673" ]
[ "C61: Malignant neoplasm of prostate", "R339: Retention of urine, unspecified", "E785: Hyperlipidemia, unspecified", "I10: Essential (primary) hypertension", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z951: Presence of aortocoronary bypass graft", "Z952: P...
10,014,651
20,023,531
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: oxycodone / Omnipaque / adhesive tape Attending: ___ ___ Complaint: Left total knee replacement Major Surgical or Invasive Procedure: _...
[ "M1712", "E1122", "I428", "I130", "I5020", "E119", "E785", "I2510", "G4733", "N189", "Z96651", "Z794", "I252", "E669", "Z6834", "F419", "F329", "I951" ]
Allergies: oxycodone / Omnipaque / adhesive tape [MASKED] Complaint: Left total knee replacement Major Surgical or Invasive Procedure: [MASKED]: Left total knee replacement History of Present Illness: [MASKED] w/ DM2 (A1C 8.5%), CHF (exercise stress [MASKED] with [MASKED] METS; severe global LV systolic dysfunction mix...
[]
[ "E1122", "I130", "E119", "E785", "I2510", "G4733", "N189", "Z794", "I252", "E669", "F419", "F329" ]
[ "M1712: Unilateral primary osteoarthritis, left knee", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "I428: Other cardiomyopathies", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidn...
10,014,651
20,051,301
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: oxycodone / Omnipaque Attending: ___. Chief Complaint: Leg swelling, dyspnea on exertion, orthopnea Major Surgical or Invasive Procedure: ...
[ "I5021", "I428", "I081", "E119", "I2510", "E785", "I10", "R000", "E669", "Z794", "F329", "R05", "Z96651", "Z6838" ]
Allergies: oxycodone / Omnipaque Chief Complaint: Leg swelling, dyspnea on exertion, orthopnea Major Surgical or Invasive Procedure: None (Left Heart Catheterization at [MASKED] History of Present Illness: [MASKED] is a [MASKED] year old woman with HTN, HLD, DM2, obesity who presents as a transfer from [MASKED] [MASKED...
[]
[ "E119", "I2510", "E785", "I10", "E669", "Z794", "F329" ]
[ "I5021: Acute systolic (congestive) heart failure", "I428: Other cardiomyopathies", "I081: Rheumatic disorders of both mitral and tricuspid valves", "E119: Type 2 diabetes mellitus without complications", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "E785: Hype...
10,014,651
24,341,393
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: oxycodone / Omnipaque / adhesive tape Attending: ___. Chief Complaint: Cough Major Surgical or Invasive Procedure: None History of Presen...
[ "I130", "I5023", "N189", "E1122", "E785", "K219", "Z96651", "I428", "Z794", "I2510", "Z9111", "R05", "F329" ]
Allergies: oxycodone / Omnipaque / adhesive tape Chief Complaint: Cough Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a history of mixed ischemic/non-ischemic HFrEF (EF [MASKED], type II diabetes mellitus, HTN, HLD, and CKD, who presented to the ED with dyspnea on exertion and cou...
[]
[ "I130", "N189", "E1122", "E785", "K219", "Z794", "I2510", "F329" ]
[ "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I5023: Acute on chronic systolic (congestive) heart failure", "N189: Chronic kidney disease, unspecified", "E1122: Type 2 diabetes mellitus with ...