Search is not available for this dataset
subject_id int64 10M 20M | hadm_id int64 20M 30M | text stringlengths 598 58.6k | icd_code listlengths 1 39 | cleaned_text stringlengths 382 57.3k | code_rare listlengths 0 5 | code_commons listlengths 0 23 | icd_descriptions listlengths 1 39 |
|---|---|---|---|---|---|---|---|
10,030,852 | 22,579,782 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
diabetic ketoacidosis with history of Type I dia... | [
"T85614A",
"E1010",
"O24013",
"T85624A",
"T383X6A",
"Z3A34",
"O99213",
"E669",
"Z6836",
"Y929"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: diabetic ketoacidosis with history of Type I diabetes [MASKED] [MASKED] Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] G1 at [MASKED] with T1DM transferred for poorly controlled diabetes. She reports her finger stic... | [] | [
"E669",
"Y929"
] | [
"T85614A: Breakdown (mechanical) of insulin pump, initial encounter",
"E1010: Type 1 diabetes mellitus with ketoacidosis without coma",
"O24013: Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester",
"T85624A: Displacement of insulin pump, initial encounter",
"T383X6A: Underdosing of insulin... |
10,030,852 | 22,871,136 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
poor diabetes control
Major Surgical or Invasi... | [
"O24013",
"E1065",
"O99213",
"O403XX0",
"Z3A32",
"Z794",
"Z9641",
"Z6836"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: poor diabetes control Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] G1 with T1DM at 32w3d who presents for admission due to poorly controlled diabetes. Pt has been followed by her endocrinologist (Dr [MASKED] but h... | [] | [
"Z794"
] | [
"O24013: Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester",
"E1065: Type 1 diabetes mellitus with hyperglycemia",
"O99213: Obesity complicating pregnancy, third trimester",
"O403XX0: Polyhydramnios, third trimester, not applicable or unspecified",
"Z3A32: 32 weeks gestation of pregnancy"... |
10,030,852 | 27,541,847 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Elevated BPs
Major Surgical or Invasive Proced... | [
"O1414",
"O2402",
"Z6841",
"E1065",
"O631",
"O99214",
"O660",
"O7581",
"O701",
"O691XX0",
"Z370",
"Z9641",
"Z794",
"Z3A37"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Elevated BPs Major Surgical or Invasive Procedure: Vacuum-assisted vaginal delivery History of Present Illness: [MASKED] G1P0 at 36w3d with poorly controlled [MASKED] transferred from [MASKED] with elevated BPs. She had BPs 172/101 and 164/80 at [M... | [] | [
"Z794"
] | [
"O1414: Severe pre-eclampsia complicating childbirth",
"O2402: Pre-existing type 1 diabetes mellitus, in childbirth",
"Z6841: Body mass index [BMI]40.0-44.9, adult",
"E1065: Type 1 diabetes mellitus with hyperglycemia",
"O631: Prolonged second stage (of labor)",
"O99214: Obesity complicating childbirth",
... |
10,030,863 | 22,221,453 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Multihance
Attending: ___.
Chief Complaint:
referred from clinic for hypertensive urgency
Major Surgical or Invasive Procedure:
None
... | [
"I160",
"N910",
"Z9114",
"I129",
"N182",
"I517",
"J45909",
"E559",
"E211",
"F17200"
] | Allergies: Multihance Chief Complaint: referred from clinic for hypertensive urgency Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] woman with long-standing history of hypertension currently non-compliant with home medications, hyperparathyroidism, and depression presenting from clinic ... | [] | [
"I129",
"J45909"
] | [
"I160: Hypertensive urgency",
"N910: Primary amenorrhea",
"Z9114: Patient's other noncompliance with medication regimen",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"N182: Chronic kidney disease, stage 2 (mild)",
... |
10,030,937 | 29,265,770 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Dyspnea on exertion
Major Surgical or Invas... | [
"O135",
"O9953",
"J811",
"O9279",
"J45909",
"O9089",
"R51",
"R319",
"O9081",
"D649"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea on exertion Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] s/p pLTCS for arrest of dilation on [MASKED] presents with two days of worsening shortness of breath. She describes onset of symptoms two nights ago... | [] | [
"J45909",
"D649"
] | [
"O135: Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium",
"O9953: Diseases of the respiratory system complicating the puerperium",
"J811: Chronic pulmonary edema",
"O9279: Other disorders of lactation",
"J45909: Unspecified asthma, uncomplicated",
"... |
10,031,308 | 20,329,709 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: PSYCHIATRY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
"I am scared of something"
Major Surgical or Invasive ... | [
"F312",
"F1210",
"F4310",
"X58XXXS",
"F17210"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I am scared of something" Major Surgical or Invasive Procedure: none History of Present Illness: For further details of the history and presentation, please see OMR, including Dr. [MASKED] initial consultation note dated [MASKED] and Dr. [MASKED] ... | [] | [
"F17210"
] | [
"F312: Bipolar disorder, current episode manic severe with psychotic features",
"F1210: Cannabis abuse, uncomplicated",
"F4310: Post-traumatic stress disorder, unspecified",
"X58XXXS: Exposure to other specified factors, sequela",
"F17210: Nicotine dependence, cigarettes, uncomplicated"
] |
10,031,316 | 27,575,109 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: CARDIOTHORACIC
Allergies:
amitriptyline / hydrochlorothiazide / lisinopril
Attending: ___.
Chief Complaint:
left arm discomfort and shortness of breath
Maj... | [
"I25110",
"E1165",
"I10",
"J95812",
"D62",
"E782",
"K219",
"G4733",
"F419",
"F329",
"Y832",
"Y92234",
"I9581",
"Z87891"
] | Allergies: amitriptyline / hydrochlorothiazide / lisinopril Chief Complaint: left arm discomfort and shortness of breath Major Surgical or Invasive Procedure: [MASKED] Coronary artery bypass grafting x2 with the left internal mammary artery to the left anterior descending artery, and reverse saphenous vein graft to the... | [] | [
"E1165",
"I10",
"D62",
"K219",
"G4733",
"F419",
"F329",
"Z87891"
] | [
"I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"I10: Essential (primary) hypertension",
"J95812: Postprocedural air leak",
"D62: Acute posthemorrhagic anemia",
"E782: Mixed hyperlipidemia",
"K219: Gas... |
10,031,358 | 28,474,294 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
ACE Inhibitors / ___ Receptor Antagonist
Attending: ___.
Chief Complaint:
Toe ulcer, fevers, chills
Major Surgical or Invasive Procedu... | [
"E11621",
"M86172",
"N179",
"E1121",
"E1140",
"F3181",
"L97529",
"Z794",
"E1169",
"E11319",
"E11628",
"L03032",
"E1122",
"T43595S",
"N189",
"I129",
"I890",
"E538",
"R251",
"K2270",
"Z87891",
"M205X2",
"Z89411"
] | Allergies: ACE Inhibitors / [MASKED] Receptor Antagonist Chief Complaint: Toe ulcer, fevers, chills Major Surgical or Invasive Procedure: Left hallux debridement and biopsy on [MASKED] History of Present Illness: [MASKED] M with [MASKED] IDDM DM2 c/b retinopathy, nephropathy, and neuropathy, HTN, traumatic SAH c/b seiz... | [] | [
"N179",
"Z794",
"E1122",
"N189",
"I129",
"Z87891"
] | [
"E11621: Type 2 diabetes mellitus with foot ulcer",
"M86172: Other acute osteomyelitis, left ankle and foot",
"N179: Acute kidney failure, unspecified",
"E1121: Type 2 diabetes mellitus with diabetic nephropathy",
"E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified",
"F3181: Bipolar II ... |
10,031,358 | 29,498,981 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
ACE Inhibitors / ___ Receptor Antagonist
Attending: ___.
Chief Complaint:
slurred speech, facial droop
Major Surgical or Invasive Pro... | [
"I619",
"G8191",
"E1329",
"E1140",
"K2270",
"Z6841",
"E538",
"R1310",
"E11319",
"R29810",
"E119",
"E785",
"Z9114",
"E039",
"N189",
"E669",
"R471",
"I129",
"F319",
"F329",
"Z7982",
"Z794",
"Z89421",
"Z87891"
] | Allergies: ACE Inhibitors / [MASKED] Receptor Antagonist Chief Complaint: slurred speech, facial droop Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] year old male with history of DM, HTN, HLD, and noncompliance to meds for financial reasons, who developed right facial... | [] | [
"E119",
"E785",
"E039",
"N189",
"E669",
"I129",
"F329",
"Z794",
"Z87891"
] | [
"I619: Nontraumatic intracerebral hemorrhage, unspecified",
"G8191: Hemiplegia, unspecified affecting right dominant side",
"E1329: Other specified diabetes mellitus with other diabetic kidney complication",
"E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified",
"K2270: Barrett's esophagus... |
10,031,358 | 29,887,601 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
ACE Inhibitors / ___ Receptor Antagonist
Attending: ___
Chief Complaint:
right sided weakness
Major Surgical or Invasive Procedure:
N... | [
"I6329",
"G8191",
"E1121",
"E1140",
"Z6841",
"E1165",
"E11319",
"E1122",
"I129",
"N183",
"Z794",
"E538",
"Z87820",
"I69398",
"R569",
"E039",
"F319",
"E669",
"K219",
"R251",
"K2270",
"Z87891",
"Z9114",
"E785"
] | Allergies: ACE Inhibitors / [MASKED] Receptor Antagonist Chief Complaint: right sided weakness Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a pleasant [MASKED] man with DM2 c/b retinopathy, nephropathy, and neuropathy, HTN, B12 deficiency, traumatic SAH c/b seizure, and L putam... | [] | [
"E1165",
"E1122",
"I129",
"Z794",
"E039",
"E669",
"K219",
"Z87891",
"E785"
] | [
"I6329: Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries",
"G8191: Hemiplegia, unspecified affecting right dominant side",
"E1121: Type 2 diabetes mellitus with diabetic nephropathy",
"E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified",
"Z6841: B... |
10,031,396 | 22,921,074 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Acute ___ in Pain Headache
Major Surgical or Invasive P... | [
"I618",
"I161",
"I10",
"R402142",
"R402252",
"R402362",
"Z87891",
"Z853"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Acute [MASKED] in Pain Headache Major Surgical or Invasive Procedure: Conventional Angiography History of Present Illness: [MASKED] with PMH HTN, left breast ca s/p mastectomy who presents with headache with hypertensive emergency and found to have... | [] | [
"I10",
"Z87891"
] | [
"I618: Other nontraumatic intracerebral hemorrhage",
"I161: Hypertensive emergency",
"I10: Essential (primary) hypertension",
"R402142: Coma scale, eyes open, spontaneous, at arrival to emergency department",
"R402252: Coma scale, best verbal response, oriented, at arrival to emergency department",
"R4023... |
10,031,404 | 21,606,243 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
lisinopril
Attending: ___.
Chief Complaint:
Shortness of breath
Major Surgical or Invasive Procedure:
Pericardiocentesis ___
History... | [
"I308",
"J90",
"N179",
"E871",
"E860",
"I9589",
"J9811",
"R000",
"I10",
"E785",
"Z8781",
"L930",
"R002",
"Z8639",
"Z87891"
] | Allergies: lisinopril Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Pericardiocentesis [MASKED] History of Present Illness: Ms. [MASKED] is an [MASKED] year old woman with a hx of HTN, HLD, Grave's disease, discoid lupus (in remission x [MASKED] years) who presents with pericardial effusion... | [] | [
"N179",
"E871",
"I10",
"E785",
"Z87891"
] | [
"I308: Other forms of acute pericarditis",
"J90: Pleural effusion, not elsewhere classified",
"N179: Acute kidney failure, unspecified",
"E871: Hypo-osmolality and hyponatremia",
"E860: Dehydration",
"I9589: Other hypotension",
"J9811: Atelectasis",
"R000: Tachycardia, unspecified",
"I10: Essential ... |
10,031,575 | 21,330,901 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
chest pain
Major Surgical or Invasive Procedure:
None
Histo... | [
"A419",
"I130",
"I5032",
"N179",
"R079",
"E1142",
"E1122",
"N183",
"K046",
"I951",
"K029",
"E785",
"D509",
"Z89421",
"Z8673"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] pmhx of HFpEF (EF 55% [MASKED], HTN, DMII c/b peripheral neuropathy, retinopathy, R toe osteo s/p amp, CKD (b/l 1.9-2.3), HLD presenting with chest pain. Pt ... | [] | [
"I130",
"I5032",
"N179",
"E1122",
"E785",
"D509",
"Z8673"
] | [
"A419: Sepsis, unspecified organism",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"I5032: Chronic diastolic (congestive) heart failure",
"N179: Acute kidney failure, unspecified",
"R079: C... |
10,031,575 | 21,395,590 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
SOB, ___ edema
Major Surgical or Invasive Procedure:
none
... | [
"I130",
"I5023",
"E1122",
"E1142",
"I69354",
"N183",
"E11319",
"E785",
"Z89421",
"D509",
"Z794",
"E1165",
"R001",
"I160"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: SOB, [MASKED] edema Major Surgical or Invasive Procedure: none History of Present Illness: Ms. [MASKED] is a [MASKED] y/o woman with a PMH of HFpEF, HTN, T2DM s/p peripheral neuropathy, retinopathy, R toe osteomyelitis s/p amputation, CKDIII (basel... | [] | [
"I130",
"E1122",
"E785",
"D509",
"Z794",
"E1165"
] | [
"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",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"E1142: Typ... |
10,031,575 | 23,640,913 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
diarrhea weakness
Major Surgical or Invasive Procedure:
None
... | [
"A0472",
"N179",
"I130",
"I5032",
"E1122",
"N183",
"Z794",
"E1142",
"E11319",
"E861",
"D509",
"E875",
"Z9114",
"E785"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: diarrhea weakness Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y/o woman with a PMH of HFpEF, HTN, T2DM s/p peripheral neuropathy, retinopathy, R toe osteomyelitis s/p amputation, CKDIII (baseline Cr 1.7-2.0), HLD... | [] | [
"N179",
"I130",
"I5032",
"E1122",
"Z794",
"D509",
"E785"
] | [
"A0472: Enterocolitis due to Clostridium difficile, not specified as recurrent",
"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",
"I5032: Chronic diasto... |
10,031,575 | 24,907,346 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Foot pain, swelling
Major Surgical or Invasive Procedure:
___... | [
"E1169",
"L03115",
"E1122",
"M86171",
"N179",
"I130",
"N183",
"I5032",
"I272",
"E11621",
"L97514",
"E11628",
"E1140",
"Z794",
"D500",
"E785",
"I2510",
"Z8673",
"E1165",
"I340",
"E11319",
"E669",
"Z6837",
"B9561",
"B9689"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Foot pain, swelling Major Surgical or Invasive Procedure: [MASKED] Bedside I&D, right foot [MASKED] Open right [MASKED] toe amputation [MASKED] Right foot debridement with wound vac placement History of Present Illness: [MASKED] year old woman with... | [] | [
"E1122",
"N179",
"I130",
"I5032",
"Z794",
"E785",
"I2510",
"Z8673",
"E1165",
"E669"
] | [
"E1169: Type 2 diabetes mellitus with other specified complication",
"L03115: Cellulitis of right lower limb",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"M86171: Other acute osteomyelitis, right ankle and foot",
"N179: Acute kidney failure, unspecified",
"I130: Hypertensive h... |
10,031,575 | 25,549,462 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Weight loss, fatigue, dizziness
Major Surgical or Invasive Pr... | [
"N179",
"I214",
"I130",
"I5032",
"T501X5A",
"E1122",
"E875",
"E11621",
"E11319",
"L97519",
"E1140",
"E785",
"I951",
"Z794",
"E869",
"N184",
"Z8673",
"Y929",
"D509",
"E069",
"I2510",
"R319",
"Z9181",
"E6601",
"Z6835"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Weight loss, fatigue, dizziness Major Surgical or Invasive Procedure: none History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a [MASKED] diastolic CHF (likely related to HTN), HTN, HLD, T2DM, and recent [MASKED] admission fo... | [] | [
"N179",
"I130",
"I5032",
"E1122",
"E785",
"Z794",
"Z8673",
"Y929",
"D509",
"I2510"
] | [
"N179: Acute kidney failure, unspecified",
"I214: Non-ST elevation (NSTEMI) myocardial infarction",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"I5032: Chronic diastolic (congestive) heart f... |
10,031,575 | 27,796,946 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
dyspnea, chest pain
Major Surgical or Invasive Procedure:
Non... | [
"I130",
"I214",
"N179",
"I5033",
"L97419",
"Z6841",
"E1122",
"E785",
"Z794",
"E11319",
"E1140",
"N189",
"E11621",
"E611",
"E049",
"E6601"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dyspnea, chest pain Major Surgical or Invasive Procedure: None. History of Present Illness: [MASKED] woman with HTN, IDDM, HLD with heart failure (unknown EF) diagnosed [MASKED] at [MASKED] here with worsening dyspnea on exertion, lower extremity e... | [] | [
"I130",
"N179",
"E1122",
"E785",
"Z794",
"N189"
] | [
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"I214: Non-ST elevation (NSTEMI) myocardial infarction",
"N179: Acute kidney failure, unspecified",
"I5033: Acute on chronic diastolic (congestive... |
10,032,176 | 20,464,560 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Depakote / lisinopril / Topamax / Ultram / hydrochlorothiazide
Attending: ___.
Chief Complaint:
Dyspnea, cough, headache, diarrhea
Majo... | [
"I110",
"I5031",
"E871",
"N390",
"A09",
"Z6842",
"F05",
"D509",
"R1310",
"B961",
"B373",
"R339",
"T502X5A",
"Y92099",
"J449",
"J029",
"E8342",
"G40909",
"E785",
"E039",
"K635",
"K5730",
"Z86718",
"E1165",
"F17210",
"E1140",
"E669"
] | Allergies: Depakote / lisinopril / Topamax / Ultram / hydrochlorothiazide Chief Complaint: Dyspnea, cough, headache, diarrhea Major Surgical or Invasive Procedure: Colonoscopy and EGD History of Present Illness: [MASKED] year old lady with history of HTN, COPD, IDDM, hypothyroidism, DVT who presented with diarrhea, SOB... | [] | [
"I110",
"E871",
"N390",
"D509",
"J449",
"E785",
"E039",
"Z86718",
"E1165",
"F17210",
"E669"
] | [
"I110: Hypertensive heart disease with heart failure",
"I5031: Acute diastolic (congestive) heart failure",
"E871: Hypo-osmolality and hyponatremia",
"N390: Urinary tract infection, site not specified",
"A09: Infectious gastroenteritis and colitis, unspecified",
"Z6842: Body mass index [BMI] 45.0-49.9, ad... |
10,032,409 | 28,020,206 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Enalapril / Ace Inhibitors / Iodine / Codeine /
Advair HFA / Losartan / Levofloxacin / hydrochlorothiazide
Attending: ___... | [
"J9621",
"J690",
"N179",
"E870",
"I471",
"E1165",
"F0390",
"F05",
"I5030",
"J441",
"J9622",
"E11319",
"Z9981",
"I10",
"I2510",
"F259",
"E785",
"Z66",
"G2401",
"T43595A",
"Y92230",
"R740"
] | Allergies: Penicillins / Enalapril / Ace Inhibitors / Iodine / Codeine / Advair HFA / Losartan / Levofloxacin / hydrochlorothiazide Chief Complaint: respiratory failure Major Surgical or Invasive Procedure: Intubation - [MASKED] History of Present Illness: [MASKED] with PMH COPD on 3L home O2, dCHF, CAD, EtOH abuse, an... | [] | [
"N179",
"E1165",
"I10",
"I2510",
"E785",
"Z66",
"Y92230"
] | [
"J9621: Acute and chronic respiratory failure with hypoxia",
"J690: Pneumonitis due to inhalation of food and vomit",
"N179: Acute kidney failure, unspecified",
"E870: Hyperosmolality and hypernatremia",
"I471: Supraventricular tachycardia",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"F0390: ... |
10,033,085 | 23,404,293 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: PODIATRY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
R foot Osteomyelitis
Major Surgical or Invasive Procedur... | [
"E1169",
"M86171",
"M86671",
"Z794",
"I10",
"Z006"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: R foot Osteomyelitis Major Surgical or Invasive Procedure: [MASKED]: R [MASKED] MPJ debridement; abx spacer History of Present Illness: [MASKED] male patient presenting to the ED with concern for a right toe infection. Patient with PMH of DM with h... | [] | [
"Z794",
"I10"
] | [
"E1169: Type 2 diabetes mellitus with other specified complication",
"M86171: Other acute osteomyelitis, right ankle and foot",
"M86671: Other chronic osteomyelitis, right ankle and foot",
"Z794: Long term (current) use of insulin",
"I10: Essential (primary) hypertension",
"Z006: Encounter for examination... |
10,033,290 | 22,588,582 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
RUE pain/weakness
Major Surgical or Invasive Procedure... | [
"M19041",
"I110",
"I509",
"I482",
"Z7902",
"I447"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: RUE pain/weakness Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] man with afib on apixaban, CHF, and LBBB who presents from clinic for evaluation of left hand pain and right arm pain. History was o... | [] | [
"I110",
"Z7902"
] | [
"M19041: Primary osteoarthritis, right hand",
"I110: Hypertensive heart disease with heart failure",
"I509: Heart failure, unspecified",
"I482: Chronic atrial fibrillation",
"Z7902: Long term (current) use of antithrombotics/antiplatelets",
"I447: Left bundle-branch block, unspecified"
] |
10,033,290 | 27,373,164 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Major Surgical or Invasive Procedure:
Cardiac Catheterization, ___: No an... | [
"I110",
"I4821",
"I472",
"Z7902",
"I420",
"I5042",
"G4733",
"I872",
"Z8249",
"I2720",
"E669",
"Z6834",
"I447"
] | Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: Cardiac Catheterization, [MASKED]: No angiographically apparent CAD. Elevated filling pressures CRT-D placement, [MASKED] attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 10:10AM BLOOD WBC-5.9 RBC-4.96 Hgb-15.... | [] | [
"I110",
"Z7902",
"G4733",
"E669"
] | [
"I110: Hypertensive heart disease with heart failure",
"I4821: Permanent atrial fibrillation",
"I472: Ventricular tachycardia",
"Z7902: Long term (current) use of antithrombotics/antiplatelets",
"I420: Dilated cardiomyopathy",
"I5042: Chronic combined systolic (congestive) and diastolic (congestive) heart... |
10,033,409 | 21,370,169 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
shellfish derived
Attending: ___.
Chief Complaint:
Cough, fever, lethargy
Major Surgical or Invasive Procedure:
None
History of Present... | [
"J690",
"G20",
"F0280",
"F0150",
"I129",
"E1122",
"E1165",
"N183",
"E113299",
"E785",
"M109",
"I69322",
"E1151",
"Z86718",
"Z87440",
"R400",
"R1312"
] | Allergies: shellfish derived Chief Complaint: Cough, fever, lethargy Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y/o woman with history of uncontrolled type 2 DM complicated by small vessel CVA [MASKED], vascular dementia, recent L5 nerve root injection, and frequent UTI presenting w... | [] | [
"I129",
"E1122",
"E1165",
"E785",
"M109",
"Z86718"
] | [
"J690: Pneumonitis due to inhalation of food and vomit",
"G20: Parkinson's disease",
"F0280: Dementia in other diseases classified elsewhere without behavioral disturbance",
"F0150: Vascular dementia without behavioral disturbance",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chr... |
10,033,409 | 21,582,131 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
shellfish derived
Attending: ___
Chief Complaint:
AMS
Major Surgical or Invasive Procedure:
None
History of Present Illness:
___ hx unc... | [
"F0151",
"E1121",
"G20",
"Z87440",
"K5909",
"Z8673",
"E113299",
"M4806",
"R339",
"M4726",
"R32",
"M47892",
"I129",
"N183",
"E039",
"E785"
] | Allergies: shellfish derived Chief Complaint: AMS Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] hx uncontrolled DM2 c/b small vessel CVA [MASKED], vascular dementia, recent L5 nerve root injection, frequent UTI p/w one week AMS and nonfocal weakness, superimposed on months of chronic b... | [] | [
"Z8673",
"I129",
"E039",
"E785"
] | [
"F0151: Vascular dementia with behavioral disturbance",
"E1121: Type 2 diabetes mellitus with diabetic nephropathy",
"G20: Parkinson's disease",
"Z87440: Personal history of urinary (tract) infections",
"K5909: Other constipation",
"Z8673: Personal history of transient ischemic attack (TIA), and cerebral ... |
10,033,409 | 27,804,795 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
shellfish derived
Attending: ___.
Major Surgical or Invasive Procedure:
None
attach
Pertinent Results:
LABORATORY RESULTS:
___ 10:30PM ... | [
"A4151",
"N390",
"N179",
"F0150",
"Z8673",
"E039",
"Z86718",
"Z7984",
"E1151",
"I10",
"Z87440",
"G214",
"E7800",
"M5416",
"E113299",
"K5900",
"M109",
"F329",
"E1165"
] | Allergies: shellfish derived Major Surgical or Invasive Procedure: None attach Pertinent Results: LABORATORY RESULTS: [MASKED] 10:30PM BLOOD WBC-10.7* RBC-4.08 Hgb-13.0 Hct-40.3 MCV-99* MCH-31.9 MCHC-32.3 RDW-12.4 RDWSD-45.1 Plt [MASKED] [MASKED] 04:45AM BLOOD WBC-8.7 RBC-3.67* Hgb-11.5 Hct-35.5 MCV-97 MCH-31.3 MCHC-32... | [] | [
"N390",
"N179",
"Z8673",
"E039",
"Z86718",
"I10",
"K5900",
"M109",
"F329",
"E1165"
] | [
"A4151: Sepsis due to Escherichia coli [E. coli]",
"N390: Urinary tract infection, site not specified",
"N179: Acute kidney failure, unspecified",
"F0150: Vascular dementia without behavioral disturbance",
"Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual ... |
10,033,552 | 26,487,381 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Atenolol / Amlodipine / Tekturna / felodipine / lisinopril /
Diovan
Attending: ___.
Chief Complaint:
Chest pain
Major Surgical or Invasive... | [
"I213",
"E1122",
"E8881",
"I2510",
"I129",
"N182",
"K219",
"Z8673",
"E7800"
] | Allergies: Atenolol / Amlodipine / Tekturna / felodipine / lisinopril / Diovan Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Cardiac cath ([MASKED]) History of Present Illness: Ms. [MASKED] is a [MASKED] yoF w metabolic syndrome, hx of diverticulitis, tension headaches and CKD stage II who presents ... | [] | [
"E1122",
"I2510",
"I129",
"K219",
"Z8673"
] | [
"I213: ST elevation (STEMI) myocardial infarction of unspecified site",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"E8881: Metabolic syndrome",
"I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris",
"I129: Hypertensive chronic kidney disease wi... |
10,033,552 | 28,741,297 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Atenolol / Amlodipine / Tekturna / felodipine
Attending: ___.
Chief Complaint:
headache, chest pain, abdominal pain
Major Surgical or Invas... | [
"K5732",
"R079",
"K219",
"E1122",
"I129",
"N182",
"E785",
"E860",
"G44209",
"E8881",
"R933",
"E669",
"Z6830",
"Z8673"
] | Allergies: Atenolol / Amlodipine / Tekturna / felodipine Chief Complaint: headache, chest pain, abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] female with history of hypertension, hyperlipidemia, and metabolic syndrome on metformin presenting with headache, chest pain and... | [] | [
"K219",
"E1122",
"I129",
"E785",
"E669",
"Z8673"
] | [
"K5732: Diverticulitis of large intestine without perforation or abscess without bleeding",
"R079: Chest pain, unspecified",
"K219: Gastro-esophageal reflux disease without esophagitis",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I129: Hypertensive chronic kidney disease with s... |
10,033,552 | 29,061,116 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Atenolol / Amlodipine / Tekturna / felodipine / lisinopril /
Diovan
Attending: ___.
Chief Complaint:
Chest Pain, L Shoulder Pain
Major S... | [
"I25119",
"I129",
"E1122",
"N182",
"Z955",
"I252",
"Z7902",
"M7542",
"E785",
"K219",
"Z8673",
"E669",
"Z6829"
] | Allergies: Atenolol / Amlodipine / Tekturna / felodipine / lisinopril / Diovan Chief Complaint: Chest Pain, L Shoulder Pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] w/ PMHx CAD s/p STEMI w/ PCI to mid-LAD ([MASKED]), HTN, previous hx of diverticulitis, and CKD stage II presenting ... | [] | [
"I129",
"E1122",
"Z955",
"I252",
"Z7902",
"E785",
"K219",
"Z8673",
"E669"
] | [
"I25119: Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"N... |
10,033,661 | 23,080,369 |
Name: ___ ___ No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
Celebrex / codeine / Demerol / epinephrine / epinephrine /
Penicillins / scallops / shellfish derived
Attending: ___.
Chief Complaint:
LC1 ... | [
"S32591A",
"W06XXXA",
"J449",
"M810",
"I10",
"H409",
"Z96641",
"Z96651",
"K449",
"M1990"
] | Allergies: Celebrex / codeine / Demerol / epinephrine / epinephrine / Penicillins / scallops / shellfish derived Chief Complaint: LC1 pelvis fracture Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] female history arthritis, COPD, osteoporosis, skin cancer, glaucoma who presents with righ... | [] | [
"J449",
"I10"
] | [
"S32591A: Other specified fracture of right pubis, initial encounter for closed fracture",
"W06XXXA: Fall from bed, initial encounter",
"J449: Chronic obstructive pulmonary disease, unspecified",
"M810: Age-related osteoporosis without current pathological fracture",
"I10: Essential (primary) hypertension",... |
10,033,710 | 25,343,985 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
codeine
Attending: ___.
Chief Complaint:
Right intertrochanteric femur fracture
Major Surgical or Invasive Procedure:
___: Right tro... | [
"S72141A",
"S22088A",
"D62",
"S52021A",
"S62366A",
"W1830XA",
"Y92122",
"Z66",
"I4891",
"F0390",
"H409",
"H9190",
"M810",
"Z87310",
"Z961",
"I440"
] | Allergies: codeine Chief Complaint: Right intertrochanteric femur fracture Major Surgical or Invasive Procedure: [MASKED]: Right trochanteric femoral nail History of Present Illness: This is a [MASKED] female who presents to the emergency department at [MASKED] in transfer from [MASKED] with right intertrochanteric hip... | [] | [
"D62",
"Z66",
"I4891"
] | [
"S72141A: Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture",
"S22088A: Other fracture of T11-T12 vertebra, initial encounter for closed fracture",
"D62: Acute posthemorrhagic anemia",
"S52021A: Displaced fracture of olecranon process without intraarticular extension o... |
10,033,887 | 25,791,193 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: PSYCHIATRY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Psychiatry consulted by ED team for
pt who was referred by ... | [
"F209",
"F17210",
"F1210"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Psychiatry consulted by ED team for pt who was referred by therapist [MASKED] at [MASKED] following an incident last night in which he had his pants down and was yelling sexual obscenities. Major Surgical or Invasive Procedure: None History of Pres... | [] | [
"F17210"
] | [
"F209: Schizophrenia, unspecified",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"F1210: Cannabis abuse, uncomplicated"
] |
10,034,031 | 28,282,749 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: CARDIOTHORACIC
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
chest pain
Major Surgical or Invasive Procedure:
___... | [
"I214",
"J90",
"I4891",
"D62",
"I9581",
"I2510",
"I700",
"I10",
"E785",
"N400",
"Z8719",
"Z8711",
"Z87891"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: chest pain Major Surgical or Invasive Procedure: [MASKED] CABG x 3 LIMA-> LAD, RSVG-> Ramus, PDA History of Present Illness: Mr. [MASKED] is a [MASKED] year old M w/ PMH HTN, HLD, BPH who presents with 1 week of chest pain. Pt has good [MASKED] com... | [] | [
"I4891",
"D62",
"I2510",
"I10",
"E785",
"N400",
"Z87891"
] | [
"I214: Non-ST elevation (NSTEMI) myocardial infarction",
"J90: Pleural effusion, not elsewhere classified",
"I4891: Unspecified atrial fibrillation",
"D62: Acute posthemorrhagic anemia",
"I9581: Postprocedural hypotension",
"I2510: Atherosclerotic heart disease of native coronary artery without angina pec... |
10,034,049 | 20,053,563 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
Confusion
Major Surgical or Invasive ... | [
"A419",
"G92",
"N12",
"F05",
"I69351",
"M0520",
"E119",
"Z9181",
"Z87440",
"F0390",
"Z7952",
"D509",
"Z66",
"N289",
"E039",
"K5903",
"T402X5A",
"I878",
"J45909",
"R339",
"M549",
"M79605"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: Confusion Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo F w/ severe RA w/ leukocytoclastic vasculitis, venous insufficiency, hypothyroid, DM, presenting with abdominal pain and AMS. Per ... | [] | [
"E119",
"D509",
"Z66",
"E039",
"J45909"
] | [
"A419: Sepsis, unspecified organism",
"G92: Toxic encephalopathy",
"N12: Tubulo-interstitial nephritis, not specified as acute or chronic",
"F05: Delirium due to known physiological condition",
"I69351: Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side",
"M0520: Rheuma... |
10,034,049 | 20,693,789 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
abdominal pain, AMS
Major Surgical or... | [
"N390",
"G92",
"J449",
"F05",
"B9562",
"I10",
"E119",
"F329",
"E785",
"G8929",
"Z79899",
"E039",
"J45998",
"Z7952",
"K219",
"R339",
"I872",
"M069",
"E876"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: abdominal pain, AMS Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] PMHx chronic pain on methadone, chronic BLE venous stasis ulcers and recurrent UTIs who presents with AMS... | [] | [
"N390",
"J449",
"I10",
"E119",
"F329",
"E785",
"G8929",
"E039",
"K219"
] | [
"N390: Urinary tract infection, site not specified",
"G92: Toxic encephalopathy",
"J449: Chronic obstructive pulmonary disease, unspecified",
"F05: Delirium due to known physiological condition",
"B9562: Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere",
... |
10,034,049 | 22,185,456 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
Abdominal pain
Major Surgical or Inv... | [
"M47816",
"G9340",
"L97919",
"D696",
"I83009",
"M069",
"D649",
"R109",
"L739",
"Z66",
"Z5329",
"R7303",
"K5900",
"F419",
"F329",
"E039",
"E785",
"F17210",
"Z9114",
"Z8673",
"Z8542"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: [MASKED] CT-guided L4-L5 spine biopsy History of Present Illness: Ms. [MASKED] is a [MASKED] year-old female with medical history notable for stroke (right sided weakness... | [] | [
"D696",
"D649",
"Z66",
"K5900",
"F419",
"F329",
"E039",
"E785",
"F17210",
"Z8673"
] | [
"M47816: Spondylosis without myelopathy or radiculopathy, lumbar region",
"G9340: Encephalopathy, unspecified",
"L97919: Non-pressure chronic ulcer of unspecified part of right lower leg with unspecified severity",
"D696: Thrombocytopenia, unspecified",
"I83009: Varicose veins of unspecified lower extremity... |
10,034,049 | 24,278,210 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
AMS
Major Surgical or Invasive Proced... | [
"N390",
"G9341",
"K5901",
"M069",
"I10",
"B9620",
"E876",
"E8342",
"E785",
"J449",
"E039",
"E119",
"F419",
"F329",
"T402X5A",
"Y92009",
"F17210"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: AMS Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with history of rheumatoid arthritis on daily prednisone, HTN, HLD, hypothyroidism, DM2, asthma, depression, anxie... | [] | [
"N390",
"I10",
"E785",
"J449",
"E039",
"E119",
"F419",
"F329",
"F17210"
] | [
"N390: Urinary tract infection, site not specified",
"G9341: Metabolic encephalopathy",
"K5901: Slow transit constipation",
"M069: Rheumatoid arthritis, unspecified",
"I10: Essential (primary) hypertension",
"B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere",
"... |
10,034,049 | 28,052,811 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
Leg lesions
Major Surgical or Invasiv... | [
"N390",
"G9341",
"L97819",
"D649",
"J449",
"B952",
"E119",
"E039",
"L97829",
"I872",
"M545",
"G8929",
"I10",
"E785",
"J45909",
"M069",
"F329",
"F419",
"S80812A",
"S80811A",
"W010XXA",
"Z9181",
"Y92008",
"F17210"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: Leg lesions Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] PMH chronic low back pain (on narcotics agreement) who presents with CC of bilateral lower extremity pain after a fall one week ago... | [] | [
"N390",
"D649",
"J449",
"E119",
"E039",
"G8929",
"I10",
"E785",
"J45909",
"F329",
"F419",
"F17210"
] | [
"N390: Urinary tract infection, site not specified",
"G9341: Metabolic encephalopathy",
"L97819: Non-pressure chronic ulcer of other part of right lower leg with unspecified severity",
"D649: Anemia, unspecified",
"J449: Chronic obstructive pulmonary disease, unspecified",
"B952: Enterococcus as the cause... |
10,034,049 | 28,952,773 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide
Antibiotics)
Attending: ___.
Chief Complaint:
Bilateral leg pain
Major Surgical or ... | [
"I890",
"J449",
"E119",
"G8929",
"I10",
"E039",
"M069",
"Z87891",
"J45909",
"I872",
"Z7952",
"E785",
"F329",
"K219",
"R339"
] | Allergies: Penicillins / Nutrasweet Aspartame / Sulfa (Sulfonamide Antibiotics) Chief Complaint: Bilateral leg pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a history of hypothyroidism, rheumatoid arthritis, chronic pain, DM II, hypertension w... | [] | [
"J449",
"E119",
"G8929",
"I10",
"E039",
"Z87891",
"J45909",
"E785",
"F329",
"K219"
] | [
"I890: Lymphedema, not elsewhere classified",
"J449: Chronic obstructive pulmonary disease, unspecified",
"E119: Type 2 diabetes mellitus without complications",
"G8929: Other chronic pain",
"I10: Essential (primary) hypertension",
"E039: Hypothyroidism, unspecified",
"M069: Rheumatoid arthritis, unspec... |
10,034,317 | 20,827,960 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
morphine / hydrochlorothiazide / amiodarone
Attending: ___.
Chief Complaint:
HCV, HCC
Major Surgical or Invasive Procedure:
___
1. Explora... | [
"C220",
"R571",
"D693",
"D62",
"N179",
"J90",
"B182",
"I2510",
"I252",
"I480",
"Z7901",
"Z87891",
"Z8673",
"E119",
"Z794",
"M47896",
"G4733",
"G8918",
"E875",
"K219"
] | Allergies: morphine / hydrochlorothiazide / amiodarone Chief Complaint: HCV, HCC Major Surgical or Invasive Procedure: [MASKED] 1. Exploratory laparotomy and resection of Liver segment VIII 2. Intraoperative ultrasound. History of Present Illness: [MASKED] man with HCC and fibrosis related to chronic HCV infection. Thi... | [] | [
"D62",
"N179",
"I2510",
"I252",
"I480",
"Z7901",
"Z87891",
"Z8673",
"E119",
"Z794",
"G4733",
"K219"
] | [
"C220: Liver cell carcinoma",
"R571: Hypovolemic shock",
"D693: Immune thrombocytopenic purpura",
"D62: Acute posthemorrhagic anemia",
"N179: Acute kidney failure, unspecified",
"J90: Pleural effusion, not elsewhere classified",
"B182: Chronic viral hepatitis C",
"I2510: Atherosclerotic heart disease ... |
10,034,742 | 26,829,411 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROSURGERY
Allergies:
quinine
Attending: ___
Chief Complaint:
Lumbar stenosis
Major Surgical or Invasive Procedure:
___: L2-3 laminectomy
History o... | [
"M4806",
"G8929",
"M549",
"E039",
"J45909",
"E669",
"Z6834",
"Z85828"
] | Allergies: quinine Chief Complaint: Lumbar stenosis Major Surgical or Invasive Procedure: [MASKED]: L2-3 laminectomy History of Present Illness: Ms. [MASKED] is a [MASKED] female who has a longstanding history of back pain. The back pain is [MASKED]. She is taking pain medication for the back pain. She applies ice, tri... | [] | [
"G8929",
"E039",
"J45909",
"E669"
] | [
"M4806: Spinal stenosis, lumbar region",
"G8929: Other chronic pain",
"M549: Dorsalgia, unspecified",
"E039: Hypothyroidism, unspecified",
"J45909: Unspecified asthma, uncomplicated",
"E669: Obesity, unspecified",
"Z6834: Body mass index [BMI] 34.0-34.9, adult",
"Z85828: Personal history of other mali... |
10,034,933 | 28,591,708 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Fatigue, New Effusion
Major Surgical or Invasive Proced... | [
"C220",
"D61810",
"D609",
"C7951",
"C7970",
"J90",
"E440",
"Z681",
"E871",
"T451X5A",
"I671",
"Z8673",
"F319",
"I10",
"K219",
"R7303",
"Z96641",
"F17210",
"E806",
"E860",
"D6959",
"G893",
"E8339"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fatigue, New Effusion Major Surgical or Invasive Procedure: Bone marrow biopsy [MASKED] History of Present Illness: [MASKED] PMH Bipolar Disorder, HTN, Metastatic HCC (on nivolumab, s/p recent XRT to skull bony mets), CVA, MCA Aneurysm, presented t... | [] | [
"E871",
"Z8673",
"I10",
"K219",
"F17210"
] | [
"C220: Liver cell carcinoma",
"D61810: Antineoplastic chemotherapy induced pancytopenia",
"D609: Acquired pure red cell aplasia, unspecified",
"C7951: Secondary malignant neoplasm of bone",
"C7970: Secondary malignant neoplasm of unspecified adrenal gland",
"J90: Pleural effusion, not elsewhere classified... |
10,034,933 | 29,594,531 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Back Pain
Major Surgical or Invasive Procedure:
RTx tre... | [
"C7951",
"G9519",
"I639",
"C228",
"C792",
"E871",
"R29702",
"E876",
"I671",
"G8321",
"K219",
"D509",
"E039",
"F17200",
"Z96643",
"F319",
"E83110",
"E785",
"D638",
"E861"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Back Pain Major Surgical or Invasive Procedure: RTx treatment plan to deliver 20 Gy in 5 fractions total, D1 = [MASKED], completed [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] man s/p L3-S1 lumbar decompression with duraplasty in... | [] | [
"E871",
"K219",
"D509",
"E039",
"E785"
] | [
"C7951: Secondary malignant neoplasm of bone",
"G9519: Other vascular myelopathies",
"I639: Cerebral infarction, unspecified",
"C228: Malignant neoplasm of liver, primary, unspecified as to type",
"C792: Secondary malignant neoplasm of skin",
"E871: Hypo-osmolality and hyponatremia",
"R29702: NIHSS scor... |
10,035,301 | 23,974,616 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Nausea/Vomiting
Major Surgical or Invasive Procedure:
... | [
"C9030",
"K311",
"E46",
"Z681",
"D509",
"E8339",
"I10",
"E785",
"F329",
"Z87891",
"R918"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Nausea/Vomiting Major Surgical or Invasive Procedure: Endoscopic Ultrasound with Biopsy [MASKED] History of Present Illness: CC: abdominal pain, nausea, vomiting, anorexia, pancreatic mass. HISTORY OF PRESENT ILLNESS: Ms [MASKED] is a [MASKED] year... | [] | [
"D509",
"I10",
"E785",
"F329",
"Z87891"
] | [
"C9030: Solitary plasmacytoma not having achieved remission",
"K311: Adult hypertrophic pyloric stenosis",
"E46: Unspecified protein-calorie malnutrition",
"Z681: Body mass index [BMI] 19.9 or less, adult",
"D509: Iron deficiency anemia, unspecified",
"E8339: Other disorders of phosphorus metabolism",
"... |
10,035,631 | 21,476,294 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Fevers, chills and fatigue; concern for acute leukemia
... | [
"C92Z2",
"J810",
"Z9484",
"D709",
"K521",
"D696",
"E871",
"I951",
"R5081",
"R0789",
"G893",
"Z853",
"Z79810",
"Z9012",
"Z87891",
"G44209",
"R740",
"T361X5A",
"Y92230",
"Z792",
"Z20828",
"R634",
"Z6826",
"M545"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fevers, chills and fatigue; concern for acute leukemia Major Surgical or Invasive Procedure: [MASKED] placement [MASKED] Bone Marrow Biopsy [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] y/o male with a history of stage IIA breast ... | [] | [
"D696",
"E871",
"Z87891",
"Y92230"
] | [
"C92Z2: Other myeloid leukemia, in relapse",
"J810: Acute pulmonary edema",
"Z9484: Stem cells transplant status",
"D709: Neutropenia, unspecified",
"K521: Toxic gastroenteritis and colitis",
"D696: Thrombocytopenia, unspecified",
"E871: Hypo-osmolality and hyponatremia",
"I951: Orthostatic hypotensio... |
10,035,631 | 21,599,196 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
admission for cycle 1 of dacogen
Major Surgical or Inv... | [
"Z5111",
"C9202",
"Z9484",
"Z853",
"Z87891"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: admission for cycle 1 of dacogen Major Surgical or Invasive Procedure: [MASKED] placement [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] gentleman with a history of stage IIA breast cancer [MASKED] left mastectomy and currently on ... | [] | [
"Z87891"
] | [
"Z5111: Encounter for antineoplastic chemotherapy",
"C9202: Acute myeloblastic leukemia, in relapse",
"Z9484: Stem cells transplant status",
"Z853: Personal history of malignant neoplasm of breast",
"Z87891: Personal history of nicotine dependence"
] |
10,035,631 | 29,276,678 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Hypoxia, AMS
Major Surgical or Invasive Procedure:
Int... | [
"J9601",
"E883",
"R6520",
"A419",
"B441",
"J90",
"B59",
"E872",
"J159",
"D89813",
"Z9484",
"C92Z0",
"J9811",
"N179",
"E871",
"I248",
"R042",
"D689",
"D709",
"R5081",
"E860",
"E875",
"G893",
"I4891",
"D6959",
"D630",
"H1133",
"T451X5A",
"Z66",
"Z515",
"Z781... | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypoxia, AMS Major Surgical or Invasive Procedure: Intubated [MASKED] R pheresis line [MASKED] Pheresis [MASKED] History of Present Illness: [MASKED] male with history of stage IIA breast cancer [MASKED] left mastectomy and currently on Tamoxifen a... | [] | [
"J9601",
"E872",
"N179",
"E871",
"I4891",
"Z66",
"Z515",
"Z87891",
"Y92230"
] | [
"J9601: Acute respiratory failure with hypoxia",
"E883: Tumor lysis syndrome",
"R6520: Severe sepsis without septic shock",
"A419: Sepsis, unspecified organism",
"B441: Other pulmonary aspergillosis",
"J90: Pleural effusion, not elsewhere classified",
"B59: Pneumocystosis",
"E872: Acidosis",
"J159: ... |
10,035,780 | 21,074,018 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___.
Chief Complaint:
Fever/Lethargy/Confusion
Major Surgical or Invasive ... | [
"A419",
"G9341",
"E1122",
"I120",
"N186",
"N390",
"R6520",
"A498",
"Z1624",
"Z992",
"Z794",
"I2510",
"Z8619",
"Z87440",
"M1990",
"M810",
"E785",
"J45909",
"D649",
"M109",
"K219",
"Z7982"
] | Allergies: Motrin / lisinopril / metformin / amlodipine Chief Complaint: Fever/Lethargy/Confusion Major Surgical or Invasive Procedure: Hemodialysis [MASKED] History of Present Illness: This patient is a [MASKED] yo F with a hx of ESRD on HD (MWF), DMII, HTN, CAD, HBV/HCV presenting with lethargy and fever following di... | [] | [
"E1122",
"N390",
"Z794",
"I2510",
"E785",
"J45909",
"D649",
"M109",
"K219"
] | [
"A419: Sepsis, unspecified organism",
"G9341: Metabolic encephalopathy",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"N186: End stage renal disease",
"N390: Urinary tract... |
10,035,780 | 23,172,477 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___.
Chief Complaint:
Altered Mental Status
Major Surgical or Invasive Pro... | [
"T82868A",
"N186",
"I120",
"D61818",
"B1910",
"Y832",
"Y92129",
"G309",
"F0280",
"E1122",
"D696",
"J449",
"K219",
"Z66",
"M1990",
"M810",
"D631",
"E11649",
"E1165",
"E8339",
"E875",
"M109",
"Z992",
"Z7984",
"Z8619",
"Z7982",
"Z8611"
] | Allergies: Motrin / lisinopril / metformin / amlodipine Chief Complaint: Altered Mental Status Major Surgical or Invasive Procedure: AV fistula thrombectomy History of Present Illness: Ms [MASKED] is a [MASKED] y/o [MASKED] speaking patient with PMH significant for Alzheimer's dementia, HTN, HLD, ESRD (on [MASKED] HD),... | [] | [
"E1122",
"D696",
"J449",
"K219",
"Z66",
"E1165",
"M109"
] | [
"T82868A: Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter",
"N186: End stage renal disease",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"D61818: Other pancytopenia",
"B1910: Unspecified viral hepatitis B w... |
10,035,780 | 25,186,901 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___.
Chief Complaint:
fever
Major Surgical or Invasive Procedure:
none
... | [
"N390",
"N186",
"I120",
"I4891",
"K521",
"N2581",
"E871",
"B9620",
"E119",
"I2510",
"K219",
"B1920",
"R740",
"E876",
"M109",
"M810",
"J45909",
"E785",
"Z9049",
"R079",
"D649",
"Y92239",
"T361X5A",
"Z7982",
"Z23",
"Z992",
"Z794"
] | Allergies: Motrin / lisinopril / metformin / amlodipine Chief Complaint: fever Major Surgical or Invasive Procedure: none History of Present Illness: Ms. [MASKED] is a [MASKED] y/o female with a past medical history of ESRD on HD (MWF), DMII, HTN, CAD, HBV/HCV, GERD, Gout and osteoporosis who present with fever, cough ... | [] | [
"N390",
"I4891",
"E871",
"E119",
"I2510",
"K219",
"M109",
"J45909",
"E785",
"D649",
"Z794"
] | [
"N390: Urinary tract infection, site not specified",
"N186: End stage renal disease",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"I4891: Unspecified atrial fibrillation",
"K521: Toxic gastroenteritis and colitis",
"N2581: Secondary hyperpara... |
10,035,780 | 27,291,894 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___
___ Complaint:
Hypotension and ?Altered Mental Status during dialysis
... | [
"I953",
"I248",
"E1122",
"I120",
"N186",
"J45909",
"B181",
"B182",
"A182",
"R4182",
"M810",
"K219",
"M109"
] | Allergies: Motrin / lisinopril / metformin / amlodipine [MASKED] Complaint: Hypotension and ?Altered Mental Status during dialysis Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] only; History obtained from chart, nephew/niece over phone call, and with the assistance of language line int... | [] | [
"E1122",
"J45909",
"K219",
"M109"
] | [
"I953: Hypotension of hemodialysis",
"I248: Other forms of acute ischemic heart disease",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"N186: End stage renal disease",
"J4... |
10,035,780 | 28,030,709 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___
Chief Complaint:
Head Injury, s/p Fall
Major Surgical or Invasive Pro... | [
"R591",
"N186",
"I120",
"D62",
"F0390",
"B1910",
"N390",
"E871",
"K922",
"E1122",
"Z992",
"I2510",
"S0102XA",
"I4891",
"E876",
"M542",
"D631",
"K6389",
"W01190A",
"R7611",
"R61",
"R634",
"Y92003",
"E785",
"J45909",
"Z87440",
"B1920",
"K219",
"M109",
"Z794",
... | Allergies: Motrin / lisinopril / metformin / amlodipine Chief Complaint: Head Injury, s/p Fall Major Surgical or Invasive Procedure: EUS with biopsy [MASKED] Mediastinoscopy with biopsy [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] yo woman with PMH of ESRD on HD (MWF), DMII, HTN, CAD, HBV/HCV co-infe... | [] | [
"D62",
"N390",
"E871",
"E1122",
"I2510",
"I4891",
"E785",
"J45909",
"K219",
"M109",
"Z794"
] | [
"R591: Generalized enlarged lymph nodes",
"N186: End stage renal disease",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"D62: Acute posthemorrhagic anemia",
"F0390: Unspecified dementia without behavioral disturbance",
"B1910: Unspecified vira... |
10,035,780 | 29,685,392 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Motrin / lisinopril / metformin / amlodipine
Attending: ___.
Chief Complaint:
Fever and confusion
Major Surgical or Invasive Proce... | [
"R509",
"E119",
"N2581",
"I120",
"N186",
"B181",
"D649",
"D72829",
"R4182",
"R05",
"R740",
"Z87440",
"Z992",
"B182",
"I2510",
"J45909",
"M810",
"M109",
"K219"
] | Allergies: Motrin / lisinopril / metformin / amlodipine Chief Complaint: Fever and confusion Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year-old [MASKED] woman with PMH significant for ESRD on HD (MWF), DMII, HTN, CAD, HBV/HCV co-infection, and recent admission for... | [] | [
"E119",
"D649",
"I2510",
"J45909",
"M109",
"K219"
] | [
"R509: Fever, unspecified",
"E119: Type 2 diabetes mellitus without complications",
"N2581: Secondary hyperparathyroidism of renal origin",
"I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease",
"N186: End stage renal disease",
"B181: Chronic viral hepa... |
10,035,787 | 29,728,342 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: CARDIOTHORACIC
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Dyspnea on exertion
Major Surgical or Invasive Proce... | [
"I350",
"G9340",
"I4891",
"D696",
"K5190",
"E861",
"D62",
"I10",
"E785",
"T8383XA",
"I9789",
"J95811",
"I2510",
"J029",
"K5900",
"R319",
"I9581",
"Y846",
"Y92234",
"Y832",
"Y92230",
"Z87891",
"R410",
"K219"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea on exertion Major Surgical or Invasive Procedure: [MASKED] Aortic valve replacement with 21mm Magna Ease tissue valve, Coronary artery bypass graft x1 (Saphenous vein >Acute Marginal) History of Present Illness: [MASKED] year old male with ... | [] | [
"I4891",
"D696",
"D62",
"I10",
"E785",
"I2510",
"K5900",
"Y92230",
"Z87891",
"K219"
] | [
"I350: Nonrheumatic aortic (valve) stenosis",
"G9340: Encephalopathy, unspecified",
"I4891: Unspecified atrial fibrillation",
"D696: Thrombocytopenia, unspecified",
"K5190: Ulcerative colitis, unspecified, without complications",
"E861: Hypovolemia",
"D62: Acute posthemorrhagic anemia",
"I10: Essentia... |
10,035,791 | 20,113,280 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Compazine / doxycycline / Phenergan
Attending: ___
Chief Complaint:
n/v, eval cholelithiasis
Major Surgical or Invasive Procedure:
EGD... | [
"K831",
"K838",
"R932",
"E871",
"R9431",
"D72829",
"I10",
"E785",
"E039"
] | Allergies: Compazine / doxycycline / Phenergan Chief Complaint: n/v, eval cholelithiasis Major Surgical or Invasive Procedure: EGD History of Present Illness: Ms [MASKED] is a pleasant [MASKED] yo F with HLD, hypothyroidism, HTN, n/v/abd pain since [MASKED], found to have biliary dilation and CBD stone, admitted for ER... | [] | [
"E871",
"I10",
"E785",
"E039"
] | [
"K831: Obstruction of bile duct",
"K838: Other specified diseases of biliary tract",
"R932: Abnormal findings on diagnostic imaging of liver and biliary tract",
"E871: Hypo-osmolality and hyponatremia",
"R9431: Abnormal electrocardiogram [ECG] [EKG]",
"D72829: Elevated white blood cell count, unspecified"... |
10,035,844 | 27,129,365 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
oxycodone
Attending: ___.
Major Surgical or Invasive Procedure:
None
attach
Pertinent Results:
Admission Labs
------------------
___... | [
"E11649",
"E039",
"G8384",
"R569",
"E785",
"I6522",
"I2510",
"F329",
"F1290",
"Z794",
"Z885",
"Z882"
] | Allergies: oxycodone Major Surgical or Invasive Procedure: None attach Pertinent Results: Admission Labs ------------------ [MASKED] 01:22PM BLOOD WBC-11.5* RBC-4.96 Hgb-15.1 Hct-47.0* MCV-95 MCH-30.4 MCHC-32.1 RDW-13.4 RDWSD-47.3* Plt [MASKED] [MASKED] 01:22PM BLOOD Neuts-84.1* Lymphs-10.4* Monos-4.3* Eos-0.1* Baso-0.... | [] | [
"E039",
"E785",
"I2510",
"F329",
"Z794"
] | [
"E11649: Type 2 diabetes mellitus with hypoglycemia without coma",
"E039: Hypothyroidism, unspecified",
"G8384: Todd's paralysis (postepileptic)",
"R569: Unspecified convulsions",
"E785: Hyperlipidemia, unspecified",
"I6522: Occlusion and stenosis of left carotid artery",
"I2510: Atherosclerotic heart d... |
10,036,086 | 22,023,413 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Erythromycin Base / Biaxin / Ciprofloxacin
Attending: ___
Chief Complaint:
Left arm pain
Major Surgical or Invasive Procedure:
Coronary A... | [
"I25110",
"B20",
"I1310",
"B181",
"Z6842",
"Z862",
"E119",
"Z794",
"N183",
"R9439",
"Z8619",
"Z9081",
"E6601",
"E785",
"J45909",
"M23203",
"Z22322",
"Q248",
"G4733",
"Z8546",
"Z923",
"Z87442",
"Z96652"
] | Allergies: Erythromycin Base / Biaxin / Ciprofloxacin Chief Complaint: Left arm pain Major Surgical or Invasive Procedure: Coronary Anatomy Right dominant, heart rotated to the left. LM: No significant disease. LAD: Proximal 40% smooth disease. Mid vessel 90% stenosis after large diag. LCx: Luminal irregularities. RCA:... | [] | [
"E119",
"Z794",
"E785",
"J45909",
"G4733"
] | [
"I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris",
"B20: Human immunodeficiency virus [HIV] disease",
"I1310: Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney dise... |
10,036,086 | 24,186,608 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Erythromycin Base / Biaxin / Ciprofloxacin
Attending: ___.
Chief Complaint:
Dyspnea
Major Surgical or Invasive Procedure:
___ catheter i... | [
"I2692",
"J9621",
"I5033",
"K264",
"I130",
"D62",
"Z6842",
"E1122",
"N183",
"I480",
"I2720",
"E6601",
"I2510",
"E785",
"Z21",
"G4733",
"R932",
"Z955",
"Z86711",
"Z86718",
"Z7901",
"Z794",
"Z8546"
] | Allergies: Erythromycin Base / Biaxin / Ciprofloxacin Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: [MASKED] catheter insertion [MASKED] filter placement [MASKED] with duodenal ulcer clipping History of Present Illness: Mr. [MASKED] is a [MASKED] man with a history of CAD s/p DES to LAD ([MASKED]), HIV... | [] | [
"I130",
"D62",
"E1122",
"I480",
"I2510",
"E785",
"G4733",
"Z955",
"Z86718",
"Z7901",
"Z794"
] | [
"I2692: Saddle embolus of pulmonary artery without acute cor pulmonale",
"J9621: Acute and chronic respiratory failure with hypoxia",
"I5033: Acute on chronic diastolic (congestive) heart failure",
"K264: Chronic or unspecified duodenal ulcer with hemorrhage",
"I130: Hypertensive heart and chronic kidney di... |
10,036,086 | 25,086,233 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Erythromycin Base / Biaxin / Ciprofloxacin
Attending: ___
Chief Complaint:
PE
Major Surgical or Invasive Procedure:
TEE/DCCV ___
Histo... | [
"I2699",
"I5033",
"I82441",
"E872",
"I4892",
"L03115",
"I2510",
"Z955",
"Z21",
"E6601",
"I4891",
"G4733",
"Z96652",
"E8881",
"Z8546",
"N183",
"E785",
"J45909",
"E1121"
] | Allergies: Erythromycin Base / Biaxin / Ciprofloxacin Chief Complaint: PE Major Surgical or Invasive Procedure: TEE/DCCV [MASKED] History of Present Illness: [MASKED] y/o male with hx of HIV on HAART therapy, prostate cancer s/p brachytherapy, T2IDDM, HTN, HLD, obesity, CKD, presents w tachycardia and dyspnea on exerti... | [] | [
"E872",
"I2510",
"Z955",
"I4891",
"G4733",
"E785",
"J45909"
] | [
"I2699: Other pulmonary embolism without acute cor pulmonale",
"I5033: Acute on chronic diastolic (congestive) heart failure",
"I82441: Acute embolism and thrombosis of right tibial vein",
"E872: Acidosis",
"I4892: Unspecified atrial flutter",
"L03115: Cellulitis of right lower limb",
"I2510: Atheroscle... |
10,036,821 | 20,948,493 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Percocet / Ativan / latex
Attending: ___.
Chief Complaint:
Abdominal pain
Major Surgical or Invasive Procedure:
None
History of Present... | [
"R109",
"C169",
"Z8571",
"C772",
"G629",
"N400",
"Z86718",
"M545",
"G8929",
"Z801",
"Z8042"
] | Allergies: Percocet / Ativan / latex Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with h/o Hodgkin disease (Dx [MASKED], s/p ABVD x6), newly diagnosed gastric cancer (cT3N2M0 Stage III, Her-2 neg) currently C1D7 [MASKED] chemotherapy. He was referred in... | [] | [
"N400",
"Z86718",
"G8929"
] | [
"R109: Unspecified abdominal pain",
"C169: Malignant neoplasm of stomach, unspecified",
"Z8571: Personal history of Hodgkin lymphoma",
"C772: Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes",
"G629: Polyneuropathy, unspecified",
"N400: Benign prostatic hyperplasia without lower... |
10,036,821 | 26,036,824 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Percocet / Ativan / latex
Attending: ___.
Chief Complaint:
gastric cancer
Major Surgical or Invasive Procedure:
robotic gastrectomy with es... | [
"C162",
"E46",
"L02211",
"K9413",
"I824Z2",
"C161",
"G629",
"N400",
"G8929",
"M545",
"M11261",
"R1013",
"R1031",
"Z8571",
"Z86718"
] | Allergies: Percocet / Ativan / latex Chief Complaint: gastric cancer Major Surgical or Invasive Procedure: robotic gastrectomy with esopho-jejunostomy History of Present Illness: [MASKED] with Hx Hodgkins disease s/p ABVD x 6 and interstitial lung disease, presenting for surgical follow-up s/p neoadjuvant therapy for g... | [] | [
"N400",
"G8929",
"Z86718"
] | [
"C162: Malignant neoplasm of body of stomach",
"E46: Unspecified protein-calorie malnutrition",
"L02211: Cutaneous abscess of abdominal wall",
"K9413: Enterostomy malfunction",
"I824Z2: Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity",
"C161: Malignant neoplasm of fu... |
10,036,821 | 26,439,594 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Percocet / Ativan / latex
Attending: ___.
Chief Complaint:
Abdominal pain following total gastrectomy with roux-en-y
esophagojejunostomy (__... | [
"T8143XA",
"Y836",
"Y929",
"K651",
"Z903",
"Z9049",
"R197",
"C8192",
"C168",
"Z934",
"G629",
"N400",
"Z86718",
"G8929",
"M545",
"Z801",
"Z8042",
"Z7902"
] | Allergies: Percocet / Ativan / latex Chief Complaint: Abdominal pain following total gastrectomy with roux-en-y esophagojejunostomy ([MASKED]). Major Surgical or Invasive Procedure: Underwent drain repositioning with Interventional Radiology on [MASKED]. History of Present Illness: [MASKED] history of recurrent DVT on ... | [] | [
"Y929",
"N400",
"Z86718",
"G8929",
"Z7902"
] | [
"T8143XA: Infection following a procedure, organ and space surgical site, initial encounter",
"Y836: Removal of other organ (partial) (total) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure",
"Y929: Unspecified place or not... |
10,036,821 | 28,791,904 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Percocet / Ativan / latex
Attending: ___
Chief Complaint:
Esophageal perforation
Major Surgical or Invasive Procedure:
None
History of ... | [
"K9171",
"K222",
"T8182XA",
"K449",
"G620",
"M25861",
"N400",
"D509",
"R197",
"T451X5S",
"Y92238",
"Z86718",
"Z85028",
"Z7902",
"Z8571"
] | Allergies: Percocet / Ativan / latex Chief Complaint: Esophageal perforation Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with h/o Hodgkin disease (Dx [MASKED], s/p ABVD x6), Stage III gastric adenocarcinoma (signet ring, cT3N2M0, ypT3N2a, Her-2 neg) s/p 4 cycles neo... | [] | [
"N400",
"D509",
"Z86718",
"Z7902"
] | [
"K9171: Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure",
"K222: Esophageal obstruction",
"T8182XA: Emphysema (subcutaneous) resulting from a procedure, initial encounter",
"K449: Diaphragmatic hernia without obstruction or gangrene",
"G620: Dr... |
10,036,942 | 23,803,237 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Major Surgical or Invasive Procedure:
TEE on ___
Midline placement ___
atta... | [
"R7881",
"F1123",
"B9561",
"R0789",
"F329",
"F4310",
"F909",
"F17200",
"Z23",
"Z915",
"Z813",
"M62830"
] | Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: TEE on [MASKED] Midline placement [MASKED] attach Pertinent Results: ADMISSION LABS: ================ [MASKED] 04:10PM BLOOD WBC-10.1* RBC-4.22* Hgb-12.7* Hct-38.3* MCV-91 MCH-30.1 MCHC-33.2 RDW-12.7 RDWSD-41.7 Plt [MASKED] [MA... | [] | [
"F329"
] | [
"R7881: Bacteremia",
"F1123: Opioid dependence with withdrawal",
"B9561: Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere",
"R0789: Other chest pain",
"F329: Major depressive disorder, single episode, unspecified",
"F4310: Post-traumatic stress disorder... |
10,037,313 | 22,489,707 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
fibroid uterus
Major Surgical or Invasive Proc... | [
"D251",
"D252"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: fibroid uterus Major Surgical or Invasive Procedure: Abdominal multiple myomectomy Physical Exam: Vitals: VSS Gen: NAD, A&O x 3 CV: RRR Resp: no acute respiratory distress Abd: soft, appropriately tender, no rebound/guarding, incision c/d/i Ext: no... | [] | [] | [
"D251: Intramural leiomyoma of uterus",
"D252: Subserosal leiomyoma of uterus"
] |
10,037,602 | 26,699,121 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
quaternium 15 / potassium dichronate / balsam of ___ / nickel /
paraben / fragrances / glycerol monothiogylconate / tea tree oil
/ benzo... | [
"M1711",
"I10",
"E785",
"E041",
"K219",
"F329",
"E669",
"Z6839"
] | Allergies: quaternium 15 / potassium dichronate / balsam of [MASKED] / nickel / paraben / fragrances / glycerol monothiogylconate / tea tree oil / benzoyl peroxide [MASKED] Complaint: Right knee osteoarthritis Major Surgical or Invasive Procedure: [MASKED]: R TKR History of Present Illness: [MASKED] year old female wit... | [] | [
"I10",
"E785",
"K219",
"F329",
"E669"
] | [
"M1711: Unilateral primary osteoarthritis, right knee",
"I10: Essential (primary) hypertension",
"E785: Hyperlipidemia, unspecified",
"E041: Nontoxic single thyroid nodule",
"K219: Gastro-esophageal reflux disease without esophagitis",
"F329: Major depressive disorder, single episode, unspecified",
"E66... |
10,037,861 | 24,540,843 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
metformin
Attending: ___.
Chief Complaint:
Right Subdural Hematoma.
Major Surgical or Invasive Procedure:
___ - Right craniotomy... | [
"S065X7A",
"G935",
"J9600",
"R6521",
"A419",
"I5023",
"I130",
"N390",
"Z9911",
"N179",
"J95851",
"E870",
"I82612",
"W19XXXA",
"Y92009",
"Z66",
"Z515",
"Z95810",
"I4891",
"Z7901",
"E785",
"E1122",
"N183",
"I2510",
"Z955",
"I252",
"I255",
"Z9282",
"Z87891",
"G... | Allergies: metformin Chief Complaint: Right Subdural Hematoma. Major Surgical or Invasive Procedure: [MASKED] - Right craniotomy for evacuation of subdural hematoma. History of Present Illness: Mr. [MASKED] is a [MASKED] M with significant cardiac history including ICD placement, EF 25%, afib on Coumadin. He complained... | [] | [
"I130",
"N390",
"N179",
"Z66",
"Z515",
"I4891",
"Z7901",
"E785",
"E1122",
"I2510",
"Z955",
"I252",
"Z87891",
"Y92230"
] | [
"S065X7A: Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter",
"G935: Compression of brain",
"J9600: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia",
"R6521: Severe sepsis with se... |
10,037,928 | 24,885,579 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Aspirin / Sulfasalazine / Lisinopril / Codeine / nitrofurantoin
/ Sulfa (Sulfonamide Antibiotics)
Attending: ___
Chief Complaint:
abdo... | [
"K3580",
"E1165",
"C029",
"I10",
"Z794",
"E785",
"F329",
"F419",
"D509",
"K219",
"G8929",
"M545",
"G4700",
"Z8711",
"Z801",
"Z8049"
] | Allergies: Aspirin / Sulfasalazine / Lisinopril / Codeine / nitrofurantoin / Sulfa (Sulfonamide Antibiotics) Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] w/ hx of HTN and IDDM who is presenting here to the ED for a 1 day hx of RLQ abd pain... | [] | [
"E1165",
"I10",
"Z794",
"E785",
"F329",
"F419",
"D509",
"K219",
"G8929",
"G4700"
] | [
"K3580: Unspecified acute appendicitis",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"C029: Malignant neoplasm of tongue, unspecified",
"I10: Essential (primary) hypertension",
"Z794: Long term (current) use of insulin",
"E785: Hyperlipidemia, unspecified",
"F329: Major depressive disorder, si... |
10,038,141 | 21,658,233 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROLOGY
Allergies:
alendronate sodium
Attending: ___.
Chief Complaint:
Disinhibited conduct, progressively worsening gait, and large
volume urinary incont... | [
"G3109",
"F0281",
"E512",
"F070",
"Z781",
"I10",
"K219",
"F603",
"F6089",
"Z853",
"R3981"
] | Allergies: alendronate sodium Chief Complaint: Disinhibited conduct, progressively worsening gait, and large volume urinary incontinence. Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a [MASKED] yo woman with medical history of HTN, GERD, and recent personality changes presenting... | [] | [
"I10",
"K219"
] | [
"G3109: Other frontotemporal dementia",
"F0281: Dementia in other diseases classified elsewhere with behavioral disturbance",
"E512: Wernicke's encephalopathy",
"F070: Personality change due to known physiological condition",
"Z781: Physical restraint status",
"I10: Essential (primary) hypertension",
"K... |
10,038,332 | 21,419,608 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin / lima beans
Attending: ___.
Chief Complaint:
buttock pain
Major Surgical or Invasive Procedure:
None
History of Present Ill... | [
"K5903",
"G8220",
"F1120",
"R933",
"T507X5A",
"Y92019",
"S24103S",
"W3400XS",
"F29",
"F909",
"Z8614",
"G8929",
"Z902",
"D550",
"N319",
"N39498",
"Z87440"
] | Allergies: aspirin / lima beans Chief Complaint: buttock pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old with PMH of paraplegia below T10 since age [MASKED] due to a gunshot wound, recurrent UTIs (self-caths due to neurogenic bladder), hx of prostatic absc... | [] | [
"G8929"
] | [
"K5903: Drug induced constipation",
"G8220: Paraplegia, unspecified",
"F1120: Opioid dependence, uncomplicated",
"R933: Abnormal findings on diagnostic imaging of other parts of digestive tract",
"T507X5A: Adverse effect of analeptics and opioid receptor antagonists, initial encounter",
"Y92019: Unspecifi... |
10,038,332 | 22,514,900 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin
Attending: ___.
Chief Complaint:
CC: ___, Wound Eval
Major Surgical or Invasive Procedure:
None
History of Present Illness:
... | [
"N390",
"E7401",
"L89321",
"L89312",
"F1420",
"G8220",
"N318",
"F209",
"R45851",
"F1123",
"B9689",
"N39498",
"M545",
"G8929",
"F319",
"K5909",
"N411",
"Z9114",
"Z9119",
"Z87440",
"Z8614",
"Z993",
"Z590",
"S24103S",
"X959XXS",
"R419"
] | Allergies: aspirin Chief Complaint: CC: [MASKED], Wound Eval Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] yo man with h/o T10 paraplegia and recurrent UTIs, who presents via own wheelchair to the [MASKED] ED with multiple concerns including "bed sores", new UTI and f... | [] | [
"N390",
"G8929"
] | [
"N390: Urinary tract infection, site not specified",
"E7401: von Gierke disease",
"L89321: Pressure ulcer of left buttock, stage 1",
"L89312: Pressure ulcer of right buttock, stage 2",
"F1420: Cocaine dependence, uncomplicated",
"G8220: Paraplegia, unspecified",
"N318: Other neuromuscular dysfunction of... |
10,038,332 | 22,517,908 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin / lima beans
Attending: ___.
Major Surgical or Invasive Procedure:
None
attach
Pertinent Results:
Admission Labs
==============... | [
"F1123",
"G92",
"G8220",
"F1423",
"R8281",
"F319",
"G629",
"F909",
"L89321",
"Z902",
"S24153S",
"S21209S",
"W3400XS",
"Z87440",
"Z8614",
"D75A",
"N319",
"N39498",
"Z590",
"Z818",
"B9620"
] | Allergies: aspirin / lima beans Major Surgical or Invasive Procedure: None attach Pertinent Results: Admission Labs ============== [MASKED] 02:25AM BLOOD WBC-8.4 RBC-3.92* Hgb-11.1* Hct-36.5* MCV-93 MCH-28.3 MCHC-30.4* RDW-13.3 RDWSD-45.4 Plt [MASKED] [MASKED] 02:25AM BLOOD Neuts-54.8 [MASKED] Monos-18.7* Eos-4.1 Baso-... | [] | [] | [
"F1123: Opioid dependence with withdrawal",
"G92: Toxic encephalopathy",
"G8220: Paraplegia, unspecified",
"F1423: Cocaine dependence with withdrawal",
"R8281: Pyuria",
"F319: Bipolar disorder, unspecified",
"G629: Polyneuropathy, unspecified",
"F909: Attention-deficit hyperactivity disorder, unspecif... |
10,038,332 | 22,921,487 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Decubitus pressure ulcer
Major Surgical or Invasive Proced... | [
"N390",
"L89323",
"G8220",
"B952",
"R32",
"R112",
"R61",
"K5900",
"F329",
"F17210",
"Z87440"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Decubitus pressure ulcer Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a PMH of T10 paraplegia [MASKED] GSW with chronic decubitus ulcers and history MRSA abscesses, recently seen for perirectal abscess with I... | [] | [
"N390",
"K5900",
"F329",
"F17210"
] | [
"N390: Urinary tract infection, site not specified",
"L89323: Pressure ulcer of left buttock, stage 3",
"G8220: Paraplegia, unspecified",
"B952: Enterococcus as the cause of diseases classified elsewhere",
"R32: Unspecified urinary incontinence",
"R112: Nausea with vomiting, unspecified",
"R61: Generali... |
10,038,332 | 23,073,151 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin
Attending: ___.
Chief Complaint:
Acute Pyelonephritis
Major Surgical or Invasive Procedure:
None
History of Present Illness:
... | [
"A4151",
"G8220",
"N410",
"Z1623",
"Z1639",
"S24103D",
"N319",
"N39498",
"N3289",
"G8929",
"N3020",
"M549",
"K5909",
"F329",
"F909",
"F1421",
"F29",
"X959XXD"
] | Allergies: aspirin Chief Complaint: Acute Pyelonephritis Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with paraplegia as a result of a GSW, neurogenic bladder with chronic intermittent straight caths, with recurrent UTIs with various organisms, now on chronic suppressive methenamine, ... | [] | [
"G8929",
"F329"
] | [
"A4151: Sepsis due to Escherichia coli [E. coli]",
"G8220: Paraplegia, unspecified",
"N410: Acute prostatitis",
"Z1623: Resistance to quinolones and fluoroquinolones",
"Z1639: Resistance to other specified antimicrobial drug",
"S24103D: Unspecified injury at T7-T10 level of thoracic spinal cord, subsequen... |
10,038,332 | 23,488,593 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin / lima beans
Attending: ___.
Chief Complaint:
AMS/agitation requiring
sedation/intubation
Major Surgical or Invasive Procedure:... | [
"T403X1A",
"G92",
"J9600",
"F11221",
"N390",
"G8220",
"F19121",
"T401X1A",
"T405X1A",
"N319",
"D649",
"F909",
"F319",
"G629",
"Z781",
"Z87440",
"S24103S",
"W3400XS",
"R791",
"Z23",
"Z993"
] | Allergies: aspirin / lima beans Chief Complaint: AMS/agitation requiring sedation/intubation Major Surgical or Invasive Procedure: Intubation Extubation History of Present Illness: [MASKED] male with PMH of T10 paraplegia secondary to gunshot wound in [MASKED], psychiatric history (?bipolar disorder, ?ADHD), neurogenic... | [] | [
"N390",
"D649"
] | [
"T403X1A: Poisoning by methadone, accidental (unintentional), initial encounter",
"G92: Toxic encephalopathy",
"J9600: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia",
"F11221: Opioid dependence with intoxication delirium",
"N390: Urinary tract infection, site not specified",
"... |
10,038,332 | 23,550,887 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin
Attending: ___
Chief Complaint:
Syncope
Major Surgical or Invasive Procedure:
None
History of Present Illness:
___ year old g... | [
"N3090",
"G92",
"L89159",
"G8220",
"L89319",
"F1120",
"N319",
"N410",
"F1420",
"F29",
"R55",
"T43615A",
"T43635A",
"F209",
"N39498",
"G4700",
"F329",
"F909",
"F17210",
"F22",
"M479",
"B952",
"B9689",
"S91109A",
"W228XXA",
"Y929"
] | Allergies: aspirin Chief Complaint: Syncope Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old gentleman with history of paraplegia from gun shot wound ([MASKED]), neurogenic bladder, recurrent UTIs, chronic pain, hx of cocaine abuse, hx of psychosis, transferred from [MASKED] for ... | [] | [
"G4700",
"F329",
"F17210",
"Y929"
] | [
"N3090: Cystitis, unspecified without hematuria",
"G92: Toxic encephalopathy",
"L89159: Pressure ulcer of sacral region, unspecified stage",
"G8220: Paraplegia, unspecified",
"L89319: Pressure ulcer of right buttock, unspecified stage",
"F1120: Opioid dependence, uncomplicated",
"N319: Neuromuscular dys... |
10,038,332 | 27,818,008 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
aspirin
Attending: ___.
Chief Complaint:
Pyelonephritis
Major Surgical or Invasive Procedure:
None
History of Present Illness:
Mr. _... | [
"N10",
"B9620",
"Z1624",
"T368X6A",
"Z91138",
"Y9289",
"F1120",
"G8220",
"N319",
"R338",
"S24103S",
"W3400XS",
"F29",
"K5900",
"M47812",
"M792",
"F1421",
"F17290",
"Z993"
] | Allergies: aspirin Chief Complaint: Pyelonephritis Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with PMH of history of unspecified psychotic disorder (bipolar vs schizophrenia) and significant cocaine and opioid use disorders (sober >9 mo), prostatic abscess, and T10... | [] | [
"K5900"
] | [
"N10: Acute pyelonephritis",
"B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere",
"Z1624: Resistance to multiple antibiotics",
"T368X6A: Underdosing of other systemic antibiotics, initial encounter",
"Z91138: Patient's unintentional underdosing of medication regimen... |
10,038,688 | 25,926,997 |
Name: ___ ___ No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Post cardiac arrest
Major Surgical or Invasive Procedure:
Intub... | [
"J9601",
"G936",
"R579",
"K7200",
"G9340",
"J189",
"G931",
"D689",
"N179",
"J95851",
"K766",
"E870",
"E872",
"B1910",
"F3181",
"F1920",
"K7460",
"B1920",
"D539",
"D696",
"F1010",
"F17210",
"B356",
"Z8614",
"Z781",
"Z89511",
"Z66",
"Z515",
"Z590",
"Y848",
"... | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Post cardiac arrest Major Surgical or Invasive Procedure: Intubation History of Present Illness: [MASKED] hepatitis B and C, cirrhosis w/ portal HTN, bipolar 2, depression, osteo, BKA right, craniectomy, who was found down in a public restroom with... | [] | [
"J9601",
"N179",
"E872",
"D696",
"F17210",
"Z66",
"Z515",
"Y92230"
] | [
"J9601: Acute respiratory failure with hypoxia",
"G936: Cerebral edema",
"R579: Shock, unspecified",
"K7200: Acute and subacute hepatic failure without coma",
"G9340: Encephalopathy, unspecified",
"J189: Pneumonia, unspecified organism",
"G931: Anoxic brain damage, not elsewhere classified",
"D689: Co... |
10,038,992 | 24,745,425 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: CARDIOTHORACIC
Allergies:
lisinopril / shellfish derived
Attending: ___.
Chief Complaint:
Dyspnea on exertion
Major Surgical or Invasive Procedure:
___
... | [
"I082",
"I428",
"D696",
"I272",
"I130",
"N183",
"I5022",
"I471",
"D62",
"J449",
"E785",
"G4733",
"M109",
"E039",
"E669",
"Z87891",
"Z6829"
] | Allergies: lisinopril / shellfish derived Chief Complaint: Dyspnea on exertion Major Surgical or Invasive Procedure: [MASKED] Aortic valve replacement with a 25 mm [MASKED] Biocor Epic tissue valve. History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with a history of aortic insufficiency, chronic kidne... | [] | [
"D696",
"I130",
"D62",
"J449",
"E785",
"G4733",
"M109",
"E039",
"E669",
"Z87891"
] | [
"I082: Rheumatic disorders of both aortic and tricuspid valves",
"I428: Other cardiomyopathies",
"D696: Thrombocytopenia, unspecified",
"I272: Other secondary pulmonary hypertension",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, ... |
10,038,999 | 27,189,241 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Allergies/ADRs on File
Attending: ___.
Chief Complaint:
abdominal pain, found to have pericardial effusion
Major Surgical or Inva... | [
"J189",
"R570",
"I314",
"J918",
"D688",
"E46",
"J9691",
"I313",
"J9811",
"I319",
"G40909",
"H540",
"R21",
"I509",
"D649",
"E875",
"R001"
] | Allergies: No Allergies/ADRs on File Chief Complaint: abdominal pain, found to have pericardial effusion Major Surgical or Invasive Procedure: pericardiocentesis intubation bronchoscopy History of Present Illness: This is a [MASKED] yoM with a PMH significant for developmental mental delay, seizure disorder, and blindn... | [] | [
"D649"
] | [
"J189: Pneumonia, unspecified organism",
"R570: Cardiogenic shock",
"I314: Cardiac tamponade",
"J918: Pleural effusion in other conditions classified elsewhere",
"D688: Other specified coagulation defects",
"E46: Unspecified protein-calorie malnutrition",
"J9691: Respiratory failure, unspecified with hy... |
10,038,999 | 29,026,789 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
Valium
Attending: ___.
Chief Complaint:
right ankle pain
Major Surgical or Invasive Procedure:
right tibial intramedullary nail
... | [
"S82251A",
"F09",
"G40909",
"H548",
"W1830XA",
"Y92199"
] | Allergies: Valium Chief Complaint: right ankle pain Major Surgical or Invasive Procedure: right tibial intramedullary nail History of Present Illness: [MASKED] hx of developmental mental delay, seizure disorder, and blindness resides at a group home and while at day care had a witnessed fall. No head strike per staff. ... | [] | [] | [
"S82251A: Displaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture",
"F09: Unspecified mental disorder due to known physiological condition",
"G40909: Epilepsy, unspecified, not intractable, without status epilepticus",
"H548: Legal blindness, as defined in USA",
"W1830XA... |
10,039,110 | 20,528,136 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
Diflucan
Attending: ___
Chief Complaint:
Vaginal bleeding
Major Surgical or Invasive Procedure:
none
History of Prese... | [
"N938",
"D259",
"D649",
"Z86711",
"Z7902"
] | Allergies: Diflucan Chief Complaint: Vaginal bleeding Major Surgical or Invasive Procedure: none History of Present Illness: Patient is a [MASKED] y/o G6P2 with a history of known fibroid uterus, history of anemia, history of PE on Eliquis ([MASKED]), who presents with vaginal bleeding. LMP started [MASKED] - has been ... | [] | [
"D649",
"Z7902"
] | [
"N938: Other specified abnormal uterine and vaginal bleeding",
"D259: Leiomyoma of uterus, unspecified",
"D649: Anemia, unspecified",
"Z86711: Personal history of pulmonary embolism",
"Z7902: Long term (current) use of antithrombotics/antiplatelets"
] |
10,039,110 | 25,345,103 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Diflucan
Attending: ___.
Chief Complaint:
Dyspnea
Major Surgical or Invasive Procedure:
None.
History of Present Illness:
HISTORY ... | [
"I2699",
"R042",
"D509",
"F17210",
"F1490",
"N938"
] | Allergies: Diflucan Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None. History of Present Illness: HISTORY OF PRESENT ILLNESS: Ms. [MASKED] is a [MASKED] year old woman with history of dysfunctional uterine bleeding, iron deficiency anemia, and polysubstance abuse including crack cocaine presenting wi... | [] | [
"D509",
"F17210"
] | [
"I2699: Other pulmonary embolism without acute cor pulmonale",
"R042: Hemoptysis",
"D509: Iron deficiency anemia, unspecified",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"F1490: Cocaine use, unspecified, uncomplicated",
"N938: Other specified abnormal uterine and vaginal bleeding"
] |
10,039,110 | 25,441,215 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Symptomatic fibroid uterus
Major Surgical or... | [
"D259",
"Z86718",
"Z86711",
"Z7902"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Symptomatic fibroid uterus Major Surgical or Invasive Procedure: Total abdominal hysterectomy, Bilateral salpingectomy History of Present Illness: [MASKED] is a [MASKED] gravida 7 [MASKED] who returns to discuss further future hysterectomy and bila... | [] | [
"Z86718",
"Z7902"
] | [
"D259: Leiomyoma of uterus, unspecified",
"Z86718: Personal history of other venous thrombosis and embolism",
"Z86711: Personal history of pulmonary embolism",
"Z7902: Long term (current) use of antithrombotics/antiplatelets"
] |
10,039,272 | 23,744,596 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Penicillins / amiodarone
Attending: ___.
Chief Complaint:
neutropenic fever
Major Surgical or Invasive Procedure:
None
History of... | [
"J189",
"I482",
"D709",
"C457",
"H905",
"R5081",
"I2510",
"Z7901",
"K219",
"J3489",
"R0781",
"F419",
"N401",
"K5900",
"I10",
"E039",
"R600",
"Z8781",
"L821",
"Z85828",
"Z87891"
] | Allergies: Penicillins / amiodarone Chief Complaint: neutropenic fever Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/ CAD, Afib (Coumadin), GERD, and dx of pleural mesothelioma ([MASKED]) s/p cycle two of pemetrexed at [MASKED] [MASKED] (primary oncologist Dr. [MASKED] who presents w... | [] | [
"I2510",
"Z7901",
"K219",
"F419",
"K5900",
"I10",
"E039",
"Z87891"
] | [
"J189: Pneumonia, unspecified organism",
"I482: Chronic atrial fibrillation",
"D709: Neutropenia, unspecified",
"C457: Mesothelioma of other sites",
"H905: Unspecified sensorineural hearing loss",
"R5081: Fever presenting with conditions classified elsewhere",
"I2510: Atherosclerotic heart disease of na... |
10,039,302 | 20,263,091 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia /
Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol /
Glucophage / Lotrel... | [
"I70244",
"E1151",
"L97429",
"Z89511",
"I2510",
"I252",
"Z951",
"Z794",
"I10",
"E039",
"Z853",
"Z006"
] | Allergies: Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia / Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol / Glucophage / Lotrel / Sulfur / Nsaids / Ace Inhibitors / Statins-Hmg-Coa Reductase Inhibitors / Niacin Chief Complaint: Left heel ulcer secondary to peripheral vascular disease Major Surgical... | [] | [
"I2510",
"I252",
"Z951",
"Z794",
"I10",
"E039"
] | [
"I70244: Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot",
"E1151: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene",
"L97429: Non-pressure chronic ulcer of left heel and midfoot with unspecified severity",
"Z89511: Acquired absence of right leg ... |
10,039,302 | 21,345,637 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia /
Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol /
Glucophage / Lotrel... | [
"I70244",
"I7092",
"E1140",
"N390",
"L97429",
"I10",
"Z89511",
"I2510",
"I252",
"Z951",
"Z955",
"E039",
"R9431",
"Z853",
"Z8673"
] | Allergies: Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia / Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol / Glucophage / Lotrel / Sulfur / Nsaids / Ace Inhibitors / Statins-Hmg-Coa Reductase Inhibitors / Niacin Chief Complaint: Non healing left heel wound. Major Surgical or Invasive Procedure: [MAS... | [] | [
"N390",
"I10",
"I2510",
"I252",
"Z951",
"Z955",
"E039",
"Z8673"
] | [
"I70244: Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot",
"I7092: Chronic total occlusion of artery of the extremities",
"E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified",
"N390: Urinary tract infection, site not specified",
"L97429: Non-pressure chr... |
10,039,302 | 28,794,550 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia /
Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol /
Glucophage / Lotrel... | [
"T8131XA",
"L97429",
"E118",
"L03116",
"I2510",
"Z951",
"I252",
"I10",
"E039",
"Z853",
"Z89511",
"Z87891",
"B9562",
"R4182",
"T450X5A",
"L298",
"M7989",
"Y839",
"Y929"
] | Allergies: Lipitor / Prempro / Fosamax / Aspirin / Tamoxifen / Zetia / Naproxen / Rofecoxib / Celebrex / Atenolol / Metoprolol / Glucophage / Lotrel / Sulfur / Nsaids / Ace Inhibitors / Statins-Hmg-Coa Reductase Inhibitors / Niacin / minocycline Chief Complaint: LLE wound dehiscence, right arm edema and pain. Major Sur... | [] | [
"I2510",
"Z951",
"I252",
"I10",
"E039",
"Z87891",
"Y929"
] | [
"T8131XA: Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter",
"L97429: Non-pressure chronic ulcer of left heel and midfoot with unspecified severity",
"E118: Type 2 diabetes mellitus with unspecified complications",
"L03116: Cellulitis of left lower limb",
"I2510... |
10,039,393 | 20,123,798 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
Percocet / Motrin / crab and lobster / shellfish derived
Attending: ___.
Chief Complaint:
back pain
Major Surgical or Invasive Proce... | [
"M4807",
"M5117",
"M4317",
"I10",
"J45909",
"F329",
"Z96651",
"Z8711",
"Z961"
] | Allergies: Percocet / Motrin / crab and lobster / shellfish derived Chief Complaint: back pain Major Surgical or Invasive Procedure: [MASKED] L5-S1 ALIF [MASKED] L4-S1 PLF History of Present Illness: Patient returns to the office for follow-up. Since his last visit, he states his back pain has gotten worse. He has a kn... | [] | [
"I10",
"J45909",
"F329"
] | [
"M4807: Spinal stenosis, lumbosacral region",
"M5117: Intervertebral disc disorders with radiculopathy, lumbosacral region",
"M4317: Spondylolisthesis, lumbosacral region",
"I10: Essential (primary) hypertension",
"J45909: Unspecified asthma, uncomplicated",
"F329: Major depressive disorder, single episod... |
10,039,396 | 27,932,215 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Aphasia, weakness
Major Surgical or Invasive Procedure:
Ab... | [
"I63412",
"G8191",
"R1310",
"R4701",
"R4189",
"I10",
"E785",
"R29717",
"I2510",
"G510",
"Z66",
"R21"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Aphasia, weakness Major Surgical or Invasive Procedure: Aborted thrombectomy [MASKED] History of Present Illness: NEUROLOGY STROKE ADMISSION/CONSULT NOTE Neurology at bedside after Code Stroke activation within: 3 mins Time/Date the patient was las... | [] | [
"I10",
"E785",
"I2510",
"Z66"
] | [
"I63412: Cerebral infarction due to embolism of left middle cerebral artery",
"G8191: Hemiplegia, unspecified affecting right dominant side",
"R1310: Dysphagia, unspecified",
"R4701: Aphasia",
"R4189: Other symptoms and signs involving cognitive functions and awareness",
"I10: Essential (primary) hyperten... |
10,039,708 | 20,093,566 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
cats, dogs, dust, pollen
Attending: ___.
Chief Complaint:
Lethargy
Major Surgical or Invasive Procedure:
None
History of Present Ill... | [
"K7040",
"N186",
"F10251",
"F10239",
"I8510",
"I120",
"D62",
"K921",
"E872",
"K7030",
"Z8711",
"Z992",
"D638",
"F17210",
"J45909",
"E039",
"Z86718",
"Z9884",
"M109",
"S40022A",
"S40021A",
"S8012XA",
"S8011XA",
"S0003XA",
"S20222A",
"S20221A",
"W108XXA",
"Y92018"... | Allergies: cats, dogs, dust, pollen Chief Complaint: Lethargy Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] yo F with hx of EtOH cirrhosis c/b esophageal varices s/p recent banding ([MASKED]), stomach ulcer, ESRD (HD TTS, last session [MASKED], HTN, asthma who present... | [] | [
"D62",
"E872",
"F17210",
"J45909",
"E039",
"Z86718",
"M109",
"D696"
] | [
"K7040: Alcoholic hepatic failure without coma",
"N186: End stage renal disease",
"F10251: Alcohol dependence with alcohol-induced psychotic disorder with hallucinations",
"F10239: Alcohol dependence with withdrawal, unspecified",
"I8510: Secondary esophageal varices without bleeding",
"I120: Hypertensive... |
10,039,708 | 23,819,016 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Hypotension, Abdominal Pain
Major Surgical or Invasive Pro... | [
"A4189",
"K859",
"R6521",
"N179",
"R64",
"E46",
"E872",
"E5112",
"G629",
"F1020",
"K7010",
"E039",
"I129",
"N189",
"Z720",
"J45909",
"M109",
"D649",
"R410",
"Z86718",
"Z9884"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypotension, Abdominal Pain Major Surgical or Invasive Procedure: Right internal jugular line placement History of Present Illness: Ms. [MASKED] is a [MASKED] w/ PMH of EtOH abuse (currently still drinking) c/b EtOH hepatitis, Wernicke's encephalop... | [] | [
"N179",
"E872",
"E039",
"I129",
"N189",
"J45909",
"M109",
"D649",
"Z86718"
] | [
"A4189: Other specified sepsis",
"K859: Acute pancreatitis, unspecified",
"R6521: Severe sepsis with septic shock",
"N179: Acute kidney failure, unspecified",
"R64: Cachexia",
"E46: Unspecified protein-calorie malnutrition",
"E872: Acidosis",
"E5112: Wet beriberi",
"G629: Polyneuropathy, unspecified... |
10,039,708 | 24,928,679 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
cats, dogs, dust, pollen
Attending: ___
Chief Complaint:
shortness of breath
Major Surgical or Invasive Procedure:
___: EGD w/ banding
... | [
"K7031",
"I8511",
"K767",
"N186",
"K284",
"D62",
"K861",
"E872",
"K7040",
"R600",
"D539",
"D6959",
"E039",
"M109",
"R300",
"R7989",
"E875",
"R2232",
"N281",
"F1010",
"F17210",
"Z992",
"Z86718",
"Z9884",
"Z980"
] | Allergies: cats, dogs, dust, pollen Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: [MASKED]: EGD w/ banding History of Present Illness: Ms. [MASKED] is a [MASKED] yo F with PMH EtOH cirrhosis c/b renal failure (HD [MASKED], continued EtOH abuse (1 pint/day), and prior RLE DVT [MASKED] ago) w... | [] | [
"D62",
"E872",
"E039",
"M109",
"F17210",
"Z86718"
] | [
"K7031: Alcoholic cirrhosis of liver with ascites",
"I8511: Secondary esophageal varices with bleeding",
"K767: Hepatorenal syndrome",
"N186: End stage renal disease",
"K284: Chronic or unspecified gastrojejunal ulcer with hemorrhage",
"D62: Acute posthemorrhagic anemia",
"K861: Other chronic pancreatit... |
10,039,708 | 25,864,431 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
abdominal pain
Major Surgical or Invasive Procedure:
EGD (... | [
"K7290",
"K8520",
"K767",
"E43",
"J189",
"K7681",
"D689",
"N184",
"N179",
"D62",
"I8510",
"K860",
"D6959",
"K7011",
"K7031",
"F1020",
"M109",
"E039",
"D539",
"I129",
"F17210",
"R0902",
"Z66",
"Z9884",
"Z86718",
"Z6830"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: EGD ([MASKED]) Paracentesis x3 ([MASKED]) HD line placement ([MASKED]) History of Present Illness: [MASKED] with history of active alcohol abuse with cirrhosis, Wernicke encephalopathy, gastric b... | [] | [
"N179",
"D62",
"M109",
"E039",
"I129",
"F17210",
"Z66",
"Z86718"
] | [
"K7290: Hepatic failure, unspecified without coma",
"K8520: Alcohol induced acute pancreatitis without necrosis or infection",
"K767: Hepatorenal syndrome",
"E43: Unspecified severe protein-calorie malnutrition",
"J189: Pneumonia, unspecified organism",
"K7681: Hepatopulmonary syndrome",
"D689: Coagulat... |
10,039,708 | 26,793,610 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Elevated Creatinine
Major Surgical or Invasive Procedure:... | [
"N179",
"E872",
"I959",
"N183",
"I129",
"F1020",
"E039",
"D539",
"F17210",
"R740"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Elevated Creatinine Major Surgical or Invasive Procedure: None History of Present Illness: is a [MASKED] woman with a history of ETOH abuse, hypotension likely [MASKED] autonomic instability, and recent ATN requiring temporary HD who was admitted f... | [] | [
"N179",
"E872",
"I129",
"E039",
"F17210"
] | [
"N179: Acute kidney failure, unspecified",
"E872: Acidosis",
"I959: Hypotension, unspecified",
"N183: Chronic kidney disease, stage 3 (moderate)",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"F1020: Alcohol depende... |
10,039,708 | 28,258,130 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Chief Complaint: Hypotension
Reason for MICU transfer: Refr... | [
"D649",
"N170",
"J9691",
"I214",
"J690",
"G9340",
"I5021",
"J95851",
"E43",
"R64",
"E872",
"E5112",
"I82401",
"Z681",
"E873",
"I5181",
"E870",
"R34",
"D61818",
"D696",
"R680",
"F1020",
"F17210",
"E039",
"I10",
"I340",
"K7030",
"K7010",
"E59",
"E60",
"D124"... | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chief Complaint: Hypotension Reason for MICU transfer: Refractory hypotension, severe anemia Major Surgical or Invasive Procedure: Intubation: [MASKED] Sigmoidoscopy [MASKED] EGD [MASKED] Tunneled hemodialysis line placement [MASKED] Colonoscopy [M... | [] | [
"D649",
"E872",
"D696",
"F17210",
"E039",
"I10",
"J45909",
"Y92230"
] | [
"D649: Anemia, unspecified",
"N170: Acute kidney failure with tubular necrosis",
"J9691: Respiratory failure, unspecified with hypoxia",
"I214: Non-ST elevation (NSTEMI) myocardial infarction",
"J690: Pneumonitis due to inhalation of food and vomit",
"G9340: Encephalopathy, unspecified",
"I5021: Acute s... |
10,039,708 | 29,488,258 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
cats, dogs, dust, pollen
Attending: ___.
Chief Complaint:
confusion
Major Surgical or Invasive Procedure:
None
History of Present Il... | [
"K7290",
"N186",
"F1019",
"I8510",
"K7030",
"J45909",
"T473X6A",
"E039",
"F17210",
"D649",
"Z992",
"Z86718",
"Z91128"
] | Allergies: cats, dogs, dust, pollen Chief Complaint: confusion Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] yo F with hx of EtOH cirrhosis c/b esophageal varices s/p recent banding ([MASKED]), stomach ulcer, ESRD on HD, HTN, asthma who presents with altered mental st... | [] | [
"J45909",
"E039",
"F17210",
"D649",
"Z86718"
] | [
"K7290: Hepatic failure, unspecified without coma",
"N186: End stage renal disease",
"F1019: Alcohol abuse with unspecified alcohol-induced disorder",
"I8510: Secondary esophageal varices without bleeding",
"K7030: Alcoholic cirrhosis of liver without ascites",
"J45909: Unspecified asthma, uncomplicated",... |
10,039,709 | 21,965,984 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
Pneumococcal Vaccine / nuts / treenuts
Attending: ___.
Chief Complaint:
severe left thoracic pain
Major Surgical or Invasive Pr... | [
"M5114",
"M4804",
"I10",
"Z86718",
"Z86711"
] | Allergies: Pneumococcal Vaccine / nuts / treenuts Chief Complaint: severe left thoracic pain Major Surgical or Invasive Procedure: T5-6 DISCECTOMY AND T5-7 POSTERIOR INSTRUMENTED ARTHRODESIS History of Present Illness: Mr. [MASKED] is a pleasant gentleman who presented with severe left thoracic radiculopathy.He did not... | [] | [
"I10",
"Z86718"
] | [
"M5114: Intervertebral disc disorders with radiculopathy, thoracic region",
"M4804: Spinal stenosis, thoracic region",
"I10: Essential (primary) hypertension",
"Z86718: Personal history of other venous thrombosis and embolism",
"Z86711: Personal history of pulmonary embolism"
] |
10,039,870 | 22,600,344 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Penicillins / Sulfa (Sulfonamide Antibiotics)
Attending: ___
Chief Complaint:
Abdominal pain
Major Surgical or Invasive Procedure:
Diag... | [
"K353",
"K660",
"R338",
"R400",
"T402X5A",
"Y92230"
] | Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: Diagnostic laparoscopy and open appendectomy History of Present Illness: [MASKED] woman with 3-day history of abdominal pain which was generalized, and ultimately today had started to localize ... | [] | [
"Y92230"
] | [
"K353: Acute appendicitis with localized peritonitis",
"K660: Peritoneal adhesions (postprocedural) (postinfection)",
"R338: Other retention of urine",
"R400: Somnolence",
"T402X5A: Adverse effect of other opioids, initial encounter",
"Y92230: Patient room in hospital as the place of occurrence of the ext... |
10,039,913 | 24,711,716 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Penicillins
Attending: ___.
Chief Complaint:
shortness of breath and cough
Major Surgical or Invasive Procedure:
None
History of ... | [
"A481",
"B20",
"E871",
"N179",
"D649",
"Z8619",
"F1911",
"Z87891",
"R0902"
] | Allergies: Penicillins Chief Complaint: shortness of breath and cough Major Surgical or Invasive Procedure: None History of Present Illness: CC: cough HISTORY OF THE PRESENTING ILLNESS: This is a [MASKED] gentleman with a history of HIV currently on active retroviral therapy, hepatitis C who was recently completed trea... | [] | [
"E871",
"N179",
"D649",
"Z87891"
] | [
"A481: Legionnaires' disease",
"B20: Human immunodeficiency virus [HIV] disease",
"E871: Hypo-osmolality and hyponatremia",
"N179: Acute kidney failure, unspecified",
"D649: Anemia, unspecified",
"Z8619: Personal history of other infectious and parasitic diseases",
"F1911: Other psychoactive substance a... |
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