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 |
|---|---|---|---|---|---|---|---|
10,039,917 | 23,863,775 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
Sulfa (Sulfonamide Antibiotics) / Ultram / environmental
including cats and mold
Attending: ___.
Chief Complaint:
Neck Pain
Ma... | [
"M5031",
"M4802",
"M479",
"F17210",
"J45909"
] | Allergies: Sulfa (Sulfonamide Antibiotics) / Ultram / environmental including cats and mold Chief Complaint: Neck Pain Major Surgical or Invasive Procedure: ACDF C3-C5 History of Present Illness: Ms. [MASKED] is a [MASKED] year old female with a PMH of HTN and asthma and C5-6 fusion in [MASKED] presenting with neck pai... | [] | [
"F17210",
"J45909"
] | [
"M5031: Other cervical disc degeneration, high cervical region",
"M4802: Spinal stenosis, cervical region",
"M479: Spondylosis, unspecified",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"J45909: Unspecified asthma, uncomplicated"
] |
10,039,917 | 27,350,730 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Sulfa (Sulfonamide Antibiotics) / Ultram
Attending: ___.
Chief Complaint:
Neck pain
Major Surgical or Invasive Procedure:
None
H... | [
"M4802",
"M50221",
"G8929",
"J45909",
"F17210",
"Z981"
] | Allergies: Sulfa (Sulfonamide Antibiotics) / Ultram Chief Complaint: Neck pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old female with a PMH of HTN and asthma and C5-6 fusion in [MASKED] presenting with neck pain and left arm weakness for 5 days being admit... | [] | [
"G8929",
"J45909",
"F17210"
] | [
"M4802: Spinal stenosis, cervical region",
"M50221: Other cervical disc displacement at C4-C5 level",
"G8929: Other chronic pain",
"J45909: Unspecified asthma, uncomplicated",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"Z981: Arthrodesis status"
] |
10,039,990 | 29,933,748 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
lisinopril
Attending: ___.
Chief Complaint:
transient vision loss and dizziness
Major Surgical or Invasive Procedure:
none
Histo... | [
"G459",
"I10",
"E785",
"K219",
"Z87891",
"H53462"
] | Allergies: lisinopril Chief Complaint: transient vision loss and dizziness Major Surgical or Invasive Procedure: none History of Present Illness: NEUROLOGY STROKE ADMISSION/CONSULT NOTE NO CODE STROKE [MASKED] Stroke Scale Score: 0 t-PA administered: [] Yes - Time given: [x] No - Reason t-PA was not given or consider... | [] | [
"I10",
"E785",
"K219",
"Z87891"
] | [
"G459: Transient cerebral ischemic attack, unspecified",
"I10: Essential (primary) hypertension",
"E785: Hyperlipidemia, unspecified",
"K219: Gastro-esophageal reflux disease without esophagitis",
"Z87891: Personal history of nicotine dependence",
"H53462: Homonymous bilateral field defects, left side"
] |
10,039,997 | 22,484,749 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Right arm weakness and unsteadiness with walking.
Maj... | [
"I6340",
"I69354",
"D696",
"I480",
"G8191",
"I129",
"I69392",
"N189",
"I69893",
"E785",
"D72819",
"R2681",
"F17210",
"F329",
"Z9181"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right arm weakness and unsteadiness with walking. Major Surgical or Invasive Procedure: None. History of Present Illness: [MASKED] is a [MASKED] year old woman with past medical history significant for stroke [MASKED] (thought to be [MASKED] hyperc... | [] | [
"D696",
"I480",
"I129",
"N189",
"E785",
"F17210",
"F329"
] | [
"I6340: Cerebral infarction due to embolism of unspecified cerebral artery",
"I69354: Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side",
"D696: Thrombocytopenia, unspecified",
"I480: Paroxysmal atrial fibrillation",
"G8191: Hemiplegia, unspecified affecting right dom... |
10,040,025 | 21,791,856 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___
Chief Complaint:
Dyspnea and cough
Major Surgical or Invasive Procedu... | [
"J441",
"J9691",
"J690",
"N179",
"I4891",
"E1122",
"I130",
"N184",
"I5032",
"E278",
"G43109",
"H34239",
"Z87891",
"Z794",
"I2510",
"Z955",
"I252",
"Z7901",
"E785",
"E039",
"E669",
"Z6832",
"M109",
"I701",
"D649",
"F329",
"F419",
"R918"
] | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: Dyspnea and cough Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] yo with h/o CAD s/p DES, CKD, HFpEF (EF>60%) on torsemide, AF on coumadin, presented to ED w/3 days of productive cough and gradual onset dyspn... | [] | [
"N179",
"I4891",
"E1122",
"I130",
"I5032",
"Z87891",
"Z794",
"I2510",
"Z955",
"I252",
"Z7901",
"E785",
"E039",
"E669",
"M109",
"D649",
"F329",
"F419"
] | [
"J441: Chronic obstructive pulmonary disease with (acute) exacerbation",
"J9691: Respiratory failure, unspecified with hypoxia",
"J690: Pneumonitis due to inhalation of food and vomit",
"N179: Acute kidney failure, unspecified",
"I4891: Unspecified atrial fibrillation",
"E1122: Type 2 diabetes mellitus wi... |
10,040,025 | 22,251,969 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___.
Chief Complaint:
low urine output
Major Surgical or Invasive Procedu... | [
"N170",
"I130",
"E1122",
"I5032",
"I4891",
"E860",
"E871",
"I701",
"F329",
"T501X5A",
"T465X5A",
"Y929",
"Z794",
"N184",
"G8929",
"I2510",
"Z955",
"Z7901",
"D649",
"E785",
"E039",
"I252",
"E669",
"Z87891",
"R791",
"T45515A",
"M109",
"Z6833",
"F419"
] | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: low urine output Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] female with a history of insulin-dependent diabetes and chronic renal failure who has been evaluated for possible transplant for dialysis but ha... | [] | [
"I130",
"E1122",
"I5032",
"I4891",
"E871",
"F329",
"Y929",
"Z794",
"G8929",
"I2510",
"Z955",
"Z7901",
"D649",
"E785",
"E039",
"I252",
"E669",
"Z87891",
"M109",
"F419"
] | [
"N170: Acute kidney failure with tubular necrosis",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I5032: Chronic diasto... |
10,040,025 | 25,933,959 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___.
Chief Complaint:
peripheral arterial disease, non-healing ulcer left fo... | [
"E11621",
"L03116",
"L97529",
"E1122",
"I130",
"I509",
"Z794",
"I7789",
"E11649",
"N183",
"Z87891",
"E785",
"E039",
"I2510",
"Z955",
"I252",
"Z7902",
"E669",
"Z6830",
"M109",
"D649",
"F329",
"I701",
"I4891"
] | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: peripheral arterial disease, non-healing ulcer left foot Major Surgical or Invasive Procedure: [MASKED]: -L fem-AK pop w/ nrGSV -Sciatic nerve block -Left foot wound debridement -VAC to left foot History of Present Illness: Ms. [MASKED] is a... | [] | [
"E1122",
"I130",
"Z794",
"Z87891",
"E785",
"E039",
"I2510",
"Z955",
"I252",
"Z7902",
"E669",
"M109",
"D649",
"F329",
"I4891"
] | [
"E11621: Type 2 diabetes mellitus with foot ulcer",
"L03116: Cellulitis of left lower limb",
"L97529: Non-pressure chronic ulcer of other part of left foot with unspecified severity",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I130: Hypertensive heart and chronic kidney disease... |
10,040,025 | 27,259,207 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___.
Chief Complaint:
left foot ulcer
Major Surgical or Invasive Procedure... | [
"E11621",
"I70262",
"L97523",
"L97429",
"L97419",
"E11622",
"L97229",
"E1152",
"E11628",
"L03116",
"B965",
"I130",
"I5022",
"E1122",
"I4891",
"N183",
"E785",
"E039",
"I2510",
"E669",
"Z6832",
"M109",
"D649",
"F329",
"E11649",
"I252",
"Z955",
"Z7902",
"Z794",
... | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: left foot ulcer Major Surgical or Invasive Procedure: [MASKED]: Excisional debridement down to tendon of left diabetic foot ulcer [MASKED]: diagnostic angiogram, left lower extremity History of Present Illness: Ms. [MASKED] presents for eval... | [] | [
"I130",
"E1122",
"I4891",
"E785",
"E039",
"I2510",
"E669",
"M109",
"D649",
"F329",
"I252",
"Z955",
"Z7902",
"Z794",
"Z87891"
] | [
"E11621: Type 2 diabetes mellitus with foot ulcer",
"I70262: Atherosclerosis of native arteries of extremities with gangrene, left leg",
"L97523: Non-pressure chronic ulcer of other part of left foot with necrosis of muscle",
"L97429: Non-pressure chronic ulcer of left heel and midfoot with unspecified severi... |
10,040,025 | 27,876,215 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___.
Chief Complaint:
BRBPR
Major Surgical or Invasive Procedure:
none
... | [
"K5791",
"I130",
"I5023",
"E1122",
"N183",
"N179",
"D62",
"I4891",
"I272",
"R791",
"D631",
"D509",
"I2510",
"I340",
"S9032XA",
"W208XXA",
"Y92239",
"F329",
"M109",
"E785",
"E039",
"E669",
"Z6830",
"I252",
"Z794",
"Z7901",
"Z7902",
"Z955",
"Z87891",
"Z800"
] | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: BRBPR Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] female with history of CAD, CKD (s/p multiple stents), HFrEF(44%), IDDM, AF on coumadin, recently hospitalized for [MASKED] presenting from home for evalua... | [] | [
"I130",
"E1122",
"N179",
"D62",
"I4891",
"D509",
"I2510",
"F329",
"M109",
"E785",
"E039",
"E669",
"I252",
"Z794",
"Z7901",
"Z7902",
"Z955",
"Z87891"
] | [
"K5791: Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding",
"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)... |
10,040,025 | 27,996,267 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
allopurinol / Statins-Hmg-Coa Reductase Inhibitors
Attending: ___.
Chief Complaint:
Left lower extremity surgical site infection
Major S... | [
"T814XXA",
"I5033",
"N179",
"N184",
"D62",
"E1152",
"F05",
"T8119XA",
"T8131XA",
"I130",
"Y832",
"Y929",
"E1122",
"Z66",
"Z515",
"Z781",
"R791",
"B952",
"Z1621",
"B9689",
"Z1623",
"B954",
"L89899",
"E785",
"E039",
"I2510",
"M109",
"I4891",
"F329",
"J449",
... | Allergies: allopurinol / Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: Left lower extremity surgical site infection Major Surgical or Invasive Procedure: [MASKED] Left lower extremity incision and drainage, debridement of left foot ulcer [MASKED] Left lower extremity washout, wound vac placement [MASKED] Left l... | [] | [
"N179",
"D62",
"I130",
"Y929",
"E1122",
"Z66",
"Z515",
"E785",
"E039",
"I2510",
"M109",
"I4891",
"F329",
"J449",
"K219",
"Y92230"
] | [
"T814XXA: Infection following a procedure",
"I5033: Acute on chronic diastolic (congestive) heart failure",
"N179: Acute kidney failure, unspecified",
"N184: Chronic kidney disease, stage 4 (severe)",
"D62: Acute posthemorrhagic anemia",
"E1152: Type 2 diabetes mellitus with diabetic peripheral angiopathy... |
10,040,149 | 21,810,717 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
aspirin
Attending: ___.
Chief Complaint:
Abdominal pain
Major Surgical or Invasive Procedure:
None
History of Present Illness:
__... | [
"K5650",
"N390",
"Z951",
"E039",
"K432",
"I10",
"I2510",
"Z9049"
] | Allergies: aspirin Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] female history of hypertension, cholecystectomy, hernia repair, hysterectomy, nephrectomy, transferred from [MASKED] for bowel obstruction seen on CT scan. Patient has had a day of diffuse ... | [] | [
"N390",
"Z951",
"E039",
"I10",
"I2510"
] | [
"K5650: Intestinal adhesions [bands], unspecified as to partial versus complete obstruction",
"N390: Urinary tract infection, site not specified",
"Z951: Presence of aortocoronary bypass graft",
"E039: Hypothyroidism, unspecified",
"K432: Incisional hernia without obstruction or gangrene",
"I10: Essential... |
10,040,202 | 26,210,601 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
Demerol / codeine / Vicodin / Compazine / Macrobid / Keflex /
erythromycin base / ciprofloxacin / Sulfa (Sulfonamide
Antibiotics) /... | [
"S82141A",
"I10",
"W1789XA",
"Y9289",
"Z8673",
"Z87891",
"Z7901"
] | Allergies: Demerol / codeine / Vicodin / Compazine / Macrobid / Keflex / erythromycin base / ciprofloxacin / Sulfa (Sulfonamide Antibiotics) / Penicillins Chief Complaint: R leg pain Major Surgical or Invasive Procedure: R knee-spanning ex-fix [MASKED], [MASKED] ORIF R tibial plateau fracture [MASKED], [MASKED] History... | [] | [
"I10",
"Z8673",
"Z87891",
"Z7901"
] | [
"S82141A: Displaced bicondylar fracture of right tibia, initial encounter for closed fracture",
"I10: Essential (primary) hypertension",
"W1789XA: Other fall from one level to another, initial encounter",
"Y9289: Other specified places as the place of occurrence of the external cause",
"Z8673: Personal hist... |
10,040,284 | 26,059,791 |
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, foreign body ingestion
Major Surgical o... | [
"T182XXA",
"X58XXXA",
"Y929",
"K254",
"F329",
"D649",
"F4310",
"F4329",
"F17210"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal pain, foreign body ingestion Major Surgical or Invasive Procedure: [MASKED]: EGD with removal of foreign objects (magnets) and clipping/injection of gastric ulcerations History of Present Illness: [MASKED] w PMH Schizophrenia, depression,... | [] | [
"Y929",
"F329",
"D649",
"F17210"
] | [
"T182XXA: Foreign body in stomach, initial encounter",
"X58XXXA: Exposure to other specified factors, initial encounter",
"Y929: Unspecified place or not applicable",
"K254: Chronic or unspecified gastric ulcer with hemorrhage",
"F329: Major depressive disorder, single episode, unspecified",
"D649: Anemia... |
10,040,602 | 25,984,377 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Amoxicillin
Attending: ___
Chief Complaint:
Chest pain
Major Surgical or Invasive Procedure:
None
History of Present Illness:
___ with... | [
"K209",
"J9859",
"I420",
"I319",
"R7982",
"E785",
"N4231",
"I10",
"I2720",
"Z85118",
"K635",
"G629",
"N200",
"R001",
"I129",
"N183",
"D649",
"I70212"
] | Allergies: Amoxicillin Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with H/O cardiomyopathy (LVEF 30%), lung cancer s/p right upper lobectomy, hypertension, and hyperlipidemia presented with chest pain. Patient reports acute onset of chest pain that woke hi... | [] | [
"E785",
"I10",
"I129",
"D649"
] | [
"K209: Esophagitis, unspecified",
"J9859: Other diseases of mediastinum, not elsewhere classified",
"I420: Dilated cardiomyopathy",
"I319: Disease of pericardium, unspecified",
"R7982: Elevated C-reactive protein (CRP)",
"E785: Hyperlipidemia, unspecified",
"N4231: Prostatic intraepithelial neoplasia",
... |
10,040,604 | 26,191,301 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Percocet / amoxicillin-pot clavulanate
Attending: ___.
Chief Complaint:
Chest Pain
Major Surgical or Invasive Procedure:
None
History of... | [
"R079",
"E785",
"I10",
"K219",
"F419",
"M549"
] | Allergies: Percocet / amoxicillin-pot clavulanate Chief Complaint: Chest Pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] female with history of GERD, hypertension, hyperlipidemia, who presented to the ED for evaluation of intermittent chest pressure with left arm tingling radiating ... | [] | [
"E785",
"I10",
"K219",
"F419"
] | [
"R079: Chest pain, unspecified",
"E785: Hyperlipidemia, unspecified",
"I10: Essential (primary) hypertension",
"K219: Gastro-esophageal reflux disease without esophagitis",
"F419: Anxiety disorder, unspecified",
"M549: Dorsalgia, unspecified"
] |
10,040,663 | 22,738,336 |
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've been depressed."
Major Surgical or Invasive Pro... | [
"F3160",
"R45851",
"F1120",
"L03011",
"I10",
"E785",
"G4700",
"F419",
"Z590"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I've been depressed." Major Surgical or Invasive Procedure: None History of Present Illness: History was noted from Dr. [MASKED] consult note from [MASKED], and subsequent psychiatry CL notes in OMR, confirmed with patient and updated as relevant:... | [] | [
"I10",
"E785",
"G4700",
"F419"
] | [
"F3160: Bipolar disorder, current episode mixed, unspecified",
"R45851: Suicidal ideations",
"F1120: Opioid dependence, uncomplicated",
"L03011: Cellulitis of right finger",
"I10: Essential (primary) hypertension",
"E785: Hyperlipidemia, unspecified",
"G4700: Insomnia, unspecified",
"F419: Anxiety dis... |
10,040,664 | 21,185,129 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Penicillins
Attending: ___
___ Complaint:
loop ileostomy
Major Surgical or Invasive Procedure:
Reversal of ileostomy.
History of Pres... | [
"Z432",
"E785",
"Z85048",
"I10",
"F329",
"F419"
] | Allergies: Penicillins [MASKED] Complaint: loop ileostomy Major Surgical or Invasive Procedure: Reversal of ileostomy. History of Present Illness: [MASKED] w recently diagnosed sigmoid colon cancer presents to clinic to discuss surgical management. Pt underwent colonoscopy on [MASKED] for BRBPR, which she reports she h... | [] | [
"E785",
"I10",
"F329",
"F419"
] | [
"Z432: Encounter for attention to ileostomy",
"E785: Hyperlipidemia, unspecified",
"Z85048: Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus",
"I10: Essential (primary) hypertension",
"F329: Major depressive disorder, single episode, unspecified",
"F419: Anxiety diso... |
10,040,664 | 21,799,092 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Penicillins
Attending: ___
___ Complaint:
Incisional hernias x 2.
Major Surgical or Invasive Procedure:
HERNIORRHAPHY INCISIONAL X2 WIT... | [
"K432",
"Z880",
"Z85048",
"Z79899",
"I10"
] | Allergies: Penicillins [MASKED] Complaint: Incisional hernias x 2. Major Surgical or Invasive Procedure: HERNIORRHAPHY INCISIONAL X2 WITH MESH History of Present Illness: Mr. [MASKED] underwent reversal of his ileostomy on [MASKED] and was able to be discharged home after approximately 4 days. He had a much less eventf... | [] | [
"I10"
] | [
"K432: Incisional hernia without obstruction or gangrene",
"Z880: Allergy status to penicillin",
"Z85048: Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus",
"Z79899: Other long term (current) drug therapy",
"I10: Essential (primary) hypertension"
] |
10,040,664 | 28,611,665 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Penicillins
Attending: ___
___ Complaint:
FAP
Major Surgical or Invasive Procedure:
Laparoscopic total proctocolectomy with ileal low
r... | [
"D126",
"K9189",
"K567",
"C20",
"I10",
"E785",
"E876",
"Y838",
"Y92230"
] | Allergies: Penicillins [MASKED] Complaint: FAP Major Surgical or Invasive Procedure: Laparoscopic total proctocolectomy with ileal low rectal pouch anastomosis with proximal diverting ileostomy History of Present Illness: Referred to Dr. [MASKED] surgical treatment of FAP. He was referred for genetic testing as an outp... | [] | [
"I10",
"E785",
"Y92230"
] | [
"D126: Benign neoplasm of colon, unspecified",
"K9189: Other postprocedural complications and disorders of digestive system",
"K567: Ileus, unspecified",
"C20: Malignant neoplasm of rectum",
"I10: Essential (primary) hypertension",
"E785: Hyperlipidemia, unspecified",
"E876: Hypokalemia",
"Y838: Other... |
10,040,737 | 20,352,299 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
Sulfa (Sulfonamide Antibiotics) / Macrodantin / ampicillin
Attending: ___.
Chief Complaint:
Right ankle fracture
Major Surgical or I... | [
"S82851A",
"E039",
"K219",
"K5900",
"F419"
] | Allergies: Sulfa (Sulfonamide Antibiotics) / Macrodantin / ampicillin Chief Complaint: Right ankle fracture Major Surgical or Invasive Procedure: Open reduction internal fixation right ankle fracture History of Present Illness: [MASKED] w/ R ankle fx s/p ORIF w/ Dr. [MASKED] on [MASKED]. Past Medical History: [MASKED]:... | [] | [
"E039",
"K219",
"K5900",
"F419"
] | [
"S82851A: Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture",
"E039: Hypothyroidism, unspecified",
"K219: Gastro-esophageal reflux disease without esophagitis",
"K5900: Constipation, unspecified",
"F419: Anxiety disorder, unspecified"
] |
10,040,881 | 26,301,946 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Univasc
Attending: ___.
Chief Complaint:
dehydration, failure to thrive
Major Surgical or Invasive Procedure:
___ Omental biopsy
Hi... | [
"C8593",
"G9341",
"N179",
"R64",
"E46",
"G3109",
"F05",
"D62",
"L7632",
"Z681",
"D696",
"E8342",
"E860",
"H548",
"H9190",
"I10",
"F0280",
"H353290",
"F329",
"E210",
"M25522",
"M545",
"J439",
"R197",
"Z66",
"R627",
"E790",
"Y848",
"Y92230",
"Z87891"
] | Allergies: Univasc Chief Complaint: dehydration, failure to thrive Major Surgical or Invasive Procedure: [MASKED] Omental biopsy History of Present Illness: Patient is a [MASKED] with mood disorder NOS, primary hyperparathyroidism s/p resection, wet macular degeneration s/p laser photocoagulation (legally blind), who i... | [] | [
"N179",
"D62",
"D696",
"I10",
"F329",
"Z66",
"Y92230",
"Z87891"
] | [
"C8593: Non-Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes",
"G9341: Metabolic encephalopathy",
"N179: Acute kidney failure, unspecified",
"R64: Cachexia",
"E46: Unspecified protein-calorie malnutrition",
"G3109: Other frontotemporal dementia",
"F05: Delirium due to known physiological condi... |
10,040,952 | 29,222,196 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
occipital headache and syncope found to have chiari ... | [
"G935",
"Z87891",
"J45909",
"M549",
"R110"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: occipital headache and syncope found to have chiari malformation Major Surgical or Invasive Procedure: [MASKED] s/p suboccipital craniotomy for chiari malformation, C1 laminectomy History of Present Illness: [MASKED] M who initially presented to [M... | [] | [
"Z87891",
"J45909"
] | [
"G935: Compression of brain",
"Z87891: Personal history of nicotine dependence",
"J45909: Unspecified asthma, uncomplicated",
"M549: Dorsalgia, unspecified",
"R110: Nausea"
] |
10,040,984 | 25,978,343 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
___ Complaint:
Elective reversal of colostomy
Major Surgical or Invasive Proc... | [
"Z433",
"K9171",
"D684",
"K766",
"D62",
"K913",
"K660",
"K7030",
"G40909",
"I10",
"K219",
"F1021",
"Y838",
"Y92234",
"Z8546",
"Z8673",
"Z87891"
] | Allergies: No Known Allergies / Adverse Drug Reactions [MASKED] Complaint: Elective reversal of colostomy Major Surgical or Invasive Procedure: Colostomy reversal History of Present Illness: Mr. [MASKED] is an [MASKED] man with a history of cirrhosis, incarcerated hernia, and colonic perforation s/p resection and end c... | [] | [
"D62",
"I10",
"K219",
"Z8673",
"Z87891"
] | [
"Z433: Encounter for attention to colostomy",
"K9171: Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure",
"D684: Acquired coagulation factor deficiency",
"K766: Portal hypertension",
"D62: Acute posthemorrhagic anemia",
"K913: Postprocedural in... |
10,040,984 | 29,975,777 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Incarcerated inguinal hernia and perforation of incarcerated ... | [
"K4030",
"K659",
"I472",
"J811",
"E46",
"T184XXA",
"K7031",
"K766",
"I8510",
"S36593A",
"E512",
"K219",
"F17210",
"I10",
"Z8673",
"I447",
"Z8546",
"Z96643",
"Y929",
"Z6823"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Incarcerated inguinal hernia and perforation of incarcerated sigmoid colon with foreign body (toothpick). Major Surgical or Invasive Procedure: [MASKED] 1. Exploratory laparotomy with sigmoid colectomy and [MASKED] procedure. 2. Abdominal washout. ... | [] | [
"K219",
"F17210",
"I10",
"Z8673",
"Y929"
] | [
"K4030: Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent",
"K659: Peritonitis, unspecified",
"I472: Ventricular tachycardia",
"J811: Chronic pulmonary edema",
"E46: Unspecified protein-calorie malnutrition",
"T184XXA: Foreign body in colon, initial encounter",
"... |
10,041,312 | 25,060,515 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
codeine / erythromycin base / cephalasporin / Motrin
Attending: ___.
Chief Complaint:
left lower extremity rest pain
Major Surgical or... | [
"I70222",
"I5023",
"J449",
"N390",
"I130",
"Z6841",
"Z006",
"N183",
"E785",
"I2510",
"K219",
"J45909",
"Z87891",
"Z96641",
"I447",
"E6601",
"Z7902",
"B9620",
"G4733",
"R197"
] | Allergies: codeine / erythromycin base / cephalasporin / Motrin Chief Complaint: left lower extremity rest pain Major Surgical or Invasive Procedure: [MASKED]: diagnostic angiogram, LLE [MASKED]: Left iliofemoral thromboendarterectomy, external iliac artery stent History of Present Illness: Ms. [MASKED] is an [MASKED] ... | [] | [
"J449",
"N390",
"I130",
"E785",
"I2510",
"K219",
"J45909",
"Z87891",
"Z7902",
"G4733"
] | [
"I70222: Atherosclerosis of native arteries of extremities with rest pain, left leg",
"I5023: Acute on chronic systolic (congestive) heart failure",
"J449: Chronic obstructive pulmonary disease, unspecified",
"N390: Urinary tract infection, site not specified",
"I130: Hypertensive heart and chronic kidney d... |
10,041,312 | 26,413,298 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
codeine / erythromycin base / cephalasporin / Motrin
Attending: ___.
Chief Complaint:
RUQ abdominal pain
Major Surgical or Invasive P... | [
"T85898A",
"K750",
"I130",
"K8010",
"I509",
"T814XXA",
"Z6841",
"N390",
"J449",
"N183",
"I2510",
"E785",
"K219",
"E669",
"J45909",
"Z1621",
"Y838",
"Y929"
] | Allergies: codeine / erythromycin base / cephalasporin / Motrin Chief Complaint: RUQ abdominal pain Major Surgical or Invasive Procedure: [MASKED]: [MASKED] aspiration of perihepatic fluid collection [MASKED]: [MASKED] drainage of perihepatic fluid collection, drain placement [MASKED]: [MASKED] drainage of perihepatic ... | [] | [
"I130",
"N390",
"J449",
"I2510",
"E785",
"K219",
"E669",
"J45909",
"Y929"
] | [
"T85898A: Other specified complication of other internal prosthetic devices, implants and grafts, initial encounter",
"K750: Abscess of liver",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"K... |
10,041,339 | 29,569,226 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
Sulfa (Sulfonamide Antibiotics)
Attending: ___.
Chief Complaint:
pprom
Major Surgical or Invasive Procedure:
exam under an... | [
"O42113",
"Z370",
"O411230",
"O4443",
"O4403",
"O721",
"O713",
"O403XX0",
"O24420",
"O418X30",
"O368930",
"Z3A32",
"O631",
"O701",
"O99284",
"E039",
"O9989",
"H9041",
"O26893",
"L298"
] | Allergies: Sulfa (Sulfonamide Antibiotics) Chief Complaint: pprom Major Surgical or Invasive Procedure: exam under anesthesia s/p vaginal delivery, bakri placed postpartum, removed Physical Exam: On discharge: Vitals: 24 HR Data (last updated [MASKED] @ 018) Temp: 97.5 (Tm 98.1), BP: 101/67 (97-131/61-77), HR: 99 (94-9... | [] | [
"E039"
] | [
"O42113: Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester",
"Z370: Single live birth",
"O411230: Chorioamnionitis, third trimester, not applicable or unspecified",
"O4443: Low lying placenta NOS or without hemorrhage, third trimester",
"O4403: Comp... |
10,041,429 | 20,403,729 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Vicodin
Attending: ___.
Chief Complaint:
Abdominal pain, fever
Major Surgical or Invasive Procedure:
Laparoscopic adjustable gastric band a... | [
"K9509",
"R1310",
"Y848",
"Y929"
] | Allergies: Vicodin Chief Complaint: Abdominal pain, fever Major Surgical or Invasive Procedure: Laparoscopic adjustable gastric band and port removal. History of Present Illness: Ms. [MASKED] is a [MASKED] s/p laparoscopic gastric band at [MASKED] in [MASKED] who presented with LLQ abdominal pain. She has a recent hist... | [] | [
"Y929"
] | [
"K9509: Other complications of gastric band procedure",
"R1310: Dysphagia, unspecified",
"Y848: Other medical procedures 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 applicable"
] |
10,041,429 | 28,466,281 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
Vicodin
Attending: ___.
Chief Complaint:
recurrent low back pain post mvc and right foot paresthesias and
weakness
Major Surgical or ... | [
"M47896",
"M419",
"M4806",
"M5136",
"M21371",
"R21"
] | Allergies: Vicodin Chief Complaint: recurrent low back pain post mvc and right foot paresthesias and weakness Major Surgical or Invasive Procedure: L4-S1 Decompression/Fusion History of Present Illness: [MASKED] female PMHx lumbar spinal stenosis, chronic low back pain s/p multiple surgeries on her lumbar spine includi... | [] | [] | [
"M47896: Other spondylosis, lumbar region",
"M419: Scoliosis, unspecified",
"M4806: Spinal stenosis, lumbar region",
"M5136: Other intervertebral disc degeneration, lumbar region",
"M21371: Foot drop, right foot",
"R21: Rash and other nonspecific skin eruption"
] |
10,041,690 | 23,389,330 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Codeine / escitalopram / lisinopril / aspirin / latex /
hydrochlorothiazide
Attending: ___.
Chief Complaint:
Hyponatremia
Major Surgical... | [
"E871",
"F419",
"I10",
"E039",
"M810",
"M5430",
"T502X5A",
"Y92009"
] | Allergies: Codeine / escitalopram / lisinopril / aspirin / latex / hydrochlorothiazide Chief Complaint: Hyponatremia Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with hypertension, hypothyroidism and anxiety presenting with hyponatremia found on outsid... | [] | [
"E871",
"F419",
"I10",
"E039"
] | [
"E871: Hypo-osmolality and hyponatremia",
"F419: Anxiety disorder, unspecified",
"I10: Essential (primary) hypertension",
"E039: Hypothyroidism, unspecified",
"M810: Age-related osteoporosis without current pathological fracture",
"M5430: Sciatica, unspecified side",
"T502X5A: Adverse effect of carbonic... |
10,041,894 | 27,875,571 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Aortic Insufficiency
Major Surgical or Invasive Procedu... | [
"T82897A",
"I130",
"I5032",
"N179",
"Z006",
"D509",
"N183",
"D631",
"D696",
"I482",
"I082",
"N189",
"N400",
"G4700",
"M109",
"E559",
"Z8619",
"Z953",
"Z7901",
"Y712"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Aortic Insufficiency Major Surgical or Invasive Procedure: Cardiac Catheterization [MASKED] Transesophageal Echocardiogram [MASKED] Transcatheter Aortic Valve Replacement (TAVR) [MASKED] History of Present Illness: [MASKED] year old man with HTN, H... | [] | [
"I130",
"I5032",
"N179",
"D509",
"D696",
"N189",
"N400",
"G4700",
"M109",
"Z7901"
] | [
"T82897A: Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter",
"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... |
10,041,894 | 29,235,759 |
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:
TEE
H... | [
"N179",
"D62",
"D6832",
"E872",
"D696",
"I959",
"K921",
"I4891",
"E871",
"B953",
"I059",
"M4806",
"Z7901",
"M109",
"I10",
"E785",
"N400",
"T45515A",
"Y92239",
"R339",
"Z952",
"T363X5A",
"T368X5A"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Back Pain Major Surgical or Invasive Procedure: TEE History of Present Illness: Mr. [MASKED] is a [MASKED] y/o man with a PMH of AFib on warfarin, bioprosthetic AVR/MVR, gout, HTN, and HLD, who was transferred from [MASKED] for [MASKED] and anemia.... | [] | [
"N179",
"D62",
"E872",
"D696",
"I4891",
"E871",
"Z7901",
"M109",
"I10",
"E785",
"N400"
] | [
"N179: Acute kidney failure, unspecified",
"D62: Acute posthemorrhagic anemia",
"D6832: Hemorrhagic disorder due to extrinsic circulating anticoagulants",
"E872: Acidosis",
"D696: Thrombocytopenia, unspecified",
"I959: Hypotension, unspecified",
"K921: Melena",
"I4891: Unspecified atrial fibrillation"... |
10,042,315 | 23,955,319 |
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:
Large symptomatic fibroid uterus.
Major Surg... | [
"D252",
"K913",
"D282",
"N8320",
"K660",
"R000",
"Y838",
"Y92239"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Large symptomatic fibroid uterus. Major Surgical or Invasive Procedure: abdominal myomectomy, lysis of adhesions, partial omentectomy, and drainage of a left ovarian cyst History of Present Illness: [MASKED] [MASKED] who on [MASKED], underwent a bi... | [] | [] | [
"D252: Subserosal leiomyoma of uterus",
"K913: Postprocedural intestinal obstruction",
"D282: Benign neoplasm of uterine tubes and ligaments",
"N8320: Unspecified ovarian cysts",
"K660: Peritoneal adhesions (postprocedural) (postinfection)",
"R000: Tachycardia, unspecified",
"Y838: Other surgical proced... |
10,042,793 | 20,808,241 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
shellfish derived
Attending: ___.
Chief Complaint:
Altered mental status
Major Surgical or Invasive Procedure:
None
History of Pres... | [
"G92",
"G309",
"F0280",
"Z86718",
"Z7901",
"Z86711",
"E039",
"W19XXXD",
"Z9181",
"Z66",
"S52571D"
] | Allergies: shellfish derived Chief Complaint: Altered mental status Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with the past medical history noted below who was recently admitted at [MASKED] on trauma service from [MASKED] and discharged to a facility. Her b... | [] | [
"Z86718",
"Z7901",
"E039",
"Z66"
] | [
"G92: Toxic encephalopathy",
"G309: Alzheimer's disease, unspecified",
"F0280: Dementia in other diseases classified elsewhere without behavioral disturbance",
"Z86718: Personal history of other venous thrombosis and embolism",
"Z7901: Long term (current) use of anticoagulants",
"Z86711: Personal history ... |
10,042,793 | 24,693,778 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
shellfish derived
Attending: ___
Chief Complaint:
Fall
Major Surgical or Invasive Procedure:
none
History of Present Illness:
Patie... | [
"S066X0A",
"G92",
"N390",
"S52531A",
"L89151",
"G309",
"F0280",
"Z86711",
"Z7901",
"Z86718",
"Z66",
"E039",
"W19XXXA",
"Z9181",
"Y92129"
] | Allergies: shellfish derived Chief Complaint: Fall Major Surgical or Invasive Procedure: none History of Present Illness: Patient is [MASKED] with PMH of PE/DVT on warfarin, Alzheimer's (nonverbal at baseline) who presents as a transfer from [MASKED] [MASKED] after evaluation of witnessed fall from her nursing home tod... | [] | [
"N390",
"Z7901",
"Z86718",
"Z66",
"E039"
] | [
"S066X0A: Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter",
"G92: Toxic encephalopathy",
"N390: Urinary tract infection, site not specified",
"S52531A: Colles' fracture of right radius, initial encounter for closed fracture",
"L89151: Pressure ulcer of sacral region, stage... |
10,042,810 | 29,537,203 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Keflex / Penicillins / latex
Attending: ___
Chief Complaint:
dyspnea, hypoxemia
Major Surgical or Invasive Procedure:
None
His... | [
"J439",
"J90",
"C3412",
"Z9981",
"R0902",
"K219",
"J45909",
"I10",
"G4733",
"E669",
"Z6826",
"I878",
"R9431",
"Z87891"
] | Allergies: Keflex / Penicillins / latex Chief Complaint: dyspnea, hypoxemia Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/ hx of COPD Gold IV, POD1 from ablation to left lung nodule presenting with hypoxia w/ SpO2 60% upon arrival. Baseline O2 use is 1L at night, home O2 w/ sats 93 @... | [] | [
"K219",
"J45909",
"I10",
"G4733",
"E669",
"Z87891"
] | [
"J439: Emphysema, unspecified",
"J90: Pleural effusion, not elsewhere classified",
"C3412: Malignant neoplasm of upper lobe, left bronchus or lung",
"Z9981: Dependence on supplemental oxygen",
"R0902: Hypoxemia",
"K219: Gastro-esophageal reflux disease without esophagitis",
"J45909: Unspecified asthma, ... |
10,042,896 | 27,960,228 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
RUQ abdominal/flank pain, R pleuritic chest pain
Major Sur... | [
"I2699",
"E039",
"E785",
"G4700",
"F419",
"R1013",
"K219",
"K449",
"Z85850"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: RUQ abdominal/flank pain, R pleuritic chest pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with GERD, hiatal hernia, h/o thyroid Ca s/p thyroidectomy [MASKED] years ago who presents with RUQ/lower R chest pain ... | [] | [
"E039",
"E785",
"G4700",
"F419",
"K219"
] | [
"I2699: Other pulmonary embolism without acute cor pulmonale",
"E039: Hypothyroidism, unspecified",
"E785: Hyperlipidemia, unspecified",
"G4700: Insomnia, unspecified",
"F419: Anxiety disorder, unspecified",
"R1013: Epigastric pain",
"K219: Gastro-esophageal reflux disease without esophagitis",
"K449:... |
10,043,039 | 24,987,075 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
Imitrex / Penicillins
Attending: ___.
Chief Complaint:
Right tibial plateau fracture
Major Surgical or Invasive Procedure:
Right ... | [
"S82141A",
"V00211A",
"Y9321",
"Y92330",
"Y998",
"I10",
"F419",
"R55",
"I4519",
"F1010",
"F329",
"Z23",
"Z87891",
"I493",
"R000"
] | Allergies: Imitrex / Penicillins Chief Complaint: Right tibial plateau fracture Major Surgical or Invasive Procedure: Right tibial plateau ORIF [MASKED], [MASKED] History of Present Illness: [MASKED] male history hypertension, anxiety, depression, ADD, alcohol abuse who presents with right knee pain status post fall wh... | [] | [
"I10",
"F419",
"F329",
"Z87891"
] | [
"S82141A: Displaced bicondylar fracture of right tibia, initial encounter for closed fracture",
"V00211A: Fall from ice-skates, initial encounter",
"Y9321: Activity, ice skating",
"Y92330: Ice skating rink (indoor) (outdoor) as the place of occurrence of the external cause",
"Y998: Other external cause stat... |
10,043,305 | 23,614,590 |
Name: ___ Unit ___: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: PSYCHIATRY
Allergies:
___ Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
"I wasn't thinking clearly."
Major Surgical or Invasi... | [
"O99341",
"F3181",
"R45851",
"Z3A11",
"F4322",
"F1211",
"R109",
"O99511",
"J069",
"O218",
"Z818",
"R4584",
"Z811"
] | Allergies: [MASKED] Known Allergies / Adverse Drug Reactions Chief Complaint: "I wasn't thinking clearly." Major Surgical or Invasive Procedure: None History of Present Illness: Per admitting physician: "Ms. [MASKED] is a [MASKED] year old pregnant female (gestational age of [MASKED] 2days) with history of bipolar II d... | [] | [] | [
"O99341: Other mental disorders complicating pregnancy, first trimester",
"F3181: Bipolar II disorder",
"R45851: Suicidal ideations",
"Z3A11: 11 weeks gestation of pregnancy",
"F4322: Adjustment disorder with anxiety",
"F1211: Cannabis abuse, in remission",
"R109: Unspecified abdominal pain",
"O99511:... |
10,043,622 | 23,527,228 |
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:
abdominal pain
Major Surgical or Invasive Procedure... | [
"R1032",
"M549",
"E119",
"Z794"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: none Physical Exam: Discharge physical exam Vitals: VSS Gen: NAD, A&O x 3 CV: RRR Resp: no acute respiratory distress Abd: soft, appropriately tender, no rebound/guarding Ext: no TTP Pertinent Re... | [] | [
"E119",
"Z794"
] | [
"R1032: Left lower quadrant pain",
"M549: Dorsalgia, unspecified",
"E119: Type 2 diabetes mellitus without complications",
"Z794: Long term (current) use of insulin"
] |
10,043,967 | 20,396,288 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
almonds
Attending: ___
Chief Complaint:
left knee arthrofibrosis
Major Surgical or Invasive Procedure:
___: left knee manipulatio... | [
"M24662",
"Z96652",
"G8918",
"Z85828",
"R319",
"E669",
"Z6837",
"Z87891",
"E785",
"G4733",
"Z87442",
"N400"
] | Allergies: almonds Chief Complaint: left knee arthrofibrosis Major Surgical or Invasive Procedure: [MASKED]: left knee manipulation under anesthesia History of Present Illness: [MASKED] year old male with history of L TKA [MASKED], [MASKED] with left knee arthrofibrosis who presents for left knee manipulation under ane... | [] | [
"E669",
"Z87891",
"E785",
"G4733",
"N400"
] | [
"M24662: Ankylosis, left knee",
"Z96652: Presence of left artificial knee joint",
"G8918: Other acute postprocedural pain",
"Z85828: Personal history of other malignant neoplasm of skin",
"R319: Hematuria, unspecified",
"E669: Obesity, unspecified",
"Z6837: Body mass index [BMI] 37.0-37.9, adult",
"Z8... |
10,043,967 | 27,111,422 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
almonds
Attending: ___
Chief Complaint:
left knee osteoarthritis/pain
Major Surgical or Invasive Procedure:
___: left total knee ... | [
"M1712",
"E6601",
"Z6838",
"E785",
"Z23",
"N400",
"G4733"
] | Allergies: almonds Chief Complaint: left knee osteoarthritis/pain Major Surgical or Invasive Procedure: [MASKED]: left total knee arthroplasty History of Present Illness: [MASKED] year old male w/left knee osteoarthritis/pain who failed conservative measures, now admitted for left total knee arthroplasty. Past Medical ... | [] | [
"E785",
"N400",
"G4733"
] | [
"M1712: Unilateral primary osteoarthritis, left knee",
"E6601: Morbid (severe) obesity due to excess calories",
"Z6838: Body mass index [BMI] 38.0-38.9, adult",
"E785: Hyperlipidemia, unspecified",
"Z23: Encounter for immunization",
"N400: Benign prostatic hyperplasia without lower urinary tract symptoms"... |
10,044,439 | 22,675,571 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
Cipro / Ceclor / Reglan / Toradol / morphine
Attending: ___
Chief Complaint:
pre-term labor/abruption
Major Surgical or I... | [
"O6014X1",
"O4593",
"O30043",
"Z372",
"O99324",
"F1120",
"O6014X2",
"O321XX2",
"O3421",
"Z3A29",
"O99344",
"F419",
"O99283",
"E039"
] | Allergies: Cipro / Ceclor / Reglan / Toradol / morphine Chief Complaint: pre-term labor/abruption Major Surgical or Invasive Procedure: Low transverse c/section Physical Exam: Physical Exam on Discharge: VS: Afebrile, VSS Neuro/Psych: NAD, Oriented x3, Affect Normal Heart: RRR Lungs: CTA b/l Abdomen: soft, appropriatel... | [] | [
"F419",
"E039"
] | [
"O6014X1: Preterm labor third trimester with preterm delivery third trimester, fetus 1",
"O4593: Premature separation of placenta, unspecified, third trimester",
"O30043: Twin pregnancy, dichorionic/diamniotic, third trimester",
"Z372: Twins, both liveborn",
"O99324: Drug use complicating childbirth",
"F1... |
10,044,439 | 28,804,415 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: OBSTETRICS/GYNECOLOGY
Allergies:
Cipro / Ceclor / Reglan / Toradol / morphine
Attending: ___
Chief Complaint:
pelvic cramping, rule out reterm labor, rule o... | [
"O4702",
"O3432",
"O99322",
"F1120",
"O99282",
"E039",
"O99342",
"F419",
"Z3A19"
] | Allergies: Cipro / Ceclor / Reglan / Toradol / morphine Chief Complaint: pelvic cramping, rule out reterm labor, rule out short cervix Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] [MASKED] @ 19w2d with prior history of preterm delivery at 29w3d due to abruption presents with irregular... | [] | [
"E039",
"F419"
] | [
"O4702: False labor before 37 completed weeks of gestation, second trimester",
"O3432: Maternal care for cervical incompetence, second trimester",
"O99322: Drug use complicating pregnancy, second trimester",
"F1120: Opioid dependence, uncomplicated",
"O99282: Endocrine, nutritional and metabolic diseases co... |
10,044,997 | 25,979,513 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: ORTHOPAEDICS
Allergies:
shellfish derived / iodine
Attending: ___.
Chief Complaint:
Left hand table saw injury
Major Surgical or Invasive Procedure:
___: l... | [
"S62522B",
"S62623B",
"S62633B",
"S61211A",
"S66323A",
"S66327A",
"S63633A",
"S61313A",
"S68625A",
"S64493A",
"W312XXA",
"Y929",
"M19071",
"I10"
] | Allergies: shellfish derived / iodine Chief Complaint: Left hand table saw injury Major Surgical or Invasive Procedure: [MASKED]: left hand washout of multiple open fractures thumb index middle ring fingers, nerve repair x 1, PIP fusion ring finger, first dorsal metacarpal artery flap for thumb pulp recontruction Histo... | [] | [
"Y929",
"I10"
] | [
"S62522B: Displaced fracture of distal phalanx of left thumb, initial encounter for open fracture",
"S62623B: Displaced fracture of middle phalanx of left middle finger, initial encounter for open fracture",
"S62633B: Displaced fracture of distal phalanx of left middle finger, initial encounter for open fractur... |
10,045,326 | 22,999,349 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug)
Attending: ___.
Chief Complaint:
Abdominal pain
Major Surgical or Invasive Pr... | [
"K561",
"E43",
"C772",
"C787",
"C784",
"C7971",
"D630",
"C3412",
"Q211",
"C786",
"C7972",
"Z8673",
"F17210",
"G4700",
"K5900",
"D72829",
"Z6821",
"Z515",
"M8448XD",
"F419",
"Z66"
] | Allergies: Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with history of history of metastatic lung cancer currently on alimta/carboplatin who presents with abdominal pain and... | [] | [
"Z8673",
"F17210",
"G4700",
"K5900",
"Z515",
"F419",
"Z66"
] | [
"K561: Intussusception",
"E43: Unspecified severe protein-calorie malnutrition",
"C772: Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes",
"C787: Secondary malignant neoplasm of liver and intrahepatic bile duct",
"C784: Secondary malignant neoplasm of small intestine",
"C7971: S... |
10,045,326 | 25,966,591 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug)
Attending: ___
Chief Complaint:
Shortness of breath, lethargy, weakness, poor a... | [
"R627",
"D72823",
"K5900",
"C3412",
"C7972",
"C7971",
"C7951",
"C7989",
"E785",
"G4700",
"Z8673",
"F17210",
"R42"
] | Allergies: Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Chief Complaint: Shortness of breath, lethargy, weakness, poor appetite Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] y/o man with pmhx of newly diagnosed lung ca, who presents from home with [MASKED] ... | [] | [
"K5900",
"E785",
"G4700",
"Z8673",
"F17210"
] | [
"R627: Adult failure to thrive",
"D72823: Leukemoid reaction",
"K5900: Constipation, unspecified",
"C3412: Malignant neoplasm of upper lobe, left bronchus or lung",
"C7972: Secondary malignant neoplasm of left adrenal gland",
"C7971: Secondary malignant neoplasm of right adrenal gland",
"C7951: Secondar... |
10,045,326 | 26,512,329 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug)
Attending: ___.
Chief Complaint:
flank pain
Major Surgical or Invasive Proced... | [
"C3490",
"C7970",
"R1011",
"R531",
"R0600",
"M79605",
"R590",
"K8020",
"Q211",
"Z8673",
"Z7902",
"F17200",
"E7800",
"G4700",
"F419",
"R110",
"I959"
] | Allergies: Tylenol / NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Chief Complaint: flank pain Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] yo man wit newly diagnosed poorly differentiated metastatic lung cancer based upon a biopsy of an adrenal lesion followed by Dr [MAS... | [] | [
"Z8673",
"Z7902",
"G4700",
"F419"
] | [
"C3490: Malignant neoplasm of unspecified part of unspecified bronchus or lung",
"C7970: Secondary malignant neoplasm of unspecified adrenal gland",
"R1011: Right upper quadrant pain",
"R531: Weakness",
"R0600: Dyspnea, unspecified",
"M79605: Pain in left leg",
"R590: Localized enlarged lymph nodes",
... |
10,045,395 | 29,383,457 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: PLASTIC
Allergies:
peanuts / Singulair
Attending: ___
Chief Complaint:
Bilateral popliteal artery entrapment
Major Surgical or Invasive Procedure:
Bilater... | [
"I771",
"M79A22",
"M79A21",
"G43909",
"J45909",
"G8918"
] | Allergies: peanuts / Singulair Chief Complaint: Bilateral popliteal artery entrapment Major Surgical or Invasive Procedure: Bilateral Leg Popliteal Artery Releases; popliteal neurolysis, bilateral; myomectomies medial and lateral gastroxnemius muscles bilateral History of Present Illness: [MASKED] is a very active youn... | [] | [
"J45909"
] | [
"I771: Stricture of artery",
"M79A22: Nontraumatic compartment syndrome of left lower extremity",
"M79A21: Nontraumatic compartment syndrome of right lower extremity",
"G43909: Migraine, unspecified, not intractable, without status migrainosus",
"J45909: Unspecified asthma, uncomplicated",
"G8918: Other a... |
10,045,518 | 21,269,540 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
facial fractures, pneumocephalus
Major Surgical or In... | [
"S0219XA",
"W2103XA",
"Y9239",
"S058X9A",
"G9389",
"I4891"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: facial fractures, pneumocephalus Major Surgical or Invasive Procedure: none History of Present Illness: Patient is a [MASKED] year old gentleman who was playing in a family softball game when he was struck in the face by a line drive of a softball.... | [] | [
"I4891"
] | [
"S0219XA: Other fracture of base of skull, initial encounter for closed fracture",
"W2103XA: Struck by baseball, initial encounter",
"Y9239: Other specified sports and athletic area as the place of occurrence of the external cause",
"S058X9A: Other injuries of unspecified eye and orbit, initial encounter",
... |
10,045,670 | 23,104,678 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Pituitary macroadenoma
Major Surgical or Invasive Pro... | [
"D352",
"E232",
"E8989",
"E042",
"K219",
"Y838",
"Y92230",
"F17200"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Pituitary macroadenoma Major Surgical or Invasive Procedure: [MASKED]: Endonasal transphenoidal resection of pituitary macroadenoma History of Present Illness: Enerx Derival is a [MASKED] year-old-male who was found to have a pituitary abnormality ... | [] | [
"K219",
"Y92230"
] | [
"D352: Benign neoplasm of pituitary gland",
"E232: Diabetes insipidus",
"E8989: Other postprocedural endocrine and metabolic complications and disorders",
"E042: Nontoxic multinodular goiter",
"K219: Gastro-esophageal reflux disease without esophagitis",
"Y838: Other surgical procedures as the cause of ab... |
10,045,785 | 20,513,306 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
amoxicillin
Attending: ___.
Chief Complaint:
Right frontal brain mass
Major Surgical or Invasive Procedure:
___ - Right craniotomy... | [
"C711",
"I10"
] | Allergies: amoxicillin Chief Complaint: Right frontal brain mass Major Surgical or Invasive Procedure: [MASKED] - Right craniotomy for resection of right frontal brain mass History of Present Illness: [MASKED] is a [MASKED] year old male with a known right frontal brain mass, initially discovered on work-up for headach... | [] | [
"I10"
] | [
"C711: Malignant neoplasm of frontal lobe",
"I10: Essential (primary) hypertension"
] |
10,045,785 | 25,185,894 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROLOGY
Allergies:
amoxicillin
Attending: ___.
Chief Complaint:
Hypoxemia
Major Surgical or Invasive Procedure:
None
History of Present Illness:
___ ... | [
"I2699",
"J189",
"C711",
"R0902",
"K760",
"K047",
"I129",
"N189",
"K589"
] | Allergies: amoxicillin Chief Complaint: Hypoxemia Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male history of recently diagnosed high grade glioma currently undergoing Radiation and chemotherapy, sent in from radiation [MASKED] clinic due to tachycardia, tachypnea and decrea... | [] | [
"I129",
"N189"
] | [
"I2699: Other pulmonary embolism without acute cor pulmonale",
"J189: Pneumonia, unspecified organism",
"C711: Malignant neoplasm of frontal lobe",
"R0902: Hypoxemia",
"K760: Fatty (change of) liver, not elsewhere classified",
"K047: Periapical abscess without sinus",
"I129: Hypertensive chronic kidney ... |
10,045,854 | 22,972,246 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Cipro
Attending: ___
Chief Complaint:
Consideration of cath
Major Surgical or Invasive Procedure:
None
History of Present Illness:
... | [
"I214",
"I2510",
"I10",
"Z951",
"Z955",
"E785",
"E119",
"K219",
"Z7902",
"I4510",
"Z66"
] | Allergies: Cipro Chief Complaint: Consideration of cath Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with [MASKED] CAD/CABG (DES x2, unclear anatomy), HTN, HLD, DM, who presented to BI-P with chest pain, found to have NSTEMI (tropI 10) and ST depressions in anterolateral leads, ST ele... | [] | [
"I2510",
"I10",
"Z951",
"Z955",
"E785",
"E119",
"K219",
"Z7902",
"Z66"
] | [
"I214: Non-ST elevation (NSTEMI) myocardial infarction",
"I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris",
"I10: Essential (primary) hypertension",
"Z951: Presence of aortocoronary bypass graft",
"Z955: Presence of coronary angioplasty implant and graft",
"E785: Hyp... |
10,045,874 | 28,290,681 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Cipro / Flagyl / Dilaudid / morphine / Demerol / Darvocet-N
Attending: ___.
Chief Complaint:
diverticulitis
Major Surgical or Invasive Procedu... | [
"K5732",
"E039",
"E780",
"F40240",
"K219",
"K910",
"Y836",
"Y92239"
] | Allergies: Cipro / Flagyl / Dilaudid / morphine / Demerol / Darvocet-N Chief Complaint: diverticulitis Major Surgical or Invasive Procedure: Robotic partial left colectomy with takedown of splenic flexure. Stapled #31 coloproctostomy and Firefly assessment of vascular inflow. History of Present Illness: [MASKED] first ... | [] | [
"E039",
"K219"
] | [
"K5732: Diverticulitis of large intestine without perforation or abscess without bleeding",
"E039: Hypothyroidism, unspecified",
"E780: Pure hypercholesterolemia",
"F40240: Claustrophobia",
"K219: Gastro-esophageal reflux disease without esophagitis",
"K910: Vomiting following gastrointestinal surgery",
... |
10,045,900 | 29,028,053 |
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:... | [
"R112",
"N390",
"B9620",
"F17210",
"Q513"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: nausea, vomiting Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] hx bicornuate uterus, PID, otherwise healthy who presents with nausea and vomiting. Her most recent symptoms started today, but she had similar symptom... | [] | [
"N390",
"F17210"
] | [
"R112: Nausea with vomiting, unspecified",
"N390: Urinary tract infection, site not specified",
"B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"Q513: Bicornate uterus"
] |
10,045,929 | 20,130,725 |
Name: ___. Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
right chest wall pain
Major Surgical or Invasive Procedure:
s/p ... | [
"S270XXA",
"S32511A",
"S2243XA",
"S065X9A",
"S32019A",
"D62",
"S32029A",
"S32039A",
"S27321A",
"S37892A",
"S32591A",
"S3219XA",
"V0390XA",
"Y929",
"S42001A",
"S300XXA",
"R768"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: right chest wall pain Major Surgical or Invasive Procedure: s/p bilateral chest tube placement due to bilateral pneumothorax. Right chest tube placed [MASKED] taken out on [MASKED], left chest tube placed [MASKED], removed [MASKED] [MASKED] bilater... | [] | [
"D62",
"Y929"
] | [
"S270XXA: Traumatic pneumothorax, initial encounter",
"S32511A: Fracture of superior rim of right pubis, initial encounter for closed fracture",
"S2243XA: Multiple fractures of ribs, bilateral, initial encounter for closed fracture",
"S065X9A: Traumatic subdural hemorrhage with loss of consciousness of unspec... |
10,045,960 | 24,068,884 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Dyspnea
Major Surgical or Invasive Procedure:
None
History of P... | [
"I110",
"J9621",
"I5033",
"J449",
"E785",
"G4733",
"I350",
"R001",
"I4891",
"Z7901",
"Z87891",
"Z8674",
"Z7951"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with a history of HFpEF (EF 60%), COPD, AFib, CAD, OSA who presented with shortness of breath. He describes developing sudden sho... | [] | [
"I110",
"J449",
"E785",
"G4733",
"I4891",
"Z7901",
"Z87891"
] | [
"I110: Hypertensive heart disease with heart failure",
"J9621: Acute and chronic respiratory failure with hypoxia",
"I5033: Acute on chronic diastolic (congestive) heart failure",
"J449: Chronic obstructive pulmonary disease, unspecified",
"E785: Hyperlipidemia, unspecified",
"G4733: Obstructive sleep apn... |
10,046,234 | 21,162,300 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
metformin
Attending: ___.
Chief Complaint:
PEA arrest
Major Surgical or Invasive Procedure:
VT ablation ___
History of Present Illn... | [
"I97120",
"I472",
"E1122",
"I130",
"D696",
"Y838",
"Y92530",
"I255",
"I2510",
"I70203",
"E039",
"E785",
"I482",
"N189",
"I509",
"Z794",
"Z7901",
"Z951",
"Z955",
"Z87891",
"Z8673",
"D72829",
"Z8249",
"I462"
] | Allergies: metformin Chief Complaint: PEA arrest Major Surgical or Invasive Procedure: VT ablation [MASKED] History of Present Illness: Mr [MASKED] is a [MASKED] year old man with CAD s/p remote 3 vessel CABG in [MASKED], s/p PCI, VT and VF s/p ICD implant in [MASKED] at [MASKED], [MASKED]- Most recent LVEF 45% [MASKED... | [] | [
"E1122",
"I130",
"D696",
"I2510",
"E039",
"E785",
"N189",
"Z794",
"Z7901",
"Z951",
"Z955",
"Z87891",
"Z8673"
] | [
"I97120: Postprocedural cardiac arrest following cardiac surgery",
"I472: Ventricular tachycardia",
"E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease",
"I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified... |
10,046,234 | 24,608,062 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
metformin
Attending: ___.
Chief Complaint:
VT storm
Major Surgical or Invasive Procedure:
Endotracheal intubation at OSH prior to admi... | [
"I472",
"I5023",
"N170",
"G9341",
"J95851",
"K661",
"I429",
"I130",
"D62",
"F10239",
"E1122",
"I4891",
"R740",
"N189",
"F17210",
"Z794",
"E11649",
"I2510",
"E039",
"E785",
"E876",
"I951",
"E861",
"T501X5A",
"Y92230",
"Z955",
"Z951",
"Z7901",
"R0902",
"R197"
... | Allergies: metformin Chief Complaint: VT storm Major Surgical or Invasive Procedure: Endotracheal intubation at OSH prior to admission History of Present Illness: [MASKED] w/CAD s/p remote 2v CABG [MASKED] and PCI, VT and VF s/p AICD (Medtronix, bi-v), HFrEF (EF 45%), insulin-dependent diabetes, CKD (b/l Cr [MASKED], h... | [] | [
"I130",
"D62",
"E1122",
"I4891",
"N189",
"F17210",
"Z794",
"I2510",
"E039",
"E785",
"Y92230",
"Z955",
"Z951",
"Z7901"
] | [
"I472: Ventricular tachycardia",
"I5023: Acute on chronic systolic (congestive) heart failure",
"N170: Acute kidney failure with tubular necrosis",
"G9341: Metabolic encephalopathy",
"J95851: Ventilator associated pneumonia",
"K661: Hemoperitoneum",
"I429: Cardiomyopathy, unspecified",
"I130: Hyperten... |
10,046,362 | 25,444,237 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROSURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Left leg pain, difficulty walking
Major Surgical or Inva... | [
"M96830",
"Z6841",
"E1165",
"Y831",
"Y92009",
"M5416",
"T380X5A",
"Z794",
"E669",
"M1990",
"M21379",
"M7989"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Left leg pain, difficulty walking Major Surgical or Invasive Procedure: None during this hospitalization History of Present Illness: [MASKED] y/o female s/p laminectomy and foraminotomy back in [MASKED]. The patient presents today with 1 week of ba... | [] | [
"E1165",
"Z794",
"E669"
] | [
"M96830: Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure",
"Z6841: Body mass index [BMI]40.0-44.9, adult",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"Y831: Surgical operation with implant of artificial internal device as the cause of abnormal r... |
10,046,362 | 29,801,136 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROSURGERY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
L4-L5 herniated disc
Major Surgical or Invasive Procedur... | [
"M5126",
"Z6841",
"E669",
"E119",
"Z794",
"M21372",
"M109"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: L4-L5 herniated disc Major Surgical or Invasive Procedure: [MASKED]: L4-L5 LAMINOTOMY; FORAMINOTOMY History of Present Illness: [MASKED] year old female with an L4-L5 herniated disc with developing and progressive very severe disabling radicular pa... | [] | [
"E669",
"E119",
"Z794",
"M109"
] | [
"M5126: Other intervertebral disc displacement, lumbar region",
"Z6841: Body mass index [BMI]40.0-44.9, adult",
"E669: Obesity, unspecified",
"E119: Type 2 diabetes mellitus without complications",
"Z794: Long term (current) use of insulin",
"M21372: Foot drop, left foot",
"M109: Gout, unspecified"
] |
10,046,436 | 21,447,783 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
shellfish derived
Attending: ___.
Chief Complaint:
glass ingestion
Major Surgical or Invasive Procedure:
EGD ___
Colonoscopy ___
Hi... | [
"T183XXA",
"Q871",
"T182XXA",
"E1165",
"Y9289",
"X838XXA",
"F319",
"R4587",
"E785",
"G4700",
"K219",
"F88",
"E875",
"Z7984"
] | Allergies: shellfish derived Chief Complaint: glass ingestion Major Surgical or Invasive Procedure: EGD [MASKED] Colonoscopy [MASKED] History of Present Illness: [MASKED] yo male with hx Prader-Willi Syndrome, NIDDM, GERD, and multiple prior foreign body ingestions requiring EGD and intubation presenting from [MASKED] ... | [] | [
"E1165",
"E785",
"G4700",
"K219"
] | [
"T183XXA: Foreign body in small intestine, initial encounter",
"Q871: Congenital malformation syndromes predominantly associated with short stature",
"T182XXA: Foreign body in stomach, initial encounter",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"Y9289: Other specified places as the place of oc... |
10,046,543 | 21,402,025 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Penicillins
Attending: ___.
Chief Complaint:
s/p fall, back pain
Major Surgical or Invasive Procedure:
none
History of Present Illness:... | [
"S2231XA",
"S22069A",
"S22079A",
"S32019A",
"W19XXXA",
"Y92009",
"M810",
"M353"
] | Allergies: Penicillins Chief Complaint: s/p fall, back pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] year-old woman with a history of PMR on a prednisone taper, osteoporosis, prior thoracic compression fractures who presented to the [MASKED] ED on [MASKED] with 3 wee... | [] | [] | [
"S2231XA: Fracture of one rib, right side, initial encounter for closed fracture",
"S22069A: Unspecified fracture of T7-T8 vertebra, initial encounter for closed fracture",
"S22079A: Unspecified fracture of T9-T10 vertebra, initial encounter for closed fracture",
"S32019A: Unspecified fracture of first lumbar... |
10,046,592 | 27,003,299 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
lisinopril / rosuvastatin
Attending: ___.
Chief Complaint:
weakness, nausea
Major Surgical or Invasive Procedure:
None
History of ... | [
"R627",
"E440",
"I10",
"Z8673",
"R110",
"R42",
"Z7984",
"I951",
"E1142",
"K5900",
"G44209",
"E785",
"F329",
"F4310"
] | Allergies: lisinopril / rosuvastatin Chief Complaint: weakness, nausea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with T2DM, HTN, HLD, h/o stroke and ?TIA, h/o depression, PTSD, and multiple ED visits presents with dizziness and weakness here with multiple nonspecific symptoms, incl... | [] | [
"I10",
"Z8673",
"K5900",
"E785",
"F329"
] | [
"R627: Adult failure to thrive",
"E440: Moderate protein-calorie malnutrition",
"I10: Essential (primary) hypertension",
"Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits",
"R110: Nausea",
"R42: Dizziness and giddiness",
"Z7984: Long term (cur... |
10,046,592 | 29,327,270 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: NEUROLOGY
Allergies:
lisinopril
Attending: ___
Chief Complaint:
dysarthria
Major Surgical or Invasive Procedure:
none
History of Present Illness:
Sh... | [
"I639",
"N390",
"E1165",
"R1310",
"I10",
"E785",
"B9620",
"T383X6A",
"R471",
"R29702",
"R29810",
"Z91128",
"Y92009"
] | Allergies: lisinopril Chief Complaint: dysarthria Major Surgical or Invasive Procedure: none History of Present Illness: She states around 12am last night she suddenly noticed that her mouth felt very heavy. Her daughter asked if she took her BP medication yet, she had not so proceeded to do so. She states she felt bet... | [] | [
"N390",
"E1165",
"I10",
"E785"
] | [
"I639: Cerebral infarction, unspecified",
"N390: Urinary tract infection, site not specified",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"R1310: Dysphagia, unspecified",
"I10: Essential (primary) hypertension",
"E785: Hyperlipidemia, unspecified",
"B9620: Unspecified Escherichia coli [E. col... |
10,046,630 | 20,836,768 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
hip pain
Major Surgical or Invasive Procedure:
NONE
Histo... | [
"R410",
"I82812",
"I10",
"S32592D",
"W19XXXD",
"D649",
"G9340"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: hip pain Major Surgical or Invasive Procedure: NONE History of Present Illness: [MASKED] w/ hx of HTN presented to the ED with pelvis pain and was found to be confused so was admitted to medicine for pain control and confusion workup. He was seen h... | [] | [
"I10",
"D649"
] | [
"R410: Disorientation, unspecified",
"I82812: Embolism and thrombosis of superficial veins of left lower extremity",
"I10: Essential (primary) hypertension",
"S32592D: Other specified fracture of left pubis, subsequent encounter for fracture with routine healing",
"W19XXXD: Unspecified fall, subsequent enco... |
10,046,679 | 28,668,282 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: SURGERY
Allergies:
Beta-Blockers (Beta-Adrenergic Blocking Agts)
Attending: ___
Chief Complaint:
stercoral perforation
Major Surgical or Invasive Proced... | [
"K5721",
"J9601",
"I2699",
"N170",
"E870",
"A047",
"C9110",
"I959",
"K633",
"I5032",
"E872",
"R7881",
"I4891",
"G2581",
"I10",
"I272",
"Z7901",
"J45909",
"E785",
"Z515",
"G4733",
"M4806",
"N529",
"Z9689",
"Z9114",
"K6389",
"J45998",
"Z781",
"E875",
"Z87891"
... | Allergies: Beta-Blockers (Beta-Adrenergic Blocking Agts) Chief Complaint: stercoral perforation Major Surgical or Invasive Procedure: [MASKED] Sigmoid resection, end colostomy History of Present Illness: Mr [MASKED] is [MASKED], PMH significant for erectile dysfunction (s/p inflatable penile prosthesis [MASKED] years a... | [] | [
"J9601",
"I5032",
"E872",
"I4891",
"I10",
"Z7901",
"J45909",
"E785",
"Z515",
"G4733",
"Z87891"
] | [
"K5721: Diverticulitis of large intestine with perforation and abscess with bleeding",
"J9601: Acute respiratory failure with hypoxia",
"I2699: Other pulmonary embolism without acute cor pulmonale",
"N170: Acute kidney failure with tubular necrosis",
"E870: Hyperosmolality and hypernatremia",
"A047: Enter... |
10,046,724 | 25,792,614 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: NEUROSURGERY
Allergies:
Penicillins
Attending: ___
Chief Complaint:
Found AMS
Major Surgical or Invasive Procedure:
___ Left Craniotomy for subdural hem... | [
"S065X0A",
"G935",
"F10239",
"I10",
"Y929",
"W19XXXA",
"R29810",
"R4781",
"R531",
"D649",
"Z23",
"F17200",
"F419",
"G4700"
] | Allergies: Penicillins Chief Complaint: Found AMS Major Surgical or Invasive Procedure: [MASKED] Left Craniotomy for subdural hematoma evacuation. History of Present Illness: [MASKED] M with Hx of alcohol abuse, was found altered by his friend on the morning of [MASKED] with Right sided weakness. He was brought to [MAS... | [] | [
"I10",
"Y929",
"D649",
"F419",
"G4700"
] | [
"S065X0A: Traumatic subdural hemorrhage without loss of consciousness, initial encounter",
"G935: Compression of brain",
"F10239: Alcohol dependence with withdrawal, unspecified",
"I10: Essential (primary) hypertension",
"Y929: Unspecified place or not applicable",
"W19XXXA: Unspecified fall, initial enco... |
10,047,118 | 21,978,955 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Aspirin / Meperidine / Gabapentin / Wellbutrin / Nsaids /
hydromorphone / ibuprofen / ceftriaxone / atorvastatin /
bupropriom
Attending: _... | [
"M0689",
"I5023",
"I110",
"E1165",
"Z794",
"T380X5A",
"Y9289",
"F909",
"K219",
"E860",
"E039",
"K7581",
"E669",
"Z6838",
"E781",
"R330",
"T402X5A",
"Y92230",
"Z95810"
] | Allergies: Aspirin / Meperidine / Gabapentin / Wellbutrin / Nsaids / hydromorphone / ibuprofen / ceftriaxone / atorvastatin / bupropriom Chief Complaint: Diffuse stiffness and musculoskeletal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED], with RA (on intermittent prednisone), IDDM... | [] | [
"I110",
"E1165",
"Z794",
"K219",
"E039",
"E669",
"Y92230"
] | [
"M0689: Other specified rheumatoid arthritis, multiple sites",
"I5023: Acute on chronic systolic (congestive) heart failure",
"I110: Hypertensive heart disease with heart failure",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"Z794: Long term (current) use of insulin",
"T380X5A: Adverse effect of... |
10,047,172 | 21,396,386 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase
Inhibitors / saxagliptin / pioglitazone / canagliflozin /
fenofibrate
Attending... | [
"A419",
"R6521",
"E43",
"N179",
"G9340",
"K830",
"C250",
"D688",
"K831",
"C787",
"C784",
"R188",
"Z9221",
"Z66",
"G908",
"T451X5A",
"Y92019",
"E119",
"Z794",
"E785",
"Z96642",
"N281",
"I10",
"D72829",
"D735",
"Z6824",
"D630",
"N400"
] | Allergies: sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase Inhibitors / saxagliptin / pioglitazone / canagliflozin / fenofibrate Chief Complaint: fever Major Surgical or Invasive Procedure: [MASKED] [MASKED] biliary stenting and paracentesis [MASKED] [MASKED] paracentesis History of Present Illness: [MASKED] yea... | [] | [
"N179",
"Z66",
"E119",
"Z794",
"E785",
"I10",
"N400"
] | [
"A419: Sepsis, unspecified organism",
"R6521: Severe sepsis with septic shock",
"E43: Unspecified severe protein-calorie malnutrition",
"N179: Acute kidney failure, unspecified",
"G9340: Encephalopathy, unspecified",
"K830: Cholangitis",
"C250: Malignant neoplasm of head of pancreas",
"D688: Other spe... |
10,047,172 | 24,433,031 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase
Inhibitors / saxagliptin / pioglitazone / canagliflozin /
fenofibrate
Attending... | [
"A4159",
"K831",
"N179",
"D688",
"C250",
"E872",
"K315",
"C787",
"B370",
"E871",
"R188",
"B961",
"A4181",
"Z1611",
"D381",
"Z9221",
"N401",
"R338",
"E860",
"E8342",
"D6481",
"E806",
"D483",
"Z934",
"R630",
"Z6820",
"R112",
"E119",
"I10",
"E785",
"Z96642",
... | Allergies: sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase Inhibitors / saxagliptin / pioglitazone / canagliflozin / fenofibrate Chief Complaint: Fever Major Surgical or Invasive Procedure: ERCP [MASKED] with plastic stent pull and balloon sweeps, difficult ERCP History of Present Illness: Mr. [MASKED] is a [MAS... | [] | [
"N179",
"E872",
"E871",
"E119",
"I10",
"E785"
] | [
"A4159: Other Gram-negative sepsis",
"K831: Obstruction of bile duct",
"N179: Acute kidney failure, unspecified",
"D688: Other specified coagulation defects",
"C250: Malignant neoplasm of head of pancreas",
"E872: Acidosis",
"K315: Obstruction of duodenum",
"C787: Secondary malignant neoplasm of liver... |
10,047,172 | 24,794,546 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase
Inhibitors / saxagliptin / pioglitazone / canagliflozin /
fenofibrate / heparin
... | [
"K315",
"C787",
"N179",
"E46",
"E1165",
"R188",
"C250",
"E871",
"D62",
"K921",
"D6959",
"K222",
"I10",
"E785",
"K3189",
"Z6821"
] | Allergies: sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase Inhibitors / saxagliptin / pioglitazone / canagliflozin / fenofibrate / heparin Chief Complaint: [MASKED] Major Surgical or Invasive Procedure: EGD s/p PICC placement [MASKED] History of Present Illness: [MASKED] yo male with a history of pancreatic canc... | [] | [
"N179",
"E1165",
"E871",
"D62",
"I10",
"E785"
] | [
"K315: Obstruction of duodenum",
"C787: Secondary malignant neoplasm of liver and intrahepatic bile duct",
"N179: Acute kidney failure, unspecified",
"E46: Unspecified protein-calorie malnutrition",
"E1165: Type 2 diabetes mellitus with hyperglycemia",
"R188: Other ascites",
"C250: Malignant neoplasm of... |
10,047,172 | 28,178,907 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase
Inhibitors / saxagliptin / pioglitazone / canagliflozin /
fenofibrate
Attending... | [
"R180",
"C250",
"C787",
"K315",
"E46",
"D696",
"D6481",
"E119",
"I10",
"N400"
] | Allergies: sitagliptin / fesoterodine / Statins-Hmg-Coa Reductase Inhibitors / saxagliptin / pioglitazone / canagliflozin / fenofibrate Chief Complaint: anasarca Major Surgical or Invasive Procedure: therapeutic paracentesis with [MASKED] History of Present Illness: Professor [MASKED] is a pleasant [MASKED] w/ T2DM, HT... | [] | [
"D696",
"E119",
"I10",
"N400"
] | [
"R180: Malignant ascites",
"C250: Malignant neoplasm of head of pancreas",
"C787: Secondary malignant neoplasm of liver and intrahepatic bile duct",
"K315: Obstruction of duodenum",
"E46: Unspecified protein-calorie malnutrition",
"D696: Thrombocytopenia, unspecified",
"D6481: Anemia due to antineoplast... |
10,047,297 | 28,528,068 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
Penicillins / Bactrim DS / Purinethol / simvastatin / lovastatin
/ Pravastatin / Fosamax / Niaspan Extended-Release / Cholest Off
/ colestipol... | [
"A0472",
"J189",
"G9341",
"E870",
"E872",
"K5190",
"E860",
"E8339",
"N390",
"T368X6A",
"G3109",
"F0280",
"E785",
"M5430",
"E861",
"Z87891",
"Z7952",
"D509",
"K219",
"Z91128",
"Y92009"
] | Allergies: Penicillins / Bactrim DS / Purinethol / simvastatin / lovastatin / Pravastatin / Fosamax / Niaspan Extended-Release / Cholest Off / colestipol / citalopram Chief Complaint: weakness, AMS Major Surgical or Invasive Procedure: None History of Present Illness: CC: weakness, ams HPI(4): [MASKED] female with mode... | [] | [
"E872",
"N390",
"E785",
"Z87891",
"D509",
"K219"
] | [
"A0472: Enterocolitis due to Clostridium difficile, not specified as recurrent",
"J189: Pneumonia, unspecified organism",
"G9341: Metabolic encephalopathy",
"E870: Hyperosmolality and hypernatremia",
"E872: Acidosis",
"K5190: Ulcerative colitis, unspecified, without complications",
"E860: Dehydration",
... |
10,047,299 | 24,558,017 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: UROLOGY
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Renal mass
Major Surgical or Invasive Procedure:
___ le... | [
"C642",
"E890",
"Z85841",
"H532",
"Z85850",
"R000"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Renal mass Major Surgical or Invasive Procedure: [MASKED] left partial nephrectomy History of Present Illness: [MASKED] h/o L renal mass NOW s/p robotic L partial (really hemi) nephrectomy Past Medical History: Malignant brain tumor as above. Colon... | [] | [] | [
"C642: Malignant neoplasm of left kidney, except renal pelvis",
"E890: Postprocedural hypothyroidism",
"Z85841: Personal history of malignant neoplasm of brain",
"H532: Diplopia",
"Z85850: Personal history of malignant neoplasm of thyroid",
"R000: Tachycardia, unspecified"
] |
10,047,484 | 29,910,256 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Demerol / Iodinated Contrast- Oral and IV Dye
Attending: ___.
Major Surgical or Invasive Procedure:
NGT placement ___
EGD ___ no interventions
N... | [
"K5793",
"I2699",
"J9601",
"I82412",
"I82432",
"I824Z2",
"E872",
"E039",
"F319",
"I10",
"G4700",
"E8889",
"K219",
"K838",
"L719",
"H1089",
"G4733",
"E6601",
"R197"
] | Allergies: Demerol / Iodinated Contrast- Oral and IV Dye Major Surgical or Invasive Procedure: NGT placement [MASKED] EGD [MASKED] no interventions NGT placement [MASKED] attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 04:15PM BLOOD WBC-11.4* RBC-5.01 Hgb-15.5 Hct-45.6 MCV-91 MCH-30.9 MCHC-34.0 RDW-1... | [] | [
"J9601",
"E872",
"E039",
"I10",
"G4700",
"K219",
"G4733"
] | [
"K5793: Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding",
"I2699: Other pulmonary embolism without acute cor pulmonale",
"J9601: Acute respiratory failure with hypoxia",
"I82412: Acute embolism and thrombosis of left femoral vein",
"I82432: Acute embolism and thro... |
10,047,682 | 21,592,506 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Penicillins / gluten
Attending: ___.
Chief Complaint:
gangrene
Major Surgical or Invasive Procedure:
___ - RIJ central line placed,... | [
"I96",
"D65",
"I21A1",
"E43",
"J690",
"J9621",
"G9340",
"B377",
"J95851",
"B49",
"G931",
"I313",
"E870",
"N390",
"E273",
"N179",
"E872",
"I428",
"Z431",
"Z930",
"E038",
"B965",
"B952",
"Z781",
"T43595S",
"E8352",
"N141",
"Y848",
"Y92239",
"L89150",
"L89120... | Allergies: Penicillins / gluten Chief Complaint: gangrene Major Surgical or Invasive Procedure: [MASKED] - RIJ central line placed, removed [MASKED] - bedside debridement by ACS [MASKED] - PICC placed [MASKED] - PICC removed History of Present Illness: This is a [MASKED] with history notable for hypothyroidism [MASKED]... | [] | [
"N390",
"N179",
"E872",
"Y92230"
] | [
"I96: Gangrene, not elsewhere classified",
"D65: Disseminated intravascular coagulation [defibrination syndrome]",
"I21A1: Myocardial infarction type 2",
"E43: Unspecified severe protein-calorie malnutrition",
"J690: Pneumonitis due to inhalation of food and vomit",
"J9621: Acute and chronic respiratory f... |
10,047,682 | 24,221,558 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
gluten / ceftazidime
Attending: ___
Chief Complaint:
Four Limb Ischemia
Major Surgical or Invasive Procedure:
four limb amputation... | [
"I96",
"J189",
"E271",
"N390",
"E46",
"G931",
"B3789",
"J9611",
"K9423",
"I998",
"E032",
"L409",
"Z7952",
"E875",
"B965",
"Z930",
"E861",
"Z6824",
"G8918",
"T8781",
"Y835",
"Y92230",
"R569",
"Y838",
"D649"
] | Allergies: gluten / ceftazidime Chief Complaint: Four Limb Ischemia Major Surgical or Invasive Procedure: four limb amputation on [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with history of hypothyroidism and psoriasis (on chronic prednisone 7.5mg daily) who has had a long complicated c... | [] | [
"N390",
"Y92230",
"D649"
] | [
"I96: Gangrene, not elsewhere classified",
"J189: Pneumonia, unspecified organism",
"E271: Primary adrenocortical insufficiency",
"N390: Urinary tract infection, site not specified",
"E46: Unspecified protein-calorie malnutrition",
"G931: Anoxic brain damage, not elsewhere classified",
"B3789: Other sit... |
10,047,766 | 23,271,313 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: CARDIOTHORACIC
Allergies:
triamterene / verapamil / hydrochlorothiazide
Attending: ___.
Chief Complaint:
Dyspnea on Exertion
Major Surgical or Invasive Pr... | [
"I350",
"I69954",
"D689",
"F0390",
"D62",
"D696",
"I2584",
"I2510",
"I10",
"E785",
"E039",
"Z8546",
"Z923",
"G4733",
"F329",
"G40909",
"M353",
"Z86711",
"Z86718",
"G629",
"H3530"
] | Allergies: triamterene / verapamil / hydrochlorothiazide Chief Complaint: Dyspnea on Exertion Major Surgical or Invasive Procedure: [MASKED] 1. Aortic valve replacement, 27 mm [MASKED] Epic tissue valve. 2. Coronary artery bypass grafting x2, reverse saphenous vein graft to the posterior descending artery and the margi... | [] | [
"D62",
"D696",
"I2510",
"I10",
"E785",
"E039",
"G4733",
"F329",
"Z86718"
] | [
"I350: Nonrheumatic aortic (valve) stenosis",
"I69954: Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side",
"D689: Coagulation defect, unspecified",
"F0390: Unspecified dementia without behavioral disturbance",
"D62: Acute posthemorrhagic anemia",
"D6... |
10,047,824 | 20,377,673 |
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 don't know why I came to the hospital"
Major Surgic... | [
"F259",
"F1290",
"F17210",
"J45909"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I don't know why I came to the hospital" Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old male with history of schizoaffective disorder, cannabis sue disorder, with prior psychiatric hospit... | [] | [
"F17210",
"J45909"
] | [
"F259: Schizoaffective disorder, unspecified",
"F1290: Cannabis use, unspecified, uncomplicated",
"F17210: Nicotine dependence, cigarettes, uncomplicated",
"J45909: Unspecified asthma, uncomplicated"
] |
10,047,824 | 26,390,509 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Overdose
?Suicide attempt
Major Surgical or Invasive Pro... | [
"T426X2A",
"J690",
"T433X2A",
"T43592A",
"T434X2A",
"T43222A",
"T443X2A",
"T424X2A",
"T447X2A",
"F259",
"F39",
"F209",
"Y929",
"F6089",
"D696",
"F29",
"R451",
"R300",
"F17200",
"J984",
"Z781"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Overdose ?Suicide attempt Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] with hx schizophrenia, mood disorder, cluster B personality traits who presents to the [MASKED] from [MASKED] [MASKED] with over... | [] | [
"Y929",
"D696"
] | [
"T426X2A: Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter",
"J690: Pneumonitis due to inhalation of food and vomit",
"T433X2A: Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, initial encounter",
"T43592A: Poisoning by ot... |
10,048,001 | 20,362,822 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Dyspnea
Major Surgical or Invasive Procedure:
None
History ... | [
"I2699",
"N179",
"Q445",
"Z87891",
"Z66",
"F329"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with history of [MASKED] disease c/b cirrhosis, esophageal varices and recurrent episodes of cholangitis and VRE bacteremia on suppressive medicat... | [] | [
"N179",
"Z87891",
"Z66",
"F329"
] | [
"I2699: Other pulmonary embolism without acute cor pulmonale",
"N179: Acute kidney failure, unspecified",
"Q445: Other congenital malformations of bile ducts",
"Z87891: Personal history of nicotine dependence",
"Z66: Do not resuscitate",
"F329: Major depressive disorder, single episode, unspecified"
] |
10,048,001 | 22,128,147 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
dyspnea on exertion
Major Surgical or Invasive Procedure:
Mid... | [
"A4181",
"I2699",
"E872",
"A048",
"K766",
"I8510",
"I2720",
"D6959",
"K838",
"K7460",
"Z66",
"Z1611",
"K3189",
"M8580",
"F329",
"Z7901",
"Z86711",
"Z87891"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: Midline placed [MASKED] History of Present Illness: [MASKED] M with PMH [MASKED]'s disease (communicating cavernous ectasia, or congenital cystic dilatation of the intrahepatic biliary tree)... | [] | [
"E872",
"Z66",
"F329",
"Z7901",
"Z87891"
] | [
"A4181: Sepsis due to Enterococcus",
"I2699: Other pulmonary embolism without acute cor pulmonale",
"E872: Acidosis",
"A048: Other specified bacterial intestinal infections",
"K766: Portal hypertension",
"I8510: Secondary esophageal varices without bleeding",
"I2720: Pulmonary hypertension, unspecified"... |
10,048,001 | 24,319,281 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
Confusion, upper GI bleeding
Major Surgical or Invasive Proce... | [
"K8309",
"K31811",
"I8510",
"K766",
"R7881",
"N179",
"K920",
"K921",
"K3189",
"B952",
"Z1624",
"K7290",
"F329",
"M8580",
"J302",
"Z87891",
"E8770",
"N189",
"R0683",
"K219",
"D6959"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Confusion, upper GI bleeding Major Surgical or Invasive Procedure: EGD [MASKED]: APC to vascular ectasia in the duodenum PICC line placement [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with a history of Caroli disea... | [] | [
"N179",
"F329",
"Z87891",
"N189",
"K219"
] | [
"K8309: Other cholangitis",
"K31811: Angiodysplasia of stomach and duodenum with bleeding",
"I8510: Secondary esophageal varices without bleeding",
"K766: Portal hypertension",
"R7881: Bacteremia",
"N179: Acute kidney failure, unspecified",
"K920: Hematemesis",
"K921: Melena",
"K3189: Other diseases... |
10,048,001 | 26,430,797 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
hypotension ugib
Major Surgical or Invasive Procedure:
EGD, c... | [
"K31811",
"D62",
"N179",
"D684",
"I2782",
"T82868A",
"I82721",
"K766",
"Q445",
"T82818A",
"I8510",
"Z66",
"K7460",
"T360X5A",
"T368X5A",
"W01190A",
"Y92003",
"K3189",
"F329",
"M8580",
"J302",
"D696",
"K648",
"Z7901",
"Z87891",
"E8809",
"D72819",
"E8770"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: hypotension ugib Major Surgical or Invasive Procedure: EGD, colonoscopy [MASKED] History of Present Illness: [MASKED] with [MASKED]'s disease (communicating cavernous ectasia, or congenital cystic dilatation of the intrahepatic biliary tree) cirrho... | [] | [
"D62",
"N179",
"Z66",
"F329",
"D696",
"Z7901",
"Z87891"
] | [
"K31811: Angiodysplasia of stomach and duodenum with bleeding",
"D62: Acute posthemorrhagic anemia",
"N179: Acute kidney failure, unspecified",
"D684: Acquired coagulation factor deficiency",
"I2782: Chronic pulmonary embolism",
"T82868A: Thrombosis due to vascular prosthetic devices, implants and grafts,... |
10,048,001 | 28,046,191 |
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:
___ line placement ___
attach
Pertinent ... | [
"K8309",
"D61811",
"Q445",
"N179",
"I8510",
"R7881",
"Z1611",
"D684",
"I82621",
"T82868A",
"K7469",
"Z87891",
"I2720",
"F329",
"K219",
"H409",
"Z86718",
"Z86711",
"I480",
"Z7902",
"D6959",
"R9720",
"N400",
"R197",
"N419",
"K648",
"E876",
"M7052",
"Y848",
"Y9... | Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: [MASKED] line placement [MASKED] attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 09:02PM BLOOD WBC-3.8* RBC-3.31* Hgb-9.6* Hct-29.7* MCV-90 MCH-29.0 MCHC-32.3 RDW-19.2* RDWSD-62.5* Plt Ct-65* [MASKED] 09:02PM... | [] | [
"N179",
"Z87891",
"F329",
"K219",
"Z86718",
"I480",
"Z7902",
"N400",
"Y92230",
"Y929"
] | [
"K8309: Other cholangitis",
"D61811: Other drug-induced pancytopenia",
"Q445: Other congenital malformations of bile ducts",
"N179: Acute kidney failure, unspecified",
"I8510: Secondary esophageal varices without bleeding",
"R7881: Bacteremia",
"Z1611: Resistance to penicillins",
"D684: Acquired coagu... |
10,048,001 | 28,243,528 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
___ syndrome complicated by gram positive bacteremia
Major Su... | [
"R7881",
"I2699",
"I8510",
"K766",
"Q445",
"B952",
"F329",
"K7460",
"K7290",
"K219",
"H409",
"I2720",
"G4700",
"D702",
"T368X5A",
"D696",
"K3189",
"R05",
"Z23"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: [MASKED] syndrome complicated by gram positive bacteremia Major Surgical or Invasive Procedure: TEE [MASKED]: No discrete vegetation or abscess seen. Mild mitral regurgitation. History of Present Illness: [MASKED] yo M PMHx [MASKED]'s disease c/b c... | [] | [
"F329",
"K219",
"G4700",
"D696"
] | [
"R7881: Bacteremia",
"I2699: Other pulmonary embolism without acute cor pulmonale",
"I8510: Secondary esophageal varices without bleeding",
"K766: Portal hypertension",
"Q445: Other congenital malformations of bile ducts",
"B952: Enterococcus as the cause of diseases classified elsewhere",
"F329: Major ... |
10,048,061 | 23,628,963 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: MEDICINE
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
Transfer for fevers
Major Surgical or Invasive Proced... | [
"M19072",
"M061",
"R0600",
"K3189",
"R509",
"L709"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Transfer for fevers Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] y/o female with a history of Still's disease who presented to OSH ([MASKED]) with fevers to 104.8 and arthralgia and transferred f... | [] | [] | [
"M19072: Primary osteoarthritis, left ankle and foot",
"M061: Adult-onset Still's disease",
"R0600: Dyspnea, unspecified",
"K3189: Other diseases of stomach and duodenum",
"R509: Fever, unspecified",
"L709: Acne, unspecified"
] |
10,048,244 | 21,843,889 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine /
Oxycodone / pantoprazole
Attending: ___.
Chief Complaint:
Acute kidn... | [
"N179",
"Z944",
"I671",
"I69351",
"I129",
"D649",
"R079",
"K209",
"G40909",
"N183",
"Z87891",
"R809",
"N051",
"Z8505"
] | Allergies: Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine / Oxycodone / pantoprazole Chief Complaint: Acute kidney injury Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year old man with history of HCV cirrhosis complicated by [MASKED] s/p liver transplant... | [] | [
"N179",
"I129",
"D649",
"Z87891"
] | [
"N179: Acute kidney failure, unspecified",
"Z944: Liver transplant status",
"I671: Cerebral aneurysm, nonruptured",
"I69351: Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease... |
10,048,244 | 21,880,058 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine /
Oxycodone / pantoprazole
Attending: ___
Chief Complaint:
fever, left... | [
"R6511",
"G9340",
"T8649",
"N179",
"K521",
"I69851",
"Z944",
"K7460",
"B1920",
"I69820",
"R351",
"I10",
"G40909",
"F1021",
"E785",
"M25562",
"T3695XA",
"Y92239",
"Z006",
"Z8505",
"Z87891"
] | Allergies: Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine / Oxycodone / pantoprazole Chief Complaint: fever, left leg swelling Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old man with PMHx of hep C cirrhosis s/p liver transplant complicated by recurrent cirrhosis of... | [] | [
"N179",
"I10",
"E785",
"Z87891"
] | [
"R6511: Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction",
"G9340: Encephalopathy, unspecified",
"T8649: Other complications of liver transplant",
"N179: Acute kidney failure, unspecified",
"K521: Toxic gastroenteritis and colitis",
"I69851: Hemiplegia a... |
10,048,244 | 24,756,551 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine /
Oxycodone / pantoprazole
Attending: ___
Chief Complaint:
renal subca... | [
"I129",
"N189",
"N9961",
"Y848",
"Y92238",
"K7460",
"T8649",
"Y830",
"Y929",
"Z8505",
"I69351",
"I69320",
"K209",
"G40909",
"Z006",
"Z87891"
] | Allergies: Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine / Oxycodone / pantoprazole Chief Complaint: renal subcapsular hematoma Major Surgical or Invasive Procedure: Left Renal Biopsy [MASKED] History of Present Illness: This is a [MASKED] year old male with PMHx of hepatitis C (s/p treatment and cure) ci... | [] | [
"I129",
"N189",
"Y929",
"Z87891"
] | [
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease",
"N189: Chronic kidney disease, unspecified",
"N9961: Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinary system pro... |
10,048,244 | 26,292,888 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine /
Oxycodone / pantoprazole
Attending: ___
Chief Complaint:
Swelling
... | [
"N049",
"N179",
"K7460",
"B182",
"I129",
"N189",
"Z8505",
"Z944",
"I69351",
"K219",
"G40909",
"Z87891"
] | Allergies: Aspirin / Phenytoin / NSAIDS / Tetracycline / Carbamazepine / Oxycodone / pantoprazole Chief Complaint: Swelling Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with HCV cirrhosis complicated by [MASKED] s/p liver transplant, now with recurrent HCV cirrhosis of transplanted li... | [] | [
"N179",
"I129",
"N189",
"K219",
"Z87891"
] | [
"N049: Nephrotic syndrome with unspecified morphologic changes",
"N179: Acute kidney failure, unspecified",
"K7460: Unspecified cirrhosis of liver",
"B182: Chronic viral hepatitis C",
"I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidne... |
10,048,262 | 20,845,468 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Aloe / apple / egg
Attending: ___.
Major Surgical or Invasive Procedure:
None
attach
Pertinent Results:
ADMISSION LABS:
===============... | [
"A4189",
"G92",
"J9601",
"N390",
"E872",
"D61818",
"R918",
"T361X5A",
"Y92239",
"R945",
"K5289",
"K5900",
"G35",
"M24452",
"D6959",
"E559",
"Z978",
"M810",
"R339",
"Z87891",
"E860",
"R32"
] | Allergies: Aloe / apple / egg Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: =================== [MASKED] 06:45PM BLOOD WBC-9.3 RBC-5.11 Hgb-15.2 Hct-44.8 MCV-88 MCH-29.7 MCHC-33.9 RDW-13.6 RDWSD-43.7 Plt Ct-UNABLE TO [MASKED] 06:45PM BLOOD Neuts-88.0* Lymphs-4.0* Monos-7.0 Eos-0.0... | [] | [
"J9601",
"N390",
"E872",
"K5900",
"Z87891"
] | [
"A4189: Other specified sepsis",
"G92: Toxic encephalopathy",
"J9601: Acute respiratory failure with hypoxia",
"N390: Urinary tract infection, site not specified",
"E872: Acidosis",
"D61818: Other pancytopenia",
"R918: Other nonspecific abnormal finding of lung field",
"T361X5A: Adverse effect of ceph... |
10,048,451 | 25,200,609 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___.
Chief Complaint:
periprosthetic fracture of the left hip
Major Surgi... | [
"M84452A",
"M9702XA",
"T84031A",
"J449",
"D62",
"Y831",
"Y92038",
"F319",
"Z96643",
"M5136",
"Z87891"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: periprosthetic fracture of the left hip Major Surgical or Invasive Procedure: [MASKED]: revision left total hip arthroplasty History of Present Illness: [MASKED] year old female s/p L THA [MASKED] (anterior approach) with increased pain, difficulty... | [] | [
"J449",
"D62",
"Z87891"
] | [
"M84452A: Pathological fracture, left femur, initial encounter for fracture",
"M9702XA: Periprosthetic fracture around internal prosthetic left hip joint, initial encounter",
"T84031A: Mechanical loosening of internal left hip prosthetic joint, initial encounter",
"J449: Chronic obstructive pulmonary disease,... |
10,048,451 | 27,501,766 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: ORTHOPAEDICS
Allergies:
No Known Allergies / Adverse Drug Reactions
Attending: ___
Chief Complaint:
left hip osteoarthritis
Major Surgical or Invasive Pr... | [
"M1612",
"Z96641",
"J449",
"J9811",
"R0902",
"D72829",
"R2242",
"Z87891",
"F319"
] | Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: left hip osteoarthritis Major Surgical or Invasive Procedure: [MASKED]: s/p left total hip replacement via anterior approach with Dr. [MASKED] History of Present Illness: [MASKED] y/o female with history of left hip osteoarthritis who has failed co... | [] | [
"J449",
"Z87891"
] | [
"M1612: Unilateral primary osteoarthritis, left hip",
"Z96641: Presence of right artificial hip joint",
"J449: Chronic obstructive pulmonary disease, unspecified",
"J9811: Atelectasis",
"R0902: Hypoxemia",
"D72829: Elevated white blood cell count, unspecified",
"R2242: Localized swelling, mass and lump,... |
10,048,779 | 22,324,221 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Penicillins / hydromorphone / morphine / allopurinol / Dilaudid
Attending: ___.
Chief Complaint:
___ with a complex PMHx presenting with sta... | [
"C480",
"I5032",
"Z923",
"I482",
"Z7901",
"I2720",
"Z86711",
"E785",
"H409",
"Z006",
"C50911",
"I110",
"E119",
"E8339",
"Z86718"
] | Allergies: Penicillins / hydromorphone / morphine / allopurinol / Dilaudid Chief Complaint: [MASKED] with a complex PMHx presenting with stage IIIB recurrent retroperitoneal sarcoma Major Surgical or Invasive Procedure: s/p ex-lap, debulking of recurrent liposarcoma of abdomen & gastric repair [MASKED] History of Prese... | [] | [
"I5032",
"Z7901",
"E785",
"I110",
"E119",
"Z86718"
] | [
"C480: Malignant neoplasm of retroperitoneum",
"I5032: Chronic diastolic (congestive) heart failure",
"Z923: Personal history of irradiation",
"I482: Chronic atrial fibrillation",
"Z7901: Long term (current) use of anticoagulants",
"I2720: Pulmonary hypertension, unspecified",
"Z86711: Personal history ... |
10,048,779 | 28,546,472 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: F
Service: SURGERY
Allergies:
Penicillins
Attending: ___.
Chief Complaint:
Liposarcoma
Major Surgical or Invasive Procedure:
Left colectomy, radical excision of RP lipo... | [
"C480",
"D62",
"I482",
"E860",
"I110",
"I5032",
"E119",
"E785",
"K219",
"I9581",
"R159",
"Z981",
"Z853",
"Z9011",
"Z86711",
"Z86718",
"Z923",
"Z7901"
] | Allergies: Penicillins Chief Complaint: Liposarcoma Major Surgical or Invasive Procedure: Left colectomy, radical excision of RP liposarcoma History of Present Illness: [MASKED] presented on [MASKED] for evaluation of a new retroperitoneal mass occurring in close proximity to the distal sigmoid colon and involving the ... | [] | [
"D62",
"I110",
"I5032",
"E119",
"E785",
"K219",
"Z86718",
"Z7901"
] | [
"C480: Malignant neoplasm of retroperitoneum",
"D62: Acute posthemorrhagic anemia",
"I482: Chronic atrial fibrillation",
"E860: Dehydration",
"I110: Hypertensive heart disease with heart failure",
"I5032: Chronic diastolic (congestive) heart failure",
"E119: Type 2 diabetes mellitus without complication... |
10,048,825 | 24,421,300 |
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:
None
attach
Pertinent Results:
DC EX... | [
"J159",
"C7951",
"D469",
"C61",
"I10",
"Z85850",
"E890",
"G20",
"D630",
"D696",
"M549"
] | Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: None attach Pertinent Results: DC EXAM: VS: [MASKED] [MASKED] Temp: 98.5 BP: 165/80 L Lying HR: 83 RR: 18 O2 sat: 90% O2 delivery: Ra GENERAL: Pleasant fatigued-appearing man, in no distress, lying in bed HEENT: Anicteric, PERL... | [] | [
"I10",
"D696"
] | [
"J159: Unspecified bacterial pneumonia",
"C7951: Secondary malignant neoplasm of bone",
"D469: Myelodysplastic syndrome, unspecified",
"C61: Malignant neoplasm of prostate",
"I10: Essential (primary) hypertension",
"Z85850: Personal history of malignant neoplasm of thyroid",
"E890: Postprocedural hypoth... |
10,048,986 | 23,742,207 |
Name: ___ Unit No: ___
Admission Date: ___ Discharge Date: ___
Date of Birth: ___ Sex: M
Service: MEDICINE
Allergies:
Lisinopril
Attending: ___.
Chief Complaint:
Bloody stool
Major Surgical or Invasive Procedure:
___: EGD
History of Present Illne... | [
"K2211",
"D649",
"I351",
"K449",
"K219",
"N400",
"G8929",
"M47892",
"M1990",
"Z86010"
] | Allergies: Lisinopril Chief Complaint: Bloody stool Major Surgical or Invasive Procedure: [MASKED]: EGD History of Present Illness: Mr. [MASKED] is an [MASKED] yo man with a history of GERD, OA (on celecoxib) anemia who presents to the ED after having had dark BMs for the past couple of days. He has noted some feelings... | [] | [
"D649",
"K219",
"N400",
"G8929"
] | [
"K2211: Ulcer of esophagus with bleeding",
"D649: Anemia, unspecified",
"I351: Nonrheumatic aortic (valve) insufficiency",
"K449: Diaphragmatic hernia without obstruction or gangrene",
"K219: Gastro-esophageal reflux disease without esophagitis",
"N400: Benign prostatic hyperplasia without lower urinary t... |
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