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10,058,750
20,083,655
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Compazine / Gadolinium-Containing Contrast Media Attending: ___. Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: No...
[ "K8590", "K861", "K219", "R079", "E669", "Z6829" ]
Allergies: Compazine / Gadolinium-Containing Contrast Media Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] man with hx GERD, choledocholithiasis s/p ERCP and CCY c/b bile leak requiring stent placement (subsequently removed), C.diff, multiple episodes of ...
[]
[ "K219", "E669" ]
[ "K8590: Acute pancreatitis without necrosis or infection, unspecified", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "R079: Chest pain, unspecified", "E669: Obesity, unspecified", "Z6829: Body mass index [BMI] 29.0-29.9, adult" ]
10,058,750
23,135,802
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Compazine / Gadolinium-Containing Contrast Media Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: EU...
[ "K8590", "K861", "K219", "Z85038", "K8050", "R634" ]
Allergies: Compazine / Gadolinium-Containing Contrast Media Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: EUS ([MASKED]) History of Present Illness: HPI(4): Mr. [MASKED] is a [MASKED] male with h/o RUQ found to have a CBD stone s/p ERCP [MASKED] followed by CCY [MASKED] c/b bile leak then s/p re...
[]
[ "K219" ]
[ "K8590: Acute pancreatitis without necrosis or infection, unspecified", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "Z85038: Personal history of other malignant neoplasm of large intestine", "K8050: Calculus of bile duct without cholangitis or cholecysti...
10,058,750
28,356,091
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Compazine / Gadolinium-Containing Contrast Media Attending: ___. Chief Complaint: Progressive, recurrent abdominal pain Major Surgical or...
[ "R1011", "K861", "R1013", "K915", "K219", "R203", "F4323", "F4310" ]
Allergies: Compazine / Gadolinium-Containing Contrast Media Chief Complaint: Progressive, recurrent abdominal pain Major Surgical or Invasive Procedure: Celiac plexus block History of Present Illness: [MASKED] with hx of GERD, choledocholithiasis s/p ERCP and CCY c/b bile leak requiring stent placement (subsequently re...
[]
[ "K219" ]
[ "R1011: Right upper quadrant pain", "K861: Other chronic pancreatitis", "R1013: Epigastric pain", "K915: Postcholecystectomy syndrome", "K219: Gastro-esophageal reflux disease without esophagitis", "R203: Hyperesthesia", "F4323: Adjustment disorder with mixed anxiety and depressed mood", "F4310: Post-...
10,058,750
29,974,709
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Compazine / Gadolinium-Containing Contrast Media Attending: ___. Major Surgical or Invasive Procedure: ___ - rectus sheath block (performed...
[ "R1013", "K861", "K219", "G8929", "R197", "K5903", "T402X5A", "Y929" ]
Allergies: Compazine / Gadolinium-Containing Contrast Media Major Surgical or Invasive Procedure: [MASKED] - rectus sheath block (performed by Anesthesia) [MASKED] - endoscopy with ultrasound-guided celiac plexus block (performed by Advanced Endoscopy team) attach Pertinent Results: Admission labs: ================= [M...
[]
[ "K219", "G8929", "Y929" ]
[ "R1013: Epigastric pain", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "G8929: Other chronic pain", "R197: Diarrhea, unspecified", "K5903: Drug induced constipation", "T402X5A: Adverse effect of other opioids, initial encounter", "Y929: Unspecified ...
10,058,856
21,320,571
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Aspirin / Duragesic / Sulfa (Sulfonamide Antibiotics) / Erythromycin Base / Penicillins / Flagyl Attending: ___. Chief Complaint: Left leg pa...
[ "I70222", "I10", "I771", "G43909", "K219", "F329", "F17210", "Z8673", "E785" ]
Allergies: Aspirin / Duragesic / Sulfa (Sulfonamide Antibiotics) / Erythromycin Base / Penicillins / Flagyl Chief Complaint: Left leg pain Major Surgical or Invasive Procedure: [MASKED]: Left common femoral artery endarterectomy History of Present Illness: This patient is a [MASKED] woman with a history of progressive ...
[]
[ "I10", "K219", "F329", "F17210", "Z8673", "E785" ]
[ "I70222: Atherosclerosis of native arteries of extremities with rest pain, left leg", "I10: Essential (primary) hypertension", "I771: Stricture of artery", "G43909: Migraine, unspecified, not intractable, without status migrainosus", "K219: Gastro-esophageal reflux disease without esophagitis", "F329: Maj...
10,058,856
29,328,838
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Aspirin / Duragesic / Sulfa (Sulfonamide Antibiotics) / Erythromycin Base / Penicillins / Flagyl Attending: ___ Chief Complaint: Left groin ...
[ "K5792", "I10", "D72829", "I739", "K219", "G43909", "F329" ]
Allergies: Aspirin / Duragesic / Sulfa (Sulfonamide Antibiotics) / Erythromycin Base / Penicillins / Flagyl Chief Complaint: Left groin pain at incision site for 3 days Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] s/p left common femoral endarterectomy [MASKED] with Dr. [MASKED] with ...
[]
[ "I10", "K219", "F329" ]
[ "K5792: Diverticulitis of intestine, part unspecified, without perforation or abscess without bleeding", "I10: Essential (primary) hypertension", "D72829: Elevated white blood cell count, unspecified", "I739: Peripheral vascular disease, unspecified", "K219: Gastro-esophageal reflux disease without esophagi...
10,058,868
20,377,504
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Generalized tonic-clonic seizure Major Surgical or Invasive Proc...
[ "F10231", "G92", "M6282", "D696", "I471", "R569", "Z23" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Generalized tonic-clonic seizure Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a [MASKED] year-old man with history of a prior seizure in [MASKED] (unclear circumstances) and alcohol use who presents with thr...
[]
[ "D696" ]
[ "F10231: Alcohol dependence with withdrawal delirium", "G92: Toxic encephalopathy", "M6282: Rhabdomyolysis", "D696: Thrombocytopenia, unspecified", "I471: Supraventricular tachycardia", "R569: Unspecified convulsions", "Z23: Encounter for immunization" ]
10,058,868
25,385,222
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: seizures Major Surgical or Invasive Procedure: intubation, ...
[ "S72011A", "E872", "D696", "I471", "F10239", "G40501", "W04XXXA", "Y9289" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: seizures Major Surgical or Invasive Procedure: intubation, right hemiarthroplasty History of Present Illness: [MASKED] year old male with a history of seizures transferred from OSH with status epilepticus. Patient reportedly was walking his dog whe...
[]
[ "E872", "D696" ]
[ "S72011A: Unspecified intracapsular fracture of right femur, initial encounter for closed fracture", "E872: Acidosis", "D696: Thrombocytopenia, unspecified", "I471: Supraventricular tachycardia", "F10239: Alcohol dependence with withdrawal, unspecified", "G40501: Epileptic seizures related to external cau...
10,058,910
22,302,368
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: ___: ...
[ "K8012" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: [MASKED]: laparoscopic cholecystectomy History of Present Illness: [MASKED] year old female presents to the hospital with abd pain. She also reports n/v/d and back pain. She had been evaluated at...
[]
[]
[ "K8012: Calculus of gallbladder with acute and chronic cholecystitis without obstruction" ]
10,059,041
22,386,234
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: morphine / amlodipine Attending: ___ ___ Complaint: Left knee stiffness Major Surgical or Invasive Procedure: ___: Left knee manipulati...
[ "M24662", "Z96652", "I10", "Z8673", "Z7902", "E785", "M479", "M170", "K219" ]
Allergies: morphine / amlodipine [MASKED] Complaint: Left knee stiffness Major Surgical or Invasive Procedure: [MASKED]: Left knee manipulation under anesthesia History of Present Illness: [MASKED] s/p L TKR c/b stiffness now s/p L knee MUA Past Medical History: PAST MEDICAL HISTORY: Significant for hypertension. Signi...
[]
[ "I10", "Z8673", "Z7902", "E785", "K219" ]
[ "M24662: Ankylosis, left knee", "Z96652: Presence of left artificial knee joint", "I10: Essential (primary) hypertension", "Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "E7...
10,059,192
22,072,744
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: erythromycin base / morphine Attending: ___. Chief Complaint: CC: N/V/diarrhea x4 days Major Surgical or Invasive Procedure: None ...
[ "A09", "N824", "K5780", "K219", "J45909", "F419", "I2510", "R630", "D649", "I252", "Z85038", "Z9049", "Z66", "Z6823" ]
Allergies: erythromycin base / morphine Chief Complaint: CC: N/V/diarrhea x4 days Major Surgical or Invasive Procedure: None History of Present Illness: HPI: [MASKED] with hx of stage III colon cancer s/p hemicolectomy and adjuvant chemotherapy ([MASKED]), chronic diarrhea, recent prolonged hospitalization at [MASKED] ...
[]
[ "K219", "J45909", "F419", "I2510", "D649", "I252", "Z66" ]
[ "A09: Infectious gastroenteritis and colitis, unspecified", "N824: Other female intestinal-genital tract fistulae", "K5780: Diverticulitis of intestine, part unspecified, with perforation and abscess without bleeding", "K219: Gastro-esophageal reflux disease without esophagitis", "J45909: Unspecified asthma...
10,059,192
24,721,736
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: erythromycin base / morphine Attending: ___ Chief Complaint: Weakness/Diarrhea Major Surgical or Invasive Procedure: ___: Failed ___...
[ "K5720", "E43", "N179", "A419", "R188", "F05", "L03311", "K9422", "N390", "F5089", "I4581", "D649", "J449", "Z538", "F329", "Z66", "R627", "R453", "Y838", "Y92239", "Z85038", "Z6822", "K219", "B9561", "I2510", "R197", "E785", "E559", "F419", "E876", "N7011...
Allergies: erythromycin base / morphine Chief Complaint: Weakness/Diarrhea Major Surgical or Invasive Procedure: [MASKED]: Failed [MASKED] guided intrabdominal abscess drainage History of Present Illness: [MASKED] year old woman with history of stage II colon cancer s/p right hemicolectomy and chemo ([MASKED]), chronic...
[]
[ "N179", "N390", "D649", "J449", "F329", "Z66", "K219", "I2510", "E785", "F419" ]
[ "K5720: Diverticulitis of large intestine with perforation and abscess without bleeding", "E43: Unspecified severe protein-calorie malnutrition", "N179: Acute kidney failure, unspecified", "A419: Sepsis, unspecified organism", "R188: Other ascites", "F05: Delirium due to known physiological condition", ...
10,059,192
25,340,376
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: erythromycin base Attending: ___. Chief Complaint: Complicated diverticulitis Major Surgical or Invasive Procedure: Drain placement ...
[ "K5720", "N179", "E440", "R188", "E861", "Z85038", "Z9221", "K219", "J45909", "F419", "F329", "R197", "R531", "R2689", "Z6824", "E876", "E785" ]
Allergies: erythromycin base Chief Complaint: Complicated diverticulitis Major Surgical or Invasive Procedure: Drain placement History of Present Illness: Ms. [MASKED] is a [MASKED] female with the past medical history of stage III colon cancer s/p hemicolectomy and adjuvant chemo in [MASKED], who presents from [MASKED...
[]
[ "N179", "K219", "J45909", "F419", "F329", "E785" ]
[ "K5720: Diverticulitis of large intestine with perforation and abscess without bleeding", "N179: Acute kidney failure, unspecified", "E440: Moderate protein-calorie malnutrition", "R188: Other ascites", "E861: Hypovolemia", "Z85038: Personal history of other malignant neoplasm of large intestine", "Z922...
10,059,406
23,005,038
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Hypotension, fatigue Major Surgical or Invasive Procedur...
[ "A419", "N186", "I21A1", "R6521", "I6389", "J9601", "J181", "K55019", "K55029", "K520", "I120", "K56609", "E873", "E870", "J9811", "K8020", "L89312", "Z781", "Z66", "Z515", "E11319", "E1140", "E1122", "E8770", "E1165", "H548", "Z992", "J45909", "R0902", "Z85...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hypotension, fatigue Major Surgical or Invasive Procedure: [MASKED]: DIAGNOSTIC LAPAROSCOPY converted to OPEN EXPLORATORY LAPAROTOMY, SMALL BOWEL RESECTION, cecectomy [MASKED]: ABDOMINAL WASHOUT, BOWEL RESECTION primary anastomosis History of Prese...
[]
[ "J9601", "Z66", "Z515", "E1122", "E1165", "J45909", "Y929" ]
[ "A419: Sepsis, unspecified organism", "N186: End stage renal disease", "I21A1: Myocardial infarction type 2", "R6521: Severe sepsis with septic shock", "I6389: Other cerebral infarction", "J9601: Acute respiratory failure with hypoxia", "J181: Lobar pneumonia, unspecified organism", "K55019: Acute (re...
10,059,917
24,017,710
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Erythromycin Base / Keflex Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Prese...
[ "S2242XA", "W2209XA", "Y92000", "S61512A", "I10", "E785", "J449", "K5900", "M8580", "M545", "G8929", "F329", "F419", "K219", "Z87891", "J309" ]
Allergies: Erythromycin Base / Keflex Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year-old female who presents as transfer from OSH with rib fractures. Patient stated that she arrived home last night and was "hurrying to the bathroom" sec...
[]
[ "I10", "E785", "J449", "K5900", "G8929", "F329", "F419", "K219", "Z87891" ]
[ "S2242XA: Multiple fractures of ribs, left side, initial encounter for closed fracture", "W2209XA: Striking against other stationary object, initial encounter", "Y92000: Kitchen of unspecified non-institutional (private) residence as the place of occurrence of the external cause", "S61512A: Laceration without...
10,059,952
26,572,318
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Lipitor / Crestor Attending: ___. Chief Complaint: Dizziness, s/p ICD shock Major Surgical or Invasive Procedure: None History of P...
[ "I472", "I255", "Z4502", "I10", "E785", "K219", "I4891", "Z7901", "E1142", "Z85828", "Z87891", "I2510", "Z951", "Z794", "G8929", "G4730" ]
Allergies: Lipitor / Crestor Chief Complaint: Dizziness, s/p ICD shock Major Surgical or Invasive Procedure: None History of Present Illness: This is a [MASKED] year old male CAD status post CABG and prior PCI x5 (most recently PCI was reportedly in [MASKED] a couple years ago), ischemic cardiomyopathy (LVEF reportedly...
[]
[ "I10", "E785", "K219", "I4891", "Z7901", "Z87891", "I2510", "Z951", "Z794", "G8929" ]
[ "I472: Ventricular tachycardia", "I255: Ischemic cardiomyopathy", "Z4502: Encounter for adjustment and management of automatic implantable cardiac defibrillator", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "K219: Gastro-esophageal reflux disease without esophagitis", "...
10,060,338
20,455,346
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: ADMISSIO...
[ "R1084", "I5032", "I110", "R112", "F17210", "E785", "I480", "E890", "J449", "E119", "I252", "G4733", "K760", "K219", "I2510", "D135", "Z7901", "Z794", "Z98890", "Z9689" ]
Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION [MASKED] 06:25PM BLOOD WBC-8.8 RBC-5.56 Hgb-16.8 Hct-52.3* MCV-94 MCH-30.2 MCHC-32.1 RDW-14.6 RDWSD-49.6* Plt [MASKED] [MASKED] 06:25PM BLOOD Glucose-213* UreaN-11 Creat-0.9 Na-140 K-4.6...
[]
[ "I5032", "I110", "F17210", "E785", "I480", "J449", "E119", "I252", "G4733", "K219", "I2510", "Z7901", "Z794" ]
[ "R1084: Generalized abdominal pain", "I5032: Chronic diastolic (congestive) heart failure", "I110: Hypertensive heart disease with heart failure", "R112: Nausea with vomiting, unspecified", "F17210: Nicotine dependence, cigarettes, uncomplicated", "E785: Hyperlipidemia, unspecified", "I480: Paroxysmal a...
10,060,338
23,729,229
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Ampullary adenoma Major Surgical or Invasive Procedure: ___: ...
[ "D135", "I5033", "E46", "K8012", "I480", "G723", "K567", "J9811", "J441", "I9581", "I952", "T413X5A", "Y92230", "I110", "G8918", "R0902", "I252", "E890", "E119", "E785", "K760", "G4733", "Z720", "Z6831" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Ampullary adenoma Major Surgical or Invasive Procedure: [MASKED]: 1. Transduodenal resection ampulla of Vater. 2. Open cholecystectomy. History of Present Illness: The patient is a [MASKED] y.o. male with a history of congestive heart failure, hist...
[]
[ "I480", "Y92230", "I110", "I252", "E119", "E785", "G4733" ]
[ "D135: Benign neoplasm of extrahepatic bile ducts", "I5033: Acute on chronic diastolic (congestive) heart failure", "E46: Unspecified protein-calorie malnutrition", "K8012: Calculus of gallbladder with acute and chronic cholecystitis without obstruction", "I480: Paroxysmal atrial fibrillation", "G723: Per...
10,060,338
25,267,336
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: RUQ pain Major Surgical or Invasive Procedure: None History...
[ "R1011", "E43", "I110", "I5032", "E1165", "D135", "I480", "G723", "E890", "F17210", "J449", "G4733", "Z9689", "I252", "E785" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: RUQ pain Major Surgical or Invasive Procedure: None History of Present Illness: HPI(4): Mr. [MASKED] is a [MASKED] male with history of pAFib on digoxin, not on A/C, h/o MI [MASKED] coronary vasospasm, [MASKED], COPD, current smoker, Graves' s/p th...
[]
[ "I110", "I5032", "E1165", "I480", "F17210", "J449", "G4733", "I252", "E785" ]
[ "R1011: Right upper quadrant pain", "E43: Unspecified severe protein-calorie malnutrition", "I110: Hypertensive heart disease with heart failure", "I5032: Chronic diastolic (congestive) heart failure", "E1165: Type 2 diabetes mellitus with hyperglycemia", "D135: Benign neoplasm of extrahepatic bile ducts"...
10,060,338
25,454,537
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Wound infection Major Surgical or Invasive Procedure: None ...
[ "T814XXA", "Y836", "Y929", "J449", "I480", "I252", "E890", "I110", "I5032", "E119", "E785", "K760", "G4733", "F17210", "E876" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Wound infection Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with history of CHF, MI [MASKED] coronary vasospasm, COPD, Graves disease, HTN, HLD, hypokalemic periodic paralysis, NAFLD, current smoker of [MASKED] p...
[]
[ "Y929", "J449", "I480", "I252", "I110", "I5032", "E119", "E785", "G4733", "F17210" ]
[ "T814XXA: Infection following a procedure", "Y836: Removal of other organ (partial) (total) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure", "Y929: Unspecified place or not applicable", "J449: Chronic obstructive pulmona...
10,060,531
20,623,061
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: ___ Attending: ___. Chief Complaint: chest pain, SOB Major Surgical or Invasive Procedure: Cardiac Catheterization ___ History of Pr...
[ "I130", "G92", "J690", "Z66", "I5033", "J9621", "J440", "J441", "K567", "E872", "L109", "I2510", "I350", "G4733", "I2720", "N189", "K219", "G40909", "I071", "I2781", "I959", "R296", "E785", "D631", "I4510", "D509", "R040", "G500", "K5900", "Z951", "Z8546",...
Allergies: [MASKED] Chief Complaint: chest pain, SOB Major Surgical or Invasive Procedure: Cardiac Catheterization [MASKED] History of Present Illness: Of note, the patient has another [MASKED] MRN: [MASKED]. The patient is a [MASKED] [MASKED] with a past medical history significant for CAD s/p CABG x [MASKED] and BMS ...
[]
[ "I130", "Z66", "E872", "I2510", "G4733", "N189", "K219", "E785", "D509", "K5900", "Z951", "Z7902" ]
[ "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "G92: Toxic encephalopathy", "J690: Pneumonitis due to inhalation of food and vomit", "Z66: Do not resuscitate", "I5033: Acute on chronic diasto...
10,060,733
24,753,883
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Painless Jaundice Major Surgical or Invasive Procedure: _...
[ "K831", "C249", "N179", "E872", "I10", "D509", "N390", "E119", "E785", "Z8546", "Z8551", "J45909", "Z794", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Painless Jaundice Major Surgical or Invasive Procedure: [MASKED] -- ERCP History of Present Illness: Mr. [MASKED] is a [MASKED] with h/o diabetes, HLD, HTN, bladder and prostate cancer s/p prostatectomy and cystectomy in [MASKED] with urostomy, who...
[]
[ "N179", "E872", "I10", "D509", "N390", "E119", "E785", "J45909", "Z794", "Z87891" ]
[ "K831: Obstruction of bile duct", "C249: Malignant neoplasm of biliary tract, unspecified", "N179: Acute kidney failure, unspecified", "E872: Acidosis", "I10: Essential (primary) hypertension", "D509: Iron deficiency anemia, unspecified", "N390: Urinary tract infection, site not specified", "E119: Typ...
10,060,749
23,640,770
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Percocet / Percodan Attending: ___. Chief Complaint: Acute Blood Loss Anemia due to Hematemasis Major Surgical or Invasive Procedure: EGD...
[ "K91840", "K920", "D62", "I10", "I2510", "I4891", "I951", "D508", "E559", "K219", "J9801", "G4700", "E785", "R1310", "Z7901", "Z955" ]
Allergies: Percocet / Percodan Chief Complaint: Acute Blood Loss Anemia due to Hematemasis Major Surgical or Invasive Procedure: EGD to evaluate esophageal stent placement History of Present Illness: [MASKED] year old Female who underwent an esophageal stent and dilation for an esophageal stricture here at [MASKED] the...
[]
[ "D62", "I10", "I2510", "I4891", "K219", "G4700", "E785", "Z7901", "Z955" ]
[ "K91840: Postprocedural hemorrhage of a digestive system organ or structure following a digestive system procedure", "K920: Hematemesis", "D62: Acute posthemorrhagic anemia", "I10: Essential (primary) hypertension", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", ...
10,060,863
28,867,198
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / Vioxx / Motrin / phenobarbital / latex / gluten Attending: ___. Chief Complaint: dizziness, dyspnea, p...
[ "I481", "G4089", "B029", "J45909", "N6459" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Vioxx / Motrin / phenobarbital / latex / gluten Chief Complaint: dizziness, dyspnea, palpitations Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] female with a history of paroxysmal Atrial fib presents with palpitations. She presented today wi...
[]
[ "J45909" ]
[ "I481: Persistent atrial fibrillation", "G4089: Other seizures", "B029: Zoster without complications", "J45909: Unspecified asthma, uncomplicated", "N6459: Other signs and symptoms in breast" ]
10,061,303
24,889,301
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: All allergies / adverse drug reactions previously recorded have been deleted Attending: ___. Chief Complaint: shortness of breath ...
[ "I352", "I426", "I110", "I5022", "I4891", "E119", "D509", "I2510", "Z7901", "E785", "F1021", "E039", "E669", "Z6832", "Z87891", "Z23", "N529" ]
Allergies: All allergies / adverse drug reactions previously recorded have been deleted Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: Aortic valve replacement (27 Epic) [MASKED] History of Present Illness: [MASKED] man with a h/o HTN, DLD, DM , AI/AS and non-ischemic cardiomyopathy (possibl...
[]
[ "I110", "I4891", "E119", "D509", "I2510", "Z7901", "E785", "E039", "E669", "Z87891" ]
[ "I352: Nonrheumatic aortic (valve) stenosis with insufficiency", "I426: Alcoholic cardiomyopathy", "I110: Hypertensive heart disease with heart failure", "I5022: Chronic systolic (congestive) heart failure", "I4891: Unspecified atrial fibrillation", "E119: Type 2 diabetes mellitus without complications", ...
10,061,633
29,357,112
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fatigue Major Surgical or Invasive Procedure: ___: Mi...
[ "I340", "I511", "D801", "F05", "D62", "I2720", "D519", "Z86718", "E039", "Z781", "Y831", "Y92239" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fatigue Major Surgical or Invasive Procedure: [MASKED]: Mitral valve repair with a resection of the middle scallop of the posterior leaflet P2 and mitral valve annuloplasty with a 30 [MASKED] annuloplasty band. History of Present Illness: Mr. [MASK...
[]
[ "D62", "Z86718", "E039" ]
[ "I340: Nonrheumatic mitral (valve) insufficiency", "I511: Rupture of chordae tendineae, not elsewhere classified", "D801: Nonfamilial hypogammaglobulinemia", "F05: Delirium due to known physiological condition", "D62: Acute posthemorrhagic anemia", "I2720: Pulmonary hypertension, unspecified", "D519: Vi...
10,061,677
25,475,802
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Ultram / Morphine / Tegretol / Thioridazine / Penicillins / nickel / Haldol / doxycycline / amitriptyline / nortriptyline / ketorolac...
[ "F339", "R45851", "T8133XA", "S83206A", "I10", "E119", "Y69", "Z590", "I252", "Z87891", "R451" ]
Allergies: Ultram / Morphine / Tegretol / Thioridazine / Penicillins / nickel / Haldol / doxycycline / amitriptyline / nortriptyline / ketorolac / amoxicillin / azithromycin / Bactrim / erythromycin base / carbamazepine / Vicodin / Valium / codeine / tetracycline / clindamycin / Elavil / trazodone / tramadol / quetiapi...
[]
[ "I10", "E119", "I252", "Z87891" ]
[ "F339: Major depressive disorder, recurrent, unspecified", "R45851: Suicidal ideations", "T8133XA: Disruption of traumatic injury wound repair, initial encounter", "S83206A: Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter", "I10: Essential (primary) hypertension", "...
10,061,677
27,512,307
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Ultram / Morphine / Tegretol / Thioridazine / Penicillins / nickel / Haldol / doxycycline / amitriptyline / nortriptyline / ketorolac...
[ "T8133XA", "R45851", "Z6843", "E872", "R509", "F329", "I10", "E669", "Z720", "Z590", "I252", "Z8673", "F4310", "Z9119", "E1165", "Z794" ]
Allergies: Ultram / Morphine / Tegretol / Thioridazine / Penicillins / nickel / Haldol / doxycycline / amitriptyline / nortriptyline / ketorolac / amoxicillin / azithromycin / Bactrim / erythromycin base / carbamazepine / Vicodin / Valium / codeine / tetracycline / clindamycin / Elavil / trazodone / tramadol / quetiapi...
[]
[ "E872", "F329", "I10", "E669", "I252", "Z8673", "E1165", "Z794" ]
[ "T8133XA: Disruption of traumatic injury wound repair, initial encounter", "R45851: Suicidal ideations", "Z6843: Body mass index [BMI] 50.0-59.9, adult", "E872: Acidosis", "R509: Fever, unspecified", "F329: Major depressive disorder, single episode, unspecified", "I10: Essential (primary) hypertension",...
10,061,731
25,629,152
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Cough, vomiting, fever Major Surgical or Invasive Procedu...
[ "J069", "N179", "C8309", "D472", "I129", "N189", "G4733", "R740", "F419", "D72828", "R803" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Cough, vomiting, fever Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with history of lymphoplasmacytic lymphoma and IgG kappa MGUS c/b kidney injury now C5D16 (treated yesterday) BDR (bendamu...
[]
[ "N179", "I129", "N189", "G4733", "F419" ]
[ "J069: Acute upper respiratory infection, unspecified", "N179: Acute kidney failure, unspecified", "C8309: Small cell B-cell lymphoma, extranodal and solid organ sites", "D472: Monoclonal gammopathy", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecif...
10,061,737
25,469,970
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: ___ Succe...
[ "K5700", "G92", "N179", "E46", "R001", "I10", "Z905", "J449", "Z87891", "T404X5A", "Y92239", "K8020", "Z6826", "R197" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: [MASKED] Successful post-pyloric advancement of a Dobhoff feeding tube. History of Present Illness: Ms. [MASKED] is a [MASKED] PMHx R-sided nephrectomy, cholelithiasis, COPD, and HTN who is trans...
[]
[ "N179", "I10", "J449", "Z87891" ]
[ "K5700: Diverticulitis of small intestine with perforation and abscess without bleeding", "G92: Toxic encephalopathy", "N179: Acute kidney failure, unspecified", "E46: Unspecified protein-calorie malnutrition", "R001: Bradycardia, unspecified", "I10: Essential (primary) hypertension", "Z905: Acquired ab...
10,062,203
21,070,114
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Phenergan / Lyrica / Cymbalta / Bactrim Attending: ___. Chief Complaint: abdominal ___ Major Surgical or Invasive Procedure: ___ ERC...
[ "K8590", "K831", "E1140", "D684", "K861", "K838", "E11319", "E11649", "G8929", "J449", "G40909", "K760", "H548", "K219", "R1013", "Z794", "Z8711", "Z87891" ]
Allergies: Phenergan / Lyrica / Cymbalta / Bactrim Chief Complaint: abdominal [MASKED] Major Surgical or Invasive Procedure: [MASKED] ERCP with sphincterotomy, brushings History of Present Illness: HPI: The patient is a [MASKED] female w/PMHx including chronic pancreatitis s/p Puestow procedure with chronic abdominal [...
[]
[ "G8929", "J449", "K219", "Z794", "Z87891" ]
[ "K8590: Acute pancreatitis without necrosis or infection, unspecified", "K831: Obstruction of bile duct", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "D684: Acquired coagulation factor deficiency", "K861: Other chronic pancreatitis", "K838: Other specified diseases of biliary ...
10,062,317
21,352,614
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: aspirin / Penicillins / sertraline Attending: ___. Chief Complaint: L neck swelling Major Surgical or Invasive Procedure: none Hi...
[ "D490", "Z7902", "Z98890", "I10", "E039", "E785" ]
Allergies: aspirin / Penicillins / sertraline Chief Complaint: L neck swelling Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] with HTN, HLD, s/p L CEA for asymptomatic carotid stenosis at OSH presents with left neck swelling. She reports undergoing cardiac work-up in [MASKED] in [MASKED...
[]
[ "Z7902", "I10", "E039", "E785" ]
[ "D490: Neoplasm of unspecified behavior of digestive system", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "Z98890: Other specified postprocedural states", "I10: Essential (primary) hypertension", "E039: Hypothyroidism, unspecified", "E785: Hyperlipidemia, unspecified" ]
10,062,317
28,671,054
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: aspirin / Penicillins / sertraline Attending: ___. Chief Complaint: Left neck mass medial to the carotid artery. Major Surgical or I...
[ "D492", "G9782", "D170", "I10", "E785", "E039", "Z7902", "Z87891", "R29810", "R1310", "I6521", "Y838", "Y92230" ]
Allergies: aspirin / Penicillins / sertraline Chief Complaint: Left neck mass medial to the carotid artery. Major Surgical or Invasive Procedure: Radical left neck exploration with lymph node sampling of stations one through four, resection of vascular lesion from the parapharyngeal space medial to the left carotid, an...
[]
[ "I10", "E785", "E039", "Z7902", "Z87891", "Y92230" ]
[ "D492: Neoplasm of unspecified behavior of bone, soft tissue, and skin", "G9782: Other postprocedural complications and disorders of nervous system", "D170: Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, uns...
10,062,399
25,465,262
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: right arm pain Major Surgical or Invasive Procedure: non...
[ "T796XXA", "L03113", "I129", "N400", "N189", "Y92009", "W311XXA", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: right arm pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] male with HTN, BPH who presents with worsening right forearm pain that began approximately three hours after using a electric jackhammer for 30 minutes (...
[]
[ "I129", "N400", "N189", "Z87891" ]
[ "T796XXA: Traumatic ischemia of muscle, initial encounter", "L03113: Cellulitis of right upper limb", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "N400: Benign prostatic hyperplasia without lower urinary tract symptoms...
10,062,411
27,283,803
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: post polypectomy bleeding, BRBPR Major Surgical or Invas...
[ "K91840", "F1020", "Y838", "Y929", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: post polypectomy bleeding, BRBPR Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] y/o with no sig med hx documented or reported who has polypectomy (rectal polyp) here [MASKED], and who developed large brbpr once yest...
[]
[ "Y929", "Z87891" ]
[ "K91840: Postprocedural hemorrhage of a digestive system organ or structure following a digestive system procedure", "F1020: Alcohol dependence, uncomplicated", "Y838: Other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the tim...
10,062,411
28,810,918
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: left-sided medial knee pain Major Surgical or Invasi...
[ "M1712", "Z87891", "F1010", "I973" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: left-sided medial knee pain Major Surgical or Invasive Procedure: left partial knee replacement [MASKED], [MASKED] History of Present Illness: [MASKED] male with ongoing left-sided medial specific knee pain. This is been refractory to conservative ...
[]
[ "Z87891" ]
[ "M1712: Unilateral primary osteoarthritis, left knee", "Z87891: Personal history of nicotine dependence", "F1010: Alcohol abuse, uncomplicated", "I973: Postprocedural hypertension" ]
10,062,498
20,152,211
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Pro...
[ "K5732", "E785", "Z87891", "Z86010", "E7800", "Z8379" ]
Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old female with past medical history significant for prior episodes of diverticulitis in [MASKED] and [MASKED]. She presents to the E...
[]
[ "E785", "Z87891" ]
[ "K5732: Diverticulitis of large intestine without perforation or abscess without bleeding", "E785: Hyperlipidemia, unspecified", "Z87891: Personal history of nicotine dependence", "Z86010: Personal history of colonic polyps", "E7800: Pure hypercholesterolemia, unspecified", "Z8379: Family history of other...
10,062,498
23,893,278
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Attending: ___. Chief Complaint: Lower abdominal pain and dyschezia Major Surg...
[ "K5720", "Z87891", "E785" ]
Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Chief Complaint: Lower abdominal pain and dyschezia Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED], is a [MASKED] year old female with past medical history significant for 2 prior episodes of diverticulitis, [MASK...
[]
[ "Z87891", "E785" ]
[ "K5720: Diverticulitis of large intestine with perforation and abscess without bleeding", "Z87891: Personal history of nicotine dependence", "E785: Hyperlipidemia, unspecified" ]
10,062,498
24,180,052
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Bacitracin / Codeine Attending: ___. Chief Complaint: ___ w/ recurrent diverticulitis s/p robotic sigmoidectomy Major Surgical or Invasiv...
[ "K5732", "E785", "Z85828", "Z87891" ]
Allergies: Bacitracin / Codeine Chief Complaint: [MASKED] w/ recurrent diverticulitis s/p robotic sigmoidectomy Major Surgical or Invasive Procedure: Robotic sigmoid colectomy with mobilization of splenic flexure History of Present Illness: [MASKED] is a [MASKED] w/ recent hx of multiple episodes of diverticulitis who ...
[]
[ "E785", "Z87891" ]
[ "K5732: Diverticulitis of large intestine without perforation or abscess without bleeding", "E785: Hyperlipidemia, unspecified", "Z85828: Personal history of other malignant neoplasm of skin", "Z87891: Personal history of nicotine dependence" ]
10,062,498
28,313,359
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Attending: ___. Chief Complaint: abdominal pain Major Surgical or Invasive Pro...
[ "K5732", "M25569", "M545", "Z87891" ]
Allergies: Bacitracin / Codeine / Iodine Containing Agents Classifier Chief Complaint: abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old female with no sig PMH presents w/ [MASKED] episode uncomplicated diverticulitis. She was presents to ED [MASKED] w/ suprapubic p...
[]
[ "Z87891" ]
[ "K5732: Diverticulitis of large intestine without perforation or abscess without bleeding", "M25569: Pain in unspecified knee", "M545: Low back pain", "Z87891: Personal history of nicotine dependence" ]
10,062,617
23,079,060
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: sulfur dioxide / cephalexin Attending: ___ Chief Complaint: Unresponsiveness Major Surgical or Invasive Procedure: None History o...
[ "R55", "I959", "I5022", "I712", "I480", "E871", "Z45010", "Z45018", "I447", "I352", "I129", "N183", "N400", "M8580", "H3530", "E038", "G4733", "R2681", "I878", "R251", "Z823", "R1312", "Z66", "Z7982", "Z7952", "R21" ]
Allergies: sulfur dioxide / cephalexin Chief Complaint: Unresponsiveness Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with a PMH significant for SSS s/p pacemaker placement who presents after an episode of unresponsiveness while at home yesterday evening. The pa...
[]
[ "I480", "E871", "I129", "N400", "G4733", "Z66" ]
[ "R55: Syncope and collapse", "I959: Hypotension, unspecified", "I5022: Chronic systolic (congestive) heart failure", "I712: Thoracic aortic aneurysm, without rupture", "I480: Paroxysmal atrial fibrillation", "E871: Hypo-osmolality and hyponatremia", "Z45010: Encounter for checking and testing of cardiac...
10,062,617
25,754,091
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: sulfur dioxide / cephalexin Attending: ___. Chief Complaint: confusion, lethargy Major Surgical or Invasive Procedure: none Histo...
[ "J690", "G92", "N179", "R1310", "E871", "I130", "I5022", "Z950", "I352", "Z23", "N401", "N39498", "L309", "K219", "E039", "Z66", "N183" ]
Allergies: sulfur dioxide / cephalexin Chief Complaint: confusion, lethargy Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] with HFrEF, AS, SSS s/p PPM, and recurrent admissions for aspiration pneumonia brought to [MASKED] by his family for an episode of transient confu...
[]
[ "N179", "E871", "I130", "K219", "E039", "Z66" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "G92: Toxic encephalopathy", "N179: Acute kidney failure, unspecified", "R1310: Dysphagia, unspecified", "E871: Hypo-osmolality and hyponatremia", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 ch...
10,062,617
28,840,277
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: sulfur dioxide Attending: ___. Chief Complaint: Malaise/Fatigue with 2 recent falls Major Surgical or Invasive Procedure: None His...
[ "J690", "I5022", "I471", "E871", "R1310", "I712", "I129", "N183", "Z9181", "G4733", "R251", "D649", "Z950", "L309", "Z7952", "Z66" ]
Allergies: sulfur dioxide Chief Complaint: Malaise/Fatigue with 2 recent falls Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] year-old male with history of HFrEF (EF 25%-30% on TTE [MASKED], sick sinus syndrome s/p pacemaker, paroxysmal supraventricular tachycardia, an...
[]
[ "E871", "I129", "G4733", "D649", "Z66" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "I5022: Chronic systolic (congestive) heart failure", "I471: Supraventricular tachycardia", "E871: Hypo-osmolality and hyponatremia", "R1310: Dysphagia, unspecified", "I712: Thoracic aortic aneurysm, without rupture", "I129: Hypertensive chronic k...
10,062,931
25,070,309
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: Sulfa(Sulfonamide Antibiotics) / Lyrica Attending: ___. Chief Complaint: parkinsons disease Major Surgical or Invasive Procedure: ri...
[ "G20", "T85120A", "I4891", "R319", "I2510", "Y658", "E785", "K219", "Z951", "Y92234", "Z955", "Z7982" ]
Allergies: Sulfa(Sulfonamide Antibiotics) / Lyrica Chief Complaint: parkinsons disease Major Surgical or Invasive Procedure: right DBS lead placement and removal Dr [MASKED] on [MASKED] History of Present Illness: This iis aa [MASKED] year old male who presents today electivey for right sided DBS stage 1&2 Past Medical...
[]
[ "I4891", "I2510", "E785", "K219", "Z951", "Z955" ]
[ "G20: Parkinson's disease", "T85120A: Displacement of implanted electronic neurostimulator of brain electrode (lead), initial encounter", "I4891: Unspecified atrial fibrillation", "R319: Hematuria, unspecified", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Y65...
10,062,981
21,919,539
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Pavulon Attending: ___. Chief Complaint: Nausea, vomiting, unsteady gait Major Surgical or Invasive Procedure: None History of Prese...
[ "C7931", "G936", "C782", "C771", "C7989", "R443", "N183", "R251", "R260", "R278", "R413", "F39", "R112", "E785", "E11319", "Z794", "E1142", "I129", "Z87891", "Z9181", "G20", "R410", "Z7952", "E0965", "T380X5A", "N401", "R338" ]
Allergies: Pavulon Chief Complaint: Nausea, vomiting, unsteady gait Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male followed closely by outpatient neurologist for suspicion of possible [MASKED] diagnosis was scheduled for an outpatient MRI today to evaluate increased tremor...
[]
[ "E785", "Z794", "I129", "Z87891" ]
[ "C7931: Secondary malignant neoplasm of brain", "G936: Cerebral edema", "C782: Secondary malignant neoplasm of pleura", "C771: Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes", "C7989: Secondary malignant neoplasm of other specified sites", "R443: Hallucinations, unspecified", ...
10,062,981
24,520,789
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Right hip pain; altered mental status. Major Surgical or I...
[ "C7951", "G92", "C7931", "N390", "E1140", "C3490", "D696", "E11649", "B9620", "F19939", "E785", "Z66", "G20", "D649", "I129", "N189", "Z87891", "Z794" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right hip pain; altered mental status. Major Surgical or Invasive Procedure: none. History of Present Illness: Pt is a [MASKED] PMHx [MASKED], HTN, HLD, and recent diagnosis of Stage IV HSCLC with brain mets s/p Cyberknife to the brain. He was admi...
[]
[ "N390", "D696", "E785", "Z66", "D649", "I129", "N189", "Z87891", "Z794" ]
[ "C7951: Secondary malignant neoplasm of bone", "G92: Toxic encephalopathy", "C7931: Secondary malignant neoplasm of brain", "N390: Urinary tract infection, site not specified", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "C3490: Malignant neoplasm of unspecified part of unspec...
10,062,981
26,125,093
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Leg Pain Major Surgical or Invasive Procedure: ___ Cryoabl...
[ "C7951", "G936", "G92", "N179", "S3210XA", "C7931", "E1140", "S7001XA", "C3411", "R442", "G8911", "G893", "M25551", "W860XXA", "Y92019", "W1839XA", "Z9181", "Z923", "G20", "E785", "Z794", "I129", "N182", "N400", "Z87891", "M5137", "L130", "Z7952", "K5900", "...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Leg Pain Major Surgical or Invasive Procedure: [MASKED] Cryoablation of Right Acetabular Metastatic Lesion with Cementoplasty History of Present Illness: Mr. [MASKED] is a [MASKED] y/o man with a PMHx [MASKED], HTN, HLD, and recent diagnosis of Sta...
[]
[ "N179", "E785", "Z794", "I129", "N400", "Z87891", "K5900", "Z66" ]
[ "C7951: Secondary malignant neoplasm of bone", "G936: Cerebral edema", "G92: Toxic encephalopathy", "N179: Acute kidney failure, unspecified", "S3210XA: Unspecified fracture of sacrum, initial encounter for closed fracture", "C7931: Secondary malignant neoplasm of brain", "E1140: Type 2 diabetes mellitu...
10,063,444
26,443,189
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 was trying to get my girlfriend's attention." Majo...
[ "F4320", "R45851" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I was trying to get my girlfriend's attention." Major Surgical or Invasive Procedure: None History of Present Illness: For further details of the history and presentation, please see [MASKED], including Dr. [MASKED] initial consultation note dated...
[]
[]
[ "F4320: Adjustment disorder, unspecified", "R45851: Suicidal ideations" ]
10,063,460
26,955,151
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: pre-admission for angiogram Major Surgical or Invasive Procedure: ...
[ "E1051", "T8743", "L97518", "T86891", "Z940", "T83490A", "Z794", "E10621", "I70235", "E10319", "K219", "I10", "E7849", "Y92018", "Y838" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: pre-admission for angiogram Major Surgical or Invasive Procedure: [MASKED]- diagnostic angiogram History of Present Illness: Mr. [MASKED] presents in preparation for a RLE angiogram. He has ulcers on the lateral aspect of the right TMA. He denies c...
[]
[ "Z794", "K219", "I10" ]
[ "E1051: Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene", "T8743: Infection of amputation stump, right lower extremity", "L97518: Non-pressure chronic ulcer of other part of right foot with other specified severity", "T86891: Other transplanted tissue failure", "Z940: Kidney tr...
10,063,460
27,699,140
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Necrotic toe, fevers Major Surgical or Invasive Procedure: ___ ne...
[ "A419", "T86890", "I70261", "T86891", "E1052", "M869", "Z940", "Z794", "E1069", "I10", "K219", "E10319", "H548", "E785", "E669", "Z6827", "B9620", "Y830", "T8789", "Y835", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Necrotic toe, fevers Major Surgical or Invasive Procedure: [MASKED] necrotic [MASKED] toe amputation [MASKED] angioplasty [MASKED] right foot debridement [MASKED] TMA/TAL History of Present Illness: [MASKED] with type 1 DM c/b ESRD s/p renal/pancre...
[]
[ "Z794", "I10", "K219", "E785", "E669", "Y92230" ]
[ "A419: Sepsis, unspecified organism", "T86890: Other transplanted tissue rejection", "I70261: Atherosclerosis of native arteries of extremities with gangrene, right leg", "T86891: Other transplanted tissue failure", "E1052: Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene", "M869...
10,063,848
21,345,067
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex Attending: ___. Chief Complaint: abdominal pain, nausea, n...
[ "K565", "J9601", "D680", "I272", "D6959", "K521", "I471", "N390", "D62", "K567", "B9620", "T370X5A", "Y92239", "I509", "N200", "E876", "E8342", "F419", "R252" ]
Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex Chief Complaint: abdominal pain, nausea, non-bilious emesis, abdominal distension Major Surgical or Invasive Procedure: [MASKED]: Exploratory laparotomy with enterotomies and small bowel resection with Dr. [MASKED] [MASKED] of Prese...
[]
[ "J9601", "N390", "D62", "F419" ]
[ "K565: Intestinal adhesions [bands] with obstruction (postinfection)", "J9601: Acute respiratory failure with hypoxia", "D680: Von Willebrand's disease", "I272: Other secondary pulmonary hypertension", "D6959: Other secondary thrombocytopenia", "K521: Toxic gastroenteritis and colitis", "I471: Supravent...
10,063,848
24,092,966
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex / Bactrim Attending: ___. Chief Complaint: Enterocutaneous ...
[ "K632", "Y836", "K651", "G950", "I959", "D680", "I272", "K9403", "Y833", "Y929", "B9620" ]
Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex / Bactrim Chief Complaint: Enterocutaneous fistula Major Surgical or Invasive Procedure: Placement of wound vac [MASKED] Successful CT-guided placement of an [MASKED] pigtail catheter into an abdominal collection - [MASKED] Successf...
[]
[ "Y929" ]
[ "K632: Fistula of intestine", "Y836: Removal of other organ (partial) (total) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure", "K651: Peritoneal abscess", "G950: Syringomyelia and syringobulbia", "I959: Hypotension, un...
10,063,848
26,880,153
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex Attending: ___. Chief Complaint: Fistula Major Surgical o...
[ "K632", "T8131XA", "Y832", "Y929" ]
Allergies: azithromycin / Cipro / Fosamax / sulfur dioxide / Sulindac / keflex / Keflex Chief Complaint: Fistula Major Surgical or Invasive Procedure: NONE History of Present Illness: [MASKED] who presented with prior SBO now 3 weeks s/p exploratory laparotomy, lysis of adhesions, and small bowel resection (90 cm) pres...
[]
[ "Y929" ]
[ "K632: Fistula of intestine", "T8131XA: Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter", "Y832: Surgical operation with anastomosis, bypass or graft as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the ...
10,063,856
22,345,354
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / Doxycycline / fluconazole Attending: ___. Chief Complaint: Bradycardia and Hypotension Major Surgical ...
[ "E2740", "B9689", "I959", "R001", "R0789", "B379", "C3490", "Z87891", "Z66", "Z934" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Doxycycline / fluconazole Chief Complaint: Bradycardia and Hypotension Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo female with a history of metastatic lung cancer s/p cycle 4 premetrexed/carboplatin who is admitted with bradycardia and ...
[]
[ "Z87891", "Z66" ]
[ "E2740: Unspecified adrenocortical insufficiency", "B9689: Other specified bacterial agents as the cause of diseases classified elsewhere", "I959: Hypotension, unspecified", "R001: Bradycardia, unspecified", "R0789: Other chest pain", "B379: Candidiasis, unspecified", "C3490: Malignant neoplasm of unspe...
10,063,856
29,364,646
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / Doxycycline / fluconazole Attending: ___ Chief Complaint: Lightheadness, shaking, near fall Major Surg...
[ "I6340", "C7951", "I9589", "E873", "C7931", "K5190", "D696", "M4854XA", "I4891", "B373", "D638", "B9689", "E876", "K219", "G43009", "N6009", "M722", "E890", "E8342", "Z932" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Doxycycline / fluconazole Chief Complaint: Lightheadness, shaking, near fall Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/metastatic lung CA, last chemo [MASKED], who presents with lightheadedness. Pt was admitted [MASKED] after with sinu...
[]
[ "D696", "I4891", "K219" ]
[ "I6340: Cerebral infarction due to embolism of unspecified cerebral artery", "C7951: Secondary malignant neoplasm of bone", "I9589: Other hypotension", "E873: Alkalosis", "C7931: Secondary malignant neoplasm of brain", "K5190: Ulcerative colitis, unspecified, without complications", "D696: Thrombocytope...
10,063,991
25,007,733
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Voice weakness, facial weakness and difficulty walking Maj...
[ "G610", "H532" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Voice weakness, facial weakness and difficulty walking Major Surgical or Invasive Procedure: None History of Present Illness: HPI: Mr. [MASKED] is a [MASKED] yo M w/no significant PMHx who presents with acute onset L> right facial weakness, nasal v...
[]
[]
[ "G610: Guillain-Barre syndrome", "H532: Diplopia" ]
10,064,049
22,000,239
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Shortness of breath, fatigue, tachycardia Major Surgic...
[ "I5031", "N179", "D89813", "T865", "D46Z", "D801", "I481", "R000", "Z7952", "Z7982", "K219", "Z87891", "Z85828", "Z8701", "G4730", "Z803", "Z801" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Shortness of breath, fatigue, tachycardia Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with hx Afib w/ RVR, MDS RAEB [MASKED] s/p RIC (Flu/Bu) MRD alloSCT D+293 on [MASKED], post transplant course no...
[]
[ "N179", "K219", "Z87891" ]
[ "I5031: Acute diastolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "D89813: Graft-versus-host disease, unspecified", "T865: Complications of stem cell transplant", "D46Z: Other myelodysplastic syndromes", "D801: Nonfamilial hypogammaglobulinemia", "I481: Persistent atrial fi...
10,064,049
22,275,203
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: weakness, lightheadedness Major Surgical or Invasive P...
[ "I480", "D61811", "N179", "D89813", "T865", "I959", "D4622", "A430", "I5032", "R197", "Y830", "I10", "Z85828", "K219", "Z87891", "T50905A", "Y929", "E876", "Z7952" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: weakness, lightheadedness Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] year old male with hx of MDS, [MASKED] allogeneic stem cell transplant in [MASKED], on IVIG, h/o Afib, CHF who presents with weakness and ligh...
[]
[ "I480", "N179", "I5032", "I10", "K219", "Z87891", "Y929" ]
[ "I480: Paroxysmal atrial fibrillation", "D61811: Other drug-induced pancytopenia", "N179: Acute kidney failure, unspecified", "D89813: Graft-versus-host disease, unspecified", "T865: Complications of stem cell transplant", "I959: Hypotension, unspecified", "D4622: Refractory anemia with excess of blasts...
10,064,049
23,906,242
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Diarrhea Major Surgical or Invasive Procedure: None ...
[ "N179", "D89813", "R197", "D4622", "I4891", "R300", "I10", "G4730", "Z85828", "K219", "Z87891", "I5032", "M109", "K649" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Mr [MASKED] is a [MASKED] yr old male wth Hx of MDS, [MASKED] allogeneic BMT [MASKED], course complicated by GI GVH on CSA and prednisone recently weaning, hx afib RVR ...
[]
[ "N179", "I4891", "I10", "K219", "Z87891", "I5032", "M109" ]
[ "N179: Acute kidney failure, unspecified", "D89813: Graft-versus-host disease, unspecified", "R197: Diarrhea, unspecified", "D4622: Refractory anemia with excess of blasts 2", "I4891: Unspecified atrial fibrillation", "R300: Dysuria", "I10: Essential (primary) hypertension", "G4730: Sleep apnea, unspe...
10,064,049
24,829,092
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: minocycline Attending: ___. Chief Complaint: Rising LFTs Major Surgical or Invasive Procedure: ___ liver biopsy PICC line placement...
[ "D709", "A4181", "N179", "D89813", "E861", "D4622", "I480", "D62", "N390", "D696", "I129", "T865", "K7290", "R5081", "N189", "R1013", "K8080", "B961", "G4730", "K219", "R600", "R197", "Z515", "Z1621", "Z85828", "Z87891", "Z66" ]
Allergies: minocycline Chief Complaint: Rising LFTs Major Surgical or Invasive Procedure: [MASKED] liver biopsy PICC line placement and removal History of Present Illness: Mr. [MASKED] is a [MASKED] year old gentleman with a history of MDS - Refractory Anemia with Excess Blasts Type [MASKED] s/p reduced intensity MRD a...
[]
[ "N179", "I480", "D62", "N390", "D696", "I129", "N189", "K219", "Z515", "Z87891", "Z66" ]
[ "D709: Neutropenia, unspecified", "A4181: Sepsis due to Enterococcus", "N179: Acute kidney failure, unspecified", "D89813: Graft-versus-host disease, unspecified", "E861: Hypovolemia", "D4622: Refractory anemia with excess of blasts 2", "I480: Paroxysmal atrial fibrillation", "D62: Acute posthemorrhag...
10,064,049
25,136,159
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Concern for pneumonia Major Surgical or Invasive Proce...
[ "J156", "I5033", "N179", "D89813", "D61811", "D4622", "D801", "T82868A", "I82612", "T865", "I482", "Z87891", "I10", "K219", "R740", "Y849", "I951", "Z803", "K598", "Z801", "I340", "Y92230", "G4733", "T367X5A", "Y830", "Y929" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Concern for pneumonia Major Surgical or Invasive Procedure: Bronchoscopy on [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] year old gentleman with a history of MDS - Refractory Anemia with Excess Blasts Type [MASKED] s/p reduced in...
[]
[ "N179", "Z87891", "I10", "K219", "Y92230", "G4733", "Y929" ]
[ "J156: Pneumonia due to other Gram-negative bacteria", "I5033: Acute on chronic diastolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "D89813: Graft-versus-host disease, unspecified", "D61811: Other drug-induced pancytopenia", "D4622: Refractory anemia with excess of blasts 2",...
10,064,049
28,193,514
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Shortness of breath, tachycardia, thrombocytopenia. Ma...
[ "A430", "D4622", "E222", "Z9484", "E8770", "I480", "G4733", "Z7901", "Z87891", "I10", "K219", "R197", "Z85828", "Z801", "Z803", "T370X5A", "M25561" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Shortness of breath, tachycardia, thrombocytopenia. Major Surgical or Invasive Procedure: [MASKED]: [MASKED] lung biopsy History of Present Illness: [MASKED] hx of MDS [MASKED] 2) presented in [MASKED] with cytopenias and pneumonia with blasts. He ...
[]
[ "I480", "G4733", "Z7901", "Z87891", "I10", "K219" ]
[ "A430: Pulmonary nocardiosis", "D4622: Refractory anemia with excess of blasts 2", "E222: Syndrome of inappropriate secretion of antidiuretic hormone", "Z9484: Stem cells transplant status", "E8770: Fluid overload, unspecified", "I480: Paroxysmal atrial fibrillation", "G4733: Obstructive sleep apnea (ad...
10,064,176
20,435,773
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: L ankle pain Major Surgical or Invasive Procedure: N...
[ "M868X7", "M00072", "B9561", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: L ankle pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] year-old who is [MASKED] presented to the emergency room at [MASKED]. He denied any fever he did report a prior questionable ankle infection ...
[]
[ "F17210" ]
[ "M868X7: Other osteomyelitis, ankle and foot", "M00072: Staphylococcal arthritis, left ankle and foot", "B9561: Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,064,176
22,232,545
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Left native ankle septic arthritis Major Surgical or...
[ "M00072", "B9561", "F17210", "M79662", "Z23" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Left native ankle septic arthritis Major Surgical or Invasive Procedure: Left ankle irrigation and debridement [MASKED] ([MASKED]) Repeat irrigation and debridement L ankle [MASKED] ([MASKED]) History of Present Illness: [MASKED] male presents to t...
[]
[ "F17210" ]
[ "M00072: Staphylococcal arthritis, left ankle and foot", "B9561: Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere", "F17210: Nicotine dependence, cigarettes, uncomplicated", "M79662: Pain in left lower leg", "Z23: Encounter for immunization" ]
10,064,312
25,372,801
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 knee pain Major Surgical or Invasive Procedure:...
[ "M170", "I959", "E119", "E7800", "F329", "M797", "R5382", "E039", "E559", "G4733", "E669", "Z6830" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: left knee pain Major Surgical or Invasive Procedure: left total knee replacement on [MASKED] History of Present Illness: [MASKED] year old female with left knee osteoarthritis which has failed conservative management and has elected to proceed with...
[]
[ "E119", "F329", "E039", "G4733", "E669" ]
[ "M170: Bilateral primary osteoarthritis of knee", "I959: Hypotension, unspecified", "E119: Type 2 diabetes mellitus without complications", "E7800: Pure hypercholesterolemia, unspecified", "F329: Major depressive disorder, single episode, unspecified", "M797: Fibromyalgia", "R5382: Chronic fatigue, unsp...
10,064,390
23,328,727
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: Iodinated Contrast Media - IV Dye Attending: ___ Chief Complaint: Mechanical fall resulting in subarachnoid hemorrhage Major Surgical...
[ "S14125A", "J690", "J9690", "M5002", "R295", "S14126A", "W000XXA", "Y92008", "R4182", "M2578", "I10", "E785", "G2581", "D649", "M069" ]
Allergies: Iodinated Contrast Media - IV Dye Chief Complaint: Mechanical fall resulting in subarachnoid hemorrhage Major Surgical or Invasive Procedure: [MASKED] ACDF of C5-C6 with Dr. [MASKED] [MASKED] of Present Illness: Mr. [MASKED] is a [MASKED] year old gentleman who sustained a fall on [MASKED] after slipping on ...
[]
[ "I10", "E785", "D649" ]
[ "S14125A: Central cord syndrome at C5 level of cervical spinal cord, initial encounter", "J690: Pneumonitis due to inhalation of food and vomit", "J9690: Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia", "M5002: Cervical disc disorder with myelopathy, mid-cervical region", ...
10,064,636
23,056,758
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Allergies/ADRs on File Attending: ___. Chief Complaint: Opioid overdose Major Surgical or Invasive Procedure: None History of Pr...
[ "T404X1A", "J9601", "N179", "J702", "Y92018", "J45909", "F1010", "Z87891", "R5081", "D72829", "F1290", "F1190", "Z23" ]
Allergies: No Allergies/ADRs on File Chief Complaint: Opioid overdose Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a history of opioid use disorder, and history of multiple overdoses who presents with non-cardiogenic pulmonary edema in the setting of opiate abuse and getting Narc...
[]
[ "J9601", "N179", "J45909", "Z87891" ]
[ "T404X1A: Poisoning by, adverse effect of and underdosing of other synthetic narcotics", "J9601: Acute respiratory failure with hypoxia", "N179: Acute kidney failure, unspecified", "J702: Acute drug-induced interstitial lung disorders", "Y92018: Other place in single-family (private) house as the place of o...
10,064,835
21,060,575
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Depression, suicidal ideation with plan Major Surgical o...
[ "F329", "R45851", "F419", "D709", "Z8709" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Depression, suicidal ideation with plan Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with a past medical history of depression who initially presented from school after calling crisis line...
[]
[ "F329", "F419" ]
[ "F329: Major depressive disorder, single episode, unspecified", "R45851: Suicidal ideations", "F419: Anxiety disorder, unspecified", "D709: Neutropenia, unspecified", "Z8709: Personal history of other diseases of the respiratory system" ]
10,064,835
28,114,476
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PSYCHIATRY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: "I'm irritated, I'm here because I did what I was suppos...
[ "F419", "R45851", "F410", "F4310", "F319", "D709" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I'm irritated, I'm here because I did what I was supposed to do." Major Surgical or Invasive Procedure: None History of Present Illness: Per Dr. [MASKED] [MASKED] ED Initial Psychiatry Consult note: " [MASKED] is a [MASKED] y/o female with a histo...
[]
[ "F419" ]
[ "F419: Anxiety disorder, unspecified", "R45851: Suicidal ideations", "F410: Panic disorder [episodic paroxysmal anxiety]", "F4310: Post-traumatic stress disorder, unspecified", "F319: Bipolar disorder, unspecified", "D709: Neutropenia, unspecified" ]
10,064,854
20,184,139
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: Intubat...
[ "A419", "G9341", "N170", "J9601", "D65", "R6521", "J690", "E43", "R1312", "G7281", "E870", "A430", "I471", "D801", "C3401", "D6959", "T368X5A", "Y92230", "T370X5A", "D638", "E861", "N400", "J479", "E8809", "E875", "E8770" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: Intubation [MASKED] Nasogastric tube placement History of Present Illness: [MASKED] male with HBV, longstanding bronchiectasis and recurrent PNA presenting with 1 week of worsening dyspnea, shortness of...
[]
[ "J9601", "Y92230", "N400" ]
[ "A419: Sepsis, unspecified organism", "G9341: Metabolic encephalopathy", "N170: Acute kidney failure with tubular necrosis", "J9601: Acute respiratory failure with hypoxia", "D65: Disseminated intravascular coagulation [defibrination syndrome]", "R6521: Severe sepsis with septic shock", "J690: Pneumonit...
10,064,854
27,887,452
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Right hip pain Major Surgical or Invasive Procedur...
[ "S72091A", "W1830XA", "J449", "E039", "N400", "Z87891", "Y92099", "R001" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right hip pain Major Surgical or Invasive Procedure: [MASKED] - Closed Reduction and Percutaneous Pinning of R Femoral Neck History of Present Illness: [MASKED] year-old [MASKED] speaking male with a PMHx significant for long-standing bronchiectasi...
[]
[ "J449", "E039", "N400", "Z87891" ]
[ "S72091A: Other fracture of head and neck of right femur, initial encounter for closed fracture", "W1830XA: Fall on same level, unspecified, initial encounter", "J449: Chronic obstructive pulmonary disease, unspecified", "E039: Hypothyroidism, unspecified", "N400: Benign prostatic hyperplasia without lower ...
10,065,024
25,406,025
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure:...
[ "I2510", "D62", "I10", "E785", "E119", "R339", "Z794" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED] - 1. Coronary artery bypass graft x 3. Total arterial revascularization. 2. Skeletonized left internal mammary artery graft to left anterior descending artery. 3. Left radial artery sequenti...
[]
[ "I2510", "D62", "I10", "E785", "E119", "Z794" ]
[ "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "D62: Acute posthemorrhagic anemia", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "E119: Type 2 diabetes mellitus without complications", "R339: Retention of urine, unspecified", "Z...
10,065,057
21,928,958
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Unwitnessed fall Major Surgical or Invasive Procedure: 1. ...
[ "S066X9A", "S2242XA", "S32592A", "S32059A", "W19XXXA", "Y92092", "K118", "Z96641", "Z45018", "Q909", "J449", "M79605", "R079" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Unwitnessed fall Major Surgical or Invasive Procedure: 1. Intubation for MRI ([MASKED]), pacemaker inactivation History of Present Illness: [MASKED] with long history of multiple falls and multiple resulting fractures, lives in group home due to co...
[]
[ "J449" ]
[ "S066X9A: Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter", "S2242XA: Multiple fractures of ribs, left side, initial encounter for closed fracture", "S32592A: Other specified fracture of left pubis, initial encounter for closed fracture", "S32059A: Unspe...
10,065,103
26,907,903
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest burning Major Surgical or Invasive Procedur...
[ "I25119", "G629", "I4891", "I10", "E785", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest burning Major Surgical or Invasive Procedure: [MASKED] - 1. Coronary artery bypass graft x 3, Total arterial revascularization. 2. Skeletonized left internal mammary artery graft to left anterior descending artery. 3. Skeletonized right inter...
[]
[ "I4891", "I10", "E785", "Z87891" ]
[ "I25119: Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris", "G629: Polyneuropathy, unspecified", "I4891: Unspecified atrial fibrillation", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "Z87891: Personal history of nicotine dependence"...
10,065,530
25,264,196
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Percocet Attending: ___. Chief Complaint: Mild DOE with Mildly diminished exercise tolerance Major Surgical or Invasive Proced...
[ "I340", "D62", "D689", "I4891", "I341", "H905", "R21", "M810" ]
Allergies: Percocet Chief Complaint: Mild DOE with Mildly diminished exercise tolerance Major Surgical or Invasive Procedure: [MASKED] Mitral valve repair with a resection of the middle scallop of the posterior leaflet P2, and a Gore- Tex neochordae to the middle scallop of the anterior leaflet A2, and a mitral valve c...
[]
[ "D62", "I4891" ]
[ "I340: Nonrheumatic mitral (valve) insufficiency", "D62: Acute posthemorrhagic anemia", "D689: Coagulation defect, unspecified", "I4891: Unspecified atrial fibrillation", "I341: Nonrheumatic mitral (valve) prolapse", "H905: Unspecified sensorineural hearing loss", "R21: Rash and other nonspecific skin e...
10,065,584
20,108,164
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Patient told to come to ED by neurologist whom found right ...
[ "I63231", "Q283", "I672", "H53462", "F17210", "Z823", "E785" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Patient told to come to ED by neurologist whom found right internal carotid occlusion and right posterior circulation infarction. Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] Is a [MASKED] man with no significant ...
[]
[ "F17210", "E785" ]
[ "I63231: Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries", "Q283: Other malformations of cerebral vessels", "I672: Cerebral atherosclerosis", "H53462: Homonymous bilateral field defects, left side", "F17210: Nicotine dependence, cigarettes, uncomplicated", "Z823: Fam...
10,065,584
29,885,402
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: transient R monocular visual obscurations Major Surgical...
[ "H3401", "I6329", "I6521", "H53462", "Z7902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: transient R monocular visual obscurations Major Surgical or Invasive Procedure: n/a History of Present Illness: transient right monocular vision loss/obscuration for the past [MASKED] months, initially diagnosed as ocular migraines but subsequent f...
[]
[ "Z7902" ]
[ "H3401: Transient retinal artery occlusion, right eye", "I6329: Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries", "I6521: Occlusion and stenosis of right carotid artery", "H53462: Homonymous bilateral field defects, left side", "Z7902: Long term (current) use of an...
10,065,615
28,895,318
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Zemplar / Ampicillin Attending: ___ Chief Complaint: right gluteal abscess Major Surgical or Invasive Procedure: Incision and drainage Hi...
[ "L0231", "L03317", "B9561", "I130", "N2581", "Z940", "N189", "I509", "I4891", "I2510", "E785", "Z7902", "Z952", "Z87891" ]
Allergies: Zemplar / Ampicillin Chief Complaint: right gluteal abscess Major Surgical or Invasive Procedure: Incision and drainage History of Present Illness: [MASKED] male, history of ESRD s/p deceased donor renal transplant ([MASKED]) on immunosuppression, atrial fibrillation on Eliquis, hypertension who presented wi...
[]
[ "I130", "N189", "I4891", "I2510", "E785", "Z7902", "Z87891" ]
[ "L0231: Cutaneous abscess of buttock", "L03317: Cellulitis of buttock", "B9561: Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or...
10,065,997
25,252,424
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PODIATRY Allergies: cephalexin / Bactrim Attending: ___. Chief Complaint: Right ___ toe infection Major Surgical or Invasive Procedure: ___: 1. Rig...
[ "M86171", "E11621", "E1142", "I110", "I509", "L97519", "I2510", "E785", "Z87891", "F329", "F419", "Z794", "E669", "Z6839" ]
Allergies: cephalexin / Bactrim Chief Complaint: Right [MASKED] toe infection Major Surgical or Invasive Procedure: [MASKED]: 1. Right Foot [MASKED] toe debridement 2. Right [MASKED] PIPJ arthroplasty History of Present Illness: Ms. [MASKED] is a [MASKED] with PMHx of DM c/b neuropathy, CHF, HTN presenting to the ED wi...
[]
[ "I110", "I2510", "E785", "Z87891", "F329", "F419", "Z794", "E669" ]
[ "M86171: Other acute osteomyelitis, right ankle and foot", "E11621: Type 2 diabetes mellitus with foot ulcer", "E1142: Type 2 diabetes mellitus with diabetic polyneuropathy", "I110: Hypertensive heart disease with heart failure", "I509: Heart failure, unspecified", "L97519: Non-pressure chronic ulcer of o...
10,066,039
24,763,357
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / morphine Attending: ___. Chief Complaint: humeral fracture, fall Major Surgical or Invasive Procedure: n/a History of P...
[ "S42121A", "G92", "N390", "S43014A", "I10", "H02402", "H5703", "Z66", "F329", "F419", "S42131A", "W19XXXA", "Y92009" ]
Allergies: Penicillins / morphine Chief Complaint: humeral fracture, fall Major Surgical or Invasive Procedure: n/a History of Present Illness: The pt is a [MASKED] year old female w/ htn, p/w trauma 1 day ago w/ resultant R humeral fracture, noted to have increased confusion and ? facial asymmetry after prolonged stay...
[]
[ "N390", "I10", "Z66", "F329", "F419" ]
[ "S42121A: Displaced fracture of acromial process, right shoulder, initial encounter for closed fracture", "G92: Toxic encephalopathy", "N390: Urinary tract infection, site not specified", "S43014A: Anterior dislocation of right humerus, initial encounter", "I10: Essential (primary) hypertension", "H02402:...
10,066,099
25,771,438
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: PSYCHIATRY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: cc:" I am glad I am alive" Major Surgical or Invasive P...
[ "F322", "F419", "Z915" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: cc:" I am glad I am alive" Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] with no past psychiatric history who was brought to the hospital by EMS on [MASKED] after disclosing to a friend that he ha...
[]
[ "F419" ]
[ "F322: Major depressive disorder, single episode, severe without psychotic features", "F419: Anxiety disorder, unspecified", "Z915: Personal history of self-harm" ]
10,066,099
28,039,632
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 Major Surgical or Invasive Procedure: None His...
[ "T391X2A", "F322", "T450X2A", "Y92039", "Z608", "Z653", "Z23" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Overdose Major Surgical or Invasive Procedure: None History of Present Illness: This is a [MASKED] male with no past medical history who presents as a transfer from [MASKED] due to a Tylenol ingestion with intent of suicide attempt at 9:00 last nig...
[]
[]
[ "T391X2A: Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter", "F322: Major depressive disorder, single episode, severe without psychotic features", "T450X2A: Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter", "Y92039: Unspecified place in ...
10,066,149
20,842,875
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: s/p motor vehicle collision Major Surgical or Invasive Proc...
[ "S0219XA", "S020XXA", "G9389", "J939", "M25562", "V475XXA", "Y929", "F10129", "R7303", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: s/p motor vehicle collision Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] who presents to [MASKED] ED on [MASKED] s/p MVC into 2 telephone poles found to have left temporal bone fracture and R pos...
[]
[ "Y929", "F17210" ]
[ "S0219XA: Other fracture of base of skull, initial encounter for closed fracture", "S020XXA: Fracture of vault of skull, initial encounter for closed fracture", "G9389: Other specified disorders of brain", "J939: Pneumothorax, unspecified", "M25562: Pain in left knee", "V475XXA: Car driver injured in coll...
10,066,209
27,826,282
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: oxycodone Attending: ___. Chief Complaint: altered mental status REASON FOR MICU ADMISSION: hypotension Major Surgical or Invasive Pro...
[ "A419", "R6521", "J9621", "I214", "G9341", "G629", "N179", "E874", "I4891", "M419", "A09", "I248", "Z66", "J449", "Z8673", "I10", "E785", "M1990", "Z86010", "Z720", "R55", "Z7982", "L89622", "F0390" ]
Allergies: oxycodone Chief Complaint: altered mental status REASON FOR MICU ADMISSION: hypotension Major Surgical or Invasive Procedure: [MASKED]: intubation [MASKED]: extubation History of Present Illness: Ms. [MASKED] is a [MASKED] with PMH significant for COPD and ischemic stroke with no residual who was transferred...
[]
[ "N179", "I4891", "Z66", "J449", "Z8673", "I10", "E785" ]
[ "A419: Sepsis, unspecified organism", "R6521: Severe sepsis with septic shock", "J9621: Acute and chronic respiratory failure with hypoxia", "I214: Non-ST elevation (NSTEMI) myocardial infarction", "G9341: Metabolic encephalopathy", "G629: Polyneuropathy, unspecified", "N179: Acute kidney failure, unspe...
10,066,415
29,335,147
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Progressive AMS Major Surgical or Invasive Procedure: lumbar p...
[ "C3432", "G9349", "C7932", "C7972", "H4921", "E1165", "D62", "E871", "I252", "Z66", "Z794", "Z8673", "Z8674", "E781", "Z951", "Z87891", "R195", "R339", "I4510", "K5520", "K219", "R51", "D509", "E785" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Progressive AMS Major Surgical or Invasive Procedure: lumbar puncture x2 History of Present Illness: [MASKED] with hx of remote MI, IDDM2, gastritis/H. pylori, colonic AVM, reported recent diagnosis of ?giant cell arteritis, presenting with AMS. Hi...
[]
[ "E1165", "D62", "E871", "I252", "Z66", "Z794", "Z8673", "Z951", "Z87891", "K219", "D509", "E785" ]
[ "C3432: Malignant neoplasm of lower lobe, left bronchus or lung", "G9349: Other encephalopathy", "C7932: Secondary malignant neoplasm of cerebral meninges", "C7972: Secondary malignant neoplasm of left adrenal gland", "H4921: Sixth [abducent] nerve palsy, right eye", "E1165: Type 2 diabetes mellitus with ...
10,067,059
25,161,101
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: right parasagittal frontal mass Major Surgical or Inv...
[ "D320", "C3492", "R918", "J449", "E039", "E669", "K219", "Z6830", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: right parasagittal frontal mass Major Surgical or Invasive Procedure: [MASKED]: Right craniotomy resection of dural lesion History of Present Illness: [MASKED] female who presents with previous small cell lung cancer and a right parasagittal fronta...
[]
[ "J449", "E039", "E669", "K219", "Z87891" ]
[ "D320: Benign neoplasm of cerebral meninges", "C3492: Malignant neoplasm of unspecified part of left bronchus or lung", "R918: Other nonspecific abnormal finding of lung field", "J449: Chronic obstructive pulmonary disease, unspecified", "E039: Hypothyroidism, unspecified", "E669: Obesity, unspecified", ...
10,067,086
28,293,892
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Headache and fever Major Surgical or Invasive Proced...
[ "B003", "D696", "D649", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Headache and fever Major Surgical or Invasive Procedure: LUMBAR PUNCTURE ([MASKED]) History of Present Illness: [MASKED] y.o. F with no significant PMH who presented with a 1-day history of HA, vomiting, and fever. The patient was in her usual stat...
[]
[ "D696", "D649", "F17210" ]
[ "B003: Herpesviral meningitis", "D696: Thrombocytopenia, unspecified", "D649: Anemia, unspecified", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,067,195
21,564,201
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: oxycodone Attending: ___. Chief Complaint: acute blood loss anemia Major Surgical or Invasive Procedure: ERCP with biliary and CBD st...
[ "K921", "I213", "K831", "C250", "C787", "C786", "D62", "D684", "K8309", "E46", "Z86711", "Z7901", "I2510", "Z955", "Z7902", "Z87891", "F419", "K449", "D72829" ]
Allergies: oxycodone Chief Complaint: acute blood loss anemia Major Surgical or Invasive Procedure: ERCP with biliary and CBD stenting ([MASKED]) EGD ([MASKED]) History of Present Illness: [MASKED] female with a history of PE, pancreatic cancer with metastases to the liver currently on chemotherapy, recent MI 2 weeks a...
[]
[ "D62", "Z7901", "I2510", "Z955", "Z7902", "Z87891", "F419" ]
[ "K921: Melena", "I213: ST elevation (STEMI) myocardial infarction of unspecified site", "K831: Obstruction of bile duct", "C250: Malignant neoplasm of head of pancreas", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "C786: Secondary malignant neoplasm of retroperitoneum and per...
10,067,195
24,960,457
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: oxycodone Attending: ___. Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: Perc chole tube placement ___ ERCP __...
[ "K810", "K831", "J9601", "C259", "C787", "C7889", "I38", "Z515", "I50811", "I513", "I2510", "K219", "D649", "Z66", "K449", "F329", "I252", "Z955", "Z87891", "Z86711", "Z7901" ]
Allergies: oxycodone Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: Perc chole tube placement [MASKED] ERCP [MASKED] History of Present Illness: [MASKED] with stage IV pancreatic adenocarcinoma, liver mets, PE in [MASKED], acalculous cholecystitis with biliary stent placed at [MASKED] last admiss...
[]
[ "J9601", "Z515", "I2510", "K219", "D649", "Z66", "F329", "I252", "Z955", "Z87891", "Z7901" ]
[ "K810: Acute cholecystitis", "K831: Obstruction of bile duct", "J9601: Acute respiratory failure with hypoxia", "C259: Malignant neoplasm of pancreas, unspecified", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "C7889: Secondary malignant neoplasm of other digestive organs", ...
10,067,306
20,866,745
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: tramadol / Augmentin Attending: ___. Chief Complaint: Stage I(T2N0M0) rectal ca Major Surgical or Invasive Procedure: Abdominoperineal re...
[ "C20", "K567", "J45909", "N183", "E669", "Z6835", "Z8589" ]
Allergies: tramadol / Augmentin Chief Complaint: Stage I(T2N0M0) rectal ca Major Surgical or Invasive Procedure: Abdominoperineal resection, peristomal mesh, posterior vaginectomy, partial, ABDOMINAL HYSTERECTOMY, BILATERAL SALPINGO-OOPHORECTOMY, placement of cyberknife feducials, Bilateral V-Y Fasciocutaneous Flap Clo...
[]
[ "J45909", "E669" ]
[ "C20: Malignant neoplasm of rectum", "K567: Ileus, unspecified", "J45909: Unspecified asthma, uncomplicated", "N183: Chronic kidney disease, stage 3 (moderate)", "E669: Obesity, unspecified", "Z6835: Body mass index [BMI] 35.0-35.9, adult", "Z8589: Personal history of malignant neoplasm of other organs ...
10,067,380
22,274,506
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: codeine / propaxyphene / prednisone / oxybutynin / nitrofurantoin / duloxetine / escitalopram / Darvon / Darvocet-N Attending: ___ ___...
[ "M1712", "I5032", "I110", "E785", "I4891", "E669", "Z6835", "Z87891", "Z7902" ]
Allergies: codeine / propaxyphene / prednisone / oxybutynin / nitrofurantoin / duloxetine / escitalopram / Darvon / Darvocet-N [MASKED] Complaint: Left knee osteoarthritis Major Surgical or Invasive Procedure: [MASKED]: Left total knee replacement History of Present Illness: Patient is a [MASKED] year old female with h...
[]
[ "I5032", "I110", "E785", "I4891", "E669", "Z87891", "Z7902" ]
[ "M1712: Unilateral primary osteoarthritis, left knee", "I5032: Chronic diastolic (congestive) heart failure", "I110: Hypertensive heart disease with heart failure", "E785: Hyperlipidemia, unspecified", "I4891: Unspecified atrial fibrillation", "E669: Obesity, unspecified", "Z6835: Body mass index [BMI] ...
10,067,389
23,577,021
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: PEA arrest Major Surgical or Invasive Procedure: endotr...
[ "J690", "L89153", "I639", "N170", "J9601", "K7201", "E872", "I130", "I5032", "G931", "I468", "Z66", "Z515", "Z45018", "R402433", "Z87891", "E875", "E8339", "R8271", "B952", "D631", "Z006", "N400", "K219", "Z794", "E785", "E1122", "N189", "I495", "R680", "R...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: PEA arrest Major Surgical or Invasive Procedure: endotracheal intubation - [MASKED] [MASKED] placement - [MASKED] LUE midline placement - [MASKED] History of Present Illness: Mr [MASKED] is a [MASKED] h/o HTN, HLD, T2DM, HFpEF, symptomatic bradycar...
[]
[ "J9601", "E872", "I130", "I5032", "Z66", "Z515", "Z87891", "N400", "K219", "Z794", "E785", "E1122", "N189" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "L89153: Pressure ulcer of sacral region, stage 3", "I639: Cerebral infarction, unspecified", "N170: Acute kidney failure with tubular necrosis", "J9601: Acute respiratory failure with hypoxia", "K7201: Acute and subacute hepatic failure with coma",...
10,067,834
25,366,430
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ ___ Complaint: Abdominal pain Major Surgical or Invasive Procedure: ___: Exp...
[ "K562", "K567" ]
Allergies: No Known Allergies / Adverse Drug Reactions [MASKED] Complaint: Abdominal pain Major Surgical or Invasive Procedure: [MASKED]: Exploratory laparotomy, right hemicolectomy History of Present Illness: [MASKED] is a [MASKED] year-old man with no prior medical history who presented to the [MASKED] ED with 1 day ...
[]
[]
[ "K562: Volvulus", "K567: Ileus, unspecified" ]
10,067,834
29,802,622
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: ___ swelling and pain Major Surgical or Invasive Procedure...
[ "T8143XA", "T8189XA", "R109" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: [MASKED] swelling and pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] year-old man who is [MASKED] s/p open right hemicolectomy for cecal volvulus who presents to with [MASKED] swelling and pain wi...
[]
[]
[ "T8143XA: Infection following a procedure, organ and space surgical site, initial encounter", "T8189XA: Other complications of procedures, not elsewhere classified, initial encounter", "R109: Unspecified abdominal pain" ]
10,067,859
23,242,113
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: mid lower back pain Major Surgical or Invasive Procedure...
[ "T82330A", "Y831", "Y929", "K4090", "Z87891", "E669", "Z6841", "K5090" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: mid lower back pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] w/ hx of Crohn's and symptomatic enlarging AAA s/p EVAR [MASKED] who is presenting w/ a ~2 day hx of aching mid lower back pain radiat...
[]
[ "Y929", "Z87891", "E669" ]
[ "T82330A: Leakage of aortic (bifurcation) graft (replacement), initial encounter", "Y831: Surgical operation with implant of artificial internal device 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 pl...
10,067,859
23,598,978
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Symptomatic enlarging Abdominal Aortic Aneurysm with dissec...
[ "I7102", "K5090", "Z87891", "E669", "Z6836" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Symptomatic enlarging Abdominal Aortic Aneurysm with dissection flap Major Surgical or Invasive Procedure: [MASKED]: Endovascular Aortic Aneurysm Repair History of Present Illness: [MASKED] is a [MASKED] w/ hx of Crohn's disease and AAA who is pres...
[]
[ "Z87891", "E669" ]
[ "I7102: Dissection of abdominal aorta", "K5090: Crohn's disease, unspecified, without complications", "Z87891: Personal history of nicotine dependence", "E669: Obesity, unspecified", "Z6836: Body mass index [BMI] 36.0-36.9, adult" ]
10,067,859
28,304,238
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Diarrhea Major Surgical or Invasive Procedure: ___ Sigmo...
[ "K50118", "E43", "A047", "Z6836", "I714", "Z87891", "Z800", "R740", "D500", "R739", "T380X5A", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Diarrhea Major Surgical or Invasive Procedure: [MASKED] Sigmoidoscopy [MASKED] Sigmoidoscopy History of Present Illness: [MASKED] M h/o Crohn's [MASKED] years, with PMH of AAA and appendectomy, admitted to [MASKED] on [MASKED] for significant abdom...
[]
[ "Z87891", "Y92230" ]
[ "K50118: Crohn's disease of large intestine with other complication", "E43: Unspecified severe protein-calorie malnutrition", "A047: Enterocolitis due to Clostridium difficile", "Z6836: Body mass index [BMI] 36.0-36.9, adult", "I714: Abdominal aortic aneurysm, without rupture", "Z87891: Personal history o...
10,067,921
27,475,639
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: Percocet / Oxycodone / Lidoderm / Ambien Attending: ___. Chief Complaint: Headache, dizziness Major Surgical or Invasive Procedure: _...
[ "R51", "R42", "I10", "K219", "H3530", "F17210", "Z8679", "Z853" ]
Allergies: Percocet / Oxycodone / Lidoderm / Ambien Chief Complaint: Headache, dizziness Major Surgical or Invasive Procedure: [MASKED] diagnostic cerebral angiogram History of Present Illness: [MASKED] year old female presented to [MASKED] with dizziness, and headache in the setting of past aneurysm s/p craniotomy for...
[]
[ "I10", "K219", "F17210" ]
[ "R51: Headache", "R42: Dizziness and giddiness", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "H3530: Unspecified macular degeneration", "F17210: Nicotine dependence, cigarettes, uncomplicated", "Z8679: Personal history of other diseases of the c...
10,068,177
20,531,889
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 ankle fracture Major Surgical or Invasive Procedu...
[ "S82852A", "W010XXA", "Y93K1", "Y929", "E039" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Left ankle fracture Major Surgical or Invasive Procedure: Open reduction and internal fixation of left ankle History of Present Illness: [MASKED] female presents with the above fracture s/p mechanical fall. Patient was walking downhill with her sis...
[]
[ "Y929", "E039" ]
[ "S82852A: Displaced trimalleolar fracture of left lower leg, initial encounter for closed fracture", "W010XXA: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter", "Y93K1: Activity, walking an animal", "Y929: Unspecified place or not applicab...
10,068,741
22,137,833
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Shortness of breath and weight gain Major Surgical or I...
[ "I5033", "I272", "I4891", "I10", "Z7901", "J449", "K761", "I77819", "R0902", "I340", "I071", "Z9111", "Z9114" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Shortness of breath and weight gain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is an [MASKED] woman with hypertension, chronic atrial fibrillation, mildly dilated ascending aorta and aortic arch, valvular he...
[]
[ "I4891", "I10", "Z7901", "J449" ]
[ "I5033: Acute on chronic diastolic (congestive) heart failure", "I272: Other secondary pulmonary hypertension", "I4891: Unspecified atrial fibrillation", "I10: Essential (primary) hypertension", "Z7901: Long term (current) use of anticoagulants", "J449: Chronic obstructive pulmonary disease, unspecified",...