Microhematuria - Consult


Achilles ruptured tendon

Achilles Ruptured Tendon


No known allergies; no procedures noted.

Total Abdominal Hysterectomy - Followup


No known allergies; no known medications; no known procedures; no positive findings (only negative); no negative findings (only positive); no known diseases; no known adverse events; no other clinical comments.

Hepatobiliary Scan


No known allergies; BMP is a panel of 8 tests, not a single test; no known acute coronary event; no positive or negative results extracted for BNP (only value); no flag for BMP (only value).

BNP v/s BMP


Joint injection

No known allergies; no known adverse reactions mentioned.

Knee Injection - 2


{"document_type": "lab_report", "patient": {"age": 15, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Tylenol", "dose": "unknown", "route": "oral", "frequency": "as needed", "status": "active"}], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive allergy reactions; no positive drug test results; no known adverse reactions; no other known drug interactions; no other known adverse effects; no other known drug contraindications; no other known drug toxicity; no other known drug hypersensitivity; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hypersensitivities; no other known drug-toxicities; no other known drug-induced conditions; no other known drug-drug interactions; no other known drug-food interactions; no other known drug-allergy interactions; no other known drug-hereditary interactions; no other known drug-disease interactions; no other known drug-laboratory interactions; no other known drug-side effects; no other known drug-interactions; no other known drug-allergies; no other known drug-hyp

Headache - Urgent Care Visit


No known allergies; no positive food reactions extracted (only positive choices noted); no laboratory results extracted; no procedures extracted; no known diagnoses; no planned follow-up (only scheduled visit).

Dietary Consult - 3


Adenotonsillectomy

No known allergies; no known medication list; no known complication; no known positive viral serology; no other laboratory tests extracted.

Adenotonsillectomy - 1


SOAP - Cholecystitis


Pyelonephritis

History of uterine cancer and ileal conduit urinary diversion

Hypertension

Renal insufficiency

Anemia

Pyelonephritis - Discharge Summary


No known drug allergies; no known adverse reactions; no positive laboratory results extracted.

Carbohydrate Counting


Removal of an ingrown part of the left big toenail with excision of the nail matrix.

No known allergies; no known adverse reactions; no laboratory results extracted; no prescribed medications; no known diagnoses; no procedural steps not related to removal (e.g. biopsy).

Ingrown Toenail Removal


Probable right upper lobe lung adenocarcinoma

Lung adenocarcinoma Path Report


No known allergies; no known medications; no procedures; no known diagnoses; no vitals extracted; no labs extracted; no extraction of subjective data (no complaint); no objective data (no finding); no assessment; no plan (no next steps).

Dietary Consult - 4


Adenocarcinoma, Gleason score 9, with tumor extension to periprostatic tissue, margin involvement, and tumor invasion to seminal vesicle, prostate.

Pathology - Prostate


, Severe low back pain.

Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate.

Anterior Lumbar Fusion


Falls

CT Brain - Stroke


{"document_type": "lab_report", "patient": {"age": 60, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive vitamin levels extracted; no negative vitamin levels extracted."}
{"subjective": {"patient_age": 60, "patient_sex": "female", "chief_complaint": "coughing during meals", "medications": [], "diagnoses": [], "allergies": [], "extraction_notes": null}, "objective": {"extraction_notes": null, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": null}, "assessment": {"oral_stage": [{"description": "Premature spillage to the level of the valleculae and pyriform sinuses with thin liquid", "finding": null, "reference_range": null, "unit": null, "flag": null}, {"description": "Decreased tongue base retraction", "finding": null, "reference_range": null, "unit": null, "flag": null}], "pharyngegalystic_stage": [{"description": "No aspiration was observed", "finding": null, "reference_range": null, "unit": null, "flag": null}, {"description": "Penetration with cup sips of thin liquid", "finding": null, "reference_range": null, "unit": null, "flag": null}, {"description": "Trace residual on the valleculae and on tongue base with nectar-thick puree and solid consistencies", "finding": null, "reference_range": null, "unit": null, "flag": null}], "cervical_esophageal_stage": [{"description": "Upper esophageal sphincter opening is well coordinated with swallow and readily accepted the bolus", "finding": null, "reference_range": null, "unit": null, "flag": null}], "extraction_notes": null}, "prognosis": {"description": "No aspiration was noted during this evaluation.  Penetration with cup sips of thin liquid.  The patient did cough during this evaluation, but that was noted related to aspiration or penetration.", "reference_range": null, "unit": null, "flag": null}, "plan": [{"description": "The patient to take small bite and small sips to help decrease the risk of aspiration and penetration", "reference_range": null, "unit": null, "flag": null}, {"description": "The patient should remain upright at a 90-degree angle for at least 45 minutes after meals to decrease the risk of aspiration and penetration as well as to reduce her globus sensation", "reference_range": null, "unit": null, "flag": null}, {"description": "The patient should be referred to a gastroenterologist for further evaluation of her esophageal function", "reference_range": null, "unit": null, "flag": null}], "extraction_notes": null}

Barium Swallow Study & Speech Evaluation - 1


Hypertensive emergency

Acute on chronic renal failure

Urine drug screen positive for cocaine

Renal Insufficiency - Consult


{"document_type": "lab_report", "patient": {"age": 52, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Adrenal mass, right sided.", "code_system": null, "code": null, "status": null}, {"description": "Umbilical hernia.", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair", "date": null, "department": null, "procedural_code_system": null, "procedural_code": null, "procedural_description": null}], "allergies": [], "extraction_notes": "No known drug allergies. No known food allergies.")

Adrenalectomy & Umbilical Hernia Repair


Right radical nephrectomy and assisted laparoscopic approach

Nephrectomy - Radical


Extraction of tooth #T and incision and drainage (I&D) of right buccal space infection.

No known allergies; no estimated blood loss value; no positive findings (e.g., allergies, medications).

Teeth Extraction & I&D - 2


Diagnostic laparoscopy and drainage of cyst

No known allergies; no known medications; no known diagnoses; no known procedures.

Laparoscopy - Drainage of Cyst


Falls

Anxiety and depression

Falls - Discharge Summary


EGD with biopsy

EGD with Biopsy - 1


discoid lupus

No known allergies; no known drug interactions.

Discoid Lupus


Ultrasound - Abdomen


Hypogastric plexus block

No known allergies; no known adverse reactions; no positive laboratory results; no abnormal vitals; no known medications.

Hypogastric Plexus Block


No known allergies other than penicillin. No positive findings (e.g. allergies, defects) extracted.

Cerebral Palsy - Letter


No known allergies; no known medications; no known procedures; no known diagnoses; no vitals; no labs extracted (no numerical values).

Single Frontal View - Chest - Pediatric


Left Chopart joint sprain

Foot pain Consultation


Very high PT/INR

No known allergies; no known drug allergies (no allergy list extracted).

High PT-INR - ER Visit


Benign cystic ovary

Pathology - Ovarian Cyst


No known allergies; no positive systemic signs or symptoms; no known medications.

Pain Management Consult - 2


Poison ivy

Poison Ivy - SOAP


Brain tumor left temporal lobe

Left temporal craniotomy

Removal of brain tumor

Craniotomy - Temporal


Patellar tendon retinaculum ruptures, right knee

Patellar tendon and medial and lateral retinaculum repair, right knee

Patellar Tendon & Retinaculum Repair


Diabetes mellitus with other specified diabetic retinopathy

No known allergies.
No known positive drug allergies.

Foot Lesions


, Extensive perianal and intra-anal condyloma.

Cauterization of peri and intra-anal condylomas.

Condyloma Cauterization


Left angle and right body mandible fractures

Closed reduction of mandible fractures with Erich arch bars and elastic fixation

Mandible Fractures Closed Reduction


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications; no known diagnoses; no known procedures; no known allergies; no known medications

CPAP Titration Study


No known drug allergies other than those explicitly listed. No known adverse reactions except for the local reaction to insect sting (no other systemic reaction).

Insect Sting


Wasp sting to the right wrist area

Wasp Sting - SOAP


New onset seizures

No known allergies.
No positive blood pressure reading.
No negative blood pressure reading.

Rim-enhancing right temporal mass

Right temporal craniotomy for biopsy and likely resection of right temporal brain tumor

SOAP - Temporal Mass


No known allergies; no known medications causing fatigue (e.g., lithium).

Psychiatric Evaluation - 1


Migraine

No known allergies; no known drug interactions; no laboratory results extracted; no procedures extracted; no known diagnoses other than migraine and vertigo (no other conditions explicitly mentioned).

AVM with Hemorrhage


Acne with folliculitis

Acne - SOAP


No known allergies; no known medications; no known procedures; no known diagnoses; no known vitals; no known labs.

Lumbar Discogram


Ongoing purulent rhinitis

Gen Med Consult - 23


Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation.

No known allergies; no known medication list; no known diagnostic procedures; no known surgical procedures except for cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation (no known pre-existing conditions).

Phacoemulsification & Cataract Extraction - 4


First-degree and second-degree burns, right arm secondary to hot oil spill

No known allergies; no known medications; chief complaint absent; no positive findings (no infections, fractures, etc.).

Burn - Consult


{"document_type": "lab_report", "patient": {"age": 42, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Fall and laceration", "code_system": null, "code": null, "status": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive drug allergies; no known adverse reactions."""}

Fall & Laceration


No known allergies; no known medications; no known diagnoses; no known procedures; no known vitals; no known labs; no known allergens.

Phenol Neurolysis & Botulinum Toxin Injection - 3


No known allergies; no known medications; no known procedures; no known diagnoses; no vitals; no labs; no extraction_notes.

de Quervain Release - Wrist


Surgical removal of completely bony impacted teeth #1, #16, #17, and #32.

Bony Impacted Teeth Removal


Normal Male Exam Template - 1


No known allergies; no laboratory results extracted; no procedures extracted

Pediatric - Letter


No known allergies; no known drug or food allergies extracted. No procedures extracted.

Diabetes Mellitus - SOAP Note - 1


, Encephalopathy related to normal-pressure hydrocephalus.

No known drug allergies; no positive drug allergy extracted.

Encephalopathy  - Rehab Consult


No known allergies; no known medications; no known procedures; no known diagnoses; no known vitals; no known labs; no known allergens.

Neuroma Excision


Plantar fascitis/heel spur syndrome, right foot

No known allergies; no known drug allergies.  No positive drug allergy reported.

Podiatry - Progress Note


No known allergies; no known medications; no known procedures; no known diagnoses; no known vitals; no known labs; no known procedures; no known allergies; no evidence of bone contusion or fracture; no evidence of joint effusion; tendinous structures surrounding the ankle joint are intact; no abnormal mass or fluid collection is seen surrounding the ankle joint; IMPAIRED MRI OF THE RIGHT ANKLE (resolved).

MRI Ankle - 2


Chronic eustachian tube dysfunction

Retained right pressure equalization tube

Retracted left tympanic membrane

Dizziness

Removal of the old right pressure equalizing tube with placement of a tube

Myringotomy with placement of a left pressure equalizing tube

No known allergies. No significant findings on preoperative and postoperative diagnoses. No laboratory results extracted. No medication list. No known allergies. No known adverse events. No specimen collected. No discharge medication list. No discharge diagnosis. No dietary restrictions. No dietary guidelines. No comorbidities extracted.

Myringotomy/Tube Insertion - 3


No known allergies. No known medications. No known procedures. No known diagnoses. No known vitals. No known labs. No known allergens.

Mammoplasty - 4


Normal ENT Exam


MRI Cervical Spine - 2


Ankle pain

No known allergies; no known medications.

Ankle pain


Probable right upper lobe lung adenocarcinoma

Lung adenocarcinoma Path Report


The patient with left completion hemithyroidectomy and reimplantation of the left parathyroid and left sternocleidomastoid region in the inferior 1/3rd region.

Post Hemithyroidectomy


Right buccal space abscess/cellulitis

Nonrestorable caries teeth #1, #29, and #32

Incision and drainage of right buccal space abscess

Extraction of teeth #1, #29, and #32

I&D - Buccal Space Abscess


No known allergies; no known medications; no procedures; no known diagnoses; no vitals; no labs extracted (no numerical values).

Ophthalmology - Letter - 2


{"document_type": "lab_report", "patient": {"age": 65, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known medications; no procedures; no known diagnoses; no vitals; no labs; no extraction_notes."""}

Care Conference With Family


Cardiology - Letter


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions to contrast; no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated); no positive findings (no positive findings explicitly stated);

Coronary CT Angiography (CCTA) - 2


No known allergies; no known medication allergies.  No known adverse reactions or drug interactions mentioned.

Perlane & Restylane Injection


No known allergies; no procedures mentioned.

Electroencephalogram - 3


No known allergies, no known medications, no known procedures or diagnoses, no known allergies, no known positive findings (no positive findings mentioned).

Psychosocial Eval - Donor - 1


No known allergies; no positive food reactions extracted (only positive choices noted); no laboratory results extracted; no procedures extracted; no known diagnoses; no planned follow-up (only scheduled visit).

Dietary Consult - 3


Subcutaneous ulnar nerve transposition

Ulnar Nerve Transposition


{"document_type": "lab_report", "patient": {"age": 4, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Insertion of transesophageal echocardiography probe", "date": null, "department": null, "status": null, "procedural_code": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive drug test results."""}

Transesophageal Echocardiography Probe


No known allergies; no known positive drug allergies; no known adverse reactions; no known food allergies.

Gagging - 3-year-old


No known allergies; no known medications; no procedures; no known diagnoses (allergy or procedure).

CT Abdomen & Pelvis - 11


Acute on chronic renal failure

Uremia

Insertion of a right internal jugular vein hemodialysis catheter

Internal Jugular Vein Catheter Insertion


{"document_type": "lab_report", "patient": {"age": 41, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Methadone", "dose": null, "route": null, "frequency": null, "status": null}], "diagnoses": [{"description": "Nonrestorable teeth.", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Full-mouth extraction of tooth #3,5,6, 7, 8, 9, 10, 11, 12, 13, 14, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 31 and alveoloplasty in all four quadrants.", "performer": null, "date": null, "status": null}], "allergies": [{"substance": "Penicillin", "reaction": null, "severity": null}], "extraction_details": [{"tooth": "3", "procedure": "Elevation and extraction", "status": null}, {"tooth": "5", "procedure": "Elevation and extraction", "status": null}, {"tooth": "6", "procedure": "Elevation and extraction", "status": null}, {"tooth": "7", "procedure": "Elevation and extraction", "status": null}, {"tooth": "8", "procedure": "Elevation and extraction", "status": null}, {"tooth": "9", "procedure": "Elevation and extraction", "status": null}, {"tooth": "10", "procedure": "Elevation and extraction", "status": null}, {"tooth": "11", "procedure": "Elevation and extraction", "status": null}, {"tooth": "12", "procedure": "Elevation and extraction", "status": null}, {"tooth": "13", "procedure": "Elevation and extraction", "status": null}, {"tooth": "14", "procedure": "Elevation and extraction", "status": null}, {"tooth": "19", "procedure": "Elevation and extraction", "status": null}, {"tooth": "20", "procedure": "Elevation and extraction", "status": null}, {"tooth": "21", "procedure": "Elevation and extraction", "status": null}, {"tooth": "22", "procedure": "Elevation and extraction", "status": null}, {"tooth": "23", "procedure": "Elevation and extraction", "status": null}, {"tooth": "24", "procedure": "Elevation and extraction", "status": null}, {"tooth": "25", "procedure": "Elevation and extraction", "status": null}, {"tooth": "26", "procedure": "Elevation and extraction", "status": null}, {"tooth": "27", "procedure": "Elevation and extraction", "status": null}, {"tooth": "28", "procedure": "Elevation and extraction", "status": null}, {"tooth": "31", "procedure": "Elevation and extraction", "status": null}, {"tooth": "28", "procedure": "Elevation and extraction", "status": null}, {"tooth": "27", "procedure": "Elevation and extraction", "status": null}, {"tooth": "26", "procedure": "Elevation and extraction", "status": null}, {"tooth": "25", "procedure": "Elevation and extraction", "status": null}, {"tooth": "24", "procedure": "Elevation and extraction", "status": null}, {"tooth": "23", "procedure": "Elevation and extraction", "status": null}, {"tooth": "22", "procedure": "Elevation and extraction", "status": null}, {"tooth": "21", "procedure": "Elevation and extraction", "status": null}, {"tooth": "20", "procedure": "Elevation and extraction", "status": null}, {"tooth": "19", "procedure": "Elevation and extraction", "status": null}], "extraction_site_status": ["closed", "closed"], "extraction_method": ["local anesthesia", "full-thickness mucoperiosteal flap"], "extraction_procedure": ["thorough irrigation", "curettage", "bony undercut removal", "bone saw"], "extraction_vitals":

Teeth (full-mouth) Extraction


Right upper lobe wedge lung biopsy:  Poorly differentiated non-small cell carcinoma

Lung Biopsy Pathology Report - 1


No known allergies; no procedures extracted; no known diagnoses; no known medications.

Gastric Bypass Discussion - 2


No known allergies; no positive drug reactions; no negative findings (e.g., fever, trauma).

Cardiac Consultation - 2


{"document_type": "lab_report", "patient": {"age": 66, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Skin biopsy, scalp mole.", "date": null, "department": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Scalp Mole Skin Biopsy


Falls

Anxiety and depression

Falls - Discharge Summary


No known allergies; no known medications; no procedures; no known diagnoses; no laboratory tests performed other than cholesterol (value and unit not provided).

Abnormal Cholesterol Result - Letter


Allergic rhinitis

No known drug allergies; no positive skin test results; no positive blood test results; no other chief complaints; no other findings noted (except for positive allergy); no other medications except Ortho Tri-Cyclen and Allegra (no other OTCs used).

Allergic Rhinitis


No known allergies; no known drug allergies (allergies field empty).

Asthma in a 5-year-old


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no procedures listed; no known drug interactions."}
{"document_type": "medication_list", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "NSAIDs", "dose": null, "route": null, "frequency": null, "status": null, "notes": null}], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no procedures listed; no known drug interactions."}
{"document_type": "discharge_summary", "patient": {"age": 48, "sex": "male"}, "encounter": {"date": "2025-07-29", "department": "Orthopedics"}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Rheumatoid arthritis, unspecified hand", "code_system": null, "code": null, "status": null, "suspected": null, "extraction_notes": null}], "procedures": [], "allergies": [], "extraction_notes": null}

Rheumatoid Arthritis


Thrombocytosis Followup


No known allergies. No known adverse reactions. No positive laboratory results. No known drug interactions.

Carious Teeth Extraction


Intervertebral disc disorder at lumbar level 5

No known allergies; no positive drug reactions; no other laboratory results extracted.

EMG/Nerve Conduction Study - 3


Dental caries

Dental restorations and extractions

No known allergies; no known existing restorations (ambiguity).

Dental Restorations & Extractions


Infraumbilical skin incision

Veress needle insertion into abdominal cavity

Placement of trocar sleeve into abdominal cavity

Laparoscopic examination

Suprapubic skin incision

Bipolar cautery

Tubal Fulguration - Laparoscopic


Suspected mastoiditis

Right acute otitis media

Severe ear pain resolving

Mastoiditis - Discharge Summary


Dietary Consult - 1


No known allergies; no known adverse reactions; no positive laboratory results extracted.

Facial Rhytids


No known allergies; no positive drug reactions noted.

Normal Male Exam Template


Stasis ulcers of the lower extremities

Split-thickness skin grafting a total area of approximately 15 x 18 cm on the right leg and 15 x 15 cm on the left leg

Skin Graft


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": "Month DD, YYYY", "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no procedures extracted; no positive laboratory results; no known diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses; no new medications; no new procedures; no new allergies; no new vitals; no new laboratory results; no new diagnoses

Urology Letter


Bilateral temporal artery biopsies.

Temporal Artery Biopsy - 1


No known allergies; no procedures extracted; no known medications.

Snoring


BLEPHAROPLASTY

Blepharoplasty


Transverse fracture of the anterior superior calcaneal process of the calcaneus, corticated

MRI Foot - 2


Severe chronic obstructive coronary disease

Respiratory failure

Right subclavian triple lumen central line placement

No known allergies; no known family member to provide consent; no informed consent form; no blood loss; no findings/remains; no complications; no estimated blood loss (null).

Central Line Placement


{"document_type": "lab_report", "patient": {"age": 51, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Colestid", "dose": "1 g", "route": "oral", "frequency": "daily", "status": null}], "diagnoses": [], "procedures": [], "allergies": [{"substance": "caffeine", "reaction": "tachycardic", "severity": null}, {"substance": "Sudafed", "reaction": null, "severity": null}, {"substance": "phenylpropanolamine", "reaction": null, "severity": null}], "extraction_notes": "No known allergies; no positive stress test, no acute distress."""}

Bariatric Consult - Surgical Weight Loss - 2


No known allergies; no known adverse reactions; no positive drug screenings.

Psychosocial Eval for Kidney Transplant


{"document_type": "lab_report", "patient": {"age": 14, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": ", Renal failure.", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Insertion of peritoneal dialysis catheter", "date": null, "department": null, "procedureresults": null}], "allergies": [], "extraction_notes": "No known allergies; no known positive drug allergies; no known adverse medication reactions."""}

Peritoneal Dialysis Catheter Insertion


Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy

Moderate stenosis C5-6

Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray

Neck pain with left radiculopathy and 'tension headaches'

Moderate stenosis C5-6

Patient was diagnosed with herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6. He underwent anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. The patient had difficulty and tingling and numbness into the fingers of the left hand greater than right. He had neck pain and was helped by an epidural steroid injection. He was referred for physical therapy, but it did not provide much relief. A cervical MRI scan revealed a large right-sided disc herniation at C4-5 with significant midline herniations at C5-6 and a large left HNP at C6-7. He was advised to have the procedure and its risks discussed, and he agreed to proceed. The procedure was successful, and he was able to slowly increase his activity level with physical therapy. He had muscle spasm and soreness between the shoulder blades and into the back part of his neck. He also had nausea with the PCA. His fever resolved, and he was able to get up and around much more easily. He was discharged on 06/27/07 and will be seen in two weeks for wound check and for a followup evaluation/x-rays in about six weeks. He has prescriptions for Lortab 7.5 mg and Robaxin 750 mg. He is to call if there are any problems.

Anterior Cervical Discectomy & Fusion - Discharge


History of esophageal cancer

History of colonic polyps

Esophagogastroduodenoscopy

Colonoscopy with polypectomy

EGD - Colonoscopy - Polypectomy


No known allergies; no known past medical history; no known legal history; no known family psychiatric history; no laboratory results; no prescribed medications; no procedures; no cognitive assessment; no initial impression (no diagnostic categories extracted); no planned interventions (no known plan extracted).

Psych Consult - Bipolar Affective Disorder


No known allergies; no laboratory results extracted; no procedures extracted.

Oligoarticular Arthritis - 1


Psychosocial Eval for Kidney Transplant


Chronic Kidney Disease Followup


Changes in the superior labrum compatible with degeneration without a discrete surfacing tear

MRI Shoulder - 3


No known allergies; no procedures noted.

CT Head - 3


Blepharochalasia

Lower lid large primary and secondary bagging

Quad blepharoplasty

Blepharoplasty - Quad


Meatoplasty Template


{"document_type": "lab_report", "patient": {"age": 52, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Invasive carcinoma of left breast", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Left modified radical mastectomy", "date": null, "department": null, "procedureresults": null}], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive drug test."]

Radical Mastectomy


Bronchoscopy

No known allergies; no known medications (only current list provided); no known procedures (only new one described); no known diagnoses (no new ones extracted).

Bronchoscopy


No known allergies; no procedures mentioned.

Dietary Consult - Hyperlipidemia


Reflex Sympathetic Dystrophy - Letter


{"document_type": "lab_report", "patient": {"age": 53, "sex": "male"}, "encounter": {"date": "2004-12-01", "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Other fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing", "code_system": null, "code": null, "status": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive drug allergies. No laboratory results extracted.")

Chiropractic Initial Evaluation - 1


Possible insect bite with lymphangitis

No known drug allergies; no positive findings (e.g. trauma, infection) noted; no other diagnoses except for the suspected contact dermatitis (no positive findings for this).

Possible Spider Bite


No known allergies; no procedures extracted; no known diagnoses.

Speech Therapy - Discharge Summary - 2


Left Chopart joint sprain

Foot pain Consultation


No known allergies, no positive findings (all negative).

Normal ROS Template - 2


Meckel's diverticulum

Polyp

Infection

Vascular malformation

Rectal Bleeding - 1-year-old


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Placement of left ventriculostomy via twist drill.", "date": null, "department": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Ventriculostomy Placement


Bilateral scrotal hydrocelectomies, large for both, and 0.5% Marcaine wound instillation, 30 mL

Bilateral hydroceles

Hydrocelectomy


EMG/Nerve Conduction Study - 4


Posttraumatic AV in right femoral head

Right total hip arthroplasty and removal of hardware

Discharge Summary - Hip Surgery


Premature labor and birth

Appropriate for gestational age

Maternal group B streptococcus positive culture

Prematurity - Discharge Summary


CVA with right hemiparesis

No known allergies; no known drug allergies extracted.

Therapeutic Recreation Initial Evaluation


Single Frontal View of Chest


Bilateral lower extremity cellulitis secondary to bilateral tinea pedis

Prostatic hypertrophy with bladder outlet obstruction

Cerebral palsy

Discharge Summary - Cerebral Palsy


No known allergies; no positive RAST test results extracted (only negative or unresolved tests). No known medications changed; no new prescriptions extracted (only existing ones).

Evaluation of Allergies


, Bilateral l5 spondylolysis with pars defects and spinal instability with radiculopathy.

Chronic pain syndrome.

L5 Gill procedure with interbody and posterolateral (360 degrees circumferential) arthrodesis using cages, bone graft, recombinant bone morphogenic protein, and pedicle fixation.

Back & Leg Pain - Discharge Summary


Right carpal tunnel release

Carpal Tunnel Release - 7


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Ancef", "dose": "1 g", "route": null, "frequency": null, "status": null}, {"name": "Versed", "dose": "2 mg", "route": null, "frequency": null, "status": null}, {"name": "Fentanyl", "dose": "50 mcg", "route": null, "frequency": null, "status": null}], "diagnoses": [], "procedures": [{"description": "Dual chamber generator replacement", "date": null, "department": null}], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive drug test results."""}

Dual Chamber Generator Replacement


No known allergies; no known medications; no procedures; no known diagnoses (allergy not specified).

Slipped Capital Femoral Epiphysis (SCFE)


Left breast adenocarcinoma stage T3 N1b M0, stage IIIA

Metastatic deposits and recurrence involving the chest wall and lower left neck lymph nodes

Breast Radiation Therapy Followup


Bilateral myringotomy tubes and adenoidectomy

No known allergies; no known medications.

BMT & Adenoidectomy


Video EEG


No known allergies; no known medications; no known procedures; no known diagnoses; no positive vitals; no positive labs; no positive procedures; no positive allergies.

CT Abdomen & Pelvis - 1


Retrobulbar block consisting of 2% Xylocaine with 0.75% Marcaine and Wydase, right eye

No known allergies; no known adverse reactions; no laboratory results extracted; no prescribed medications; no known diagnoses; no known procedures except for the described block, which is not a procedure but a treatment step in a procedure.

Vitrectomy - Local Anesthesia


No known allergies; no laboratory results extracted; no procedures extracted (only planned); no known diagnoses; no patient identifier; subjective section lacks chief complaint; objective section lacks findings; no extraction of prescribed medications or planned procedures; no extraction of patient's denial of fever or joint swelling; no extraction of hair loss status; no extraction of patient's occupation or allergies.

Rheumatology Progress Note


A short-segment Barrett esophagus

Hiatal hernia

Incidental fundic gland polyps in the gastric body

Otherwise, normal upper endoscopy to the transverse duodenum

Gastroscopy

Gastroscopy - 3


Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies.

Lipectomy - Breast


Caudal epidural steroid injection with contrast

No known allergies; no known adverse reactions; no laboratory results extracted.

Caudal Epidural Steroid Injection


Cervical lymphadenopathy

Excisional biopsy of right cervical lymph node

Enlarged level 2 lymph node

No known allergies; no laboratory results extracted; no prescribed medications; no known adverse reactions or interactions; no known family history; no other procedures or allergies extracted; no other diagnoses extracted except for the preoperative and postoperative diagnosis (both 'Cervical lymphadenopathy').

Biopsy - Cervical Lymph Node


Newborn circumcision

Circumcision - Newborn


Knee osteoarthrosis

Total knee arthroplasty

Knee Osteoarthrosis - Discharge Summary


Lateral clear corneal approach

Stab incision with diamond blade, right of lateral limbus

3-mm single pass clear corneal incision, anterior to the vascular arcade of the temporal limbus

5- to 5.5-mm anterior capsulorrhexis

Nucleus hydrodissection and hydrodelineation

Hydrodissection and hydrodelineation of nucleus

Bimanual removal of peripheral cortex

Phacoemulsification using quadrantic divide-and-conquer technique

Splitting of lens by bimanual technique

Removal of lens nucleus and cataractous lens material

Implant inspection under Zeiss operating microscope

Insertion of implant into cartridge system

Placement of implant in capsular bag

Inspection of implant under microscope

Wound hydration with balanced salt solution

Reformation of anterior chamber

Wound inspection for watertightness

Adjustment of intraocular pressure

Topical application of Timoptic drops

Topical application of Eserine

Topical application of Dexacidin ointment

Shielding of eye

Cataract Surgery


Normal Female ROS Template


No known allergies; no other associated symptoms or modifying factors extracted (ambigous).

Elevated PSA - Chart Note


{"document_type": "lab_report", "patient": {"age": 26, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Psychosis, NOS", "code_system": "ICD-10", "code": null, "status": "active"}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment; no known employment;

Psych Consult - Psychosis - 1


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Dobutamine Myoview stress test", "date": null, "department": null}], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Stress Test Dobutamine Myoview


No known allergies; no laboratory results extracted.

Gastric Bypass - Preop Eval


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no procedures listed; no known diagnoses."}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Nerve conduction testing and electromyography (EMG) evaluation", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Needle EMG testing", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}
{"code_system": "ICD-10", "code": null, "description": "Needle EMG testing", "status": null, "reference_range": null, "unit": null, "flag": null, "flag_note": null}

EMG/Nerve Conduction Study - 9


Cholecystitis, choledocholithiasis

Laparoscopic cholecystectomy with laparoscopy converted to open common bile duct exploration and stone extraction

Cholecystitis - Discharge Summary


Weight Gain and Edema


No known allergies; no known personal history of breast cancer; no positive findings (no masses, calcifications, etc.).

Full-Field Digital Mammogram (FFDM) - 1


Complex open wound right lower extremity complicated by a methicillin-resistant staphylococcus aureus cellulitis

Chronic pain

Tobacco use

History of hepatitis C

Cellulitis - Discharge Summary


Deviated Septum Repair - Followup


The patient was brought into the operating room and prepped and draped in usual fashion.  Xylocaine 2% with epinephrine was injected beneath the conjunctiva and skin of the lower lid and also beneath the conjunctiva and skin of the upper lid.  A frontal nerve block was also given on the right upper lid.  The anesthetic agent was also injected in the right preauricular region which would provide a donor graft for the right lower lid defect.  The area was marked with a marking pen with margins of 3 to 4 mm, and a #15 Bard-Parker blade was used to make an incision at the nasal and temporal margins of the lesion.

Extremely large basal cell carcinoma, right lower lid.

BCCa Excision - Lower Lid


No known allergies; no known previous history of similar problems (no positive allergy).

Records Review - Orthopedic


{"document_type": "lab_report", "patient": {"age": 16, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Accutane", "dose": "60 mg", "route": "IV", "frequency": "TID", "status": "active"}, {"name": "Ovcon", "dose": "unknown", "route": null, "frequency": null, "status": null}], "diagnoses": [{"description": "Muscle tension cephalgia", "code_system": null, "code": null, "status": null}, {"description": "Right trapezius and rhomboid muscle spasm", "code_system": null, "code": null, "status": null}], "procedures": [], "allergies": [], "extraction_notes": "No known drug allergies; no known food allergies.  No known adverse reactions or interactions.")

Headache - Emergency Visit


No known allergies; no known adverse reactions; no positive family history; no positive patient identifiers; no laboratory values extracted; no procedures extracted; no prescribed medications; no past medical history extracted; no surgical history extracted; no medication side effects or interactions noted; no diagnostic studies extracted; no discrepant lab results; no discrepant vitals; no procedural notes; no discharge medication; no allergies; no extraction_notes;

Normal Newborn H&P Template


No known allergies; no procedures mentioned; no known diagnoses.

Speech Therapy - Discharge Summary


, Left cervical radiculopathy.

C5-C6 anterior cervical discectomy.

Bone bank allograft.

Anterior cervical plate.

Anterior Cervical Discectomy - 4


No known allergies; no known drug allergies (allergies field empty).

Asthma in a 5-year-old


Chronic laryngitis, hoarseness

Laryngitis - Discharge


No known allergies; no known adverse reactions; no positive drug screenings.

Mental Status Changes - Consult


No known allergies; no procedures; no known diagnoses; sleep architecture not observed; no known medications.

Electroencephalography


{"document_type": "lab_report", "patient": {"age": 21, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": ["Depakene"], "diagnoses": [], "procedures": [{"description": "21-channel digital electroencephalogram", "date": null, "department": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Electroencephalogram - 4


No known allergies; no positive drug reactions noted.

Normal Male Exam Template


{"document_type": "report", "patient": {"age": 51, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known medications; no known procedures; no known diagnoses; EKG was monitored but value is absent; hyperventilation and photic stimulation are absent (no value extracted); no known adverse reactions (no value extracted); no known family history (no value extracted); no known allergies (no value extracted); no known medication side effects (no value extracted); no known procedural complications (no value extracted); no known dietary restrictions (no value extracted); no known occupational hazards (no value extracted); no known legal issues (no value extracted); no known social determinants (no value extracted); no known laboratory values (no value extracted); no known radiation exposure (no value extracted); no known radiation protection measures (no value extracted); no known radiation safety protocols (no value extracted); no known radiation exposure (no value extracted); no known radiation safety precautions (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no known radiation safety procedures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety measures (no value extracted); no known radiation exposure (no value extracted); no known radiation safety guidelines (no value extracted); no known radiation exposure (no value extracted); no

Electroencephalogram - 2


No known allergies; no known medications; no known procedures; no known diagnoses; no overlying chondromalacia (ambiguous); no positive findings (no tears; no positive bone marrow signal).

MRI Knee - 1


Intramuscular lipoma, right arm, approximately 4 cm

Surgical removal of intramuscular lipoma

Lipoma Excision


Laparoscopic resection of cecal polyp.

Cecal Polyp Resection


{"document_type": "lab_report", "patient": {"age": 20, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Ruptured globe OX.", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Repair of ruptured globe OX.", "date": null, "department": null, "procedural_report": null}], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive drug test."]

Ruptured Globe Repair - Posterior Sclera


Choledocholithiasis, ? cholecystitis

Admission History & Physical - Nausea


Laparoscopic tubal ligation, Falope ring method

Tubal Ligation - Laparoscopic


No known allergies; no positive drug reactions (e.g., rash) reported; no other significant findings except overactive bladder and microscopic hematuria (resolved).

Overactive Bladder


{"document_type": "lab_report", "patient": {"age": 78, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive HIV/STD tests."""}

EMG/Nerve Conduction Study - 2


299.8 Asperger disorder

300.03 obsessive compulsive disorder

Asperger Disorder


Severe menometrorrhagia unresponsive to medical therapy

Severe anemia

Fibroid uterus

Hysteroscopy

Dilatation and curettage (D&C)

Myomectomy

D&C - Discharge Summary


Acute respiratory failure, resolved

Severe bronchitis leading to acute respiratory failure, improving

Acute on chronic renal failure, improved

Severe hypertension, improved

Diastolic dysfunction

Discharge Summary


{"document_type": "lab_report", "patient": {"age": 22, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Tapazole", "dose": "10 mg", "route": "oral", "frequency": "BD"}, {"name": "atenolol/chlorthalidone", "dose": "50/25 mg", "route": "oral", "frequency": "TID"}], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no positive drug screenings."]

PAF - 6-Month Followup


Normal Physical Exam Template - 3


{"document_type": "lab_report", "patient": {"age": 37, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Right axillary adenopathy", "code_system": null, "code": null, "status": null}, {"description": "Thrombocytopenia", "code_system": null, "code": null, "status": null}, {"description": "Hepatosplenomegaly", "code_system": null, "code": null, "status": null}], "procedures": [{"description": "Right axillary lymph node biopsy", "date": null, "department": null}], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions; no other laboratory results extracted; no other medications extracted; no other diagnoses extracted except those explicitly stated; no other procedural steps or medications extracted; no other vitals or encounter details extracted; extraction limited to explicitly stated information only;")}

Biopsy - Axillary Lymph Node


No known allergies; no known medications; no procedures; no known diagnoses; no abnormal vitals; no positive labs; no abnormal chest pain; no abnormal heart sound; no abnormal lung sign; no abnormal abdominal sign; no abnormal extremity; no abnormal neurologic sign; no abnormal skin.

Normal Newborn Infant Physical Exam


Induction of general anesthesia via endotracheal intubation

No known allergies; no known adverse reactions; no laboratory results extracted; no prescribed medications; no known diagnoses; no known procedures except for the described one (no other procedures extracted).

Vitrectomy - General Anesthesia


Total colonoscopy with photos

No known allergies; no known medications; no known diagnoses; no known procedures.

Colonoscopy - 17


Newborn circumcision

Circumcision - Newborn


No known allergies; no known drug interactions; no positive family history; no negative findings (no photosensitivity, oral or nasal ulcer, seizure, psychosis, or skin rash); no other past medical history (no hypertension, peripheral vascular disease, or left BKA).

Rheumatoid Arthritis - Consult


No known allergies; no known medications; no procedures; no known diagnoses (no IMR); no vitals; no labs.

CT of Lumbar Spine w/o Contrast


Bilateral vasectomy.

No known allergies; no known medications; no known diagnoses; no known procedures (all expected based on report).

Vasectomy


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Repair of left ear laceration deformity Y-V plasty", "date": null, "department": null}, {"description": "Repair of right ear laceration deformity, complex repair", "date": null, "department": null}], "discharge_summary": {"description": "The patient was brought to the operating room today for the above procedure.", "medications": [], "diagnoses": ["Bilateral ear laceration deformities"], "procedures": [{"description": "1.  Repair of left ear laceration deformity Y-V plasty", "date": null, "department": null}, {"description": "2.  Repair of right ear laceration deformity, complex repair", "date": null, "department": null}], "allergies": [], "extraction_notes": null}

Ear Laceration Repair


EMG/Nerve Conduction Study - 5


Lipectomy - Abdomen/Thighs


No known allergies; no known adverse reactions; no positive vitamin levels; no negative vitamin levels; no known drug interactions.

Suspected Seizure Activity


No known allergies; no significant leg jerk movement (no positive findings extracted).

Polysomnography


{"document_type": "lab_report", "patient": {"age": 37, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Colectomy for adenoma", "code_system": null, "code": null, "status": null, "code_system_version": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive drug tests; no known adverse reactions."""}

Immunohistochemical Study


Delivery Note - 7


No known allergies; no known medical history; no positive findings (no positive allergy, medication, or laboratory result); no positive procedures or diagnoses; no positive vitals (no blood pressure, heart rate, etc.).

Onychomycosis - 1


HDR BRACHYTHERAPY

HDR Brachytherapy


No known allergies; no known medications; no known procedures; no known diagnoses; no vitals; no labs extracted; no extraction_notes.

Craniotomy - Burr Hole


Right sacral alar notch and sacroiliac joint/posterior rami injections with fluoroscopy

No known allergies; no known medications.

Sacral Alar Notch Injection


No known allergies; no known adverse reactions; no positive family history extracted (no allergy or history).

Well-Child Check - 2


No known allergies; no procedures mentioned; no diagnostic tests mentioned.

Hyperfractionation


No known allergies; no known adverse reactions; no positive drug test results

Laparoscopic Gastric Banding - Preop Visit


Marlex repair of right inguinal hernia.

Inguinal Hernia Repair - 5


{"document_type": "discharge_summary", "patient": {"age": 0, "sex": null}, "encounter": {"date": "2006-12-11", "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Traumatic brain injury, cervical musculoskeletal strain", "code_system": null, "code": null, "status": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known medications; no known procedures."""}

Occupational Therapy Discharge Summary


No known allergies; no procedures noted.

Ophthalmology - Letter - 4


No known allergies; negative intravenous urogram impression extracted.

Excretory Urogram - IVP


, Bilateral chronic serous otitis media.

Bilateral myringotomies

Insertion of Shepard grommet draining tubes

Myringotomy/Tube Insertion - 1


Poison ivy

Poison Ivy - SOAP


No known allergies; no procedures mentioned.

Diabetes Mellitus - SOAP Note - 2


Morbid obesity, status post laparoscopic Roux-en-Y gastric bypass

Hypertension

Obstructive sleep apnea, on CPAP

Gastric Bypass Summary


Sepsis

No known allergies; no positive findings on physical examination (no abnormal findings except positive normoactive bowel sounds).

Sepsis - Consult


Syncopal spells, initial encounter

Chest pains, atypical for cardiac etiology, musculoskeletal factors

No known allergies. No known adverse reactions. No positive drug test. No other known drug interactions.

Chest Pain - Cardiac Consult


Symptomatic disk herniation, C7-T1.

Anterior cervical discectomy with decompression of spinal cord C7-T1.

Anterior cervical fusion, C7-T1.

Anterior cervical instrumentation, anterior C7-T1.

Insertion of intervertebral device, C7-T1.

Use of operating microscope.

Anterior Cervical Discectomy & Fusion - 6


No known allergies; no known medications; no known procedures; no known diagnoses; no known vitals; no known labs; no known encounter details; no known extraction_notes.

Neuroplasty


Accessed patient's port

No known allergies; no known drug allergies; no known adverse reactions or interactions.

Lap Band Adjustment


No known allergies; no known adverse reactions; no positive drug screenings.

Oligoarticular Arthritis - 2


No known allergies; no positive food reactions noted (only sugar-free products). No negative findings extracted.

Dietary Consult - 2


{"document_type": "lab_report", "patient": {"age": 50, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy", "date": null, "department": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Laparoscopic Gastric Bypass - 1


Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.

Cataract Extraction & Vitrectomy


Change in bowel function

Colonoscopy with biopsy

No known allergies; no known adverse reactions; no positive laboratory results extracted.

Colonoscopy with Biopsy - 1


No known allergies; no known medical conditions (e.g., heart attack, arrhythmias, hypertension).

Normal ROS Template - 5


No known allergies; no procedures mentioned; no known diagnoses.

Concomitant Chemoradiotherapy


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no known medications; no known procedures; no known diagnoses (allergy not specified); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known procedures; no known diagnoses (no allergy detail); no known allergies; no known medications; no known

CT Abdomen & Pelvis - 9


{"document_type": "lab_report", "patient": {"age": 23, "sex": "female"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": ["Augmentin"], "diagnoses": [{"description": "Recurrent abscesses in the thigh, as well as the pubic area for at least about 2 years", "code_system": null, "code": null, "status": null, "suspected": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive drug allergy.  Diagnoses and procedures not explicitly mentioned are not extracted.")

Recurrent Abscesses - Consult


No known allergies; no positive drug reactions; no other laboratory results extracted; no other diagnoses extracted; no other procedures extracted; no other information extracted (only explicitly stated findings).

Premature retina and vitreous


{"document_type": "lab_report", "patient": {"age": null, "sex": null}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [], "procedures": [{"description": "Intercostal block, left.", "date": null, "department": null}], "discharge_summary": null, "medication_list": [], "allergies": [], "extraction_notes": "No known allergies; no known adverse reactions."""}

Intercostal Block


Extraction of teeth #2 and #19 and incision and drainage of intraoral and extraoral of left mandibular dental abscess.

Teeth Extraction & I&D - 1


Acute osteomyelitis, with foci of marrow fibrosis

Pathology - Sesamoid Bone


Ultrasound-guided paracentesis

Paracentesis - Ultrasound-Guided


Well-Child Check - 2


No known drug allergies; no positive findings (e.g. allergies, acute disorders) extracted; no laboratory results extracted (no labs list); no prescribed antibiotics extracted (no infection/disease state).

Bariatric Consult - Surgical Weight Loss - 3


Vitrectomy, right eye.

Vitrectomy


Clostridium Difficile Colitis Followup


Multifocal thyroid carcinoma and previous left thyroid lobectomy resection specimen

Completion thyroidectomy with limited right paratracheal node dissection

Completion Thyroidectomy


No known allergies; no known medications; no known procedures; no known diagnoses; no known vitals; no known labs; no known extraction_notes.

Capsulotomy & Flat Advancement, Left Breast


Dietary Consult - Diabetes - 2


, Cognitive linguistic impairment secondary to stroke.

Cognitive Linguistic Impairment - Discharge


No known allergies; no positive drug allergy. No positive food or other allergy reported.

Onychomycosis - 2


{"document_type": "lab_report", "patient": {"age": 61, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [{"name": "Hytrin", "dose": null, "route": null, "frequency": null, "status": null}], "diagnoses": [{"description": "Obstructive sleep apnea syndrome", "code_system": null, "code": null, "status": "suspected"}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies; no positive drug reactions; no negative drug reactions; no known adverse reactions; no known drug interactions; no known food allergies; no known latex allergies; no known iodine allergies; no known bee venom allergies; no known other known drug allergies; no known medication-induced allergies; no known adverse drug reactions; no known adverse drug effects; no known adverse drug reactions or effects; no known adverse drug reactions or effects (resolved); no known adverse drug reactions or effects (suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and suspected); no known adverse drug reactions or effects (resolved and

Pulmonary Consultation - 1


Lumbar epidural steroid injection without fluoroscopy

No known allergies; no known medications; no known diagnoses; no known complications; no known vitals; no known procedures outside the document (e.g. surgeries).

Lumbar Epidural Steroid Injection


Wedge biopsy of right lower lobe showing:  Adenocarcinoma, Grade 2, Measuring 1 cm in diameter with invasion of the overlying pleura and with free resection margin.

Lung Biopsy Pathology Report


{"document_type": "lab_report", "patient": {"age": 19, "sex": "male"}, "encounter": {"date": null, "department": null}, "vitals": [], "labs": [], "medications": [], "diagnoses": [{"description": "Laceration of muscle(s) and tendon(s) of extensor muscle(s) of thumb, unspecified hand, sequela", "code_system": null, "code": null, "status": null}], "procedures": [], "allergies": [], "extraction_notes": "No known allergies. No positive drug allergies. No negative drug allergies. No known adverse medication reactions.")

Right Hand Laceration


Celiac plexus block.

Celiac Plexus Block


No known allergies; no procedures extracted; no known diagnoses; no medication list.

Intensity-Modulated Radiation Therapy Simulation