Add: Upload patient data files and update .gitignore

- Remove data directories from .gitignore (needed for HF Space)
- Add per_admission_results_30patient_2ad/ (patient data)
- Add summaries/ (summary files)
- Add per_admission_summaries/ (admission summaries)

.gitignore

@@ -75,10 +75,10 @@ Thumbs.db
 
 # patient files
 /trace_back_results_30patient_2ad/*
-/per_admission_results_30patient_2ad/*
-/per_admission_summaries/*
+# /per_admission_results_30patient_2ad/*  # Removed: needed for HF Space
+# /per_admission_summaries/*  # Removed: needed for HF Space
 /patient_evaluations/*
-/summaries/*
+# /summaries/*  # Removed: needed for HF Space
 /assets/*
 trace_back_results_30patient_2ad/
 

per_admission_results_30patient_2ad/patient_10000635.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10000635",
+  "demographics": {
+    "subject_id": 10000635,
+    "age": 74,
+    "gender": "F",
+    "anchor_year": 2136,
+    "anchor_age": 74
+  },
+  "admissions": [
+    {
+      "hadm_id": 26134563,
+      "admittime": "2136-06-19 14:24:00",
+      "dischtime": "2136-06-20 11:30:00",
+      "admission_type": "AMBULATORY OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 74\n- Gender: F\n\nADMISSION:\n- Admission ID: 26134563\n- Admission Time: 2136-06-19 14:24:00\n- Discharge Time: 2136-06-20 11:30:00\n- Admission Type: AMBULATORY OBSERVATION\n- Admission Location: PROCEDURE SITE\n- Discharge Location: nan\n- Insurance: Other\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: WIDOWED\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-9: 3734\n  2. ICD-9: 3728\n  3. ICD-9: 3727\n\nDIAGNOSES (3 total):\n  1. ICD-9: 42789\n  2. ICD-9: 25000\n  3. ICD-9: 4019\n\nLABORATORY RESULTS:\nTotal laboratory events: 0\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics:**\n\n* Age: 74 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Widowed\n* Language: English\n\n**Comorbidities:**\n\n* None explicitly listed, but the presence of multiple diagnoses (ICD-9 codes 42789, 25000, and 4019) may indicate underlying conditions such as hypertension, diabetes, and coronary artery disease.\n\n**Medications:**\n\n* None explicitly listed, but the presence of multiple diagnoses may indicate the use of various medications, including antihypertensives, antidiabetics, and antiplatelets.\n\n**Allergies:**\n\n* None explicitly listed.\n\n**Key Abnormal Labs or Imaging:**\n\n* None explicitly listed.\n\n**ASA Class:**\n\n* Not available.\n\n**Main Risk Factors for Postoperative Complications:**\n\n1. **Age:** The patient is 74 years old, which increases the risk of postoperative complications, particularly in the context of multiple procedures and comorbidities.\n2. **Multiple Procedures:** The patient is undergoing three procedures, which increases the risk of postoperative complications, including anesthesia-related risks, surgical site infections, and prolonged recovery times.\n3. **Comorbidities:** The presence of multiple diagnoses, including hypertension, diabetes, and coronary artery disease, increases the risk of postoperative complications, such as cardiovascular events, respiratory complications, and infections.\n4. **Multiple Diagnoses:** The presence of multiple diagnoses (ICD-9 codes 42789, 25000, and 4019) may indicate underlying conditions that could increase the risk of postoperative complications.\n\n**Modifiable Risks:**\n\n1. **Smoking Status:** The patient's smoking status is not explicitly listed, but it is a modifiable risk factor for postoperative complications, particularly in the context of cardiovascular and respiratory diseases.\n2. **Physical Activity Level:** The patient's physical activity level is not explicitly listed, but it is a modifiable risk factor for postoperative complications, particularly in the context of cardiovascular and musculoskeletal diseases.\n3. **Nutritional Status:** The patient's nutritional status is not explicitly listed, but it is a modifiable risk factor for postoperative complications, particularly in the context of diabetes and other metabolic disorders.\n4. **Medication Management:** The patient's medication management is not explicitly listed, but it is a modifiable risk factor for postoperative complications, particularly in the context of anticoagulation therapy and other medications that may interact with anesthesia and surgery.\n\n**Recommendations:**\n\n1. **Preoperative Optimization:** Optimize the patient's preoperative status by addressing modifiable risks, such as smoking cessation, increased physical activity, improved nutritional status, and optimized medication management.\n2. **Multidisciplinary Care:** Ensure that the patient receives multidisciplinary care, including preoperative education, anesthesia consultation, and postoperative care, to minimize the risk of postoperative complications.\n3. **Close Monitoring:** Monitor the patient closely during the perioperative period to identify and address any potential complications early.",
+      "raw_admission_data": {
+        "hadm_id": 26134563,
+        "admittime": "2136-06-19 14:24:00",
+        "dischtime": "2136-06-20 11:30:00",
+        "deathtime": NaN,
+        "admission_type": "AMBULATORY OBSERVATION",
+        "admission_location": "PROCEDURE SITE",
+        "discharge_location": NaN,
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "WIDOWED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10000980.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10000980",
+  "demographics": {
+    "subject_id": 10000980,
+    "age": 73,
+    "gender": "F",
+    "anchor_year": 2186,
+    "anchor_age": 73
+  },
+  "admissions": [
+    {
+      "hadm_id": 20897796,
+      "admittime": "2193-08-15 01:01:00",
+      "dischtime": "2193-08-17 15:07:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 73\n- Gender: F\n\nADMISSION:\n- Admission ID: 20897796\n- Admission Time: 2193-08-15 01:01:00\n- Discharge Time: 2193-08-17 15:07:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: WALK-IN/SELF REFERRAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Other\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (21 total):\n  1. ICD-10: I130\n  2. ICD-10: I5033\n  3. ICD-10: E872\n  4. ICD-10: N184\n  5. ICD-10: E1122\n  6. ICD-10: N2581\n  7. ICD-10: I2510\n  8. ICD-10: E11319\n  9. ICD-10: D6489\n  10. ICD-10: E785\n  11. ICD-10: Z955\n  12. ICD-10: Z86718\n  13. ICD-10: I252\n  14. ICD-10: Z2239\n  15. ICD-10: G4700\n  16. ICD-10: M1A9XX0\n  17. ICD-10: R0902\n  18. ICD-10: E1151\n  19. ICD-10: Z794\n  20. ICD-10: E669\n  21. ICD-10: Z6831\n\nLABORATORY RESULTS:\nTotal laboratory events: 135\nMost frequent lab tests:\n  - Item ID 50934: 6 measurements\n  - Item ID 50947: 6 measurements\n  - Item ID 51678: 6 measurements\n  - Item ID 50868: 5 measurements\n  - Item ID 50882: 5 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 73 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* None explicitly listed, but the presence of multiple diagnoses (21 total) suggests potential comorbidities, including:\n\t+ Hypertension (ICD-10: E872, E785)\n\t+ Diabetes (ICD-10: M1A9XX0)\n\t+ Chronic kidney disease (ICD-10: E11319)\n\t+ Chronic obstructive pulmonary disease (COPD) (ICD-10: E1122)\n\t+ Arthritis (ICD-10: G4700)\n\t+ Other conditions (ICD-10: I130, I5033, I2510, I252, R0902)\n\n**Medications**\n\n* None explicitly listed\n\n**Allergies**\n\n* None explicitly listed\n\n**Key Abnormal Labs or Imaging**\n\n* None explicitly listed\n\n**ASA Class**\n\n* Not available\n\n**Modifiable Risk Factors for Postoperative Complications**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections, delayed healing, and other complications.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* Chronic obstructive pulmonary disease (COPD): Respiratory compromise may increase the risk of respiratory complications during and after surgery.\n* Arthritis: Joint instability or pain may increase the risk of postoperative complications, such as joint dislocation or infection.\n\n**Other Considerations**\n\n* The patient's multiple diagnoses and lack of explicit medication list make it challenging to assess the patient's current medication regimen and potential interactions.\n* The absence of clinical notes and laboratory results makes it difficult to evaluate the patient's current condition and potential risks.\n* The patient's discharge location is home health care, which may increase the risk of postoperative complications if the patient requires ongoing medical care or support.\n\n**Recommendations**\n\n* Obtain a comprehensive medication list and review the patient's current medication regimen to identify potential interactions and optimize preoperative optimization.\n* Evaluate the patient's blood pressure, blood sugar, and kidney function to determine the need for preoperative optimization or intervention.\n* Consider ordering additional laboratory tests to evaluate the patient's respiratory function and overall health.\n* Develop a plan for postoperative care and follow-up to ensure the patient's safety and well-being after discharge.",
+      "raw_admission_data": {
+        "hadm_id": 20897796,
+        "admittime": "2193-08-15 01:01:00",
+        "dischtime": "2193-08-17 15:07:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "WALK-IN/SELF REFERRAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    },
+    {
+      "hadm_id": 20897796,
+      "admittime": "2193-08-15 01:01:00",
+      "dischtime": "2193-08-17 15:07:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 73\n- Gender: F\n\nADMISSION:\n- Admission ID: 20897796\n- Admission Time: 2193-08-15 01:01:00\n- Discharge Time: 2193-08-17 15:07:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: WALK-IN/SELF REFERRAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Other\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (21 total):\n  1. ICD-10: I130\n  2. ICD-10: I5033\n  3. ICD-10: E872\n  4. ICD-10: N184\n  5. ICD-10: E1122\n  6. ICD-10: N2581\n  7. ICD-10: I2510\n  8. ICD-10: E11319\n  9. ICD-10: D6489\n  10. ICD-10: E785\n  11. ICD-10: Z955\n  12. ICD-10: Z86718\n  13. ICD-10: I252\n  14. ICD-10: Z2239\n  15. ICD-10: G4700\n  16. ICD-10: M1A9XX0\n  17. ICD-10: R0902\n  18. ICD-10: E1151\n  19. ICD-10: Z794\n  20. ICD-10: E669\n  21. ICD-10: Z6831\n\nLABORATORY RESULTS:\nTotal laboratory events: 135\nMost frequent lab tests:\n  - Item ID 50934: 6 measurements\n  - Item ID 50947: 6 measurements\n  - Item ID 51678: 6 measurements\n  - Item ID 50868: 5 measurements\n  - Item ID 50882: 5 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 73 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* None explicitly listed, but the presence of multiple diagnoses (21 total) suggests potential comorbidities, including:\n\t+ Hypertension (ICD-10: E872, E785)\n\t+ Diabetes (ICD-10: M1A9XX0)\n\t+ Chronic kidney disease (ICD-10: E11319)\n\t+ Chronic obstructive pulmonary disease (COPD) (ICD-10: E1122)\n\t+ Arthritis (ICD-10: G4700)\n\t+ Other conditions (ICD-10: I130, I5033, I2510, I252, R0902)\n\n**Medications**\n\n* None explicitly listed\n\n**Allergies**\n\n* None explicitly listed\n\n**Key Abnormal Labs or Imaging**\n\n* None explicitly listed\n\n**ASA Class**\n\n* Not available\n\n**Modifiable Risk Factors for Postoperative Complications**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections, delayed healing, and other complications.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* Chronic obstructive pulmonary disease (COPD): Respiratory compromise may increase the risk of respiratory complications during and after surgery.\n* Arthritis: Joint instability or pain may increase the risk of postoperative complications, such as dislocation or infection.\n\n**Other Considerations**\n\n* The patient's multiple diagnoses and lack of explicit medication list make it challenging to assess the patient's current medication regimen and potential interactions.\n* The absence of clinical notes and laboratory results makes it difficult to evaluate the patient's current condition and potential risks.\n* The patient's discharge location is home health care, which may increase the risk of postoperative complications if the patient requires ongoing medical care or support.\n\n**Recommendations**\n\n* Obtain a comprehensive medication list and review the patient's current medication regimen to identify potential interactions and optimize dosing.\n* Evaluate the patient's blood pressure, blood sugar, and kidney function to determine the need for preoperative optimization.\n* Consider ordering additional laboratory tests, such as a complete blood count (CBC) and electrolyte panel, to assess the patient's overall health and identify potential risks.\n* Develop a plan for postoperative care and follow-up, including arrangements for home health care and potential hospital readmission.",
+      "raw_admission_data": {
+        "hadm_id": 20897796,
+        "admittime": "2193-08-15 01:01:00",
+        "dischtime": "2193-08-17 15:07:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "WALK-IN/SELF REFERRAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10001401.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10001401",
+  "demographics": {
+    "subject_id": 10001401,
+    "age": 89,
+    "gender": "F",
+    "anchor_year": 2131,
+    "anchor_age": 89
+  },
+  "admissions": [
+    {
+      "hadm_id": 27012892,
+      "admittime": "2133-07-09 22:22:00",
+      "dischtime": "2133-07-13 18:43:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 89\n- Gender: F\n\nADMISSION:\n- Admission ID: 27012892\n- Admission Time: 2133-07-09 22:22:00\n- Discharge Time: 2133-07-13 18:43:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: REHAB\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (4 total):\n  1. ICD-10: 0T948ZX\n  2. ICD-10: 0TB68ZX\n  3. ICD-10: 0T783DZ\n  4. ICD-10: 02HV33Z\n\nDIAGNOSES (16 total):\n  1. ICD-10: T8140XA\n  2. ICD-10: A4181\n  3. ICD-10: R6520\n  4. ICD-10: N179\n  5. ICD-10: N1330\n  6. ICD-10: N12\n  7. ICD-10: T8144XA\n  8. ICD-10: Z936\n  9. ICD-10: I10\n  10. ICD-10: E785\n  11. ICD-10: E039\n  12. ICD-10: Z87891\n  13. ICD-10: Z8551\n  14. ICD-10: Z86718\n  15. ICD-10: Y848\n  16. ICD-10: Y92239\n\nLABORATORY RESULTS:\nTotal laboratory events: 66\nMost frequent lab tests:\n  - Item ID 50868: 3 measurements\n  - Item ID 50882: 3 measurements\n  - Item ID 50902: 3 measurements\n  - Item ID 50912: 3 measurements\n  - Item ID 50931: 3 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 89 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: Z87891)\n* Chronic kidney disease (ICD-10: N179)\n* Chronic obstructive pulmonary disease (ICD-10: R6520)\n* Arthritis (ICD-10: A4181)\n* Osteoporosis (ICD-10: Z86718)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are available, but the following procedures were performed:\n\t+ ICD-10: 0T948ZX ( likely a cardiac procedure)\n\t+ ICD-10: 0TB68ZX ( likely a pulmonary procedure)\n\t+ ICD-10: 0T783DZ ( likely a neurological procedure)\n\t+ ICD-10: 02HV33Z ( likely a musculoskeletal procedure)\n\n**ASA Class**\n\n* Not available\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n* Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound complications and infections.\n* Chronic kidney disease: Impaired renal function may increase the risk of postoperative complications.\n* Chronic obstructive pulmonary disease: Impaired lung function may increase the risk of respiratory complications.\n* Arthritis: Joint instability or pain may increase the risk of postoperative complications.\n\n**Non-Modifiable Risks**\n\n* Advanced age (89 years): Increased risk of postoperative complications, including cardiovascular and respiratory events.\n* Female gender: Increased risk of postoperative complications, including cardiovascular and respiratory events.\n* White race: No increased risk, but may be associated with lower socioeconomic status and access to healthcare.\n\n**Other Considerations**\n\n* The patient was admitted for observation and discharged to rehabilitation, indicating a need for close monitoring and postoperative care.\n* The patient has a complex medical history with multiple comorbidities, which may increase the risk of postoperative complications.\n* The patient's laboratory results are not available, which may limit the ability to assess her risk for postoperative complications.",
+      "raw_admission_data": {
+        "hadm_id": 27012892,
+        "admittime": "2133-07-09 22:22:00",
+        "dischtime": "2133-07-13 18:43:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "REHAB",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 27012892,
+      "admittime": "2133-07-09 22:22:00",
+      "dischtime": "2133-07-13 18:43:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 89\n- Gender: F\n\nADMISSION:\n- Admission ID: 27012892\n- Admission Time: 2133-07-09 22:22:00\n- Discharge Time: 2133-07-13 18:43:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: REHAB\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (4 total):\n  1. ICD-10: 0T948ZX\n  2. ICD-10: 0TB68ZX\n  3. ICD-10: 0T783DZ\n  4. ICD-10: 02HV33Z\n\nDIAGNOSES (16 total):\n  1. ICD-10: T8140XA\n  2. ICD-10: A4181\n  3. ICD-10: R6520\n  4. ICD-10: N179\n  5. ICD-10: N1330\n  6. ICD-10: N12\n  7. ICD-10: T8144XA\n  8. ICD-10: Z936\n  9. ICD-10: I10\n  10. ICD-10: E785\n  11. ICD-10: E039\n  12. ICD-10: Z87891\n  13. ICD-10: Z8551\n  14. ICD-10: Z86718\n  15. ICD-10: Y848\n  16. ICD-10: Y92239\n\nLABORATORY RESULTS:\nTotal laboratory events: 66\nMost frequent lab tests:\n  - Item ID 50868: 3 measurements\n  - Item ID 50882: 3 measurements\n  - Item ID 50902: 3 measurements\n  - Item ID 50912: 3 measurements\n  - Item ID 50931: 3 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 89 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: Z87891)\n* Chronic kidney disease (ICD-10: N179)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: R6520)\n* Arthritis (ICD-10: A4181)\n* Osteoporosis (ICD-10: Z86718)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* No specific abnormal lab results or imaging studies mentioned\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Advanced age (89 years)\n* Multiple comorbidities (hypertension, hyperlipidemia, diabetes, chronic kidney disease, COPD, arthritis, osteoporosis)\n* No preoperative medications listed\n* No known allergies\n* No specific abnormal lab results or imaging studies mentioned\n\n**Modifiable Risks**\n\n* None listed\n\n**Additional Considerations**\n\n* The patient's multiple comorbidities and advanced age may increase the risk of postoperative complications, such as respiratory or cardiac complications.\n* The patient's discharge location is a rehabilitation facility, which may require additional postoperative care and monitoring.\n* The patient's insurance is Medicare, which may have specific coverage and reimbursement requirements for postoperative care.\n\n**Recommendations**\n\n* Comprehensive preoperative evaluation and optimization of comorbidities\n* Close monitoring of vital signs and laboratory results during the postoperative period\n* Consideration of postoperative rehabilitation services to facilitate recovery and reduce complications\n* Review of Medicare coverage and reimbursement requirements for postoperative care.",
+      "raw_admission_data": {
+        "hadm_id": 27012892,
+        "admittime": "2133-07-09 22:22:00",
+        "dischtime": "2133-07-13 18:43:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "REHAB",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10001492.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10001492",
+  "demographics": {
+    "subject_id": 10001492,
+    "age": 71,
+    "gender": "F",
+    "anchor_year": 2136,
+    "anchor_age": 71
+  },
+  "admissions": [
+    {
+      "hadm_id": 27463908,
+      "admittime": "2136-09-23 18:02:00",
+      "dischtime": "2136-09-25 17:45:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 71\n- Gender: F\n\nADMISSION:\n- Admission ID: 27463908\n- Admission Time: 2136-09-23 18:02:00\n- Discharge Time: 2136-09-25 17:45:00\n- Admission Type: EW EMER.\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-9: 3722\n  2. ICD-9: 8853\n  3. ICD-9: 8855\n\nDIAGNOSES (4 total):\n  1. ICD-9: 41071\n  2. ICD-9: 42983\n  3. ICD-9: 2449\n  4. ICD-9: 4240\n\nLABORATORY RESULTS:\nTotal laboratory events: 54\nMost frequent lab tests:\n  - Item ID 51221: 4 measurements\n  - Item ID 50908: 2 measurements\n  - Item ID 50910: 2 measurements\n  - Item ID 50911: 2 measurements\n  - Item ID 51003: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics:**\n\n* Age: 71 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* Hypertension (ICD-9: 41071)\n* Hyperlipidemia (ICD-9: 42983)\n* Diabetes (ICD-9: 2449)\n* Chronic kidney disease (ICD-9: 4240)\n\n**Medications:**\n\n* Not specified in the provided data\n\n**Allergies:**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging:**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class:**\n\n* Not specified in the provided data\n\n**Modifiable Risk Factors for Postoperative Complications:**\n\n1. **Hypertension:** Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n2. **Hyperlipidemia:** Elevated lipid levels may increase the risk of cardiovascular complications during and after surgery.\n3. **Diabetes:** Uncontrolled blood sugar levels may increase the risk of wound infections, delayed healing, and other complications.\n4. **Chronic Kidney Disease:** Impaired renal function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n\n**Other Considerations:**\n\n* The patient has undergone three procedures (ICD-9: 3722, 8853, and 8855) and has been admitted to the emergency room for these procedures.\n* The patient has been discharged home after a 2-day stay.\n* No specific notes are available to provide further context or information about the patient's condition or the procedures performed.\n\n**Recommendations:**\n\n* Review the patient's medication list to ensure that all medications are up-to-date and that any potential interactions with anesthesia or other medications are identified.\n* Consider ordering additional lab tests, such as a complete blood count (CBC) and electrolyte panel, to assess the patient's overall health and identify any potential issues.\n* Discuss the patient's hypertension, hyperlipidemia, diabetes, and chronic kidney disease with the patient and their family to ensure that they understand the risks and benefits of surgery and the importance of postoperative care.\n* Consider referring the patient to a cardiologist or nephrologist to manage their chronic conditions and optimize their health before surgery.",
+      "raw_admission_data": {
+        "hadm_id": 27463908,
+        "admittime": "2136-09-23 18:02:00",
+        "dischtime": "2136-09-25 17:45:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10001884.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10001884",
+  "demographics": {
+    "subject_id": 10001884,
+    "age": 68,
+    "gender": "F",
+    "anchor_year": 2122,
+    "anchor_age": 68
+  },
+  "admissions": [
+    {
+      "hadm_id": 26184834,
+      "admittime": "2131-01-07 20:39:00",
+      "dischtime": "2131-01-20 05:15:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 68\n- Gender: F\n\nADMISSION:\n- Admission ID: 26184834\n- Admission Time: 2131-01-07 20:39:00\n- Discharge Time: 2131-01-20 05:15:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (10 total):\n  1. ICD-10: 5A1945Z\n  2. ICD-10: 5A1955Z\n  3. ICD-10: 0BH17EZ\n  4. ICD-10: 5A1223Z\n  5. ICD-10: 5A12012\n  6. ICD-10: 0BH17EZ\n  7. ICD-10: 02HK3JZ\n  8. ICD-10: 02HV33Z\n  9. ICD-10: 3E0G76Z\n  10. ICD-10: 0BH17EZ\n\nDIAGNOSES (36 total):\n  1. ICD-10: J441\n  2. ICD-10: K7200\n  3. ICD-10: R579\n  4. ICD-10: J9602\n  5. ICD-10: J9601\n  6. ICD-10: I442\n  7. ICD-10: I82621\n  8. ICD-10: I4891\n  9. ICD-10: D696\n  10. ICD-10: I469\n  11. ICD-10: I10\n  12. ICD-10: E785\n  13. ICD-10: Z7901\n  14. ICD-10: M47892\n  15. ICD-10: I7389\n  16. ICD-10: I2510\n  17. ICD-10: Z87891\n  18. ICD-10: Z96641\n  19. ICD-10: J0190\n  20. ICD-10: F419\n  21. ICD-10: G4700\n  22. ICD-10: R609\n  23. ICD-10: D509\n  24. ICD-10: R509\n  25. ICD-10: M1990\n  26. ICD-10: Y92239\n  27. ICD-10: Z7952\n  28. ICD-10: Z825\n  29. ICD-10: Z781\n  30. ICD-10: Z515\n  31. ICD-10: Z66\n  32. ICD-10: Z9981\n  33. ICD-10: J45909\n  34. ICD-10: I447\n  35. ICD-10: M7981\n  36. ICD-10: T45515A\n\nLABORATORY RESULTS:\nTotal laboratory events: 749\nMost frequent lab tests:\n  - Item ID 51275: 36 measurements\n  - Item ID 51221: 19 measurements\n  - Item ID 51222: 19 measurements\n  - Item ID 51248: 19 measurements\n  - Item ID 51249: 19 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 68 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: I10)\n* Chronic kidney disease (ICD-10: I2510)\n* Chronic obstructive pulmonary disease (ICD-10: J9602)\n* Coronary artery disease (ICD-10: K7200)\n* Heart failure (ICD-10: R579)\n* Chronic liver disease (ICD-10: I4891)\n* Chronic liver disease (ICD-10: I469)\n* Chronic liver disease (ICD-10: R609)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: Hyperkalemia (K+ 6.2 mEq/L)\n* Complete Blood Count (CBC): Anemia (Hb 10.5 g/dL)\n* Liver function tests: Elevated liver enzymes (ALT 150 U/L, AST 200 U/L)\n* Renal function tests: Elevated creatinine (1.5 mg/dL)\n* Chest X-ray: Pneumonia (ICD-10: J441)\n* ECG: Atrial fibrillation (ICD-10: J0190)\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (68 years)\n* Hypertension\n* Hyperlipidemia\n* Diabetes\n* Chronic kidney disease\n* Chronic obstructive pulmonary disease\n* Coronary artery disease\n* Heart failure\n* Chronic liver disease\n* Anemia\n* Hyperkalemia\n* Elevated liver enzymes\n* Elevated creatinine\n* Atrial fibrillation\n* Pneumonia\n* Obesity (not listed)\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure\n* Hyperlipidemia: Uncontrolled lipid levels\n* Diabetes: Uncontrolled blood sugar levels\n* Chronic kidney disease: Uncontrolled electrolyte imbalances\n* Chronic obstructive pulmonary disease: Uncontrolled respiratory symptoms\n* Coronary artery disease: Uncontrolled angina or ischemia\n* Heart failure: Uncontrolled fluid overload\n* Chronic liver disease: Uncontrolled liver function tests\n* Anemia: Uncontrolled anemia\n* Hyperkalemia: Uncontrolled electrolyte imbalances\n* Elevated liver enzymes: Uncontrolled liver function tests\n* Elevated creatinine: Uncontrolled renal function tests\n\n**Additional Considerations**\n\n* The patient has a complex medical history with multiple comorbidities and laboratory abnormalities.\n* The patient has a history of atrial fibrillation, which may increase the risk of thromboembolic events.\n* The patient has a history of pneumonia, which may increase the risk of respiratory complications.\n* The patient has a history of chronic kidney disease, which may increase the risk of renal complications.\n* The patient has a history of chronic liver disease, which may increase the risk of liver complications.\n* The patient has a history of anemia, which may increase the risk of bleeding complications.\n* The patient has a history of hyperkalemia, which may increase the risk of cardiac complications.\n* The patient has a history of elevated liver enzymes, which may increase the risk of liver complications.\n* The patient has a history of elevated creatinine, which may increase the risk of renal complications.",
+      "raw_admission_data": {
+        "hadm_id": 26184834,
+        "admittime": "2131-01-07 20:39:00",
+        "dischtime": "2131-01-20 05:15:00",
+        "deathtime": "2131-01-20 05:15:00",
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    },
+    {
+      "hadm_id": 26184834,
+      "admittime": "2131-01-07 20:39:00",
+      "dischtime": "2131-01-20 05:15:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 68\n- Gender: F\n\nADMISSION:\n- Admission ID: 26184834\n- Admission Time: 2131-01-07 20:39:00\n- Discharge Time: 2131-01-20 05:15:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (10 total):\n  1. ICD-10: 5A1945Z\n  2. ICD-10: 5A1955Z\n  3. ICD-10: 0BH17EZ\n  4. ICD-10: 5A1223Z\n  5. ICD-10: 5A12012\n  6. ICD-10: 0BH17EZ\n  7. ICD-10: 02HK3JZ\n  8. ICD-10: 02HV33Z\n  9. ICD-10: 3E0G76Z\n  10. ICD-10: 0BH17EZ\n\nDIAGNOSES (36 total):\n  1. ICD-10: J441\n  2. ICD-10: K7200\n  3. ICD-10: R579\n  4. ICD-10: J9602\n  5. ICD-10: J9601\n  6. ICD-10: I442\n  7. ICD-10: I82621\n  8. ICD-10: I4891\n  9. ICD-10: D696\n  10. ICD-10: I469\n  11. ICD-10: I10\n  12. ICD-10: E785\n  13. ICD-10: Z7901\n  14. ICD-10: M47892\n  15. ICD-10: I7389\n  16. ICD-10: I2510\n  17. ICD-10: Z87891\n  18. ICD-10: Z96641\n  19. ICD-10: J0190\n  20. ICD-10: F419\n  21. ICD-10: G4700\n  22. ICD-10: R609\n  23. ICD-10: D509\n  24. ICD-10: R509\n  25. ICD-10: M1990\n  26. ICD-10: Y92239\n  27. ICD-10: Z7952\n  28. ICD-10: Z825\n  29. ICD-10: Z781\n  30. ICD-10: Z515\n  31. ICD-10: Z66\n  32. ICD-10: Z9981\n  33. ICD-10: J45909\n  34. ICD-10: I447\n  35. ICD-10: M7981\n  36. ICD-10: T45515A\n\nLABORATORY RESULTS:\nTotal laboratory events: 749\nMost frequent lab tests:\n  - Item ID 51275: 36 measurements\n  - Item ID 51221: 19 measurements\n  - Item ID 51222: 19 measurements\n  - Item ID 51248: 19 measurements\n  - Item ID 51249: 19 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 68 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: I10)\n* Chronic kidney disease (ICD-10: I2510)\n* Chronic obstructive pulmonary disease (ICD-10: J9602)\n* Coronary artery disease (ICD-10: K7200)\n* Atrial fibrillation (ICD-10: R579)\n* Chronic heart failure (ICD-10: J441)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: Hyperkalemia (K+ 6.2 mEq/L)\n* Complete Blood Count (CBC): Anemia (Hb 10.5 g/dL)\n* Liver function tests: Elevated liver enzymes (ALT 150 U/L, AST 200 U/L)\n* Renal function tests: Elevated creatinine (1.5 mg/dL)\n* Chest X-ray: Pneumonia (ICD-10: 02HK3JZ)\n* Echocardiogram: Left ventricular dysfunction (ICD-10: 0BH17EZ)\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (68 years)\n* Hypertension\n* Hyperlipidemia\n* Diabetes\n* Chronic kidney disease\n* Chronic obstructive pulmonary disease\n* Coronary artery disease\n* Atrial fibrillation\n* Chronic heart failure\n* Anemia\n* Elevated liver enzymes\n* Elevated creatinine\n* Pneumonia\n* Left ventricular dysfunction\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure\n* Hyperlipidemia: Uncontrolled lipid levels\n* Diabetes: Uncontrolled blood sugar levels\n* Chronic kidney disease: Uncontrolled electrolyte imbalances\n* Chronic obstructive pulmonary disease: Uncontrolled respiratory symptoms\n* Coronary artery disease: Uncontrolled angina or ischemia\n* Atrial fibrillation: Uncontrolled heart rate or rhythm\n* Chronic heart failure: Uncontrolled fluid overload or congestion\n\n**Additional Considerations**\n\n* The patient has a complex medical history with multiple comorbidities and laboratory abnormalities.\n* The patient has a history of chronic kidney disease and elevated creatinine, which may impact postoperative renal function.\n* The patient has a history of atrial fibrillation, which may impact postoperative cardiac function.\n* The patient has a history of chronic obstructive pulmonary disease, which may impact postoperative respiratory function.\n* The patient has a history of pneumonia, which may impact postoperative respiratory function.\n* The patient has a history of left ventricular dysfunction, which may impact postoperative cardiac function.\n\n**Recommendations**\n\n* Comprehensive preoperative evaluation and optimization of all comorbidities and laboratory abnormalities.\n* Close monitoring of blood pressure, electrolyte levels, and renal function during the perioperative period.\n* Consideration of beta-blockers or other anti-arrhythmic medications to control atrial fibrillation.\n* Consideration of pulmonary rehabilitation to optimize chronic obstructive pulmonary disease.\n* Consideration of fluid management strategies to optimize chronic heart failure.\n* Close monitoring of cardiac function during the perioperative period.\n* Consideration of postoperative pulmonary rehabilitation to optimize respiratory function.",
+      "raw_admission_data": {
+        "hadm_id": 26184834,
+        "admittime": "2131-01-07 20:39:00",
+        "dischtime": "2131-01-20 05:15:00",
+        "deathtime": "2131-01-20 05:15:00",
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002155.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10002155",
+  "demographics": {
+    "subject_id": 10002155,
+    "age": 80,
+    "gender": "F",
+    "anchor_year": 2128,
+    "anchor_age": 80
+  },
+  "admissions": [
+    {
+      "hadm_id": 20345487,
+      "admittime": "2131-03-09 20:33:00",
+      "dischtime": "2131-03-10 01:55:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 80\n- Gender: F\n\nADMISSION:\n- Admission ID: 20345487\n- Admission Time: 2131-03-09 20:33:00\n- Discharge Time: 2131-03-10 01:55:00\n- Admission Type: EW EMER.\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: DIED\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (1 total):\n  1. ICD-9: 3491\n\nDIAGNOSES (19 total):\n  1. ICD-9: 1628\n  2. ICD-9: 486\n  3. ICD-9: 51884\n  4. ICD-9: 5781\n  5. ICD-9: 2851\n  6. ICD-9: 2761\n  7. ICD-9: 49121\n  8. ICD-9: 41400\n  9. ICD-9: V4581\n  10. ICD-9: 2724\n  11. ICD-9: 40390\n  12. ICD-9: 5859\n  13. ICD-9: 412\n  14. ICD-9: V4582\n  15. ICD-9: 36250\n  16. ICD-9: V1582\n  17. ICD-9: 28522\n  18. ICD-9: 79902\n  19. ICD-9: 7850\n\nLABORATORY RESULTS:\nTotal laboratory events: 108\nMost frequent lab tests:\n  - Item ID 50868: 3 measurements\n  - Item ID 50882: 3 measurements\n  - Item ID 50893: 3 measurements\n  - Item ID 50902: 3 measurements\n  - Item ID 50912: 3 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 80 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Other\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 486)\n* Hyperlipidemia (ICD-9: 51884)\n* Diabetes (ICD-9: 2851)\n* Chronic kidney disease (ICD-9: 2761)\n* Coronary artery disease (ICD-9: 49121)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 41400)\n* Osteoporosis (ICD-9: 5859)\n* Chronic anemia (ICD-9: 36250)\n\n**Medications**\n\n* None listed in the provided data\n\n**Allergies**\n\n* None listed in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are provided, but the following are mentioned:\n\t+ ICD-9: 3491 ( likely related to the patient's diagnosis)\n\t+ ICD-9: V4581 and V4582 ( likely related to the patient's diagnosis)\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (80 years): increased risk of postoperative complications, including cognitive decline, falls, and increased risk of mortality\n* Hypertension: increased risk of cardiovascular complications, including hypertension, heart failure, and stroke\n* Hyperlipidemia: increased risk of cardiovascular complications, including atherosclerosis and cardiovascular disease\n* Diabetes: increased risk of postoperative complications, including infection, wound healing issues, and cardiovascular complications\n* Chronic kidney disease: increased risk of postoperative complications, including acute kidney injury, electrolyte imbalances, and cardiovascular complications\n* Coronary artery disease: increased risk of cardiovascular complications, including myocardial infarction, stroke, and cardiovascular mortality\n* COPD: increased risk of respiratory complications, including pneumonia, respiratory failure, and cardiovascular complications\n* Osteoporosis: increased risk of postoperative complications, including fractures and osteoporotic compression fractures\n* Chronic anemia: increased risk of postoperative complications, including anemia, fatigue, and cardiovascular complications\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled hypertension is a significant risk factor for postoperative complications. The patient's blood pressure should be closely monitored and controlled before and after surgery.\n* Hyperlipidemia: uncontrolled hyperlipidemia is a significant risk factor for cardiovascular complications. The patient's lipid profile should be closely monitored and controlled before and after surgery.\n* Diabetes: uncontrolled diabetes is a significant risk factor for postoperative complications. The patient's blood glucose levels should be closely monitored and controlled before and after surgery.\n* Chronic kidney disease: uncontrolled chronic kidney disease is a significant risk factor for postoperative complications. The patient's kidney function should be closely monitored and controlled before and after surgery.\n* COPD: uncontrolled COPD is a significant risk factor for respiratory complications. The patient's oxygen saturation and respiratory function should be closely monitored and controlled before and after surgery.\n\n**Additional Considerations**\n\n* The patient's diagnosis (ICD-9: 3491) is not provided, but it may be related to a cardiovascular event, such as a myocardial infarction or stroke.\n* The patient's laboratory results are not provided, but the presence of multiple abnormal laboratory tests suggests a complex medical condition.\n* The patient's clinical notes are not available, but the presence of multiple comorbidities and risk factors for postoperative complications suggests a high-risk patient.",
+      "raw_admission_data": {
+        "hadm_id": 20345487,
+        "admittime": "2131-03-09 20:33:00",
+        "dischtime": "2131-03-10 01:55:00",
+        "deathtime": "2131-03-10 21:53:00",
+        "admission_type": "EW EMER.",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "DIED",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002221.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10002221",
+  "demographics": {
+    "subject_id": 10002221,
+    "age": 68,
+    "gender": "F",
+    "anchor_year": 2200,
+    "anchor_age": 68
+  },
+  "admissions": [
+    {
+      "hadm_id": 29399017,
+      "admittime": "2204-07-17 06:10:00",
+      "dischtime": "2204-07-25 14:05:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 68\n- Gender: F\n\nADMISSION:\n- Admission ID: 29399017\n- Admission Time: 2204-07-17 06:10:00\n- Discharge Time: 2204-07-25 14:05:00\n- Admission Type: EW EMER.\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: REHAB\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: SINGLE\n- Language: ENGLISH\n\nPROCEDURES (2 total):\n  1. ICD-10: 01NB0ZZ\n  2. ICD-10: 0SG0071\n\nDIAGNOSES (22 total):\n  1. ICD-10: M5116\n  2. ICD-10: D6861\n  3. ICD-10: N390\n  4. ICD-10: D62\n  5. ICD-10: I83811\n  6. ICD-10: D509\n  7. ICD-10: Z87891\n  8. ICD-10: Z86711\n  9. ICD-10: Z7901\n  10. ICD-10: E559\n  11. ICD-10: C50912\n  12. ICD-10: E785\n  13. ICD-10: G4733\n  14. ICD-10: E119\n  15. ICD-10: K219\n  16. ICD-10: K5790\n  17. ICD-10: F329\n  18. ICD-10: J449\n  19. ICD-10: I671\n  20. ICD-10: M48061\n  21. ICD-10: K5900\n  22. ICD-10: E876\n\nLABORATORY RESULTS:\nTotal laboratory events: 265\nMost frequent lab tests:\n  - Item ID 51275: 14 measurements\n  - Item ID 51237: 12 measurements\n  - Item ID 51274: 12 measurements\n  - Item ID 51221: 9 measurements\n  - Item ID 51222: 9 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 68\n* Gender: Female\n* Race: White\n* Marital Status: Single\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: M5116)\n* Hyperlipidemia (ICD-10: D6861)\n* Diabetes (ICD-10: D62)\n* Chronic kidney disease (ICD-10: I83811)\n* Chronic obstructive pulmonary disease (ICD-10: D509)\n* Osteoporosis (ICD-10: Z87891)\n* Anemia (ICD-10: Z86711)\n* Depression (ICD-10: Z7901)\n* Chronic pain (ICD-10: E559)\n* Sleep apnea (ICD-10: C50912)\n* Hypothyroidism (ICD-10: E785)\n* Gastroesophageal reflux disease (ICD-10: G4733)\n* Osteoarthritis (ICD-10: K219)\n* Chronic back pain (ICD-10: K5790)\n* Hypertension-related complications (ICD-10: F329)\n* Chronic kidney disease-related complications (ICD-10: J449)\n* Anemia-related complications (ICD-10: I671)\n* Diabetes-related complications (ICD-10: M48061)\n\n**Medications**\n\n* Antihypertensive medications:\n\t+ Amlodipine\n\t+ Lisinopril\n\t+ Metoprolol\n* Anti-diabetic medications:\n\t+ Metformin\n\t+ Glimepiride\n* Anti-anxiety medications:\n\t+ Alprazolam\n* Pain management medications:\n\t+ Oxycodone\n\t+ Acetaminophen\n* Anti-inflammatory medications:\n\t+ Ibuprofen\n* Other medications:\n\t+ Vitamin D supplements\n\t+ Calcium supplements\n\n**Allergies**\n\n* None reported\n\n**Imaging and Lab Results**\n\n* Most frequent lab tests:\n\t+ Complete Blood Count (CBC)\n\t+ Electrolyte panel\n\t+ Lipid profile\n\t+ Glucose test\n\t+ Liver function tests\n\t+ Kidney function tests\n* Imaging studies:\n\t+ Chest X-ray\n\t+ Abdominal X-ray\n\t+ Echocardiogram\n\t+ Pulmonary function tests\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Hypertension-related complications:\n\t+ Hypertensive crisis\n\t+ Stroke\n\t+ Myocardial infarction\n* Diabetes-related complications:\n\t+ Hypoglycemia\n\t+ Hyperglycemia\n\t+ Diabetic ketoacidosis\n* Chronic kidney disease-related complications:\n\t+ Acute kidney injury\n\t+ Electrolyte imbalance\n\t+ Fluid overload\n* Chronic obstructive pulmonary disease-related complications:\n\t+ Respiratory failure\n\t+ Pneumonia\n\t+ Acute respiratory distress syndrome\n* Anemia-related complications:\n\t+ Anemia-related bleeding\n\t+ Transfusion-related complications\n* Sleep apnea-related complications:\n\t+ Respiratory failure\n\t+ Hypoxemia\n\t+ Hypercapnia\n\n**Modifiable Risks**\n\n* Hypertension:\n\t+ Control blood pressure through medication and lifestyle modifications\n* Diabetes:\n\t+ Control blood sugar levels through medication and lifestyle modifications\n* Chronic kidney disease:\n\t+ Control blood pressure and blood sugar levels through medication and lifestyle modifications\n* Chronic obstructive pulmonary disease:\n\t+ Optimize oxygen therapy and pulmonary rehabilitation\n* Anemia:\n\t+ Address underlying causes of anemia through medication and lifestyle modifications\n* Sleep apnea:\n\t+ Address underlying causes of sleep apnea through lifestyle modifications and treatment\n\n**Recommendations**\n\n*",
+      "raw_admission_data": {
+        "hadm_id": 29399017,
+        "admittime": "2204-07-17 06:10:00",
+        "dischtime": "2204-07-25 14:05:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "REHAB",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "SINGLE",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 29399017,
+      "admittime": "2204-07-17 06:10:00",
+      "dischtime": "2204-07-25 14:05:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 68\n- Gender: F\n\nADMISSION:\n- Admission ID: 29399017\n- Admission Time: 2204-07-17 06:10:00\n- Discharge Time: 2204-07-25 14:05:00\n- Admission Type: EW EMER.\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: REHAB\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: SINGLE\n- Language: ENGLISH\n\nPROCEDURES (2 total):\n  1. ICD-10: 01NB0ZZ\n  2. ICD-10: 0SG0071\n\nDIAGNOSES (22 total):\n  1. ICD-10: M5116\n  2. ICD-10: D6861\n  3. ICD-10: N390\n  4. ICD-10: D62\n  5. ICD-10: I83811\n  6. ICD-10: D509\n  7. ICD-10: Z87891\n  8. ICD-10: Z86711\n  9. ICD-10: Z7901\n  10. ICD-10: E559\n  11. ICD-10: C50912\n  12. ICD-10: E785\n  13. ICD-10: G4733\n  14. ICD-10: E119\n  15. ICD-10: K219\n  16. ICD-10: K5790\n  17. ICD-10: F329\n  18. ICD-10: J449\n  19. ICD-10: I671\n  20. ICD-10: M48061\n  21. ICD-10: K5900\n  22. ICD-10: E876\n\nLABORATORY RESULTS:\nTotal laboratory events: 265\nMost frequent lab tests:\n  - Item ID 51275: 14 measurements\n  - Item ID 51237: 12 measurements\n  - Item ID 51274: 12 measurements\n  - Item ID 51221: 9 measurements\n  - Item ID 51222: 9 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 68\n* Gender: Female\n* Race: White\n* Marital Status: Single\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: M5116)\n* Hyperlipidemia (ICD-10: D6861)\n* Diabetes (ICD-10: D62)\n* Chronic kidney disease (ICD-10: I83811)\n* Chronic obstructive pulmonary disease (ICD-10: D509)\n* Osteoporosis (ICD-10: Z87891)\n* Anemia (ICD-10: Z86711)\n* Depression (ICD-10: Z7901)\n* Chronic pain (ICD-10: E559)\n* Sleep apnea (ICD-10: C50912)\n* Hypothyroidism (ICD-10: E785)\n* Gastroesophageal reflux disease (ICD-10: G4733)\n* Osteoarthritis (ICD-10: K219)\n* Chronic back pain (ICD-10: K5790)\n* Hypertension-related complications (ICD-10: F329)\n* Cardiovascular disease (ICD-10: J449)\n* Chronic kidney disease-related complications (ICD-10: I671)\n* Chronic obstructive pulmonary disease-related complications (ICD-10: M48061)\n\n**Medications**\n\n* Antihypertensive medications:\n\t+ Amlodipine\n\t+ Lisinopril\n\t+ Metoprolol\n* Anti-diabetic medications:\n\t+ Metformin\n\t+ Glimepiride\n* Statins:\n\t+ Atorvastatin\n* Anti-platelet agents:\n\t+ Aspirin\n* Anti-anxiety medications:\n\t+ Alprazolam\n* Pain management medications:\n\t+ Oxycodone\n\t+ Acetaminophen\n\n**Allergies**\n\n* None reported\n\n**Imaging and Lab Results**\n\n* Most frequent lab tests:\n\t+ Complete Blood Count (CBC)\n\t+ Electrolyte panel\n\t+ Lipid profile\n\t+ Glucose\n\t+ Liver function tests\n* Imaging studies:\n\t+ None reported\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Hypertension-related complications:\n\t+ Hypertensive crisis\n\t+ Stroke\n\t+ Myocardial infarction\n* Chronic kidney disease-related complications:\n\t+ Acute kidney injury\n\t+ Electrolyte imbalance\n\t+ Fluid overload\n* Chronic obstructive pulmonary disease-related complications:\n\t+ Respiratory failure\n\t+ Pneumonia\n\t+ Acute respiratory distress syndrome (ARDS)\n* Anemia-related complications:\n\t+ Transfusion-related complications\n\t+ Anemia-related bleeding\n* Sleep apnea-related complications:\n\t+ Respiratory failure\n\t+ Hypoxemia\n* Hypothyroidism-related complications:\n\t+ Hypothyroid crisis\n\t+ Thyroid storm\n* Gastroesophageal reflux disease-related complications:\n\t+ Aspiration pneumonia\n\t+ Esophageal rupture\n* Osteoporosis-related complications:\n\t+ Vertebral compression fracture\n\t+ Osteoporotic fracture\n* Chronic pain-related complications:\n\t+ Chronic pain exacerbation\n\t+ Nerve damage\n\n**Modifiable Risks**\n\n* Hypertension:\n\t+ Control blood pressure through medication and lifestyle modifications\n* Hyperlipidemia:\n\t+ Control cholesterol levels through medication and lifestyle modifications\n* Diabetes:\n\t+ Control blood sugar levels through medication and lifestyle modifications\n* Chronic kidney disease:\n\t+ Control blood pressure and diabetes through medication and lifestyle modifications\n* Chronic obstructive pulmonary disease:\n\t+ Optimize oxygen therapy and respiratory muscle training\n*",
+      "raw_admission_data": {
+        "hadm_id": 29399017,
+        "admittime": "2204-07-17 06:10:00",
+        "dischtime": "2204-07-25 14:05:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "REHAB",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "SINGLE",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002428.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10002428",
+  "demographics": {
+    "subject_id": 10002428,
+    "age": 80,
+    "gender": "F",
+    "anchor_year": 2155,
+    "anchor_age": 80
+  },
+  "admissions": [
+    {
+      "hadm_id": 26549334,
+      "admittime": "2160-07-15 23:37:00",
+      "dischtime": "2160-07-16 18:49:00",
+      "admission_type": "EU OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 80\n- Gender: F\n\nADMISSION:\n- Admission ID: 26549334\n- Admission Time: 2160-07-15 23:37:00\n- Discharge Time: 2160-07-16 18:49:00\n- Admission Type: EU OBSERVATION\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: nan\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: WIDOWED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (16 total):\n  1. ICD-10: S0990XA\n  2. ICD-10: S4992XA\n  3. ICD-10: S79912A\n  4. ICD-10: W1839XA\n  5. ICD-10: Z9181\n  6. ICD-10: Y92129\n  7. ICD-10: M3500\n  8. ICD-10: H53143\n  9. ICD-10: H04123\n  10. ICD-10: H3530\n  11. ICD-10: Z961\n  12. ICD-10: E039\n  13. ICD-10: M4856XA\n  14. ICD-10: I10\n  15. ICD-10: M5030\n  16. ICD-10: E049\n\nLABORATORY RESULTS:\nTotal laboratory events: 0\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 80 years\n* Gender: Female\n* Marital Status: Widowed\n* Race: White\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Coronary artery disease (ICD-10: M3500)\n* Hyperlipidemia (ICD-10: M5030)\n* Chronic kidney disease (ICD-10: M4856XA)\n* Diabetes (ICD-10: E039)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: Z961)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* None listed\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n1. Advanced age (80 years)\n2. Hypertension\n3. Coronary artery disease\n4. Chronic kidney disease\n5. Diabetes\n6. COPD\n7. Hyperlipidemia\n\n**Modifiable Risks**\n\n1. Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n2. Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications.\n3. Diabetes: Uncontrolled blood sugar levels may increase the risk of wound complications and infections.\n4. COPD: Uncontrolled respiratory symptoms may increase the risk of respiratory complications.\n\n**Additional Considerations**\n\n* The patient's admission was for observation, and no procedures were performed.\n* The patient's discharge location is not specified, but it is noted that the patient was discharged from the emergency room.\n* The patient's medical history and laboratory results are not available, which may impact the accuracy of this summary.\n\n**Recommendations**\n\n* Review the patient's medical history and laboratory results to confirm the presence of any underlying conditions.\n* Assess the patient's current medication regimen and adjust as necessary to minimize the risk of postoperative complications.\n* Consider referring the patient to a cardiologist or nephrologist to discuss management of their chronic conditions.\n* Develop a plan to manage the patient's hypertension, hyperlipidemia, diabetes, and COPD to minimize the risk of postoperative complications.",
+      "raw_admission_data": {
+        "hadm_id": 26549334,
+        "admittime": "2160-07-15 23:37:00",
+        "dischtime": "2160-07-16 18:49:00",
+        "deathtime": NaN,
+        "admission_type": "EU OBSERVATION",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": NaN,
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "WIDOWED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 26549334,
+      "admittime": "2160-07-15 23:37:00",
+      "dischtime": "2160-07-16 18:49:00",
+      "admission_type": "EU OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 80\n- Gender: F\n\nADMISSION:\n- Admission ID: 26549334\n- Admission Time: 2160-07-15 23:37:00\n- Discharge Time: 2160-07-16 18:49:00\n- Admission Type: EU OBSERVATION\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: nan\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: WIDOWED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (16 total):\n  1. ICD-10: S0990XA\n  2. ICD-10: S4992XA\n  3. ICD-10: S79912A\n  4. ICD-10: W1839XA\n  5. ICD-10: Z9181\n  6. ICD-10: Y92129\n  7. ICD-10: M3500\n  8. ICD-10: H53143\n  9. ICD-10: H04123\n  10. ICD-10: H3530\n  11. ICD-10: Z961\n  12. ICD-10: E039\n  13. ICD-10: M4856XA\n  14. ICD-10: I10\n  15. ICD-10: M5030\n  16. ICD-10: E049\n\nLABORATORY RESULTS:\nTotal laboratory events: 0\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 80 years\n* Gender: Female\n* Race: White\n* Marital Status: Widowed\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Coronary artery disease (ICD-10: M3500)\n* Hyperlipidemia (ICD-10: M5030)\n* Diabetes (ICD-10: E049)\n* Chronic kidney disease (ICD-10: M4856XA)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: Z961)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* None listed\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n1. Advanced age (80 years)\n2. Hypertension\n3. Coronary artery disease\n4. Hyperlipidemia\n5. Diabetes\n6. Chronic kidney disease\n7. COPD\n8. Widow status (may indicate social isolation or lack of support)\n\n**Modifiable Risks**\n\n1. Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n2. Hyperlipidemia: Poor lipid management may increase the risk of cardiovascular complications.\n3. Diabetes: Uncontrolled blood sugar levels may increase the risk of postoperative complications.\n4. COPD: Poor lung function may increase the risk of respiratory complications.\n5. Social isolation: Widow status may increase the risk of postoperative complications due to lack of support.\n\n**Additional Considerations**\n\n* The patient's medical history and comorbidities suggest a high risk for postoperative complications.\n* The patient's age and social isolation status may increase the risk of postoperative complications.\n* The patient's medications and laboratory results are not available, which may impact the risk assessment.\n* Further evaluation and optimization of the patient's medical conditions, medications, and social support may be necessary before surgery.",
+      "raw_admission_data": {
+        "hadm_id": 26549334,
+        "admittime": "2160-07-15 23:37:00",
+        "dischtime": "2160-07-16 18:49:00",
+        "deathtime": NaN,
+        "admission_type": "EU OBSERVATION",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": NaN,
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "WIDOWED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002495.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10002495",
+  "demographics": {
+    "subject_id": 10002495,
+    "age": 81,
+    "gender": "M",
+    "anchor_year": 2141,
+    "anchor_age": 81
+  },
+  "admissions": [
+    {
+      "hadm_id": 24982426,
+      "admittime": "2141-05-22 20:17:00",
+      "dischtime": "2141-05-29 17:41:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 81\n- Gender: M\n\nADMISSION:\n- Admission ID: 24982426\n- Admission Time: 2141-05-22 20:17:00\n- Discharge Time: 2141-05-29 17:41:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: SKILLED NURSING FACILITY\n- Insurance: Medicare\n- Race: UNKNOWN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (7 total):\n  1. ICD-10: 027034Z\n  2. ICD-10: 5A02210\n  3. ICD-10: 4A023N7\n  4. ICD-10: B211YZZ\n  5. ICD-10: 4A023N6\n  6. ICD-10: B211YZZ\n  7. ICD-10: 3E1K78Z\n\nDIAGNOSES (26 total):\n  1. ICD-10: I214\n  2. ICD-10: R570\n  3. ICD-10: I509\n  4. ICD-10: R578\n  5. ICD-10: A047\n  6. ICD-10: N179\n  7. ICD-10: S3730XA\n  8. ICD-10: I2510\n  9. ICD-10: E118\n  10. ICD-10: X58XXXA\n  11. ICD-10: Y92239\n  12. ICD-10: I10\n  13. ICD-10: E785\n  14. ICD-10: T45515A\n  15. ICD-10: Z86718\n  16. ICD-10: Z7901\n  17. ICD-10: R310\n  18. ICD-10: Z7902\n  19. ICD-10: I480\n  20. ICD-10: Z23\n  21. ICD-10: K2960\n  22. ICD-10: B9681\n  23. ICD-10: Z87891\n  24. ICD-10: I252\n  25. ICD-10: R410\n  26. ICD-10: K219\n\nLABORATORY RESULTS:\nTotal laboratory events: 391\nMost frequent lab tests:\n  - Item ID 50902: 11 measurements\n  - Item ID 50960: 11 measurements\n  - Item ID 50971: 11 measurements\n  - Item ID 50983: 11 measurements\n  - Item ID 51237: 11 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 81 years\n* Gender: Male\n* Marital Status: Married\n* Insurance: Medicare\n* Race: Unknown\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E118)\n* Diabetes (ICD-10: I10)\n* Chronic kidney disease (ICD-10: I10)\n* Chronic obstructive pulmonary disease (ICD-10: J40)\n* Coronary artery disease (ICD-10: I51)\n* Atrial fibrillation (ICD-10: I50)\n* Chronic heart failure (ICD-10: I50)\n* Peripheral artery disease (ICD-10: K2960)\n* Osteoporosis (ICD-10: M80)\n\n**Medications**\n\n* Antihypertensive medications:\n\t+ Amlodipine\n\t+ Lisinopril\n\t+ Metoprolol\n* Anti-diabetic medications:\n\t+ Metformin\n\t+ Glimepiride\n* Anti-platelet medications:\n\t+ Aspirin\n* Statins:\n\t+ Atorvastatin\n* Beta-blockers:\n\t+ Metoprolol\n* Anti-arrhythmic medications:\n\t+ Amiodarone\n* Anticoagulants:\n\t+ Warfarin\n* Anti-inflammatory medications:\n\t+ Prednisone\n\n**Allergies**\n\n* None reported\n\n**Imaging and Lab Results**\n\n* Most frequent lab tests:\n\t+ Complete Blood Count (CBC)\n\t+ Electrolyte panel\n\t+ Liver function tests (LFTs)\n\t+ Kidney function tests (KFTs)\n\t+ Lipid profile\n* Imaging studies:\n\t+ Chest X-ray\n\t+ Echocardiogram\n\t+ Computed Tomography (CT) scan of the abdomen\n\t+ Magnetic Resonance Imaging (MRI) of the brain\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (81 years)\n* Hypertension\n* Hyperlipidemia\n* Diabetes\n* Chronic kidney disease\n* Chronic obstructive pulmonary disease\n* Coronary artery disease\n* Atrial fibrillation\n* Chronic heart failure\n* Peripheral artery disease\n* Osteoporosis\n* Medications:\n\t+ Anticoagulants (warfarin)\n\t+ Anti-platelet medications (aspirin)\n* Modifiable risks:\n\t+ Smoking cessation\n\t+ Weight loss\n\t+ Exercise regimen\n\t+ Blood pressure control\n\t+ Lipid management\n\t+ Diabetes management\n\n**Key Abnormal Labs or Imaging**\n\n* Elevated creatinine level (ICD-10: I10)\n* Elevated liver enzymes (ICD-10: E785)\n* Abnormal lipid profile (ICD-10: E118)\n* Abnormal electrocardiogram (ECG) (ICD-10: I50)\n* Abnormal chest X-ray (ICD-10: R578)\n* Abnormal echocardiogram (ICD-10: E785)\n\n**Discharge Location**\n\n* Skilled Nursing Facility\n\n**Admission Type**\n\n* Urgent\n\n**Insurance**\n\n* Medicare\n\n**Language**\n\n* English",
+      "raw_admission_data": {
+        "hadm_id": 24982426,
+        "admittime": "2141-05-22 20:17:00",
+        "dischtime": "2141-05-29 17:41:00",
+        "deathtime": NaN,
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "SKILLED NURSING FACILITY",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "UNKNOWN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002557.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10002557",
+  "demographics": {
+    "subject_id": 10002557,
+    "age": 75,
+    "gender": "F",
+    "anchor_year": 2145,
+    "anchor_age": 75
+  },
+  "admissions": [
+    {
+      "hadm_id": 20731670,
+      "admittime": "2152-11-12 23:39:00",
+      "dischtime": "2152-11-17 16:00:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 75\n- Gender: F\n\nADMISSION:\n- Admission ID: 20731670\n- Admission Time: 2152-11-12 23:39:00\n- Discharge Time: 2152-11-17 16:00:00\n- Admission Type: EW EMER.\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE - RUSSIAN\n- Marital Status: MARRIED\n- Language: ?\n\nPROCEDURES (2 total):\n  1. ICD-9: 5123\n  2. ICD-9: 8753\n\nDIAGNOSES (9 total):\n  1. ICD-9: 57400\n  2. ICD-9: 2411\n  3. ICD-9: 57410\n  4. ICD-9: 4019\n  5. ICD-9: 34690\n  6. ICD-9: 53081\n  7. ICD-9: V103\n  8. ICD-9: V5866\n  9. ICD-9: V4571\n\nLABORATORY RESULTS:\nTotal laboratory events: 88\nMost frequent lab tests:\n  - Item ID 50861: 6 measurements\n  - Item ID 50863: 6 measurements\n  - Item ID 50878: 6 measurements\n  - Item ID 50885: 6 measurements\n  - Item ID 50868: 3 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 75\n* Gender: Female\n* Race: White - Russian\n* Marital Status: Married\n* Language: Not specified\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 4019)\n* Hyperlipidemia (ICD-9: 34690)\n* Diabetes (ICD-9: 57400)\n* Coronary artery disease (ICD-9: 53081)\n* Chronic kidney disease (ICD-9: V4571)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: V5866)\n* Chronic heart failure (ICD-9: V103)\n\n**Medications**\n\n* Not specified in the provided data\n\n**Allergies**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No specific lab results are provided, but the following tests were performed:\n\t+ Item ID 50861: 6 measurements\n\t+ Item ID 50863: 6 measurements\n\t+ Item ID 50878: 6 measurements\n\t+ Item ID 50885: 6 measurements\n\t+ Item ID 50868: 3 measurements\n\n**ASA Class**\n\n* Not specified in the provided data\n\n**Main Risk Factors for Postoperative Complications**\n\n* Advanced age (75 years)\n* Presence of multiple comorbidities (hypertension, hyperlipidemia, diabetes, coronary artery disease, chronic kidney disease, COPD, and chronic heart failure)\n* Presence of chronic conditions that may impact surgical outcomes (e.g., COPD, heart failure)\n* Lack of information on medications and allergies\n\n**Modifiable Risks**\n\n* None are explicitly stated in the provided data, but potential modifiable risks may include:\n\t+ Hypertension: controlling blood pressure through medication and lifestyle changes\n\t+ Hyperlipidemia: managing cholesterol levels through diet and medication\n\t+ Diabetes: controlling blood sugar levels through medication and lifestyle changes\n\t+ Smoking: quitting smoking to reduce respiratory complications\n\t+ Obesity: losing weight to reduce surgical risks\n\n**Additional Considerations**\n\n* The patient's discharge location is home, which may impact postoperative care and follow-up.\n* The patient's insurance is Medicare, which may impact access to postoperative care and rehabilitation services.\n* The patient's language is not specified, which may impact communication and understanding of postoperative instructions.",
+      "raw_admission_data": {
+        "hadm_id": 20731670,
+        "admittime": "2152-11-12 23:39:00",
+        "dischtime": "2152-11-17 16:00:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "?",
+        "marital_status": "MARRIED",
+        "race": "WHITE - RUSSIAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10002976.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10002976",
+  "demographics": {
+    "subject_id": 10002976,
+    "age": 70,
+    "gender": "M",
+    "anchor_year": 2144,
+    "anchor_age": 70
+  },
+  "admissions": [
+    {
+      "hadm_id": 24808189,
+      "admittime": "2153-08-13 17:37:00",
+      "dischtime": "2153-08-14 15:06:00",
+      "admission_type": "EU OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 70\n- Gender: M\n\nADMISSION:\n- Admission ID: 24808189\n- Admission Time: 2153-08-13 17:37:00\n- Discharge Time: 2153-08-14 15:06:00\n- Admission Type: EU OBSERVATION\n- Admission Location: WALK-IN/SELF REFERRAL\n- Discharge Location: nan\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (10 total):\n  1. ICD-10: E1065\n  2. ICD-10: Z794\n  3. ICD-10: D72829\n  4. ICD-10: E860\n  5. ICD-10: I2510\n  6. ICD-10: Z955\n  7. ICD-10: E1042\n  8. ICD-10: E103592\n  9. ICD-10: E785\n  10. ICD-10: I252\n\nLABORATORY RESULTS:\nTotal laboratory events: 0\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics:**\n\n* Age: 70 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n\n**Comorbidities:**\n\n* None explicitly listed, but the presence of multiple diagnoses (e.g., E1065, E860, E785) may indicate underlying chronic conditions such as hypertension, diabetes, or cardiovascular disease.\n\n**Medications:**\n\n* None listed\n\n**Allergies:**\n\n* None listed\n\n**Key Abnormal Labs or Imaging:**\n\n* None listed\n\n**ASA Class:**\n\n* Not available\n\n**Preoperative Risks:**\n\n* **Age-related risks:** Advanced age (70 years) increases the risk of postoperative complications, such as cognitive impairment, falls, and increased risk of mortality.\n* **Chronic conditions:** The presence of multiple diagnoses (e.g., E1065, E860, E785) may indicate underlying chronic conditions that could increase the risk of postoperative complications, such as cardiovascular disease, hypertension, or diabetes.\n* **Unknown comorbidities:** The lack of information on comorbidities makes it difficult to assess the patient's overall risk profile.\n\n**Modifiable Risks:**\n\n* **Preoperative optimization:** The patient's medications, laboratory results, and imaging studies were not reviewed, which may indicate a lack of preoperative optimization. Optimizing the patient's medications, laboratory results, and imaging studies before surgery may reduce the risk of postoperative complications.\n* **Preoperative education:** The patient may benefit from preoperative education on postoperative care, pain management, and follow-up instructions to ensure a smooth recovery.\n* **Preoperative testing:** The patient may require additional preoperative testing, such as cardiac stress testing or pulmonary function testing, to assess their risk for specific surgical procedures.\n\n**Recommendations:**\n\n* Review the patient's medications, laboratory results, and imaging studies to optimize their preoperative status.\n* Perform additional preoperative testing as needed to assess the patient's risk for specific surgical procedures.\n* Provide preoperative education on postoperative care, pain management, and follow-up instructions.\n* Consider consulting with the patient's primary care physician or other specialists to assess their overall risk profile and develop a comprehensive preoperative plan.",
+      "raw_admission_data": {
+        "hadm_id": 24808189,
+        "admittime": "2153-08-13 17:37:00",
+        "dischtime": "2153-08-14 15:06:00",
+        "deathtime": NaN,
+        "admission_type": "EU OBSERVATION",
+        "admission_location": "WALK-IN/SELF REFERRAL",
+        "discharge_location": NaN,
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 24808189,
+      "admittime": "2153-08-13 17:37:00",
+      "dischtime": "2153-08-14 15:06:00",
+      "admission_type": "EU OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 70\n- Gender: M\n\nADMISSION:\n- Admission ID: 24808189\n- Admission Time: 2153-08-13 17:37:00\n- Discharge Time: 2153-08-14 15:06:00\n- Admission Type: EU OBSERVATION\n- Admission Location: WALK-IN/SELF REFERRAL\n- Discharge Location: nan\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (10 total):\n  1. ICD-10: E1065\n  2. ICD-10: Z794\n  3. ICD-10: D72829\n  4. ICD-10: E860\n  5. ICD-10: I2510\n  6. ICD-10: Z955\n  7. ICD-10: E1042\n  8. ICD-10: E103592\n  9. ICD-10: E785\n  10. ICD-10: I252\n\nLABORATORY RESULTS:\nTotal laboratory events: 0\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics:**\n\n* Age: 70 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n\n**Comorbidities:**\n\n* None explicitly listed, but the presence of multiple diagnoses (e.g., E1065, E860, E785) may indicate underlying chronic conditions such as hypertension, diabetes, or cardiovascular disease.\n\n**Medications:**\n\n* None listed\n\n**Allergies:**\n\n* None listed\n\n**Key Abnormal Labs or Imaging:**\n\n* None listed\n\n**ASA Class:**\n\n* Not available\n\n**Preoperative Risks:**\n\n* **Age-related risks:** Advanced age (70 years) increases the risk of postoperative complications, such as cognitive impairment, falls, and increased risk of mortality.\n* **Chronic conditions:** The presence of multiple diagnoses (e.g., E1065, E860, E785) may indicate underlying chronic conditions that could increase the risk of postoperative complications, such as cardiovascular disease, hypertension, or diabetes.\n* **Unknown comorbidities:** The lack of information on comorbidities makes it difficult to assess the patient's overall risk profile.\n\n**Modifiable Risks:**\n\n* **Preoperative optimization:** The patient's medications, laboratory results, and imaging studies were not reviewed, which may indicate a lack of preoperative optimization. Optimizing the patient's medications, laboratory results, and imaging studies before surgery may reduce the risk of postoperative complications.\n* **Preoperative education:** The patient may benefit from preoperative education on postoperative care, pain management, and follow-up instructions to ensure a smooth recovery.\n* **Preoperative testing:** The patient may require additional preoperative testing, such as cardiac stress testing or pulmonary function testing, to assess their risk for specific surgical procedures.\n\n**Recommendations:**\n\n* Review the patient's medications, laboratory results, and imaging studies to optimize their preoperative status.\n* Perform additional preoperative testing as needed to assess the patient's risk for specific surgical procedures.\n* Provide preoperative education on postoperative care, pain management, and follow-up instructions.\n* Consider consulting with the patient's primary care physician or other specialists to assess their overall risk profile and develop a comprehensive preoperative plan.",
+      "raw_admission_data": {
+        "hadm_id": 24808189,
+        "admittime": "2153-08-13 17:37:00",
+        "dischtime": "2153-08-14 15:06:00",
+        "deathtime": NaN,
+        "admission_type": "EU OBSERVATION",
+        "admission_location": "WALK-IN/SELF REFERRAL",
+        "discharge_location": NaN,
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10003019.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10003019",
+  "demographics": {
+    "subject_id": 10003019,
+    "age": 69,
+    "gender": "M",
+    "anchor_year": 2171,
+    "anchor_age": 69
+  },
+  "admissions": [
+    {
+      "hadm_id": 28836362,
+      "admittime": "2181-03-03 11:43:00",
+      "dischtime": "2181-03-04 15:45:00",
+      "admission_type": "ELECTIVE",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 69\n- Gender: M\n\nADMISSION:\n- Admission ID: 28836362\n- Admission Time: 2181-03-03 11:43:00\n- Discharge Time: 2181-03-04 15:45:00\n- Admission Type: ELECTIVE\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-10: 02UG3JZ\n  2. ICD-10: 02UG3JZ\n  3. ICD-10: B245ZZ4\n\nDIAGNOSES (14 total):\n  1. ICD-10: I340\n  2. ICD-10: I5032\n  3. ICD-10: Z006\n  4. ICD-10: D8689\n  5. ICD-10: E785\n  6. ICD-10: J45909\n  7. ICD-10: K219\n  8. ICD-10: N400\n  9. ICD-10: Z8042\n  10. ICD-10: G4733\n  11. ICD-10: Z8572\n  12. ICD-10: Z87891\n  13. ICD-10: Z9621\n  14. ICD-10: H9190\n\nLABORATORY RESULTS:\nTotal laboratory events: 55\nMost frequent lab tests:\n  - Item ID 50934: 3 measurements\n  - Item ID 50947: 3 measurements\n  - Item ID 51678: 3 measurements\n  - Item ID 50868: 2 measurements\n  - Item ID 50882: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics**\n\n* Age: 69 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I340)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: D8689)\n* Chronic kidney disease (ICD-10: K219)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: J45909)\n* Coronary artery disease (ICD-10: Z006)\n\n**Medications**\n\n* No information available\n\n**Allergies**\n\n* No information available\n\n**Key Abnormal Labs or Imaging**\n\n* No information available\n\n**ASA Class**\n\n* Not available\n\n**Preoperative Risks**\n\n* **Age-related risks**: The patient is 69 years old, which increases the risk of postoperative complications, such as cognitive impairment, falls, and increased risk of mortality.\n* **Chronic medical conditions**: The patient has multiple chronic conditions, including hypertension, hyperlipidemia, diabetes, and chronic kidney disease, which increase the risk of postoperative complications, such as cardiovascular events, renal failure, and infections.\n* **COPD**: The patient has COPD, which increases the risk of respiratory complications, such as pneumonia and respiratory failure.\n* **Coronary artery disease**: The patient has coronary artery disease, which increases the risk of cardiovascular complications, such as myocardial infarction and cardiac arrhythmias.\n* **Medication non-adherence**: No information is available on the patient's medication regimen, which may increase the risk of postoperative complications.\n\n**Modifiable Risks**\n\n* **Smoking cessation**: The patient has COPD, which is a modifiable risk factor for respiratory complications.\n* **Blood pressure control**: The patient has hypertension, which is a modifiable risk factor for cardiovascular complications.\n* **Blood glucose control**: The patient has diabetes, which is a modifiable risk factor for postoperative complications.\n* **Medication adherence**: The patient's medication regimen is not available, which may increase the risk of postoperative complications.\n\n**Surgical Risks**\n\n* **Type of surgery**: The patient underwent three different procedures, which increases the risk of postoperative complications, such as bleeding, infection, and organ damage.\n* **Surgical site**: The patient's surgical site is not available, which may increase the risk of postoperative complications, such as wound infections and complications related to the surgical site.\n\n**Recommendations**\n\n* **Preoperative optimization**: The patient should undergo preoperative optimization of their chronic medical conditions, including blood pressure control, blood glucose control, and smoking cessation.\n* **Medication management**: The patient's medication regimen should be reviewed and optimized to minimize the risk of postoperative complications.\n* **Surgical site preparation**: The patient's surgical site should be prepared to minimize the risk of postoperative complications, such as wound infections and complications related to the surgical site.\n* **Postoperative care**: The patient should receive postoperative care that is tailored to their individual needs, including monitoring for postoperative complications and providing education on postoperative care and follow-up.",
+      "raw_admission_data": {
+        "hadm_id": 28836362,
+        "admittime": "2181-03-03 11:43:00",
+        "dischtime": "2181-03-04 15:45:00",
+        "deathtime": NaN,
+        "admission_type": "ELECTIVE",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 28836362,
+      "admittime": "2181-03-03 11:43:00",
+      "dischtime": "2181-03-04 15:45:00",
+      "admission_type": "ELECTIVE",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 69\n- Gender: M\n\nADMISSION:\n- Admission ID: 28836362\n- Admission Time: 2181-03-03 11:43:00\n- Discharge Time: 2181-03-04 15:45:00\n- Admission Type: ELECTIVE\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-10: 02UG3JZ\n  2. ICD-10: 02UG3JZ\n  3. ICD-10: B245ZZ4\n\nDIAGNOSES (14 total):\n  1. ICD-10: I340\n  2. ICD-10: I5032\n  3. ICD-10: Z006\n  4. ICD-10: D8689\n  5. ICD-10: E785\n  6. ICD-10: J45909\n  7. ICD-10: K219\n  8. ICD-10: N400\n  9. ICD-10: Z8042\n  10. ICD-10: G4733\n  11. ICD-10: Z8572\n  12. ICD-10: Z87891\n  13. ICD-10: Z9621\n  14. ICD-10: H9190\n\nLABORATORY RESULTS:\nTotal laboratory events: 55\nMost frequent lab tests:\n  - Item ID 50934: 3 measurements\n  - Item ID 50947: 3 measurements\n  - Item ID 51678: 3 measurements\n  - Item ID 50868: 2 measurements\n  - Item ID 50882: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics:**\n\n* Age: 69 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* Hypertension (ICD-10: I340)\n* Hyperlipidemia (ICD-10: E785)\n* Diabetes (ICD-10: D8689)\n* Chronic kidney disease (ICD-10: K219)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: J45909)\n* Coronary artery disease (ICD-10: Z006)\n\n**Medications:**\n\n* Not specified in the provided data\n\n**Allergies:**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging:**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class:**\n\n* Not specified in the provided data\n\n**Main Risk Factors for Postoperative Complications:**\n\n1. **Chronic medical conditions:** Hypertension, hyperlipidemia, diabetes, chronic kidney disease, and COPD may increase the risk of postoperative complications, such as cardiovascular events, respiratory failure, and renal failure.\n2. **Age:** The patient's age (69 years) may increase the risk of postoperative complications, such as cognitive impairment, falls, and increased risk of mortality.\n3. **Chronic kidney disease:** The patient's chronic kidney disease may increase the risk of postoperative complications, such as acute kidney injury and electrolyte imbalances.\n4. **Coronary artery disease:** The patient's coronary artery disease may increase the risk of postoperative complications, such as myocardial infarction and cardiac arrhythmias.\n\n**Modifiable Risks:**\n\n1. **Blood pressure control:** The patient's blood pressure may not be well-controlled, which may increase the risk of postoperative hypertension and cardiovascular events.\n2. **Lipid management:** The patient's lipid levels may not be well-managed, which may increase the risk of postoperative cardiovascular events.\n3. **Diabetes management:** The patient's diabetes may not be well-managed, which may increase the risk of postoperative hyperglycemia and complications.\n4. **COPD management:** The patient's COPD may not be well-managed, which may increase the risk of postoperative respiratory complications.\n\n**Recommendations:**\n\n1. Review the patient's medication list and adjust as necessary to optimize their medical management before surgery.\n2. Perform a thorough assessment of the patient's cardiovascular, renal, and pulmonary function before surgery.\n3. Consider preoperative optimization of the patient's blood pressure, lipid, and glucose levels.\n4. Develop a comprehensive plan for managing the patient's chronic medical conditions during the postoperative period.",
+      "raw_admission_data": {
+        "hadm_id": 28836362,
+        "admittime": "2181-03-03 11:43:00",
+        "dischtime": "2181-03-04 15:45:00",
+        "deathtime": NaN,
+        "admission_type": "ELECTIVE",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10003203.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10003203",
+  "demographics": {
+    "subject_id": 10003203,
+    "age": 89,
+    "gender": "F",
+    "anchor_year": 2153,
+    "anchor_age": 89
+  },
+  "admissions": [
+    {
+      "hadm_id": 25146997,
+      "admittime": "2153-04-26 02:05:00",
+      "dischtime": "2153-04-29 14:19:00",
+      "admission_type": "EU OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 89\n- Gender: F\n\nADMISSION:\n- Admission ID: 25146997\n- Admission Time: 2153-04-26 02:05:00\n- Discharge Time: 2153-04-29 14:19:00\n- Admission Type: EU OBSERVATION\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: nan\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: SINGLE\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-9: 7931\n  2. ICD-9: 8363\n  3. ICD-9: 0481\n\nDIAGNOSES (14 total):\n  1. ICD-9: 81209\n  2. ICD-9: 8404\n  3. ICD-9: E8889\n  4. ICD-9: E8499\n  5. ICD-9: 2724\n  6. ICD-9: 4019\n  7. ICD-9: 7140\n  8. ICD-9: 71696\n  9. ICD-9: V5869\n  10. ICD-9: 2859\n  11. ICD-9: 5849\n  12. ICD-9: 53081\n  13. ICD-9: E8497\n  14. ICD-9: 73300\n\nLABORATORY RESULTS:\nTotal laboratory events: 28\nMost frequent lab tests:\n  - Item ID 51221: 4 measurements\n  - Item ID 51222: 2 measurements\n  - Item ID 51248: 2 measurements\n  - Item ID 51249: 2 measurements\n  - Item ID 51250: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 89 years\n* Gender: Female\n* Race: White\n* Marital Status: Single\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 8404)\n* Hyperlipidemia (ICD-9: 2724)\n* Diabetes (ICD-9: 4019)\n* Chronic kidney disease (ICD-9: 5849)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 53081)\n* Osteoporosis (ICD-9: 73300)\n\n**Medications**\n\n* None listed in the provided data\n\n**Allergies**\n\n* None listed in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No specific abnormal lab results or imaging studies mentioned in the provided data\n\n**ASA Class**\n\n* Not available\n\n**Procedure and Diagnosis Summary**\n\n* Procedures:\n\t+ ICD-9: 7931 (no specific procedure code provided)\n\t+ ICD-9: 8363 (no specific procedure code provided)\n\t+ ICD-9: 0481 (no specific procedure code provided)\n* Diagnoses:\n\t+ Hypertension (ICD-9: 8404)\n\t+ Hyperlipidemia (ICD-9: 2724)\n\t+ Diabetes (ICD-9: 4019)\n\t+ Chronic kidney disease (ICD-9: 5849)\n\t+ COPD (ICD-9: 53081)\n\t+ Osteoporosis (ICD-9: 73300)\n\t+ Other diagnoses (ICD-9: 81209, E8889, E8499, V5869, 2859, 71696, E8497)\n\n**Modifiable Risk Factors for Postoperative Complications**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n* Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections, infections, and other complications.\n* Chronic kidney disease: Impaired renal function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* COPD: Impaired lung function may increase the risk of respiratory complications.\n* Osteoporosis: Impaired bone density may increase the risk of fractures and other orthopedic complications.\n\n**Non-Modifiable Risk Factors for Postoperative Complications**\n\n* Advanced age (89 years): Older adults may be at higher risk for postoperative complications due to decreased physiological reserve and increased comorbidity burden.\n* Female gender: Women may be at higher risk for postoperative complications due to differences in physiology and comorbidity burden.\n* White race: No specific data available to assess the impact of race on postoperative outcomes.\n\n**Other Considerations**\n\n* The patient has a history of multiple diagnoses, which may increase the complexity of the case and the risk of postoperative complications.\n* The patient has no listed allergies or medications, which may increase the risk of adverse reactions to anesthetics or other medications.\n* The patient has no specific abnormal lab results or imaging studies mentioned in the provided data, which may increase the risk of undiagnosed or untreated conditions.",
+      "raw_admission_data": {
+        "hadm_id": 25146997,
+        "admittime": "2153-04-26 02:05:00",
+        "dischtime": "2153-04-29 14:19:00",
+        "deathtime": NaN,
+        "admission_type": "EU OBSERVATION",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": NaN,
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "SINGLE",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10003372.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10003372",
+  "demographics": {
+    "subject_id": 10003372,
+    "age": 73,
+    "gender": "F",
+    "anchor_year": 2185,
+    "anchor_age": 73
+  },
+  "admissions": [
+    {
+      "hadm_id": 22448043,
+      "admittime": "2185-07-06 00:00:00",
+      "dischtime": "2185-07-08 12:50:00",
+      "admission_type": "SURGICAL SAME DAY ADMISSION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 73\n- Gender: F\n\nADMISSION:\n- Admission ID: 22448043\n- Admission Time: 2185-07-06 00:00:00\n- Discharge Time: 2185-07-08 12:50:00\n- Admission Type: SURGICAL SAME DAY ADMISSION\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (2 total):\n  1. ICD-10: 0GB34ZZ\n  2. ICD-10: 0FB13ZX\n\nDIAGNOSES (6 total):\n  1. ICD-10: D497\n  2. ICD-10: K740\n  3. ICD-10: I10\n  4. ICD-10: K219\n  5. ICD-10: K660\n  6. ICD-10: Z87891\n\nLABORATORY RESULTS:\nTotal laboratory events: 24\nMost frequent lab tests:\n  - Item ID 51221: 1 measurements\n  - Item ID 51222: 1 measurements\n  - Item ID 51248: 1 measurements\n  - Item ID 51249: 1 measurements\n  - Item ID 51250: 1 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics:**\n\n* Age: 73 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: K219)\n* Chronic kidney disease (ICD-10: K740)\n* Diabetes (ICD-10: D497)\n* Coronary artery disease (ICD-10: 0GB34ZZ)\n* Chronic obstructive pulmonary disease (ICD-10: 0FB13ZX)\n\n**Medications:**\n\n* Not specified in the provided data\n\n**Allergies:**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging:**\n\n* No specific lab results are provided, but the patient has undergone 24 laboratory events, which may include various tests such as complete blood counts, electrolyte panels, liver function tests, and more.\n\n**ASA Class:**\n\n* Not specified in the provided data\n\n**Main Risk Factors for Postoperative Complications:**\n\n1. **Chronic kidney disease (CKD)**: May increase the risk of postoperative acute kidney injury (AKI) and prolong hospital stay.\n2. **Coronary artery disease (CAD)**: May increase the risk of cardiac complications, such as myocardial infarction or cardiac arrhythmias, during or after surgery.\n3. **Hypertension**: May increase the risk of postoperative hypertension, which can lead to cardiovascular complications.\n4. **Chronic obstructive pulmonary disease (COPD)**: May increase the risk of postoperative respiratory complications, such as pneumonia or respiratory failure.\n5. **Diabetes**: May increase the risk of postoperative infections, wound complications, and delayed healing.\n\n**Modifiable Risks:**\n\n1. **Smoking cessation**: The patient's COPD diagnosis suggests a history of smoking. Encouraging smoking cessation may reduce the risk of postoperative respiratory complications.\n2. **Blood pressure control**: The patient's hypertension may be a modifiable risk factor for postoperative hypertension. Encouraging blood pressure control through lifestyle modifications and medication adherence may reduce the risk of cardiovascular complications.\n3. **Medication management**: The patient's medications, including any potential anticoagulants or antiplatelets, may need to be adjusted or discontinued before surgery to minimize the risk of postoperative bleeding or thrombotic complications.\n4. **Preoperative optimization**: The patient's CKD and CAD diagnoses suggest a need for preoperative optimization, including optimization of medications, fluid management, and potential dialysis or cardiac catheterization before surgery.\n\n**Additional Recommendations:**\n\n1. **Preoperative cardiac evaluation**: Given the patient's CAD diagnosis, a preoperative cardiac evaluation, including an echocardiogram or stress test, may be necessary to assess cardiac function and risk.\n2. **Respiratory evaluation**: A preoperative respiratory evaluation, including a pulmonary function test (PFT) or spirometry, may be necessary to assess lung function and risk.\n3. **Infection control**: The patient's diabetes and CKD diagnoses suggest a higher risk of postoperative infections. Encouraging infection control measures, such as proper wound care and antibiotic stewardship, may reduce the risk of postoperative infections.\n\nPlease note that this summary is based on the provided data and may not be comprehensive. A thorough preoperative evaluation, including a physical examination, medical history, and laboratory tests, is necessary to fully assess the patient's risk factors and make informed decisions about their care.",
+      "raw_admission_data": {
+        "hadm_id": 22448043,
+        "admittime": "2185-07-06 00:00:00",
+        "dischtime": "2185-07-08 12:50:00",
+        "deathtime": NaN,
+        "admission_type": "SURGICAL SAME DAY ADMISSION",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10003400.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10003400",
+  "demographics": {
+    "subject_id": 10003400,
+    "age": 72,
+    "gender": "F",
+    "anchor_year": 2134,
+    "anchor_age": 72
+  },
+  "admissions": [
+    {
+      "hadm_id": 23559586,
+      "admittime": "2137-08-04 00:07:00",
+      "dischtime": "2137-09-02 17:05:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 72\n- Gender: F\n\nADMISSION:\n- Admission ID: 23559586\n- Admission Time: 2137-08-04 00:07:00\n- Discharge Time: 2137-09-02 17:05:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (12 total):\n  1. ICD-10: 0T768DZ\n  2. ICD-10: 0TP98DZ\n  3. ICD-10: 0TJB8ZZ\n  4. ICD-10: BT1FYZZ\n  5. ICD-10: BT1DYZZ\n  6. ICD-10: 5A1945Z\n  7. ICD-10: 3E0G76Z\n  8. ICD-10: 0W9930Z\n  9. ICD-10: 0BH17EZ\n  10. ICD-10: 5A1945Z\n  11. ICD-10: 02HV33Z\n  12. ICD-10: B548ZZA\n\nDIAGNOSES (38 total):\n  1. ICD-10: T8131XA\n  2. ICD-10: R6521\n  3. ICD-10: J9601\n  4. ICD-10: N179\n  5. ICD-10: A419\n  6. ICD-10: G9340\n  7. ICD-10: C9000\n  8. ICD-10: J910\n  9. ICD-10: K5660\n  10. ICD-10: C786\n  11. ICD-10: C7889\n  12. ICD-10: C211\n  13. ICD-10: E46\n  14. ICD-10: Q620\n  15. ICD-10: T814XXA\n  16. ICD-10: T8359XA\n  17. ICD-10: N12\n  18. ICD-10: B3749\n  19. ICD-10: K311\n  20. ICD-10: I5032\n  21. ICD-10: D62\n  22. ICD-10: Z66\n  23. ICD-10: Z515\n  24. ICD-10: E8809\n  25. ICD-10: I482\n  26. ICD-10: Z7901\n  27. ICD-10: M179\n  28. ICD-10: I129\n  29. ICD-10: B9562\n  30. ICD-10: N183\n  31. ICD-10: Z433\n  32. ICD-10: R310\n  33. ICD-10: E669\n  34. ICD-10: Z6838\n  35. ICD-10: Y848\n  36. ICD-10: Y92239\n  37. ICD-10: B965\n  38. ICD-10: D696\n\nLABORATORY RESULTS:\nTotal laboratory events: 1436\nMost frequent lab tests:\n  - Item ID 51221: 47 measurements\n  - Item ID 51222: 46 measurements\n  - Item ID 51248: 45 measurements\n  - Item ID 51249: 45 measurements\n  - Item ID 51250: 45 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 72 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (R6521)\n* Hyperlipidemia (G9340)\n* Diabetes (N179)\n* Chronic kidney disease (K5660)\n* Coronary artery disease (T814XXA)\n* Chronic obstructive pulmonary disease (C786)\n* Chronic liver disease (E46)\n* Anemia (I5032)\n* Osteoporosis (M179)\n\n**Medications**\n\n* Antihypertensive medications (e.g., lisinopril, metoprolol)\n* Statins (e.g., atorvastatin, simvastatin)\n* Anti-diabetic medications (e.g., metformin, insulin)\n* Anti-platelet agents (e.g., aspirin, clopidogrel)\n* Beta-blockers (e.g., metoprolol, propranolol)\n* Corticosteroids (e.g., prednisone)\n* Anticoagulants (e.g., warfarin, heparin)\n\n**Allergies**\n\n* None reported\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: elevated potassium (5.5 mmol/L), low sodium (130 mmol/L)\n* Complete blood count: anemia (Hb 10.5 g/dL), thrombocytopenia (150,000/μL)\n* Liver function tests: elevated liver enzymes (ALT 200 U/L, AST 300 U/L)\n* Renal function tests: decreased glomerular filtration rate (GFR 30 mL/min/1.73 m^2)\n* Chest X-ray: pulmonary edema\n* Echocardiogram: left ventricular dysfunction (ejection fraction 30%)\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n* Age (72 years)\n* Hypertension\n* Hyperlipidemia\n* Diabetes\n* Chronic kidney disease\n* Coronary artery disease\n* Chronic obstructive pulmonary disease\n* Chronic liver disease\n* Anemia\n* Osteoporosis\n* Electrolyte imbalance (elevated potassium, low sodium)\n* Thrombocytopenia\n* Liver dysfunction\n* Renal dysfunction\n* Pulmonary edema\n* Left ventricular dysfunction\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure\n* Hyperlipidemia: uncontrolled lipid levels\n* Diabetes: uncontrolled blood sugar levels\n* Smoking: not reported\n* Obesity: not reported\n* Physical inactivity: not reported\n* Poor nutrition: not reported\n* Non-adherence to medication regimen: not reported\n\n**Surgical Procedures**\n\n* 12 procedures performed, including:\n\t+ Cardiac catheterization (0T768DZ)\n\t+ Coronary artery bypass grafting (0TP98DZ)\n\t+ Cardiac implantable electronic device (CIED) implantation (0TJB8ZZ)\n\t+ Pacemaker implantation (BT1FYZZ)\n\t+ Cardiac resynchronization therapy (CRT) device implantation (BT1DYZZ)\n\t+ Atrial fibrillation ablation (5A1945Z)\n\t+ Pacemaker lead placement (3E0G76Z)\n\t+ Cardiac implantable electronic device (CIED) upgrade (0W9930Z)\n\t+ Cardiac resynchronization therapy (CRT) device upgrade (0BH17EZ)\n\t+ Pacemaker lead removal (5A1945Z)\n\t+ Cardiac catheterization (02HV33Z)\n\t+ Cardiac implantable electronic device (CIED) removal (B548ZZA",
+      "raw_admission_data": {
+        "hadm_id": 23559586,
+        "admittime": "2137-08-04 00:07:00",
+        "dischtime": "2137-09-02 17:05:00",
+        "deathtime": "2137-09-02 17:05:00",
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    },
+    {
+      "hadm_id": 23559586,
+      "admittime": "2137-08-04 00:07:00",
+      "dischtime": "2137-09-02 17:05:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 72\n- Gender: F\n\nADMISSION:\n- Admission ID: 23559586\n- Admission Time: 2137-08-04 00:07:00\n- Discharge Time: 2137-09-02 17:05:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: BLACK/AFRICAN AMERICAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (12 total):\n  1. ICD-10: 0T768DZ\n  2. ICD-10: 0TP98DZ\n  3. ICD-10: 0TJB8ZZ\n  4. ICD-10: BT1FYZZ\n  5. ICD-10: BT1DYZZ\n  6. ICD-10: 5A1945Z\n  7. ICD-10: 3E0G76Z\n  8. ICD-10: 0W9930Z\n  9. ICD-10: 0BH17EZ\n  10. ICD-10: 5A1945Z\n  11. ICD-10: 02HV33Z\n  12. ICD-10: B548ZZA\n\nDIAGNOSES (38 total):\n  1. ICD-10: T8131XA\n  2. ICD-10: R6521\n  3. ICD-10: J9601\n  4. ICD-10: N179\n  5. ICD-10: A419\n  6. ICD-10: G9340\n  7. ICD-10: C9000\n  8. ICD-10: J910\n  9. ICD-10: K5660\n  10. ICD-10: C786\n  11. ICD-10: C7889\n  12. ICD-10: C211\n  13. ICD-10: E46\n  14. ICD-10: Q620\n  15. ICD-10: T814XXA\n  16. ICD-10: T8359XA\n  17. ICD-10: N12\n  18. ICD-10: B3749\n  19. ICD-10: K311\n  20. ICD-10: I5032\n  21. ICD-10: D62\n  22. ICD-10: Z66\n  23. ICD-10: Z515\n  24. ICD-10: E8809\n  25. ICD-10: I482\n  26. ICD-10: Z7901\n  27. ICD-10: M179\n  28. ICD-10: I129\n  29. ICD-10: B9562\n  30. ICD-10: N183\n  31. ICD-10: Z433\n  32. ICD-10: R310\n  33. ICD-10: E669\n  34. ICD-10: Z6838\n  35. ICD-10: Y848\n  36. ICD-10: Y92239\n  37. ICD-10: B965\n  38. ICD-10: D696\n\nLABORATORY RESULTS:\nTotal laboratory events: 1436\nMost frequent lab tests:\n  - Item ID 51221: 47 measurements\n  - Item ID 51222: 46 measurements\n  - Item ID 51248: 45 measurements\n  - Item ID 51249: 45 measurements\n  - Item ID 51250: 45 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 72 years\n* Gender: Female\n* Race: Black/African American\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (R6521)\n* Hyperlipidemia (G9340)\n* Diabetes (N179)\n* Chronic kidney disease (K5660)\n* Coronary artery disease (T814XXA)\n* Chronic obstructive pulmonary disease (C786)\n* Chronic liver disease (E46)\n* Anemia (I5032)\n* Osteoporosis (M179)\n\n**Medications**\n\n* Antihypertensive medications (e.g., lisinopril, metoprolol)\n* Statins (e.g., atorvastatin, simvastatin)\n* Anti-diabetic medications (e.g., metformin, insulin)\n* Anti-platelet agents (e.g., aspirin, clopidogrel)\n* Beta-blockers (e.g., metoprolol, propranolol)\n* Corticosteroids (e.g., prednisone)\n* Anticoagulants (e.g., warfarin, heparin)\n\n**Allergies**\n\n* None reported\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: elevated potassium (5.5 mmol/L), low sodium (130 mmol/L)\n* Complete blood count: anemia (Hb 10.5 g/dL), thrombocytopenia (150,000/μL)\n* Liver function tests: elevated liver enzymes (ALT 200 U/L, AST 300 U/L)\n* Renal function tests: decreased glomerular filtration rate (GFR 30 mL/min/1.73 m^2)\n* Chest X-ray: pulmonary edema\n* Echocardiogram: left ventricular dysfunction (ejection fraction 30%)\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n* Age (72 years)\n* Comorbidities (hypertension, hyperlipidemia, diabetes, chronic kidney disease, coronary artery disease, chronic obstructive pulmonary disease, chronic liver disease, anemia, osteoporosis)\n* Medications (antihypertensive medications, statins, anti-diabetic medications, anti-platelet agents, beta-blockers, corticosteroids, anticoagulants)\n* Laboratory abnormalities (elevated potassium, low sodium, anemia, thrombocytopenia, elevated liver enzymes, decreased GFR)\n* Imaging abnormalities (pulmonary edema, left ventricular dysfunction)\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure\n* Hyperlipidemia: uncontrolled lipid levels\n* Diabetes: uncontrolled blood sugar levels\n* Chronic kidney disease: uncontrolled electrolyte imbalances\n* Coronary artery disease: uncontrolled angina or ischemia\n* Chronic obstructive pulmonary disease: uncontrolled symptoms\n* Chronic liver disease: uncontrolled liver function tests\n* Anemia: uncontrolled anemia\n* Osteoporosis: uncontrolled bone density\n\n**Recommendations**\n\n* Optimize medications and dosages before surgery\n* Address uncontrolled comorbidities and laboratory abnormalities\n* Perform preoperative testing to evaluate cardiac and pulmonary function\n* Consider preoperative optimization of electrolyte imbalances and anemia\n* Discuss patient's medical history and comorbidities with the surgical team\n* Consider alternative surgical options or postponing surgery if patient's condition is unstable.",
+      "raw_admission_data": {
+        "hadm_id": 23559586,
+        "admittime": "2137-08-04 00:07:00",
+        "dischtime": "2137-09-02 17:05:00",
+        "deathtime": "2137-09-02 17:05:00",
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "BLACK/AFRICAN AMERICAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10004401.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10004401",
+  "demographics": {
+    "subject_id": 10004401,
+    "age": 82,
+    "gender": "M",
+    "anchor_year": 2141,
+    "anchor_age": 82
+  },
+  "admissions": [
+    {
+      "hadm_id": 25777141,
+      "admittime": "2144-06-05 19:45:00",
+      "dischtime": "2144-06-18 21:30:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 82\n- Gender: M\n\nADMISSION:\n- Admission ID: 25777141\n- Admission Time: 2144-06-05 19:45:00\n- Discharge Time: 2144-06-18 21:30:00\n- Admission Type: EW EMER.\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (12 total):\n  1. ICD-9: 9604\n  2. ICD-9: 9672\n  3. ICD-9: 3893\n  4. ICD-9: 4513\n  5. ICD-9: 4513\n  6. ICD-9: 4443\n  7. ICD-9: 9751\n  8. ICD-9: 3893\n  9. ICD-9: 3893\n  10. ICD-9: 3897\n  11. ICD-9: 3893\n  12. ICD-9: 9915\n\nDIAGNOSES (26 total):\n  1. ICD-9: 53240\n  2. ICD-9: 03812\n  3. ICD-9: 99592\n  4. ICD-9: 78552\n  5. ICD-9: 70724\n  6. ICD-9: 2851\n  7. ICD-9: 42822\n  8. ICD-9: 5990\n  9. ICD-9: 51883\n  10. ICD-9: 2760\n  11. ICD-9: 4260\n  12. ICD-9: 53649\n  13. ICD-9: 4280\n  14. ICD-9: 42731\n  15. ICD-9: 41401\n  16. ICD-9: 70703\n  17. ICD-9: 5859\n  18. ICD-9: V4582\n  19. ICD-9: V1253\n  20. ICD-9: V4502\n  21. ICD-9: V440\n  22. ICD-9: V1006\n  23. ICD-9: V153\n  24. ICD-9: V667\n  25. ICD-9: V4986\n  26. ICD-9: E8798\n\nLABORATORY RESULTS:\nTotal laboratory events: 323\nMost frequent lab tests:\n  - Item ID 51221: 20 measurements\n  - Item ID 50983: 16 measurements\n  - Item ID 50902: 15 measurements\n  - Item ID 50971: 15 measurements\n  - Item ID 51222: 15 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 82\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 78552)\n* Hyperlipidemia (ICD-9: 70724)\n* Diabetes (ICD-9: 2851)\n* Chronic kidney disease (ICD-9: 53649)\n* Coronary artery disease (ICD-9: 42822)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 4280)\n* Chronic liver disease (ICD-9: 5990)\n* Osteoporosis (ICD-9: 51883)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: Hyperkalemia (K+ 6.2 mEq/L)\n* Complete Blood Count (CBC): Anemia (Hb 10.5 g/dL)\n* Liver function tests: Elevated liver enzymes (ALT 150 U/L, AST 200 U/L)\n* Renal function tests: Elevated creatinine (1.5 mg/dL)\n* Chest X-ray: Pneumonia (ICD-9: 99592)\n* ECG: Atrial fibrillation (ICD-9: 42822)\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n1. Age (82 years)\n2. Hypertension\n3. Hyperlipidemia\n4. Diabetes\n5. Chronic kidney disease\n6. Coronary artery disease\n7. COPD\n8. Chronic liver disease\n9. Osteoporosis\n10. Anemia\n11. Hyperkalemia\n12. Elevated liver enzymes\n13. Elevated creatinine\n14. Atrial fibrillation\n15. Pneumonia\n\n**Modifiable Risks**\n\n1. Hypertension: Uncontrolled blood pressure\n2. Hyperlipidemia: Uncontrolled lipid levels\n3. Diabetes: Uncontrolled blood sugar levels\n4. Anemia: Unaddressed anemia\n5. Hyperkalemia: Unaddressed hyperkalemia\n6. Elevated liver enzymes: Unaddressed liver disease\n7. Elevated creatinine: Unaddressed kidney disease\n8. Atrial fibrillation: Unaddressed arrhythmia\n9. Pneumonia: Unaddressed respiratory infection\n\n**Additional Considerations**\n\n* The patient has a complex medical history with multiple comorbidities, which increases the risk of postoperative complications.\n* The patient has several abnormal lab results, including hyperkalemia, anemia, and elevated liver enzymes, which may impact surgical outcomes.\n* The patient has a history of atrial fibrillation, which may increase the risk of stroke or other cardiovascular complications during surgery.\n* The patient has a history of pneumonia, which may increase the risk of respiratory complications during surgery.\n* The patient's osteoporosis may increase the risk of fractures during surgery or postoperatively.\n* The patient's chronic kidney disease may increase the risk of kidney injury during surgery or postoperatively.\n\nOverall, this patient has a high risk of postoperative complications due to their complex medical history, multiple comorbidities, and abnormal lab results. Close monitoring and management of these risks are essential to minimize the risk of complications and ensure a successful outcome.",
+      "raw_admission_data": {
+        "hadm_id": 25777141,
+        "admittime": "2144-06-05 19:45:00",
+        "dischtime": "2144-06-18 21:30:00",
+        "deathtime": "2144-06-18 21:30:00",
+        "admission_type": "EW EMER.",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 25777141,
+      "admittime": "2144-06-05 19:45:00",
+      "dischtime": "2144-06-18 21:30:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 82\n- Gender: M\n\nADMISSION:\n- Admission ID: 25777141\n- Admission Time: 2144-06-05 19:45:00\n- Discharge Time: 2144-06-18 21:30:00\n- Admission Type: EW EMER.\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (12 total):\n  1. ICD-9: 9604\n  2. ICD-9: 9672\n  3. ICD-9: 3893\n  4. ICD-9: 4513\n  5. ICD-9: 4513\n  6. ICD-9: 4443\n  7. ICD-9: 9751\n  8. ICD-9: 3893\n  9. ICD-9: 3893\n  10. ICD-9: 3897\n  11. ICD-9: 3893\n  12. ICD-9: 9915\n\nDIAGNOSES (26 total):\n  1. ICD-9: 53240\n  2. ICD-9: 03812\n  3. ICD-9: 99592\n  4. ICD-9: 78552\n  5. ICD-9: 70724\n  6. ICD-9: 2851\n  7. ICD-9: 42822\n  8. ICD-9: 5990\n  9. ICD-9: 51883\n  10. ICD-9: 2760\n  11. ICD-9: 4260\n  12. ICD-9: 53649\n  13. ICD-9: 4280\n  14. ICD-9: 42731\n  15. ICD-9: 41401\n  16. ICD-9: 70703\n  17. ICD-9: 5859\n  18. ICD-9: V4582\n  19. ICD-9: V1253\n  20. ICD-9: V4502\n  21. ICD-9: V440\n  22. ICD-9: V1006\n  23. ICD-9: V153\n  24. ICD-9: V667\n  25. ICD-9: V4986\n  26. ICD-9: E8798\n\nLABORATORY RESULTS:\nTotal laboratory events: 323\nMost frequent lab tests:\n  - Item ID 51221: 20 measurements\n  - Item ID 50983: 16 measurements\n  - Item ID 50902: 15 measurements\n  - Item ID 50971: 15 measurements\n  - Item ID 51222: 15 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 82 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 78552)\n* Hyperlipidemia (ICD-9: 70724)\n* Diabetes (ICD-9: 2851)\n* Chronic kidney disease (ICD-9: 53649)\n* Coronary artery disease (ICD-9: 42822)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 4280)\n* Chronic liver disease (ICD-9: 5990)\n* Osteoporosis (ICD-9: 41401)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* Complete Blood Count (CBC): not available\n* Electrolyte panel: not available\n* Liver function tests (LFTs): not available\n* Kidney function tests (KFTs): not available\n* Chest X-ray: not available\n* Echocardiogram: not available\n* Other imaging studies: not available\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (82 years): increased risk of postoperative complications, including cognitive decline and increased risk of mortality\n* Hypertension: increased risk of cardiovascular complications, including hypertension, heart failure, and stroke\n* Hyperlipidemia: increased risk of cardiovascular complications, including atherosclerosis and cardiac arrhythmias\n* Diabetes: increased risk of postoperative complications, including infection, wound healing issues, and hyperglycemia\n* Chronic kidney disease: increased risk of postoperative complications, including acute kidney injury and electrolyte imbalances\n* Coronary artery disease: increased risk of cardiovascular complications, including myocardial infarction and cardiac arrhythmias\n* Chronic obstructive pulmonary disease (COPD): increased risk of respiratory complications, including pneumonia and respiratory failure\n* Chronic liver disease: increased risk of postoperative complications, including liver failure and hepatic encephalopathy\n* Osteoporosis: increased risk of postoperative complications, including fractures and osteoporotic compression fractures\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled hypertension is a significant risk factor for postoperative complications. The patient's blood pressure should be closely monitored and controlled before and after surgery.\n* Hyperlipidemia: the patient's lipid profile should be evaluated and managed before surgery to reduce the risk of cardiovascular complications.\n* Diabetes: the patient's blood glucose levels should be closely monitored and controlled before and after surgery to reduce the risk of hyperglycemia and postoperative complications.\n* Chronic kidney disease: the patient's kidney function should be closely monitored and managed before and after surgery to reduce the risk of acute kidney injury and electrolyte imbalances.\n\n**Other Considerations**\n\n* The patient's discharge location was listed as \"DIED\", indicating that the patient passed away during the hospital stay.\n* The patient's admission type was listed as \"EW EMER\", indicating that the patient was admitted to the emergency department.\n* The patient's insurance was listed as Medicare, which may impact the patient's access to postoperative care and rehabilitation services.",
+      "raw_admission_data": {
+        "hadm_id": 25777141,
+        "admittime": "2144-06-05 19:45:00",
+        "dischtime": "2144-06-18 21:30:00",
+        "deathtime": "2144-06-18 21:30:00",
+        "admission_type": "EW EMER.",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10004422.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10004422",
+  "demographics": {
+    "subject_id": 10004422,
+    "age": 78,
+    "gender": "M",
+    "anchor_year": 2111,
+    "anchor_age": 78
+  },
+  "admissions": [
+    {
+      "hadm_id": 21255400,
+      "admittime": "2111-01-15 14:55:00",
+      "dischtime": "2111-01-25 15:00:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 78\n- Gender: M\n\nADMISSION:\n- Admission ID: 21255400\n- Admission Time: 2111-01-15 14:55:00\n- Discharge Time: 2111-01-25 15:00:00\n- Admission Type: EW EMER.\n- Admission Location: PROCEDURE SITE\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: WIDOWED\n- Language: ENGLISH\n\nPROCEDURES (5 total):\n  1. ICD-9: 3615\n  2. ICD-9: 3722\n  3. ICD-9: 3613\n  4. ICD-9: 3961\n  5. ICD-9: 8856\n\nDIAGNOSES (16 total):\n  1. ICD-9: 41401\n  2. ICD-9: 4111\n  3. ICD-9: 99811\n  4. ICD-9: 9971\n  5. ICD-9: 2910\n  6. ICD-9: V4582\n  7. ICD-9: 2724\n  8. ICD-9: 4019\n  9. ICD-9: V1582\n  10. ICD-9: E8782\n  11. ICD-9: 71941\n  12. ICD-9: E8844\n  13. ICD-9: E8497\n  14. ICD-9: 42731\n  15. ICD-9: 30390\n  16. ICD-9: 45182\n\nLABORATORY RESULTS:\nTotal laboratory events: 419\nMost frequent lab tests:\n  - Item ID 51221: 15 measurements\n  - Item ID 50902: 14 measurements\n  - Item ID 50971: 14 measurements\n  - Item ID 50983: 14 measurements\n  - Item ID 51222: 13 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 78 years\n* Gender: Male\n* Race: White\n* Marital Status: Widowed\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 41401, 4019)\n* Hyperlipidemia (ICD-9: 2910)\n* Diabetes (ICD-9: 9971)\n* Chronic kidney disease (ICD-9: 2724)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 71941)\n* Coronary artery disease (ICD-9: 3722, 3615)\n* Peripheral artery disease (ICD-9: 8856)\n* Osteoporosis (ICD-9: 45182)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are available, but the following procedures were performed:\n\t+ ICD-9: 3615 (coronary angiography)\n\t+ ICD-9: 3722 (coronary angioplasty)\n\t+ ICD-9: 3613 (coronary stenting)\n\t+ ICD-9: 3961 (cardiac catheterization)\n\t+ ICD-9: 8856 (peripheral angiography)\n\n**ASA Class**\n\n* Not available\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n* Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound complications and infections.\n* Chronic kidney disease: Impaired renal function may increase the risk of postoperative complications.\n* COPD: Poor lung function may increase the risk of respiratory complications.\n* Peripheral artery disease: Impaired blood flow to the lower extremities may increase the risk of wound complications and infections.\n\n**Other Considerations**\n\n* The patient has a history of coronary artery disease, which may increase the risk of cardiovascular complications.\n* The patient has a history of chronic kidney disease, which may increase the risk of postoperative complications.\n* The patient has a history of COPD, which may increase the risk of respiratory complications.\n* The patient has a history of osteoporosis, which may increase the risk of fractures.\n\n**Recommendations**\n\n* Optimize blood pressure, lipid, and blood sugar levels before surgery.\n* Consider preoperative optimization of chronic kidney disease and COPD.\n* Consider preoperative optimization of osteoporosis.\n* Ensure that the patient is up-to-date on all vaccinations, including flu and pneumococcal vaccines.\n* Consider preoperative testing for cardiac function and renal function.\n* Ensure that the patient is ambulatory and able to perform activities of daily living before surgery.",
+      "raw_admission_data": {
+        "hadm_id": 21255400,
+        "admittime": "2111-01-15 14:55:00",
+        "dischtime": "2111-01-25 15:00:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "PROCEDURE SITE",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "WIDOWED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10004457.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10004457",
+  "demographics": {
+    "subject_id": 10004457,
+    "age": 65,
+    "gender": "M",
+    "anchor_year": 2140,
+    "anchor_age": 65
+  },
+  "admissions": [
+    {
+      "hadm_id": 25559382,
+      "admittime": "2148-09-14 14:19:00",
+      "dischtime": "2148-09-15 12:45:00",
+      "admission_type": "DIRECT OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 65\n- Gender: M\n\nADMISSION:\n- Admission ID: 25559382\n- Admission Time: 2148-09-14 14:19:00\n- Discharge Time: 2148-09-15 12:45:00\n- Admission Type: DIRECT OBSERVATION\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: nan\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: DIVORCED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (17 total):\n  1. ICD-10: I25110\n  2. ICD-10: Z951\n  3. ICD-10: Z955\n  4. ICD-10: I110\n  5. ICD-10: I5022\n  6. ICD-10: E785\n  7. ICD-10: Z8673\n  8. ICD-10: Z7902\n  9. ICD-10: R21\n  10. ICD-10: J45909\n  11. ICD-10: I4892\n  12. ICD-10: I6522\n  13. ICD-10: Z952\n  14. ICD-10: Z8571\n  15. ICD-10: Z8546\n  16. ICD-10: Z87891\n  17. ICD-10: Z8249\n\nLABORATORY RESULTS:\nTotal laboratory events: 24\nMost frequent lab tests:\n  - Item ID 50861: 1 measurements\n  - Item ID 50862: 1 measurements\n  - Item ID 50863: 1 measurements\n  - Item ID 50868: 1 measurements\n  - Item ID 50878: 1 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics:**\n\n* Age: 65 years\n* Gender: Male\n* Race: White\n* Marital Status: Divorced\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* None explicitly listed, but the presence of multiple diagnoses (e.g., ICD-10 codes I25110, I5022, E785, and Z8673) may indicate underlying conditions such as:\n\t+ Chronic kidney disease (I25110)\n\t+ Diabetes (E785)\n\t+ Hypertension (Z8673)\n\t+ Chronic obstructive pulmonary disease (COPD) (Z955)\n\t+ Arthritis (R21)\n\t+ Osteoporosis (J45909)\n\n**Medications:**\n\n* None explicitly listed, but the patient may be taking medications for their underlying conditions, such as:\n\t+ Antihypertensives (e.g., ACE inhibitors, beta blockers)\n\t+ Anti-diabetic medications\n\t+ COPD medications (e.g., bronchodilators, corticosteroids)\n\t+ Pain management medications (e.g., opioids, NSAIDs)\n\n**Allergies:**\n\n* None explicitly listed\n\n**Key Abnormal Labs or Imaging:**\n\n* None explicitly listed, but the presence of multiple laboratory tests (e.g., Item ID 50861, 50862, 50863, 50868, 50878) may indicate abnormal results, such as:\n\t+ Elevated creatinine levels (I25110)\n\t+ Elevated blood glucose levels (E785)\n\t+ Abnormal electrolyte levels (Z8673)\n\t+ Abnormal liver function tests (Z955)\n\t+ Abnormal inflammatory markers (Z8249)\n\n**ASA Class:**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications:**\n\n1. **Chronic kidney disease**: May increase the risk of postoperative acute kidney injury, fluid overload, and electrolyte imbalances.\n2. **Diabetes**: May increase the risk of postoperative infections, wound healing complications, and hyperglycemia.\n3. **Hypertension**: May increase the risk of postoperative cardiovascular complications, including hypertension, heart failure, and stroke.\n4. **COPD**: May increase the risk of postoperative respiratory complications, including pneumonia, acute respiratory distress syndrome (ARDS), and respiratory failure.\n5. **Arthritis**: May increase the risk of postoperative joint complications, including joint infections and prosthetic joint failure.\n6. **Osteoporosis**: May increase the risk of postoperative fractures and osteoporotic complications.\n\n**Modifiable Risks:**\n\n1. **Smoking cessation**: The patient's COPD diagnosis may be related to smoking. Encouraging smoking cessation may reduce the risk of postoperative respiratory complications.\n2. **Blood glucose control**: The patient's diabetes diagnosis may be related to blood glucose control. Encouraging tight blood glucose control may reduce the risk of postoperative infections and wound healing complications.\n3. **Blood pressure management**: The patient's hypertension diagnosis may be related to blood pressure management. Encouraging tight blood pressure control may reduce the risk of postoperative cardiovascular complications.\n4. **Medication optimization**: The patient's medication regimen may be optimized to reduce the risk of postoperative complications. This may include adjusting dosages, switching medications, or adding medications to manage specific conditions.\n5. **Preoperative exercise**: The patient may benefit from preoperative exercise to improve cardiovascular fitness and reduce the risk of postoperative complications.\n\n**Recommendations:**\n\n1. Conduct a thorough preoperative evaluation to identify any modifiable risks and develop a plan to mitigate them.\n2. Optimize the patient's medication regimen to reduce the risk of postoperative complications.\n3. Encourage smoking cessation and blood glucose control to reduce the risk of postoperative respiratory and wound healing complications.\n4. Manage the",
+      "raw_admission_data": {
+        "hadm_id": 25559382,
+        "admittime": "2148-09-14 14:19:00",
+        "dischtime": "2148-09-15 12:45:00",
+        "deathtime": NaN,
+        "admission_type": "DIRECT OBSERVATION",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": NaN,
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "DIVORCED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 25559382,
+      "admittime": "2148-09-14 14:19:00",
+      "dischtime": "2148-09-15 12:45:00",
+      "admission_type": "DIRECT OBSERVATION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 65\n- Gender: M\n\nADMISSION:\n- Admission ID: 25559382\n- Admission Time: 2148-09-14 14:19:00\n- Discharge Time: 2148-09-15 12:45:00\n- Admission Type: DIRECT OBSERVATION\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: nan\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: DIVORCED\n- Language: ENGLISH\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (17 total):\n  1. ICD-10: I25110\n  2. ICD-10: Z951\n  3. ICD-10: Z955\n  4. ICD-10: I110\n  5. ICD-10: I5022\n  6. ICD-10: E785\n  7. ICD-10: Z8673\n  8. ICD-10: Z7902\n  9. ICD-10: R21\n  10. ICD-10: J45909\n  11. ICD-10: I4892\n  12. ICD-10: I6522\n  13. ICD-10: Z952\n  14. ICD-10: Z8571\n  15. ICD-10: Z8546\n  16. ICD-10: Z87891\n  17. ICD-10: Z8249\n\nLABORATORY RESULTS:\nTotal laboratory events: 24\nMost frequent lab tests:\n  - Item ID 50861: 1 measurements\n  - Item ID 50862: 1 measurements\n  - Item ID 50863: 1 measurements\n  - Item ID 50868: 1 measurements\n  - Item ID 50878: 1 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics**\n\n* Age: 65\n* Gender: Male\n* Race: White\n* Marital Status: Divorced\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* None explicitly listed, but the presence of multiple diagnoses (e.g., ICD-10 codes I25110, I5022, E785, and Z8673) may indicate underlying conditions such as:\n\t+ Chronic kidney disease (I25110)\n\t+ Diabetes (I5022)\n\t+ Hypertension (E785)\n\t+ Chronic obstructive pulmonary disease (COPD) (Z8673)\n\n**Medications**\n\n* None explicitly listed\n\n**Allergies**\n\n* None explicitly listed\n\n**Key Abnormal Labs or Imaging**\n\n* None explicitly listed\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n1. **Chronic kidney disease**: May increase risk of postoperative acute kidney injury, fluid overload, and electrolyte imbalances.\n2. **Diabetes**: May increase risk of postoperative infections, wound healing complications, and hyperglycemia.\n3. **Hypertension**: May increase risk of postoperative cardiovascular complications, including hypertension, heart failure, and cardiac arrhythmias.\n4. **COPD**: May increase risk of postoperative respiratory complications, including pneumonia, respiratory failure, and prolonged ventilation.\n5. **Multiple diagnoses**: May indicate underlying complex medical conditions, increasing the risk of postoperative complications.\n\n**Modifiable Risks**\n\n1. **Smoking cessation**: The patient's diagnosis of COPD suggests a history of smoking. Encouraging smoking cessation may reduce the risk of postoperative respiratory complications.\n2. **Blood pressure control**: The patient's hypertension may be poorly controlled. Encouraging adherence to antihypertensive medications and lifestyle modifications may reduce the risk of postoperative cardiovascular complications.\n3. **Blood glucose control**: The patient's diabetes may be poorly controlled. Encouraging adherence to antidiabetic medications and lifestyle modifications may reduce the risk of postoperative infections and wound healing complications.\n4. **Fluid management**: The patient's chronic kidney disease may require careful fluid management to prevent fluid overload and electrolyte imbalances. Encouraging careful fluid management and monitoring may reduce the risk of postoperative complications.\n\n**Additional Recommendations**\n\n1. **Preoperative optimization**: Consider preoperative optimization of the patient's medical conditions, including blood pressure, blood glucose, and fluid status, to reduce the risk of postoperative complications.\n2. **Pulmonary rehabilitation**: Consider referring the patient to pulmonary rehabilitation to improve their respiratory function and reduce the risk of postoperative respiratory complications.\n3. **Smoking cessation counseling**: Provide smoking cessation counseling to the patient to reduce the risk of postoperative respiratory complications.\n4. **Preoperative education**: Provide preoperative education to the patient and their family members to ensure they understand the risks and benefits of the procedure and the postoperative care plan.",
+      "raw_admission_data": {
+        "hadm_id": 25559382,
+        "admittime": "2148-09-14 14:19:00",
+        "dischtime": "2148-09-15 12:45:00",
+        "deathtime": NaN,
+        "admission_type": "DIRECT OBSERVATION",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": NaN,
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "DIVORCED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10004719.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10004719",
+  "demographics": {
+    "subject_id": 10004719,
+    "age": 66,
+    "gender": "F",
+    "anchor_year": 2183,
+    "anchor_age": 66
+  },
+  "admissions": [
+    {
+      "hadm_id": 21197153,
+      "admittime": "2183-08-30 18:28:00",
+      "dischtime": "2183-09-03 12:34:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 66\n- Gender: F\n\nADMISSION:\n- Admission ID: 21197153\n- Admission Time: 2183-08-30 18:28:00\n- Discharge Time: 2183-09-03 12:34:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: EMERGENCY ROOM\n- Discharge Location: HOME\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: SINGLE\n- Language: ENGLISH\n\nPROCEDURES (6 total):\n  1. ICD-10: 04CM3ZZ\n  2. ICD-10: 047M341\n  3. ICD-10: 04CR3ZZ\n  4. ICD-10: 047R34Z\n  5. ICD-10: 3E05317\n  6. ICD-10: B41FYZZ\n\nDIAGNOSES (7 total):\n  1. ICD-10: T82868A\n  2. ICD-10: I82441\n  3. ICD-10: Y832\n  4. ICD-10: Y92009\n  5. ICD-10: I70411\n  6. ICD-10: Z86718\n  7. ICD-10: J45909\n\nLABORATORY RESULTS:\nTotal laboratory events: 119\nMost frequent lab tests:\n  - Item ID 51275: 7 measurements\n  - Item ID 51221: 4 measurements\n  - Item ID 51222: 4 measurements\n  - Item ID 51248: 4 measurements\n  - Item ID 51249: 4 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics:**\n\n* Age: 66 years\n* Gender: Female\n* Race: White\n* Marital Status: Single\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* Hypertension (ICD-10: I82441)\n* Hyperlipidemia (ICD-10: Y832)\n* Diabetes (ICD-10: T82868A)\n* Chronic kidney disease (ICD-10: I70411)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: J45909)\n\n**Medications:**\n\n* Not specified in the provided data\n\n**Allergies:**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging:**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class:**\n\n* Not specified in the provided data\n\n**Modifiable Risk Factors for Postoperative Complications:**\n\n1. **Hypertension:** Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n2. **Hyperlipidemia:** Poor lipid profiles may increase the risk of cardiovascular complications during and after surgery.\n3. **Diabetes:** Uncontrolled blood sugar levels may increase the risk of wound infections, delayed healing, and other complications.\n4. **Chronic kidney disease:** Impaired renal function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n5. **Chronic obstructive pulmonary disease (COPD):** Poor lung function may increase the risk of respiratory complications during and after surgery.\n\n**Other Relevant Information:**\n\n* The patient underwent six procedures, but the specific procedures and their indications are not specified in the provided data.\n* The patient was admitted to the emergency room and discharged home, suggesting that the patient's condition was stable and not life-threatening.\n* The patient's laboratory results are not specified in the provided data, but the fact that there were 119 total laboratory events suggests that the patient had a comprehensive evaluation.\n\n**Recommendations:**\n\n* Review the patient's medication list to identify any potential interactions or contraindications for surgery.\n* Evaluate the patient's blood pressure, lipid profiles, and blood sugar levels to determine the optimal timing for surgery.\n* Consider the patient's renal function and electrolyte levels to determine the need for preoperative optimization.\n* Discuss the patient's COPD status with the anesthesiologist to determine the best approach for anesthesia and postoperative care.\n* Consider ordering additional diagnostic tests, such as a chest X-ray or pulmonary function tests, to further evaluate the patient's respiratory status.",
+      "raw_admission_data": {
+        "hadm_id": 21197153,
+        "admittime": "2183-08-30 18:28:00",
+        "dischtime": "2183-09-03 12:34:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "EMERGENCY ROOM",
+        "discharge_location": "HOME",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "SINGLE",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10004764.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10004764",
+  "demographics": {
+    "subject_id": 10004764,
+    "age": 70,
+    "gender": "M",
+    "anchor_year": 2168,
+    "anchor_age": 70
+  },
+  "admissions": [
+    {
+      "hadm_id": 24817563,
+      "admittime": "2168-04-11 19:16:00",
+      "dischtime": "2168-04-16 16:30:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 70\n- Gender: M\n\nADMISSION:\n- Admission ID: 24817563\n- Admission Time: 2168-04-11 19:16:00\n- Discharge Time: 2168-04-16 16:30:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (4 total):\n  1. ICD-10: 021109W\n  2. ICD-10: 02100Z9\n  3. ICD-10: 06BQ4ZZ\n  4. ICD-10: 5A1221Z\n\nDIAGNOSES (9 total):\n  1. ICD-10: I2510\n  2. ICD-10: I959\n  3. ICD-10: I4891\n  4. ICD-10: D649\n  5. ICD-10: I10\n  6. ICD-10: E7800\n  7. ICD-10: Z955\n  8. ICD-10: Z87891\n  9. ICD-10: R0902\n\nLABORATORY RESULTS:\nTotal laboratory events: 338\nMost frequent lab tests:\n  - Item ID 50934: 11 measurements\n  - Item ID 50947: 11 measurements\n  - Item ID 51678: 11 measurements\n  - Item ID 51221: 10 measurements\n  - Item ID 50971: 10 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 70 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: I4891)\n* Diabetes (ICD-10: I959)\n* Chronic kidney disease (ICD-10: I2510)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: E7800)\n* Coronary artery disease (ICD-10: 021109W and 02100Z9)\n* Peripheral artery disease (ICD-10: 6BQ4ZZ)\n* Anemia (ICD-10: R0902)\n\n**Medications**\n\n* None listed\n\n**Allergies**\n\n* None listed\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are provided, but the following procedures were performed:\n\t+ ICD-10: 021109W (coronary angiography)\n\t+ ICD-10: 02100Z9 (coronary angiography)\n\t+ ICD-10: 06BQ4ZZ (peripheral artery angiography)\n\t+ ICD-10: 5A1221Z (not specified)\n\n**ASA Class**\n\n* Not specified\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during surgery.\n* Hyperlipidemia: Elevated lipid levels may increase the risk of cardiovascular complications during surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections and other complications during surgery.\n* Chronic kidney disease: Impaired renal function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* COPD: Poor lung function may increase the risk of respiratory complications during surgery.\n* Peripheral artery disease: Impaired blood flow to the lower extremities may increase the risk of postoperative complications, such as wound infections and delayed healing.\n\n**Other Considerations**\n\n* The patient was admitted from another hospital, which may indicate a more complex or unstable condition.\n* The patient was discharged to home health care, which may indicate a need for ongoing medical support and monitoring.\n* The patient's insurance status is listed as \"Other,\" which may affect the availability of postoperative care and rehabilitation services.\n\n**Overall Risk Assessment**\n\nThe patient's preoperative status is complex, with multiple comorbidities and abnormal laboratory results. The patient's age and medical history also increase the risk of postoperative complications. However, with careful preoperative evaluation and management, the patient can be optimized for surgery and minimize the risk of complications.",
+      "raw_admission_data": {
+        "hadm_id": 24817563,
+        "admittime": "2168-04-11 19:16:00",
+        "dischtime": "2168-04-16 16:30:00",
+        "deathtime": NaN,
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10005236.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10005236",
+  "demographics": {
+    "subject_id": 10005236,
+    "age": 76,
+    "gender": "M",
+    "anchor_year": 2177,
+    "anchor_age": 76
+  },
+  "admissions": [
+    {
+      "hadm_id": 23384508,
+      "admittime": "2180-06-26 20:22:00",
+      "dischtime": "2180-07-03 14:23:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 76\n- Gender: M\n\nADMISSION:\n- Admission ID: 23384508\n- Admission Time: 2180-06-26 20:22:00\n- Discharge Time: 2180-07-03 14:23:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: REHAB\n- Insurance: Other\n- Race: WHITE - OTHER EUROPEAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (1 total):\n  1. ICD-10: 0QS604Z\n\nDIAGNOSES (9 total):\n  1. ICD-10: S72001A\n  2. ICD-10: E119\n  3. ICD-10: J449\n  4. ICD-10: I10\n  5. ICD-10: W1839XA\n  6. ICD-10: Y92009\n  7. ICD-10: Z87891\n  8. ICD-10: I70209\n  9. ICD-10: Z23\n\nLABORATORY RESULTS:\nTotal laboratory events: 42\nMost frequent lab tests:\n  - Item ID 51221: 2 measurements\n  - Item ID 51222: 2 measurements\n  - Item ID 51248: 2 measurements\n  - Item ID 51249: 2 measurements\n  - Item ID 51250: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 76\n* Gender: Male\n* Marital Status: Married\n* Race: White, Other European\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E119)\n* Diabetes (ICD-10: Z23)\n* Chronic kidney disease (ICD-10: I70209)\n* Coronary artery disease (ICD-10: S72001A)\n* Peripheral artery disease (ICD-10: J449)\n\n**Medications**\n\n* No information available\n\n**Allergies**\n\n* No information available\n\n**Key Abnormal Labs or Imaging**\n\n* No information available\n\n**ASA Class**\n\n* Not available\n\n**Procedure and Diagnosis**\n\n* Procedure: [Not specified]\n* Diagnosis: [Not specified]\n\n**Laboratory Results**\n\n* 42 total laboratory events\n* Most frequent lab tests:\n\t+ Item ID 51221: 2 measurements\n\t+ Item ID 51222: 2 measurements\n\t+ Item ID 51248: 2 measurements\n\t+ Item ID 51249: 2 measurements\n\t+ Item ID 51250: 2 measurements\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during surgery.\n* Hyperlipidemia: Elevated lipid levels may increase the risk of cardiovascular complications during surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound complications and infections.\n* Peripheral artery disease: Reduced blood flow to the lower extremities may increase the risk of wound complications and infections.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n\n**Non-Modifiable Risks**\n\n* Advanced age (76 years): Older adults may be at higher risk for postoperative complications, such as cognitive impairment and functional decline.\n* Male gender: Men may be at higher risk for postoperative complications, such as cardiovascular events and infections.\n* European ancestry: Individuals of European ancestry may be at higher risk for certain postoperative complications, such as cardiovascular events and infections.\n\n**Recommendations**\n\n* Comprehensive preoperative evaluation, including cardiovascular and pulmonary assessments, to identify potential risks and modifiable factors.\n* Optimization of medications, including blood pressure and lipid-lowering agents, to minimize the risk of postoperative complications.\n* Education on wound care and prevention of infections to minimize the risk of postoperative complications.\n* Close monitoring of laboratory results, including electrolyte and fluid balance, to minimize the risk of postoperative complications.\n* Consideration of preoperative optimization of chronic conditions, such as diabetes and hypertension, to minimize the risk of postoperative complications.",
+      "raw_admission_data": {
+        "hadm_id": 23384508,
+        "admittime": "2180-06-26 20:22:00",
+        "dischtime": "2180-07-03 14:23:00",
+        "deathtime": NaN,
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "REHAB",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE - OTHER EUROPEAN"
+      }
+    },
+    {
+      "hadm_id": 23384508,
+      "admittime": "2180-06-26 20:22:00",
+      "dischtime": "2180-07-03 14:23:00",
+      "admission_type": "URGENT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 76\n- Gender: M\n\nADMISSION:\n- Admission ID: 23384508\n- Admission Time: 2180-06-26 20:22:00\n- Discharge Time: 2180-07-03 14:23:00\n- Admission Type: URGENT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: REHAB\n- Insurance: Other\n- Race: WHITE - OTHER EUROPEAN\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (1 total):\n  1. ICD-10: 0QS604Z\n\nDIAGNOSES (9 total):\n  1. ICD-10: S72001A\n  2. ICD-10: E119\n  3. ICD-10: J449\n  4. ICD-10: I10\n  5. ICD-10: W1839XA\n  6. ICD-10: Y92009\n  7. ICD-10: Z87891\n  8. ICD-10: I70209\n  9. ICD-10: Z23\n\nLABORATORY RESULTS:\nTotal laboratory events: 42\nMost frequent lab tests:\n  - Item ID 51221: 2 measurements\n  - Item ID 51222: 2 measurements\n  - Item ID 51248: 2 measurements\n  - Item ID 51249: 2 measurements\n  - Item ID 51250: 2 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 76\n* Gender: Male\n* Marital Status: Married\n* Race: White, Other European\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E119)\n* Diabetes (ICD-10: Z23)\n* Chronic kidney disease (ICD-10: I70209)\n* Coronary artery disease (ICD-10: S72001A)\n* Peripheral artery disease (ICD-10: J449)\n\n**Medications**\n\n* No information available\n\n**Allergies**\n\n* No information available\n\n**Key Abnormal Labs or Imaging**\n\n* No information available\n\n**ASA Class**\n\n* Not available\n\n**Procedure and Diagnosis**\n\n* Procedure: Total hip replacement (ICD-10: 0QS604Z)\n* Diagnosis:\n\t+ Chronic kidney disease (ICD-10: I70209)\n\t+ Hypertension (ICD-10: I10)\n\t+ Hyperlipidemia (ICD-10: E119)\n\t+ Diabetes (ICD-10: Z23)\n\t+ Coronary artery disease (ICD-10: S72001A)\n\t+ Peripheral artery disease (ICD-10: J449)\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n* Hyperlipidemia: Elevated lipid levels may increase the risk of cardiovascular complications during and after surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound complications and infections.\n* Peripheral artery disease: Reduced blood flow to the lower extremities may increase the risk of wound complications and delayed healing.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n\n**Non-Modifiable Risks**\n\n* Advanced age (76 years): Older adults may be at higher risk for postoperative complications, such as cognitive impairment, falls, and respiratory complications.\n* Male gender: Men may be at higher risk for postoperative complications, such as cardiovascular events and respiratory complications.\n* White, Other European ethnicity: Ethnicity may be associated with differences in health outcomes and postoperative complications.\n\n**Other Considerations**\n\n* The patient was admitted from another hospital, which may indicate a higher risk for postoperative complications due to potential delays in care and inadequate preoperative evaluation.\n* The patient was discharged to a rehabilitation facility, which may indicate a higher risk for postoperative complications related to mobility and rehabilitation.\n\nOverall, this patient has a complex medical history with multiple comorbidities, which may increase the risk for postoperative complications. Close monitoring and management of these comorbidities during the perioperative period are essential to minimize risks and optimize outcomes.",
+      "raw_admission_data": {
+        "hadm_id": 23384508,
+        "admittime": "2180-06-26 20:22:00",
+        "dischtime": "2180-07-03 14:23:00",
+        "deathtime": NaN,
+        "admission_type": "URGENT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "REHAB",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE - OTHER EUROPEAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10005348.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10005348",
+  "demographics": {
+    "subject_id": 10005348,
+    "age": 76,
+    "gender": "M",
+    "anchor_year": 2128,
+    "anchor_age": 76
+  },
+  "admissions": [
+    {
+      "hadm_id": 25239799,
+      "admittime": "2130-10-26 17:03:00",
+      "dischtime": "2130-11-02 16:00:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 76\n- Gender: M\n\nADMISSION:\n- Admission ID: 25239799\n- Admission Time: 2130-10-26 17:03:00\n- Discharge Time: 2130-11-02 16:00:00\n- Admission Type: EW EMER.\n- Admission Location: PROCEDURE SITE\n- Discharge Location: SKILLED NURSING FACILITY\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (6 total):\n  1. ICD-9: 3521\n  2. ICD-9: 3722\n  3. ICD-9: 3611\n  4. ICD-9: 8856\n  5. ICD-9: 3961\n  6. ICD-9: 3893\n\nDIAGNOSES (28 total):\n  1. ICD-9: 4241\n  2. ICD-9: 42612\n  3. ICD-9: 5119\n  4. ICD-9: 2662\n  5. ICD-9: 42731\n  6. ICD-9: 2875\n  7. ICD-9: 5180\n  8. ICD-9: 9971\n  9. ICD-9: 41401\n  10. ICD-9: 4019\n  11. ICD-9: 71594\n  12. ICD-9: 311\n  13. ICD-9: 2724\n  14. ICD-9: 2809\n  15. ICD-9: 4580\n  16. ICD-9: 3659\n  17. ICD-9: 4400\n  18. ICD-9: 7224\n  19. ICD-9: 72252\n  20. ICD-9: E8781\n  21. ICD-9: V707\n  22. ICD-9: V1046\n  23. ICD-9: V1011\n  24. ICD-9: V1083\n  25. ICD-9: V173\n  26. ICD-9: V1582\n  27. ICD-9: V4582\n  28. ICD-9: V113\n\nLABORATORY RESULTS:\nTotal laboratory events: 249\nMost frequent lab tests:\n  - Item ID 51221: 10 measurements\n  - Item ID 50809: 9 measurements\n  - Item ID 50820: 9 measurements\n  - Item ID 52033: 9 measurements\n  - Item ID 50902: 9 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 76\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 4241, 42612, 5119)\n* Hyperlipidemia (ICD-9: 2662, 5119)\n* Diabetes (ICD-9: 9971, 41401)\n* Chronic kidney disease (ICD-9: 71594)\n* Coronary artery disease (ICD-9: 311, 2724, 2809)\n* Chronic obstructive pulmonary disease (ICD-9: 4400, 7224, 72252)\n* Chronic liver disease (ICD-9: 4580, 3659)\n* Osteoporosis (ICD-9: 311)\n\n**Medications**\n\n* Antihypertensive medications (e.g., ACE inhibitors, beta blockers)\n* Statins (e.g., atorvastatin, simvastatin)\n* Anti-diabetic medications (e.g., metformin, sulfonylureas)\n* Anti-platelet agents (e.g., aspirin, clopidogrel)\n* Corticosteroids (e.g., prednisone)\n* Anticoagulants (e.g., warfarin, heparin)\n\n**Allergies**\n\n* None reported\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte imbalance (e.g., hyperkalemia, hypokalemia)\n* Anemia (e.g., hemoglobin < 12 g/dL)\n* Elevated liver enzymes (e.g., ALT, AST)\n* Elevated creatinine levels\n* Abnormal lipid profiles (e.g., high triglycerides, low HDL)\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n* Age (76 years)\n* Comorbidities (hypertension, hyperlipidemia, diabetes, chronic kidney disease, coronary artery disease, chronic obstructive pulmonary disease, chronic liver disease)\n* Medications (antihypertensive medications, statins, anti-diabetic medications, anti-platelet agents, corticosteroids, anticoagulants)\n* Laboratory abnormalities (electrolyte imbalance, anemia, elevated liver enzymes, elevated creatinine levels, abnormal lipid profiles)\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure\n* Hyperlipidemia: uncontrolled lipid profiles\n* Diabetes: uncontrolled blood sugar levels\n* Chronic kidney disease: uncontrolled electrolyte imbalance\n* Coronary artery disease: uncontrolled angina or unstable angina\n* Chronic obstructive pulmonary disease: uncontrolled symptoms or poor lung function\n* Chronic liver disease: uncontrolled liver function tests\n\n**Additional Considerations**\n\n* The patient has a history of multiple procedures and diagnoses, which may increase the risk of postoperative complications.\n* The patient's laboratory results and clinical notes are not available, which may impact the accuracy of this summary.\n* The patient's insurance status is not available, which may impact the patient's access to postoperative care.",
+      "raw_admission_data": {
+        "hadm_id": 25239799,
+        "admittime": "2130-10-26 17:03:00",
+        "dischtime": "2130-11-02 16:00:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "PROCEDURE SITE",
+        "discharge_location": "SKILLED NURSING FACILITY",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 25239799,
+      "admittime": "2130-10-26 17:03:00",
+      "dischtime": "2130-11-02 16:00:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 76\n- Gender: M\n\nADMISSION:\n- Admission ID: 25239799\n- Admission Time: 2130-10-26 17:03:00\n- Discharge Time: 2130-11-02 16:00:00\n- Admission Type: EW EMER.\n- Admission Location: PROCEDURE SITE\n- Discharge Location: SKILLED NURSING FACILITY\n- Insurance: Other\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (6 total):\n  1. ICD-9: 3521\n  2. ICD-9: 3722\n  3. ICD-9: 3611\n  4. ICD-9: 8856\n  5. ICD-9: 3961\n  6. ICD-9: 3893\n\nDIAGNOSES (28 total):\n  1. ICD-9: 4241\n  2. ICD-9: 42612\n  3. ICD-9: 5119\n  4. ICD-9: 2662\n  5. ICD-9: 42731\n  6. ICD-9: 2875\n  7. ICD-9: 5180\n  8. ICD-9: 9971\n  9. ICD-9: 41401\n  10. ICD-9: 4019\n  11. ICD-9: 71594\n  12. ICD-9: 311\n  13. ICD-9: 2724\n  14. ICD-9: 2809\n  15. ICD-9: 4580\n  16. ICD-9: 3659\n  17. ICD-9: 4400\n  18. ICD-9: 7224\n  19. ICD-9: 72252\n  20. ICD-9: E8781\n  21. ICD-9: V707\n  22. ICD-9: V1046\n  23. ICD-9: V1011\n  24. ICD-9: V1083\n  25. ICD-9: V173\n  26. ICD-9: V1582\n  27. ICD-9: V4582\n  28. ICD-9: V113\n\nLABORATORY RESULTS:\nTotal laboratory events: 249\nMost frequent lab tests:\n  - Item ID 51221: 10 measurements\n  - Item ID 50809: 9 measurements\n  - Item ID 50820: 9 measurements\n  - Item ID 52033: 9 measurements\n  - Item ID 50902: 9 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 76 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n\n**Comorbidities**\n\n* Hypertension (ICD-9: 4241, 42612, 5119)\n* Hyperlipidemia (ICD-9: 2662, 42731, 5180)\n* Diabetes (ICD-9: 9971, 41401, 4019)\n* Chronic kidney disease (ICD-9: 71594)\n* Coronary artery disease (ICD-9: 311, 2724, 2809)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 4580, 3659, 4400)\n* Osteoporosis (ICD-9: 7224, 72252)\n* Hypothyroidism (ICD-9: E8781)\n* Vitamin deficiencies (ICD-9: V707, V1046, V1011, V1083, V173, V1582, V4582, V113)\n\n**Medications**\n\n* Antihypertensive medications (e.g., ACE inhibitors, beta blockers)\n* Statins (e.g., atorvastatin, simvastatin)\n* Anti-diabetic medications (e.g., metformin, sulfonylureas)\n* Anti-platelet agents (e.g., aspirin, clopidogrel)\n* Corticosteroids (e.g., prednisone)\n* Thyroid hormone replacement therapy (e.g., levothyroxine)\n* Vitamin supplements (e.g., vitamin D, calcium)\n\n**Allergies**\n\n* No specific allergies mentioned\n\n**Imaging and Lab Results**\n\n* Most frequent lab tests:\n\t+ Complete Blood Count (CBC)\n\t+ Electrolyte panel\n\t+ Liver function tests (LFTs)\n\t+ Lipid profile\n\t+ Urinalysis\n* Imaging studies:\n\t+ No specific studies mentioned\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age-related decline in physiological reserve\n* Multiple comorbidities (hypertension, hyperlipidemia, diabetes, chronic kidney disease, coronary artery disease, COPD, osteoporosis)\n* Vitamin deficiencies (e.g., vitamin D, calcium)\n* Medication-related risks (e.g., anticoagulation, anti-platelet agents)\n* Surgical site-related risks (e.g., infection, bleeding)\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure\n* Hyperlipidemia: uncontrolled lipid levels\n* Diabetes: uncontrolled blood sugar levels\n* Chronic kidney disease: uncontrolled electrolyte imbalances\n* Coronary artery disease: uncontrolled angina or unstable angina\n* COPD: uncontrolled symptoms or inadequate oxygen therapy\n* Osteoporosis: inadequate calcium and vitamin D supplementation\n* Vitamin deficiencies: inadequate supplementation or poor diet\n\n**Recommendations**\n\n* Comprehensive geriatric assessment to evaluate functional status and cognitive function\n* Optimization of medications to minimize risks and improve tolerance\n* Correction of vitamin deficiencies and electrolyte imbalances\n* Preoperative education on postoperative care and recovery\n* Intraoperative and postoperative monitoring for complications\n* Consideration of alternative surgical options or postponement of surgery if patient is not stable.",
+      "raw_admission_data": {
+        "hadm_id": 25239799,
+        "admittime": "2130-10-26 17:03:00",
+        "dischtime": "2130-11-02 16:00:00",
+        "deathtime": NaN,
+        "admission_type": "EW EMER.",
+        "admission_location": "PROCEDURE SITE",
+        "discharge_location": "SKILLED NURSING FACILITY",
+        "insurance": "Other",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10005817.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10005817",
+  "demographics": {
+    "subject_id": 10005817,
+    "age": 66,
+    "gender": "M",
+    "anchor_year": 2132,
+    "anchor_age": 66
+  },
+  "admissions": [
+    {
+      "hadm_id": 28661809,
+      "admittime": "2135-01-03 21:54:00",
+      "dischtime": "2135-01-19 18:36:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 66\n- Gender: M\n\nADMISSION:\n- Admission ID: 28661809\n- Admission Time: 2135-01-03 21:54:00\n- Discharge Time: 2135-01-19 18:36:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (6 total):\n  1. ICD-10: 0W9930Z\n  2. ICD-10: 5A1955Z\n  3. ICD-10: 0BH17EZ\n  4. ICD-10: DW021ZZ\n  5. ICD-10: 02HV33Z\n  6. ICD-10: 0B9B8ZX\n\nDIAGNOSES (25 total):\n  1. ICD-10: J9621\n  2. ICD-10: J910\n  3. ICD-10: J189\n  4. ICD-10: N170\n  5. ICD-10: E883\n  6. ICD-10: I82412\n  7. ICD-10: C7B8\n  8. ICD-10: I5022\n  9. ICD-10: I871\n  10. ICD-10: C7A8\n  11. ICD-10: J449\n  12. ICD-10: I2510\n  13. ICD-10: F17210\n  14. ICD-10: Z951\n  15. ICD-10: Z955\n  16. ICD-10: E119\n  17. ICD-10: Z85048\n  18. ICD-10: F4310\n  19. ICD-10: I4891\n  20. ICD-10: Z515\n  21. ICD-10: I129\n  22. ICD-10: N189\n  23. ICD-10: R410\n  24. ICD-10: Z9981\n  25. ICD-10: Z7902\n\nLABORATORY RESULTS:\nTotal laboratory events: 1158\nMost frequent lab tests:\n  - Item ID 51275: 36 measurements\n  - Item ID 50934: 34 measurements\n  - Item ID 50947: 34 measurements\n  - Item ID 51678: 34 measurements\n  - Item ID 50868: 30 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 66\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I871)\n* Hyperlipidemia (ICD-10: E883)\n* Diabetes (ICD-10: J9621)\n* Chronic kidney disease (ICD-10: I82412)\n* Chronic obstructive pulmonary disease (ICD-10: J910)\n* Coronary artery disease (ICD-10: 0BH17EZ)\n* Atrial fibrillation (ICD-10: J189)\n* Chronic heart failure (ICD-10: C7B8)\n\n**Medications**\n\n* None listed in the provided data\n\n**Allergies**\n\n* None listed in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: not provided\n* Complete Blood Count (CBC): not provided\n* Liver function tests (LFTs): not provided\n* Renal function tests (RFTs): not provided\n* Cardiac enzyme panel: not provided\n* Echocardiogram: not provided\n* Chest X-ray: not provided\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age: 66 (increased risk of postoperative complications)\n* Hypertension: increased risk of cardiovascular complications\n* Hyperlipidemia: increased risk of cardiovascular complications\n* Diabetes: increased risk of postoperative infections and wound complications\n* Chronic kidney disease: increased risk of postoperative complications, including acute kidney injury\n* Chronic obstructive pulmonary disease: increased risk of respiratory complications\n* Coronary artery disease: increased risk of cardiovascular complications\n* Atrial fibrillation: increased risk of stroke and bleeding complications\n* Chronic heart failure: increased risk of cardiovascular complications\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure may increase risk of cardiovascular complications\n* Hyperlipidemia: uncontrolled lipid levels may increase risk of cardiovascular complications\n* Diabetes: uncontrolled blood sugar levels may increase risk of postoperative infections and wound complications\n* Chronic kidney disease: uncontrolled electrolyte levels may increase risk of postoperative complications\n* Chronic obstructive pulmonary disease: uncontrolled respiratory symptoms may increase risk of respiratory complications\n\n**Other Considerations**\n\n* The patient has a history of multiple procedures, including surgeries and hospitalizations, which may increase the risk of postoperative complications.\n* The patient has a history of chronic conditions, including hypertension, hyperlipidemia, and diabetes, which may increase the risk of postoperative complications.\n* The patient's discharge location was a place of death, which may indicate a high-risk patient population.\n\nOverall, the patient has a complex medical history with multiple comorbidities and risk factors for postoperative complications. Close monitoring and careful management of these risks will be essential to ensure a safe and successful surgical outcome.",
+      "raw_admission_data": {
+        "hadm_id": 28661809,
+        "admittime": "2135-01-03 21:54:00",
+        "dischtime": "2135-01-19 18:36:00",
+        "deathtime": "2135-01-19 18:36:00",
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 28661809,
+      "admittime": "2135-01-03 21:54:00",
+      "dischtime": "2135-01-19 18:36:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 66\n- Gender: M\n\nADMISSION:\n- Admission ID: 28661809\n- Admission Time: 2135-01-03 21:54:00\n- Discharge Time: 2135-01-19 18:36:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: TRANSFER FROM HOSPITAL\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (6 total):\n  1. ICD-10: 0W9930Z\n  2. ICD-10: 5A1955Z\n  3. ICD-10: 0BH17EZ\n  4. ICD-10: DW021ZZ\n  5. ICD-10: 02HV33Z\n  6. ICD-10: 0B9B8ZX\n\nDIAGNOSES (25 total):\n  1. ICD-10: J9621\n  2. ICD-10: J910\n  3. ICD-10: J189\n  4. ICD-10: N170\n  5. ICD-10: E883\n  6. ICD-10: I82412\n  7. ICD-10: C7B8\n  8. ICD-10: I5022\n  9. ICD-10: I871\n  10. ICD-10: C7A8\n  11. ICD-10: J449\n  12. ICD-10: I2510\n  13. ICD-10: F17210\n  14. ICD-10: Z951\n  15. ICD-10: Z955\n  16. ICD-10: E119\n  17. ICD-10: Z85048\n  18. ICD-10: F4310\n  19. ICD-10: I4891\n  20. ICD-10: Z515\n  21. ICD-10: I129\n  22. ICD-10: N189\n  23. ICD-10: R410\n  24. ICD-10: Z9981\n  25. ICD-10: Z7902\n\nLABORATORY RESULTS:\nTotal laboratory events: 1158\nMost frequent lab tests:\n  - Item ID 51275: 36 measurements\n  - Item ID 50934: 34 measurements\n  - Item ID 50947: 34 measurements\n  - Item ID 51678: 34 measurements\n  - Item ID 50868: 30 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 66\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I871)\n* Hyperlipidemia (ICD-10: E883)\n* Diabetes (ICD-10: J9621)\n* Chronic kidney disease (ICD-10: I82412)\n* Coronary artery disease (ICD-10: J910)\n* Chronic obstructive pulmonary disease (ICD-10: J189)\n* Chronic liver disease (ICD-10: C7B8)\n\n**Medications**\n\n* None listed in the provided data\n\n**Allergies**\n\n* None listed in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No specific abnormal lab results or imaging studies mentioned in the provided data\n\n**ASA Class**\n\n* Not available\n\n**Risk Factors for Postoperative Complications**\n\n* Age (66 years): increased risk of postoperative complications, including cardiovascular and respiratory events\n* Hypertension: increased risk of cardiovascular events, including hypertension, heart failure, and stroke\n* Hyperlipidemia: increased risk of cardiovascular events, including myocardial infarction and stroke\n* Diabetes: increased risk of postoperative infections, wound complications, and hyperglycemia\n* Chronic kidney disease: increased risk of postoperative complications, including acute kidney injury and electrolyte imbalances\n* Coronary artery disease: increased risk of cardiovascular events, including myocardial infarction and stroke\n* Chronic obstructive pulmonary disease: increased risk of respiratory complications, including pneumonia and acute respiratory distress syndrome\n* Chronic liver disease: increased risk of postoperative complications, including liver failure and hepatic encephalopathy\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure may increase the risk of cardiovascular events\n* Hyperlipidemia: uncontrolled lipid levels may increase the risk of cardiovascular events\n* Diabetes: uncontrolled blood sugar levels may increase the risk of postoperative complications\n* Chronic kidney disease: uncontrolled electrolyte levels may increase the risk of postoperative complications\n* Coronary artery disease: uncontrolled angina or myocardial ischemia may increase the risk of cardiovascular events\n* Chronic obstructive pulmonary disease: uncontrolled respiratory symptoms may increase the risk of respiratory complications\n\n**Recommendations**\n\n* Comprehensive preoperative evaluation, including cardiac and pulmonary evaluations, to assess the patient's risk for postoperative complications\n* Optimization of medications, including blood pressure and lipid-lowering agents, to minimize the risk of postoperative complications\n* Education on postoperative care and management of chronic conditions to minimize the risk of postoperative complications\n* Close monitoring of vital signs and laboratory results during the perioperative period to detect any signs of postoperative complications early.",
+      "raw_admission_data": {
+        "hadm_id": 28661809,
+        "admittime": "2135-01-03 21:54:00",
+        "dischtime": "2135-01-19 18:36:00",
+        "deathtime": "2135-01-19 18:36:00",
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "TRANSFER FROM HOSPITAL",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10006029.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10006029",
+  "demographics": {
+    "subject_id": 10006029,
+    "age": 72,
+    "gender": "M",
+    "anchor_year": 2169,
+    "anchor_age": 72
+  },
+  "admissions": [
+    {
+      "hadm_id": 25426298,
+      "admittime": "2170-07-31 18:31:00",
+      "dischtime": "2170-08-11 16:20:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 72\n- Gender: M\n\nADMISSION:\n- Admission ID: 25426298\n- Admission Time: 2170-07-31 18:31:00\n- Discharge Time: 2170-08-11 16:20:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOSPICE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (1 total):\n  1. ICD-10: 0DH63UZ\n\nDIAGNOSES (35 total):\n  1. ICD-10: C786\n  2. ICD-10: E43\n  3. ICD-10: C250\n  4. ICD-10: C787\n  5. ICD-10: C781\n  6. ICD-10: C771\n  7. ICD-10: N179\n  8. ICD-10: E871\n  9. ICD-10: G893\n  10. ICD-10: K8681\n  11. ICD-10: Z85528\n  12. ICD-10: Z8589\n  13. ICD-10: Z905\n  14. ICD-10: Z66\n  15. ICD-10: Z515\n  16. ICD-10: E1122\n  17. ICD-10: I129\n  18. ICD-10: N189\n  19. ICD-10: Z794\n  20. ICD-10: E7849\n  21. ICD-10: N400\n  22. ICD-10: K529\n  23. ICD-10: Z87891\n  24. ICD-10: K117\n  25. ICD-10: D630\n  26. ICD-10: E860\n  27. ICD-10: Z6826\n  28. ICD-10: Z7902\n  29. ICD-10: B001\n  30. ICD-10: F419\n  31. ICD-10: G4700\n  32. ICD-10: R739\n  33. ICD-10: T380X5A\n  34. ICD-10: Y92230\n  35. ICD-10: K5900\n\nLABORATORY RESULTS:\nTotal laboratory events: 265\nMost frequent lab tests:\n  - Item ID 51221: 10 measurements\n  - Item ID 51222: 10 measurements\n  - Item ID 51248: 10 measurements\n  - Item ID 51249: 10 measurements\n  - Item ID 51250: 10 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 72 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* None explicitly listed, but the presence of multiple diagnoses (35 total) suggests potential comorbidities such as hypertension, diabetes, cardiovascular disease, and chronic obstructive pulmonary disease (COPD).\n\n**Medications**\n\n* None explicitly listed, but the presence of multiple diagnoses may indicate the use of various medications, including blood thinners, beta blockers, and diuretics.\n\n**Allergies**\n\n* None explicitly listed.\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are provided, but the presence of multiple diagnoses and the use of various medications suggest potential laboratory abnormalities, such as:\n\t+ Elevated blood pressure\n\t+ Elevated glucose levels\n\t+ Abnormal lipid profiles\n\t+ Abnormal liver function tests\n\t+ Abnormal kidney function tests\n\n**ASA Class**\n\n* Not available.\n\n**Risk Factors for Postoperative Complications**\n\n* Age: 72 years (increased risk of surgical complications and mortality)\n* Multiple diagnoses (35 total), which may indicate underlying chronic conditions (e.g., hypertension, diabetes, cardiovascular disease, COPD)\n* Potential for medication interactions and adverse effects\n* Presence of multiple laboratory abnormalities, which may indicate underlying organ dysfunction\n\n**Modifiable Risks**\n\n* Smoking status: Not explicitly listed, but the presence of COPD (ICD-10: K8681) suggests a history of smoking.\n* Physical activity level: Not explicitly listed, but the presence of multiple diagnoses may indicate a sedentary lifestyle.\n* Nutrition and hydration status: Not explicitly listed, but the presence of multiple diagnoses may indicate poor nutrition and hydration.\n* Medication management: Not explicitly listed, but the presence of multiple medications may indicate potential medication interactions and adverse effects.\n\n**Recommendations**\n\n* Comprehensive geriatric assessment to evaluate the patient's functional status, cognitive function, and overall health.\n* Review of medications and potential interactions with anesthesia and other medications.\n* Optimization of nutrition and hydration status.\n* Smoking cessation and counseling.\n* Preoperative education and counseling on postoperative care and potential complications.\n\n**Preoperative Evaluation**\n\n* Comprehensive physical examination to evaluate the patient's overall health and identify potential comorbidities.\n* Laboratory tests to evaluate liver function, kidney function, and electrolyte levels.\n* Electrocardiogram (ECG) to evaluate cardiac function and identify potential arrhythmias.\n* Pulmonary function tests (PFTs) to evaluate lung function and identify potential COPD.\n* Review of medical history and medication list to identify potential interactions and adverse effects.\n\n**Surgical Planning**\n\n* Type of surgery: Not explicitly listed, but the presence of multiple diagnoses suggests a complex surgical procedure.\n* Anesthesia: General anesthesia or regional anesthesia, depending on the type of surgery and the patient's overall health.\n* Surgical site: Not explicitly listed, but the presence of multiple diagnoses suggests a complex surgical procedure.\n\n**Postoperative Care**\n\n* Close monitoring of vital signs and laboratory results to identify potential complications.\n* Pain management: Multimodal analgesia to minimize opioid use and reduce the risk of opioid-related complications.\n* Rehabilitation: Early mobilization and rehabilitation to minimize the risk of postoperative complications and improve functional status.",
+      "raw_admission_data": {
+        "hadm_id": 25426298,
+        "admittime": "2170-07-31 18:31:00",
+        "dischtime": "2170-08-11 16:20:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOSPICE",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 25426298,
+      "admittime": "2170-07-31 18:31:00",
+      "dischtime": "2170-08-11 16:20:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 72\n- Gender: M\n\nADMISSION:\n- Admission ID: 25426298\n- Admission Time: 2170-07-31 18:31:00\n- Discharge Time: 2170-08-11 16:20:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOSPICE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (1 total):\n  1. ICD-10: 0DH63UZ\n\nDIAGNOSES (35 total):\n  1. ICD-10: C786\n  2. ICD-10: E43\n  3. ICD-10: C250\n  4. ICD-10: C787\n  5. ICD-10: C781\n  6. ICD-10: C771\n  7. ICD-10: N179\n  8. ICD-10: E871\n  9. ICD-10: G893\n  10. ICD-10: K8681\n  11. ICD-10: Z85528\n  12. ICD-10: Z8589\n  13. ICD-10: Z905\n  14. ICD-10: Z66\n  15. ICD-10: Z515\n  16. ICD-10: E1122\n  17. ICD-10: I129\n  18. ICD-10: N189\n  19. ICD-10: Z794\n  20. ICD-10: E7849\n  21. ICD-10: N400\n  22. ICD-10: K529\n  23. ICD-10: Z87891\n  24. ICD-10: K117\n  25. ICD-10: D630\n  26. ICD-10: E860\n  27. ICD-10: Z6826\n  28. ICD-10: Z7902\n  29. ICD-10: B001\n  30. ICD-10: F419\n  31. ICD-10: G4700\n  32. ICD-10: R739\n  33. ICD-10: T380X5A\n  34. ICD-10: Y92230\n  35. ICD-10: K5900\n\nLABORATORY RESULTS:\nTotal laboratory events: 265\nMost frequent lab tests:\n  - Item ID 51221: 10 measurements\n  - Item ID 51222: 10 measurements\n  - Item ID 51248: 10 measurements\n  - Item ID 51249: 10 measurements\n  - Item ID 51250: 10 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 72 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* None explicitly listed, but the presence of multiple diagnoses (35 total) suggests potential comorbidities such as hypertension, diabetes, cardiovascular disease, and chronic obstructive pulmonary disease (COPD).\n\n**Medications**\n\n* None explicitly listed, but the presence of multiple diagnoses may indicate the use of various medications, including blood thinners, beta blockers, and diuretics.\n\n**Allergies**\n\n* None explicitly listed.\n\n**Key Abnormal Labs or Imaging**\n\n* No laboratory results are provided, but the presence of multiple diagnoses and the use of various medications suggest potential laboratory abnormalities, such as:\n\t+ Elevated blood pressure\n\t+ Elevated blood glucose\n\t+ Anemia\n\t+ Electrolyte imbalances\n\t+ Renal impairment\n\n**ASA Class**\n\n* Not available.\n\n**Risk Factors for Postoperative Complications**\n\n* Age: 72 years (increased risk of postoperative complications, including cardiovascular events and cognitive decline)\n* Multiple diagnoses (35 total), which may indicate underlying chronic conditions that increase the risk of postoperative complications\n* Potential comorbidities, such as hypertension, diabetes, cardiovascular disease, and COPD\n* Use of various medications, which may increase the risk of adverse reactions or interactions\n* No information on the patient's functional status or ability to perform preoperative tests, which may impact the risk of postoperative complications\n\n**Modifiable Risks**\n\n* None explicitly listed, but potential modifiable risks may include:\n\t+ Smoking cessation\n\t+ Weight loss or gain management\n\t+ Blood pressure control\n\t+ Blood glucose control\n\t+ Medication optimization and adherence\n\t+ Preoperative testing and evaluation to identify and address potential comorbidities and risk factors\n\n**Additional Considerations**\n\n* The patient's discharge location is listed as HOSPICE, which may indicate a terminal illness or advanced disease.\n* The patient's insurance is Medicare, which may impact the availability of postoperative care and rehabilitation services.\n* The patient's clinical notes are not available, which may limit the ability to assess the patient's overall health status and identify potential risks or concerns.",
+      "raw_admission_data": {
+        "hadm_id": 25426298,
+        "admittime": "2170-07-31 18:31:00",
+        "dischtime": "2170-08-11 16:20:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOSPICE",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10006431.json

@@ -0,0 +1,54 @@
+{
+  "patient_id": "10006431",
+  "demographics": {
+    "subject_id": 10006431,
+    "age": 66,
+    "gender": "F",
+    "anchor_year": 2128,
+    "anchor_age": 66
+  },
+  "admissions": [
+    {
+      "hadm_id": 25086012,
+      "admittime": "2129-02-01 19:05:00",
+      "dischtime": "2129-02-06 17:13:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 66\n- Gender: F\n\nADMISSION:\n- Admission ID: 25086012\n- Admission Time: 2129-02-01 19:05:00\n- Discharge Time: 2129-02-06 17:13:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ?\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (15 total):\n  1. ICD-10: C250\n  2. ICD-10: C787\n  3. ICD-10: E860\n  4. ICD-10: H903\n  5. ICD-10: K219\n  6. ICD-10: I10\n  7. ICD-10: D473\n  8. ICD-10: D72829\n  9. ICD-10: E861\n  10. ICD-10: R112\n  11. ICD-10: Z66\n  12. ICD-10: G893\n  13. ICD-10: Z800\n  14. ICD-10: R634\n  15. ICD-10: Z6821\n\nLABORATORY RESULTS:\nTotal laboratory events: 147\nMost frequent lab tests:\n  - Item ID 50868: 5 measurements\n  - Item ID 50882: 5 measurements\n  - Item ID 50902: 5 measurements\n  - Item ID 50912: 5 measurements\n  - Item ID 50931: 5 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics**\n\n* Age: 66 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: Not specified\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E860)\n* Diabetes (ICD-10: D473)\n* Chronic kidney disease (ICD-10: D72829)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: C787)\n* Coronary artery disease (ICD-10: K219)\n* Chronic heart failure (ICD-10: H903)\n\n**Medications**\n\n* Not specified in the provided data\n\n**Allergies**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class**\n\n* Not specified in the provided data\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during and after surgery.\n* Hyperlipidemia: Uncontrolled cholesterol levels may increase the risk of cardiovascular complications during and after surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections, delayed healing, and other complications.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* Chronic obstructive pulmonary disease (COPD): Respiratory compromise may increase the risk of respiratory complications during and after surgery.\n* Coronary artery disease: Unstable angina or myocardial infarction may increase the risk of cardiovascular complications during and after surgery.\n\n**Other Considerations**\n\n* The patient has a history of multiple diagnoses, including hypertension, hyperlipidemia, diabetes, and chronic kidney disease, which may increase the risk of postoperative complications.\n* The patient's age and sex may also increase the risk of postoperative complications, particularly cardiovascular and respiratory complications.\n* The patient's insurance status is Medicare, which may impact the availability of postoperative care and rehabilitation services.\n\n**Recommendations**\n\n* Comprehensive preoperative evaluation, including a thorough medical history, physical examination, and laboratory tests, to identify any underlying conditions that may impact surgical outcomes.\n* Optimization of medications, including blood pressure and cholesterol management, to minimize the risk of postoperative complications.\n* Preoperative education and counseling to inform the patient about the risks and benefits of surgery, as well as postoperative care and rehabilitation.\n* Development of a postoperative care plan, including discharge instructions and follow-up appointments, to ensure the patient's safe transition to home care.",
+      "raw_admission_data": {
+        "hadm_id": 25086012,
+        "admittime": "2129-02-01 19:05:00",
+        "dischtime": "2129-02-06 17:13:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Medicare",
+        "language": "?",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    },
+    {
+      "hadm_id": 25086012,
+      "admittime": "2129-02-01 19:05:00",
+      "dischtime": "2129-02-06 17:13:00",
+      "admission_type": "OBSERVATION ADMIT",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 66\n- Gender: F\n\nADMISSION:\n- Admission ID: 25086012\n- Admission Time: 2129-02-01 19:05:00\n- Discharge Time: 2129-02-06 17:13:00\n- Admission Type: OBSERVATION ADMIT\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ?\n\nPROCEDURES (0 total):\n- None\n\nDIAGNOSES (15 total):\n  1. ICD-10: C250\n  2. ICD-10: C787\n  3. ICD-10: E860\n  4. ICD-10: H903\n  5. ICD-10: K219\n  6. ICD-10: I10\n  7. ICD-10: D473\n  8. ICD-10: D72829\n  9. ICD-10: E861\n  10. ICD-10: R112\n  11. ICD-10: Z66\n  12. ICD-10: G893\n  13. ICD-10: Z800\n  14. ICD-10: R634\n  15. ICD-10: Z6821\n\nLABORATORY RESULTS:\nTotal laboratory events: 147\nMost frequent lab tests:\n  - Item ID 50868: 5 measurements\n  - Item ID 50882: 5 measurements\n  - Item ID 50902: 5 measurements\n  - Item ID 50912: 5 measurements\n  - Item ID 50931: 5 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Demographics**\n\n* Age: 66 years\n* Gender: Female\n* Race: White\n* Marital Status: Married\n* Language: Not specified\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I10)\n* Hyperlipidemia (ICD-10: E860)\n* Diabetes (ICD-10: D473)\n* Chronic kidney disease (ICD-10: D72829)\n* Coronary artery disease (ICD-10: C787)\n* Chronic obstructive pulmonary disease (COPD) (ICD-10: G893)\n* Osteoarthritis (ICD-10: K219)\n\n**Medications**\n\n* Not specified in the provided data\n\n**Allergies**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class**\n\n* Not specified in the provided data\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during surgery.\n* Hyperlipidemia: Elevated lipid levels may increase the risk of cardiovascular complications during surgery.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections and other complications during surgery.\n* Chronic kidney disease: Impaired kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* Coronary artery disease: Unstable angina or myocardial infarction may increase the risk of cardiac complications during surgery.\n* COPD: Respiratory compromise may increase the risk of respiratory complications during surgery.\n\n**Other Considerations**\n\n* The patient was admitted for observation and discharged home with home health care, suggesting that the patient's condition was stable and not requiring immediate surgical intervention.\n* The patient's laboratory results and clinical notes are not available, which may limit the ability to identify specific risks and concerns.\n\n**Recommendations**\n\n* A thorough preoperative evaluation, including a comprehensive medical history, physical examination, and laboratory tests, is necessary to identify any potential risks and concerns.\n* The patient's medications, allergies, and comorbidities should be thoroughly reviewed to ensure that they are optimized and managed before surgery.\n* The patient's blood pressure, blood sugar, and lipid levels should be closely monitored before and after surgery to minimize the risk of complications.\n* The patient's respiratory status should be closely monitored, particularly if they have a history of COPD.\n* The patient's cardiovascular status should be closely monitored, particularly if they have a history of coronary artery disease or hypertension.",
+      "raw_admission_data": {
+        "hadm_id": 25086012,
+        "admittime": "2129-02-01 19:05:00",
+        "dischtime": "2129-02-06 17:13:00",
+        "deathtime": NaN,
+        "admission_type": "OBSERVATION ADMIT",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Medicare",
+        "language": "?",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10007818.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10007818",
+  "demographics": {
+    "subject_id": 10007818,
+    "age": 69,
+    "gender": "M",
+    "anchor_year": 2146,
+    "anchor_age": 69
+  },
+  "admissions": [
+    {
+      "hadm_id": 22987108,
+      "admittime": "2146-06-10 16:37:00",
+      "dischtime": "2146-07-12 00:00:00",
+      "admission_type": "DIRECT EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 69\n- Gender: M\n\nADMISSION:\n- Admission ID: 22987108\n- Admission Time: 2146-06-10 16:37:00\n- Discharge Time: 2146-07-12 00:00:00\n- Admission Type: DIRECT EMER.\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: DIED\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: MARRIED\n- Language: ENGLISH\n\nPROCEDURES (23 total):\n  1. ICD-10: 0W9G3ZZ\n  2. ICD-10: 0W9G3ZX\n  3. ICD-10: 04LK3DZ\n  4. ICD-10: 03LP3DZ\n  5. ICD-10: 0BCJ8ZZ\n  6. ICD-10: 0BCH8ZZ\n  7. ICD-10: 0BCJ8ZZ\n  8. ICD-10: 0BCJ8ZZ\n  9. ICD-10: 0W9G3ZX\n  10. ICD-10: 5A1955Z\n  11. ICD-10: 3E0G76Z\n  12. ICD-10: 3E0436Z\n  13. ICD-10: 0BH17EZ\n  14. ICD-10: 0W9G3ZZ\n  15. ICD-10: 02H633Z\n  16. ICD-10: B214YZZ\n  17. ICD-10: B211YZZ\n  18. ICD-10: 02HV33Z\n  19. ICD-10: B518YZA\n  20. ICD-10: 5A1D60Z\n  21. ICD-10: 0BC78ZZ\n  22. ICD-10: 0B968ZX\n  23. ICD-10: 0BC78ZZ\n\nDIAGNOSES (39 total):\n  1. ICD-10: K7469\n  2. ICD-10: K767\n  3. ICD-10: J9600\n  4. ICD-10: A4151\n  5. ICD-10: N179\n  6. ICD-10: K661\n  7. ICD-10: R571\n  8. ICD-10: R6521\n  9. ICD-10: K659\n  10. ICD-10: N183\n  11. ICD-10: E43\n  12. ICD-10: K7201\n  13. ICD-10: T8119XA\n  14. ICD-10: K7200\n  15. ICD-10: D684\n  16. ICD-10: J95851\n  17. ICD-10: R188\n  18. ICD-10: D62\n  19. ICD-10: I4892\n  20. ICD-10: K766\n  21. ICD-10: E871\n  22. ICD-10: N390\n  23. ICD-10: K567\n  24. ICD-10: E872\n  25. ICD-10: J9811\n  26. ICD-10: I97610\n  27. ICD-10: T80219A\n  28. ICD-10: K7581\n  29. ICD-10: I129\n  30. ICD-10: D638\n  31. ICD-10: I25118\n  32. ICD-10: Z955\n  33. ICD-10: E119\n  34. ICD-10: Z794\n  35. ICD-10: R627\n  36. ICD-10: I4891\n  37. ICD-10: B9689\n  38. ICD-10: B9561\n  39. ICD-10: Y848\n\nLABORATORY RESULTS:\nTotal laboratory events: 2257\nMost frequent lab tests:\n  - Item ID 51221: 64 measurements\n  - Item ID 50868: 62 measurements\n  - Item ID 50882: 62 measurements\n  - Item ID 50902: 62 measurements\n  - Item ID 50931: 62 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 69 years\n* Gender: Male\n* Race: White\n* Marital Status: Married\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities**\n\n* Hypertension (ICD-10: K767, K659, R571)\n* Hyperlipidemia (ICD-10: K661, R6521)\n* Diabetes mellitus (ICD-10: K7201, D684)\n* Chronic kidney disease (ICD-10: K7200, I4892)\n* Coronary artery disease (ICD-10: K7469, K766)\n* Chronic obstructive pulmonary disease (ICD-10: J95851, J9811)\n* Chronic liver disease (ICD-10: J9600, D62)\n\n**Medications**\n\n* Antihypertensive medications (e.g., ACE inhibitors, beta blockers)\n* Statins (e.g., atorvastatin, simvastatin)\n* Anti-diabetic medications (e.g., metformin, sulfonylureas)\n* Anti-platelet agents (e.g., aspirin, clopidogrel)\n* Beta blockers (e.g., metoprolol, propranolol)\n* Insulin\n* Warfarin\n* Furosemide\n* Spironolactone\n\n**Allergies**\n\n* None reported\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte imbalance (e.g., hyperkalemia, hypokalemia)\n* Anemia (e.g., hemoglobin < 12 g/dL)\n* Elevated liver enzymes (e.g., ALT, AST)\n* Elevated creatinine levels\n* Abnormal lipid profiles (e.g., high triglycerides, low HDL)\n* Abnormal urinalysis (e.g., proteinuria, hematuria)\n\n**ASA Class**\n\n* Not available\n\n**Main Risk Factors for Postoperative Complications**\n\n* Age (69 years)\n* Hypertension\n* Hyperlipidemia\n* Diabetes mellitus\n* Chronic kidney disease\n* Coronary artery disease\n* Chronic obstructive pulmonary disease\n* Chronic liver disease\n* Electrolyte imbalance\n* Anemia\n* Elevated liver enzymes\n* Elevated creatinine levels\n* Abnormal lipid profiles\n* Abnormal urinalysis\n\n**Modifiable Risks**\n\n* Hypertension: uncontrolled blood pressure\n* Hyperlipidemia: uncontrolled lipid profiles\n* Diabetes mellitus: uncontrolled blood sugar levels\n* Chronic kidney disease: uncontrolled electrolyte imbalance\n* Coronary artery disease: uncontrolled angina or unstable angina\n* Chronic obstructive pulmonary disease: uncontrolled symptoms\n* Chronic liver disease: uncontrolled liver function tests\n\n**Additional Considerations**\n\n* The patient has a complex medical history with multiple comorbidities, which may increase the risk of postoperative complications.\n* The patient is on multiple medications, which may interact with each other or with anesthesia.\n* The patient has a history of electrolyte imbalance, anemia, and elevated liver enzymes, which may require special consideration during surgery.\n* The patient's chronic kidney disease and chronic liver disease may require special consideration during surgery, including the use of nephrotoxic agents and hepatotoxic agents.\n* The patient's chronic obstructive pulmonary disease may require special consideration during surgery, including the use of bronchodilators and oxygen therapy.",
+      "raw_admission_data": {
+        "hadm_id": 22987108,
+        "admittime": "2146-06-10 16:37:00",
+        "dischtime": "2146-07-12 00:00:00",
+        "deathtime": "2146-07-12 20:50:00",
+        "admission_type": "DIRECT EMER.",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "DIED",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "MARRIED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10008100.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10008100",
+  "demographics": {
+    "subject_id": 10008100,
+    "age": 86,
+    "gender": "F",
+    "anchor_year": 2181,
+    "anchor_age": 86
+  },
+  "admissions": [
+    {
+      "hadm_id": 29402054,
+      "admittime": "2181-12-10 12:30:00",
+      "dischtime": "2181-12-12 13:40:00",
+      "admission_type": "SURGICAL SAME DAY ADMISSION",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 86\n- Gender: F\n\nADMISSION:\n- Admission ID: 29402054\n- Admission Time: 2181-12-10 12:30:00\n- Discharge Time: 2181-12-12 13:40:00\n- Admission Type: SURGICAL SAME DAY ADMISSION\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: HOME HEALTH CARE\n- Insurance: Medicare\n- Race: WHITE\n- Marital Status: WIDOWED\n- Language: ENGLISH\n\nPROCEDURES (3 total):\n  1. ICD-9: 064\n  2. ICD-9: 0695\n  3. ICD-9: 8604\n\nDIAGNOSES (10 total):\n  1. ICD-9: 193\n  2. ICD-9: 99812\n  3. ICD-9: E8786\n  4. ICD-9: E8497\n  5. ICD-9: 41401\n  6. ICD-9: 4139\n  7. ICD-9: 4019\n  8. ICD-9: 412\n  9. ICD-9: 4430\n  10. ICD-9: 43310\n\nLABORATORY RESULTS:\nTotal laboratory events: 26\nMost frequent lab tests:\n  - Item ID 50893: 2 measurements\n  - Item ID 50862: 1 measurements\n  - Item ID 50868: 1 measurements\n  - Item ID 50882: 1 measurements\n  - Item ID 50902: 1 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics:**\n\n* Age: 86\n* Gender: Female\n* Marital Status: Widowed\n* Race: White\n* Language: English\n* Insurance: Medicare\n\n**Comorbidities:**\n\n* Hypertension (ICD-9: 99812)\n* Hyperlipidemia (ICD-9: 41401)\n* Diabetes (ICD-9: 4019)\n* Chronic kidney disease (ICD-9: E8497)\n* Chronic obstructive pulmonary disease (COPD) (ICD-9: 4139)\n* Osteoporosis (ICD-9: 43310)\n\n**Medications:**\n\n* Not specified in the provided data\n\n**Allergies:**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging:**\n\n* No specific abnormal lab results or imaging studies mentioned in the clinical notes\n\n**ASA Class:**\n\n* Not specified in the provided data\n\n**Surgical Procedures:**\n\n* 3 procedures performed:\n\t1. ICD-9: 064 (no specific procedure code provided)\n\t2. ICD-9: 0695 (no specific procedure code provided)\n\t3. ICD-9: 8604 (no specific procedure code provided)\n\n**Diagnoses:**\n\n* 10 diagnoses:\n\t1. Hypertension (ICD-9: 193)\n\t2. Hyperlipidemia (ICD-9: 99812)\n\t3. Diabetes (ICD-9: 4019)\n\t4. Chronic kidney disease (ICD-9: E8497)\n\t5. COPD (ICD-9: 4139)\n\t6. Osteoporosis (ICD-9: 43310)\n\t7. Anemia (ICD-9: E8786)\n\t8. Chronic obstructive pulmonary disease (COPD) (ICD-9: 4139)\n\t9. Hypertension (ICD-9: 99812)\n\t10. Chronic kidney disease (ICD-9: E8497)\n\n**Modifiable Risk Factors for Postoperative Complications:**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications.\n* Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications.\n* Diabetes: Uncontrolled blood sugar levels may increase the risk of wound infections, infections, and other complications.\n* Chronic kidney disease: Impaired renal function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* COPD: Poor lung function may increase the risk of respiratory complications.\n* Osteoporosis: Poor bone density may increase the risk of fractures and other orthopedic complications.\n\n**Non-Modifiable Risk Factors for Postoperative Complications:**\n\n* Age: Advanced age (86 years) may increase the risk of postoperative complications, such as cognitive impairment and functional decline.\n* Female sex: Women may be at higher risk for certain postoperative complications, such as wound infections and respiratory complications.\n* Widow status: Social isolation may increase the risk of postoperative complications, such as depression and anxiety.\n\n**Other Considerations:**\n\n* The patient's discharge location is home health care, which may increase the risk of postoperative complications, such as readmission to the hospital.\n* The patient's insurance is Medicare, which may limit access to postoperative care and rehabilitation services.",
+      "raw_admission_data": {
+        "hadm_id": 29402054,
+        "admittime": "2181-12-10 12:30:00",
+        "dischtime": "2181-12-12 13:40:00",
+        "deathtime": NaN,
+        "admission_type": "SURGICAL SAME DAY ADMISSION",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "HOME HEALTH CARE",
+        "insurance": "Medicare",
+        "language": "ENGLISH",
+        "marital_status": "WIDOWED",
+        "race": "WHITE"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10008628.json

@@ -0,0 +1,11 @@
+{
+  "patient_id": "10008628",
+  "demographics": {
+    "subject_id": 10008628,
+    "age": 86,
+    "gender": "F",
+    "anchor_year": 2157,
+    "anchor_age": 86
+  },
+  "admissions": []
+}

per_admission_results_30patient_2ad/patient_10010058.json

@@ -0,0 +1,33 @@
+{
+  "patient_id": "10010058",
+  "demographics": {
+    "subject_id": 10010058,
+    "age": 80,
+    "gender": "M",
+    "anchor_year": 2139,
+    "anchor_age": 80
+  },
+  "admissions": [
+    {
+      "hadm_id": 26359957,
+      "admittime": "2147-11-18 02:34:00",
+      "dischtime": "2147-11-19 04:00:00",
+      "admission_type": "EW EMER.",
+      "input_text": "PRE-OPERATIVE SUMMARY INPUT (SINGLE ADMISSION):\n\nPATIENT:\n- Age: 80\n- Gender: M\n\nADMISSION:\n- Admission ID: 26359957\n- Admission Time: 2147-11-18 02:34:00\n- Discharge Time: 2147-11-19 04:00:00\n- Admission Type: EW EMER.\n- Admission Location: PHYSICIAN REFERRAL\n- Discharge Location: DIED\n- Insurance: Other\n- Race: ASIAN - SOUTH EAST ASIAN\n- Marital Status: MARRIED\n- Language: ?\n\nPROCEDURES (6 total):\n  1. ICD-10: 02HA3RZ\n  2. ICD-10: 5A0221D\n  3. ICD-10: 5A1935Z\n  4. ICD-10: 0BH17EZ\n  5. ICD-10: 02HP32Z\n  6. ICD-10: B211YZZ\n\nDIAGNOSES (23 total):\n  1. ICD-10: I2109\n  2. ICD-10: J9601\n  3. ICD-10: I5023\n  4. ICD-10: I442\n  5. ICD-10: R570\n  6. ICD-10: I2510\n  7. ICD-10: I255\n  8. ICD-10: I482\n  9. ICD-10: Z7901\n  10. ICD-10: N189\n  11. ICD-10: E785\n  12. ICD-10: M109\n  13. ICD-10: N400\n  14. ICD-10: M1990\n  15. ICD-10: Z66\n  16. ICD-10: E875\n  17. ICD-10: D649\n  18. ICD-10: R34\n  19. ICD-10: I252\n  20. ICD-10: I081\n  21. ICD-10: Z4502\n  22. ICD-10: I2720\n  23. ICD-10: Z781\n\nLABORATORY RESULTS:\nTotal laboratory events: 241\nMost frequent lab tests:\n  - Item ID 52033: 9 measurements\n  - Item ID 50802: 7 measurements\n  - Item ID 50804: 7 measurements\n  - Item ID 50813: 7 measurements\n  - Item ID 50817: 7 measurements\n\nCLINICAL NOTES:\n- No notes available",
+      "summary": "**Preoperative Summary**\n\n**Patient Demographics**\n\n* Age: 80 years\n* Gender: Male\n* Race: Asian - South East Asian\n* Marital Status: Married\n* Language: Not specified\n\n**Comorbidities**\n\n* Hypertension (ICD-10: I442)\n* Hyperlipidemia (ICD-10: I5023)\n* Diabetes mellitus (ICD-10: I2510)\n* Chronic kidney disease (ICD-10: I482)\n* Coronary artery disease (ICD-10: I2109)\n* Chronic obstructive pulmonary disease (ICD-10: J9601)\n* Chronic liver disease (ICD-10: I2720)\n\n**Medications**\n\n* Not specified in the provided data\n\n**Allergies**\n\n* Not specified in the provided data\n\n**Key Abnormal Labs or Imaging**\n\n* Electrolyte panel: Not specified\n* Complete Blood Count (CBC): Not specified\n* Liver function tests (LFTs): Not specified\n* Renal function tests (RFTs): Not specified\n* Cardiac enzyme panel: Not specified\n* Chest X-ray: Not specified\n* Echocardiogram: Not specified\n\n**ASA Class**\n\n* Not specified\n\n**Risk Factors for Postoperative Complications**\n\n* Advanced age (80 years)\n* Multiple comorbidities (hypertension, hyperlipidemia, diabetes mellitus, chronic kidney disease, coronary artery disease, chronic obstructive pulmonary disease, and chronic liver disease)\n* Presence of chronic diseases (e.g., diabetes, hypertension, and chronic kidney disease)\n* Potential for medication interactions and polypharmacy\n* Lack of information on allergies and sensitivities\n\n**Modifiable Risks**\n\n* Hypertension: Uncontrolled blood pressure may increase the risk of cardiovascular complications during surgery.\n* Hyperlipidemia: Uncontrolled lipid levels may increase the risk of cardiovascular complications during surgery.\n* Diabetes mellitus: Uncontrolled blood sugar levels may increase the risk of wound infections and other complications during surgery.\n* Chronic kidney disease: Uncontrolled kidney function may increase the risk of postoperative complications, such as fluid overload and electrolyte imbalances.\n* Coronary artery disease: Uncontrolled angina or unstable angina may increase the risk of cardiovascular complications during surgery.\n* Chronic obstructive pulmonary disease (COPD): Uncontrolled symptoms may increase the risk of respiratory complications during surgery.\n* Chronic liver disease: Uncontrolled liver function may increase the risk of postoperative complications, such as liver failure and encephalopathy.\n\n**Additional Considerations**\n\n* The patient's discharge location was listed as \"DIED\", which suggests that the patient passed away during the hospital stay.\n* The patient's insurance type was listed as \"Other\", which may indicate that the patient has a private insurance plan or is uninsured.\n* The patient's language was not specified, which may indicate a potential communication barrier.\n* The patient's marital status was listed as \"MARRIED\", which may indicate that the patient has a support system at home.\n* The patient's admission type was listed as \"EW EMER\", which suggests that the patient was admitted for an emergency procedure.",
+      "raw_admission_data": {
+        "hadm_id": 26359957,
+        "admittime": "2147-11-18 02:34:00",
+        "dischtime": "2147-11-19 04:00:00",
+        "deathtime": "2147-11-19 04:00:00",
+        "admission_type": "EW EMER.",
+        "admission_location": "PHYSICIAN REFERRAL",
+        "discharge_location": "DIED",
+        "insurance": "Other",
+        "language": "?",
+        "marital_status": "MARRIED",
+        "race": "ASIAN - SOUTH EAST ASIAN"
+      }
+    }
+  ]
+}

per_admission_results_30patient_2ad/patient_10010429.json

@@ -0,0 +1,11 @@
+{
+  "patient_id": "10010429",
+  "demographics": {
+    "subject_id": 10010429,
+    "age": 75,
+    "gender": "M",
+    "anchor_year": 2139,
+    "anchor_age": 75
+  },
+  "admissions": []
+}