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data/processed/materialized_ehr/1014081.jsonl

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+{"person_id": "1014081", "text": "[S_0] (\"2026-01-01\", \"77-year-old patient.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Past Medical History: cognitive impairment; lives with RELATIVE and RELATIVE; hearing loss.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"arterial hypertension, previous Guillain-Barr\u00e9 syndrome in 2007 spinal stabilization surgery in 1993, previous hysterectomy for fibroids, hiatal hernia, cholecystectomy SAD, Last geriatric visit PHONE_NUMBER: MRI cerebral vasculopathy - presence of buccal dyskinesias - slow walking with risk of falls Therapy: pantoprazole 40-olmesartan 1/2- xanax 0.25- contramal 4 drops x2, levopraid 1/2 x 2, folic acid, stilnox,  RELATIVE PHONE_NUMBER  Recent Medical History: patient arrived last night for an episode of sudden illness characteized by a scream followed by generalized TC tremors in all 4 limbs; this morning a second fit was seen in the Emergency and Acceptance Department, TC in all 4 limbs, preceded by a scream.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"Performed in the Emergency Department: blood tests: no abnormalities (normal electrolytes), no fever; experiencing sleep loss due to frequent nighttime awakenings.\", 0.5, 1.0) | [S_4] (\"2026-01-01\", \"Also performed brain CT brain without contrast which showed a picture of discrete diffuse cortico-subcortical atrophy, no acute manifestations; known chronic vascular disease.\", 0.5, 1.0) | [S_5] (\"2026-01-01\", \"Neurological Examination: patient alert, cooperative, rather quiet, partially oriented in time/place; no clear oculomotor deficits, blinks at bilateral visual threat, no underleveling at Mingazzini I; raises lower limbs alternately for 4-5 sec with symmetrical controlled descent.\", 0.5, 0.1) | [S_6] (\"2026-01-01\", \"No appreciable sensory deficits.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Bilateral plantar reflex in flexion.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Conclusions: generalized TC seizures (2 episodes) due to moderate cerebral atrophy and cognitive impairment.\", 0.5, 1.0) | [S_9] (\"2026-01-01\", \"Recommendation to start gardenale 50 mg 1 tablet in the evening.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Clinical observation until tomorrow morning; if there are no other episodes or other illnesses, discharge tomorrow with indication to perform  EEG with priority B and check-up in 6 months at epilepsy clinic with blood phenobarbital levels, a complete blood count, and liver and kidney function tests..\", 0.5, 0.5)"}

data/processed/materialized_ehr/1015214.jsonl

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+{"person_id": "1015214", "text": "[S_0] (\"2026-01-01\", \"Patient admitted to the Covid area Patient alert, oriented to time/place, slight ideomotor slowness Eupnoeic, dry and warm skin, BT 38.1, remaining parameters within normal limits CVP 18 G placed in right upper limb Blood chemistry + ECG + Antigen swab performed  Administered therapy as per Dr. Di PLACE PERSONS_NAME 1 vial IV and RINGER 500 cc IV In the diaper, foul-smelling urine, multistick test performed, glucose ++ ketones ++ leuc ++ blood ++ Experienced an episode of bile vomiting during the examination\", 0.5, 0.1)"}

data/processed/materialized_ehr/1091594.jsonl

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+{"person_id": "1091594", "text": "[S_0] (\"2026-01-01\", \"Patient admitted to NICU at bed 29.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Clear airways, alert and disoriented to time/place, with known senile dementia.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Eupnoeic on room air.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Radial pulses full and valid bilaterally, not tachycardic, skin warm and dry.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"GCS 14 (E4, V4, M6), apyretic.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Sent to perform CT-E.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Exam/Antigen swab.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"4aT: 3 RADAR TEST (delirium): NEGATIVE Patient at risk of falling, risk prevention measures applied.\", 0.5, 0.1) | [S_8] (\"2026-01-01\", \"Reduced the height of the bed to be closer to the ground.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Raised the protective side rails.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1117595.jsonl

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+{"person_id": "1117595", "text": "[S_0] (\"2026-01-01\", \"Patient alert, partially oriented to time/place, hearing impaired, cooperative BP 160/90 HR 80 Sat 95% on room air T 36 RF 14 Cardiac examination: paraphonic, arrhythmic tones Pulmonary examination: diffuse vesicular murmur Abdominal examination: palpable, not painful or tender No peripheral edema, dry skin and mucous membranes, shortened and externally rotated left lower limb, peripheral pulses present, inability to mobilize the left leg, moves the toes, peripheral pulses present, sensation intact Neurological examination: no signs of unilateral motor and sensory deficit, no cranial nerve deficits.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Transfer to the orthopedic department of Maria Vittoria Hospital scheduled for surgery on the left femur fracture.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"The RELATIVE is informed and is notified of the aforementioned transfer.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"blood tests ok ecg ok chest and right femur x-ray orthopedic and anesthesiological assessment performed\", 0.5, 0.5)"}

data/processed/materialized_ehr/114284.jsonl

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+{"person_id": "114284", "text": "[S_0] (\"2026-01-01\", \"brought to the Emergency Department due to poor home management A: clear airways B: eupnoeic on room air; no use of accessory muscles; no respiratory sounds, RF 12 breaths/min, SpO2 98% C: full radial pulses, BP 160/70, HR 80 D: alert, uncooperative, and at times disoriented to time/place E: euthermic, temp 36.9, skin dry, of normal temperature and normal color, no pallor, no mottling combative with staff, refuses to have blood tests: physician informed.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"upon MI administered at PLACE 1/2 vial IM\", 0.5, 0.5)"}

data/processed/materialized_ehr/1147182.jsonl

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+{"person_id": "1147182", "text": "[S_0] (\"2026-01-01\", \"The patient reports for the past two days dyspnea and sharp pain in the left hemithorax, localized in the left submammary region, pain that they defines as \"stabbing\", which increases ++ with inhalation, acupressure, and varies with movement and body position.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"reports being asymptomatic when lying down, but pain appears when turning onto their side.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Symptoms improved with paracetamol and OKI.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"CPS <4 sat 91% onroom air HR 80 R GCS15, eupnoic, stable hemodynamics, skin dry, well-perfused and of normal temperature, with full, synchronous, and rhythmic pulses.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Reports no other symptoms\", 0.5, 0.5)"}

data/processed/materialized_ehr/1166267.jsonl

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+{"person_id": "1166267", "text": "[S_0] (\"2026-01-01\", \"Alert, oriented, cooperative BP 95/60 mmHg HR 80r bpm SpO2 98% on room air RF 18 apm Temp 36.5 Pulmonary examination: Bilateral diffuse vesicular murmur, no additional sounds.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Cardiac examination: valid, rhythmic tones Abdominal examination: flat, palpable, not tender or painful, Murphy and Blumberg negative, peristalsis present Lower limbs: no peripheral edema; pulses present in all four limbs, isosphygmic; perfused skin; no signs of DVT Neurological examination: GCS 15, isochoric, isocyclic, normally reactive pupils, Mingazzini I and II negative, no sensory deficit, cranial nerves intact, FNT correctly performed, no rigidity, Romberg negative, no lateral drift, ambulation is permitted.\", 0.5, 0.1)"}

data/processed/materialized_ehr/1175847.jsonl

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+{"person_id": "1175847", "text": "[S_0] (\"2026-01-01\", \"Joint cardiology and cardiac surgery evaluation Male 85 years old DMT2, IRC, K prostate with bone MTS -> Oncology evaluation given with prospect of survival in therapy > 12 months.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Fair general condition.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Reports autonomy in ADL, IADL.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Lives alone  Admitted to ER for asthenia and deterioration of general conditions.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Last Thursday, chest pain at rest.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Patient took paracetamol, with gradual resolution-.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"No reported recurrences.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Today in ER on the advice of family members.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"In ER BP 115/88 HR 90/min ECG RS 98/min ST-segment elevation V1- V3  .\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Echo: left V slightly hypertrophic, EF visual assessment 55% in the presence of a mid-apical interventricular septal defect (11 mm breach) complete with left-right shunt.\", 0.5, 1.0) | [S_10] (\"2026-01-01\", \"Mid-apical anterior hypokinesia, mid-apical anterior IVS akinesia.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"Signs of right ventricular volume overload that appears dilated (DTD 44 mm), preserved basal function (S2 10.5 cm/sec- TAPSE 18 mm) - visual assessment of reduced overall function.\", 0.5, 1.0) | [S_12] (\"2026-01-01\", \"Mild MI.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"Dilated atria.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Normal pericardium.\", 0.5, 0.1) | [S_15] (\"2026-01-01\", \"IVC 30 mm with mild collapase LUS White lung.\", 0.5, 0.5) | [S_16] (\"2026-01-01\", \"Blood Tnt 0.8 GBb 16 Hb 12 PLT 358 Crea 1.4 Na 136 K 5.2 AST ALT normal  INR 1.2  ID Late anterior AMI complicated by mid-apical post-infarction VSD.\", 0.5, 0.1) | [S_17] (\"2026-01-01\", \"Currently stable hemodynamics but signs of right V overload.\", 0.5, 0.5) | [S_18] (\"2026-01-01\", \"Elderly patient, with severe oncological comorbidity, but prospect of survival > 12 months with therapy.\", 0.5, 0.5) | [S_19] (\"2026-01-01\", \"After joint discussion with Coronary Care Unit colleague Dr. PERSONS_NAME and interventional cardiologist colleague, it is agreed to proceed with diagnostic coronary angiography and mechanical support with IABP.\", 0.5, 0.5) | [S_20] (\"2026-01-01\", \"Percutaneous vs.\", 0.5, 0.5) | [S_21] (\"2026-01-01\", \"surgical treatment will be evaluated at a later date after the infarction event after maximized unloading therapy.\", 0.5, 0.5) | [S_22] (\"2026-01-01\", \"Having been informed of the program, the patient accepts.\", 0.5, 0.5) | [S_23] (\"2026-01-01\", \"Family members are alerted as to the severity of the situation.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1195735.jsonl

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+{"person_id": "1195735", "text": "[S_0] (\"2026-01-01\", \"Admitted to the Emergency Department sent by a physiatrist due to evidence of redness and swelling for 2 days on the left foot, extending up the leg, following a malleolar fracture on 1/1/23 (cast removed 2/23/23).\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Currently undergoing PT, resumed putting weight on it a few days ago.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"PERSONS_NAME (clexane 4000) until two days ago.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Past Medical History - Hashimoto's thyroiditis with hormone replacement therapy - Epilepsy from a young age; not currently undergoing therapy; no seizures since 2016 - 3 cesarean sections - Left safenectomy - 2 laparoscopic procedures for Endometriosis and uterine myoma - Compound fracture of the left peroneal malleolus 1/1/23 - Admission to cardiology on suspicion of unstable angina 1/23: coronary angiography unremarkable, suspected Takotsubo cardiomyopathy  Therapy: eutirox 150 mcg, bisoprolol 1.25 mg, ramipril 2.5 mg, ASA, analgesic therapy as needed (OKI, contramal) - Vaccinated against Sars-Cov-2 with 3 doses Allergies: tachipirina, contrast medium (lip edema)\", 0.5, 1.0)"}

data/processed/materialized_ehr/1217595.jsonl

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+{"person_id": "1217595", "text": "[S_0] (\"2026-01-01\", \"---------- CONSULTATION regarding the request for: ORTHOPEDIC CONSULTATION      of: 08/PHONE_NUMBER:02 ---------- Consulting physician: Dr. PERSONS_NAME             on: 08/PHONE_NUMBER:54 Fell off bike last Sunday, sustaining direct trauma to right hand, arrives today for residual pain, upon viewing x-ray: fracture at base of second metacarpal without joint involvement, clinically mild pain upon palpatation at base of second metacarpal, no rotational deformaties, no overlapping, no rotational deformaties during active flexion/extension, second and third fingers of the right hand bandaged together Indications  Maintain bandage for 2 weeks, refrain from exertion/weight lifting using right upper limb for 30 days  Seractil 400 mg 1 tablet daily for 5 days + pantorc 20 mg 1 tablet daily for 5 days  Return in 15 days for a visit at the orthopedic clinic on the 2nd floor for x-ray and clinical check-up after making an appointment at the orthopedic radiology desk on the ground floo, then start PT to mobilize the second finger of the right hand Move appointment forward if needed --------------------\", 0.5, 0.5)"}

data/processed/materialized_ehr/1222948.jsonl

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+{"person_id": "1222948", "text": "[S_0] (\"2026-01-01\", \"Written retrospectively due to full emergency room.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Clear airways Eupnoeic, bilateral chest expansion, no respiratory sounds, RF 15 breaths/min, SpO2 94% on room air.\", 0.5, 0.1) | [S_2] (\"2026-01-01\", \"Valid and rhythmic pulses, HR 80 bpm, BP 170/85 mmHg, patent CVP present.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Patient slow in manner, cooperative and calm, pupils equal and round, apyretic.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Normal skin color and temperature.\", 0.5, 0.1) | [S_5] (\"2026-01-01\", \"Diagnostics performed + neurological consultation.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Patient does not have mobile, dental or acoustic prostheses.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Transferred to the hospital for continued treatment.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1231372.jsonl

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+{"person_id": "1231372", "text": "[S_0] (\"2026-01-01\", \"This morning upon awakening, experienced a sensation of urethral obstruction which then clearedwith a slight burning sensation and redish urine.\", 0.5, 0.1) | [S_1] (\"2026-01-01\", \"During the day, no more pain or urinary retention but persistent blood in the urine.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Reports no fever.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Therapy:  - Revascularized CAD: 04/22 hospitalization at the San Giovanni Battista Hospital Cardiology Ward for unstable angina during hypertensive crisis, critical bivasal coronary artery disease of the right coronary artery and anterior descending artery treated with angioplasty and medicated stents.\", 0.5, 1.0) | [S_4] (\"2026-01-01\", \"Echocardiogram: mild left ventricular dysfunction (45%) - Paroxysmal AF: previous episodes of AF treated with pharmacological cardioversion (propafenone) and Electrical Cardioversion, now on DOAC - overweight - diabetes mellitus type 2 - arterial hypertension - hypercholesterolemia - previous appendectomy, tonsillectomy, and adenoidectomy - colonic diverticulosis - previous right kidney stones - BPH - vaccinated with 3 doses of SARS-CoV-2 vaccine  Therapy:  pantoprazole 20 mg omega 3 1000 mg ezetimibe 10 mg eliquis 5 mg 1 tablet x 2 clopidogrel 75 mg furosemide 25 mg 1 tablet atorvastatin 40 mg blopress 16 mg nebivolol 5 mg toujeo 10 IU in the evening trulicity 1.5 mg/week  No drug allergies\", 0.5, 1.0)"}

data/processed/materialized_ehr/1236585.jsonl

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+{"person_id": "1236585", "text": "[S_0] (\"2026-01-01\", \"Patient admitted for pre-renal AKI with hyperpotassemia and hyponatremia  Presents: patient alert, conscious and oriented t/s eupnoeic in room air SpO2 94% RF 20br/m HR 110ar BP 70/40 isosfigmic pulses, very weak and normally reactive, skin normal in color and hydration.\", 0.5, 0.1) | [S_1] (\"2026-01-01\", \"hydrated mucous membranes.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"GCS 15.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"no neurological deficits, valid diuresis from VC with 700cc of stagnation (straw yellow) apyretic  Perform artierial BGA check-up:  Upon Dr. PERSONS_NAME's recommendation, the previous therapy is suspended - infusion of R.Acetate 500cc at 84cc/h\", 0.5, 0.5)"}

data/processed/materialized_ehr/1258026.jsonl

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+{"person_id": "1258026", "text": "[S_0] (\"2026-01-01\", \"Pulmonary examination: bilateral vesicular murmur, no additional pathological noise Cardiac examination: valid rhythmic tones, apparently free pauses, normal pulses, no peripheral edema.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Abdominal examination: abdomen flat, palpable, no murmurs or palpable masses.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"PERSONS_NAME, PERSONS_NAME, PERSONS_NAME -   hyperemic pharynx, enlarged and edematous uvula.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"no plaques or purulent secretions.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"diffuse capillary ruptures, particularly at the around the uvula.\", 0.5, 1.0) | [S_5] (\"2026-01-01\", \"upper left molar tooth decayed, likely abscessed.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1262429.jsonl

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+{"person_id": "1262429", "text": "[S_0] (\"2026-01-01\", \"Patient in the Emergency Department for anxiety related to somatic symptoms, diagnosis to be determined.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Reports dysphagia.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Mild swallowing problems for a long period from elementary school to the second year of high school following an episode in which she risked suffocation.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Improved for a few years.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Recent traumatic experience.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Since the end of February, after swallowing gum, a sensation of throat closure has reappeared.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Some episodes of acute anxiety.\", 0.5, 1.0) | [S_7] (\"2026-01-01\", \"Weight loss of about 8 kg (from 77 to 69 kg) in two weeks.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Patient describes herself as a generally anxious person.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Some tests have already been carried out: ENT examination (retronasal drainage, edema of the turbinates, deviated nasal septum), allergist examination (negative).\", 0.5, 0.1) | [S_10] (\"2026-01-01\", \"Cervical contracture.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"Difficulty eating in public for fear of suffocation.\", 0.5, 1.0) | [S_12] (\"2026-01-01\", \"Symptoms experienced as egodystonic, aware of the irrationality of her fears.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"At the interview, alert, lucid, oriented in time, place, and person, cooperative, good memory.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Correct thinking in form and content, currently focused on her own malaise.\", 0.5, 0.5) | [S_15] (\"2026-01-01\", \"Perception unimpaired.\", 0.5, 0.5) | [S_16] (\"2026-01-01\", \"Appropriate mood.\", 0.5, 0.5) | [S_17] (\"2026-01-01\", \"Unimpeded anxiety and moderatly somatic, with critical episodes.\", 0.5, 1.0) | [S_18] (\"2026-01-01\", \"Central insomnia with multiple awakenings.\", 0.5, 0.5) | [S_19] (\"2026-01-01\", \"Has contacted the local Mental Health Center in PLACE where she has an appointment scheduled for 04/19/23.\", 0.5, 0.5) | [S_20] (\"2026-01-01\", \"On rare occasion, has taken delorazepam 10-12 drops, with positive results.\", 0.5, 1.0) | [S_21] (\"2026-01-01\", \"Diagnostic assessments continue to define the organic nature of the symptoms.\", 0.5, 0.5) | [S_22] (\"2026-01-01\", \"To help with anxiety aspect, we recommend: alprazolam 10-20 drops as needed.\", 0.5, 0.5) | [S_23] (\"2026-01-01\", \"Levopraid 15 drops about half an hour before main meals.\", 0.5, 0.5) | [S_24] (\"2026-01-01\", \"Referred to their primary care physician.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1288360.jsonl

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+{"person_id": "1288360", "text": "[S_0] (\"2026-01-01\", \"PV assessments Chest X-ray underway, possible thickening of the right basal lung More alert, eupnoeic on O2 MV 40%  IDx: right-sided pneumonia, right femoropopliteal DVT, AKI from dehydration due to Parkinson's disease with cachexia and chronic subdural hematoma  Antibiotic therapy and IV hydration are presribed Low-dose LMWH is prescribed - despite the risk of cerebral bleeding, of which the RELATIVES are have been informed Interview with the RELATIVES and the RELATIVE has been informed of the significant risk of death even in the near future, due to the severity of the overall clinical picture.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Given the patient's overall clinical fragility, there are no indications for more invasive therapies other than those currently in place - at this time, no invasive procedures can be proposed (including placement of a caval filter) given the extreme fragility of the overall clinical picture.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Currently, nothing by mouth.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Diuresis monitoring - no urinary catheter required.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1307609.jsonl

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+{"person_id": "1307609", "text": "[S_0] (\"2026-01-01\", \"Patient suffering from dyslipidemia, arterial hypertension, BPH in urological follow-up, known atheromasia of the supra-aortic trunks with 40-45% stenosis.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Home therapy with PPI, ASA, statin, drugs for prostatic hypertrophy, antihypertensive Previous appendectomy - cholecystectomy - inguinal hernia operation Non-smoker, no known allergies.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Vaccinated for SARS-CoV2 - 3 doses Brought to the ER for a focal seizure with bilateral tonic-clonic evolution with subsequent complete recovery.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"Current neurological examination normal (alert, well oriented and cooperative, cranial nerves intact.\", 0.5, 0.1) | [S_4] (\"2026-01-01\", \"Pupils equal, round, and normally reactive.\", 0.5, 0.1) | [S_5] (\"2026-01-01\", \"No drift during Mingazzini I and II tests - known external rotation of the right foot - minimal bradyteleokinesia at FNT without clear dysmetria, well-understandable speech slightly bradylalic, correct heel-knee, bilateral plantar response in flexion).\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"The patient reports recent episodes of fleeting subjective feeling of confusion (sometimes while watching TV).\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Brain CT: leukoaraiosis+++, right frontal ischemic outcome  C first generalized seizure (possible further focal seizures at home) in a patient with chronic vasculopathy  It is recommended to start therapy with lacosamide 50 mg 1 tablet in the evening for 3 days (administer the first tablet at 3 p.m.), then lacosamide 50 mg x 2 (1 tablet at 8 a.m. and 1 tablet at 8 p.m.) for one week, then lacosamide 50 mg 1 tablet at 8 a.m. and lacosamide 100 mg 1 tablet at 8 p.m. for one week, followed by continuing with lacosamide 100 mg 1 tablet x 2 (8 a.m. and 8 p.m.).\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"Continue observation for 24 hours, then if asymptomatic, discharge with indication for brain MRI with intracranial MR angiography and class B contrast medium and EEG.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"One month after starting full-dose lacosamide therapy, check blood count, sodium, potassium, creatinine, ALT, AST, GGT, total and fractionated bilirubin, lacosamide dosage and electrocardiogram with close attention paid to PR interval.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Then send an email to epilessia.osgb@aslcittaditorino.it to schedule an outpatient check-up with exams.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"Dr. PERSONS_NAME\", 0.5, 0.5)"}

data/processed/materialized_ehr/1323348.jsonl

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+{"person_id": "1323348", "text": "[S_0] (\"2026-01-01\", \"Recommendations: Rx/ Cilodex ear drops    administer 3-4 drops in the right ear morning and evening for 7 days Rx/ Fonitis ear spray     administer 2 sprays in the right ear morning and evening for the next 7 days - do not let water enter the right ear and do not wear the right prosthesis for 7 days\", 0.5, 0.5)"}

data/processed/materialized_ehr/1323973.jsonl

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+{"person_id": "1323973", "text": "[S_0] (\"2026-01-01\", \"In Emergency Department for skin redness, edema and pain in left leg.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Reports that symptoms have been present for about 2-3 days, worsened in the last 24 hours.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Reports no trauma.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Reports no insect bites.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Reports no recent prolonged immobilization, no recent surgery, nor recent long-term travel.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Reports fever yesterday.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Reports no cough/dyspnea/GI disorders/urinary disorders.\", 0.5, 1.0) | [S_7] (\"2026-01-01\", \"Recent Medical History On Feb 8th, admitted to the Emergency Department for fever and malaise.\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"Blood Tests WBC 24530 CRP 0.69.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Chest X-ray negative for inflammatory thickened lesions.\", 0.5, 0.1) | [S_10] (\"2026-01-01\", \"Multistick urine test negative.\", 0.5, 0.1) | [S_11] (\"2026-01-01\", \"Discharged home with indication for antibiotic therapy with cefixoral 400 mg/day and azithromycin 500 mg/day for 5 days.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"SARS CoV2 vaccination: 2 doses + previous SARS CoV2 infection  Past Medical History - Occasional alcohol consumption - Active smoker - Varicose veins  Therapy: none  Drug-related allergies: none  Tel PHONE_NUMBER\", 0.5, 0.5)"}

data/processed/materialized_ehr/1350262.jsonl

@@ -0,0 +1 @@
+{"person_id": "1350262", "text": "[S_0] (\"2026-01-01\", \"OTHER SCALP WOUNDS WITHOUT MENTION OF COMPLICATIONS (AP SCALP WOUND NOS)\", 0.5, 0.5)"}

data/processed/materialized_ehr/1396734.jsonl

@@ -0,0 +1 @@
+{"person_id": "1396734", "text": "[S_0] (\"2026-01-01\", \"Patient admitted, arrives at Emergency Department for persistent fever and cough with sputum.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Patient alert, oriented and cooperative, clear airways.\", 0.5, 0.1) | [S_2] (\"2026-01-01\", \"eupnoeic on room air, normal chest expansion, no use of accessory muscles.\", 0.5, 0.1) | [S_3] (\"2026-01-01\", \"Skin dry, normal temperature, normal color.\", 0.5, 0.1) | [S_4] (\"2026-01-01\", \"Radial pulses present, rhythmic and tachycardic.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"GCS 15, free and fluent speech, no deficit in the 4 limbs, no unilateral motor and sensory deficit.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Pupils equal, round, and reactive to light.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"38.2.  pos cvp 18G right upper limb, Blood tests + blood cultures performed.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Sample collected for sputum.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Administered paracetamol 1g IV.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"R/chest X-ray\", 0.5, 0.5)"}

data/processed/materialized_ehr/1486650.jsonl

@@ -0,0 +1 @@
+{"person_id": "1486650", "text": "[S_0] (\"2026-01-01\", \"Admitted to the Emergency Department, sent by San Giovanni Battist Hospital dialysis unit (session completed), for pain and hypoesthesia at the injection site, radiating to the proximal third of the left arm, but not to the hand.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Pain subsided after removing the intravenous access for dialysis in the left AVF.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Past Medical History: -Advanced CRI, in thrice-weekly dialysis since 2014; no more diuresis peritoneal dialysis continued until May 2018, then suspended following abdominal trauma with hepatic laceration; after discontinuing peritoneal dialysis, a Tesio shunt was placed and hemodialysis was initiated -Dyslipidemia -Arterial hypertension -History of erosive antral gastropathy -BPH -Lower limb vasculopathy with multiple PTAs and PTA/stenting.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Last PTA + Stent implant on Left Superf Femoral Artery 7/2018 -CAD: * AMI in 1994 * in 2009 aortocoronary by-pass with AMIS on LAD and SVG on PDA, * in 2010 myocardial scintigraphy with evidence of inferior necrosis, but no residual ischemia was detected, EF 60% -2016 TURB and resection of exophytic bladder lesion; CT check-up: formation of about 8 cm inseparable from the pancreatic tail, likely attributable to pseudocysts and with indication for radiological F.Up.; recurrence in 2017 of bladder neoplasia treated with weekly cycles of MMC -2017 multiple polypectomies; histological examination revealed tubular adenomas with low-grade dysplasia  -October 2018 hospitalization for sepsis from Serratia Marcescens, sensitive to Merpemen -November 2018 new hospitalization for sepsis with culture on Tesio drainage fluid again positive for Serratia; treatment with Maxipime and Gentalyn - 1/2019 sepsis from Serratia Marcescens - OSAS Therapy: salbutamol 2 puffs, tamsulosin, monoket 40 mg three times a day, cardicor, clopidogrel, ramipril 10 mg, basic, difedipine 60 mg, dibase, gaviscon, esomeprazole, cardura 4 mg three times a day, imodium, ASA.\", 0.5, 1.0) | [S_4] (\"2026-01-01\", \"Intradialytic therapy: ferinject, retacrit ALLERGY: VOLTAREN Vaccination for SARS CoV2: 4 doses Lives alone, independent  On physical examination: patient alert, oriented, cooperative.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"No pain.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"No sensory-motor deficits in progress.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Warm limbs.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Valid thrill on the AVF.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"No lesions or edema.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"At the ECD, direct flows on IO and radial, demodulated on the ulnar.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"No palpable abdominal masses.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"Conclusions: AVF functioning due to absence of ischemia in the left upper limb.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"No indications for vascular surgery.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Vary the injection site for the next dialysis sessions.\", 0.5, 0.5)"}

data/processed/materialized_ehr/1498690.jsonl

@@ -0,0 +1 @@
+{"person_id": "1498690", "text": "[S_0] (\"2026-01-01\", \"Patient admitted  A: clear airways.\", 0.5, 0.1) | [S_1] (\"2026-01-01\", \"B: eupnoeic on NC 2 l/min, slight use of accessory muscles, performed art.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"BGA.-> SO2 93% C: radial pulses present, weak, tachycardic, bilaterally isosfigmic, capillary refill <2 sec, CVP is patent  D: pupils equal, normal, reactive, patient is alert, though at times hazy  E: skin normal temperature  Cachectic  Serious general conditions From last BGA  KCL 5.08, stop correction as per medical indication   Fall prevention measures implemented:  reduced bed height to be closer to the ground  checked the safety of the environment  informed the patient of the need to notify the staff before getting out of bed and walking  raised protective side rails\", 0.5, 0.1)"}

data/processed/materialized_ehr/152391.jsonl

@@ -0,0 +1 @@
+{"person_id": "152391", "text": "[S_0] (\"2026-01-01\", \"reports loss of consciousness this morning with fall to the ground and sustaining head, nasal, and lip trauma.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"reports previous similar episodes assessed in the past, also with negative supra-aortic trunk echo.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"has multiple abrasions on the face.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"in triage reports headache and neck pain, but denies having any other disorders or symptoms\", 0.5, 0.5)"}

data/processed/materialized_ehr/1526466.jsonl

@@ -0,0 +1 @@
+{"person_id": "1526466", "text": "[S_0] (\"2026-01-01\", \"At about 7:00 p.m., experienced oppressive retrosternal pain that began while at rest, resolved spontaneously after about 30 minutes.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"No dyspnea or other significant symptoms.\", 0.5, 1.0) | [S_2] (\"2026-01-01\", \"To the patient, the characteristics of the pain seem different from those of previous acute cardiac events.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"Currently completely asymptomatic, feeling well.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Therapy: trazodone 75mg 1 tablet in the evening, furosemide 25mg 1 tablet at 8 o'clock, metformin 1000mg 1 tablet at breakfast and 1 tablet at dinner, Forxiga 10mg at noon, Luvion 50mg 1 tablet at 4 p.m., Ranexa 500mg 1 tablet x 2/day, sertraline 50mg 1 tablet at 8 a.m., pantoprazole 20mg 1 tablet at 8 a.m., ASA 100mg, Trusopt 1 drop per eye x 2/day, Imolast 1 drop per eye in the evening, metoprolol 100mg 1/2 tablet x 2/day, Cholecomb 20/10mg 1 tablet in the evening.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Past Medical History: - in 2000 Subarachnoid hemorrhage; negative cerebral angiography for vascular malformations, follow up  - hemorrhoidectomy followed by new ligation for rectorrhagia and recurrence (2012)  - COVID infection without hospitalization April 20201, subsequently vaccinated with 2 doses of COVID vaccine - 2004 maximal stress test negative for angina and myocardial ischemia, examination followed for chest pain  - 2007 anterior STEMI treated with primary PTCA + BMS on IVP, PTCA + DES on CT/IVA, IVA II and OM; EF preserved  - May 2008 submaximal stress test positive for myocardial ischemia, coronary angiography with evidence of paraostial restenosis on CT, critical LCX stenosis and ostial PDA treated with PTCA BMS on PDA.\", 0.5, 1.0) | [S_6] (\"2026-01-01\", \"Staged PTCA + DES on CT and LCX.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"- since then, residual angina from moderate exertion CCS II  - December 2011 coronary angiography for chest pain at rest: restenosis of LCX I treated with PTCA + DES, POBA LCX III.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Echocardiogram: normal left ventricle, minimal MR, sequelae of pericarditis.\", 0.5, 0.1) | [S_9] (\"2026-01-01\", \"- 6/2012 PES doubtful for ischemia  - 11/2012 SPECT + dipyridamole.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Positive test for angina and ECG ischemia.\", 0.5, 1.0) | [S_11] (\"2026-01-01\", \"Myocardial scintigraphy positive for inducible ischemia in the lateral and inferior regions.\", 0.5, 1.0) | [S_12] (\"2026-01-01\", \"EF at rest 70%, after stress 66%  - July 2013 elective coronary angiography: good outcome from previous PCI, chronic occlusion of slender diagonal branch.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"- echocardiogram March 2017: left ventricle EF and kinesis normal.\", 0.5, 0.1) | [S_14] (\"2026-01-01\", \"- episodes of chest pain on exertion.\", 0.5, 0.5) | [S_15] (\"2026-01-01\", \"Last visit 3/2017: Ranolazine prescribed - 4/2019 Inferolateral STEMI complicated by primary VF.\", 0.5, 0.5) | [S_16] (\"2026-01-01\", \"Urgent coronary angiography: critical in-stent restenosis on LCX I, very late ostial LAD thrombosis, diffuse restenosis of right PDA.\", 0.5, 1.0) | [S_17] (\"2026-01-01\", \"Emergency thrombus aspiration ineffective on LAD, followed by kissing balloon on CT-LAD-LCX.\", 0.5, 1.0) | [S_18] (\"2026-01-01\", \"Due to evidence of upstream thrombus migration on CT, thrombus aspiration performed again, followed by multiple dilatations on CT-LAD and CT-LCX + final kissing balloon.\", 0.5, 0.5) | [S_19] (\"2026-01-01\", \"Good result at the end.\", 0.5, 0.5) | [S_20] (\"2026-01-01\", \"HS trop T 5mg/ml, non-Q wave ECG evolution.\", 0.5, 0.5) | [S_21] (\"2026-01-01\", \"skin rash, possibly indicative of an allergic reaction to the contrast agent.\", 0.5, 0.5) | [S_22] (\"2026-01-01\", \"Pre-discharge coronary angiography check-up with good results from previous stenting and recent POBA on CT-LAD, residual focal gas hypoexpansion from previous stenting on proximal LCX, treated with focal dilatations with good angiographic and IVUS results.\", 0.5, 0.5) | [S_23] (\"2026-01-01\", \"LVEF 55% - 6/2022 elective hospitalization for resumption of chest pain; coronary angiography: right PL 80%, good result from PTCA on LAD.\", 0.5, 0.5) | [S_24] (\"2026-01-01\", \"Ostial LCX restenosis 80% treated with DEB and kissing balloon CT-LAD.\", 0.5, 0.5) | [S_25] (\"2026-01-01\", \"Feeling well since discharge.\", 0.5, 0.5) | [S_26] (\"2026-01-01\", \"- Last Cardiological check-up May 2023  RELATIVE PHONE_NUMBER RELATIVE PHONE_NUMBER\", 0.5, 0.5)"}

data/processed/materialized_ehr/15455.jsonl

@@ -0,0 +1 @@
+{"person_id": "15455", "text": "[S_0] (\"2026-01-01\", \"OTHER NOSE WOUNDS, UNSPECIFIED SITE, WITHOUT MENTION OF COMPLICATIONS (NOSE WOUND NOS)\", 0.5, 0.5)"}

data/processed/materialized_ehr/1565152.jsonl

@@ -0,0 +1 @@
+{"person_id": "1565152", "text": "[S_0] (\"2026-01-01\", \"omeprazole 20x 2 for 1 week is useful -> or 1 tablet only   if symptoms persist -> outpatient EGDS\", 0.5, 0.5)"}

data/processed/materialized_ehr/1594790.jsonl

@@ -0,0 +1 @@
+{"person_id": "1594790", "text": "[S_0] (\"2026-01-01\", \"Bilateral acute otitis externa.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Prescribed: Augmentin 1 g tablet: 1 tablet x 2 times a day for 7 days; Prescribed: Bentelan 1 mg tablet: 1 tablet x 2 times a day for 4 days on a full stomach; Prescribed: UNicexal vial: 1 vial in right and left ear x 2 times a day for 7 days.\", 0.5, 0.5)"}

data/processed/materialized_ehr/16252.jsonl

@@ -0,0 +1 @@
+{"person_id": "16252", "text": "[S_0] (\"2026-01-01\", \"---------- CONSULTATION regarding the request for: PSYCHIATRIC EXAMINATION      of: 16/PHONE_NUMBER:08 ---------- Consulting physician: Dr. PERSONS_NAME             on: 16/PHONE_NUMBER:56 Patient alert, lucid, oriented to time and place.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Arrives in the Emergency Department due to \"strange sensation\" after abundant use of alcohol.\", 0.5, 1.0) | [S_2] (\"2026-01-01\", \"Reports being followed by Dr. PERSONS_NAME at the Mental Health Center of PLACE for bipolar disorder, currently on valproic acid, aripiprazole and diazepam at unspecified doses.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Reports long-term alcohol addiction.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Works, has a RELATIVE.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Open and collaborative during the interview.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"No psychotic symptoms.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Labile mood due to alcohol intoxication, with no pathological alterations in mood.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"No suicidal or homicidal ideation emerges.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"The patient reports that they already have an appointment with their mental health center provider.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Mild anxiety.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"Lorazepam 60 drops is administered.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"No symptoms indicative of acute mental decompensation emerge at the moment.\", 0.5, 1.0) | [S_13] (\"2026-01-01\", \"From a psychiatric point of view, the patient can be discharged.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Referred to their attending physician.\", 0.5, 0.5) | [S_15] (\"2026-01-01\", \"--------------------\", 0.5, 0.5)"}

data/processed/materialized_ehr/1706077.jsonl

@@ -0,0 +1 @@
+{"person_id": "1706077", "text": "[S_0] (\"2026-01-01\", \"Discharged 4 days ago from PLACE where sent for COPD flare-up in end-stage COPD.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Discharged with home NIV BGA at discharge pH 7.38 pO2 61 pCO2 48 HCO3 26.6. Reports sleepless night due to dyspnea and poor tolerance to nocturnal NIV.\", 0.5, 1.0) | [S_2] (\"2026-01-01\", \"Also reports habitual dyspnoea for 40 years,  Past Medical History (from archive) - Active smoker - Arterial hypertension - Diabetes mellitus 2 - Obesity - COPD with LTOT - Chronic PAD - Previous cholecystectomy for cholelithiasis - BPH with episode of stress-induced macrohematuria in the bladder - Lives with RELATIVE - discharged; PHONE_NUMBER from Cottolengo for COPD flare-up, prescribed therapy that patient reports has been adjusted by their GP   Therapy: nocturnal NIV on room air, daytime O2 0.5 L/min at rest up to 2L/min under exertion, ansimar 400 x 2, trelegy 1 inhalation, pantorc 20 x 2, maalox 1 tablet x 3, lasix 1 tablet, levopraid 15 drops x 3, laevolac 1 scoop, metformin 500 1 tablet, cardioasaa 1 tablet, movicol 1 sachet, olanzapine 2.5 1/2 tablet, omnic 0.4, lexotan 5 drops  Allergies: NONE KNOWN tel RELATIVE PHONE_NUMBER - RELATIVE PHONE_NUMBER\", 0.5, 0.5)"}

data/processed/materialized_ehr/1769015.jsonl

@@ -0,0 +1 @@
+{"person_id": "1769015", "text": "[S_0] (\"2026-01-01\", \"GALLBLADDER CALCULOSIS WITHOUT MENTION OF CHOLECYSTITIS, WITHOUT MENTION OF OBSTRUCTION (GALLSTONES NOS)\", 0.5, 0.5)"}

data/processed/materialized_ehr/1777967.jsonl

@@ -0,0 +1 @@
+{"person_id": "1777967", "text": "[S_0] (\"2026-01-01\", \"BP 120/75, HR 115, Sat 97%, on room air T 38.1\u00b0C Cardiac examination: normal, rhythmic, tachycardic tones Pulmonary examination: vesicular breath sounds present in all fields, clear bases, no additional sounds Abdominal examination: abdomen palpable, painful and tender on the right side, Murphy +, Blumberg -.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Right Giordano +  Otoscopy: Right: canal poorly assessable due to the presence of a cerumen plug.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Left: patent ear canal, slightly erythematous, intact tympanic membrane.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Reports no otorrhea Edematous and erythematous palatine tonsils, with evidence of purulent plaques\", 0.5, 0.5)"}

data/processed/materialized_ehr/1782578.jsonl

@@ -0,0 +1 @@
+{"person_id": "1782578", "text": "[S_0] (\"2026-01-01\", \"low-impact motorcycle accident while going to work (head-on collision with car) patient was wearing a protective helmet; reports no head trauma or loss of consciousness; reports no chest or abdominal trauma; reports left shoulder trauma  reports no drug allergies chronic therapy: lobivon, vasoretic.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Clinical pain in the left ACJ upon palpatation.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"No apparent signs of GO dislocation, no pain on palpation of the trochitis and humeral diaphysis.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"No pain on palpation of the elbow, forearm, wrist and hand on the left, no peripheral nerve deficit no ecchymosis\", 0.5, 0.5)"}

data/processed/materialized_ehr/1803820.jsonl

@@ -0,0 +1 @@
+{"person_id": "1803820", "text": "[S_0] (\"2026-01-01\", \"78-year-old patient brought to the ER for speech impediment and weakness of the right upper limb.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Past Medical History: - Arterial hypertension, Obesity, Dyslipidemia, Former smoker (stopped 3 months ago) - moderate alcohol consumption (stopped 3 months ago) - COPD - Moderate Ao stenosis (last ETT 02/23), cardiological examination performed in February 2023, at the echocardiogram EF= 50%, myocardial scintigraphy indicated - Mixed hepatopathy (HBV and on an exotoxic basis) - Nephrolithiasis - BPH - 02/2023 hospitalization at Internal Medicine wrad of Maria VIttoria Hospital for RI type 1 due to exacerbated COPD and pneumonia.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"- has lived in PLACE for 3 months, total language barrier  Therapy: Relvar 92/22 mcg 1 inhalation, Tamsulosin 0.4 mg 1 tablet, Dutasteride 0.5 mg 1 tablet, Nebivolol 5 mg 1 tablet  Allergies: none known SarsCoV2 vaccination reported performed in PLACE  Medical history and examination conducted with the RELATIVE who translates due to the presence of a total language barrier.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Patient reports instability in walking over the past month, and thus uses a cane with which he feels safer.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"On May 6th, sudden onset around 12 p.m. of language impairment (described by the RELATIVES as possible dysarthria) that lasted a few minutes, then spontaneously resolved.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"In the afternoon, a new episode of language impairment (\"he mispronounced words and sometimes made mistakes by saying meaningless phrases\") which aslo lasted a few minutes then resolved.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Around 8:30 p.m., while he was with the RELATIVE, sudden appearance of impaired speech with difficulty in expressing himself, along with associated sensory disturbances and weakness in the right hand.\", 0.5, 1.0) | [S_7] (\"2026-01-01\", \"Emergency services called due to the persistence of the disorder.\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"According to the RELATIVE, the language had already recovered when the emergency services arrived.\", 0.5, 1.0) | [S_9] (\"2026-01-01\", \"Upon arrival at the hospital, the disorder was improving.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Neurological Examination at 11:30 p.m. performed by the undersigned: alert, cooperative.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"Cranial nerves: no lower facial deficit, no ocular motility deficit, no visual field response deficit to threat, normally positioned tongue.\", 0.5, 0.1) | [S_12] (\"2026-01-01\", \"Mingazzini I test with slight pronation on the right, good grip.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"No slippage in Mingazzini II test.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Mild dysesthesia of the right upper limb.\", 0.5, 0.5) | [S_15] (\"2026-01-01\", \"Recovery of correct language, still reported as \"slurred speech\" by the RELATIVE.\", 0.5, 0.5) | [S_16] (\"2026-01-01\", \"FNT correct bilaterally.\", 0.5, 0.5) | [S_17] (\"2026-01-01\", \"NIHSS = 2-3 BP = 160/80, SpO2 = 90% on room air, HR = 69 bpmR  Performed brain CT with angioCT and perfusion: no acute lesions, small previous lacunar sequelae in the basal ganglia bilaterally, no occlusion of epiaortic and intracranial vessels with atheromasia without evident significant stenosis, no perfusion abnormalities (pending report).\", 0.5, 1.0) | [S_18] (\"2026-01-01\", \"Neurological examination at the end of the CT scan in the presence of the RELATIVE: complete resolution of the disorders (excellent right hand grip, no sensory abnormalities in the right hand, correct recovery of language)  Conclusions: suspected left hemispheric TIA  We Recommend: - observation until tomorrow with neurological reassessment - starting tonight, Ascriptin 300 mg 1 tablet/day with a gastroprotective agent - start statin 20 mg 1 tablet/evening - if possible, telemetry to exclude cardiac arrhythmias - evaluate chest X-ray (the patient complains of the presence of phlegm)  If neurological deficits reappear, alert the neurologist\", 0.5, 1.0)"}

data/processed/materialized_ehr/1833659.jsonl

@@ -0,0 +1 @@
+{"person_id": "1833659", "text": "[S_0] (\"2026-01-01\", \"stable Discharged recommended: XINEPA EASY  1 tablet twice a day for 30 days, followed by 1 tablet a day for 30 days\", 0.5, 0.5)"}

data/processed/materialized_ehr/201466.jsonl

@@ -0,0 +1 @@
+{"person_id": "201466", "text": "[S_0] (\"2026-01-01\", \"Alert, oriented, cooperative Asymptomatic for dyspnea or angina BP 145/80 mmHg, HR 73 bpm R, RR 16 apm, apyretic Pulmonary examination: diffusely reduced vesicular murmur Cardiac examination: rhythmic tones  Abdominal examination: distended abdomen due to adiposity, palpable, not tender or painful, peristalsis present Neurological examination: GCS 15, isochoric isocyclic pupils, no unilateral motor and sensory deficits No peripheral edema Warm well-perfused skin  Ecoscopy: - chest: diffuse pleural sliding, ubiquitous A pattern - heart: preserved global kinesis, no pericardial effusion, right cavities not dilated, IVC with normal collapse - large abdominal vessels of normal caliber in the explorable tracts\", 0.5, 1.0)"}

data/processed/materialized_ehr/243838.jsonl

@@ -0,0 +1 @@
+{"person_id": "243838", "text": "[S_0] (\"2026-01-01\", \"UNSPECIFIED GASTRITIS AND GASTRODUODENITIS WITHOUT MENTION OF HEMORRHAGE (GASTRITIS/DUODENITIS NOS)\", 0.5, 1.0)"}

data/processed/materialized_ehr/308937.jsonl

@@ -0,0 +1 @@
+{"person_id": "308937", "text": "[S_0] (\"2026-01-01\", \"---------- CONSULTATION regarding the request for: PSYCHIATRIC EXAMINATION      of: 28/PHONE_NUMBER:53 ---------- Consulting physician: Dr. PERSONS_NAME             on: 28/PHONE_NUMBER:23 Patient arrived in the Emergency Department sent by their attending mental health center physician (Dr. PERSONS_NAME) due to manic episodes.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Patient has been under long-term care for Schizoaffective Disorder, with previous admissions to a Psychiatric Diagnostic and Treatment Center; currently being treated with clozapine 100 mg 1 tablet x 2/day and flurazepam 30 mg 1 tablet/day, ; medications were discontinued a few days ago.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Since yesterday, mental confusion, mood swings, and thought derailment.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"The RELATIVE therefore took the patient to the Mental Health Center to see their attending physician, who recognized the need for hospitalization.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"At the time of my arrival, the patient was dysphoric, coprolalic.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Thought characterized by derailment and grandiose content.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Expansive mood.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"No self-harm, suicidal or homicidal ideation.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Requires hospitalization in the Psychiatric Diagnostic and Treatment Service; the patient accepts hospitalization.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"An interview is carried out with the RELATIVE.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Therapy based on EN 5 mg 1 vial in 100 c sf and Haldol 2% 25 drops is administered.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"She is hospitalized after performing blood chemistry tests, ECG, and negative antigen swab.\", 0.5, 0.1) | [S_12] (\"2026-01-01\", \"--------------------\", 0.5, 0.5)"}

data/processed/materialized_ehr/327261.jsonl

@@ -0,0 +1 @@
+{"person_id": "327261", "text": "[S_0] (\"2026-01-01\", \"Reports accidental fall with nasal trauma on 12/18/21 and subsequent bilateral epistaxis.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"At today's visit, the patient reports no nasal respiratory obstruction.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Slight deviation to the right of the nasal pyramid.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"In anterior rhinoscopy, no signs of hemoset, hypertrophic inferior turbinates (>> on the right), no blood crusting.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Two nasal cotton swabs soaked in anesthetic are applied.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Infiltration with 2 cc of lidocaine.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Followed by procedure to reduce the fracture of the nasal bones.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Upon completion, no bleeding.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"A splint is applied.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Useful: - Avoid physical exertion for a week; - In case of pain: paracetamol 1 g -> 1 tablet every 8 hours if in pain.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"ENT check-up in 7 days for re-assessment.\", 0.5, 0.5)"}

data/processed/materialized_ehr/333752.jsonl

@@ -0,0 +1 @@
+{"person_id": "333752", "text": "[S_0] (\"2026-01-01\", \"Abdominal examination: Abdomen is palpable, no abdominal pain, no palpable masses in the abdomen.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Peristalsis present, Blumberg negative.\", 0.5, 0.1) | [S_2] (\"2026-01-01\", \"Giordano negative.\", 0.5, 0.1) | [S_3] (\"2026-01-01\", \"Bowel function and diuresis within normal limits.\", 0.5, 0.1) | [S_4] (\"2026-01-01\", \"Pain on paraspinous palpation and lumbar spine movements, lumbar paravertebral muscle contracture, Las\u00e8gue PERSONS_NAME, Blumberg negative Lower limb deep tendon reflexes within normal limits.\", 0.5, 0.1) | [S_5] (\"2026-01-01\", \"Tactile sensitivity of lower limbs preserved.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"No lower limb stenosis deficits.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"No saddle deficit.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Warm and perfused skin on lower limbs, peripheral pulses present, symmetrical, and within normal limits.\", 0.5, 0.1)"}

data/processed/materialized_ehr/382521.jsonl

@@ -0,0 +1 @@
+{"person_id": "382521", "text": "[S_0] (\"2026-01-01\", \"Age 66.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Does not take regular medications.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Smoker (20 cigarettes/day).\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"No known allergies.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Previous history of radical cystoprostatectomy with orthotopic bladder substitution with Camey II procedure in 2016.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Very poor compliance with follow-up, last visit in June 2019 where left hemiscrotal taut-elastic swelling was found and hydrocele correction was recommended, which the patient refused.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Access to the Emergency Department today for reported new volumetric increase of the left hemiscrotum, not painful.\", 0.5, 1.0) | [S_7] (\"2026-01-01\", \"With the suspicion of an inguinal-scrotal hernia, an abdominal CT scan with contrast medium was performed, then viewed jointly with the Surgeon Colleague Dr. PERSONS_NAME and the Radiologist Colleague Dr. PERSONS_NAME: no signs of intestinal hernia or herniation of the neobladder through the inguinal canal (the neobladder regularly opacifies in later stages); There is a bilateral hydrocele layer; the left testicle appears completely surrounded by a neoformation with fluid content and thickened walls (with discrete contrast-enhancement) that involves the entire inguinal canal going up to the abdomen (it is unclear whether the origin is epididymal or funicular).\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"Physical Examination: it is not possible to evaluate the testicles by palpation due to the presence of bilateral hydrocele and the presence, on the left, of non-painful taut-elastic swelling palpable also at the inguinal level; transillumination present only in the peripheral portions of the scrotum.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"The clinical situation is discussed with the patient.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Given the CT characteristics of the lesion (a cystic neoplasm starting from the funiculus cannot be excluded), inguinal exploratory surgery, removal of the mass, and possible left orchifunicolectomy are recommended.\", 0.5, 1.0) | [S_11] (\"2026-01-01\", \"The patient is made aware of the clinical situation.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"At the moment, he reserves the right to decide.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"Once a decision has been made, schedule a follow-up visit at our Outpatient Clinics, presenting yourself in direct access with a priority B or U National Health Service authorization (register at Reception and then go up to the outpatient clinic on the 1st floor).\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"We remain available for any further information.\", 0.5, 0.5)"}

data/processed/materialized_ehr/382962.jsonl

@@ -0,0 +1 @@
+{"person_id": "382962", "text": "[S_0] (\"2026-01-01\", \"Patient brought to ER due to worsening speech, headache, postural instability, and difficulty walking.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"Completed SARS CoV2 vaccination (J&J single dose 6/2021)  Past Medical History: - Arterial hypertension - Chiari malformation.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Followed at Molinette Hospital.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Brain MRI scheduled shortly (not yet performed), followed by a neurosurgical visit with Dr. PERSONS_NAME for treatment at San Giovanni Battista Hospital.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"- Atherosclerosis of the supra-aortic vessels.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Right carotid artery stent - Gastritis  Therapy: esomeprazole 40 mg, ASA 100 mg, atenolol 100 mg 1/4 tablet, valsartan 320 mg, lercanidipine 10 mg, rosuvastatin 20 mg, rocaltrol 0.5 mcg, potassium chloride 600 mg 1 tablet, calcium carbonate 3 tablets/day, dexamethasone 64 drops in the morning inserted for 1 week, cannabis for spasms  Reports no known drug allergies  For about two weeks, reappearance of walking difficulties with postural instability that worsens when eyes are closed and a tendency to fall, nausea, vomiting, worsening speech (all symptoms that the patient has already experienced before being operated on in 2013 and that sometimes recur to a fluctuating degree, but are now more intense).\", 0.5, 1.0) | [S_6] (\"2026-01-01\", \"Prescribed by the Primary Care Physician Soldesam 64 drops from 10/21/21.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"No fever, diarrhea, and/or other infections.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"At the ER neurosurgical assessment on 10/28, the patient underwent neurosurgical decompression and dural corrective surgery in 2013 for Chiari 1 malformation at another site (no documentation).\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"Brain and cervical spine MRI is indicated.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Brain and cervical spine MRI performed in ER showed no recent ischemia and/or evidence of bleeding, sequelae of previous neurosurgical intervention in the posterior fossa, no spinal cord lateralization, ventricular system appears normal.\", 0.5, 1.0) | [S_11] (\"2026-01-01\", \"Reassessed by neurosurgery (no syringobulbia, no syringomyelia, CSF circulation in the cisterna magna, - picture consistent with a MRI from 2019), no neurosurgical indications.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"Current Physical Neurological Exam: alert, cooperative.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"Cranial nerves without ocular motility deficit, no nystagmus, no facial deficit, normally positioned tongue.\", 0.5, 0.1) | [S_14] (\"2026-01-01\", \"Severe dysphagia for liquids.\", 0.5, 0.5) | [S_15] (\"2026-01-01\", \"FNT with mild bilateral dysmetria.\", 0.5, 0.5) | [S_16] (\"2026-01-01\", \"In both sitting and standing positions with eyes closed, slight trunk instability with oscillations in random directions.\", 0.5, 0.5) | [S_17] (\"2026-01-01\", \"Voice at times hypophonic and marked, fairly understandable.\", 0.5, 0.5) | [S_18] (\"2026-01-01\", \"Walking with small, cautious steps (also due to fear of falling).\", 0.5, 0.5) | [S_19] (\"2026-01-01\", \"No sensory deficits.\", 0.5, 0.5) | [S_20] (\"2026-01-01\", \"Lively DTR in all 4 limbs.\", 0.5, 0.5) | [S_21] (\"2026-01-01\", \"Bilateral plantar reflex in flexion, no sphincter abnormalities.\", 0.5, 1.0) | [S_22] (\"2026-01-01\", \"Conclusions: sequelae of previous neurosurgical intervention for PERSONS_NAME I, no acute lesions in brain-spinal cord MRI  Following a telephone discussion with neurosurgeon Dr. PERSONS_NAME,  it is recommended that the patient be referred to PERSONS_NAME at the Outpatient Clinic of the CTO Hospital (Dr. PERSONS_NAME) for follow-up.\", 0.5, 1.0) | [S_23] (\"2026-01-01\", \"Physiatric visit would be useful for a cycle of Physiokinetic Therapy and prescription of any aids Continue Soldesam 64 drops in the morning for another week, then switch to 32 drops per day for 10 days, then to 16 drops for 5 days, and then discontinue.\", 0.5, 0.5) | [S_24] (\"2026-01-01\", \"Always take gastroprotective agent during steroid treatment.\", 0.5, 0.5)"}

data/processed/materialized_ehr/385573.jsonl

@@ -0,0 +1 @@
+{"person_id": "385573", "text": "[S_0] (\"2026-01-01\", \"Patient admitted for slow AF during WO A - Conscious, clear airways B - eupnoeic, no use of accessory muscles, C - pulses present, full, isosfigmic; skin is normally perfused; CVP in place, hydration continues D - isochoric, isocyclic, and normally reactive pupils, mobility preserved in all 4 limbs, no unilateral motor and sensory deficit E- euthermic, maintains monitoring, eats breakfast, is autonomous at 8:00 a.m., experiences another episode of high-penetrance AF, average HR 130 bpm, under observation, possible electrical cardioversion A) cardiology consultation bed sides raised, lowered to minimum height\", 0.5, 0.1)"}

data/processed/materialized_ehr/394397.jsonl

@@ -0,0 +1 @@
+{"person_id": "394397", "text": "[S_0] (\"2026-01-01\", \"A: clear airways B: SAO2 97% on room air, RR 18 apm, diffuse breath sounds no rhonchi.\", 0.5, 0.1) | [S_1] (\"2026-01-01\", \"C: BP 170/100, HR 170 AR, warm well-perfused skin, tachyarrhythmic pulses present, valid tachyarrhythmic tones, no murmurs D: GCs 15 no unilateral motor and sensory deficits E: bilateral ankle edema  ECG: AF with mean HR 160 bpm, narrow QRS, DII-aVF pattern with ST depression POCUS: - chest: B1 bibasal interstitial s., no pleural effusion - heart: hyperkinetic LV, EF at lower limits, RV not dilated, no pericardial effusion - IVC 27 mm with mild collapse  Administered metoprolol 1/3 vial in SF 100 ml via rapid IV At the end HR 130bpm, BP 130/109\", 0.5, 0.5)"}

data/processed/materialized_ehr/419929.jsonl

@@ -0,0 +1 @@
+{"person_id": "419929", "text": "[S_0] (\"2026-01-01\", \"Reports well-localized pain in the left hemithorax for the past week.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Pain that increases with breathing and acupressure.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Pain described as stabbing, with no radiating sensation.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"CPS 1.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Reports no other symptoms and disorders.\", 0.5, 0.5)"}

data/processed/materialized_ehr/432071.jsonl

@@ -0,0 +1 @@
+{"person_id": "432071", "text": "[S_0] (\"2026-01-01\", \"code raised to green for leukocytosis (17,000) with increased CPR (33).\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"The patient reports 3 days of diffuse abdominal pain radiating posteriorly with poorly evacuated bowel movements and gas.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"Distended abdomen with meteorism, palpable but diffusely tender and with slight peritonism.\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"POCUS: examination hampered by significant entero-colic meteorism.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Given these limitations, liver shows homogeneous echostructure, gallbladder is acalculous, no dilatation of the excretory ducts, no free fluid in the abdomen, abundant air in the epigastric region (colon?\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"stomach?) with no evidence of dimpling or scarring in the suprahepatic region.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"An intestinal loop at the RIF shows thickened walls and fluid content with back and forth movement.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Moderate amount of free fluid between the loops in the RIF.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"The patient confirms she is not pregnant No prior surgical procedures takes BZD only as needed for insomnia.\", 0.5, 0.5)"}

data/processed/materialized_ehr/530889.jsonl

@@ -0,0 +1 @@
+{"person_id": "530889", "text": "[S_0] (\"2026-01-01\", \"Daily report prepared retrospectively due to Departmental needs:   Recent Medical History: Sent to ER by 911 due to a reported absence seizure with onset of limb stiffness and head trauma due to falling to the ground.\", 0.5, 1.0) | [S_1] (\"2026-01-01\", \"No reported clonus and/or sphincter release.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"The patient reports complete amnesia regarding the event and general partial amnesia (does not remember the month or the medication he is taking).\", 0.5, 0.5) | [S_3] (\"2026-01-01\", \"Does not recall fever or other specific previous symptoms.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"Medical history with the RELATIVE:   Around 12:30 p.m., while the patient was sitting in the wheelchair and talking to the RELATIVE, he fell backwards, sustaining a head injury, followed by immobility and a fixed, unresponsive gaze.\", 0.5, 0.5) | [S_5] (\"2026-01-01\", \"Subsequent spontaneous recovery with global amnesia regarding the morning events.\", 0.5, 0.5) | [S_6] (\"2026-01-01\", \"Home: PHONE_NUMBER RELATIVE: PHONE_NUMBER RELATIVE: PHONE_NUMBER  Past Medical History:  - Lives with RELATIVE.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Office worker.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"In a wheelchair from birth.\", 0.5, 0.5) | [S_9] (\"2026-01-01\", \"- Congenital hypoxic spastic tetraparesis.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"- Arterial hypertension under treatment.\", 0.5, 0.5) | [S_11] (\"2026-01-01\", \"- Bronchial asthma.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"- Overweight.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"Therapy: Irbesartan, Montelukast, Foster.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"Allergies: dust.\", 0.5, 0.5)"}

data/processed/materialized_ehr/548625.jsonl

@@ -0,0 +1 @@
+{"person_id": "548625", "text": "[S_0] (\"2026-01-01\", \"At discharge, the patient is alert, pain is under control, bandage in situ, adequate, and well tolerated.\", 0.5, 0.5)"}

data/processed/materialized_ehr/572916.jsonl

@@ -0,0 +1 @@
+{"person_id": "572916", "text": "[S_0] (\"2026-01-01\", \"Age 82 Hypertension, former smoker -  Prev AMI 1993.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"4/2009 NSTEMI onset with rapid AF.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"On coronary angiography, critical calcific disease of predivisional CT, 90% distal LAD, occluded proximal CX, DX 80% between middle tract ->PTCA on CT-LAD + DES and PTCA + DES LAD III.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"2010 mitral valve plastic + CABG (saphenous on RCA)     - 12/2019 echocardiogram: middle-basal inferior wall akinesia, apical hypokinesia, EF 38% AR ++, MR + + TR ++.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"left BBB - - 4/2020: Cardiac arrest oustide of hosptial      PTCA with implantation of 2 DES on LAD II-III.\", 0.5, 1.0) | [S_5] (\"2026-01-01\", \"Subsequent PTCA staged with a DES on right PIV and a DES on branch for the acute margin.\", 0.5, 1.0) | [S_6] (\"2026-01-01\", \"Pre-discharge Echo: EF 31-32%, minimum MR  regular right cavities, no TR.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Subsequent implantation of Biotronik single-chamber ICD; unsuccessful attempt at CRT implantation due to lack of target and small CS dissection and subsequent epicardial placement of left ventricular catheter (PLACE).\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"- Clinic F.up decompensation: NYHA II-III.\", 0.5, 1.0) | [S_9] (\"2026-01-01\", \"Persistent AF after trial with amiodarone, decrease in biventricular stimulation < 80% -> Electrical Cardioversion May 2021 with restoration of SR.\", 0.5, 1.0) | [S_10] (\"2026-01-01\", \"Due to worsening renal function, subsequent shift to OAT; due to difficult INR management with episodes of overdose and minor bleeding    Jul-2021 readmitted for suspected recurrence of angina: good outcome of previous PCI on RCA III but presence of restenosis on posterolateral branch -> POBA.\", 0.5, 1.0) | [S_11] (\"2026-01-01\", \"10/2021 left atrial appendage occlusion.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"Pre-discharge Echo: EF 43% inferior posterior hypokinesia, moderate AR, mild MR due to plasty outcomes.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"- 01/22/2022 hospitalization for chest pain with unchanged coronary picture.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"EF 33% biplane due to akinesia of the apex and of the lower middle IVS, normal contractility of the mid-basal anterior wall and basal antero-lateral wall, hypokinesia of the remaining segments; increased filling pressures; severely dilated LA; aortic sclerosis with moderate degree of insufficiency, mild MR, mild TR (2+/4+) with estimated PAPs 36 mmHg. Subsequent f-up with stable dyspnoea, good results atrial occlusion with moderate AR (3+/4+) mild MR  Moved to Emergency Department on Aug.\", 0.5, 1.0) | [S_15] (\"2026-01-01\", \"3rd for dyspnoea, titrated diuretic; absence of device control Therapy:  - ACETYLSALICYLIC ACID 100 - METOPROLOL 100 mg 3/4 tablet x 2 - FUROSEMIDE 25 mg 2 tablets at 8 a.m. and 1 tablet at 4 p.m. - LUVION 251  SIMVASTATIN 20 mg - AMIODARONE 200 mg - SACUBITRIL/VALSARTAN 24/26 mg 1 tablet at 8 a.m. and 8 p.m. - ALLOPURINOL 300 mg 1/2 tablet - NITROGLYCERIN 10 mg 1 patch from 8 a.m. to 9 p.m. -RANOLAZINE 375 mg 1 tablet x 2 - TAMSULOSINE - endocarditis prophylaxis  Again in Emergency Department for persistent dyspnoea; clinical picture Rx unchanged baseline stasis Rx mild congestion CRT-D check-up confirms persistent SR recovery from about 1 month Rhythm from biventricular atrium guided stim The system is not able to stimulate the atrium RECOMMENDATION:  reduce METOPROLOL to 1/2 in the morning and 1/4 in the evening; continue with FUROSEMIDE 25 mg 2 in the morning 2 in the afternoon and Luvion 25 1.\", 0.5, 1.0) | [S_16] (\"2026-01-01\", \"other medications remain the same Clinic decompensation check-up next March 31st, already scheduled\", 0.5, 0.5)"}

data/processed/materialized_ehr/575432.jsonl

@@ -0,0 +1 @@
+{"person_id": "575432", "text": "[S_0] (\"2026-01-01\", \"Written retroscepctively  ECG: AF/atrial flutter - HR 119 left axis - T neg in DI and aVL Venous ABG: pH 7.33 pCO2 35 HCO3 19 lat 7.63 hgt 175 Na 123 K 5.38 Hb 9.5 Bedside ultrasound: - heart -> no pericardial effusion, IVC difficult to assess, RV of normal size and kinesis, LV of normal size, EF appears normal (EF 60%) - chest (a.c.) -> sliding present bilaterally, no pleural effusion, no interstitial syndrome - abdomen -> no free effusion, no bilateral hydronephrosis, depleted bladder  Repeat blood tests New CVP placed VC to be placed (urinometer) Administered AR 500 ml bolus  Patient currently asymptomatic Reports no chest or abdominal pain Reports no other ailments Reports diuresis preserved until just before admission to the emergency department  IDx: known ulcer bleeding in the right leg, possible superinfection - ARF due to CRI associated with mild metabolic acidosis and mild hyperkalemia, diuresis appears preserved  Program: - clinical monitoring - blood test check-up in the morning - diuresis monitoring - plastic surgery assessment\", 0.5, 1.0)"}